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Northwest Community Health Care

Northwest Community Health Care

Company Details

Name:	Northwest Community Health Care
Jurisdiction:	Rhode Island
Entity type:	Domestic Non-Profit Corporation
Status:	Activ
Date of Organization in Rhode Island:	23 Sep 1929 (96 years ago)
Identification Number:	000028216
ZIP code:	02859
County:	Providence County
Principal Address:	36 BRIDGEWAY P.O. BOX 312, PASCOAG, RI, 02859, USA
Purpose:	CHARITABLE, SCIENTIFIC, LITERARY AND EDUCATIONAL
Fictitious names:	WellOne Behavioral Health Services (trading name, 2009-07-30 - ) WellOne Primary Medical and Dental Care (trading name, 2009-07-30 - ) WellOne (trading name, 2009-07-30 - ) Bayside Family Healthcare (trading name, 2008-06-30 - ) Northwest Health Center (trading name, 2002-05-30 - ) Northwest Mental Health (trading name, 2000-04-26 - ) Northwest Dental Associates (trading name, 2000-04-26 - )
Historical names:	NORTHWEST COMMUNITY NURSING AND HEALTH SERVICE

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1003362864

2016-08-31

35 VILLAGE PLAZA WAY, 1-53 VILLAGE PLAZA WAY, UNITS 12 & 13, SCITUATE, RI, 028571849, US

Contacts

Phone	+1 401-567-0800
Fax	4015670900

Authorized person

Name	PETER BANCROFT
Role	PRESIDENT/CEO
Phone	4012855119

Taxonomy

Taxonomy Code	261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

NORTHWEST COMMUNITY HEALTH CARE RETIREMENT PLAN

2022

050258811

2024-01-29

NORTHWEST COMMUNITY HEALTH CARE

205

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621900
Sponsor’s telephone number	4015670800
Plan sponsor’s mailing address	P.O. BOX 312, PASCOAG, RI, 028590312
Plan sponsor’s address	36 BRIDGE WAY, PASCOAG, RI, 028590312

Plan administrator’s name and address

Administrator’s EIN	050258811
Plan administrator’s name	NORTHWEST COMMUNITY HEALTH CARE
Plan administrator’s address	P.O. BOX 312, PASCOAG, RI, 028590312
Administrator’s telephone number	4015670800

Number of participants as of the end of the plan year

Active participants	161
Retired or separated participants receiving benefits	12
Other retired or separated participants entitled to future benefits	0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	156
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	15

NORTHWEST COMMUNITY HEALTH CARE RETIREMENT PLAN

2021

050258811

2023-01-20

NORTHWEST COMMUNITY HEALTH CARE

211

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621900
Sponsor’s telephone number	4015670800
Plan sponsor’s mailing address	P.O. BOX 312, PASCOAG, RI, 028590312
Plan sponsor’s address	36 BRIDGE WAY, PASCOAG, RI, 028590312

Plan administrator’s name and address

Administrator’s EIN	050258811
Plan administrator’s name	NORTHWEST COMMUNITY HEALTH CARE
Plan administrator’s address	P.O. BOX 312, PASCOAG, RI, 028590312
Administrator’s telephone number	4015670800

Number of participants as of the end of the plan year

Active participants	152
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	53
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	197
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	17

NORTHWEST COMMUNITY HEALTH CARE RETIREMENT PLAN

2020

050258811

2022-01-21

NORTHWEST COMMUNITY HEALTH CARE

153

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621900
Sponsor’s telephone number	4015670800
Plan sponsor’s mailing address	P.O. BOX 312, PASCOAG, RI, 028590312
Plan sponsor’s address	36 BRIDGE WAY, PASCOAG, RI, 028590312

Plan administrator’s name and address

Administrator’s EIN	050258811
Plan administrator’s name	NORTHWEST COMMUNITY HEALTH CARE
Plan administrator’s address	P.O. BOX 312, PASCOAG, RI, 028590312
Administrator’s telephone number	4015670800

Number of participants as of the end of the plan year

Active participants	174
Retired or separated participants receiving benefits	37
Other retired or separated participants entitled to future benefits	0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	169
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	10

NORTHWEST COMMUNITY HEALTH CARE RETIREMENT PLAN

2019

050258811

2021-01-29

NORTHWEST COMMUNITY HEALTH CARE

156

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621900
Sponsor’s telephone number	4015670800
Plan sponsor’s mailing address	P.O. BOX 312, PASCOAG, RI, 028590312
Plan sponsor’s address	36 BRIDGE WAY, PASCOAG, RI, 028590312

Plan administrator’s name and address

Administrator’s EIN	050258811
Plan administrator’s name	NORTHWEST COMMUNITY HEALTH CARE
Plan administrator’s address	P.O. BOX 312, PASCOAG, RI, 028590312
Administrator’s telephone number	4015670800

Number of participants as of the end of the plan year

Active participants	129
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	24
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	148
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	15

NORTHWEST COMMUNITY HEALTH CARE RETIREMENT PLAN

2018

050258811

2020-01-29

NORTHWEST COMMUNITY HEALTH CARE

146

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621900
Sponsor’s telephone number	4015670800
Plan sponsor’s mailing address	P.O. BOX 312, PASCOAG, RI, 028590312
Plan sponsor’s address	36 BRIDGE WAY, PASCOAG, RI, 028590312

Plan administrator’s name and address

Administrator’s EIN	050258811
Plan administrator’s name	NORTHWEST COMMUNITY HEALTH CARE
Plan administrator’s address	P.O. BOX 312, PASCOAG, RI, 028590312
Administrator’s telephone number	4015670800

Number of participants as of the end of the plan year

Active participants	135
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	21
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	143
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	9

NORTHWEST COMMUNITY HEALTH CARE RETIREMENT PLAN

2017

050258811

2019-01-30

NORTHWEST COMMUNITY HEALTH CARE

145

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621900
Sponsor’s telephone number	4015670800
Plan sponsor’s mailing address	P.O. BOX 312, PASCOAG, RI, 028590312
Plan sponsor’s address	36 BRIDGE WAY, PASCOAG, RI, 028590312

Plan administrator’s name and address

Administrator’s EIN	050258811
Plan administrator’s name	NORTHWEST COMMUNITY HEALTH CARE
Plan administrator’s address	P.O. BOX 312, PASCOAG, RI, 028590312
Administrator’s telephone number	4015670800

Number of participants as of the end of the plan year

Active participants	130
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	16
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	139
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	13

NORTHWEST COMMUNITY HEALTH CARE RETIREMENT PLAN

2016

050258811

2018-01-09

NORTHWEST COMMUNITY HEALTH CARE

134

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621900
Sponsor’s telephone number	4015670800
Plan sponsor’s mailing address	P.O. BOX 312, PASCOAG, RI, 028590312
Plan sponsor’s address	36 BRIDGE WAY, PASCOAG, RI, 028590312

Plan administrator’s name and address

Administrator’s EIN	050258811
Plan administrator’s name	NORTHWEST COMMUNITY HEALTH CARE
Plan administrator’s address	P.O. BOX 312, PASCOAG, RI, 028590312
Administrator’s telephone number	4015670800

Number of participants as of the end of the plan year

Active participants	127
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	18
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	138
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	12

NORTHWEST COMMUNITY HEALTH CARE RETIREMENT PLAN

2015

050258811

2016-08-31

NORTHWEST COMMUNITY HEALTH CARE

118

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621900
Sponsor’s telephone number	4015670800
Plan sponsor’s address	P.O. BOX 312, PASCOAG, RI, 028590312

Plan administrator’s name and address

Administrator’s EIN	050258811
Plan administrator’s name	NORTHWEST COMMUNITY HEALTH CARE
Plan administrator’s address	P.O. BOX 312, PASCOAG, RI, 028590312
Administrator’s telephone number	4015670800

NORTHWEST COMMUNITY HEALTH CARE RETIREMENT PLAN

2014

050258811

2015-11-09

NORTHWEST COMMUNITY HEALTH CARE

111

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621900
Sponsor’s telephone number	4015670800
Plan sponsor’s address	P.O. BOX 312, PASCOAG, RI, 028590312

Plan administrator’s name and address

Administrator’s EIN	050258811
Plan administrator’s name	NORTHWEST COMMUNITY HEALTH CARE
Plan administrator’s address	P.O. BOX 312, PASCOAG, RI, 028590312
Administrator’s telephone number	4015670800

Signature of

Role	Plan administrator
Date	2015-11-09
Name of individual signing	DIANE HOPPER
Valid signature	Filed with authorized/valid electronic signature

NORTHWEST COMMUNITY HEALTH CARE RETIREMENT PLAN

2013

050258811

2014-11-10

NORTHWEST COMMUNITY HEALTH CARE

105

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621900
Sponsor’s telephone number	4015670800
Plan sponsor’s address	P.O. BOX 312, PASCOAG, RI, 028590312

Plan administrator’s name and address

Administrator’s EIN	050258811
Plan administrator’s name	NORTHWEST COMMUNITY HEALTH CARE
Plan administrator’s address	P.O. BOX 312, PASCOAG, RI, 028590312
Administrator’s telephone number	4015670800

Signature of

Role	Plan administrator
Date	2014-11-10
Name of individual signing	DIANE HOPPER
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2013/11/12/20131112140028P030031266421001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621900
Sponsor’s telephone number	4015670800
Plan sponsor’s address	P.O. BOX 312, PASCOAG, RI, 028590312

Plan administrator’s name and address

Administrator’s EIN	050258811
Plan administrator’s name	NORTHWEST COMMUNITY HEALTH CARE
Plan administrator’s address	P.O. BOX 312, PASCOAG, RI, 028590312
Administrator’s telephone number	4015670800

Signature of

Role	Plan administrator
Date	2013-11-12
Name of individual signing	DIANE HOPPER
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2012/12/12/20121212142039P040008014771001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621900
Sponsor’s telephone number	4015670800
Plan sponsor’s address	P.O. BOX 312, PASCOAG, RI, 028590312

Plan administrator’s name and address

Administrator’s EIN	050258811
Plan administrator’s name	NORTHWEST COMMUNITY HEALTH CARE
Plan administrator’s address	P.O. BOX 312, PASCOAG, RI, 028590312
Administrator’s telephone number	4015670800

Signature of

Role	Plan administrator
Date	2012-12-12
Name of individual signing	PETER BANCROFT
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2011/11/14/20111114151710P030025054736001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621900
Sponsor’s telephone number	4015670800
Plan sponsor’s address	P.O. BOX 312, PASCOAG, RI, 028590312

Plan administrator’s name and address

Administrator’s EIN	050258811
Plan administrator’s name	NORTHWEST COMMUNITY HEALTH CARE
Plan administrator’s address	P.O. BOX 312, PASCOAG, RI, 028590312
Administrator’s telephone number	4015670800

Signature of

Role	Plan administrator
Date	2011-11-14
Name of individual signing	PETER BANCROFT
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2011/03/28/20110328140058P040001016803001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621900
Sponsor’s telephone number	4015670800
Plan sponsor’s address	P.O. BOX 312, PASCOAG, RI, 028590312

Plan administrator’s name and address

Administrator’s EIN	050258811
Plan administrator’s name	NORTHWEST COMMUNITY HEALTH CARE
Plan administrator’s address	P.O. BOX 312, PASCOAG, RI, 028590312
Administrator’s telephone number	4015670800

Signature of

Role	Plan administrator
Date	2011-03-28
Name of individual signing	PETER BANCROFT
Valid signature	Filed with authorized/valid electronic signature

Agent

Name	Role	Address
PETER BANCROFT	Agent	36 BRIDGEWAY P.O. BOX 312, PASCOAG, RI, 02859, USA

TREASURER

Name	Role	Address
SARAH NOTTAGE	TREASURER	21 DAVID ST. CRANSTON, RI 02920 USA

SECRETARY

Name	Role	Address
DAVID FERRARA	SECRETARY	21 GARDEN CITY DRIVE CRANSTON, RI 02920 USA

ASSISTANT SECRETARY

Name	Role	Address
JOSEPH CASEY	ASSISTANT SECRETARY	11 PARTRIDGE TRAIL BELLINGHAM, MA 02019 USA

VICE PRESIDENT

Name	Role	Address
DIANE HOPPER	VICE PRESIDENT	50 STEAMBOAT ST. JAMESTOWN, RI 02835 USA
DEIRDRE NORTON	VICE PRESIDENT	45 HOOD AVENUE RUMFORD, RI 02916 USA
ANDREA MARCOTTE	VICE PRESIDENT	37 MORTIN AVENUE JOHNSTON, RI 02919 USA

PRESIDENT

Name	Role	Address
PETER BANCROFT	PRESIDENT	81 SEAWARD LANE FALL RIVER, MA 02720-

DIRECTOR

Name	Role	Address
CHRISTINE VALLEE	DIRECTOR	1180 DOUGLAS PIKE HARRISVILLE, RI 02830 USA
GERARD GOULET	DIRECTOR	215 CRESTWOOD ROAD WARWICK, RI 02886 USA
JOAN HILTON	DIRECTOR	11 BLUEBERRY LANE JOHNSTON, RI 02919 USA
DARYA KRAVITZ	DIRECTOR	211 KNIBB ROAD PASCOAG, RI 02859 USA
MARGARET DUDLEY	DIRECTOR	10 MILL POND RD. HARRISVILLE, RI 02830 USA
DENNIS ANDERSON	DIRECTOR	593 WHIPPLE ROAD PASCOAG, RI 02859 USA
DAVID DEJESUS JR.	DIRECTOR	222 EDMOND DR. NO. KINGSTOWN, RI 02852 USA
CRYSTAL LEDDY	DIRECTOR	98 ORCHARD MEADOWS DR. SMITHFIELD, RI 02917 USA
BETHANY STOCKFORD	DIRECTOR	21 VALLEY VIEW DR. NO. SCITUATE, RI 02857 USA
JANE HAYWARD	DIRECTOR	77 SECLUDED DR. NARRAGANSETT, RI 02882 USA

Events

Type	Date	Old Value	New Value
Merged	2008-07-01	Bayside Family Healthcare, Inc. on	Northwest Community Health Care
Merged	2003-01-01	NW HEALTH CENTER on	Northwest Community Health Care
Name Change	2002-05-30	NORTHWEST COMMUNITY NURSING AND HEALTH SERVICE	Northwest Community Health Care

Filings

Number	Name	File Date
202449275500	Annual Report	2024-03-25
202332110460	Annual Report	2023-03-31
202213916220	Annual Report	2022-04-04
202198417530	Annual Report	2021-06-18
202043803280	Annual Report	2020-06-30
201997527640	Annual Report	2019-06-18
201870020820	Annual Report	2018-06-19
201745607440	Annual Report	2017-06-16
201600954010	Annual Report	2016-06-22
201563402700	Annual Report	2015-06-16
201441695930	Annual Report	2014-06-19
201325140460	Annual Report	2013-06-28
201294229850	Annual Report	2012-06-22
201180867870	Annual Report	2011-07-01
201064595730	Annual Report	2010-07-07
200948292130	Fictitious Business Name Statement	2009-07-30
200948292590	Fictitious Business Name Statement	2009-07-30
200948292680	Fictitious Business Name Statement	2009-07-30
200946097980	Annual Report	2009-06-02
200812191060	Fictitious Business Name Statement	2008-06-30

USAspending Awards. Financial Assistance

FAIN

Awarding Agency

Assistance Listings

Start Date

End Date

Description

C76HF20195

Department of Health and Human Services

93.887 - HEALTH CARE AND OTHER FACILITIES

2010-09-01

2011-09-30

HEALTH CARE AND OTHER FACILITIES

Recipient	NORTHWEST COMMUNITY HEALTH CARE
Recipient Name Raw	NORTHWEST COMMUNITY HEALTH CARE
Recipient UEI	N6KVU5YZMK85
Recipient DUNS	131005464
Recipient Address	36 BRIDGEWAY, PASCOAG, PROVIDENCE, RHODE ISLAND, 02859, UNITED STATES
Obligated Amount	198000.00
Non-Federal Funding	0.00
Original Subsidy Cost	0.00
Face Value of Direct Loan	0.00
Link	View Page

140812

Department of Agriculture

10.780 - COMMUNITY FACILITIES LOANS AND GRANTS

2010-03-30

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

Recipient	NORTHWEST COMMUNITY HEALTH CARE
Recipient Name Raw	NORTHWEST COMMUNITY HEALTH CARE
Recipient UEI	N6KVU5YZMK85
Recipient DUNS	131005464
Recipient Address	PO BOX 312, PASCOAG, PROVIDENCE, RHODE ISLAND, 02859-0000, UNITED STATES
Obligated Amount	0.00
Non-Federal Funding	0.00
Original Subsidy Cost	13100.00
Face Value of Direct Loan	1000000.00
Link	View Page

D1BIT16644

Department of Health and Human Services

93.888 - SPECIALLY SELECTED HEALTH PROJECTS

2009-09-01

2010-08-31

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

Recipient	NORTHWEST COMMUNITY HEALTH CARE
Recipient Name Raw	NORTHWEST COMMUNITY HEALTH CARE
Recipient UEI	N6KVU5YZMK85
Recipient DUNS	131005464
Recipient Address	36 BRIDGEWAY, PASCOAG, PROVIDENCE, RHODE ISLAND, 02859, UNITED STATES
Obligated Amount	94050.00
Non-Federal Funding	0.00
Original Subsidy Cost	0.00
Face Value of Direct Loan	0.00
Link	View Page

C81CS13361

Department of Health and Human Services

93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS

2009-06-29

2011-06-28

ARRA - CAPITAL IMPROVEMENT PROGRAM

Recipient	NORTHWEST COMMUNITY HEALTH CARE
Recipient Name Raw	NORTHWEST COMMUNITY HEALTH CARE
Recipient UEI	N6KVU5YZMK85
Recipient DUNS	131005464
Recipient Address	36 BRIDGEWAY, PASCOAG, PROVIDENCE, RHODE ISLAND, 02859, UNITED STATES
Obligated Amount	638885.00
Non-Federal Funding	0.00
Original Subsidy Cost	0.00
Face Value of Direct Loan	0.00
Link	View Page

H8BCS11536

Department of Health and Human Services

93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS

2009-03-27

2011-03-26

ARRA - INCREASE SERVICES TO HEALTH CENTERS

Recipient	NORTHWEST COMMUNITY HEALTH CARE
Recipient Name Raw	NORTHWEST COMMUNITY HEALTH CARE
Recipient UEI	N6KVU5YZMK85
Recipient DUNS	131005464
Recipient Address	36 BRIDGEWAY, PASCOAG, PROVIDENCE, RHODE ISLAND, 02859, UNITED STATES
Obligated Amount	191074.00
Non-Federal Funding	0.00
Original Subsidy Cost	0.00
Face Value of Direct Loan	0.00
Link	View Page

H8ACS11352

Department of Health and Human Services

93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS

2009-03-01

2011-02-28

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

Recipient	NORTHWEST COMMUNITY HEALTH CARE
Recipient Name Raw	NORTHWEST COMMUNITY HEALTH CARE
Recipient UEI	N6KVU5YZMK85
Recipient DUNS	131005464
Recipient Address	36 BRIDGEWAY, PASCOAG, PROVIDENCE, RHODE ISLAND, 02859, UNITED STATES
Obligated Amount	1091700.00
Non-Federal Funding	0.00
Original Subsidy Cost	0.00
Face Value of Direct Loan	0.00
Link	View Page

C76HF10269

Department of Health and Human Services

93.887 - HEALTH CARE AND OTHER FACILITIES

2008-09-01

2009-08-31

HEALTH CARE AND OTHER FACILITIES

Recipient	NORTHWEST COMMUNITY HEALTH CARE
Recipient Name Raw	NORTHWEST COMMUNITY HEALTH CARE
Recipient UEI	N6KVU5YZMK85
Recipient DUNS	131005464
Recipient Address	36 BRIDGEWAY, PASCOAG, PROVIDENCE, RHODE ISLAND, 02859
Obligated Amount	426045.00
Non-Federal Funding	0.00
Original Subsidy Cost	0.00
Face Value of Direct Loan	0.00
Link	View Page

9724504543141592

Department of Agriculture

10.766 - COMMUNITY FACILITIES LOANS AND GRANTS

2008-07-24

GUARANTEED COMMUNITY FACILITY LOAN

Recipient	NORTHWEST COMMUNITY HEALTH CARE
Recipient Name Raw	NORTHWEST COMMUNITY HEALTH CARE
Recipient DUNS	843189577
Recipient Address	PO BOX 234, HARMONY, PROVIDENCE, RHODE ISLAND, 02829-0234
Obligated Amount	0.00
Non-Federal Funding	0.00
Original Subsidy Cost	18400.00
Face Value of Direct Loan	500000.00
Link	View Page

9724504543141591

Department of Agriculture

10.766 - COMMUNITY FACILITIES LOANS AND GRANTS

2008-07-24

DIRECT COMMUNITY FACILITY LOANS

Recipient	NORTHWEST COMMUNITY HEALTH CARE
Recipient Name Raw	NORTHWEST COMMUNITY HEALTH CARE
Recipient DUNS	843189577
Recipient Address	PO BOX 234, HARMONY, PROVIDENCE, RHODE ISLAND, 02829-0234
Obligated Amount	0.00
Non-Federal Funding	0.00
Original Subsidy Cost	55500.00
Face Value of Direct Loan	1000000.00
Link	View Page

H80CS00308

Department of Health and Human Services

93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS)

2002-11-01

2009-10-31

HEALTH CENTER CLUSTER

Recipient	NORTHWEST COMMUNITY HEALTH CARE
Recipient Name Raw	NORTHWEST COMMUNITY HEALTH CARE
Recipient UEI	N6KVU5YZMK85
Recipient DUNS	131005464
Recipient Address	36 BRIDGEWAY, PASCOAG, PROVIDENCE, RHODE ISLAND, 02859
Obligated Amount	16144338.00
Non-Federal Funding	0.00
Original Subsidy Cost	0.00
Face Value of Direct Loan	0.00
Link	View Page

Tax Exempt

EIN

Type of Organization

Exempt Organization Status

Address

Ruling Date

05-0258811

Corporation

Unconditional Exemption

PO BOX 312, PASCOAG, RI, 02859-0312

1972-09

In Care of Name	-
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 receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period	2024-06
Asset	10,000,000 to 49,999,999
Income	10,000,000 to 49,999,999
Filing Requirement	990 (all other) or 990EZ return
PF Filing Requirement	No 990-PF return
Accounting Period	Jun
Asset Amount	26270105
Income Amount	30705452
Form 990 Revenue Amount	30659823
National Taxonomy of Exempt Entities	Health Care: Health - General and Rehabilitative N.E.C.
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	NORTHWEST COMMUNITY HEALTH CARE
EIN	05-0258811
Tax Period	202306
Filing Type	E
Return Type	990
File	View File

Organization Name	NORTHWEST COMMUNITY HEALTH CARE
EIN	05-0258811
Tax Period	202206
Filing Type	E
Return Type	990
File	View File

Organization Name	NORTHWEST COMMUNITY HEALTH CARE
EIN	05-0258811
Tax Period	202106
Filing Type	E
Return Type	990
File	View File

Organization Name	NORTHWEST COMMUNITY HEALTH CARE
EIN	05-0258811
Tax Period	202006
Filing Type	E
Return Type	990
File	View File

Organization Name	NORTHWEST COMMUNITY HEALTH CARE
EIN	05-0258811
Tax Period	201906
Filing Type	E
Return Type	990
File	View File

Organization Name	NORTHWEST COMMUNITY HEALTH CARE
EIN	05-0258811
Tax Period	201706
Filing Type	E
Return Type	990
File	View File

Organization Name	NORTHWEST COMMUNITY HEALTH CARE
EIN	05-0258811
Tax Period	201606
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

5290397300

2020-04-30

0165

PPP

PO Box 312, 36 Bridge Way, Pascoag, RI, 02859

Loan Status Date	2020-12-19
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	2008000
Loan Approval Amount (current)	1335100
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	434162
Servicing Lender Name	Citizens Bank, National Association
Servicing Lender Address	1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Pascoag, PROVIDENCE, RI, 02859-0001
Project Congressional District	RI-02
Number of Employees	137
NAICS code	621999
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Non-Profit Organization
Originating Lender ID	434162
Originating Lender Name	Citizens Bank, National Association
Originating Lender Address	PROVIDENCE, RI
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	1341757.21
Forgiveness Paid Date	2020-11-12

Date of last update: 06 Apr 2025

Sources: Rhode Island Department of State

Northwest Community Health Care

Company Details

Industry & Business Activity

Companies doing Offices of physicians (except mental health specialists)

National Provider Identifier

form 5500

Agent

TREASURER

SECRETARY

ASSISTANT SECRETARY

VICE PRESIDENT

PRESIDENT

DIRECTOR

Events

Filings

USAspending Awards. Financial Assistance

Tax Exempt

Paycheck Protection Program

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