Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $14,525,210

• 1e · Government grants (contributions)

  $23,477,711

• 1f · All other contributions, gifts and grants

  $992,636

• 1g · Noncash contributions included above

  $59,507

• 2a · Program service revenue: Patient Service Revenue

  total $1,843,655,618 · related or exempt $1,841,202,180 · unrelated business $2,453,438

• 2b · Program service revenue: Brown Health Pharmacy

  total $263,032,564 · related or exempt $263,041,803 · unrelated business -$9,239

• 2c · Program service revenue: Direct Rev from Research

  total $90,298,185 · related or exempt $90,298,185

• 2d · Program service revenue: Rental

  total $7,123,064 · related or exempt $7,123,064

• 2e · Program service revenue: Temp Restricted (SPF's)

  total $1,440,393 · related or exempt $1,347,803 · unrelated business $92,590

• 2f · All other program service revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $21,070,101 · excluded $21,070,101

• 4 · Income from investment of tax-exempt bond proceeds

  total $1,969,425 · excluded $1,969,425

• 6a · Gross rents

  real property $3,592,157

• 6b · Less rental expenses

  real property $2,180,982

• 6c · Rental income or loss

  real property $1,411,175 · personal property $0

• 6d · Net rental income or loss

  total $1,411,175 · excluded $1,411,175

• 7a · Gross sales of assets other than inventory

  securities $259,367,473 · other assets $87,500

• 7b · Less cost or other basis and sales expenses

  securities $220,511,220 · other assets $26,499

• 7c · Gain or loss

  securities $38,856,253 · other assets $61,001

• 7d · Net gain or loss

  total $38,917,254 · excluded $38,917,254

• 11a · Other revenue: Cafeteria Revenue

  total $6,051,024 · excluded $6,051,024

• 11b · Other revenue: Linen Services

  total $1,885,833 · related or exempt $1,884,537 · unrelated business $1,296

• 11c · Other revenue: SALE OF HEAT, LIGHT AND POWER, GASES

  total $1,552,734 · unrelated business $1,552,734

• 11d · All other revenue

  total -$20,413,736 · related or exempt -$20,815,085 · unrelated business $299,276 · excluded $102,073

• 11e · Other revenue, total

  -$10,924,145

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $1,138,873 · program services $1,138,873

• 2 · Grants to domestic individuals

  total $35,000 · program services $35,000

• 5 · Compensation of officers, directors and key employees

  total $1,757,124 · management and general $1,757,124

• 6 · Compensation of disqualified persons

  total $1,417,647 · program services $19,800 · management and general $1,397,847

• 7 · Other salaries and wages

  total $611,839,195 · program services $611,598,485 · management and general $240,710

• 8 · Pension plan contributions

  total $33,659,604 · program services $33,659,604

• 9 · Other employee benefits

  total $104,210,734 · program services $95,767,085 · management and general $8,443,649

• 10 · Payroll taxes

  total $43,143,289 · program services $42,936,913 · management and general $206,376

• 11f · Fees: investment management

  total $1,784,758 · management and general $1,784,758

• 11g · Fees: other

  total $208,736,939 · program services $208,736,939 · management and general $0 · fundraising $0

• 12 · Advertising and promotion

  total $197,885 · program services $197,885

• 13 · Office expenses

  total $33,372,742 · program services $33,187,875 · management and general $184,867

• 16 · Occupancy

  total $30,501,330 · program services $30,501,330

• 17 · Travel

  total $1,677,784 · program services $1,672,982 · management and general $4,802

• 19 · Conferences, conventions and meetings

  total $2,814,691 · program services $2,481,705 · management and general $332,986

• 20 · Interest

  total $13,824,249 · program services $13,824,249

• 22 · Depreciation, depletion and amortization

  total $59,618,103 · program services $54,499,578 · management and general $5,118,525

• 23 · Insurance

  total $28,322,527 · program services $28,322,527

• 24a · Other expenses: Medical & Surgical Supplies

  total $576,720,990 · program services $576,720,702 · management and general $288

• 24b · Other expenses: Purch Svs & Equip Contracts

  total $221,688,120 · program services $56,237,575 · management and general $165,450,545

• 24c · Other expenses: Provision for Bad Debts

  total $54,523,569 · program services $54,523,569

• 24d · Other expenses: License Fee

  total $45,602,054 · program services $45,602,054

• 24e · All other expenses

  total $35,729,533 · program services $34,868,003 · management and general $861,530 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $353,930 · end of year $656,458

• 2 · Savings and temporary cash investments

  beginning of year $43,998,077 · end of year $102,161,607

• 3 · Pledges and grants receivable

  beginning of year $12,010,479 · end of year $14,142,675

• 4 · Accounts receivable

  beginning of year $180,136,217 · end of year $191,772,821

• 5 · Loans and receivables from officers and key people

  end of year $0

• 6 · Loans and receivables from disqualified persons

  end of year $0

• 8 · Inventories for sale or use

  beginning of year $36,641,204 · end of year $39,654,777

• 9 · Prepaid expenses and deferred charges

  beginning of year $4,964,339 · end of year $4,342,367

• 10a · Land, buildings and equipment: cost or other basis

  $1,191,676,007

• 10b · Land, buildings and equipment: accumulated depreciation

  $706,942,235

• 10c · Land, buildings and equipment, net

  beginning of year $476,393,068 · end of year $484,733,772

• 11 · Investments: publicly traded securities

  beginning of year $353,489,958 · end of year $635,247,284

• 12 · Investments: other securities

  beginning of year $58,184,694 · end of year $41,020,086

• 13 · Investments: program-related

  beginning of year $0

• 15 · Other assets

  beginning of year $293,672,764 · end of year $319,471,317

• 17 · Accounts payable and accrued expenses

  beginning of year $132,770,929 · end of year $130,488,597

• 19 · Deferred revenue

  beginning of year $348,032 · end of year $367,081

• 20 · Tax-exempt bond liabilities

  beginning of year $137,394,352 · end of year $332,492,871

• 22 · Loans and payables to officers and key people

  end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $147,750,000 · end of year $147,750,000

• 24 · Unsecured notes and loans payable

  beginning of year $13,088,938 · end of year $11,469,688

• 25 · Other liabilities

  beginning of year $188,316,189 · end of year $176,580,303

• 27 · Net assets without donor restrictions

  beginning of year $420,824,437 · end of year $569,146,942

• 28 · Net assets with donor restrictions

  beginning of year $419,351,853 · end of year $464,907,682

The filer's explanations (Part III)

Schedule J, Part I, Line 1a Tax indemnification and gross-up payments

Tax Indemnification and Grossed Up Payments: The Brown Health Executive Long Term Disability program provides financial protection to designated Brown Health physicians and executives in the event that they become disabled. Premiums are paid to the insurance carrier by the insureds on an after-tax basis to allow for income replacement at a reasonable cost. The income associated with the premiums is grossed up to cover the total cost of the benefit as provided in the Brown Health Executive Benefit Plan and is included in Medicare wages, more specifically on Schedule J, Part II, Column B (iii).

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

Compensation of the RIH President is determined by the Compensation Committee of Brown University Health. This committee's determination process utilizes a combination of an independent compensation consultant, written employment contracts, and compensation studies/surveys, along with approval by the Brown Health Board of Directors.

Schedule J, Part I, Line 4a Severance or change-of-control payment

Line 4a: The following individuals received severance and/or change of control payments during the calendar year ending December 31, 2023: Timothy J. Babineau, MD, former trustee: $1,336,393. Sean Deoni, highest compensated: $885,000 Todd A. Conklin, former Key Employee: $116,826. Saul N. Weingart, former officer: $385,347

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

Line 4b: Brown Health offers a non-qualified supplemental employee retirement plan (SERP) to certain executives. The following individuals were credited with the non-vested amounts indicated during calendar year 2023 and such amounts are included in deferred compensation on Schedule J, Part II, Column C: Paul J. Adler - $102,010. Christine M. Collins - $47,417. Michael Dawson - $31,831 Nicholas P. Dominick - $60,899. Eva Greenwood - $66,165. G. Alan Kurose, MD - $1,065. G. Dean Roye, MD - $95,134. Tracey L. Wallace - $32,751. John Fernandez - $280,199 In 2023, the following individuals became vested in and were paid a non-qualified supplemental employee retirement plan (SERP) amount and such amounts are included in Medicare wages, more specifically on Schedule J, Part II, Column B(iii): Paul J. Adler - $86,031. Timothy J. Babineau, MD - $340,264. Christine M. Collins - $30,737. Cynthia H. Danner - $52,489. Michael Dawson - $16,991. Nicholas P. Dominick - $51,955. Peter K. Markell - $105,000. G. Dean Roye, MD - $72,959. Tracey L. Wallace - $29,275. Saul N. Weingart, MD - $76,292. The portion of the above payments that was reported as deferred compensation in prior years is reflected on Schedule J, Part II, Column F. Participants included in Brown Health's SERP are awarded plan contributions on a quarterly basis. Contributions and interest earned during a plan year vest after three years and are paid to plan participants at that time. SERP payments earned during the calendar year which have not yet vested are disclosed on Schedule J, Part II, Column C. Vested SERP payments received during the year are disclosed on Schedule J, Part II, Column B(iii) (as well as Column F if reported on Schedule J, Part II, Column C of a previously filed Form 990). Plan contributions awarded to participants who have reached age 62 become vested as of the beginning of the following calendar year.

Schedule J, Part I, Line 7 Non-fixed payments

Certain physicians and executives participate in incentive compensation plans arranged through individual contractual agreements which stipulate non-fixed payments based on meeting criteria comprised of various quality and productivity markers.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• Brown University Health Pharmacy LLC

  Pharmaceutical Sales · RI · income $116,421,670 · assets $31,942,886

  Directly controlled by Rhode Island Hospital

• Radiosurgery Center of Rhode Island LLC

  Radiosurgery · RI · income $6,562,395 · assets $3,408,566

  Directly controlled by Rhode Island Hospital

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• Brown University Health Alliance LLC

  N/A · Account. Care Org. · RI

  Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• CHARITABLE REMINDER TRUST (1)

  Philanthropy · RI

  Directly controlled by NA

• Brown University Health MSO I

  C Corporation · Mgmnt Svcs · RI · share of income $0 · share of assets $0

  Directly controlled by Brown Univ Health

• Brown University Health Risk S

  C Corporation · Risk Mgmnt · RI · share of income $0 · share of assets $0

  Directly controlled by Brown Univ Health

• VNA Technicare Inc (dba Brown University Health Home Medical)

  C Corporation · DME Sales · RI · share of income $0 · share of assets $0

  Directly controlled by The Miriam Hospital