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BROWN EMERGENCY MEDICINE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BROWN EMERGENCY MEDICINE (EIN 05-0486254)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201412279349301206
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-15T08:51:25-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN050409384EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KAHN LITWIN RENZA & CO LTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1951 NORTH MAIN STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02904ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050486254EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY EMERGENCY MEDICINE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNIVNameControl
Phone4015191602Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1593 EDDY STREET NO 2ND FLAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02903ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRIAN ZINKName
TitlePRESIDENTTitle
Phone4014445826Phone
Date Signed2014-08-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDEBORAH A HOPKINSName
PTINP00167843PTIN
Phone4012742001Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRIAN ZINKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1593 EDDY STREET NO 2ND FLAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
Gross Receipts45942625GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UEMF.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionEXCEPTIONAL EMERGENCY MEDICAL CARE, EDUCATION, RESEARCH AND SERVICE TO PEOPLE OF RI AND BEYOND.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees249TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year40249176ProgramServiceRevenuePriorYear
Program Service Revenue CY42092609ProgramServiceRevenueCY
Investment Income Prior Year134486InvestmentIncomePriorYear
Investment Income Current Year155188InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year40383662TotalRevenuePriorYear
Total Revenue Current Year42247797TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year82500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY142600GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year34853292SalariesEtcPriorYear
Salaries Etc Current Year37764379SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5133350OtherExpensePriorYear
Other Expenses Current Year4035736OtherExpensesCurrentYear
Total Expenses Prior Year40069142TotalExpensesPriorYear
Total Expenses Current Year41942715TotalExpensesCurrentYear
Revenues Less Expenses Prior Year314520RevenuesLessExpensesPriorYear
Revenues Less Expenses CY305082RevenuesLessExpensesCY
Total Assets BOY12590354TotalAssetsBOY
Total Assets EOY12509771TotalAssetsEOY
Total Liabilities BOY5750811TotalLiabilitiesBOY
Total Liabilities EOY5064651TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6839543NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7445120NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE EXCEPTIONAL EMERGENCY MEDICAL CARE, EDUCATION, RESEARCH, AND SERVICE TO THE PEOPLE OF RHODE ISLAND AND BEYOND.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense38653914Expense
Grants142600Grants
Revenue42092609Revenue
DescriptionTHE UNIVERSITY EMERGENCY MEDICINE FOUNDATION PROVIDES EMERGENCY MEDICAL SERVICES, CONDUCTS MEDICAL RESEARCH AND EDUCATES MEDICAL RESIDENTS, FELLOWS, MEDICAL STUDENTS AND OTHERS. THE FOUNDATION PROVIDES THESE SERVICES THROUGH AFFILIATIONS WITH RHODE ISLAND HOSPITAL (RIH), HASBRO CHILDREN'S HOSPITAL (HASBRO), AND THE MIRIAM HOSPITAL (TMH), WOMEN AND INFANTS HOSPITAL AND THE PROVIDENCE VETERANS ADMINISTRATION HOSPITAL.UNIVERSITY EMERGENCY MEDICINE FOUNDATION (UEMF) IS THE ACADEMIC EMERGENCY MEDICINE PHYSICIAN PRACTICE PLAN OF THE DEPARTMENT OF EMERGENCY MEDICINE AT THE ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY, LIFESPAN'S RHODE ISLAND HOSPITAL, AND THE MIRIAM HOSPITAL. WITH MORE THAN 90 FULL TIME PHYSICIANS AND 25 MID-LEVEL PROVIDERS, UEMF PROVIDES EMERGENCY DEPARTMENT STAFFING FOR RHODE ISLAND HOSPITAL, THE REGION'S ONLY LEVEL I TRAUMA CENTER; HASBRO CHILDREN'S HOSPITAL, THE STATE'S ONLY CHILDREN'S SPECIALTY HOSPITAL; AND THE MIRIAM HOSPITAL, WHICH IS A LEADING COMMUNITY TEACHING HOSPITAL. ALL UEMF MEMBER PHYSICIANS ARE BOARD CERTIFIED IN EMERGENCY MEDICINE OR PEDIATRIC EMERGENCY MEDICINE. IN FISCAL YEAR 2013, UEMF PROVIDED EMERGENCY MEDICAL CARE TO 217,231 PATIENTS. IN ADDITION, 110 RESIDENTS AND FELLOWS RECEIVED TEACHING, 1,901 INDIVIDUALS RECEIVED TRAINING IN A SIMULATION CENTER, 674 INDIVIDUALS RECEIVED MOCK TRAINING OUTSIDE A SIMULATION CENTER, AND 56 RESIDENTS AND 77 MEDICAL STUDENTS FROM OTHER DEPARTMENTS ROTATED THROUGH THE EMERGENCY DEPARTMENT TO RECEIVE EDUCATION SERVICES.Description
Total Program Service Expense38653914TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109627NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees249NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledRIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KEITH NEALBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4015191602TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line118 IMPERIAL PLACE UNIT 10AddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02903ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
BRIAN ZINK
CHAIRMAN40.00XX571107059986
ANTHONY NAPOLI
TREASURER40.00XX321289054714
JAMES MONTI
SECRETARY40.00XX297621055228
SUSAN DUFFY
PEDI EM MEMBER AT LARGE40.00X283798055394
FRANK OVERLY
PEDI EM MEMBER AT LARGE40.00X264780055980
CATHERINE CUMMINGS
DIRECTOR (AS OF 1/1/13)40.00X270230052922
ILSE JENOURI
DIRECTOR40.00X284967054264
MIHIR KAMAT
DIRECTOR40.00X293324055195
MATTHEW KOPP
DIRECTOR40.00X276975057191
DAVID PORTELLI
DIRECTOR40.00X311596057581
JOHN MURPHY
DIRECTOR, EX-OFFICIO1.00X000
GLENN TUNG
DIRECTOR, EX-OFFICIO1.00X000
GARY BUBLY
PHYSICIAN40.00333211056488X
FRANCIS SULLIVAN
PHYSICIAN40.00363172044664X
GREGORY JAY
PHYSICIAN40.00360312057121X
DANIEL SAVITT
PHYSICIAN40.00343376055809X
MICHELLE DANIEL
PHYSICIAN40.00334419055203X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4910177TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation827740TotalOtherCompensation
Number Individuals GT100 K105NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES6214003610331136103311
RESEARCH GRANTS62140029620372962037
TEACHING AND ADMIN REV62140029511122951112
OTHER INCOME6214007614976149
FieldValueIRS element (for citing)
Total Program Service Revenue42092609TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column130323TotalRevenueColumn
Exclusion$130,323ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3389693Securities
Other330000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3384781Securities
Other310047Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4912Securities
Other19953Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column24865TotalRevenueColumn
Exclusion$24,865ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column42247797TotalRevenueColumn
Related Or Exempt Function Income42092609RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$155,188ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total142600Total
Program Services142600ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3025774Total
Program Services2874485ProgramServices
Management And General151289ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total27781142Total
Program Services26088471ProgramServices
Management And General1692671ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2897826Total
Program Services2721316ProgramServices
Management And General176510ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2488327Total
Program Services2337212ProgramServices
Management And General151115ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1571310Total
Program Services1477031ProgramServices
Management And General94279ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15255Total
Management And General15255ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33000Total
Management And General33000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total117518Total
Program Services73461ProgramServices
Management And General44057ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total167459Total
Program Services95303ProgramServices
Management And General72156ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8817Total
Program Services4409ProgramServices
Management And General4408ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total165597Total
Management And General165597ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total6745Total
Program Services6745ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total10941Total
Program Services10941ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total120457Total
Program Services120457ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total93302Total
Program Services77049ProgramServices
Management And General16253ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MALPRACTICE INSURANCE15892101589210
RESEARCH CONTRIBUTIONS622540622540
OUTSIDE SERVICES478551478551
LICENSES & FEES187507187507

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total418837Total
Program Services225177ProgramServices
Management And General193660ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total41942715Total
Program Services38653914ProgramServices
Management And General3288801ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1099956BOY
EOY1738700EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY623546BOY
EOY646149EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY180721BOY
EOY163172EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis592495LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec226339LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY576266BOY
EOY366156EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2576411BOY
EOY2946300EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY7533454BOY
EOY6649294EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12590354BOY
EOY12509771EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5750811BOY
EOY5064651EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5750811BOY
EOY5064651EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6839543BOY
EOY7445120EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6839543BOY
EOY7445120EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12590354BOY
EOY12509771EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses305082ReconcilationRevenueExpenses
Reconciliation Unrealized Invest300495ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
FS Audited0FSAudited
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis246751OtherCostOrOtherBasis
Depreciation58171Depreciation
Book Value188580BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis95046OtherCostOrOtherBasis
Depreciation13164Depreciation
Book Value81882BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis223652OtherCostOrOtherBasis
Depreciation130877Depreciation
Book Value92775BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis27046OtherCostOrOtherBasis
Depreciation24127Depreciation
Book Value2919BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings366156TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionMONEY MARKETDescription
Book Value6649294BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities6649294TotalOfBookValueSecurities
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE FOUNDATION IS A SUPPORTING ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 509(A)(3) OF THE INTERNAL REVENUE CODE. AUTHORITATIVE GUIDANCE REQUIRES THE EVALUATION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE TAX RETURNS OF THE FOUNDATION TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE LIKELY THAN NOT" TO BE SUSTAINED BY THE APPLICABLE TAXING AUTHORITY. TAX POSITIONS NOT DEEMED TO MEET THE "MORE LIKELY THAN NOT" THRESHOLD WOULD BE RECORDED AS A TAX BENEFIT OR EXPENSE IN THE CURRENT YEAR. THE FOUNDATION ANNUALLY FILES INTERNAL REVENUE SERVICE (IRS) FORM 990, REPORTING VARIOUS INFORMATION THAT THE IRS USES TO MONITOR THE ACTIVITIES OF TAX EXEMPT ENTITIES. THESE TAX RETURNS ARE SUBJECT TO REVIEW BY THE TAXING AUTHORITIES AND ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. THE FOUNDATION CURRENTLY HAS NO TAX EXAMINATIONS IN PROGRESS. MANAGEMENT BELIEVES THE FOUNDATION OPERATES IN A MANNER CONSISTENT WITH ITS TAX EXEMPT STATUS AT BOTH THE FEDERAL AND STATE LEVEL.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
0
OFFICE OF BIOMEDICAL ADVANCEMENT POBOX G-ADVPROVIDENCERI02912050258937501(C)(3)60000SUPPORT FOR THE CONSTRUCTION OF THE NEW BROWN MEDICAL SCHOOL BUILDING
HASBRO CHILDREN'S HOSPITAL CO RHODE ISLAND HOSPITAL
PO BOX HPROVIDENCERI02901050258954501(C)(3)5000SPONSORSHIP FOR HASBRO CHILDREN'S HOSPITAL BALL
RHODE ISLAND HOSPITAL FOUNDATION
LIFESPAN DEVELOPMENT OFFICEPO BOX HHPROVIDENCERI02901050468736501(C)(3)5000SILVER SPONSOR OF THE PRESIDENT'S PURSUIT OF EXCELLENCE DINNER
THE MIRIAM HOSPITAL FOUNDATION
LIFESPAN DEVELOPMENT OFFICEPO BOX HHPROVIDENCERI02901050377502501(C)(3)67500SILVER SPONSOR FOR THE 2013 GALA, CAMPAIGN FOR EXCELLENCE, ADVANCING EMERGENCY AND CARDIAC CARE, CAMPAIGN FOR NEXT GENERATION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRIAN ZINK
CHAIRMAN57110700000330000269860631093000
ANTHONY NAPOLI
TREASURER32128900000330000217140376003000
JAMES MONTI
SECRETARY29762100000330000222280352849000
SUSAN DUFFY
PEDI EM MEMBER AT LARGE28379800000330000223940339192000
FRANK OVERLY
PEDI EM MEMBER AT LARGE26478000000330000229800320760000
CATHERINE CUMMINGS
DIRECTOR (AS OF 1/1/13)27023000000330000199220323152000
ILSE JENOURI
DIRECTOR28496700000330000212640339231000
MIHIR KAMAT
DIRECTOR29332400000330000221950348519000
MATTHEW KOPP
DIRECTOR27697500000330000241910334166000
DAVID PORTELLI
DIRECTOR31159600000330000245810369177000
GARY BUBLY
PHYSICIAN33321100000330000234880389699000
FRANCIS SULLIVAN
PHYSICIAN36317200000330000116640407836000
GREGORY JAY
PHYSICIAN36031200000330000241210417433000
DANIEL SAVITT
PHYSICIAN34337600000330000228090399185000
MICHELLE DANIEL
PHYSICIAN33441900000330000222030389622000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

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FORM 990, PART VI, SECTION A, LINE 6THE FOLLOWING PHYSICIANS ARE ELIGIBLE TO JOIN THE FOUNDATION AS MEMBERS, THOSE WHO: ARE MEMBERS OF THE STAFF ASSOCIATION OF RHODE ISLAND HOSPITAL (RIH) AND THE MIRIAM HOSPITAL (TMH), AND HOLD PROFESSIONAL STAFF APPOINTMENTS WITHIN THE DEPARTMENT OF EMERGENCY MEDICINE AT RIH OR THE DIVISION OF EMERGENCY MEDICINE AT TMH, AND EITHER HOLD A FACULTY APPOINTMENT IN THE BROWN UNIVERSITY MEDICAL SCHOOL (BROWN) OR HAVE BEEN EMPLOYED BY THE FOUNDATION FOR LESS THAN ONE YEAR AND HAVE AGREED TO APPLY FOR A BROWN FACULTY APPOINTMENT, AND ARE APPROVED BY THE RIH CHIEF OF THE DEPARTMENT OF EMERGENCY MEDICINE AND THE FOUNDATION'S BOARD OF DIRECTORS, AND WILL BE EMPLOYED BY THE FOUNDATION TO CONDUCT THEIR PRACTICE OF MEDICINE EXCLUSIVELY ON BEHALF OF THE FOUNDATION, UNLESS OTHERWISE RECOMMENDED BY THE PRESIDENT AND APPROVED BY THE BOARD, AND WILL BE BOARD CERTIFIED OR BOARD ELIGIBLE IN EMERGENCY MEDICINE OR PEDIATRIC EMERGENCY MEDICINE, UNLESS OTHERWISE RECOMMENDED BY THE PRESIDENT AND APPROVED BY THE BOARD. EACH SUCH ELIGIBLE PHYSICIAN WHO HAS IN EFFECT AN EMPLOYMENT AGREEMENT WITH THE FOUNDATION SHALL BE A MEMBER OF THE FOUNDATION AS LONG AS THE EMPLOYMENT AGREEMENT IS IN A FORM APPROVED BY THE BOARD AND THE CHIEF OF EMERGENCY MEDICINE (RIH).
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF DIRECTORS SHALL BE COMPRISED OF: THE CHIEF OF EMERGENCY MEDICINE, EX OFFICIO, WITH VOTING RIGHTS; THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF LIFESPAN CORPORATION, A RI NON-PROFIT CORPORATION WHICH IS THE SOLE MEMBER OF RHODE ISLAND HOSPITAL, THE MIRIAM HOSPITAL, AND OTHER NON-PROFIT HEALTH CARE PROVIDERS, OR HIS/HER DESIGNEE, EX OFFICIO, WITH VOTING RIGHTS; THE DEAN OF MEDICINE OF BROWN UNIVERSITY MEDICAL SCHOOL OR HIS/HER DESIGNEE, EX OFFICIO, WITH VOTING RIGHTS; UP TO 8 MEMBERS ELECTED BY THE MEMBERS AT AN ANNUAL MEETING OR ANY SPECIAL MEETING HELD IN LIEU THEREOF BASED ON NOMINATIONS MADE BY THE NOMINATING COMMITTEE (EACH AN AT-LARGE DIRECTOR); AND UP TO 2 INDIVIDUALS ELECTED BY THE BOARD WHO ARE NOT EMPLOYED BY THE ORGANIZATION AND ARE NOT NECESSARILY PHYSICIANS, BASED ON NOMINATIONS FROM THE NOMINATING COMMITTEE (EACH AN "OUTSIDE DIRECTOR"). EACH MEMBER SHALL BE ENTITLED TO ONE VOTE AT ANNUAL AND SPECIAL MEETINGS OF THE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BTHERE WILL BE AN ANNUAL MEETING OF THE MEMBERS HELD IN THE MONTH OF DECEMBER EACH YEAR. THERE MAY ALSO BE SPECIAL MEETINGS OF THE MEMBERS, WHICH CAN BE CALLED BY THE PRESIDENT, BY THE BOARD, OR BY 2/3 VOTE OF THE MEMBERS ENTITLED TO VOTE. THERE ARE REQUIREMENTS FOR PROVIDING NOTICE OF THE MEETINGS TO THE MEMBERS. EACH MEMBER SHALL BE ENTITLED TO ONE VOTE. VACANCIES IN THE BOARD OR IN ANY CORPORATE OFFICE MAY BE FILLED BY ELECTION BY THE REMAINING DIRECTORS AT ANY REGULAR OR SPECIAL MEETING, BUT IF A VACANCY EXISTS AT THE TIME OF ANY MEMBERS' MEETING, IT SHALL BE FILLED BY ELECTION AT SAID MEETING. AN AT-LARGE DIRECTOR MAY BE REMOVED FROM OFFICE WITH OR WITHOUT CAUSE AT ANY ANNUAL, REGULAR, OR SPECIAL MEETING OF MEMBERS BY VOTE OF AT LEAST 2/3 OF THE MEMBERS ENTITLED TO VOTE IN THE ELECTION OF SUCH DIRECTORS AND PRESENT IN PERSON OR BY PROXY AT A MEETING IN WHICH A QUORUM (MAJORITY) IS PRESENT, OR FOR CAUSE BY A VOTE OF A MAJORITY OF THE DIRECTORS THEN IN OFFICE AND PRESENT AT A MEETING IN WHICH A QUORUM IS PRESENT; PROVIDED, HOWEVER, THAT A DIRECTOR MAY BE REMOVED FOR CAUSE ONLY AFTER REASONABLE NOTICE AND OPPORTUNITY TO BE HEARD BEFORE THE BODY PROPOSING TO REMOVE HIM.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY THE EXTERNAL AUDITORS AND REVIEWED BY MANAGEMENT AND THE AUDIT COMMITTEE OF THE BOARD. REVISIONS, CORRECTIONS, ETC. ARE MADE AS NECESSARY. ONCE ALL ARE SATISFIED WITH THE FORM, IT IS FINALIZED AND A COPY IS SENT TO ALL BOARD MEMBERS. A REVIEW IS CONDUCTED AT A BOARD OF TRUSTEES MEETING PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CEACH YEAR THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. THESE PEOPLE ARE ASKED TO REVIEW THE POLICY AND SIGN A STATEMENT INDICATING THAT THEY UNDERSTAND THE POLICY, HAVE REPORTED ALL POTENTIAL CONFLICTS DURING THE PAST YEAR IN ACCORDANCE WITH THE POLICY AND WILL REPORT ALL POTENTIAL CONFLICTS DURING THE COMING YEAR. ALL POTENTIAL CONFLICTS ARE EVALUATED BY THE BOARD TO DETERMINE IF A CONFLICT ACTUALLY EXISTS. (AN ATTORNEY IS PRESENT AT EACH BOARD MEETING). IN THOSE INSTANCES WHERE THE POTENTIAL TRANSACTION IS A CONFLICT THE BOARD EXAMINES THE TRANSACTION AND A VOTE IS TAKEN (WITH THOSE INVOLVED RECUSING THEMSELVES) AS TO WHETHER THE ORGANIZATION WILL ENTER INTO THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15AN INDEPENDENT COMPENSATION COMMITTEE CONDUCTS A PERFORMANCE REVIEW AND EVALUATION OF ALL MEMBER COMPENSATION, INCLUDING THE PRESIDENT. THIS PROCESS INVOLVES THE EVALUATION OF THE INDIVIDUAL AND A REVIEW OF COMPENSATION OF COMPARABLE POSITIONS OBTAINED FROM PUBLISHED SURVEYS OF INDUSTRY DATA. THE COMMITTEE'S DELIBERATION AND DECISION IS NOTED IN THE MINUTES OF THE MEETING.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND BY-LAWS, INCLUDING ITS CONFLICT OF INTEREST POLICY) AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE ORGANIZATION WILL MAIL COPIES UPON REQUEST OR PROVIDE COPIES TO THOSE WHO COME TO THE ADMINISTRATIVE OFFICE DURING NORMAL BUSINESS HOURS. THE ORGANIZATION CHARGES FOR THE COPIES IN ACCORDANCE WITH IRS REGULATIONS.