| Name: | ST. MARY'S HOSPITAL, INC. |
| Jurisdiction: | Idaho |
| Legal type: | Non-Profit Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 24 Jan 1958 (67 years ago) |
| Financial Date End: | 31 Jan 2025 |
| Entity Number: | 102305 |
| Place of Formation: | IDAHO |
| File Number: | 102305 |
| ZIP code: | 83522 |
| County: | Idaho County |
| Mailing Address: | 701 LEWISTON ST COTTONWOOD, ID 83522-9750 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| DKW1MZFJAB38 | 2025-01-23 | 701 LEWISTON ST, COTTONWOOD, ID, 83522, 9750, USA | P O BOX 137, COTTONWOOD, ID, 83522, 0137, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| URL | www.smh-cvhc.org |
| Congressional District | 01 |
| State/Country of Incorporation | ID, USA |
| Activation Date | 2024-01-26 |
| Initial Registration Date | 2004-03-30 |
| Entity Start Date | 1958-01-24 |
| Fiscal Year End Close Date | Jun 30 |
Service Classifications
| NAICS Codes | 621111, 621910, 622110 |
| Product and Service Codes | 6532 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JYL RULAND |
| Address | P. O. BOX 137, COTTONWOOD, ID, 83522, 0137, USA |
| Title | ALTERNATE POC |
| Name | LENNE BONNER |
| Address | PO BOX 137, 701 LEWISTON ST., COTTONWOOD, ID, 83522, 0137, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JYL RULAND |
| Address | P. O. BOX 137, COTTONWOOD, ID, 83522, 0137, USA |
| Title | ALTERNATE POC |
| Name | LENNE BONNER |
| Address | PO BOX 137, 701 LEWISTON ST., COTTONWOOD, ID, 83522, 0137, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | CODY WILKINSON |
| Address | P. O. BOX 137, 701 LEWISTON ST., COTTONWOOD, ID, 83522, 0137, USA |
| Title | ALTERNATE POC |
| Name | LENNE BONNER |
| Address | 701 LEWISTON ST., P. O. BOX 137, COTTONWOOD, ID, 83522, 0137, USA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ST. MARY'S HOSPITAL, INC. MEDICAL PLAN | 2015 | 820226453 | 2017-03-02 | ST. MARY'S HOSPITAL, INC | 289 | |||||||||||||||||||||||||||
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| Active participants | 285 |
Signature of
| Role | Plan administrator |
| Date | 2017-02-21 |
| Name of individual signing | DEBBIE SCHUMACHER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2013-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 2089622318 |
| Plan sponsor’s mailing address | PO BOX 137, 701 LEWISTON STREET, COTTONWOOD, ID, 83522 |
| Plan sponsor’s address | PO BOX 137, 701 LEWISTON STREET, COTTONWOOD, ID, 83522 |
Number of participants as of the end of the plan year
| Active participants | 289 |
Signature of
| Role | Plan administrator |
| Date | 2017-02-21 |
| Name of individual signing | DEBBIE SCHUMACHER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Joel P Hazel | Agent | 2003 KOOTENAI HEALTH WAY, STE 107, COEUR D ALENE, ID 83814 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Matt Sartini | Director | 701 LEWISTON ST, COTTONWOOD, ID 83522 | 2021-01-22 |
| Paul Nusser | Director | 701 LEWISTON ST, COTTONWOOD, ID 83522 | 2024-01-03 |
| Lenny Hill | Director | 710 LEWISTON ST, COTTONWOOD, ID 83522 | 2024-01-03 |
| Rene Forsman | Director | 701 LEWISTON ST, COTTONWOOD, ID 83522 | 2024-01-03 |
| Kim Ingram | Director | 701 LEWISTON ST, COTTONWOOD, ID 83522 | 2024-01-03 |
| Kelly McGrath | Director | 701 LEWISTON ST, COTTONWOOD, ID 83522 | 2024-01-03 |
| Jeremy Evans | Director | 701 LEWISTON ST, COTTONWOOD, ID 83522 | 2024-01-03 |
| Cindy O'Brien | Director | 701 LEWISTON ST, COTTONWOOD, ID 83522 | 2024-01-03 |
| Tina Ulmer | Director | 701 LEWISTON ST, COTTONWOOD, ID 83522 | 2024-01-03 |
| Lisa Maurer | Director | 701 LEWISTON ST, COTTONWOOD, ID 83522 | 2024-01-03 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005535832 | 2024-01-03 |
| Annual Report | 0005031416 | 2022-12-15 |
| Annual Report | 0004579336 | 2022-01-24 |
| Annual Report | 0004141497 | 2021-01-22 |
| Restated Articles | 0003845171 | 2020-04-14 |
| Change of Registered Office/Agent/Both (by Entity) | 0003831445 | 2020-04-07 |
| Articles of Amendment | 0003823177 | 2020-04-01 |
| Annual Report | 0003692501 | 2019-12-02 |
| Annual Report | 0003371870 | 2018-12-14 |
| Annual Report | 0001305507 | 2017-12-01 |
Date of last update: 30 Nov 2024
Sources: Idaho Secretary of State
