Civic Intelligence

Roger Williams Medical Staff Association

EIN 47-2344400 • 501(c)4 • Providence, RI

Profile

Membership organization to establish medical staff standards for roger williams hospital

825 Chalkstone AveProvidence, RI 02908

"n/A%22

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

59th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)4 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

61st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)4 • <$500k nonprofits • Source year 2024

Net Margin

19th percentile

-27%

Higher net margin than 19% of similar nonprofits.

501(c)4 • <$500k nonprofits • Source year 2024

Top Officer Pay

94th percentile

$18,000

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 30.3% of source-year revenue.

501(c)4 • <$500k nonprofits • Source year 2024

Asset Growth

37th percentile

-8.7%

Faster asset growth than 37% of similar nonprofits.

501(c)4 • <$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

95th percentile

130%

Faster revenue growth than 95% of similar nonprofits.

501(c)4 • <$500k nonprofits • Annualized from 2023 to 2024

Assets

Down

$169,053

Down $16,136 (-8.7%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Down

$169,053

Down $16,136 (-8.7%) from 2023

Revenue

Up

$59,427

Up $33,624 (+130%) from 2023

Expenses

Down

$75,563

Down $3,739 (-4.7%) from 2023

Net Income

Up

-$16,136

Up $37,363 (+70%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$400K$300K$200K$100K$0Assets 2014: $120,060Liabilities 2014: $0Net Assets 2014: $120,0602014Assets 2015: $228,942Liabilities 2015: $0Net Assets 2015: $228,9422015Assets 2016: $237,977Liabilities 2016: $0Net Assets 2016: $237,9772016Assets 2017: $258,273Liabilities 2017: $0Net Assets 2017: $258,2732017Assets 2018: $274,007Liabilities 2018: $0Net Assets 2018: $274,0072018Assets 2019: $289,071Liabilities 2019: $0Net Assets 2019: $289,0712019Assets 2020: $299,581Liabilities 2020: $0Net Assets 2020: $299,5812020Assets 2021: $308,899Liabilities 2021: $0Net Assets 2021: $308,8992021Assets 2022: $238,688Liabilities 2022: $0Net Assets 2022: $238,6882022Assets 2023: $185,189Liabilities 2023: $0Net Assets 2023: $185,1892023Assets 2024: $169,053Liabilities 2024: $0Net Assets 2024: $169,0532024

Highlighted filing

2024

Assets$169,053
Liabilities$0
Net Assets$169,053

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$200K$100K$0-$100KRevenue 2014: $137,782Expenses 2014: $17,722Net Income 2014: $120,0602014Revenue 2015: $174,601Expenses 2015: $65,719Net Income 2015: $108,8822015Revenue 2016: $42,315Expenses 2016: $33,280Net Income 2016: $9,0352016Revenue 2017: $69,896Expenses 2017: $49,600Net Income 2017: $20,2962017Revenue 2018: $62,500Expenses 2018: $46,766Net Income 2018: $15,7342018Revenue 2019: $76,843Expenses 2019: $61,779Net Income 2019: $15,0642019Revenue 2020: $56,823Expenses 2020: $46,313Net Income 2020: $10,5102020Revenue 2021: $57,918Expenses 2021: $48,600Net Income 2021: $9,3182021Revenue 2022: $19,014Expenses 2022: $89,225Net Income 2022: -$70,2112022Revenue 2023: $25,803Expenses 2023: $79,302Net Income 2023: -$53,4992023Revenue 2024: $59,427Expenses 2024: $75,563Net Income 2024: -$16,1362024

Highlighted filing

2024

Revenue$59,427
Expenses$75,563
Net Income-$16,136

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
May 12, 2025
Return Version
2024v5.1
Gross Receipts
$59,427
Mission and Program Overview

Mission

Membership organization to establish medical staff standards for roger williams hospital

Program Services

DescriptionGrantsExpenses
TO ESTABLISH MEDICAL STAFF GOVERNANCE AND CREDENTIALING STANDARDS.$9,999$65,564
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
DR PONNANDAI SOMASUNDARChair Of SurgeryPT$18,000-$18,000
BRAIDY SHAMBAUGHTreasurer/SecretaryPT$5,000-$5,000
REBECCA BROWN MDPast PresidentPT$1,500-$1,500
NATHALIA DOOBAY MDPresidentPT$0--
RITA PETER-FAHERTY MDVice PresidentPT$0--
Filing and Contact Details

Filer

Filer Name
Roger Williams Medical Staff Association
EIN
47-2344400
Phone
4014562032
Address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908

Signing Officer

Name
Gregory Allen Do President
Title
President
Phone
4014562560
Signed
2025-05-12
Discuss with paid preparer
Yes

Preparer

Firm
PKF O'CONNOR DAVIES ADVISORY LLC
Address
40 WESTMINSTER STREET SUITE 600, PROVIDENCE, RI 02903
Preparer
Kerri Rawcliffe
Phone
4016216200
Supplemental Narrative

Additional Explanations

Form 990-ez, Part I, Line 4 - Other Investment Income

Description: interest income. Amount: 2,277.

Form 990-ez, Part I, Line 10 - Grants and Similar Amounts Paid

Activity classification: scholarships. Grantee name: various. Date of gift: 12/31/24. Amount given: 9,999.

Form 990-ez, Part I, Line 16 - Other Expenses

Description: office expense. Amount: 11,700. Description: credentials. Amount: 16,856. Description: bank fees. Amount: 295. Description: insurance expense. Amount: 2,963. Description: contractors. Amount: 1,500. Total to form 990-ez, line 16: 33,314.

Raw XML Appendix124 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990EZ/ActivitiesNotPreviouslyRptInd00
IRS990EZ/BooksInCareOfDetail/PersonNm0KIMBERLY PECKHAM
IRS990EZ/BooksInCareOfDetail/PhoneNum04014562032
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt0825 CHALKSTONE AVE
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0PROVIDENCE
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0RI
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd002908
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt0185189
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt0169053
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd00
IRS990EZ/DirectIndirectPltclExpendAmt00
IRS990EZ/DonorAdvisedFndsInd00
IRS990EZ/EngagedInExcessBenefitTransInd00
IRS990EZ/ExcessOrDeficitForYearAmt0-16136
IRS990EZ/FeesAndOtherPymtToIndCntrctAmt07750
IRS990EZ/ForeignFinancialAccountInd00
IRS990EZ/ForeignOfficeInd00
IRS990EZ/Form990TotalAssetsGrp/BOYAmt0185189
IRS990EZ/Form990TotalAssetsGrp/EOYAmt0169053
IRS990EZ/GrantsAndSimilarAmountsPaidAmt09999
IRS990EZ/GrossReceiptsAmt059427
IRS990EZ/InfoInScheduleOPartIIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/InfoInScheduleOPartVInd0X
IRS990EZ/InvestmentIncomeAmt02277
IRS990EZ/MadeLoansToFromOfficersInd00
IRS990EZ/MembershipDuesAmt057150
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt0185189
IRS990EZ/NetAssetsOrFundBalancesEOYAmt0169053
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt0185189
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt0169053
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt05.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt15.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt25.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt35.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt45.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt01500
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt35000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt418000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0REBECCA BROWN MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1NATHALIA DOOBAY MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2RITA PETER-FAHERTY MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3BRAIDY SHAMBAUGH
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4DR PONNANDAI SOMASUNDAR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0PAST PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2VICE PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3TREASURER/SECRETARY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4CHAIR OF SURGERY
IRS990EZ/OperateHospitalInd00
IRS990EZ/Organization501cInd0X
IRS990EZ/OrganizationDissolvedEtcInd00
IRS990EZ/OrganizationHadUBIInd00
IRS990EZ/OtherChangesInNetAssetsAmt00
IRS990EZ/OtherExpensesTotalAmt033314
IRS990EZ/PoliticalCampaignActyInd00
IRS990EZ/PrimaryExemptPurposeTxt0MEMBERSHIP ORGANIZATION TO ESTABLISH MEDICAL STAFF STANDARDS FOR ROGER WILLIAMS HOSPITAL
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0TO ESTABLISH MEDICAL STAFF GOVERNANCE AND CREDENTIALING STANDARDS.
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt09999
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt065564
IRS990EZ/ProhibitedTaxShelterTransInd00
IRS990EZ/RelatedOrganizationCtrlEntInd00
IRS990EZ/SalariesOtherCompEmplBnftAmt024500
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SubjectToProxyTaxInd00
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd00
IRS990EZ/TaxImposedOnOrganizationMgrAmt00
IRS990EZ/TaxReimbursedByOrganizationAmt00
IRS990EZ/TotalExpensesAmt075563
IRS990EZ/TotalProgramServiceExpensesAmt065564
IRS990EZ/TotalRevenueAmt059427
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0"N/A"
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DESCRIPTION: INTEREST INCOME. AMOUNT: 2,277.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ACTIVITY CLASSIFICATION: SCHOLARSHIPS. GRANTEE NAME: VARIOUS. DATE OF GIFT: 12/31/24. AMOUNT GIVEN: 9,999.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2DESCRIPTION: OFFICE EXPENSE. AMOUNT: 11,700. DESCRIPTION: CREDENTIALS. AMOUNT: 16,856. DESCRIPTION: BANK FEES. AMOUNT: 295. DESCRIPTION: INSURANCE EXPENSE. AMOUNT: 2,963. DESCRIPTION: CONTRACTORS. AMOUNT: 1,500. TOTAL TO FORM 990-EZ, LINE 16: 33,314.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES
TransferPrsnlBnftContractsDecl/DeclarationDesc0THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0GREGORY ALLEN DO PRESIDENT
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum04014562560
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-05-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0ROGER WILLIAMS MEDICAL STAFF ASSOCIATION
ReturnHeader/Filer/BusinessNameControlTxt0ROGE
ReturnHeader/Filer/EIN0472344400
ReturnHeader/Filer/PhoneNum04014562032
ReturnHeader/Filer/USAddress/AddressLine1Txt0825 CHALKSTONE AVE
ReturnHeader/Filer/USAddress/CityNm0PROVIDENCE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0RI
ReturnHeader/Filer/USAddress/ZIPCd002908
ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0331374517
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0PKF O'CONNOR DAVIES ADVISORY LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt040 WESTMINSTER STREET SUITE 600
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0PROVIDENCE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0RI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd002903
ReturnHeader/PreparerPersonGrp/PhoneNum04016216200
ReturnHeader/PreparerPersonGrp/PreparationDt02025-05-12
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0KERRI RAWCLIFFE
ReturnHeader/ReturnTs02025-05-13T08:06:52-05:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02024-01-01
ReturnHeader/TaxPeriodEndDt02024-12-31
ReturnHeader/TaxYr02024

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