Brown Emergency Medicine Inc

What it reported doing in 2024

The organization undertakes multiple charitable, scientific, and educational purposes, including:(a) providing emergency medical services and urgent medical care to the sick and injured who may come for diagnosis, treatment, and care without regard to race, color, creed, sex, age or ability to pay for services, and to provide such medical services to all persons who may seek care at rih, tmh, hasbro, npt and wih.(b) coordinating, overseeing, and monitoring clinical programs and services.(c) participating in research to alleviate human suffering.(d) providing teaching services to medical students and to graduates of medical and osteopathic schools who are in postgraduate training programs.(e) employing high-quality teaching and clinical physicians to promote the educational and patient care missions of hospitals.(f) participating in joint planning and delivery of teaching, research, and clinical services.brown emergency medicine (brown em) provides emergency medical services, conducts medical research, and educates medical residents, fellows, medical students and others. Brown em provides these services through affiliations with Rhode Island hospital (rih), hasbro children's hospital (hasbro), the miriam hospital (tmh), newport hospital, and women and infants hospital (wih).brown em is the academic emergency medicine physician practice plan of the department of emergency medicine at the alpert medical school of brown university, brown university health's Rhode Island hospital, and the miriam hospital. With approximately 100 full time physicians and 40 mid-level providers, brown em provides emergency department staffing for rih, the region's only level 1 trauma center, hasbro, the state's only children's specialty hospital, tmh, which is a leading community teaching hospital, and newport hospital. All bem member physicians are board certified in emergency medicine or pediatric emergency medicine.during the year ended september 30, 2025, the organization provided emergency medical care to 260,119 patients. In addition, over 100 residents and 7 fellows received teaching, hundreds of individuals received training in a simulation center, dozens of medical students from other departments rotated through the emergency department to receive education services.the organization provides care to certain patients who are uninsured, without charge or at amounts less than its established rates. During the year ended september 30, 2025, expenses estimated at $1.8m arose from providing services to charity patients. The estimated costs of providing charity services are based on a calculation which applies a ratio of costs to charges to the gross uncompensated charges associated with providing care to charity patients.the organization's teaching mission was carried out by 88% of the organization's physicians who are on the faculty at brown university for the year ended september 30, 2025. The organization's physicians provide teaching services to more than 100 brown university medical students at a cost to the organization that exceeded the stipend for the teaching services provided. For the year ended september 30, 2025, the organization's contribution to unfunded teaching services is estimated at $1,169,909the organization also supports its physicians who are involved in studies to further the science of medical research. These physicians typically function as principal investigators or co-investigators on grant-funded studies conducted in conjunction with brown university health and brown university. For the year ended september 30, 2025, the organization's contribution to unfunded research is estimated at $6,199,454.

Financial Efficiency

• Mission deployment rate: 89.7%; rating input score 90
• Program expense ratio: 88.1%; rating input score 88
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Scored; rating input score 0
• Grant itemization coverage: 88.6%; rating input score 89; 21st percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 0%; rating input score 0; 4th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -2.8%; rating input score 17; 17th percentile among comparable filings
• Total-asset coverage ratio: 0.52; rating input score 19; 19th percentile among comparable filings
• Liabilities to assets ratio: 0.46; rating input score 40; 40th percentile among comparable filings
• Officer compensation ratio: 6.7%; rating input score 8; 8th percentile among comparable filings

Growth

• Program expense growth: 5% per year; rating input score 100; 40th percentile among comparable filings
• Revenue growth: 6.1% per year; rating input score 100; 53rd percentile among comparable filings
• Asset growth: 11.7% per year; rating input score 100; 77th percentile among comparable filings