2019-08-09T10:03:46-05:00 2018-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2017-10-01 050258959 ROGER WILLIAMS MEDICAL CENTER ROGE 4014536400 ONE PARK ROW PROVIDENCE RI 02903 DAVID M HIRSCH PRESIDENT/TREASURER/CLERK 4014536400 2019-08-09 1 DEBORAH A HOPKINS P00167843 4012742001 71.117.160.66 2019-08-09 09:40:01 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2017 2019-02-21 02:37:17Z DAVID M HIRSCH ONE PARK ROW PROVIDENCE RI 02903 1743786 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 124658 0 178413 242365 49434 1501421 352505 1743786 0 0 0 0 0 0 0 0 0 355002 1712889 355002 1712889 -2497 30897 11316267 11512242 3840518 3743290 7475749 7768952 ROGER WILLIAMS MEDICAL CENTER'S MISSION IS TO PROVIDE HEALTHCARE SERVICES IN PROVIDENCE, RHODE ISLAND AND SURROUNDING COMMUNITIES. 0 0 27826 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. 27826 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 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 STEPHEN DEL SESTO ONE FINANCIAL PLAZA 26TH FLOOR PROVIDENCE RI 02903 LEGAL SERVICES 1350000 ADLER POLLOCK & SHEEHAN PC ONE CITIZENS PLAZA PROVIDENCE RI 02903 LEGAL SERVICES 336317 CHACE RUTTENBERG & FREEDMAN LLP ONE PARK ROW 300 PROVIDENCE RI 02903 LEGAL SERVICES 245024 3 242365 242365 LIQUIDATION OF FUNDS 900099 1373600 1373600 TRUST DISTRIBUTION 900099 127270 127270 OTHER REVENUE 900099 551 551 1501421 1743786 0 0 1743786 X 1142248 1142248 25500 25500 2391 2391 253138 253138 24680 24680 LIQUIDATION OF SPECIAL 195002 195002 MISCELLANEOUS EXPENSES 69930 27826 42104 1712889 27826 1685063 0 432391 3179796 10883876 8332446 11316267 11512242 3840518 3743290 3840518 3743290 X -196221 569524 7671970 7199428 7475749 7768952 11316267 11512242 30897 262306 0 X 0 0 0 X 466697 466697 130780514 133301 124658 131038473 131247211 133301 124658 131505170 0 0 0 131505170 1222325 123180 199193 178413 239974 1963085 1222325 123180 199193 178413 239974 1963085 146490 49434 1501421 1697345 132469536 123180 478984 352505 1741395 135165600 0.97290 0.97860 0.01450 0.01160 X DAVID M HIRSCH BOARD PRESIDENT/TREASURER/CLERK 66000 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 164,253. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 164,253. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 88,885. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 88,885. ST JOSEPH HEALTH SERVICES OF RI ONE PARK ROW SUITE 300 PROVIDENCE RI 02903 050259026 HEALTHCARE RI 501 (C)(3) LINE 10 CCB 1 ST JOSEPH HOSPITAL WORKERS COM TRUST ONE PARK ROW SUITE 300 PROVIDENCE RI 02903 056106574 WORKERS' COMPENSATION RI 501 (C)(3) LINE 12A, I SJHSRI 1 CHARTERCARE COMMUNITY BOARD ONE PARK ROW SUITE 300 PROVIDENCE RI 02903 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 0 0 0 0