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  5. BMH, INC.

BMH, INC.

Company Details

Name: BMH, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 26 Jun 2006 (19 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 508190
Place of Formation: IDAHO
File Number: 508190
ZIP code: 83221
County: Bingham County
Mailing Address: ATTN: ADMINISTRATOR 98 POPLAR ST BLACKFOOT, ID 83221-1758

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
ZKLTAGELCBE1 2025-02-11 98 POPLAR ST, BLACKFOOT, ID, 83221, 1758, USA 98 POPLAR STREET, ATTN: DUSTIN NICHOLS, BLACKFOOT, ID, 83221, 1799, USA

Business Information
Doing Business As BINGHAM HEALTHCARE
Congressional District 02
State/Country of Incorporation ID, USA
Activation Date 2024-02-14
Initial Registration Date 2006-04-21
Entity Start Date 1950-08-19
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DUSTIN NICHOLS
Address 98 POPLAR ST, BLACKFOOT, ID, 83221, USA
Title ALTERNATE POC
Name JAKE ERICKSON
Address 98 POPLAR ST, BLACKFOOT, ID, 83221, USA
Government Business
Title PRIMARY POC
Name GARRETT MOULTON
Address 98 POPLAR ST, BLACKFOOT, ID, 83221, USA
Past Performance
Title PRIMARY POC
Name RANDY POWELL
Address 98 POPLAR STREET, BLACKFOOT, ID, 83221, USA

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
5493002LGI7L0Z3WTO71 508190 US-ID GENERAL ACTIVE No data

Addresses
Legal C/O JAKE ERICKSON, 98 Poplar Street, BLACKFOOT, US-ID, US, 83221
Headquarters 98 Poplar Street, Blackfoot, US-ID, US, 83221

Registration details
Registration Date 2015-04-30
Last Update 2023-08-04
Status LAPSED
Next Renewal 2016-04-27
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 508190

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BMH, INC. 403(B) 2023 205126945 2024-10-11 BMH, INC. 88
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087854100
Plan sponsor’s address 98 POPLAR STREET, BLACKFOOT, ID, 83221

Plan administrator’s name and address
Administrator’s EIN 205126945
Plan administrator’s name BMH, INC.
Plan administrator’s address 98 POPLAR STREET, BLACKFOOT, ID, 83221
Administrator’s telephone number 2087854100

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
BMH, INC. 403(B) 2022 205126945 2023-10-12 BMH, INC. 83
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087854100
Plan sponsor’s address 98 POPLAR STREET, BLACKFOOT, ID, 83221

Plan administrator’s name and address
Administrator’s EIN 205126945
Plan administrator’s name BMH, INC.
Plan administrator’s address 98 POPLAR STREET, BLACKFOOT, ID, 83221
Administrator’s telephone number 2087854100

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
BMH, INC HEALTH AND WELFARE BENEFITS PLAN 2022 205126945 2024-05-09 BMH, INC 771
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087853841
Plan sponsor’s DBA name BINGHAM MEMORIAL HOSPITAL
Plan sponsor’s mailing address 98 POPLAR ST, BLACKFOOT, ID, 832211758
Plan sponsor’s address 98 POPLAR ST, BLACKFOOT, ID, 832211758

Plan administrator’s name and address
Administrator’s EIN 360883760
Plan administrator’s name RELIANCE STANDARD LIFE INSURANCE COMPANY
Plan administrator’s address PO BOX 8330, PHILADELPHIA, PA, 191018330
Administrator’s telephone number 8003517500

Number of participants as of the end of the plan year
Active participants 775

Signature of
Role Plan administrator
Date 2024-05-09
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-09
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
BINGHAM MEMORIAL EMPLOYEE BENEFITS PLAN 2022 205126945 2024-04-30 BMH, INC 681
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087853841
Plan sponsor’s DBA name BINGHAM MEMORIAL HOSPITAL
Plan sponsor’s mailing address 98 POPLAR ST, BLACKFOOT, ID, 832211758
Plan sponsor’s address 98 POPLAR ST, BLACKFOOT, ID, 832211758

Number of participants as of the end of the plan year
Active participants 715

Signature of
Role Plan administrator
Date 2024-04-30
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-30
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
BINGHAM MEMORIAL EMPLOYEE HRA PLAN 2022 205126945 2024-04-30 BMH, INC 819
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087853841
Plan sponsor’s DBA name BINGHAM MEMORIAL HOSPITAL
Plan sponsor’s mailing address 98 POPLAR ST, BLACKFOOT, ID, 832211758
Plan sponsor’s address 98 POPLAR ST, BLACKFOOT, ID, 832211758

Number of participants as of the end of the plan year
Active participants 765

Signature of
Role Plan administrator
Date 2024-04-30
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-30
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
BINGHAM MEMORIAL EMPLOYEE DENTAL PLAN 2022 205126945 2024-04-30 BMH, INC 680
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087853841
Plan sponsor’s DBA name BINGHAM MEMORIAL HOSPITAL
Plan sponsor’s mailing address 98 POPLAR ST, BLACKFOOT, ID, 832211758
Plan sponsor’s address 98 POPLAR ST, BLACKFOOT, ID, 832211758

Number of participants as of the end of the plan year
Active participants 676

Signature of
Role Plan administrator
Date 2024-04-30
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-30
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
BMH, INC. 403(B) 2021 205126945 2022-10-11 BMH, INC. 94
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087854100
Plan sponsor’s address 98 POPLAR STREET, BLACKFOOT, ID, 83221

Plan administrator’s name and address
Administrator’s EIN 205126945
Plan administrator’s name BMH, INC.
Plan administrator’s address 98 POPLAR STREET, BLACKFOOT, ID, 83221
Administrator’s telephone number 2087854100

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
BINGHAM MEMORIAL EMPLOYEE DENTAL PLAN 2021 205126945 2023-04-29 BMH, INC 675
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087853841
Plan sponsor’s DBA name BINGHAM MEMORIAL HOSPITAL
Plan sponsor’s mailing address 98 POPLAR ST, BLACKFOOT, ID, 832211758
Plan sponsor’s address 98 POPLAR ST, BLACKFOOT, ID, 832211758

Number of participants as of the end of the plan year
Active participants 680

Signature of
Role Plan administrator
Date 2023-04-29
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-29
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
BINGHAM MEMORIAL EMPLOYEE HRA PLAN 2021 205126945 2023-04-29 BMH, INC 820
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087853841
Plan sponsor’s DBA name BINGHAM MEMORIAL HOSPITAL
Plan sponsor’s mailing address 98 POPLAR ST, BLACKFOOT, ID, 832211758
Plan sponsor’s address 98 POPLAR ST, BLACKFOOT, ID, 832211758

Number of participants as of the end of the plan year
Active participants 820

Signature of
Role Plan administrator
Date 2023-04-29
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-29
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
BMH, INC HEALTH AND WELFARE BENEFITS PLAN 2021 205126945 2023-04-29 BMH, INC 767
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087853841
Plan sponsor’s DBA name BINGHAM MEMORIAL HOSPITAL
Plan sponsor’s mailing address 98 POPLAR ST, BLACKFOOT, ID, 832211758
Plan sponsor’s address 98 POPLAR ST, BLACKFOOT, ID, 832211758

Plan administrator’s name and address
Administrator’s EIN 360883760
Plan administrator’s name RELIANCE STANDARD LIFE INSURANCE COMPANY
Plan administrator’s address PO BOX 8330, PHILADELPHIA, PA, 191018330
Administrator’s telephone number 8003517500

Number of participants as of the end of the plan year
Active participants 771

Signature of
Role Plan administrator
Date 2023-04-29
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-29
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JAKE ERICKSON Agent 98 POPLAR ST, BLACKFOOT, ID 83221

Director

Name Role Address Appointed On Resigned On
Gary Baumgartner Director 98 POPLAR STREET, BLACKFOOT, ID 83221 2020-09-08 2022-03-10
Linda Valentine Director 98 POPLAR STREET, BLACKFOOT, ID 83221 2022-03-10 2023-06-06
Scott Reese Director 98 POPLAR STREET, BLACKFOOT, ID 83221 2024-06-03 No data
Bill Sponenburgh Director 98 POPLAR STREET, BLACKFOOT, ID 83221 2024-06-03 No data

Treasurer

Name Role Address Appointed On
Christian Cannon Treasurer 98 POPLAR STREET, BLACKFOOT, ID 83221 2023-06-06

President

Name Role Address Appointed On
Jake Erickson President 98 POPLAR STREET, BLACKFOOT, ID 83221 2024-06-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005755304 2024-06-03
Annual Report 0005269294 2023-06-06
Annual Report 0004751521 2022-05-18
Articles of Amendment 0004652451 2022-03-10
Annual Report 0004294620 2021-06-01
Application for Reinstatement 0003997501 2020-09-08
Dissolution/Revocation - Administrative 0003989811 2020-09-02
Annual Report 0003546098 2019-06-19
Annual Report 0003083838 2018-05-15
Change of Registered Office/Agent/Both (by Entity) 0003083837 2017-12-07

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C76HF19775 Department of Health and Human Services 93.887 - HEALTH CARE AND OTHER FACILITIES 2010-09-01 2012-09-30 HEALTH CARE AND OTHER FACILITIES
Recipient BMH, INC
Recipient Name Raw BMH, INC
Recipient UEI ZKLTAGELCBE1
Recipient DUNS 073100539
Recipient Address 98 POPULAR STREET, BLACKFOOT, BINGHAM, IDAHO, 83221, UNITED STATES
Obligated Amount 198000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C76HF15163 Department of Health and Human Services 93.887 - HEALTH CARE AND OTHER FACILITIES 2009-08-01 2012-07-31 HEALTH CARE AND OTHER FACILITIES
Recipient BMH, INC
Recipient Name Raw BMH INC
Recipient UEI ZKLTAGELCBE1
Recipient DUNS 073100539
Recipient Address 98 POPULAR STREET, BLACKFOOT, BINGHAM, IDAHO, 83221, UNITED STATES
Obligated Amount 188100.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
20-5126945 Corporation Unconditional Exemption 98 POPLAR ST, BLACKFOOT, ID, 83221-1758 2007-03
In Care of Name % DIANA HORNBUCKLE
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
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)
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-12
Asset 50,000,000 to greater
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 143389227
Income Amount 187632815
Form 990 Revenue Amount 179939966
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name BMH INC
EIN 20-5126945
Tax Period 202212
Filing Type E
Return Type 990T
File View File
Organization Name BMH INC
EIN 20-5126945
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name BMH INC
EIN 20-5126945
Tax Period 202112
Filing Type E
Return Type 990T
File View File
Organization Name BMH INC
EIN 20-5126945
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name BMH INC
EIN 20-5126945
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name BMH INC
EIN 20-5126945
Tax Period 202012
Filing Type E
Return Type 990T
File View File
Organization Name BMH INC
EIN 20-5126945
Tax Period 201912
Filing Type P
Return Type 990T
File View File
Organization Name BMH INC
EIN 20-5126945
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name BMH INC
EIN 20-5126945
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name BMH INC
EIN 20-5126945
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name BMH INC
EIN 20-5126945
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name BMH INC
EIN 20-5126945
Tax Period 201712
Filing Type P
Return Type 990T
File View File
Organization Name BMH INC
EIN 20-5126945
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name BMH INC
EIN 20-5126945
Tax Period 201612
Filing Type E
Return Type 990T
File View File
Organization Name BMH INC
EIN 20-5126945
Tax Period 201612
Filing Type P
Return Type 990T
File View File
Organization Name BMH INC
EIN 20-5126945
Tax Period 201512
Filing Type E
Return Type 990
File View File
Organization Name BMH INC
EIN 20-5126945
Tax Period 201512
Filing Type P
Return Type 990T
File View File

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Related by address

No related companies by address

Date of last update: 09 Apr 2025

Sources: Idaho Secretary of State

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