Brown Medicine

Nonprofit profile at a glance

EIN
050450410
IRS 990 coverage
2009–2024
Forms available
Form 990 2024
Location
Providence, RI, USA
Phone
4014445135
Rating
64
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Group Health Practice (Health Maintenance Organizations)

Official website

Reported finances

Revenue
$117,964,291
Expenses
$124,173,321
Assets
$73,486,577
Liabilities
$31,740,884

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

20 people listed

Executive titles in this filing

  • LOUIS B RICE MD (PRESIDENT)

Highest reported compensation

  • ANGELA CALIENDO MD PHD (EXECUTIVE OFFICER/ VP): $748,033 total reported compensation
  • HOWARD P SAFRAN MD (DIV DIR HEMATOLOGY/ ONCOLOGY): $597,004 total reported compensation
  • KWAME DAPAAH-AFRIYIE MD (DIV DIR, HOSPITAL MEDICINE): $521,454 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Brown medicine is a non-profit, academic, multi-specialty medical group with practice locations in providence, ri and surrounding communities. Our three-part mission combines patient care, teaching, and research, enabling us to provide exceptional care locally, nationally, and globally.

What it reported doing in 2024

Brown medicine provided primary care and specialty care at numerous sites throughout Rhode Island as well as outpatient and inpatient care through nine subspecialty divisions at Rhode Island hospital, miriam hospital and the providence veteran's administration hospital. Brown medicine physicians ran the hospitalists programs at both the Rhode Island and miriam hospitals. In addition, brown medicine offered medical care at all seven of Rhode Island's inpatient kidney dialysis centers and two stand alone outpatient dialysis centers, and brown medicine offered a travel clinic.

Operating model

Revenue model
Earned-program. 94% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and program spending has grown recently. A relatively small share of voting board members are independent and the filing reports few safeguards for money sent abroad.

Rating breakdown

  • Financial Efficiency: 82
  • Transparency & Controls: 58
  • Accountability: 37
  • Sustainability: 19
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 94%; rating input score 94
  • Program expense ratio: 88.3%; rating input score 88
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.9%; rating input score 93; 17th percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Missing
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: 82.8%; rating input score 83; 18th 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: 7 of 8 controls in place; rating input score 88
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: NotApplicable
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -5.3%; rating input score 12; 12th percentile among comparable filings
  • Total-asset coverage ratio: 0.59; rating input score 23; 23rd percentile among comparable filings
  • Liabilities to assets ratio: 0.43; rating input score 42; 42nd percentile among comparable filings
  • Officer compensation ratio: 5.2%; rating input score 16; 16th percentile among comparable filings

Growth

  • Program expense growth: 6.5% per year; rating input score 100; 53rd percentile among comparable filings
  • Revenue growth: 4.8% per year; rating input score 100; 40th percentile among comparable filings
  • Asset growth: 8.4% per year; rating input score 100; 61st percentile among comparable filings

Details

  • Where the money goes: 94% of revenue deployed · 88.3% of spending went to programs
  • Governance: 0 of 11 board members independent · 7 of 8 filing controls reported
  • Programs: 1 filed program accomplishment · $109.6M in reported program spending
  • Leadership: top reported pay $748K · 20 people listed · 1 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $2.5M reported
  • Consistency: 32 of 33 current checks pass · 1 finding to review
  • Schedules: 8 filed schedules · includes major donors, foreign activity, grants, and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 21 filed money-flow records
  • Related organizations: 11 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Accountability: Independent voting board scored 0/100.
  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • High — Sustainability: Operating margin scored 12/100.
  • High — Sustainability: Total-asset coverage ratio scored 23/100.
  • Review — Accountability: Governance controls: Form 990 shared with the board not reported.
  • High — Sustainability: Officer compensation ratio scored 16/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 42/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.