Search icon

KITTSON MEMORIAL HOSPITAL ASSOCIATION

Company Details

Name: KITTSON MEMORIAL HOSPITAL ASSOCIATION
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 03 Nov 1919 (105 years ago)
Company Number: 051c30d5-b1d4-e011-a886-001ec94ffe7f
File Number: 662-NP
Registered Office Address: 1010 S Birch Box 700, Hallock, MN 56728, USA
ZIP code: 56728
County: Kittson County
Place of Formation: Minnesota

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
F4MZBMK2KK52 2025-02-15 1010 S BIRCH AVE, HALLOCK, MN, 56728, 4215, USA 1010 S. BIRCH AVE., P.O. BOX 700, HALLOCK, MN, 56728, 0700, USA

Business Information

Doing Business As KITTSON HEALTHCARE
URL https://kittsonhc.org
Congressional District 07
State/Country of Incorporation MN, USA
Activation Date 2024-03-05
Initial Registration Date 2005-04-21
Entity Start Date 1922-01-01
Fiscal Year End Close Date Sep 30

Service Classifications

NAICS Codes 621610, 622110, 623110
Product and Service Codes Q201, Q401, Q402, Q505, Q511, Q518, Q522, Q999, R699

Points of Contacts

Electronic Business
Title PRIMARY POC
Name ANDREA SWENSON
Role CEO
Address 1010 S. BIRCH AVENUE, HALLOCK, MN, 56728, 0700, USA
Title ALTERNATE POC
Name CRISA MORTENSON
Role BILLING OFFICER
Address 1010 S. BIRCH AVENUE, HALLOCK, MN, 56728, USA
Government Business
Title PRIMARY POC
Name ANDREA SWENSON
Role CEO
Address 1010 S. BIRCH AVENUE, HALLOCK, MN, 56728, 0700, USA
Title ALTERNATE POC
Name CRISA MORTENSON
Role BILLING OFFICER
Address 1010 S. BIRCH AVENUE, HALLOCK, MN, 56728, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KITTSON MEMORIAL HOSPITAL ASSOCIATION DBA KITTSON MEMORIAL HEALTHCARE CENTER TDA 2012 410724034 2013-10-30 KITTSON MEMORIAL HOSPITAL ASSOCIATION 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-04-01
Business code 622000
Sponsor’s telephone number 2188433612
Plan sponsor’s DBA name KITTSON MEMORIAL HEALTHCARE CENTER
Plan sponsor’s address 1010 SOUTH BIRCH, HALLOCK, MN, 56728

Signature of

Role Plan administrator
Date 2013-10-30
Name of individual signing CARLENE COLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-30
Name of individual signing RICHARD FAILING
Valid signature Filed with authorized/valid electronic signature
KITTSON MEMORIAL HOSPITAL ASSOCIATION DBA KITTSON MEMORIAL HEALTHCARE CENTER TAX DEFERRED ANNUITY 2011 410724034 2012-10-11 KITTSON MEMORIAL HOSPITAL ASSOCIATION 15
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 2188433612
Plan sponsor’s DBA name KITTSON MEMORIAL HEALTHCARE CENTER
Plan sponsor’s address 1010 SOUTH BIRCH, HALLOCK, MN, 56728

Plan administrator’s name and address

Administrator’s EIN 410724034
Plan administrator’s name KITTSON MEMORIAL HOSPITAL ASSOCIATION
Plan administrator’s address 1010 SOUTH BIRCH, HALLOCK, MN, 56728
Administrator’s telephone number 2188433612

Signature of

Role Plan administrator
Date 2012-10-11
Name of individual signing CARLENE COLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-11
Name of individual signing CARLENE COLE
Valid signature Filed with authorized/valid electronic signature
KITTSON MEMORIAL HOSPITAL ASSOCIATION DBA KITTSON MEMORIAL HEALTHCARE CENTER TAX DEFERRED ANNUITY 2011 410724034 2012-12-20 KITTSON MEMORIAL HOSPITAL ASSOCIATION 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 2188433612
Plan sponsor’s DBA name KITTSON MEMORIAL HEALTHCARE CENTER
Plan sponsor’s address 1010 SOUTH BIRCH, HALLOCK, MN, 56728

Plan administrator’s name and address

Administrator’s EIN 410724034
Plan administrator’s name KITTSON MEMORIAL HOSPITAL ASSOCIATION
Plan administrator’s address 1010 SOUTH BIRCH, HALLOCK, MN, 56728
Administrator’s telephone number 2188433612

Signature of

Role Plan administrator
Date 2012-12-20
Name of individual signing CARLENE COLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-12-20
Name of individual signing CARLENE COLE
Valid signature Filed with authorized/valid electronic signature
KITTSON MEMORIAL HOSPITAL ASSOCIATION DBA KITTSON MEMORIAL HEALTHCARE CENTER TAX DEFERRED ANNUITY 2010 410724034 2011-10-05 KITTSON MEMORIAL HOSPITAL ASSOCIATION 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 2188433612
Plan sponsor’s DBA name KITTSON MEMORIAL HEALTHCARE CENTER
Plan sponsor’s address 1010 SOUTH BIRCH, HALLOCK, MN, 56728

Plan administrator’s name and address

Administrator’s EIN 410724034
Plan administrator’s name KITTSON MEMORIAL HOSPITAL ASSOCIATION
Plan administrator’s address 1010 SOUTH BIRCH, HALLOCK, MN, 56728
Administrator’s telephone number 2188433612

Signature of

Role Plan administrator
Date 2011-10-05
Name of individual signing CARLENE COLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-05
Name of individual signing CARLENE COLE
Valid signature Filed with authorized/valid electronic signature
KITTSON MEMORIAL HOSPITAL ASSOCIATION DBA KITTSON MEMORIAL HEALTHCARE CENTER TAX DEFERRED ANNUITY 2009 410724034 2010-11-15 KITTSON MEMORIAL HOSPITAL ASSOCIATION 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 2188433612
Plan sponsor’s DBA name KITTSON MEMORIAL HEALTHCARE CENTER
Plan sponsor’s address 1010 SOUTH BIRCH, HALLOCK, MN, 56728

Plan administrator’s name and address

Administrator’s EIN 410724034
Plan administrator’s name KITTSON MEMORIAL HOSPITAL ASSOCIATION
Plan administrator’s address 1010 SOUTH BIRCH, HALLOCK, MN, 56728
Administrator’s telephone number 2188433612

Signature of

Role Plan administrator
Date 2010-11-15
Name of individual signing CARLENE COLE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
Jeni Schwenzfeier Agent

President

Name Role Address
Janelle Craigmile President 1010 S BIRCH AVE, HALLOCK, MN 56728–4215, USA

Filing

Filing Name Filing date
Annual Reinstatement - Nonprofit Corporation (Domestic) 2016-04-20
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2015-06-11
Nonprofit Corporation (Domestic) Business Name (Business Name: KITTSON MEMORIAL HOSPITAL ASSOCIATION) 1990-12-10
Nonprofit Corporation (Domestic) Election 1990-12-10
Nonprofit Corporation (Domestic) Restated Articles 1990-12-10
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1990-04-03
Nonprofit Corporation (Domestic) Business Name (Business Name: Kittson Memorial Hospital Association) 1973-02-06
Amendment - Nonprofit Corporation (Domestic) 1925-06-24
Original Filing - Nonprofit Corporation (Domestic) 1919-11-03
Nonprofit Corporation (Domestic) Business Name (Business Name: The Kittson War Veterans Memorial Hospital Association) 1919-11-03

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD 36C26324K0190 2023-10-01 2023-12-31 2024-09-30
Unique Award Key CONT_AWD_36C26324K0190_3600_36C26323D0022_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 1431288.00
Current Award Amount 1431288.00
Potential Award Amount 1431288.00

Description

Title EXPRESS REPORT: FY24 NH SPEND
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Recipient Details

Recipient KITTSON MEMORIAL HOSPITAL ASSOCIATION
UEI F4MZBMK2KK52
Recipient Address UNITED STATES, 1010 S BIRCH AVE, HALLOCK, KITTSON, MINNESOTA, 567284215
No data IDV 36C26323D0022 2023-01-01 No data No data
Unique Award Key CONT_IDV_36C26323D0022_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 0.00
Potential Award Amount 1000000.00

Description

Title FARGO VA (FVAHCS) 5.5 YEARS NH IDIQ CONTRACT
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Recipient Details

Recipient KITTSON MEMORIAL HOSPITAL ASSOCIATION
UEI F4MZBMK2KK52
Recipient Address UNITED STATES, 1010 S BIRCH AVE, HALLOCK, KITTSON, MINNESOTA, 567284215
DELIVERY ORDER AWARD VA26313J0168 2012-08-16 2012-09-30 2012-09-30
Unique Award Key CONT_AWD_VA26313J0168_3600_VA26312A0091_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 15107.00
Current Award Amount 15107.00
Potential Award Amount 15107.00

Description

Title COMMUNITY NURSING HOME PROGRAM FY 12 SPEND IGF::OT::IGF
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Recipient Details

Recipient KITTSON MEMORIAL HOSPITAL ASSOCIATION
UEI E16XJC4829L6
Recipient Address 1010 S BIRCH ST, HALLOCK, KITTSON, MINNESOTA, 567280700, UNITED STATES
No data IDV VA26312A0091 2012-07-01 No data No data
Unique Award Key CONT_IDV_VA26312A0091_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 0.00
Potential Award Amount 0.00

Description

Title IGF::OT::IGF COMMUNITY NURSING HOME PROGRAM PARTICIPATE
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Recipient Details

Recipient KITTSON MEMORIAL HOSPITAL ASSOCIATION
UEI E16XJC4829L6
Recipient Address 1010 S BIRCH ST, HALLOCK, KITTSON, MINNESOTA, 567280700, UNITED STATES
DELIVERY ORDER AWARD VA26313J0167 2012-05-11 2012-09-30 2013-09-30
Unique Award Key CONT_AWD_VA26313J0167_3600_VA26312A0074_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 16588.00
Current Award Amount 16588.00
Potential Award Amount 16588.00

Description

Title IGF::OT::IGF COMMUNITY NURSING HOME PROGRAM PARTICIPATE PROVIDING NURSING HOME SERVICES TO VHA ELIGIBLE BENEFINICINARIES
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Recipient Details

Recipient KITTSON MEMORIAL HOSPITAL ASSOCIATION
UEI E16XJC4829L6
Recipient Address 1010 S BIRCH ST, HALLOCK, KITTSON, MINNESOTA, 567280700, UNITED STATES
DELIVERY ORDER AWARD VA26313J0166 2012-05-11 2012-09-30 2013-09-30
Unique Award Key CONT_AWD_VA26313J0166_3600_VA26312A0074_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 5520.00
Current Award Amount 5520.00
Potential Award Amount 5520.00

Description

Title IGF::OT::IGF COMMUNITY NURSING HOME PROGRAM PARTICIPATE PROVIDING NURSING HOME SERVICES TO VHA ELIGIBLE BENEFINICINARIES
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Recipient Details

Recipient KITTSON MEMORIAL HOSPITAL ASSOCIATION
UEI E16XJC4829L6
Recipient Address 1010 S BIRCH ST, HALLOCK, KITTSON, MINNESOTA, 567280700, UNITED STATES
No data IDV VA26312A0074 2012-04-01 No data No data
Unique Award Key CONT_IDV_VA26312A0074_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title COMMUNITY NURSING HOME PROGRAM PARTICIPATE PROVIDING NURSING HOME SERVICES TO VHA ELIGIBLE BENEFINICINARIES
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Recipient Details

Recipient KITTSON MEMORIAL HOSPITAL ASSOCIATION
UEI E16XJC4829L6
Legacy DUNS 071356331
Recipient Address 1010 S BIRCH ST, HALLOCK, 567280700, UNITED STATES
DO AWARD VA26312J0218 2011-09-30 2011-09-30 2013-06-30
Unique Award Key CONT_AWD_VA26312J0218_3600_VA263BO0004_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title CNH BOA - ELIGIABLE VETERANS CNH EXTENDED CARE - FY11 4TH QTR REPORTING
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details

Recipient KITTSON MEMORIAL HOSPITAL ASSOCIATION
UEI F4MZBMK2KK52
Legacy DUNS 039041798
Recipient Address 1010 S. BIRCH AVENUE, HALLOCK, 567280700, UNITED STATES
DO AWARD VA437C15108 2010-10-01 2010-12-31 2012-09-30
Unique Award Key CONT_AWD_VA437C15108_3600_VA263BO0004_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title BOA: NURSING HOME CARE FOR ELIGIBLE VETERANS, 1ST QTR - FY2011 EXPENDITURES
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details

Recipient KITTSON MEMORIAL HOSPITAL ASSOCIATION
UEI F4MZBMK2KK52
Legacy DUNS 039041798
Recipient Address 1010 S. BIRCH AVENUE, HALLOCK, 567280700, UNITED STATES
DO AWARD VA437C05401 2010-07-01 2010-09-30 2010-09-30
Unique Award Key CONT_AWD_VA437C05401_3600_VA263BO0004_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title BOA - NURSING HOME CARE/SERVICES - 4TH QUARTER EXPENITURES
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details

Recipient KITTSON MEMORIAL HOSPITAL ASSOCIATION
UEI F4MZBMK2KK52
Legacy DUNS 039041798
Recipient Address 1010 S. BIRCH AVENUE, HALLOCK, 567280700, UNITED STATES

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
198777 Department of Agriculture 10.780 - COMMUNITY FACILITIES LOANS AND GRANTS 2010-08-12 2010-08-12 COMMUNITY FACILITIES LOANS AND GRANTS - ARRA
Recipient KITTSON MEMORIAL HOSPITAL ASSOCIATION
Recipient Name Raw KITTSON MEMORIAL
Recipient UEI F4MZBMK2KK52
Recipient DUNS 039041798
Recipient Address HOSPITAL ASSOCIATIO, 1010 SOUTH BIRCH, HALLOCK, KITTSON, MINNESOTA, 56728-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 6536.00
Face Value of Direct Loan 499000.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
41-0724034 Corporation Unconditional Exemption PO BOX 700, HALLOCK, MN, 56728-0700 1937-10
In Care of Name -
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 2023-09
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 11734312
Income Amount 17627003
Form 990 Revenue Amount 17619510
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 KITTSON MEMORIAL HOSPITAL
EIN 41-0724034
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name KITTSON MEMORIAL HOSPITAL
EIN 41-0724034
Tax Period 202209
Filing Type E
Return Type 990T
File View File
Organization Name KITTSON MEMORIAL HOSPITAL
EIN 41-0724034
Tax Period 202109
Filing Type E
Return Type 990T
File View File
Organization Name KITTSON MEMORIAL HOSPITAL
EIN 41-0724034
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name KITTSON MEMORIAL HOSPITAL
EIN 41-0724034
Tax Period 202009
Filing Type E
Return Type 990
File View File
Organization Name KITTSON MEMORIAL HOSPITAL
EIN 41-0724034
Tax Period 201909
Filing Type P
Return Type 990T
File View File
Organization Name KITTSON MEMORIAL HOSPITAL
EIN 41-0724034
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name KITTSON MEMORIAL HOSPITAL
EIN 41-0724034
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name KITTSON MEMORIAL HOSPITAL
EIN 41-0724034
Tax Period 201809
Filing Type P
Return Type 990T
File View File
Organization Name KITTSON MEMORIAL HOSPITAL
EIN 41-0724034
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name KITTSON MEMORIAL HOSPITAL
EIN 41-0724034
Tax Period 201709
Filing Type P
Return Type 990T
File View File
Organization Name KITTSON MEMORIAL HOSPITAL
EIN 41-0724034
Tax Period 201609
Filing Type P
Return Type 990T
File View File
Organization Name KITTSON MEMORIAL HOSPITAL
EIN 41-0724034
Tax Period 201609
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4612067000 2020-04-04 0508 PPP 1010 South Birch Avenue, HALLOCK, MN, 56728-4215
Loan Status Date 2021-05-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1699000
Loan Approval Amount (current) 1699000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 81371
Servicing Lender Name American Federal Bank
Servicing Lender Address 215 5th St N, FARGO, ND, 58102-4867
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address HALLOCK, KITTSON, MN, 56728-4215
Project Congressional District MN-07
Number of Employees 200
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 81371
Originating Lender Name American Federal Bank
Originating Lender Address FARGO, ND
Gender Unanswered
Veteran Non-Veteran
Forgiveness Amount 1716650.72
Forgiveness Paid Date 2021-04-27

Date of last update: 09 Feb 2025

Sources: Minnesota's Official State Website