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  5. University Surgical Associates, Inc.

University Surgical Associates, Inc.

Company Details

Name: University Surgical Associates, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 19 Dec 1980 (44 years ago)
Identification Number: 000028437
ZIP code: 02903
County: Providence County
Principal Address: 110 ELM STREET 2ND FLOOR, PROVIDENCE, RI, 02903, USA
Purpose: TO ENGAGE IN MEDICAL RESEARCH IN CONJUNCTION WITH HOSPITALS ASSOCIATED WITH BROWN UNIVERSITY SCHOOL OF MEDICINE
Fictitious names: Brown Surgical Associates (trading name, 2020-01-02 - )
Historical names: RIH Surgery Foundation, Inc.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376589895 2006-06-22 2021-03-23 PO BOX 16149, RUMFORD, RI, 029160697, US 2 DUDLEY ST STE 470, PROVIDENCE, RI, 029053248, US

Contacts
Phone +1 401-453-9625
Fax 4014357069
Phone +1 401-272-1800
Fax 4017515124

Authorized person
Name MRS. AMY D HICKEY
Role DIRECTOR, FINANCIAL OPERATIONS
Phone 4018542444

Taxonomy
Taxonomy Code 208600000X - Surgery Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number RI04030
State RI

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA

TREASURER

Name Role Address
STEPHEN MIGLIORI TREASURER 2 DUDLEY STREET, STE 470 PROVIDENCE, RI 02905 USA

SECRETARY

Name Role Address
JEFFREY SLAIBY MD SECRETARY 2 DUDLEY STREET, STE 470 PROVIDENCE, RI 02905 USA

VICE PRESIDENT

Name Role Address
STEPHEN J MIGLIORI MD VICE PRESIDENT 2 DUDLEY STREET, STE 470 PROVIDNCE, RI 02905 USA

DIRECTOR

Name Role Address
FRANCOIS LUKS MD DIRECTOR 2 DUDLEY STREET, STE 470 PROVIDENCE, RI 02904 USA
CHARU TANEJA MD DIRECTOR 2 DUDLEY STREET, STE 470 PROVIDENCE, RI 02904 USA
STEPHANIE LUECKEL MD DIRECTOR 2 DUDLEY STREET, STE 470 PROVIDENCE, RI 02905 USA
MATTHEW VREES DIRECTOR 195 COLLYER STREET PROVIDENCE, RI 02904 USA
RACHEL BEARD MD DIRECTOR 2 DUDLEY STREET, STE 470 PROVIDENCE, RI 02904 USA
TRAVIS COTTON MD DIRECTOR 2 DUDLEY STREET, STE 470 PROVIDENCE, RI 02904 USA

PRESIDENT

Name Role Address
AURORA PRYOR MD PRESIDENT 593 EDDY STREET PROVIDENCE, RI 02905 USA

Events

Type Date Old Value New Value
Name Change 1994-04-12 RIH Surgery Foundation, Inc. University Surgical Associates, Inc.

Filings

Number Name File Date
202448454140 Annual Report 2024-03-13
202327585130 Annual Report 2023-02-06
202209002380 Annual Report 2022-02-01
202197884090 Annual Report 2021-06-07
202042406590 Annual Report 2020-06-17
202030994010 Fictitious Business Name Statement 2020-01-02
201903132340 Annual Report 2019-07-10
201870172600 Annual Report 2018-06-21
201745784420 Annual Report 2017-06-19
201601174930 Annual Report 2016-06-29

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DEFINITIVE CONTRACT AWARD 36C24124C0011 2024-01-01 2028-12-31 2028-12-31
Unique Award Key CONT_AWD_36C24124C0011_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 70648.00
Current Award Amount 70648.00
Potential Award Amount 375092.15

Description
Title THORACIC PHYSICIAN SERVICES
NAICS Code 611310: COLLEGES, UNIVERSITIES, AND PROFESSIONAL SCHOOLS
Product and Service Codes Q524: CARDIOTHORACIC SURGERY

Recipient Details
Recipient UNIVERSITY SURGICAL ASSOCIATES INC
UEI M167ELCGE5A7
Recipient Address UNITED STATES, 75 NEWMAN AVE, RUMFORD, PROVIDENCE, RHODE ISLAND, 029163606
DEFINITIVE CONTRACT AWARD 36C24120C0001 2019-11-01 2024-10-31 2024-10-31
Unique Award Key CONT_AWD_36C24120C0001_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 718880.55
Current Award Amount 718880.55
Potential Award Amount 718880.55

Description
Title VASCULAR PHYSICIAN SERVICES FOR PROVIDENCE VAMC
NAICS Code 611310: COLLEGES, UNIVERSITIES, AND PROFESSIONAL SCHOOLS
Product and Service Codes Q523: MEDICAL- SURGERY

Recipient Details
Recipient UNIVERSITY SURGICAL ASSOCIATES INC
UEI M167ELCGE5A7
Recipient Address UNITED STATES, 75 NEWMAN AVE STE 200, RUMFORD, PROVIDENCE, RHODE ISLAND, 029161945
PO AWARD VA650C00169 2009-11-01 2009-11-30 2009-11-30
Unique Award Key CONT_AWD_VA650C00169_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title THORACIC SURGEON
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q524: THORACIC SERVICES

Recipient Details
Recipient UNIVERSITY SURGICAL ASSOCIATES INC
UEI M167ELCGE5A7
Legacy DUNS 132396693
Recipient Address 75 NEWMAN AVE, RUMFORD, 029161945, UNITED STATES
PO AWARD VA650C00170 2009-11-01 2009-11-30 2009-11-30
Unique Award Key CONT_AWD_VA650C00170_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title VASCULAR SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q523: SURGERY SERVICES

Recipient Details
Recipient UNIVERSITY SURGICAL ASSOCIATES INC
UEI M167ELCGE5A7
Legacy DUNS 132396693
Recipient Address 75 NEWMAN AVE, RUMFORD, 029161945, UNITED STATES
PO AWARD V650C00127 2009-10-01 2009-10-31 2009-10-31
Unique Award Key CONT_AWD_V650C00127_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title MEDICAL SERVICES
Product and Service Codes Q524: THORACIC SERVICES

Recipient Details
Recipient UNIVERSITY SURGICAL ASSOCIATES INC
UEI M167ELCGE5A7
Legacy DUNS 132396693
Recipient Address 75 NEWMAN AVE, RUMFORD, 029161945, UNITED STATES
PO AWARD V650C00125 2009-10-01 2009-10-31 2009-10-31
Unique Award Key CONT_AWD_V650C00125_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title MEDICAL SERVICES
Product and Service Codes Q524: THORACIC SERVICES

Recipient Details
Recipient UNIVERSITY SURGICAL ASSOCIATES INC
UEI M167ELCGE5A7
Legacy DUNS 132396693
Recipient Address 75 NEWMAN AVE, RUMFORD, 029161945, UNITED STATES
DCA AWARD VA241P0519 2008-04-01 2008-09-30 2011-09-30
Unique Award Key CONT_AWD_VA241P0519_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROVIDE THORACIC SURGICAL SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q524: THORACIC SERVICES

Recipient Details
Recipient UNIVERSITY SURGICAL ASSOCIATES INC
UEI M167ELCGE5A7
Legacy DUNS 132396693
Recipient Address 10 ORMS ST STE 115, PROVIDENCE, 029047814, UNITED STATES
DCA AWARD VA241P0516 2008-04-01 2008-09-30 2010-09-30
Unique Award Key CONT_AWD_VA241P0516_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROVIDE VASCULAR SURGERIES AT VAMC PROVIDENCE
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q523: SURGERY SERVICES

Recipient Details
Recipient UNIVERSITY SURGICAL ASSOCIATES INC
UEI M167ELCGE5A7
Legacy DUNS 132396693
Recipient Address 10 ORMS ST STE 115, PROVIDENCE, 029047814, UNITED STATES
DCA AWARD V650C80214 2008-01-01 2008-03-31 2008-03-31
Unique Award Key CONT_AWD_V650C80214_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROVIDE VASCULAR SURGERIES AT VAMC PROVIDENCE
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q523: SURGERY SERVICES

Recipient Details
Recipient UNIVERSITY SURGICAL ASSOCIATES INC
UEI M167ELCGE5A7
Legacy DUNS 132396693
Recipient Address 75 NEWMAN AVE, RUMFORD, 029161945, UNITED STATES
DCA AWARD V650C80213 2008-01-01 2008-03-31 2008-03-31
Unique Award Key CONT_AWD_V650C80213_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROVIDE THORACIC SURGICAL SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q524: THORACIC SERVICES

Recipient Details
Recipient UNIVERSITY SURGICAL ASSOCIATES INC
UEI M167ELCGE5A7
Legacy DUNS 132396693
Recipient Address 75 NEWMAN AVE, RUMFORD, 029161945, UNITED STATES

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
05-0389803 Corporation Unconditional Exemption 110 ELM ST, PROVIDENCE, RI, 02903-4626 1982-04
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above 509(a)(3)
Tax Period 2023-09
Asset 10,000,000 to 49,999,999
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 45870123
Income Amount 53479852
Form 990 Revenue Amount 45374352
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name UNIVERSITY SURGICAL ASSOCIATES INC
EIN 05-0389803
Tax Period 202209
Filing Type E
Return Type 990T
File View File
Organization Name UNIVERSITY SURGICAL ASSOCIATES INC
EIN 05-0389803
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY SURGICAL ASSOCIATES INC
EIN 05-0389803
Tax Period 202109
Filing Type E
Return Type 990T
File View File
Organization Name UNIVERSITY SURGICAL ASSOCIATES INC
EIN 05-0389803
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY SURGICAL ASSOCIATES INC
EIN 05-0389803
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY SURGICAL ASSOCIATES INC
EIN 05-0389803
Tax Period 201809
Filing Type P
Return Type 990T
File View File
Organization Name UNIVERSITY SURGICAL ASSOCIATES INC
EIN 05-0389803
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY SURGICAL ASSOCIATES INC
EIN 05-0389803
Tax Period 201709
Filing Type P
Return Type 990
File View File
Organization Name UNIVERSITY SURGICAL ASSOCIATES INC
EIN 05-0389803
Tax Period 201709
Filing Type P
Return Type 990T
File View File
Organization Name UNIVERSITY SURGICAL ASSOCIATES INC
EIN 05-0389803
Tax Period 201609
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY SURGICAL ASSOCIATES INC
EIN 05-0389803
Tax Period 201609
Filing Type P
Return Type 990T
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8379997205 2020-04-28 0165 PPP 75 Newman Ave 2nd Floor, RUMFORD, RI, 02916-3606
Loan Status Date 2021-07-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 4033400
Loan Approval Amount (current) 4033400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 120245
Servicing Lender Name Bank Rhode Island
Servicing Lender Address One Turks Head Place, PROVIDENCE, RI, 02903-2219
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address RUMFORD, PROVIDENCE, RI, 02916-3606
Project Congressional District RI-01
Number of Employees 196
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 120245
Originating Lender Name Bank Rhode Island
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 4077095.17
Forgiveness Paid Date 2021-06-11

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Related by address

110 ELM STREET 2ND FLOOR, PROVIDENCE, RI, 02903, USA

University Surgical Network Limited Partnership

Date of last update: 06 Apr 2025

Sources: Rhode Island Department of State

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