STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

BROWN MEDICINE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BROWN MEDICINE (EIN 05-0450410)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-01
IRS object ID
201312139349300531
Schema version
2011v1.5
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)
Timestamp2013-08-01T11:18:00-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050450410EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY MEDICINE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNIVNameControl
Phone4014445135Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1593 EDDY STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02903ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLOUIS RICE MDName
TitlePRESIDENTTitle
Phone4014445135Phone
Date Signed2013-08-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDEBORAH A HOPKINSName
PTINP00167843PTIN
Phone4012742001Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLOUIS RICE MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1593 EDDY STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
Gross Receipts61601686GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteUMF.BROWNMEDICINE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HIGH-LEVEL PATIENT CARE, ADVANCE MEDICAL KNOWLEDGE AND SCIENCE AND DEVELOP CURES.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees350TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year55537870ProgramServiceRevenuePriorYear
Program Service Revenue CY60641257ProgramServiceRevenueCY
Investment Income Prior Year278618InvestmentIncomePriorYear
Investment Income Current Year276469InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year55816488TotalRevenuePriorYear
Total Revenue Current Year60917726TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year212500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY82500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year44759213SalariesEtcPriorYear
Salaries Etc Current Year48474564SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10127927OtherExpensePriorYear
Other Expenses Current Year10940430OtherExpensesCurrentYear
Total Expenses Prior Year55099640TotalExpensesPriorYear
Total Expenses Current Year59497494TotalExpensesCurrentYear
Revenues Less Expenses Prior Year716848RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1420232RevenuesLessExpensesCY
Total Assets BOY21456791TotalAssetsBOY
Total Assets EOY24293812TotalAssetsEOY
Total Liabilities BOY4550641TotalLiabilitiesBOY
Total Liabilities EOY4750241TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16906150NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19543571NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionUMF IS A NON-PROFIT, ACADEMIC, MULTI-SPECIALTY MEDICAL GROUP WITH PRACTICES IN PROVIDENCE, RI AND ITS SURROUNDING COMMUNITIES. OUR MISSION IS TO PROVIDE HIGH-LEVEL PATIENT CARE, ADVANCE MEDICAL KNOWLEDGE AND SCIENCE AND DEVELOP CURES. OUR CULTURE PROMOTES CONSTANT LEARNING, WHICH TRANSFERS ACROSS ALL STAFF MEMBERS AND TO THE PHYSICIANS WE TRAIN. TO REINFORCE THIS, UMF ALLOCATES 10% OF ITS REVENUE INTO THE ACADEMIC PURSUITS OF OUR PHYSICIANS WHO HAVE FACULTY APPOINTMENTS WITH BROWN UNIVERSITY'S WARREN ALPERT MEDICAL SCHOOL.WE CONTRIBUTE TIME, ENERGY AND FUNDS TO NON-PROFIT HEALTHCARE ENDEAVORS LOCALLY AND GLOBALLY. WE PROVIDE OVER $1 MILLION DOLLARS OF FREE CARE TO PEOPLE IN THE STATE OF RHODE ISLAND. OUR INTERNATIONAL REACH PROVIDES FINANCIAL AND MEDICAL RESOURCES TO THE UNDER SERVED THROUGHOUT THE WORLD.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense43754873Expense
Revenue60641257Revenue
DescriptionUMF PROVIDED PRIMARY CARE AT NUMEROUS SITES THROUGHOUT RHODE ISLAND AS WELL AS OUTPATIENT AND INPATIENT CARE THROUGH NINE SUBSPECIALTY DIVISIONS AT RHODE ISLAND HOSPITAL, MIRIAM HOSPITAL AND THE PROVIDENCE VETERAN'S ADMINISTRATION HOSPITAL. UMF ALSO PROVIDED ENDOCRINOLOGY SERVICES THROUGH THE HALLET CENTER FOR DIABETES AND ENDOCRINOLOGY AT RHODE ISLAND HOSPITAL. UMF PHYSICIANS RAN THE HOSPITALISTS PROGRAMS AT BOTH THE RHODE ISLAND AND MIRIAM HOSPITALS. IN ADDITION, UMF OFFERED MEDICAL CARE AT ALL SEVEN OF RHODE ISLAND'S INPATIENT KIDNEY DIALYSIS CENTERS AND TWO STAND ALONE OUTPATIENT DIALYSIS CENTERS, AND UMF OFFERED A TRAVEL CLINIC AT MIRIAM HOSPITAL.Description
Total Program Service Expense43754873TotalProgramServiceExpense
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 Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109650NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees350NumberOfEmployees
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
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 Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
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 Line1HERMINEH OHARONIANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4017844909TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line117 VIRGINIA AVENUE SUITE 107AddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02905ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
LOUIS RICE MD
PRESIDENT40.00XX000
TED LALLY MD
SECRETARY40.00XX245642040272
GEETHA GOPALAKRISHNAN MD
DIRECTOR40.00X215509030943
KELLY MCGARRY MD
DIRECTOR40.00X170789034813
JOHN LONKS MD
DIRECTOR (10/11 - 1/12)40.00X162489033360
HARLAN RICH MD
DIRECTOR40.00X256911042996
MICHAEL JOHNSON MD
DIRECTOR (10/11 - 1/12)40.00X159951033729
MICHELLE ANVAR MD
DIRECTOR (10/11 - 1/12)40.00X165844034673
JEROME LARKIN MD
DIRECTOR40.00X176073035175
WARREN LICHT MD
DIRECTOR (10/11 - 1/12)40.00X198676038307
EDWARD STULIK MD
DIRECTOR (AS OF 1/12)40.00X119939028549
CURT BECKWITH MD
DIRECTOR (AS OF 1/12)40.00X142884032213
KIM BASU MD
DIRECTOR (AS OF 1/12)40.00X223461037961
SYBIL CINEAS MD
DIRECTOR (AS OF 1/12)40.00X136602021510
GLENN A TUNG MD
DIRECTOR1.00X000
JOHN MURPHY MD
DIRECTOR1.00X000
STEVEN MALLOZZI MD
VICE PRESIDENT40.00X187766020352
RICHARD MILLMAN MD
TREASURER40.00X295335040740
PETER CERIANI
CEO40.00X262079042041
LANCE DWORKIN MD
PHYSICIAN40.00419760040666X
KWAME DAPAAH-AFRIYIE MD
PHYSICIAN40.00442914043937X
PETER QUESENBERRY MD
PHYSICIAN40.00386760035211X
FRED SCHIFFMAN MD
PHYSICIAN40.00369441040666X
JACK R WANDS MD
PHYSICIAN40.00361783039488X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5100608TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation747602TotalOtherCompensation
Number Individuals GT100 K180NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
INGENIX CARETRACKER
2771 MOMENTUM PLACECHICAGOIL60689MEDICAL BILLING1129648
RHODE ISLAND HOSPITAL
PO BOX HPROVIDENCERI02901STAFFING460681
LIFESPAN
PO BOX 414546BOSTONMA02241PHYSICIAN SERVICES357340
PROVIDENCE VA MEDICAL CENTER
860 CHALKSTONE AVENUEPROVIDENCERI02908PHYSICIAN SERVICES242919
PHYSICIAN CHART AUDITORS LLC
14 DRIFTWAY AVENUEHULLMA02045CHART AUDIT SERVICES191748
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL SERVICE FEES9000994376620643766206
SUPPORT FROM RIH, TMH9000991017686010176860
CONTRACT SERVICE REV.90009962200546220054
MISCELLANEOUS900099478137478137
FieldValueIRS element (for citing)
Total Program Service Revenue60641257TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column257642TotalRevenueColumn
Exclusion$257,642ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities702787Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities683960Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities18827Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column18827TotalRevenueColumn
Exclusion$18,827ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column60917726TotalRevenueColumn
Related Or Exempt Function Income60641257RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$276,469ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total82500Total
Program Services82500ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3094281Total
Program Services2726730ProgramServices
Management And General367551ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total36375950Total
Program Services29498598ProgramServices
Management And General6877352ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3212644Total
Program Services2689327ProgramServices
Management And General523317ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3372728Total
Program Services2284054ProgramServices
Management And General1088674ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2418961Total
Program Services1822004ProgramServices
Management And General596957ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total115552Total
Management And General115552ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total58104Total
Management And General58104ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total11008Total
Management And General11008ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3074141Total
Program Services1285438ProgramServices
Management And General1788703ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total123974Total
Management And General123974ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1376613Total
Program Services333ProgramServices
Management And General1376280ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total20141Total
Management And General20141ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1534545Total
Management And General1534545ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total98274Total
Program Services11198ProgramServices
Management And General87076ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total173707Total
Program Services173707ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total17317Total
Management And General17317ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total266360Total
Management And General266360ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1744186Total
Program Services1660798ProgramServices
Management And General83388ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CARDIOLOGY EXPENSES-AEF12607981130078130720
OTHER EXPENSES5693313719565612
SUBSCRIPTIONS/LICENSES33376731289520872
EDUCATION AND TRAINING7349473494

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total89118Total
Management And General89118ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total59497494Total
Program Services43754873ProgramServices
Management And General15742621ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3655256BOY
EOY3914791EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4758247BOY
EOY4748487EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1838824BOY
EOY1541341EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY461340BOY
EOY718983EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3417332LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2677862LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY922180BOY
EOY739470EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7770123BOY
EOY9169137EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2050821BOY
EOY3461603EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21456791BOY
EOY24293812EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3278957BOY
EOY3398873EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1271684BOY
EOY1351368EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4550641BOY
EOY4750241EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16843679BOY
EOY19509142EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY62471BOY
EOY34429EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16906150BOY
EOY19543571EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21456791BOY
EOY24293812EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1420232ReconcilationRevenueExpenses
Reconcilation Other Changes1217189ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Medical Research Org170b1 AiiiXMedicalResearchOrg170b1Aiii

Hospital Name And Address HospitalNameAndAddress (6 entries)

CityCityStateState
RHODE ISLAND HOSPITAL
PROVIDENCERI
MIRIAM HOSPITAL
PROVIDENCERI
HASBRO CHILDREN'S HOSPITAL
PROVIDENCERI
WOMEN AND INFANTS HOSPITAL
PROVIDENCERI
PROVIDENCE VETERANS ADMINISTRATION HOSPITAL
PROVIDENCERI
MEMORIAL HOSPITAL
PAWTUCKETRI

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis363433OtherCostOrOtherBasis
Depreciation193668Depreciation
Book Value169765BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3053899OtherCostOrOtherBasis
Depreciation2484194Depreciation
Book Value569705BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings739470TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionOTHER RECEIVABLESDescription
Book Value3461603BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets3461603TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
PLEDGES PAYABLE$387,845
DEFERRED COMPENSATION PLAN$963,523
FieldValueIRS element (for citing)
Total Of Amounts1351368TotalOfAmounts
Total Revenue60917726TotalRevenue
Total Expenses59497494TotalExpenses
Excess Or Deficit For Year1420232ExcessOrDeficitForYear
Net Unrealized GL On Investments1217189NetUnrealizedGLOnInvestments
Total Adjustments1217189TotalAdjustments
Excess Or Deficit Per FS2637421ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt62134915TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1217189NetUnrealizedGainsInvestments
Revenue Not Rptd F9901217189RevenueNotRptdF990
Revenue Subtotal60917726RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99060917726TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt59497494TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal59497494ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99059497494TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE FOUNDATION OPERATES IN A MANNER CONSISTENT WITH THEIR TAX-EXEMPT STATUS AT BOTH THE STATE AND FEDERAL LEVEL. THE FOUNDATION ANNUALLY FILES IRS FORM 990 - RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, 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 THE FEDERAL INCOME TAX RETURNS FOR 2009, 2010, AND 2011 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. THE FOUNDATION CURRENTLY HAS NO TAX EXAMINATIONS IN PROGRESS.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN -Region
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedDOCTORS TRAVEL TO DOMINICAN REPUBLIC FOR A FEW WEEKS TO TRAIN RESIDENT MDSTypeOfActivitiesConducted
Specific Services ProvidedINTERNATIONAL HEALTH PROGRAMSpecificServicesProvided
Total Expenditures10372TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent10372SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent10372TotalAmountSpent
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
RHODE ISLAND HOSPITAL
593 EDDY STREETPROVIDENCERI02903050258954501(C)347500SUPPORT PRESIDENT'S PURSUIT OF EXCELLENCE AND SUPPORT OF RIH MEDICAL INFRASTRUCTURE
THE MIRIAM HOSPITAL
164 SUMMIT AVENUEPROVIDENCERI02906050258905501(C)330000SUPPORT FOR TMH MEDICAL INFRASTRUCTURE AND TMH ANNUAL GALA
HASBRO CHILDREN HOSPITAL
593 EDDY STREETPROVIDENCERI02903050258954501(C)35000SPONSOR HASBRO'S ANNUAL FUNDRAISING GALA
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
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 (20 entries)

Base 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
TED LALLY MD
23971300059290239620163100285914000
GEETHA GOPALAKRISHNAN MD
2112530004256021120098230246452000
KELLY MCGARRY MD
16712900036600168370179760205602000
JOHN LONKS MD
15674900057400156880176720195849000
HARLAN RICH MD
25358800033230245000184960299907000
MICHAEL JOHNSON MD
15700000029510158670178620193680000
MICHELLE ANVAR MD
16251400033300163280183450200517000
JEROME LARKIN MD
17268100033920173130178620211248000
WARREN LICHT MD
19498300036930197320185750236983000
CURT BECKWITH MD
1423060005780142010180120175097000
KIM BASU MD
22014700033140220250159360261422000
SYBIL CINEAS MD
1326660003936013240082700158112000
STEVEN MALLOZZI MD
1839040003862018262020900208118000
RICHARD MILLMAN MD
28663100087040245000162400336075000
PETER CERIANI
25903200030470245000175410304120000
LANCE DWORKIN MD
41452800052320245000161660460426000
KWAME DAPAAH-AFRIYIE MD
4419600009540245000194370486851000
PETER QUESENBERRY MD
38058000061800245000107110421971000
FRED SCHIFFMAN MD
36184000076010245000161660410107000
JACK R WANDS MD
35518200066010245000149880401271000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6ALL PHYSICIANS ARE MEMBERS UPON JOINING THE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7AALL BOARD MEMBERS ARE ELECTED BY THE MEMBERS, EXCEPT THE THREE WHO SERVE AS EX OFFICIO.
FORM 990, PART VI, SECTION A, LINE 7BTHE PRESIDENT'S VETO OF ANY ACTION CAN BE OVERRIDDEN BY A MEMBERSHIP VOTE OF 75%.
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS NOT PROVIDED TO THE ORGANIZATION'S FULL BOARD OF DIRECTORS BEFORE IT IS FILED. THE 990 IS REVIEWED BY THE FINANCE OFFICE AND THE PRESIDENT.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST FORMS ARE REQUIRED TO BE FILLED OUT ANNUALLY. THE RESPONSES ARE COMPILED BY THE CEO'S OFFICE AND FOLLOWED UP IF THE FORMS INDICATE POTENTIAL CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION OF THE BOARD MEMBERS THAT ARE EMPLOYEES OF THE ORGANIZATION IS DETERMINED BY THE DIVISION DIRECTOR. THE COMPENSATION OF THE CEO AND OTHER KEY EMPLOYEES IS DETERMINED BY THE PRESIDENT OF THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE AT THE SECRETARY OF STATE'S OFFICE AND ON THE RELATED WEBSITE. THE ORGANIZATION DOES NOT MAKE ITS FINANCIAL STATEMENTS, BY-LAWS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC AS IT DOES NOT BELIEVE THAT A PUBLIC PURPOSE WOULD BE SERVED BY DOING SO.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 1,217,189.CHANGES IN NET ASSETS OR FUND BALANCES: