2020-08-17T08:39:27-05:00 2019-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2018-10-01 050258959 ROGER WILLIAMS MEDICAL CENTER ROGE 4014536400 362 BROADWAY PROVIDENCE RI 02909 THOMAS S HEMMENDINGER LIQUIDATING RECEIVER 4014536400 2020-08-14 1 PATRICK J MARTIN P00283486 4012742001 71.117.160.66 2020-08-14 10:01:10 ED P 0DE9224A7ECA9E89698B996EC4621D764FA0EBF9 D52BEBB77B7FBC4D68F7A8619DEF4FC42F71D885 2018 2020-11-06 18:47:13Z X THOMAS S HEMMENDINGER 362 BROADWAY PROVIDENCE RI 02909 63497 0 X WWW.RWMC.ORG X 1904 RI ROGER WILLIAMS MEDICAL CENTER'S MISSION IS TO PROVIDE HEALTHCARE SERVICES IN PROVIDENCE, RHODE ISLAND AND SURROUNDING COMMUNITIES. 3 2 0 0 0 0 0 0 0 0 242365 0 1501421 63497 1743786 63497 0 0 0 0 0 0 0 0 0 1712889 674007 1712889 674007 30897 -610510 11512242 10961592 3743290 3743290 7768952 7218302 ROGER WILLIAMS MEDICAL CENTER'S MISSION IS TO PROVIDE HEALTHCARE SERVICES IN PROVIDENCE, RHODE ISLAND AND SURROUNDING COMMUNITIES. 0 0 IN JUNE 2014, SUBSTANTIALLY ALL ASSETS OF ROGER WILLIAMS MEDICAL CENTER WERE TRANSFERRED TO PROSPECT CHARTERCARE, LLC, UNDER A PLAN APPROVED BY THE RHODE ISLAND ATTORNEY GENERAL AND UNDER SUPERVISION OF THE RHODE ISLAND DEPARTMENT OF HEALTH. THE NON-PROFIT CORPORATION REMAINS IN EXISTENCE TO ALLOW FOR THE ORDERLY WIND-DOWN OF THE AFFAIRS OF THE HOSPITAL, PRINCIPALLY THE COLLECTION OF REVENUE FROM MEDICARE AND OTHER THIRD PARTY PAYORS FOR MEDICAL SERVICES PREVIOUSLY PROVIDED AND PAYMENT OBLIGATIONS FOR THE PENSION LIABILITY OF THE HOSPITAL. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 RI X RICHARD LAND 4014536400 ONE PARK ROW PROVIDENCE RI 02903 X DAVID M HIRSCH PRESIDENT/CLERK/TREASURER 2.00 4.00 X X 0 0 0 JOSEPH P MAZZA MD DIRECTOR 2.00 2.00 X 0 0 0 REVEREND TIMOTHY REILLY DIRECTOR 2.00 4.00 X 0 0 0 0 0 0 0 0 0 0 CHACE RUTTENBERG & FREEDMAN LLP ONE PARK ROW 300 PROVIDENCE RI 02903 LEGAL SERVICES 282765 VERRILL DANA LLP 10 DORRANCE ST 700 PROVIDENCE RI 02903 LEGAL SERVICES 126789 2 OTHER REVENUE 900099 63497 63497 63497 63497 63497 0 0 X 420181 420181 4000 4000 10043 10043 233424 233424 MISCELLANEOUS EXPENSES 5330 5330 BANK FEES 1029 1029 674007 0 674007 0 3179796 271782 8332446 10689810 11512242 10961592 3743290 3743290 3743290 3743290 X 569524 7218302 7199428 0 7768952 7218302 11512242 10961592 -610510 59860 0 X 0 0 0 X 133301 124658 257959 133301 124658 257959 0 0 0 257959 123180 199193 178413 239974 740760 123180 199193 178413 239974 740760 146490 49434 1501421 63497 1760842 123180 478984 352505 1741395 63497 2759561 0.09350 0.97290 0.26840 0.01450 X DAVID M HIRSCH BOARD PRESIDENT/TREASURER/CLERK 66020 DAVID M. HIRSCH IS THE MANAGING DIRECTOR OF MUSTANG PARTNERS, LLC, WHICH THE ORGANIZATION PAID $66,000 DURING THE YEAR FOR ADMINISTRATIVE SERVICES. 0 FORM 990, PART VI, SECTION A, LINE 6 CHARTERCARE COMMUNITY BOARD F/K/A CHARTERCARE HEALTH PARTNERS IS THE SOLE MEMBER OF ROGER WILLIAMS MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A CHARTERCARE COMMUNITY BOARD, AS THE SOLE MEMBER, RESERVES THE POWER TO AMEND THE ARTICLES AND BYLAWS OF THE ENTITY, APPOINT OR REMOVE A MEMBER OF THE BOARD OF TRUSTEES, ENTER INTO CONTRACTS, AND EFFECT ANY DISSOLUTION, AFFILIATION, MERGER, OR REORGANIZATION, AND HAS THE EXECUTIVE POWER TO APPOINT OR REMOVE THE CEO, CFO AND THE COO (IF ANY). FORM 990, PART VI, SECTION A, LINE 7B CHARTERCARE COMMUNITY BOARD, AS THE SOLE MEMBER, RESERVES THE POWER TO AMEND THE ARTICLES AND BYLAWS OF THE ENTITY, APPOINT OR REMOVE A MEMBER OF THE BOARD OF TRUSTEES, ENTER INTO CONTRACTS, AND EFFECT ANY DISSOLUTION, AFFILIATION, MERGER, OR REORGANIZATION, AND HAS THE EXECUTIVE POWER TO APPOINT OR REMOVE THE CEO, CFO AND THE COO (IF ANY). FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE EXTERNAL ACCOUNTANTS AND REVIEWED BY MANAGEMENT. ONCE ALL ARE SATISFIED WITH THE FORM, IT IS FINALIZED AND A COPY IS SENT TO ALL BOARD MEMBERS. AT THE SUBSEQUENT BOARD MEETING, THE MEMBERS ARE ASKED IF THEY HAVE ANY QUESTIONS OR COMMENTS AND A GENERAL REVIEW OF THE FORM IS CONDUCTED BY MANAGEMENT. REVISIONS, CORRECTIONS, ETC. ARE MADE AS NECESSARY. SUBSEQUENT TO THIS MEETING THE FORM IS SUBMITTED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY INCLUDED IN THE BY-LAWS IS TO PROTECT THE CORPORATION'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR DIRECTOR OF THE CORPORATION. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE OFFICERS, DIRECTORS AND MEMBERS OF ANY COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. ON AN ANNUAL BASIS, EACH MEMBER OF THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT AND ALL RESPONSES ARE SUBMITTED AND REVIEWED BY LEGAL COUNSEL. ANY ACTUAL AND POSSIBLE CONFLICTS OF INTEREST ARE REVIEWED WITH THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 NO COMPENSATION WAS PAID DURING THE REPORTING YEAR. FORM 990, PART VI, SECTION C, LINE 19 ROGER WILLIAMS MEDICAL CENTER MAKES ITS TAX RETURNS, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G ADMINISTRATIVE CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 210,356. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 210,356. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 23,068. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,068. ST JOSEPH HEALTH SERVICES OF RI 362 BROADWAY PROVIDENCE RI 02909 050259026 HEALTHCARE RI 501 (C)(3) LINE 10 CCB 1 ST JOSEPH HOSPITAL WORKERS COM TRUST 362 BROADWAY PROVIDENCE RI 02909 056106574 WORKERS' COMPENSATION RI 501 (C)(3) LINE 12A, I SJHSRI 1 CHARTERCARE COMMUNITY BOARD 362 BROADWAY PROVIDENCE RI 02909 264235815 MANAGEMENT RI 501 (C)(3) LINE 12B, II N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 ST JOSEPH HEALTH SERVICES OF RI P 24000 COST