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  5. LMW HEALTHCARE, INC.

LMW HEALTHCARE, INC.

Company Details

Name: LMW HEALTHCARE, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 29 May 2012 (13 years ago)
Identification Number: 000790650
ZIP code: 02891
County: Washington County
Principal Address: 25 WELLS STREET, WESTERLY, RI, 02891, USA
Purpose: TO ESTABLISH MAINTAIN AND CARRY ON AN INSTITUTION WITH PERMANENT FACILITIES FOR INPATIENTS AND AMBULATORY PATIENTS WITH MEDICAL SERVICES TO PROVIDE DIAGNOSIS AND TREATMENT AND TO CARRY ON ALL ASSOCIATED SERVICES TO PARTICIPATE AS AN INTEGRAL PART OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM KNOWN AS THE YALE NEW HAVEN HEALTH SYSTEM
NAICS: 622110 - General Medical and Surgical Hospitals
Fictitious names: Westerly Hospital (trading name, 2013-05-31 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497441661 2023-04-12 2023-04-12 100 CHURCH ST S # MCS2, NEW HAVEN, CT, 065191703, US 25 WELLS ST, WESTERLY, RI, 028912922, US

Contacts
Phone +1 203-688-8411
Phone +1 401-596-6000

Authorized person
Name JONATHAN DAVIS
Role EXEC DIR REVENUE CYCLE
Phone 2038361094

Taxonomy
Taxonomy Code 291U00000X - Clinical Medical Laboratory
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WESTERLY HOSPITAL GROUP BENEFIT PROGRAM 2013 460543230 2014-10-15 LMW HEALTHCARE 348
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 8604420711
Plan sponsor’s DBA name THE WESTERLY HOSPITAL
Plan sponsor’s mailing address 25 WELLS STREET, WESTERLY, RI, 02891
Plan sponsor’s address 25 WELLS STREET, WESTERLY, RI, 02891

Plan administrator’s name and address
Administrator’s EIN 460543230
Plan administrator’s name LMW HEALTHCARE
Plan administrator’s address 25 WELLS STREET, WESTERLY, RI, 02891
Administrator’s telephone number 8604420711

Number of participants as of the end of the plan year
Active participants 351
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing DONNA EPPS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing DONNA EPPS
Valid signature Filed with authorized/valid electronic signature
WESTERLY HOSPITAL WELFARE BENEFIT PLAN 2012 050259100 2013-10-15 WESTERLY HOSPITAL 461
File View Page
Three-digit plan number (PN) 508
Effective date of plan 1997-01-01
Business code 622000
Sponsor’s telephone number 4015966000
Plan sponsor’s mailing address 25 WELLS STREET, WESTERLY, RI, 02891
Plan sponsor’s address 25 WELLS STREET, WESTERLY, RI, 02891

Number of participants as of the end of the plan year
Active participants 424
Retired or separated participants receiving benefits 10
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing DONNA EPPS
Valid signature Filed with authorized/valid electronic signature
WESTERLY HOSPITAL WELFARE BENEFIT PLAN 2009 050259100 2010-07-26 WESTERLY HOSPITAL 556
File View Page
Three-digit plan number (PN) 508
Effective date of plan 1997-01-01
Business code 622000
Sponsor’s telephone number 4015966000
Plan sponsor’s mailing address 25 WELLS STREET, WESTERLY, RI, 02891
Plan sponsor’s address 25 WELLS STREET, WESTERLY, RI, 02891

Plan administrator’s name and address
Administrator’s EIN 050259100
Plan administrator’s name WESTERLY HOSPITAL
Plan administrator’s address 25 WELLS STREET, WESTERLY, RI, 02891
Administrator’s telephone number 4015966000

Number of participants as of the end of the plan year
Active participants 567

Signature of
Role Plan administrator
Date 2010-07-26
Name of individual signing JODIE TATE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA

PRESIDENT

Name Role Address
RICHARD LISITANO PRESIDENT 25 WELLS STREET WESTERLY, RI 02891 USA

TREASURER

Name Role Address
GAIL KOSYLA TREASURER 789 HOWARD AVE NEW HAVEN, CT 06519 USA

SECRETARY

Name Role Address
WILLIAM J. ASELTYNE ESQ. SECRETARY 25 WELLS STREET WESTERLY, RI 02891 USA

DIRECTOR

Name Role Address
RICHARD LISITANO DIRECTOR 25 WELLS STREET WESTERLY, RI 02891 USA
GAIL KOSYLA DIRECTOR 789 HOWARD AVE NEW HAVEN, CT 06519 USA
WILLIAM J. ASELTYNE ESQ. DIRECTOR 25 WELLS STREET WESTERLY, RI 02891 USA

Filings

Number Name File Date
202454557400 Annual Report 2024-05-20
202335046450 Annual Report 2023-05-01
202220652290 Annual Report - Amended 2022-06-30
202220628790 Annual Report 2022-06-29
202220453770 Revocation Notice For Failure to File An Annual Report 2022-06-28
202198877190 Annual Report 2021-06-30
202043096970 Annual Report 2020-06-22
201999196420 Annual Report 2019-06-25
201863362560 Annual Report 2018-05-02
201748037640 Annual Report 2017-07-28

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
18143511 0112300 1991-06-18 25 WELLS STREET, WESTERLY, RI, 02891
Inspection Type Planned
Scope NoInspection
Safety/Health Safety
Close Conference 1991-06-18
Case Closed 1991-06-20

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
46-0543230 Corporation Unconditional Exemption 25 WELLS ST, WESTERLY, RI, 02891-2922 2013-05
In Care of Name % SETH VAN ESSENDELFT
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 Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-09
Asset 50,000,000 to greater
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 88477701
Income Amount 133409936
Form 990 Revenue Amount 125333691
National Taxonomy of Exempt Entities Health Care: Hospital, General
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)

Determination Letter
Final Letter(s) FinalLetter_46-0543230_LMWHEALTHCAREINC_10292012_01.tif

Form 990-N (e-Postcard)
Organization Name LMW Healthcare Inc
EIN 46-0543230
Tax Year 2012
Beginning of tax period 2012-05-29
End of tax period 2012-09-30
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 365 MONTAUCK AVENUE, NEW LONDON, CT, 06320, US
Principal Officer's Name Bruce Cummings
Principal Officer's Address 365 MONTAUCK AVENUE, NEW LONDON, CT, 06320, US
Website URL WWW.WESTERLYHOSPITAL.ORG

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name LMW HEALTHCARE INC
EIN 46-0543230
Tax Period 202209
Filing Type E
Return Type 990T
File View File
Organization Name LMW HEALTHCARE INC
EIN 46-0543230
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name LMW HEALTHCARE INC
EIN 46-0543230
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name LMW HEALTHCARE INC
EIN 46-0543230
Tax Period 202109
Filing Type E
Return Type 990T
File View File
Organization Name LMW HEALTHCARE INC
EIN 46-0543230
Tax Period 202009
Filing Type E
Return Type 990
File View File
Organization Name LMW HEALTHCARE INC
EIN 46-0543230
Tax Period 201909
Filing Type P
Return Type 990T
File View File
Organization Name LMW HEALTHCARE INC
EIN 46-0543230
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name LMW HEALTHCARE INC
EIN 46-0543230
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name LMW HEALTHCARE INC
EIN 46-0543230
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name LMW HEALTHCARE INC
EIN 46-0543230
Tax Period 201609
Filing Type E
Return Type 990
File View File

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RICHARD LISITANO

HOSPITAL ASSOCIATION OF RHODE ISLAND HOSPITAL RESEARCH AND EDUCATION FOUNDATION OF RHODE ISLAND

GAIL KOSYLA

YALE NEW HAVEN HEALTH SERVICES CORPORATION Northeast Medical Group, Inc.

WILLIAM J. ASELTYNE ESQ.

YALE NEW HAVEN HEALTH SERVICES CORPORATION Northeast Medical Group, Inc.

Related by address

25 WELLS STREET, WESTERLY, RI, 02891, USA

MASTUXET REALTY, INC. Westerly Hospital Healthcare, Inc. TWH in Mastership Southern New England Physician - Hospital Organization, Inc. THE WESTERLY HOSPITAL FOUNDATION, INC. Shoreline Medical Imaging, LLC WESTERLY HOSPITAL ENERGY COMPANY, LLC Westerly Clinical Support Services, LLC Watch Hill Medical Associates Hospital Internists of Westerly, LLC

Date of last update: 17 Oct 2024

Sources: Rhode Island Department of State

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