2024-08-14T10:25:33-05:00 2023-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2022-10-01 812847155 BROWN DERMATOLOGY INC BROW 4014447959 593 EDDY STREET APC-10 PROVIDENCE RI 02903 ABRAR QURESHI MD PRESIDENT 4014447959 2024-08-14 1 1 SANDY ROSS P01399337 4012742001 2024-08-13 2022 2024-08-08 14:25:15Z ABRAR QURESHI MD 593 EDDY STREET APC-10 PROVIDENCE RI 02903 18227946 0 X BROWNDERM.ORG/ X 2016 RI TO PROMOTE, ENHANCE, AND SUPPORT THE CLINICAL EDUCATION, RESEARCH, AND TEACHING ACTIVITIES OF THE DEPARTMENT OF DERMATOLOGY AT THE WARREN ALPERT MEDICAL SCHOOL AT BROWN UNIVERSITY. 6 2 153 2 0 0 290753 59826 17120346 17872012 288 12572 249517 283536 17660904 18227946 0 0 0 0 13740824 13111190 0 0 0 4866178 4976862 18607002 18088052 -946098 139894 7272418 6556190 7243362 6387240 29056 168950 X TO PROMOTE HEALTH BY PROVIDING CLINICAL AND MEDICAL CARE TO PATIENTS AS THE FACULTY GROUP PRACTICE ORGANIZATION FOR THE DEPARTMENT OF DERMATOLOGY AT THE WARREN ALPERT MEDICAL SCHOOL AT BROWN UNIVERSITY; TO OPERATE THE CLINICAL AND PATIENT CARE SERVICES OF THE FACULTY GROUP PRACTICE ORGANIZATION FOR THE BENEFIT AND SUPPORT OF THE TEACHING, RESEARCH, CLINICAL AND PATIENT CARE MISSIONS OF THE DEPARTMENT OF DERMATOLOGY AT THE WARREN ALPERT MEDICAL SCHOOL AND HOSPITALS WITHIN THE STATE OF RHODE ISLAND THAT ARE AFFILIATED WITH THE ALPERT MEDICAL SCHOOL; AND TO ENGAGE IN RESEARCH, EDUCATION OF MEDICAL STUDENTS AND POSTGRADUATE TRAINING PROGRAMS. 0 0 14297707 17872012 PROVIDE DERMATOLOGY SERVICES TO HOSPITALS WITHIN THE STATE OF RHODE ISLAND THAT ARE AFFILIATED WITH THE WARREN ALPERT MEDICAL SCHOOL AT BROWN UNIVERSITY; PROVIDE CLINICAL AND CLASSROOM INSTRUCTION TO MEDICAL STUDENTS; RESEARCH IN THE FIELD OF DERMATOLOGY. 14297707 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 19 0 1 153 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 2 0 0 1 0 1 1 1 1 1 0 0 0 1 1 1 0 0 1 1 0 X JUDITH LANCELLOTTA CPA 4017844908 110 ELM STREET PROVIDENCE RI 02903 ABRAR QURESHI MD PRESIDENT, TREASURER 40.00 X X 623673 0 56241 SU-JEAN SEO MD VICE PRESIDENT 40.00 X X 136883 0 40979 NICOLE GRENIER MD SECRETARY 40.00 X X 365682 0 34959 LESLIE ROBINSON-BOSTOM MD DIRECTOR 40.00 X 327808 0 60624 MUKESH JAIN MD DIRECTOR 4.00 X 0 0 0 KIMBERLY A GALLIGAN DIRECTOR 4.00 X 0 0 0 HAYLEY GOLDBACH MD PHYSICIAN 40.00 X 581425 0 56457 TIFFANY LIBBY MD PHYSICIAN 40.00 X 344575 0 60510 JON SOLIS MD PHYSICIAN 40.00 X 323058 0 23411 BREA S PRINDAVILLE MD PHYSICIAN 40.00 X 271282 0 38573 CARLOS WAMBIER MD PHYSICIAN 40.00 X 268980 0 56915 3243366 0 428669 27 0 1 0 AURORA DIAGNOSTICS PO BOX 100519 ATLANTA GA 30384 PATHOLOGY SERVICES 163259 KAHN LITWIN RENZA & CO 951 NORTH MAIN STREET PROVIDENCE RI 02904 AUDIT/TAX SERVICES 106349 2 59826 59826 PATIENT SERVICE FEES 621400 14358772 14358772 CLINICAL AND CONTRACT 611310 2049588 2049588 TEACHING AND ADMINISTR 611310 1045560 1045560 RESEARCH CONTRACTS 611310 418092 418092 17872012 12572 12572 OTHER REVENUE 611310 283536 283536 283536 18227946 17872012 0 296108 1670603 732715 937888 9206664 8241989 964675 419951 390178 29773 1155046 766328 388718 658926 547375 111551 31954 31954 139656 139656 1077638 558066 519572 24495 24495 383081 196699 186382 167209 24975 142234 1227727 1066076 161651 37923 37923 300394 237612 62782 255058 229184 25874 PHARMACEUTICALS 819518 819518 ACADEMIC ASSESSMENT 439193 439193 LINENS, UNIFORMS AND LA 42384 42384 MISCELLANEOUS EXPENSES 30632 5415 25217 18088052 14297707 3790345 0 740376 622515 270353 387270 1206807 1185190 45325 72073 1721467 1396293 548842 325174 382666 326666 4078049 3637302 7272418 6556190 1941956 1625266 530000 130000 170000 260591 606121 229621 3995285 4141762 7243362 6387240 X 29056 168950 29056 168950 7272418 6556190 139894 0 X X 0 1 X 1 0 X RHODE ISLAND HOSPITAL PROVIDENCE RI MIRIAM HOSPITAL PROVIDENCE RI RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 49069 7196 41873 1672398 1389097 283301 325174 RIGHT-OF-USE ASSETS - OPERATING LEASES 3637302 3637302 OPERATING LEASES PAYABLE 3519836 NOTES PAYABLE TO RELATED ORG BPI 621926 4141762 X 18227946 0 18227946 0 18227946 18088052 0 18088052 0 18088052 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS TAX-EXEMPT STATUS AT BOTH THE FEDERAL AND STATE LEVEL. THE ORGANIZATION 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 EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. THE ORGANIZATION CURRENTLY HAS NO TAX EXAMINATIONS IN PROGRESS. X 0 0 0 0 0 0 0 0 0 ABRAR QURESHI MD PRESIDENT, TREASURER 621694 0 0 0 1979 0 15250 0 40991 0 679914 0 0 0 HAYLEY GOLDBACH MD PHYSICIAN 580696 0 54 0 675 0 15250 0 41207 0 637882 0 0 0 TIFFANY LIBBY MD PHYSICIAN 344186 0 24 0 365 0 15250 0 45260 0 405085 0 0 0 NICOLE GRENIER MD SECRETARY 326626 0 38469 0 587 0 15250 0 19709 0 400641 0 0 0 LESLIE ROBINSON-BOSTOM MD DIRECTOR 324383 0 924 0 2501 0 15250 0 45374 0 388432 0 0 0 JON SOLIS MD PHYSICIAN 303538 0 15986 0 3534 0 15250 0 8161 0 346469 0 0 0 CARLOS WAMBIER MD PHYSICIAN 268855 0 0 0 125 0 13986 0 42929 0 325895 0 0 0 BREA S PRINDAVILLE MD PHYSICIAN 263158 0 7699 0 425 0 13760 0 24813 0 309855 0 0 0 SU-JEAN SEO MD VICE PRESIDENT 122204 0 14378 0 301 0 7094 0 33885 0 177862 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE NOVEMBER 15, 2022, THE ORGANIZATION AMENDED AND RESTATED ITS BY-LAWS TO INCLUDE CHANGES TO THE GOVERNANCE AND OPERATIONS OF THE ORGANIZATION. GOVERNANCE AND OPERATIONS OF THE ORGANIZATION WILL BE GIVEN IN ALL RESPECTS TO BROWN PHYSICIANS, INC. I AS ITS SOLE CORPORATE CLASS B MEMBER AND THE CLASS A PHYSICIAN MEMBERS SHALL HAVE NO POWER OR AUTHORITY OVER THE ORGANIZATION WHICH WOULD CONFLICT WITH THE CLASS B MEMBER'S EXCLUSIVE RIGHT TO EXERCISE ITS RESERVE POWERS. FORM 990, PART VI, SECTION A, LINE 6 PHYSICIANS ARE NO LONGER MEMBERS ACCORDING TO THE BYLAWS, ONLY ONE MEMBER WHO IS BROWN PHYSICIANS INC. FORM 990, PART VI, SECTION A, LINE 7A OTHER THAN EX OFFICIO, BROWN UNIVERSITY (OR ITS DESIGNEE) APPOINTS ONE DIRECTOR, 50% OF THE REMAINING DIRECTORS ARE ELECTED BY THE PARTICIPATING PROFESSIONALS, AND THE REMAINING 50% ARE ELECTED BY THE THEN-CURRENT BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE CURRENT DIRECTORS VOTE (5-12 MEMBERS) EXCEPT THE EX OFFCIO MEMBERS (2 DEAN OF ALPER MED SCHOOL AND BROWN UNIV SHALL APPOINT ONE DIRECTOR. 80% OF ALL DIRECTORS MUST BE APPROVED BY THE BROWN PHYSICIANS, INC. BOARD OF DIRECTORS. BPI BOD RESERVES THE RIGHT TO REMOVE ANY DIRECTOR, EXCEPT AN EX-OFFICIO DIRECTORS, WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C EACH YEAR, THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL OFFICERS AND DIRECTORS. EACH PERSON ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. FORM 990, PART VI, SECTION B, LINE 15 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 C, LINE 19 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 XXII, LINE 2C THE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. 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