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ROSELAND COMMUNITY HOSPITAL ASSOCIATION

ROSELAND COMMUNITY HOSPITAL ASSOCIATION

Company Details

Entity Name:	ROSELAND COMMUNITY HOSPITAL ASSOCIATION
Jurisdiction:	Illinois
Entity Type:	Corporation - Not-for-Profit
Status:	Goodstanding
Date Formed:	29 Mar 1940
Company Number:	CORP_26558824
File Number:	26558824
Address	45 W 111TH ST 1, CHICAGO, IL, 60628
Place of Formation:	ILLINOIS

Unique Entity ID

Expiration Date

Physical Address

Mailing Address

VNBKYFNB2EX8

2025-01-04

45 W 111TH ST, CHICAGO, IL, 60628, 4200, USA

45 WEST 111TH ST, CHICAGO, IL, 60628, 4200, USA

Business Information

Congressional District	01
State/Country of Incorporation	IL, USA
Activation Date	2024-01-09
Initial Registration Date	2009-10-28
Entity Start Date	1924-03-08
Fiscal Year End Close Date	Mar 31

Service Classifications

NAICS Codes

622110

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	SUE MACUT
Role	DIRECTOR OF IT/PACS ADMINISTRATOR
Address	45 WEST 111TH ST, CHICAGO, IL, 60628, 4200, USA

Title	ALTERNATE POC
Name	TONY GARRITANO
Role	GRANTS MANAGER
Address	45 W. 111TH STREET, CHICAGO, IL, 60628, USA

Government Business
Title	PRIMARY POC
Name	TIM EGAN
Role	CEO
Address	45 WEST 111TH ST, CHICAGO, IL, 60628, 4200, USA

Title	ALTERNATE POC
Name	TIM EGAN
Role	PRESIDENT/CEO
Address	45 WEST 111TH ST, CHICAGO, IL, 60628, 4200, USA

Past Performance
Title	PRIMARY POC
Name	SUSANA DORANTES
Role	ADMIN ASST
Address	45 W. 111TH ST, CHICAGO, IL, 60628, USA

Agent

Name and Address	Role	Appointment Date
TIMOTHY K EGAN, 45 W 111TH ST, CHICAGO, 60628, COOK-NOT IN CITY OF CHICAGO	Agent	2013-08-29

CEO

Name and Address	Role	Account Number
Tim Egan	CEO	5642

License

License Type	License Number	Status	License Code	License Description	Business Activity	Date Issued	Effective Date	Expiration Date
BUSINESS LICENSE	2204250	Issued	4404	Regulated Business License	232 - Operation of General Medical and Surgical Hospitals	2023-09-01	2023-09-16	2025-09-15
BUSINESS LICENSE	11731	Issued	1006	Retail Food Establishment	775 - Retail Sales of Perishable Foods	2023-09-01	2023-09-16	2025-09-15
PHARMACY	054020279	No data	No data	LICENSED PHARMACY	No data	2017-01-27	2024-03-21	2026-03-31
BUSINESS LICENSE	11732	Cancelled	1375	Hospital	No data	2011-09-12	2011-09-16	2013-09-15

Inspection

Inspection ID	Inspection Type	Inspection Date	License	Facility Type	Address	Risk	Results
2607395	Canvass	2024-11-14	11731	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass
2607392	Canvass	2024-11-14	2204250	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass
2580568	Canvass	2023-08-23	2204250	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass
2580569	Canvass	2023-08-23	11731	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass
2561747	Canvass Re-Inspection	2022-08-05	2204250	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass
2561220	Canvass Re-Inspection	2022-07-25	2204250	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass w/ Conditions
2560873	Canvass	2022-07-18	11731	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass w/ Conditions
2560864	Canvass	2022-07-18	2204250	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Fail
2510807	Canvass	2021-06-04	2204250	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass w/ Conditions
2510823	Canvass	2021-06-04	11731	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass
2359725	Canvass	2020-01-31	2204250	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass
2359728	Canvass	2020-01-31	11731	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass
2290734	Canvass	2019-05-31	2204250	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass w/ Conditions
2290767	Canvass	2019-05-31	11731	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass w/ Conditions
2200587	Complaint	2018-08-07	11731	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass w/ Conditions
2200594	Complaint	2018-08-07	2204250	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass w/ Conditions
1761213	Canvass Re-Inspection	2017-10-31	11732	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass
1761211	Canvass	2017-10-23	11731	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass
1761212	Canvass	2017-10-23	11732	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass w/ Conditions
1760213	Canvass Re-Inspection	2016-06-03	11731	Hospital	45 W 111TH ST, CHICAGO, IL, 60628	Risk 1 (High)	Pass

Assumed Names

Name	Type	Effective Date	Cancellation Date	Cancellation Type	Last Renewal Date
THE NEW ROSELAND COMMUNITY HOSPITAL	NFP Assume Name	2024-09-03	No data	No data	No data
THE NEW ROSELAND OUTPATIENT PHARMACY	NFP Assume Name	2016-12-28	No data	No data	No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State