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  5. CLEARWATER VALLEY HOSPITAL AND CLINICS, INC.

CLEARWATER VALLEY HOSPITAL AND CLINICS, INC.

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Company Details

Name: CLEARWATER VALLEY HOSPITAL AND CLINICS, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 10 Nov 1997 (28 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 372860
Place of Formation: IDAHO
File Number: 372860
ZIP code: 83544
County: Clearwater County
Mailing Address: 301 CEDAR ST OROFINO, ID 83544-9029

Agent

Name Role Address
JOEL HAZEL Agent 2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814

Director

Name Role Address Appointed On Resigned On
Matt Sartini Director 301 CEDAR, OROFINO, ID 83544 2020-11-27 2022-11-21
Cindy O'Brien Director 301 CEDAR STREET, OROFINO, ID 83544 2024-10-07 No data

Unique Entity ID

Unique Entity ID:
XP68BK7UC4B8
CAGE Code:
3TCV0
UEI Expiration Date:
2025-12-03

Business Information

URL:
http://www.smh-cvhc.org
Activation Date:
2024-12-05
Initial Registration Date:
2004-03-30

Commercial and government entity program

CAGE number:
3TCV0
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-12-05
CAGE Expiration:
2029-12-05
SAM Expiration:
2025-12-03

Contact Information

POC:
JYL RULAND
Corporate URL:
http://www.smh-cvhc.org

National Provider Identifier

NPI Number:
1982073946
Link:
View on NPI website

Authorized Person:

Name:
LENNE BONNER
Role:
ACTING PRESIDENT/CEO
Phone:
2084765777

Taxonomy:

Selected Taxonomy:
282NC0060X - Critical Access Hospital
Is Primary:
Yes

Contacts:

Phone:
+1 208-476-5777
Fax:
2084765385

Filing

Filing Name Filing Number Filing date
Annual Report 0005931999 2024-10-07
Application for Reinstatement 0005783268 2024-06-18
Dissolution/Revocation - Administrative 0005620796 2024-03-01
Annual Report 0004998742 2022-11-21
Annual Report 0004500601 2021-11-17

USAspending Awards / Financial Assistance

Date:
2020-04-15
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
2422902.00
Total Face Value Of Loan:
2422902.00
Date:
2010-07-29
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT
Obligated Amount:
300000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
82-0497771
In Care Of Name:
% LENNE BONNER
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:
1998-04
National Taxonomy Of Exempt Entities:
Medical Research: Fund Raising and/or Fund Distribution
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Jobs Reported:
197
Initial Approval Amount:
$2,422,902
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$2,422,902
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$2,450,649.21
Servicing Lender:
Potlatch No. 1 Financial Credit Union
Use of Proceeds:
Payroll: $2,422,902

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Related by officers

JOEL HAZEL

KOOTENAI HEALTH, INC.

Matt Sartini

ST. MARY'S HOSPITAL, INC.

Cindy O'Brien

ST. MARY'S HOSPITAL, INC.

Related by address

No related companies by address

Date of last update: 20 Jul 2025

Sources: Idaho Secretary of State

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