Rhode Island Hospital

“Nicholas P. Dominick, Senior Vice President of RIH and Paul J. Adler, Brown University Health Secretary, are officers of Brown University Health MSO, Inc.(MSO), a related for-profit organization. Lawrence A. Aubin, Sr., Chairman, and Michael L. Hanna, Trustee, are partners in the same for-profit organization.”

“*Lawrence A. Aubin, Sr., Chair, and Michael Hanna, Trustee, are owners of New England Real Estate Holding Group, LLC (NEREHG), with which Brown Health has entered into an operating lease of a health care facility. During fiscal year 2024, Brown Health paid rent to NEREHG under the terms of its lease. Terms of the rent expense related to the lease have been established at fair market value.”

“Brown University Health is the sole member of RIH.”

“The sole member of RIH is Brown University Health, a non-profit corporation organized and existing under the Rhode Island Nonprofit Corporation Act. Additionally, the bylaws of RIH confer certain reserved powers upon Brown Health to provide it with the means of effective oversight, coordination, and support of the system. Powers reserved to Brown Health include: to elect and remove RIH trustees and to approve the election or removal of certain officers.”

“The RIH Board is comprised of the same individuals who serve on the Brown Health Board. Brown Health has the responsibility for planning, directing, and establishing policies intended to assure the development and delivery of quality health services on an integrated, cost-effective basis. Powers reserved to Brown Health, in addition to those noted above, include: to approve amendment of the Articles of Incorporation and Bylaws and other charter documents; to approve strategic plans; to approve investment policies and any capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness.”

“The Form 990 is prepared by the Brown Health Finance Department accounting staff upon completion of Brown Health's annual independent audit and is reviewed by the Corporate Services Tax Compliance Manager and the Director of Finance. Once the draft Form 990 is complete, the return is provided with all supporting worksheets to KPMG, which then reviews and the completed from in detail. KPMG provides the Director of Finance with any recommended changes which are reviewed, and if agreed upon, are incorporated into the return. The draft Form 990 is then provided to the Brown Health EVP/CFO for final management review.”

“Brown University Health has a Conflict of Interest Policy that is applicable to all affiliates, including RIH, and administered by Brown Health's Corporate Compliance Department as follows: Each designated person subject to Brown Health's conflict of interest policy is required to provide Brown Health with an initial disclosure statement and thereafter an annual statement attesting that: (i) the designated person has read and is familiar with the policy, and (ii) the designated person and, to the best of his/her knowledge, family members, have not in the past engaged in, are not presently engaging in, or plan to engage in, any activity which contravenes the policy. If, at any time during the course of employment or association, a designated person has reason to believe that an existing or contemplated activity may contravene the policy, the person shall submit a full written description of the activity to the Brown Health Compliance Officer or the Office of the General Counsel to seek a determination as to whether the contemplated activity does or does not contravene the policy. If the activity in question involves either the Chief Executive Officer, the Senior Vice President and General Counsel, or a Trustee, a full written disclosure must be made to, and a determination sought from, the Chairman of the Board of Directors of Brown University Health. Annually, the Brown Health Compliance Officer shall review and report to the Brown Health Executive Corporate Compliance Committee and to the Brown Health Audit and Compliance Committee on the administration of the policy. Failure on the part of any designated person to comply with the policy, including failure to submit in a timely fashion the conflict of interest disclosure statement, will be grounds for removal from his/her position and/or termination of his/her employment with Brown Health.”

“The following applies to Brown Health and all of its affiliates, including RIH: EXECUTIVE COMPENSATION Brown Health's executive compensation philosophy balances appropriate stewardship of resources and the need to be competitive in recruiting and retaining talented individuals. It incorporates market-competitive and performance-related principles, and covers the President and CEO of Brown Health as well as other officers, senior management, and key employees. Brown Health's executive compensation program complies both with law and with contemporary ethical norms, and is administered consistent with the organization's tax-exempt status under Section 501(c)(3) of the Internal Revenue Code (IRC) and the avoidance of transactions subject to intermediate sanctions under Section 4958 of the IRC. Executive compensation is also administered consistent with Brown Health's Corporate Compliance Policy on Excess Benefit Transactions. The Compensation Committee of the Brown University Health Board of Directors (the Committee), comprised of disinterested Brown Health Board members, is responsible for diligent oversight of executive compensation to ensure compliance with IRC requirements. Its duties include: * Approving eligibility for participation in the executive compensation program * Approving changes in compensation for existing executive participants * Approving guidelines, such as salary ranges and contract terms, on appropriate levels of compensation for other key employees * Approving new, and modifying or terminating existing, executive compensation plans including, but not limited to, annual incentive and executive benefit plans * Approving performance objectives associated with Brown Health's annual incentive plan, including measuring points, and using verified actual performance relative to these objectives as a precondition to approving the payment of any awards under the plan * Authorizing periodic performance benchmark studies to be conducted for purposes of assessing Brown Health's performance within the healthcare industry and the degree to which total remuneration levels at Brown Health are generally commensurate with Brown Health performance relative to healthcare industry performance * Conducting an annual performance review of Brown Health's Chief Executive Officer. The Chair of the Committee conducts and documents this review, based on his/her observations and interpretation of feedback from members of the Board of Directors. * Selecting and engaging qualified, independent, third-party compensation valuation consultants that the Committee charges with rendering opinions with respect to the reasonableness and comparability of compensation as well as the comparative organizations against which compensation is assessed, in accordance with relevant sections of the IRC and Brown Health's executive compensation philosophy. Brown Health's Chief Executive Officer works closely with the Committee to make recommendations on the above topics and keep the Committee informed about contemplated compensation changes for executives and other key employees, as well as candidates for these roles. The CEO also provides periodic updates to the Committee regarding Brown Health's performance relative to compensation-related performance objectives. The Committee's deliberations and actions are documented in minutes prepared for each meeting. PROCESS FOR DETERMINING COMPENSATION Valuation of Total Cash and Total Remuneration: No less frequently than annually, the Committee receives and reviews a total cash compensation valuation of all existing executive compensation program participants prepared by its independent compensation consultant. Annually, the Committee also receives and reviews a total remuneration valuation of all existing executive compensation participants. Base Salary Actions: The CEO recommends any salary adjustments for participants in the executive compensation program, using the results of the valuation study and his/her a”

“Brown Health and the Brown Health Obligated Group, which consists of RIH, The Miriam Hospital, Emma Pendleton Bradley Hospital, Rhode Island Hospital Foundation, and The Miriam Hospital Foundation, currently make their annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification, LLC), a disclosure dissemination agent for issuers of tax-exempt bonds which electronically posts and transmits Brown Health's financial information to repositories and investors alike. In addition, copies of RIH's Articles of Incorporation, Bylaws, and Conflict of Interest Policy are available upon request from the office of the Brown Health EVP/CFO, either in person or by mail.”

“- Total Revenue: -20413736, Related or Exempt Function Revenue: -20815085, Unrelated Business Revenue: 299276, Revenue Excluded from Tax Under Sections 512, 513, or 514: 102073;”

“Paul J. Adler Paul J. Adler, Brown Health Secretary, is also Senior Vice President and General Counsel of Brown University Health and various other affiliates. As a full-time employee he devotes 40+ hours per week to these organizations. His compensation is paid by Brown University Health. John Fernandez John Fernandez serves as President of Brown Health and Affiliates, devoting 40+ hours per week to the combined organizations. As part of his responsibilities, he provides administrative oversight to all of Brown Health's affiliated organizations disclosed in Schedule R. Mr. Fernandez's compensation was paid by Brown Health during calendar year 2023. Sarah Frost Sarah Frost became the EVP & Chief of Hospital Operations of Brown Health and Affiliates and President of RIH in June 2024. Ms. Frost serves as a full-time employee devoting 40+ hours per week to the combined organizations. Ms. Frost did not receive compensation during calendar year 2023. Ziya L. Gokaslan, MD Ziya L. Gokaslan, MD, Trustee, is also the Neurosurgeon-in-Chief at Rhode Island Hospital and The Miriam Hospital. As a full-time employee he devotes 40+ hours per week to the Neurosurgery service-line. His compensation is paid by Brown Health Medical Group. Eva Greenwood Eva Greenwood serves as Treasurer of Brown Health and Affiliates, devoting 40+ hours per week to the combined organizations. As part of her responsibilities, she provides financial oversight to all of Brown Health's affiliated organizations disclosed in Schedule R. Ms. Greenwood's compensation was paid by Brown Health during calendar year 2023. Peter K. Markell Peter K. Markell serves as EVP/CFO of Brown Health and Affiliates, devoting 40+ hours per week to the combined organizations. As part of his responsibilities, he provides financial oversight to all of Brown Health's affiliated organizations disclosed in Schedule R. Mr. Markell's compensation was paid by Brown Health during calendar year 2023. G. Dean Roye, MD G. Dean Roye, SVP and Chief Medical Officer at Rhode Island Hospital, served as Interim President of Rhode Island Hospital and Affiliates until June 2024. As a full-time employee he devotes 40+ hours per week to the organization. His compensation was paid by Rhode Island Hospital. Timothy J. Babineau Timothy J. Babineau, MD, was the President & CEO of Brown Health as well as other affiliates thru June 1, 2022. As a full-time employee he devoted 40+ hours per week to these organizations. His compensation was paid by Brown Health. Todd A. Conklin, CPA Todd A. Conklin served as EVP & Chief Operating Officer of Rhode Island Hospital until April 6, 2022. As a full-time employee he devoted 40+ hours per week to this organization. Mr. Conklin's compensation was paid by Brown Health. G. Alan Kurose, MD G. Alan Kurose, Trustee thru November 9, 2021, served as Chairperson of Brown Health Group Primary Care (formerly Coastal Medical Physicians, Inc.) which joined the Brown Health health system effective April 25, 2021, thru July 31, 2023. Dr. Kurose also acted as Brown Health's Senior Vice President for Primary Care and Population Health at Brown Health. As a full-time employee he devoted 40+ hours per week to these organizations. His compensation was paid by Brown Health Group Primary Care during calendar year 2023. Saul N. Weingart, MD Saul N. Weingart, MD served as President of RIH from January 1, 2021 through April 12, 2023. The calendar year 2023 compensation reported in this return is reflective of amounts earned in that role. His compensation was paid by Brown Health.”

“Volunteers support and contribute to the mission of RIH and HCH every day, giving their time, energy, and enthusiasm. They are able to learn, meet other dedicated volunteers, better understand the healthcare environment, and gain personal satisfaction knowing they are making a difference to patients, families, and visitors alike. Volunteer opportunities are available to both teens and adults in a wide variety of areas including: ambassadors, art activities, book cart, canine assisted therapy, comfort cart for families, diagnostic imaging, emergency department, employee snack cart, endoscopy, food pantry, geriatric champions, hand massage, infection control, music activities, office support, oncology, outpatient clinics, patient and guest services, pediatric partial day program, pediatric pre-op and post-op, pediatric playrooms, PICU, PT/OT, and recovery room. Volunteers include college and high school students, retirees, working professionals, individuals considering a career change or returning to the work force, and individuals with a special skill or talent.”

“RIH is a 719-bed, nonprofit general acute care teaching hospital with university affiliation, the largest hospital in the State of Rhode Island (the State) providing a comprehensive range of diagnostic and therapeutic services to patients. RIH has particular expertise in cardiology, including the State's only open heart surgery program; oncology; neurosciences; orthopedics; organ transplantation; pediatrics; psychiatry; and diabetes. RIH is the only Level I Trauma Center for southeastern New England, providing expert staff and equipment in emergency situations 24 hours a day. It is the Principal Teaching Hospital of The Warren Alpert Medical School of Brown University and the largest and most comprehensive of the Brown affiliated hospitals. RIH's pediatric division, HCH, is the State's premier pediatric facility with the area's only pediatric intensive care unit, pediatric oncology and cardiac programs, pediatric imaging center, and separate emergency and operating suites designated for pediatric patients. RIH has earned worldwide recognition for its family-centered environment and expert staff. It is the founding partner of Brown Health, a comprehensive health system providing accessible, high-value services to the people of Rhode Island and southeastern New England. RIH employs/contracts approximately 7,500 employees and is nationally and internationally recognized as a research and academic medical center. In 2024, RIH discharged 33,520 inpatients with total inpatient days of 207,436, treated 138,542 patients in its emergency departments, performed 24,016 inpatient and outpatient surgical procedures, and cared for 331,384 patients in outpatient clinics. RIH is the designated Level I Trauma Center for the State of Rhode Island and southeastern New England, with a state-of-the-art emergency department (ED) and a dedicated pediatric ED. RIH's adult ED includes a radiology unit comprised of CT scanners as well as ultrasound and x-ray machines; an all-inclusive chest pain center; a critical care unit for the most seriously injured and ill; and private treatment rooms. RIH offers imaging with PET/CT technology for cancer staging, while cardiac MRI and 64-slice cardiac CT scanners provide powerful tools for evaluating heart disease and function. The Anne C. Pappas Center for Breast Imaging has earned the Breast Imaging Center of Excellence designation by the American College of Radiology. In the area of cancer services, RIH has pioneered image-guided tumor ablation, shrinking or eliminating tumors by destroying them with heat (microwave ablation and radiofrequency ablation) or by freezing them (cryoablation). In addition, radiation oncology services include a linear accelerator for image-guided radiotherapy and stereotactic radiosurgery, as well as electronic brachytherapy for early-stage breast cancer patients, which reduces average treatment times from eight weeks to five days. In the area of surgical oncology, RIH is the only hospital in Rhode Island and one of only a few hospitals in New England to offer hyperthermic intraperitoneal chemoperfusion (HIPEC) for patients with advanced cancer of the abdomen. In the sphere of neurosurgery, RIH features one of the first gamma knife surgical centers in the United States, which offers intracranial stereotactic radiosurgery for the non-invasive treatment of brain lesions previously inaccessible or unsuccessfully treated by conventional therapies. Special services and programs provided by RIH include the Brown University Health Cancer Institute; the Brown Health Cardiovascular Institute, which provides cardiac catheterization, balloon angioplasty, and open heart surgery; The Comprehensive Stroke Center; The Norman Prince Spine Institute; critical care services; microvascular surgery; nuclear cardiology; radiology; laboratory; renal dialysis; computed tomography; orthopedics, including minimally invasive carpal tunnel surgery and cartilage transplants for knee defects; magnetic resonance”

“RIH provides full charity care for individuals at or below twice the federal poverty level, with a sliding scale for individuals based upon the federal poverty level guidelines, as set by the U.S. Department of Health and Human Services. In addition, a substantial discount consistent with Medicare program reimbursement is offered to all other uninsured patients. RIH determines the costs associated with providing charity care by aggregating the applicable direct and indirect costs, including compensation and benefits, supplies, and other operating expenses, based on data from its costing system. The total cost, excluding medical education and research, incurred by RIH to provide charity care amounted to $16,016,051 in fiscal year 2024. Charges forgone, based on established rates, amounted to $86,361,000. RIH substantially subsidized various health services including the following programs: dental, Alzheimer's, and the Center for Special Children, as well as certain other specialty services at a net cost of $15,072,330 in fiscal 2024. RIH also provides numerous other services to the community for which charges are not generated. These services include certain emergency services, community health screenings for cardiac health, prostate cancer and other diseases, smoking cessation, immunization and nutrition programs, diabetes education, community health training programs, patient advocacy, foreign language translation, physician referral services, and charitable contributions. The net cost of these services amounted to $414,401 in fiscal year 2024. Featured Awards and Recognition: In 2023, The American Heart Association/American Stroke Association recognized Rhode Island with the "Get with the Guidelines-Stroke Gold Plus award," for their commitment to ensuring stroke patients receive the most appropriate, leading-edge treatment, as quickly as possible, in accordance with nationally recognized, evidence-based guidelines. Rhode Island Hospital was named to the Stroke Honor Roll Elite with Advanced Therapy Achievement Target, and the Type 2 Diabetes Honor Roll. The Pediatric Trauma Center at Hasbro Children's Hospital was reverified as a Level 1 Trauma Center by the American College of Surgeons (ACS) and the Pediatric Burn Center at Hasbro Children's was reverified as a center by the American Burn Association (ABA). Rhode Island Hospital was recognized for excellence in pulmonary care by Healthgrades, citing its superior clinical outcomes in treating chronic obstructive pulmonary disease (COPD) and pneumonia. Hasbro Children's Hospital Rehabilitation Services was designated by Blue Cross & Blue Shield of Rhode Island as an LGBTQ Safe Zone, a certification that indicates that a center can provide quality care that meets the needs of LGBTQ+ patients. The Blue Cross Blue Shield Association named Rhode Island Hospital a Blue Distinction Center for Cancer Care and a Blue Distinction Center + for both Cancer Care and Spine Surgery. This designation recognizes health care facilities across the nation that demonstrate expertise in delivering quality specialty care. In 2023, Rhode Island Hospital's Medical Intensive Care Unity (MICU) received a four-year silver designation of the Beacon Award for Excellence by the American Association for Critical Care Nursing. In 2023-2024, U.S. News & World Report named Rhode Island Hospital a "high performer" in the areas of lung cancer surgery, aortic valve surgery, diabetes care, and stroke treatment. Accreditations: (1) Only Level I Trauma Center in southeastern New England, verified by the American College of Surgeons. (2) Only verified Burn Center in Rhode Island. (3) First hospital in the State awarded advanced certification as a Comprehensive Stroke Center; and (4) Pulmonary Hypertension Center holds the Pulmonary Hypertension Association's Center of Comprehensive Care Accreditation. (5) RIH is accredited by The Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the Accreditati”

“Under an affiliation agreement with The Warren Alpert Medical School of Brown University (Brown), RIH participates jointly in various clinical training programs and research activities. In 2010, Brown named RIH its Principal Teaching Hospital. The goals of the partnership are to facilitate the expansion of joint educational and research programs in order to compete both clinically and academically. RIH sponsors graduate medical education programs accredited by or under the auspices of the Accreditation Council for Graduate Medical Education (ACGME), while also sponsoring hospital-approved residency and fellowship programs. RIH serves as the principal setting for these clinical training programs, which encompass many disciplines. RIH provides stipends to residents and physician fellows while in training. In 2024, students enrolled in Brown University's undergraduate medical education programs received training at RIH. RIH teaching faculty ensure that the experience for both undergraduate and graduate medical education trainees remains transformative - dramatically changing novice practitioners into physicians able to think, act, and keep their focus on the ultimate goal of providing the best and most appropriate care for patients no matter what the setting or circumstances. RIH is also a participating clinical training site for residents and fellows from other programs. Various departments and specialties at RIH serve as clinical sites for physician assistant schools. In addition, Behavioral Medicine at RIH, in collaboration with Brown, sponsors research and clinical psychology training programs for interns, postdoctoral fellows, and faculty trainees. With respect to nursing education, RIH has developed educational affiliations with various Schools of Nursing, pursuant to which their nursing students obtain clinical training and experience at RIH. RIH does not receive any compensation from the various schools for providing a clinical setting for the student nurse training. The Brown University Health School of Medical Imaging collaborates with Rhode Island College in the following programs: diagnostic medical sonography; nuclear medicine technology; radiography; and magnetic resonance imaging. Students complete educational experiences at RIH, as well as other outpatient sites. RIH also sponsors education programs in computed tomography and mammography. At RIH, clinical affiliations/student clinical training programs are provided through contracts with several colleges and universities in the professional areas of speech-language pathology and audiology, physical therapy, physical therapy assistants, occupational therapy, certified occupational therapy assistants, and child development. RIH has clinical training affiliations in respiratory therapy with New England Institute of Technology and CCRI. In addition, RIH is the host for training programs in histology, cytology, phlebotomy, and medical laboratory science (medical technology) sponsored jointly through the University of Rhode Island, Salve Regina University, and Rhode Island College. These programs allow students to obtain didactic coursework at partner universities and at RIH, and clinical education and experience on site at RIH, resulting in certification for careers in clinical laboratories. RIH also has clinical affiliations/student clinical training programs for pharmacy students provided through contracts with a number of colleges and universities. RIH's Pharmacy Department sponsors a postgraduate year one (PGY1) residency program in pharmacy practice. In addition, RIH's Pharmacy Department co-sponsors second-year postgraduate specialized residency programs in oncology and ambulatory care pharmacy. RIH's pharmacists participate in the education of pharmacy, nursing, and physician assistant students by providing didactic lectures at various universities. In addition, RIH has clinical social work student contracts with various educational facilities.”

“RIH expended $12.3 million in support of research activities in fiscal year 2024. Major areas of research include: Cancer: RIH participates in clinical trials of new therapeutic agents in both adult and pediatric medicine. These trials are supported by National Institutes of Health (NIH) sponsored groups such as Alliance and Childrens' Oncology Group (COG). RIH is a participating hospital in the Brown-sponsored Cancer Oncology Group (BrUCOG). Heart Disease: Research continues in areas of invasive therapy, such as angioplasty, artherectomy, coronary stenting, laser treatment of coronary artery disease, and the reasons for sudden heart failure. Neurological Illness: The Alzheimer's Disease and Memory Disorder Center combines high quality neurological, neuropsychologic, and psychiatric services, thus creating a comprehensive diagnostic and treatment option for patients with memory disorders. Infectious Diseases: RIH's research team has been at the heart of the global COVID-19 response, from being sought after for comment by national media, to being selected as a site for vaccine trials. RIH research is also focused on the treatment and prevention of opioid abuse.”

“Change in funded status of pension and other postretirement. - 10955769; Increase in Interest in Net Assets of RIHF - 5447162; Joint Venture Equity Transfer - -49801583; Net asset Transfer HOSPITAL PROPERTIES INC AND RHODE ISLAND HOSPITAL VENTURES - -230368;”

“RIH was included in the Brown University Health and Affiliates audited consolidated financial statements as of and for the fiscal year ended September 30, 2024. Included in the amounts reported for RIH include activity of RIH, RIH Ventures, Radiosurgery Center of Rhode Island, LLC, and Brown University Health Pharmacy, LLC. The Brown Health Audit and Compliance Committee assumes responsibility for oversight of the audit of Brown Health's consolidated financial statements and the selection of Brown Health's independent accountant.”