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NORTHWEST HOSPITAL ALLIANCE, INC.

Company Details

Name: NORTHWEST HOSPITAL ALLIANCE, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 05 Oct 2006 (19 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 512997
Place of Formation: IDAHO
File Number: 512997
ZIP code: 83864
County: Bonner County
Mailing Address: CARYL JOHNSTON 520 N THIRD AVE SANDPOINT, ID 83864-1507

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
GZ5LQHM4EJH3 2024-10-26 520 N 3RD AVE, SANDPOINT, ID, 83864, 1507, USA 2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID, 83814, 2611, USA

Business Information

URL http://www.nwhospitalalliance.org
Division Name NORTHWEST HOSPITAL ALLIANCE, INC.
Congressional District 01
Activation Date 2023-10-31
Initial Registration Date 2009-02-19
Entity Start Date 1991-01-01
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name CARYL JOHNSTON
Address 2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID, 83814, USA
Government Business
Title PRIMARY POC
Name CARYL JOHNSTON
Address 2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID, 83814, USA
Past Performance Information not Available

Agent

Name Role Address
CARYL D JOHNSTON Agent 520 N THIRD AVE, ADMINISTRATION, SANDPOINT, ID 83864-5071

President

Name Role Address Appointed On Resigned On
Sheryl Rickard President 520 N THIRD AVE., SANDPOINT, ID 83864 2020-09-03 2023-09-29
Paul Lewis President 25 JACOBS GULCH, KELLOGG, ID 83837 2023-09-29 2024-04-04

Director

Name Role Address Appointed On Resigned On
Sheryl Rickard Director 520 N THIRD AVE., SANDPOINT, ID 83864 2023-09-29 2024-04-04
Abner King Director 607 WEST MAIN STREET, GRANGEVILLE, ID 83530 2023-09-29 2024-04-04
John Hennessy Director 520 N THIRD AVE., SANDPOINT, ID 83864 2024-04-04 No data
April Bennett Director 6640 KAINIKSU STREET, BONNERS FERRY, ID 83805 2023-09-29 2024-04-04
Lenne Bonner Director 301 CEDAR ST., OROFINO, ID 83544 2023-09-29 2024-04-04
Chuck Lloyd Director 229 S. 7TH STREET, ST. MARIES, ID 83522 2023-09-29 2024-04-04

Secretary

Name Role Address Appointed On Resigned On
Jon Ness Secretary 2003 KOOTENAI HEALTH WAY, COEUR D'ALENE, ID 83814 2023-09-29 2024-04-04
Jameson Smith Secretary 2003 KOOTENAI HEALTH WAY, COEUR D'ALENE, ID 83814 2024-04-04 No data

Filing

Filing Name Filing Number Filing date
Annual Report 0005945683 2024-10-18
Annual Report Amendment 0005673834 2024-04-04
Annual Report 0005414580 2023-09-29
Annual Report Amendment 0004888382 2022-09-07
Annual Report 0004886234 2022-09-06
Annual Report 0004401387 2021-09-03
Annual Report 0003995577 2020-09-03
Application for Reinstatement 0003814936 2020-03-17
Dissolution/Revocation - Administrative 0003722146 2019-12-30
Statement of Change of Business Mailing Address 0003668832 2019-11-05

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
RO6475 17333 Department of Agriculture 10.855 - DISTANCE LEARNING AND TELEMEDICINE LOANS AND GRANTS 2010-12-17 2012-12-17 TELEMEDICINE GRANT
Recipient NORTHWEST HOSPITAL ALLIANCE INC
Recipient Name Raw NORTH IDAHO RURAL HEALTH CONSORTIUM
Recipient UEI GZ5LQHM4EJH3
Recipient DUNS 829271829
Recipient Address 2003 KOOTENAI HEALTH WAY, COEUR D'ALENE, KOOTENAI, IDAHO, 83814-6051, UNITED STATES
Obligated Amount 421622.00
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
20-5858771 Corporation Unconditional Exemption 2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID, 83814-6051 2009-05
In Care of Name % CRAIG A JOHNSON
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 Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-12
Asset 100,000 to 499,999
Income 500,000 to 999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 275013
Income Amount 838512
Form 990 Revenue Amount 838512
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 NORTHWEST HOSPITAL ALLIANCE
EIN 20-5858771
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name NORTHWEST HOSPITAL ALLIANCE
EIN 20-5858771
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name NORTHWEST HOSPITAL ALLIANCE
EIN 20-5858771
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name NORTHWEST HOSPITAL ALLIANCE
EIN 20-5858771
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name NORTHWEST HOSPITAL ALLIANCE
EIN 20-5858771
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name NORTHWEST HOSPITAL ALLIANCE
EIN 20-5858771
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name NORTHWEST HOSPITAL ALLIANCE
EIN 20-5858771
Tax Period 201612
Filing Type E
Return Type 990
File View File

Date of last update: 09 Apr 2025

Sources: Idaho Secretary of State