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ST. LUKE'S CLINIC COORDINATED CARE, LTD.

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Company Details

Name: ST. LUKE'S CLINIC COORDINATED CARE, LTD.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 01 May 2012 (13 years ago)
Financial Date End: 31 May 2026
Entity Number: 587262
Place of Formation: IDAHO
File Number: 587262
ZIP code: 83712
County: Ada County
Mailing Address: 190 E BANNOCK ST BOISE, ID 83712-6241

Agent

Name Role Address
CHRISTINE NEUHOFF Agent 815 E PARK BLVD, BOISE, ID 83712

President

Name Role Address Appointed On Resigned On
Amy Gonzales President 190 E. BANNOCK, BOISE, ID 83712 2022-06-01 No data
Matt Wolff President 190 E. BANNOCK, BOISE, ID 83712 2021-06-09 2022-06-01
Amy Gonzalez President 190 E. BANNOCK, BOISE, ID 83712 2025-05-27 No data

Secretary

Name Role Address Appointed On Resigned On
Peg Dougherty Secretary 190 E. BANNOCK, BOISE, ID 83712 2024-05-23 2024-05-23

Director

Name Role Address Appointed On Resigned On
Jason Bronner MD Director 190 E. BANNOCK, BOISE, ID 83712 2024-05-23 2024-05-23
Brian Fortuin MD Director 190 E. BANNOCK, BOISE, ID 83712 2024-05-23 2024-05-23
Robert Cavagnol MD Director 190 E. BANNOCK, BOISE, ID 83712 2024-05-23 2024-05-23
Robert Ohlensehlen Director 190 E. BANNOCK, BOISE, ID 83712 2024-05-23 2024-05-23
Cynthia York Director 190 E. BANNOCK, BOISE, ID 83712 2024-05-23 2024-05-23
Bryan Mason Director 190 E BANNOCK ST, BOISE, ID 83712-6241 2024-05-23 No data
Sandee Gehrke Director 190 E. BANNOCK, BOISE, ID 83712 2024-05-23 2024-05-23

Treasurer

Name Role Address Appointed On
Ariel Jenkinson Treasurer 190 E BANNOCK ST, BOISE, ID 83712-6241 2024-05-23

Filing

Filing Name Filing Number Filing date
Annual Report 0006285300 2025-05-27
Annual Report 0005746512 2024-05-23
Annual Report 0005206104 2023-04-19
Annual Report 0004762849 2022-06-01
Annual Report 0004310936 2021-06-09

Tax Exempt

Employer Identification Number (EIN) :
45-5195864
In Care Of Name:
% PETE DIDIO
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:
2014-07
National Taxonomy Of Exempt Entities:
Health Care: Health, General and Financing
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State