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  5. Bethany Home of Rhode Island

Bethany Home of Rhode Island

Company Details

Name: Bethany Home of Rhode Island
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 26 Apr 1892 (133 years ago)
Identification Number: 000027249
ZIP code: 02906
County: Providence County
Principal Address: 111 SOUTH ANGELL STREET, PROVIDENCE, RI, 02906, USA
Purpose: ENACTED BY THE GENERAL ASSEMBLY DURING THE JANUARY SESSION DURING THE JANUARY SESSION OF 1892 A SKILLED NURSING FACILITY

Industry & Business Activity

NAICS

624120 Services for the Elderly and Persons with Disabilities

This industry comprises establishments primarily engaged in providing nonresidential social assistance services to improve the quality of life for the elderly, persons diagnosed with intellectual and developmental disabilities, or persons with disabilities. These establishments provide for the welfare of these individuals in such areas as day care, non-medical home care or homemaker services, social activities, group support, and companionship. Learn more at the U.S. Census Bureau

Companies doing Services for the elderly and persons with disabilities

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356338248 2005-10-05 2022-07-01 111 SOUTH ANGELL STREET, PROVIDENCE, RI, 029065397, US 111 SOUTH ANGELL STREET, PROVIDENCE, RI, 029065397, US

Contacts
Phone +1 401-831-2870
Fax 4013319570

Authorized person
Name LINDA CHRISTIAN WILSON
Role CFO
Phone 4018312870

Taxonomy
Taxonomy Code 314000000X - Skilled Nursing Facility
License Number LTC00531
State RI
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 4105096
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BETHANY HOME OF RI THRIFT 401K PLAN AND TRUST 2023 050258941 2024-06-03 BETHANY HOME OF RHODE ISLAND 83
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 4018312870
Plan sponsor’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309

Plan administrator’s name and address
Administrator’s EIN 050258941
Plan administrator’s name BETHANY HOME OF RHODE ISLAND
Plan administrator’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309
Administrator’s telephone number 4018312870
BETHANY HOME OF RI THRIFT 401K PLAN AND TRUST 2022 050258941 2023-06-07 BETHANY HOME OF RHODE ISLAND 83
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 4018312870
Plan sponsor’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309

Plan administrator’s name and address
Administrator’s EIN 050258941
Plan administrator’s name BETHANY HOME OF RHODE ISLAND
Plan administrator’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309
Administrator’s telephone number 4018312870
BETHANY HOME OF RI THRIFT 401K PLAN AND TRUST 2021 050258941 2022-08-01 BETHANY HOME OF RHODE ISLAND 90
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 4018312870
Plan sponsor’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309

Plan administrator’s name and address
Administrator’s EIN 050258941
Plan administrator’s name BETHANY HOME OF RHODE ISLAND
Plan administrator’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309
Administrator’s telephone number 4018312870
BETHANY HOME OF RI THRIFT 401K PLAN AND TRUST 2020 050258941 2021-07-12 BETHANY HOME OF RHODE ISLAND 100
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 4018312870
Plan sponsor’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309

Plan administrator’s name and address
Administrator’s EIN 050258941
Plan administrator’s name BETHANY HOME OF RHODE ISLAND
Plan administrator’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309
Administrator’s telephone number 4018312870
BETHANY HOME OF RI THRIFT 401K PLAN AND TRUST 2019 050258941 2020-07-21 BETHANY HOME OF RHODE ISLAND 99
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 4018312870
Plan sponsor’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309

Plan administrator’s name and address
Administrator’s EIN 050258941
Plan administrator’s name BETHANY HOME OF RHODE ISLAND
Plan administrator’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309
Administrator’s telephone number 4018312870
BETHANY HOME OF RI THRIFT 401K PLAN AND TRUST 2018 050258941 2019-04-15 BETHANY HOME OF RHODE ISLAND 90
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 4018312870
Plan sponsor’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309

Plan administrator’s name and address
Administrator’s EIN 050258941
Plan administrator’s name BETHANY HOME OF RHODE ISLAND
Plan administrator’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309
Administrator’s telephone number 4018312870
BETHANY HOME OF RI THRIFT 401K PLAN AND TRUST 2017 050258941 2018-07-02 BETHANY HOME OF RHODE ISLAND 93
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 4018312870
Plan sponsor’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309

Plan administrator’s name and address
Administrator’s EIN 050258941
Plan administrator’s name BETHANY HOME OF RHODE ISLAND
Plan administrator’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309
Administrator’s telephone number 4018312870
BETHANY HOME OF RI THRIFT 401K PLAN AND TRUST 2016 050258941 2017-06-12 BETHANY HOME OF RHODE ISLAND 74
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 4018312870
Plan sponsor’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309

Plan administrator’s name and address
Administrator’s EIN 050258941
Plan administrator’s name BETHANY HOME OF RHODE ISLAND
Plan administrator’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309
Administrator’s telephone number 4018312870
BETHANY HOME OF RI THRIFT 401K PLAN AND TRUST 2015 050258941 2016-06-07 BETHANY HOME OF RHODE ISLAND 67
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 4018312870
Plan sponsor’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309

Plan administrator’s name and address
Administrator’s EIN 050258941
Plan administrator’s name BETHANY HOME OF RHODE ISLAND
Plan administrator’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309
Administrator’s telephone number 4018312870
BETHANY HOME OF RI THRIFT 401K PLAN AND TRUST 2014 050258941 2015-07-15 BETHANY HOME OF RHODE ISLAND 67
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 4018312870
Plan sponsor’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309

Plan administrator’s name and address
Administrator’s EIN 050258941
Plan administrator’s name BETHANY HOME OF RHODE ISLAND
Plan administrator’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309
Administrator’s telephone number 4018312870

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing ELIZABETH SARRO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/25/20140725130107P030021638269001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 4018312870
Plan sponsor’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309

Plan administrator’s name and address
Administrator’s EIN 050258941
Plan administrator’s name BETHANY HOME OF RHODE ISLAND
Plan administrator’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309
Administrator’s telephone number 4018312870

Signature of
Role Plan administrator
Date 2014-07-25
Name of individual signing ELIZABETH SARRO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/06/20130606145012P040316987137001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 4018312870
Plan sponsor’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309

Plan administrator’s name and address
Administrator’s EIN 050258941
Plan administrator’s name BETHANY HOME OF RHODE ISLAND
Plan administrator’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309
Administrator’s telephone number 4018312870

Signature of
Role Plan administrator
Date 2013-06-06
Name of individual signing MICHELLE GEREZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/18/20120418141922P040010259522001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 4018312870
Plan sponsor’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309

Plan administrator’s name and address
Administrator’s EIN 050258941
Plan administrator’s name BETHANY HOME OF RHODE ISLAND
Plan administrator’s address 111 S ANGELL ST, PROVIDENCE, RI, 029065309
Administrator’s telephone number 4018312870

Signature of
Role Plan administrator
Date 2012-04-18
Name of individual signing MICHELLE GEREZ
Valid signature Filed with authorized/valid electronic signature

PRESIDENT

Name Role Address
STEPHANIE IGOE PRESIDENT 111 S. ANGELL STREET PROVIDENCE, RI 02906 USA

TREASURER

Name Role Address
MARK CHAFEE TREASURER 31 PATTEN DRIVE LITTLE COMPTON, RI 02837 USA

DIRECTOR

Name Role Address
LUCY HANNA DIRECTOR 111 S. ANGELL STREET PROVIDENCE, RI 02906 USA
BELINDA JOHNSON DIRECTOR 111 S. ANGELL STREET PROVIDENCE, RI 02906 USA
JUD SAVISKAS DIRECTOR 111 SOUTH ANGELL STREET PROVIDENCE, RI 02906 USA
ELAINE HILL DIRECTOR 111 S. ANGELL STREET PROVIDENCE, RI 02906 USA
MARK CHAFEE DIRECTOR 31 PATTEN DRIVE LITTLE COMPTON, RI 02837 USA
SR. JANE MCGARRAHAN DIRECTOR 111 S. ANGELL STREET PROVIDENCE, RI 02906 USA
ANDREW SCHUPACK DIRECTOR 59 SAGE DRIVE WARWICK, RI 02886 USA
SR. DONNA CONROY DIRECTOR 15 HIGHLAND VIEW ROAD CUMBERLAND, RI 02864 USA
STEPHANIE IGOE DIRECTOR 111 SOUTH ANGELL STREET PROVIDENCE, RI 02906 USA

BOARD CHAIR

Name Role Address
SR. JANE MCGARRAHAN BOARD CHAIR 111 S. ANGELL STREET PROVIDENCE, RI 02906 USA

SECRETARY AND DIRECTOR

Name Role Address
DEBORAH KELLY SECRETARY AND DIRECTOR 111 S. ANGELL STREET PROVIDENCE, RI 02906 USA

Agent

Name Role Address
W. THOMAS HUMPHREYS, ESQ. Agent CAMERON & MITTLEMAN LLP 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

Filings

Number Name File Date
202450126150 Annual Report 2024-04-04
202335503430 Annual Report - Amended 2023-05-10
202335487280 Annual Report 2023-05-10
202217706610 Annual Report 2022-05-23
202217702540 Statement of Change of Registered/Resident Agent 2022-05-23
202198060880 Annual Report 2021-06-09
202044273730 Annual Report 2020-07-07
201926514020 Statement of Change of Registered/Resident Agent Office 2019-10-31
201908199140 Annual Report 2019-07-29
201870076980 Annual Report 2018-06-20

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
05-0258941 Corporation Unconditional Exemption 111 S ANGELL ST, PROVIDENCE, RI, 02906-5309 1943-11
In Care of Name % BETH
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-12
Asset 10,000,000 to 49,999,999
Income 5,000,000 to 9,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 10365729
Income Amount 5073087
Form 990 Revenue Amount 5073087
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name BETHANY HOME OF RI INC
EIN 05-0258941
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name BETHANY HOME OF RI INC
EIN 05-0258941
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name BETHANY HOME OF RI INC
EIN 05-0258941
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name BETHANY HOME OF RI INC
EIN 05-0258941
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name BETHANY HOME OF RI INC
EIN 05-0258941
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name BETHANY HOME OF RI INC
EIN 05-0258941
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name BETHANY HOME OF RI INC
EIN 05-0258941
Tax Period 201612
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9310258710 2021-04-08 0165 PPS 111 S Angell St, Providence, RI, 02906-5309
Loan Status Date 2022-01-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 585000
Loan Approval Amount (current) 585000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Providence, PROVIDENCE, RI, 02906-5309
Project Congressional District RI-01
Number of Employees 78
NAICS code 623110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 588958.77
Forgiveness Paid Date 2021-12-16
5049077705 2020-05-01 0165 PPP 111 S ANGELL ST, PROVIDENCE, RI, 02906-5309
Loan Status Date 2021-04-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 585000
Loan Approval Amount (current) 585000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address PROVIDENCE, PROVIDENCE, RI, 02906-5309
Project Congressional District RI-01
Number of Employees 85
NAICS code 623312
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 590144.79
Forgiveness Paid Date 2021-03-23

Related by officers

STEPHANIE IGOE

Bethany Home Foundation, Inc. Rhode Island Association of Facilities and Services for the Aging Rhode Island Association of Facilities and Services for the Aging Education Corporation Rhode Island Nursing Home Group, Inc.

MARK CHAFEE

The Mary Dexter Chafee Fund Bethany Home Foundation, Inc. The Sakonnet Point Marina Association, Inc.

LUCY HANNA

Bethany Home Foundation, Inc.

BELINDA JOHNSON

Bethany Home Foundation, Inc.

JUD SAVISKAS

Bethany Home Foundation, Inc.

SR. JANE MCGARRAHAN

Bethany Home Foundation, Inc.

DEBORAH KELLY

Bethany Home Foundation, Inc. Crown Castle USA Inc. Fibertech Facilities Corp. Crown Castle Fiber Holdings Corp.

ELAINE HILL

Bethany Home Foundation, Inc. Harbor House

ANDREW SCHUPACK

Bethany Home Foundation, Inc.

SR. DONNA CONROY

Bethany Home Foundation, Inc.

W. THOMAS HUMPHREYS, ESQ.

THE ALMON COMPANY WONDERWARE, INC. Claflin Service Company VALLEY APPLIANCE AND MERCHANDISING COMPANY ISAM Corporation RICH PAPER BOX, INC. Rhode Island Community Food Bank Association Bethany Home Foundation, Inc. CONSIDERED OPINIONS INCORPORATED Furnace & Duct Supply Co., Inc.

Related by address

111 SOUTH ANGELL STREET, PROVIDENCE, RI, 02906, USA

Bethany Home Foundation, Inc.

Date of last update: 06 Apr 2025

Sources: Rhode Island Department of State

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