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BROWN EMERGENCY MEDICINE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BROWN EMERGENCY MEDICINE (EIN 05-0486254)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-04-11
IRS object ID
201211029349300401
Schema version
2010v3.4
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)
Timestamp2012-04-11T08:01:16-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-10-01TaxPeriodBeginDate

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
Phone4014445826Phone

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 Signed2012-03-29DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4012742001Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts38013440GrossReceipts
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 Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees181TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year33385142ProgramServiceRevenuePriorYear
Program Service Revenue CY37625606ProgramServiceRevenueCY
Investment Income Prior Year60197InvestmentIncomePriorYear
Investment Income Current Year91316InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year33445339TotalRevenuePriorYear
Total Revenue Current Year37716922TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY251900GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year26252448SalariesEtcPriorYear
Salaries Etc Current Year31520897SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4617327OtherExpensePriorYear
Other Expenses Current Year4170440OtherExpensesCurrentYear
Total Expenses Prior Year30869775TotalExpensesPriorYear
Total Expenses Current Year35943237TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2575564RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1773685RevenuesLessExpensesCY
Total Assets BOY9303896TotalAssetsBOY
Total Assets EOY11595629TotalAssetsEOY
Total Liabilities BOY4896757TotalLiabilitiesBOY
Total Liabilities EOY5445328TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4407139NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6150301NetAssetsOrFundBalancesEOY
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
Expense33247605Expense
Revenue37625606Revenue
DescriptionTHE UNIVERSITY EMERGENCY MEDICINE FOUNDATION PROVIDES EMERGENCY MEDICAL SERVICES AND MEDICAL RESEARCH, AND EDUCATION FOR MEDICAL FELLOWS, MEDICAL STUDENTS AND OTHERS. THE FOUNDATION PROVIDES THESE SERVICES THROUGH AFFILIATIONS WITH RHODE ISLAND HOSPITAL (RIH), HASBRO CHILDREN'S HOSPITAL (HASBRO), 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 75 FULL TIME PHYSICIANS AND 20 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 PEDIATIC EMERGENCY MEDICINE. IN FISCAL YEAR 2011, UEMF PROVIDED EMERGENCY MEDICAL CARE TO 211,009 PATIENTS. IN ADDITION, 159 RESIDENTS AND FELLOWS RECEIVED TEACHING, 2,647 INDIVIDUALS RECEIVED TRAINING IN A SIMULATION CENTER, AND 105 RESIDENTS AND 84 MEDICAL STUDENTS FROM OTHER DEPARTMENTS ROTATED THROUGH THE EMERGENCY DEPARTMENT TO RECEIVE EDUCATION SERVICES.Description
Total Program Service Expense33247605TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees181NumberOfEmployees
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 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 Line1JAMES BERRYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4014448449TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
BRIAN ZINK
PRESIDENT40.00XX401399052224
GARY BUBLY
TREASURER40.00XX271755051025
BRIAN CLYNE
DIRECTOR40.00X244175049669
CATHERINE CUMMINGS
DIRECTOR40.00X232894042104
SUSAN DUFFY
DIRECTOR40.00X237122050922
MATTHEW KOPP
DIRECTOR40.00X219225049901
ANTHONY NAPOLI
DIRECTOR40.00X227263049627
DAVID PORTELLI
DIRECTOR40.00X234502049941
JOHN MURPHY
DIRECTOR, EX-OFFICIO1.00X000
GLENN TUNG
DIRECTOR, EX-OFFICIO1.00X000
GREGORY JAY
SECRETARY (10/10-12/10);PHYSICIAN40.00XX300253051085X
FRANCIS SULLIVAN
PHYSICIAN40.00325136043811X
DANIEL SAVITT
PHYSICIAN40.00286123050026X
ANDREW SUCOV
PHYSICIAN40.00278845053276X
ELIZABETH NESTOR
PHYSICIAN40.00259054042115X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3517746TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation635726TotalOtherCompensation
Number Individuals GT100 K90NumberIndividualsGT100K
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 SERVICES6214003293261032932610
TEACHING AND ADMIN REV62140023592362359236
RESEARCH GRANTS62140022587802258780
OTHER INCOME6214007498074980
FieldValueIRS element (for citing)
Total Program Service Revenue37625606TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column88383TotalRevenueColumn
Exclusion$88,383ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities298538Securities
Other913Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities295605Securities
Other913Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2933Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2933TotalRevenueColumn
Exclusion$2,933ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column37716922TotalRevenueColumn
Related Or Exempt Function Income37625606RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$91,316ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total251900Total
Program Services251900ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3173009Total
Program Services3014359ProgramServices
Management And General158650ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total22119817Total
Program Services20765483ProgramServices
Management And General1354334ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2975757Total
Program Services2794287ProgramServices
Management And General181470ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2015260Total
Program Services1892684ProgramServices
Management And General122576ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1237054Total
Program Services1162831ProgramServices
Management And General74223ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total12079Total
Management And General12079ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33380Total
Management And General33380ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total81076Total
Program Services31995ProgramServices
Management And General49081ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total129187Total
Program Services75335ProgramServices
Management And General53852ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total103344Total
Management And General103344ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total8411Total
Program Services8411ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8195Total
Program Services8195ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total112840Total
Program Services112840ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total62591Total
Program Services55223ProgramServices
Management And General7368ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MALPRACTICE INSURANCE16877131687713
RESEARCH CONTRIBUTIONS739436739436
OUTSIDE SERVICES336788336788
EDUCATIONAL PROGRAM EXP275276275276
MISCELLANEOUS1721118605686055

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total408013Total
Program Services285581ProgramServices
Management And General122432ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total35943237Total
Program Services33247605ProgramServices
Management And General2695632ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6182377BOY
EOY1189148EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY305776BOY
EOY425814EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY179681BOY
EOY190938EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis699903LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec245836LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY522984BOY
EOY454067EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2113028BOY
EOY2136942EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY50BOY
EOY7198720EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9303896BOY
EOY11595629EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4896757BOY
EOY5445328EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4896757BOY
EOY5445328EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4407139BOY
EOY6150301EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4407139BOY
EOY6150301EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9303896BOY
EOY11595629EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1773685ReconcilationRevenueExpenses
Reconcilation Other Changes-30523ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview
FS Audited0FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Basis350000OtherCostOrOtherBasis
Depreciation35972Depreciation
Book Value314028BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis23860OtherCostOrOtherBasis
Depreciation6487Depreciation
Book Value17373BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis326043OtherCostOrOtherBasis
Depreciation203377Depreciation
Book Value122666BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings454067TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionMONEY MARKETDescription
Book Value7198720BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities7198720TotalOfBookValueSecurities

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 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 (7 entries)

Address Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
BROWN UNIVERSITY
OFFICE OF BIOMEDICAL ADVANCEMENT POBOX G-ADVPROVIDENCERI02912050258937501(C)(3)200000SUPPORT FOR THE CONSTRUCTION OF THE NEW BROWN MEDICAL SCHOOL BUILDING
HASBRO CHILDREN'S HOSPITAL CO RHODE ISLAND HOSPITAL
2004 TANKA GALA PO BOX HPROVIDENCERI02901050258954501(C)(3)11000SPONSORSHIP FOR ELMO'S RED TIE BALL AND HASBRO CHILDREN'S HOSPITAL LUNCHEON
K-ROB FOUNDATION
PO BOX 415BARRINGTONRI02806272619302501(C)(3)2500CENTER FOR SPORTS MEDICINE SPONSORSHIP OF RIDE WITH K-ROB EVENT
RHODE ISLAND HOSPITAL FOUNDATION
LIFESPAN DEVELOPMENT OFFICEPO BOX HHPROVIDENCERI02901050468736501(C)(3)7500SPONSORSHIP AND DONATION FOR THE PRESIDENT'S PURSUIT OF EXCELLENCE DINNER
SOCIETY FOR ACADEMIC EMERGENCY MEDICINE
2340 S RIVER ROAD STE 200DES PLAINESIL60018204866532501(C)(3)500DONATION TO 2011 AEM CONSENSUS CONFERENCE
THE MIRIAM HOSPITAL FOUNDATION
LIFESPAN DEVELOPMENT OFFICEPO BOX HHPROVIDENCERI02901050377502501(C)(3)5400SPONSORSHIP FOR THE 2011 MIRIAM HOSPITAL GALA
RHODE ISLAND HOSPITAL FOUNDATION
LIFESPAN DEVELOPMENT OFFICEPO BOX HHPROVIDENCERI02901050468736501(C)(3)25000DR. IANNUCCILLI PROFESSORSHIP EMERGENCY ROOM MEDICINE ENDOWMENT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants7TotalNbrOf501C3AndGovtGrants

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 (13 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
BRIAN ZINK
40139900000325000197240453623000
GARY BUBLY
27175500000325000185250322780000
BRIAN CLYNE
24417500000325000171690293844000
CATHERINE CUMMINGS
2328940000032500096040274998000
SUSAN DUFFY
23712200000325000184220288044000
MATTHEW KOPP
21922500000325000174010269126000
ANTHONY NAPOLI
22726300000325000171270276890000
DAVID PORTELLI
23450200000325000174410284443000
GREGORY JAY
30025300000325000185850351338000
FRANCIS SULLIVAN
32513600000325000113110368947000
DANIEL SAVITT
28612300000325000175260336149000
ANDREW SUCOV
27884500000325000207760332121000
ELIZABETH NESTOR
2590540000032500096150301169000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
EACH 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 12C
AN 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 B, LINE 15
THE 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.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -30,523.FORM 990, PART XI, LINE 5: