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WOOD RIVER HEALTH SERVICES, INC.

Company Details

Name: WOOD RIVER HEALTH SERVICES, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 30 Jun 1978 (47 years ago)
Identification Number: 000030474
ZIP code: 02832
County: Washington County
Principal Address: 823 MAIN STREET, HOPE VALLEY, RI, 02832, USA
Purpose: PRIVATE NOT FOR PROFIT HEALTHCARE
NAICS: 813990 - Other Similar Organizations (except Business, Professional, Labor, and Political Organizations)
Fictitious names: Wood River Health (trading name, 2022-07-14 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861151722 2021-12-08 2021-12-08 823 MAIN ST, HOPE VALLEY, RI, 028321920, US 823 MAIN ST, HOPE VALLEY, RI, 028321920, US

Contacts

Phone +1 401-539-2461

Authorized person

Name TRACY L PION
Role AO
Phone 4015392461

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WOOD RIVER HEALTH SERVICES RETIREMENT PLAN 2023 050378071 2024-06-13 WOOD RIVER HEALTH SERVICES, INC. 104
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621498
Sponsor’s telephone number 4015392461
Plan sponsor’s address 823 MAIN STREET, HOPE VALLEY, RI, 02832
WOOD RIVER HEALTH SERVICES RETIREMENT PLAN 2022 050378071 2024-06-11 WOOD RIVER HEALTH SERVICES, INC. 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621498
Sponsor’s telephone number 4015392461
Plan sponsor’s address 823 MAIN STREET, HOPE VALLEY, RI, 02832
WOOD RIVER HEALTH SERVICES RETIREMENT PLAN 2022 050378071 2023-06-14 WOOD RIVER HEALTH SERVICES, INC. 94
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621498
Sponsor’s telephone number 4015392461
Plan sponsor’s address 823 MAIN STREET, HOPE VALLEY, RI, 02832
WOOD RIVER HEALTH SERVICES RETIREMENT PLAN 2021 050378071 2022-05-11 WOOD RIVER HEALTH SERVICES, INC. 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621498
Sponsor’s telephone number 4015392461
Plan sponsor’s address 823 MAIN STREET, HOPE VALLEY, RI, 02832
WOOD RIVER HEALTH SERVICES RETIREMENT PLAN 2020 050378071 2021-05-10 WOOD RIVER HEALTH SERVICES, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621498
Sponsor’s telephone number 4015392461
Plan sponsor’s address 823 MAIN STREET, HOPE VALLEY, RI, 02832

Agent

Name Role Address
ALISON CROKE Agent 823 MAIN STREET, HOPE VALLEY, RI, 02832, USA

DIRECTOR

Name Role Address
CHRISTINE BEDOYA DIRECTOR 1821 LAWTON FOSTER RD NORTH HOPE VALLEY, RI 02832 USA
FRANCIS HOPKINS DIRECTOR 222 BUCKEYE BROOK RD CHARLESTOWN, RI 02813 USA
JOHN S PAYNE DIRECTOR NORTH DRIVE WESTERLY, RI 02891 USA
FRAN HINTEREGGER DIRECTOR 823 MAIN STREET HOPE VALLEY, RI 02832 USA
RUTH MORGAN DIRECTOR 275 WOODVILLE ROAD ASHAWAY, RI 02804 USA
KATE PORTER DIRECTOR 823 MAIN STREET HOPE VALLEY, RI 02832 USA
KALPESH SHAH DIRECTOR 823 MAIN STREET HOPE VALLEY, RI 02832 USA
KEITH SWABY DIRECTOR 137 SOUTHERN WAY CHARLESTOWN, RI 02813 USA

CHAIR

Name Role Address
REGAN PENNYPACKER CHAIR 132 KENWOOD RD GRISWOLD, CT 06351 USA

TREASURER

Name Role Address
JOE REDDISH TREASURER 23 COREY TRAIL WYOMING , RI 02898 USA

SECRETARY

Name Role Address
JESSE SARGENT SECRETARY 49 ASHAWAY RD WESTERLY, RI 02891 USA

PAST CHAIR

Name Role Address
DAN MAKIN PAST CHAIR 120 CEDAR LANE GRISWOLD, CT 06351 USA

Filings

Number Name File Date
202445672060 Annual Report 2024-02-06
202336639110 Statement of Change of Registered/Resident Agent 2023-06-01
202335982190 Annual Report 2023-05-23
202221293870 Fictitious Business Name Statement 2022-07-14
202217270670 Annual Report 2022-05-12
202199248160 Annual Report 2021-07-13
202043226520 Annual Report 2020-06-24
201995141910 Annual Report 2019-06-03
201873899360 Annual Report 2018-08-06
201746200820 Annual Report 2017-06-26

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DCA AWARD VA241P1343 2009-09-01 2010-02-28 2010-08-31
Unique Award Key CONT_AWD_VA241P1343_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title RURAL HEALTH INITIATIVE AT THE VA MEDICAL CENTER, PROVIDENCE, RI
NAICS Code 561990: ALL OTHER SUPPORT SERVICES
Product and Service Codes R699: OTHER ADMINISTRATIVE SUPPORT SVCS

Recipient Details

Recipient WOOD RIVER HEALTH SERVICES, INC
UEI E3X5VL8TLM53
Legacy DUNS 089358758
Recipient Address 823 MAIN ST, HOPE VALLEY, 028321920, UNITED STATES

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C76HF19980 Department of Health and Human Services 93.887 - HEALTH CARE AND OTHER FACILITIES 2010-09-01 2014-08-31 HEALTH CARE AND OTHER FACILITIES
Recipient WOOD RIVER HEALTH SERVICES, INC
Recipient Name Raw WOOD RIVER HEALTH SERVICES, INC
Recipient UEI E3X5VL8TLM53
Recipient DUNS 089358758
Recipient Address 823 MAIN STREET, HOPE VALLEY, WASHINGTON, RHODE ISLAND, 02832-1920, 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
C81CS13589 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 WOOD RIVER HEALTH SERVICES, INC
Recipient Name Raw WOOD RIVER HEALTH SERVICES, INC
Recipient UEI E3X5VL8TLM53
Recipient DUNS 089358758
Recipient Address 823 MAIN STREET, HOPE VALLEY, WASHINGTON, RHODE ISLAND, 02832-1920, UNITED STATES
Obligated Amount 527349.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS11648 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 WOOD RIVER HEALTH SERVICES, INC
Recipient Name Raw WOOD RIVER HEALTH SERVICES, INC
Recipient UEI E3X5VL8TLM53
Recipient DUNS 089358758
Recipient Address 823 MAIN STREET, HOPE VALLEY, WASHINGTON, RHODE ISLAND, 02832-1920, UNITED STATES
Obligated Amount 185739.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS00059 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) 2001-12-01 2010-11-30 HEALTH CENTER CLUSTER
Recipient WOOD RIVER HEALTH SERVICES, INC
Recipient Name Raw WOOD RIVER HEALTH SERVICES, INC
Recipient UEI E3X5VL8TLM53
Recipient DUNS 089358758
Recipient Address 823 MAIN STREET, HOPE VALLEY, WASHINGTON, RHODE ISLAND, 02832-1920, UNITED STATES
Obligated Amount 12985638.00
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
05-0378071 Corporation Unconditional Exemption 823 MAIN ST, HOPE VALLEY, RI, 02832-1920 1979-04
In Care of Name % DIRECTOR OF FINANCE
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 2023-06
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 10214226
Income Amount 14480469
Form 990 Revenue Amount 14245033
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 WOOD RIVER HEALTH SERVICES INC
EIN 05-0378071
Tax Period 202306
Filing Type E
Return Type 990
File View File
Organization Name WOOD RIVER HEALTH SERVICES INC
EIN 05-0378071
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name WOOD RIVER HEALTH SERVICES INC
EIN 05-0378071
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name WOOD RIVER HEALTH SERVICES INC
EIN 05-0378071
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name WOOD RIVER HEALTH SERVICES INC
EIN 05-0378071
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name WOOD RIVER HEALTH SERVICES INC
EIN 05-0378071
Tax Period 201906
Filing Type P
Return Type 990T
File View File
Organization Name WOOD RIVER HEALTH SERVICES INC
EIN 05-0378071
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name WOOD RIVER HEALTH SERVICES INC
EIN 05-0378071
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name WOOD RIVER HEALTH SERVICES INC
EIN 05-0378071
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
6429347100 2020-04-14 0165 PPP 823 MAIN ST, HOPE VALLEY, RI, 02832-1920
Loan Status Date 2021-03-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 756039
Loan Approval Amount (current) 756039
Undisbursed Amount 0
Franchise Name -
Lender Location ID 65777
Servicing Lender Name The Washington Trust Company of Westerly
Servicing Lender Address 23 Broad St, WESTERLY, RI, 02891-1879
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address HOPE VALLEY, WASHINGTON, RI, 02832-1920
Project Congressional District RI-02
Number of Employees 66
NAICS code 621498
Borrower Race White
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 65777
Originating Lender Name The Washington Trust Company of Westerly
Originating Lender Address WESTERLY, RI
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 762192.32
Forgiveness Paid Date 2021-02-17

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State