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ST. LUKE'S WOOD RIVER MEDICAL CENTER, LTD.

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Company Details

Name: ST. LUKE'S WOOD RIVER MEDICAL CENTER, LTD.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 08 Apr 1996 (29 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 352173
Place of Formation: IDAHO
File Number: 352173
ZIP code: 83712
County: Ada County
Mailing Address: 190 E BANNOCK ST BOISE, ID 83712-6241

Agent

Name Role Address
CHRISTINE NEUHOFF Agent 190 E. BANNOCK, BOISE, ID 83712

Secretary

Name Role Address Appointed On
CHRISTINE NEUHOFF Secretary 190 E. BANNOCK ST., BOISE, ID 83712 2021-03-31

Director

Name Role Address Appointed On Resigned On
Rich Raimondi Director 190 E. BANNOCK, BOISE, ID 83712 2024-04-26 2024-04-26
Tom Corrick Director 190 E. BANNOCK, BOISE, ID 83712 2024-04-26 2024-04-26
Lucie DiMaggio Director 190 E. BANNOCK, BOISE, ID 83712 2024-04-26 2024-04-26
Bob Lokken Director 190 E. BANNOCK, BOISE, ID 83712 2024-04-26 2024-04-26
Bill Whitacre Director 190 E. BANNOCK, BOISE, ID 83712 2024-04-26 2024-04-26
Emily Baker Director 190 E. BANNOCK, BOISE, ID 83712 2024-04-26 2024-04-26
Rosa Davila Director 190 E. BANNOCK, BOISE, ID 83712 2024-04-26 2024-04-26
Lisa Grow Director 190 E. BANNOCK, BOISE, ID 83712 2024-04-26 2024-04-26
Dan Krahn Director 190 E. BANNOCK, BOISE, ID 83712 2024-04-26 2024-04-26
Bill Gilbert Director 190 E. BANNOCK, BOISE, ID 83712 2024-04-26 2024-04-26

President

Name Role Address Appointed On Resigned On
Chris Roth President 190 E. BANNOCK, BOISE, ID 83712 2024-04-26 2024-04-26

Treasurer

Name Role Address Appointed On Resigned On
Kate Fowler Treasurer 190 E. BANNOCK, BOISE, ID 83712 2024-04-26 2024-04-26

National Provider Identifier

NPI Number:
1275662546
Certification Date:
2022-12-07

Authorized Person:

Name:
KATHRYN FOWLER
Role:
SENIOR VP, CFO
Phone:

Taxonomy:

Selected Taxonomy:
275N00000X - Medicare Defined Swing Bed Hospital Unit
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006212529 2025-04-18
Annual Report 0005704645 2024-04-26
Change of Registered Office/Agent/Both (by Entity) 0005442925 2023-10-24
Annual Report 0005205897 2023-04-19
Annual Report 0004661279 2022-03-15

Tax Exempt

Employer Identification Number (EIN) :
84-1421665
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)
Ruling Date:
1997-09
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 20 Jul 2025

Sources: Idaho Secretary of State