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Brown Medicine

Company Details

Name: Brown Medicine
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 31 Dec 1999 (25 years ago)
Identification Number: 000110369
ZIP code: 02903
County: Providence County
Principal Address: 593 EDDY STREET, PROVIDENCE, RI, 02903, USA
Purpose: ARTICLES OF CONSOLIDATION WERE FILED ON 12/31/1999 EFFECTIVE 01/01/2000 BETWEEN ID#8912 UNIVERSITY PHYSICIANS FOUNDATION, INC. AND ID#58536 RIH MEDICAL FOUNDATION INC FORMING ID#110369 UNIVERSITY MEDICINE FOUNDATION INC. ENGAGING IN THE PRACTICE OF MEDICINE FOR PATIENTS OF ANY HOSPITAL AFFILIATED WITH LIFESPAN CORPORATION AND ELSEWHERE.
Fictitious names: Brown Medicine Endoscopy Center (trading name, 2017-12-13 - )
University Medicine (trading name, 2011-07-28 - )
Historical names: University Medicine Foundation, Inc.
Brown Medicine

Industry & Business Activity

NAICS

622310 Specialty (except Psychiatric and Substance Abuse) Hospitals

This industry comprises establishments known and licensed as specialty hospitals primarily engaged in providing diagnostic and medical treatment to inpatients with a specific type of disease or medical condition (except psychiatric or substance abuse). Hospitals providing long-term care for the chronically ill and hospitals providing rehabilitation, restorative, and adjustive services to physically challenged or disabled people are included in this industry. These establishments maintain inpatient beds and provide patients with food services that meet their nutritional requirements. They have an organized staff of physicians and other medical staff to provide patient care services. These hospitals may provide other services, such as outpatient services, diagnostic X-ray services, clinical laboratory services, operating room services, physical therapy services, educational and vocational services, and psychological and social work services. Learn more at the U.S. Census Bureau

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467190496 2022-05-20 2024-01-18 DEPT 3010, PO BOX 986524, BOSTON, MA, 022986524, US 375 WAMPANOAG TRL, RIVERSIDE, RI, 029152232, US

Contacts

Phone +1 401-443-4992
Fax 4015377241
Phone +1 401-649-4020
Fax 4016494021

Authorized person

Name DONNA GORDON
Role RCM DIRECTOR
Phone 4014435107

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary Yes
Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary No
Taxonomy Code 364SP0808X - Psychiatric/Mental Health Clinical Nurse Specialist
Is Primary No

Agent

Name Role Address
JOHN W. WOLFE, ESQ. Agent 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

PRESIDENT

Name Role Address
LOUIS RICE MD PRESIDENT 593 EDDY STREET PROVIDENCE, RI 02903 USA

TREASURER

Name Role Address
PETER A. HOLLMANN MD TREASURER 593 EDDY STREET PROVIDENCE, RI 02903 USA

SECRETARY

Name Role Address
PETER A. HOLLMANN MD SECRETARY 593 EDDY STREET PROVIDENCE, RI 02903 USA

VICE PRESIDENT

Name Role Address
ANGELA CALIENDO MD VICE PRESIDENT 593 EDDY STREET PROVIDENCE, RI 02903 USA

DIRECTOR

Name Role Address
CHRISTINE DUFFY, MD DIRECTOR 593 EDDY STREET PROVIDENCE, RI 02903 USA
JOHN REAGAN, MD DIRECTOR 593 EDDY STREET PROVIDENCE, RI 02903 USA
C. JOY NASSAR MD DIRECTOR 593 EDDY STREET PROVIDENCE, RI 02903 USA
CHESTON CUNHA MD DIRECTOR 593 EDDY STREET PROVIDENCE, RI 02903 USA
NADIA MUJAHID MD DIRECTOR 593 EDDY STREET PROVIDENCE, RI 02903 USA
LOUIS RICE MD DIRECTOR 593 EDDY STREET PROVIDENCE, RI 02903 USA
KELLY MCGARRY , MD DIRECTOR 593 EDDY STREET PROVIDENCE, RI 02903 USA
THOMAS BLEDSOE , MD DIRECTOR 593 EDDY STREET PROVIDENCE, RI 02903 USA
HARLAN RICH , MD DIRECTOR 593 EDDY STREET PROVIDENCE, RI 02903 USA
COREY VENTETUOLO , MD DIRECTOR 593 EDDY STREET PROVIDENCE, RI 02903 USA

CHIEF EXECUTIVE OFFICER

Name Role Address
ANN M. KASHMANIAN, CPA, MBA CHIEF EXECUTIVE OFFICER 593 EDDY STREET PROVIDENCE, RI 02903 USA

Events

Type Date Old Value New Value
Name Change 2018-02-01 University Medicine Foundation, Inc. Brown Medicine
Name Change 2017-10-10 Brown Medicine University Medicine Foundation, Inc.
Name Change 2017-10-03 University Medicine Foundation, Inc. Brown Medicine

Filings

Number Name File Date
202446981440 Annual Report 2024-02-21
202330874490 Annual Report 2023-03-15
202215079130 Annual Report 2022-04-19
202207769410 Statement of Change of Registered/Resident Agent 2022-01-10
202198859060 Annual Report 2021-06-30
202044049010 Annual Report 2020-07-02
202037161910 Statement of Change of Registered/Resident Agent 2020-04-03
201905592430 Annual Report 2019-07-19
201872603940 Annual Report 2018-07-19
201856617110 Articles of Amendment 2018-01-23

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DEFINITIVE CONTRACT AWARD 36C24123C0042 2023-04-01 2024-03-31 2028-03-31
Unique Award Key CONT_AWD_36C24123C0042_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 57773.00
Current Award Amount 57773.00
Potential Award Amount 254630.60

Description

Title SOLE SOURCE AFFILIATE ON-CALL GI PHYSICIAN SERVICES.
NAICS Code 611310: COLLEGES, UNIVERSITIES, AND PROFESSIONAL SCHOOLS
Product and Service Codes Q505: MEDICAL- GASTROENTEROLOGY

Recipient Details

Recipient BROWN MEDICINE
UEI NNFCJ56FXB98
Recipient Address UNITED STATES, 110 ELM ST, FL 2, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 029034626
DEFINITIVE CONTRACT AWARD 36C24123C0012 2022-12-01 2025-05-31 2033-05-31
Unique Award Key CONT_AWD_36C24123C0012_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 381048.75
Current Award Amount 381049.27
Potential Award Amount 1657214.03

Description

Title NEPHROLOGY PHYSICIAN SERVICES
NAICS Code 611310: COLLEGES, UNIVERSITIES, AND PROFESSIONAL SCHOOLS
Product and Service Codes Q999: MEDICAL- OTHER

Recipient Details

Recipient BROWN MEDICINE
UEI NNFCJ56FXB98
Recipient Address UNITED STATES, 110 ELM ST, FL 2, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 029034626
DCA AWARD VA241P2330 2011-04-01 2011-09-30 2012-09-30
Unique Award Key CONT_AWD_VA241P2330_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title PROVIDE NEPHROLOGY PHYSICIANS SERVICES FROM AFFILIATED PRACTICE GROUP
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q509: INTERNAL MEDICINE SERVICES

Recipient Details

Recipient BROWN MEDICINE
UEI NNFCJ56FXB98
Legacy DUNS 794928341
Recipient Address 593 EDDY ST, PROVIDENCE, 029034923, UNITED STATES
DCA AWARD VA241P1497 2010-05-17 2010-09-30 2013-09-30
Unique Award Key CONT_AWD_VA241P1497_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title GI PHYSICIAN SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q505: GASTROENTEROLOGY SERVICES

Recipient Details

Recipient BROWN MEDICINE
UEI NNFCJ56FXB98
Legacy DUNS 794928341
Recipient Address 593 EDDY ST, PROVIDENCE, 029034923, UNITED STATES
DCA AWARD VA241S0883 2009-10-01 2009-09-30 2010-09-30
Unique Award Key CONT_AWD_VA241S0883_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title SELLING OF PHYSICIAN SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q505: GASTROENTEROLOGY SERVICES

Recipient Details

Recipient BROWN MEDICINE
UEI NNFCJ56FXB98
Legacy DUNS 794928341
Recipient Address 593 EDDY ST, PROVIDENCE, 029034923, UNITED STATES
DCA AWARD VA241S0207 2009-09-01 2009-09-30 2010-09-30
Unique Award Key CONT_AWD_VA241S0207_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title SELLING OF PHYSICIAN SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q506: GERIATRIC SERVICES

Recipient Details

Recipient BROWN MEDICINE
UEI NNFCJ56FXB98
Legacy DUNS 794928341
Recipient Address 593 EDDY ST, PROVIDENCE, 029034923, UNITED STATES
DCA AWARD VA241S0357 2008-10-01 2009-09-30 2010-09-30
Unique Award Key CONT_AWD_VA241S0357_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title SELLING OF PHYSICIAN SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q505: GASTROENTEROLOGY SERVICES

Recipient Details

Recipient BROWN MEDICINE
UEI NNFCJ56FXB98
Legacy DUNS 794928341
Recipient Address 593 EDDY ST, PROVIDENCE, 029034923, UNITED STATES
DCA AWARD VA241P0486 2008-10-01 2009-09-30 2011-09-30
Unique Award Key CONT_AWD_VA241P0486_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title PROVIDE ENDOCRINOLOGY SERVICES AT VAMC PROVIDENCE
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q509: INTERNAL MEDICINE SERVICES

Recipient Details

Recipient BROWN MEDICINE
UEI NNFCJ56FXB98
Legacy DUNS 794928341
Recipient Address 593 EDDY ST, PROVIDENCE, 029034923, UNITED STATES
DCA AWARD VA241P0601 2008-07-01 2008-09-30 2012-09-30
Unique Award Key CONT_AWD_VA241P0601_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title PROVIDE GERIATRICIAN PHYSICIAN SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q506: GERIATRIC SERVICES

Recipient Details

Recipient BROWN MEDICINE
UEI NNFCJ56FXB98
Legacy DUNS 794928341
Recipient Address 593 EDDY ST, PROVIDENCE, 029034923, UNITED STATES
DCA AWARD VA241P0491 2008-04-01 2009-09-30 2009-09-30
Unique Award Key CONT_AWD_VA241P0491_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title GASTROENTEROLOGY SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q505: GASTROENTEROLOGY SERVICES

Recipient Details

Recipient BROWN MEDICINE
UEI NNFCJ56FXB98
Legacy DUNS 794928341
Recipient Address 593 EDDY ST, PROVIDENCE, 029034923, UNITED STATES
Unique Award Key CONT_AWD_VA241P0485_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title NEPHROLOGY SERVICES FOR THE VAMC
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details

Recipient BROWN MEDICINE
UEI NNFCJ56FXB98
Legacy DUNS 794928341
Recipient Address 593 EDDY ST, PROVIDENCE, 029034923, UNITED STATES
Unique Award Key CONT_AWD_V650C80119_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title INTERPRETATION OF SLEEP STUDIES. UP TO 20.
Product and Service Codes Q521: PULMONARY SERVICES

Recipient Details

Recipient BROWN MEDICINE
UEI NNFCJ56FXB98
Legacy DUNS 794928341
Recipient Address 593 EDDY ST, PROVIDENCE, 029034923, UNITED STATES
Unique Award Key CONT_AWD_VA241P0086_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title NEPHROLOGY SERVICES: DIALYSIS;CLINICS;IN PATIENT ON-CALL
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details

Recipient BROWN MEDICINE
UEI NNFCJ56FXB98
Legacy DUNS 794928341
Recipient Address 593 EDDY ST, PROVIDENCE, 029034923, UNITED STATES
Unique Award Key CONT_AWD_VA00241P00715_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title NEPHROLOGY SERVICES: DIALYSIS;CLINICS;IN PATIENT ON-CALL
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details

Recipient BROWN MEDICINE
UEI NNFCJ56FXB98
Legacy DUNS 794928341
Recipient Address 593 EDDY ST, PROVIDENCE, 029034923, UNITED STATES

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
05-0450410 Corporation Unconditional Exemption 110 ELM STREET 2ND FLOOR, PROVIDENCE, RI, 02903-4626 1991-05
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 50,000,000 to greater
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 77556461
Income Amount 102359021
Form 990 Revenue Amount 101746060
National Taxonomy of Exempt Entities Health Care: Group Health Practice (Health Maintenance Organizations)
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 BROWN MEDICINE
EIN 05-0450410
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name BROWN MEDICINE
EIN 05-0450410
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name BROWN MEDICINE
EIN 05-0450410
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name BROWN MEDICINE
EIN 05-0450410
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY MEDICINE FOUNDATION
EIN 05-0450410
Tax Period 201609
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY MEDICINE FOUNDATION
EIN 05-0450410
Tax Period 201509
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9713307002 2020-04-09 0165 PPP 110 ELM ST, PROVIDENCE, RI, 02903-4626
Loan Status Date 2021-07-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 8460000
Loan Approval Amount (current) 8460000
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 Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address PROVIDENCE, PROVIDENCE, RI, 02903-4626
Project Congressional District RI-01
Number of Employees 421
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 120245
Originating Lender Name Bank Rhode Island
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 8557290
Forgiveness Paid Date 2021-06-11

Date of last update: 10 Apr 2025

Sources: Rhode Island Department of State