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BROWN MEDICINE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BROWN MEDICINE (EIN 05-0450410)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-10
IRS object ID
201212239349300126
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)
Timestamp2012-08-10T09:17:15-05:00Timestamp
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)
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 Signed2012-08-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDEBORAH A HOPKINSName
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 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 Receipts56424178GrossReceipts
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 Members2NbrIndependentVotingMembers
Total Nbr Employees347TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year53211270ProgramServiceRevenuePriorYear
Program Service Revenue CY55537870ProgramServiceRevenueCY
Investment Income Prior Year287382InvestmentIncomePriorYear
Investment Income Current Year278618InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year53498652TotalRevenuePriorYear
Total Revenue Current Year55816488TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY212500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year42152613SalariesEtcPriorYear
Salaries Etc Current Year44759213SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10090006OtherExpensePriorYear
Other Expenses Current Year10127927OtherExpensesCurrentYear
Total Expenses Prior Year52242619TotalExpensesPriorYear
Total Expenses Current Year55099640TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1256033RevenuesLessExpensesPriorYear
Revenues Less Expenses CY716848RevenuesLessExpensesCY
Total Assets BOY20099165TotalAssetsBOY
Total Assets EOY21456791TotalAssetsEOY
Total Liabilities BOY3687415TotalLiabilitiesBOY
Total Liabilities EOY4550641TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16411750NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16906150NetAssetsOrFundBalancesEOY
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
Expense39686387Expense
Revenue55537870Revenue
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 Expense39686387TotalProgramServiceExpense
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 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 DQP1LoanToOfficerOrDQP
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 With109649NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees347NumberOfEmployees
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 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 (21 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
SECRETARY40.00XX245957040208
GEETHA GOPALAKRISHNAN MD
DIRECTOR40.00X172557025547
KELLY MCGARRY MD
DIRECTOR40.00X165493034217
JAMES BUTERA MD
DIRECTOR (10/10-1/11)40.00X249833043429
JOHN LONKS MD
DIRECTOR40.00X159672033158
HARLAN RICH MD
DIRECTOR40.00X241223042905
MICHAEL JOHNSON MD
DIRECTOR40.00X153523033237
MICHELLE ANVAR MD
DIRECTOR40.00X170886034923
JEROME LARKIN MD
DIRECTOR40.00X152753021849
WARREN LICHT MD
DIRECTOR40.00X213933040067
GLENN A TUNG MD
DIRECTOR1.00X000
JOHN MURPHY MD
DIRECTOR1.00X000
STEVEN MALLOZZI MD
VICE PRESIDENT40.00X224251024043
RICHARD MILLMAN MD
TREASURER40.00X286754040346
PETER CERIANI
CEO40.00X258540042880
LANCE DWORKIN MD
PHYSICIAN40.00437713040190X
KWAME DAPAAH-AFRIYIE MD
PHYSICIAN40.00430979043507X
PETER QUESENBERRY MD
PHYSICIAN40.00397220034196X
FRED SCHIFFMAN MD
PHYSICIAN40.00369148036452X
JACK R WANDS MD
PHYSICIAN40.00361643029260X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4692078TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation640414TotalOtherCompensation
Number Individuals GT100 K149NumberIndividualsGT100K
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 BILLING1212308
RHODE ISLAND HOSPITAL
PO BOX HPROVIDENCERI02901STAFFING354311
PROVIDENCE VA MEDICAL CENTER
860 CHALKSTONE AVENUEPROVIDENCERI02908PHYSICIAN SERVICES315064
LIFESPAN
PO BOX 414546BOSTONMA02241PHYSICIAN SERVICES284233
PHYSICIAN CHART AUDITORS LLC
14 DRIFTWAY AVENUEHULLMA02045CHART AUDIT SERVICES191748
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL SERVICE FEES9000993901301639013016
SUPPORT FROM RIH, TMH9000991007474010074740
CONTRACT SERVICE REV.90009957601265760126
MISCELLANEOUS900099689988689988
FieldValueIRS element (for citing)
Total Program Service Revenue55537870TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column255324TotalRevenueColumn
Exclusion$255,324ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities629893Securities
Other1091Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities597794Securities
Other9896Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities32099Securities
Other-8805Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column23294TotalRevenueColumn
Exclusion$23,294ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column55816488TotalRevenueColumn
Related Or Exempt Function Income55537870RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$278,618ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total212500Total
Program Services212500ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3172437Total
Program Services2785457ProgramServices
Management And General386980ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total33288705Total
Program Services26805618ProgramServices
Management And General6483087ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2850100Total
Program Services2417076ProgramServices
Management And General433024ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3257041Total
Program Services2271378ProgramServices
Management And General985663ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2190930Total
Program Services1647865ProgramServices
Management And General543065ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total124009Total
Management And General124009ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total55200Total
Management And General55200ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total5413Total
Management And General5413ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3202082Total
Program Services1085515ProgramServices
Management And General2116567ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total135400Total
Management And General135400ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1202916Total
Program Services497ProgramServices
Management And General1202419ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total12649Total
Management And General12649ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1536272Total
Management And General1536272ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total79984Total
Program Services10985ProgramServices
Management And General68999ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total152902Total
Program Services152902ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total22307Total
Management And General22307ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total259550Total
Management And General259550ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1517510Total
Program Services1441853ProgramServices
Management And General75657ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CARDIOLOGY EXPENSES-AEF723753556161167592
OTHER EXPENSES442559442559
EQUIPMENT RENTAL & MAIN253082253082
SUBSCRIP/LICENSES23488021342221458
EDUCATION AND TRAINING8420584205

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total83254Total
Program Services953ProgramServices
Management And General82301ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total55099640Total
Program Services39686387ProgramServices
Management And General15413253ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3002800BOY
EOY3655256EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3680189BOY
EOY4758247EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1632336BOY
EOY1838824EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY635729BOY
EOY461340EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3334182LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2412002LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY713930BOY
EOY922180EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7256798BOY
EOY7770123EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3177383BOY
EOY2050821EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20099165BOY
EOY21456791EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3293048BOY
EOY3278957EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY394367BOY
EOY1271684EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3687415BOY
EOY4550641EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16338945BOY
EOY16843679EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY72805BOY
EOY62471EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16411750BOY
EOY16906150EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20099165BOY
EOY21456791EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses716848ReconcilationRevenueExpenses
Reconcilation Other Changes-222448ReconcilationOtherChanges
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 Basis373363OtherCostOrOtherBasis
Depreciation176451Depreciation
Book Value196912BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2960819OtherCostOrOtherBasis
Depreciation2235551Depreciation
Book Value725268BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings922180TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES2039685
DUE FROM UNIVERSITY CARDIOLOGY FOUNDATION11136
FieldValueIRS element (for citing)
Total Book Value Other Assets2050821TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
PLEDGES PAYABLE$546,144
DEFERRED COMPENSATION PLAN$725,540
FieldValueIRS element (for citing)
Total Of Amounts1271684TotalOfAmounts
Total Revenue55816488TotalRevenue
Total Expenses55099640TotalExpenses
Excess Or Deficit For Year716848ExcessOrDeficitForYear
Net Unrealized GL On Investments-222448NetUnrealizedGLOnInvestments
Total Adjustments-222448TotalAdjustments
Excess Or Deficit Per FS494400ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt55594040TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-222448NetUnrealizedGainsInvestments
Revenue Not Rptd F990-222448RevenueNotRptdF990
Revenue Subtotal55816488RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99055816488TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt55099640TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal55099640ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99055099640TotalExpensesPerForm990

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 2008, 2009, AND 2010 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 CARIBBEANRegion
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 Expenditures10151TotalExpenditures
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 Spent10151SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent10151TotalAmountSpent
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 (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
BROWN UNIVERSITY
CONTROLLERS OFFICE BOX JPROVIDENCERI02912050258809501(C)310000TO SUPPORT AIDS CENTER, MEDICAL SCHOOL DONATION
RHODE ISLAND HOSPITAL
593 EDDY STREETPROVIDENCERI02903050258954501(C)3120000SUPPORT PRESIDENT'S PURSUIT OF EXCELLENCE, RESEARCH DEVELOPMENT AWARD, AND SUPPORT OF RIH MEDICAL INFRASTRUCTURE
THE MIRIAM HOSPITAL
164 SUMMIT AVENUEPROVIDENCERI02906050258905501(C)342500RESEARCH DEVELOPMENT AWARD, SUPPORT FOR TMH ANNUAL GALA
WOMEN & INFANTS HOSPITAL
101 DUDLEY STREETPROVIDENCERI02905050258937501(C)310000SUPPORT FOR THE CENTER OF EXCELLENCE IN WOMEN'S HEALTH
HASBRO CHILDREN HOSPITAL
593 EDDY STREETPROVIDENCERI02903050258954501(C)35000SPONSOR HASBRO'S ANNUAL FUNDRAISING GALA
OCEAN STATE RESEARCH INSTITUTE
830 CHALKSTONE AVENUEPROVIDENCERI02908050440574501(C)325000RESEARCH DEVELOPMENT AWARD

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 (18 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
24140600045510241000161080286165000
GEETHA GOPALAKRISHNAN MD
1706600001897017108084390198104000
KELLY MCGARRY MD
16207600034170163720178450199710000
JAMES BUTERA MD
24573300041000245000189290293262000
JOHN LONKS MD
15604300036290156130175450192830000
HARLAN RICH MD
23896400022590240640188410284128000
MICHAEL JOHNSON MD
14993700035860151130181240186760000
MICHELLE ANVAR MD
16941000014760171240177990205809000
JEROME LARKIN MD
152250000503041100177390174602000
WARREN LICHT MD
21025000036830212440188230254000000
STEVEN MALLOZZI MD
2213430002908022034020090248294000
RICHARD MILLMAN MD
28056200061920245000158460327100000
PETER CERIANI
25685100016890245000183800301420000
LANCE DWORKIN MD
43148000062330245000156900477903000
KWAME DAPAAH-AFRIYIE MD
42815900028200245000190070474486000
PETER QUESENBERRY MD
3884600008760024500096960431416000
FRED SCHIFFMAN MD
36361000055380245000119520405600000
JACK R WANDS MD
3551820006461024500047600390903000

Schedule L IRS990ScheduleL

Loan Table LoanTable

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ARCHILLES R ALCARAZBusinessNameLine1
FieldValueIRS element (for citing)
Purpose Of LoanLEGAL EXPENSES RELATED TO OBTAINING WORK PERMIT TO WORK IN US.PurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$15,000OriginalPrincipalAmount
Balance Due8315BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due8315TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
THE 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 12C
THE 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 B, LINE 15
THE 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 VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -222,448.FORM 990, PART XI, LINE 5: