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PROSPECT CHARTERCARE RWMC, LLC

Company Details

Name: PROSPECT CHARTERCARE RWMC, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 21 Aug 2013 (12 years ago)
Identification Number: 000823562
Principal Address: 3824 HUGHES AVE., CULVER CITY, CA, 90232, USA
Purpose: HEALTH CARE
Fictitious names: RWMC East Providence Cancer Center (trading name, 2014-07-29 - )
Roger Williams Medical Center (trading name, 2014-06-20 - )
CharterCARE Home Health Services (trading name, 2014-06-20 - 2018-04-30)
Roger Williams Dermatology Group (trading name, 2014-06-09 - )
CharterCARE Sleep Disorders Center (trading name, 2014-05-23 - )
Roger Williams Cardiology Group (trading name, 2014-03-25 - )
Roger Williams Physician Assistants Group (trading name, 2014-03-25 - )
Roger Williams Hematology Oncology Group (trading name, 2014-03-25 - )
Roger Williams Hospitalist Group (trading name, 2014-03-25 - )
Roger Williams Primary Care Physicians Group (trading name, 2014-03-25 - )
Roger Williams Behavioral Health Group (trading name, 2014-03-25 - )
Roger Williams Nutritionist Group (trading name, 2014-03-25 - )
Roger Williams Surgical Oncology Group (trading name, 2014-03-25 - )
Roger Williams Breast Health Center (trading name, 2014-03-25 - )
Roger Williams Pulmonary Group (trading name, 2014-03-25 - )

Industry & Business Activity

NAICS

621610 Home Health Care Services

This industry comprises establishments primarily engaged in providing skilled nursing services in the home, along with a range of the following: personal care services; homemaker and companion services; physical therapy; medical social services; medications; medical equipment and supplies; counseling; 24-hour home care; occupation and vocational therapy; dietary and nutritional services; speech therapy; audiology; and high-tech care, such as intravenous therapy. Learn more at the U.S. Census Bureau

Companies doing Home health care services

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760977136 2018-06-27 2021-01-11 825 CHALKSTONE AVE, PROVIDENCE, RI, 029084728, US 825 CHALKSTONE AVE, PROVIDENCE, RI, 029084728, US

Contacts
Phone +1 401-456-2000
Fax 4014562029

Authorized person
Name ROBERT JON ELDERS
Role SECRETARY
Phone 7147881249

Taxonomy
Taxonomy Code 207RA0401X - Addiction Medicine (Internal Medicine) Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROGER WILLIAMS MEDICAL CENTER TAX SHELTERED ANNUITY PROGRAM 2023 050258959 2024-04-10 ROGER WILLIAMS MEDICAL CENTER 0
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-01-01
Business code 622000
Sponsor’s telephone number 4014562018
Plan sponsor’s address 825 CHALKSTONE AVE, PROVIDENCE, RI, 02908

Signature of
Role Plan administrator
Date 2024-04-10
Name of individual signing STEPHEN DEL SESTO
Valid signature Filed with authorized/valid electronic signature
ROGER WILLIAMS MEDICAL CENTER TAX SHELTERED ANNUITY PROGRAM 2022 050258959 2023-04-19 ROGER WILLIAMS MEDICAL CENTER 0
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-01-01
Business code 622000
Sponsor’s telephone number 4014562018
Plan sponsor’s address 825 CHALKSTONE AVE, PROVIDENCE, RI, 02908

Signature of
Role Plan administrator
Date 2023-04-19
Name of individual signing STEPHEN DEL SESTO
Valid signature Filed with authorized/valid electronic signature
ROGER WILLIAMS MEDICAL CENTER TAX SHELTERED ANNUITY PROGRAM 2021 050258959 2022-03-07 ROGER WILLIAMS MEDICAL CENTER 0
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-01-01
Business code 622000
Sponsor’s telephone number 4014562018
Plan sponsor’s address 825 CHALKSTONE AVE, PROVIDENCE, RI, 02908

Signature of
Role Plan administrator
Date 2022-03-07
Name of individual signing THOMAS HEMMENDINGER
Valid signature Filed with authorized/valid electronic signature
ROGER WILLIAMS MEDICAL CENTER TAX SHELTERED ANNUITY PROGRAM 2020 050258959 2021-03-22 ROGER WILLIAMS MEDICAL CENTER 0
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-01-01
Business code 622000
Sponsor’s telephone number 4014562018
Plan sponsor’s address 825 CHALKSTONE AVE, PROVIDENCE, RI, 02908

Signature of
Role Plan administrator
Date 2021-03-22
Name of individual signing THOMAS HEMMENDINGER
Valid signature Filed with authorized/valid electronic signature
ROGER WILLIAMS MEDICAL CENTER TAX SHELTERED ANNUITY PROGRAM 2019 050258959 2020-10-14 ROGER WILLIAMS MEDICAL CENTER 0
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-01-01
Business code 622000
Sponsor’s telephone number 4014562018
Plan sponsor’s address 825 CHALKSTONE AVE, PROVIDENCE, RI, 02908

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing THOMAS HEMMENDINGER
Valid signature Filed with authorized/valid electronic signature
ROGER WILLIAMS MEDICAL CENTER DEFINED CONTRIBUTION PLAN 2018 050258959 2019-01-22 ROGER WILLIAMS MEDICAL CENTER 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-07-01
Business code 622000
Sponsor’s telephone number 4014562018
Plan sponsor’s address 825 CHALKSTONE AVE, PROVIDENCE, RI, 02908

Signature of
Role Plan administrator
Date 2019-01-22
Name of individual signing DAVID HIRSCH
Valid signature Filed with authorized/valid electronic signature
ROGER WILLIAMS MEDICAL CENTER TAX SHELTERED ANNUITY PROGRAM 2018 050258959 2019-06-11 ROGER WILLIAMS MEDICAL CENTER 0
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-01-01
Business code 622000
Sponsor’s telephone number 4014562018
Plan sponsor’s address 825 CHALKSTONE AVE, PROVIDENCE, RI, 02908

Signature of
Role Plan administrator
Date 2019-06-11
Name of individual signing DAVID HIRSCH
Valid signature Filed with authorized/valid electronic signature
ROGER WILLIAMS MEDICAL CENTER TAX SHELTERED ANNUITY PROGRAM 2017 050258959 2018-10-03 ROGER WILLIAMS MEDICAL CENTER 0
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-01-01
Business code 622000
Sponsor’s telephone number 4014562018
Plan sponsor’s address 825 CHALKSTONE AVE, PROVIDENCE, RI, 02908

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing DAVID HIRSCH
Valid signature Filed with authorized/valid electronic signature
ROGER WILLIAMS MEDICAL CENTER TAX SHELTERED ANNUITY PROGRAM 2016 050258959 2017-10-04 ROGER WILLIAMS MEDICAL CENTER 0
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-01-01
Business code 622000
Sponsor’s telephone number 4014562018
Plan sponsor’s address 825 CHALKSTONE AVE, PROVIDENCE, RI, 02908

Signature of
Role Plan administrator
Date 2017-10-04
Name of individual signing DAVID HIRSCH
Valid signature Filed with authorized/valid electronic signature
ROGER WILLIAMS MEDICAL CENTER TAX SHELTERED ANNUITY PROGRAM 2015 050258959 2016-10-12 ROGER WILLIAMS MEDICAL CENTER 0
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-01-01
Business code 622000
Sponsor’s telephone number 4014562018
Plan sponsor’s address 825 CHALKSTONE AVE, PROVIDENCE, RI, 02908

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing DANIEL J. RYAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA

Filings

Number Name File Date
202450330700 Annual Report 2024-04-08
202333589580 Annual Report 2023-04-21
202214639920 Annual Report 2022-04-13
202102292590 Annual Report 2021-09-29
202056096820 Annual Report 2020-09-18
201922782450 Annual Report 2019-10-04
201877892970 Annual Report 2018-09-20
201863120610 Statement of Abandonment of Use of Fictitious Business Name 2018-04-30
201750283330 Annual Report 2017-09-22
201628547560 Annual Report - Amended 2016-12-05

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
339862237 0112300 2014-07-23 825 CHALKSTONE AVENUE, PROVIDENCE, RI, 02908
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 2014-10-17
Case Closed 2015-01-30

Related Activity
Type Complaint
Activity Nr 899454
Health Yes
Type Inspection
Activity Nr 988976
Health Yes
Type Complaint
Activity Nr 901963
Health Yes
Type Complaint
Activity Nr 899498
Health Yes
Type Complaint
Activity Nr 899364
Health Yes

Violation Items
Citation ID 01001A
Citaton Type Serious
Standard Cited 19101200 E02
Issuance Date 2014-10-29
Abatement Due Date 2015-01-29
Current Penalty 2500.0
Initial Penalty 5000.0
Final Order 2014-11-25
Nr Instances 1
Nr Exposed 50
Related Event Code (REC) Complaint
Gravity 5
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1200(e)(2): The employer that produced, used, or stored hazardous chemicals at the workplace in such a way that employees of other employer(s) could be exposed did not ensure that the hazard communication program included all of the elements outlined in 29 CFR 1910.1200(e)(2)(i) through 29 CFR 1910.1200(e)(2)(iii): (a) Operating Room: On or about 7-23-14 the employer's hazard communication program did not include provisions for informing the employees of other employers of the elements outlined in 29 CFR 1910.1200(e)(2)(i) through 29 CFR 1910.1200(e)(2)(iii).
Citation ID 01001B
Citaton Type Serious
Standard Cited 19101200 H01
Issuance Date 2014-10-29
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2014-11-25
Nr Instances 1
Nr Exposed 50
Related Event Code (REC) Complaint
Gravity 5
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1200(h)(1): Employees were not provided effective information and training on hazardous chemicals in their work area at the time of their initial assignment and whenever a new hazard that the employees had not been previously trained about was introduced into their work area: (a) Operating Room: On or about 7-23-14 the employer had not provided effective information and training on hazardous chemicals, including nitrous oxide, that nursing and surgical staff were potentially exposed to in their work area at the time of their initial assignment. (b) Bulk Gas Storage areas: On or about 7-23-14 the employer had not provided effective information and training on hazardous chemicals, including nitrous oxide, that maintenance staff were potentially exposed to in their work area at the time of their initial assignment.
302666490 0112300 1999-09-28 825 CHALKSTONE AVE., PROVIDENCE, RI, 02908
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 1999-11-30
Case Closed 1999-12-02

Related Activity
Type Complaint
Activity Nr 202463659
Safety Yes

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
05-0258959 Corporation Unconditional Exemption ONE CITIZENS PLAZA 10TH FLOOR, PROVIDENCE, RI, 02903-1344 1936-01
In Care of Name % KLR
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 500,000 to 999,999
Income 100,000 to 499,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 985022
Income Amount 163237
Form 990 Revenue Amount 163237
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 ROGER WILLIAMS MEDICAL CENTER
EIN 05-0258959
Tax Period 202209
Filing Type E
Return Type 990T
File View File
Organization Name ROGER WILLIAMS MEDICAL CENTER
EIN 05-0258959
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name ROGER WILLIAMS MEDICAL CENTER
EIN 05-0258959
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name ROGER WILLIAMS MEDICAL CENTER
EIN 05-0258959
Tax Period 202109
Filing Type E
Return Type 990T
File View File
Organization Name ROGER WILLIAMS MEDICAL CENTER
EIN 05-0258959
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name ROGER WILLIAMS MEDICAL CENTER
EIN 05-0258959
Tax Period 201909
Filing Type P
Return Type 990T
File View File
Organization Name ROGER WILLIAMS MEDICAL CENTER
EIN 05-0258959
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name ROGER WILLIAMS MEDICAL CENTER
EIN 05-0258959
Tax Period 201809
Filing Type P
Return Type 990T
File View File
Organization Name ROGER WILLIAMS MEDICAL CENTER
EIN 05-0258959
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name ROGER WILLIAMS MEDICAL CENTER
EIN 05-0258959
Tax Period 201709
Filing Type E
Return Type 990T
File View File
Organization Name ROGER WILLIAMS MEDICAL CENTER
EIN 05-0258959
Tax Period 201609
Filing Type P
Return Type 990T
File View File
Organization Name ROGER WILLIAMS MEDICAL CENTER FKA ROGER WILLIAMS HOSPITAL
EIN 05-0258959
Tax Period 201609
Filing Type E
Return Type 990
File View File

Related by officers

CT CORPORATION SYSTEM

Mason Industries of R.I., Inc. ABANCO Management Corp. HEALTHCARE TRANSPORTATION SYSTEM, INC. W.C. Stumbo Company HUDSON MEDICAL PRODUCTS, INC. ACORN INSULATED WIRE COMPANY, INC. ADAMS DRUG CO. OF BROAD STREET, INC. ADAMS DRUG CO. OF EDGEWOOD, INC. ADAMS DRUG CO. OF SMITHFIELD, INC. ADAMS DRUG CO. OF TIVERTON, INC.

Related by address

3824 HUGHES AVE., CULVER CITY, CA, 90232, USA

PROSPECT CHARTERCARE SJHSRI, LLC PROSPECT CHARTERCARE PHYSICIANS, LLC Prospect Health Services RI, Inc. PROSPECT CHARTERCARE ANCILLARY SERVICES, LLC PROSPECT EAST HOSPITAL ADVISORY SERVICES, LLC Prospect ACO Northeast, LLC

Date of last update: 17 Oct 2024

Sources: Rhode Island Department of State

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