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IDAHO HOSPITAL ASSOCIATION, INCORPORATED

Company Details

Name: IDAHO HOSPITAL ASSOCIATION, INCORPORATED
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 31 May 1951 (74 years ago)
Financial Date End: 31 May 2025
Entity Number: 89954
Place of Formation: IDAHO
File Number: 89954
Mailing Address: PO BOX 1278 BOISE, ID 83701-1278

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
XBMCHUMKK6L3 2024-08-02 373 W FORT ST, BOISE, ID, 83702, 4530, USA 373 W FORT ST, P.O. BOX 1278, BOISE, ID, 83702, 4530, USA

Business Information

URL http://www.teamiha.org
Congressional District 02
State/Country of Incorporation ID, USA
Activation Date 2023-08-07
Initial Registration Date 2006-09-05
Entity Start Date 1951-05-31
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 541715, 813910

Points of Contacts

Electronic Business
Title PRIMARY POC
Name BRIAN A WHITLOCK
Role PRESIDENT AND CEO
Address 373 W. FORT STREET, P.O. BOX 1278, BOISE, ID, 83702, USA
Title ALTERNATE POC
Name STACEY CARSON
Address 615 N. 7TH STREET, P.O. BOX 1278, BOISE, ID, 83702, USA
Government Business
Title PRIMARY POC
Name STACEY L CARSON
Role VICE PRESIDENT, OPERATIONS
Address 373 W. FORT STREET, P.O. BOX 1278, BOISE, ID, 83702, USA
Title ALTERNATE POC
Name STACEY CARSON
Address 615 N. 7TH STREET, P.O. BOX 1278, BOISE, ID, 83702, USA
Past Performance
Title PRIMARY POC
Name BRIAN A WHITLOCK
Role PRESIDENT AND CEO
Address 615 N. 7TH STREET, BOISE, ID, 83702, USA
Title ALTERNATE POC
Name STACEY CARSON
Address 615 N. 7TH STREET, P.O. BOX 1278, BOISE, ID, 83702, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IDAHO HOSPITAL ASSOCIATION RETIREMENT PLAN 2013 820303074 2015-02-05 IDAHO HOSPITAL ASSOCIATION 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-11-01
Business code 541990
Sponsor’s telephone number 2083385100
Plan sponsor’s mailing address P.O. BOX 1278, 615 N. SEVENTH STREET, BOISE, ID, 837011278
Plan sponsor’s address 615 N. SEVENTH STREET, BOISE, ID, 83701

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2015-02-05
Name of individual signing LARRY TISDALE
Valid signature Filed with authorized/valid electronic signature
IDAHO HOSPITAL ASSOCIATION RETIREMENT PLAN 2012 820303074 2014-03-11 IDAHO HOSPITAL ASSOCIATION 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-11-01
Business code 541990
Sponsor’s telephone number 2083385100
Plan sponsor’s mailing address P.O. BOX 1278, BOISE, ID, 837011278
Plan sponsor’s address 615 N. SEVENTH STREET, BOISE, ID, 83701

Number of participants as of the end of the plan year

Active participants 13
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2014-03-11
Name of individual signing LARRY TISDALE
Valid signature Filed with authorized/valid electronic signature
IDAHO HOSPITAL ASSOCIATION RETIREMENT PLAN 2011 820303074 2013-06-13 IDAHO HOSPITAL ASSOCIATION 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-11-01
Business code 541990
Sponsor’s telephone number 2083385100
Plan sponsor’s mailing address P.O. BOX 1278, BOISE, ID, 837011278
Plan sponsor’s address 615 N. SEVENTH STREET, BOISE, ID, 83701

Plan administrator’s name and address

Administrator’s EIN 820303074
Plan administrator’s name IDAHO HOSPITAL ASSOCIATION
Plan administrator’s address P.O. BOX 1278, BOISE, ID, 837011278
Administrator’s telephone number 2083385100

Number of participants as of the end of the plan year

Active participants 14
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2013-06-13
Name of individual signing LARRY TISDALE
Valid signature Filed with authorized/valid electronic signature
IDAHO HOSPITAL ASSOCIATION RETIREMENT PLAN 2010 820303074 2012-05-29 IDAHO HOSPITAL ASSOCIATION 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-11-01
Business code 541990
Sponsor’s telephone number 2083385100
Plan sponsor’s mailing address P.O. BOX 1278, BOISE, ID, 837011278
Plan sponsor’s address 615 N. SEVENTH STREET, BOISE, ID, 83701

Plan administrator’s name and address

Administrator’s EIN 820303074
Plan administrator’s name IDAHO HOSPITAL ASSOCIATION
Plan administrator’s address P.O. BOX 1278, BOISE, ID, 837011278
Administrator’s telephone number 2083385100

Number of participants as of the end of the plan year

Active participants 16
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 4
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2012-05-29
Name of individual signing LARRY TISDALE
Valid signature Filed with authorized/valid electronic signature
IDAHO HOSPITAL ASSOCIATION RETIREMENT PLAN 2009 820303074 2011-05-09 IDAHO HOSPITAL ASSOCIATION 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-11-01
Business code 541990
Sponsor’s telephone number 2083385100
Plan sponsor’s mailing address P.O. BOX 1278, BOISE, ID, 837011278
Plan sponsor’s address 615 N. SEVENTH STREET, BOISE, ID, 83701

Plan administrator’s name and address

Administrator’s EIN 820303074
Plan administrator’s name IDAHO HOSPITAL ASSOCIATION
Plan administrator’s address P.O. BOX 1278, BOISE, ID, 837011278
Administrator’s telephone number 2083385100

Number of participants as of the end of the plan year

Active participants 16
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2011-05-09
Name of individual signing LARRY TISDALE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BRIAN WHITLOCK Agent 373 W FORT STREET, BOISE, ID 83702

President

Name Role Address Appointed On
Brian Whitlock President IDAHO HOSPITAL ASSOCIATION, BOISE, ID 83701-1278 2021-04-06

Director

Name Role Address Appointed On
Kara Besst Director GRITMAN MEDICAL CENTER, MOSCOW, ID 83843 2024-04-03
Brad Huerta Director LOST RIVERS MEDICAL CENTER, ARCO, ID 83213 2024-04-03
Peggy Cuvala Director BENEWAH COMMUNITY HOSPITAL, ST. MARIES, ID 83861 2024-04-03
Lenne Bonner Director ST. MARY'S & CLEARWATER VALLEY HEALTH, COTTONWOOD, ID 83522 2024-04-03
Odette Bolano Director SAINT ALPHONSUS HEALTH SYSTEM, BOISE, ID 83706 2024-04-03
Garth Baker Director MINIDOKA MEMORIAL HOSPITAL, RUPERT, ID 83350 2024-04-03
Abner King Director SYRINGA HOSPITAL & CLINICS, GRANGEVILLE, ID 83530 2024-04-03
David McFadyen Director SAINT ALPHONSUS REGIONAL MEDICAL CENTER, BOISE, ID 83706 2024-04-03
Michael Blauer Director CASSIA REGIONAL MEDICAL CENTER, BURLEY, ID 83318 2024-04-03
Steven Hale Director WEISER MEMORIAL HOSPITAL, WEISER, ID 83672 2024-04-03

Secretary

Name Role Address Appointed On
Sandee Gehrke Secretary ST. LUKE'S HEALTH SYSTEM, BOISE, ID 83712 2024-04-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005667757 2024-04-03
Annual Report 0005240579 2023-05-12
Annual Report 0004686506 2022-04-04
Change of Registered Office/Agent/Both (by Entity) 0004612456 2022-02-15
Annual Report 0004235932 2021-04-06
Annual Report 0003864738 2020-05-04
Annual Report 0003470325 2019-04-03
Annual Report 0001255521 2018-05-16
Annual Report 0001255520 2017-05-10
Annual Report 0001255519 2016-05-31

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD 75N91018F00001 2018-05-01 2025-04-30 2028-04-30
Unique Award Key CONT_AWD_75N91018F00001_7529_75N91018D00006_7529
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts

Obligated Amount 3758102.21
Current Award Amount 3758102.21
Potential Award Amount 5957041.21

Description

Title CORE INFRASTRUCTURE SUPPORT FOR SURVEILLANCE, EPIDEMIOLOGY AND END RESULTS (SEER) PROGRAM.
NAICS Code 541715: RESEARCH AND DEVELOPMENT IN THE PHYSICAL, ENGINEERING, AND LIFE SCIENCES (EXCEPT NANOTECHNOLOGY AND BIOTECHNOLOGY)
Product and Service Codes AN12: HEALTH R&D SERVICES; HEALTH CARE SERVICES; APPLIED RESEARCH

Recipient Details

Recipient IDAHO HOSPITAL ASSOCIATION INC
UEI XBMCHUMKK6L3
Recipient Address UNITED STATES, 373 W FORT ST, BOISE, ADA, IDAHO, 837024530

Date of last update: 29 Nov 2024

Sources: Idaho Secretary of State