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 | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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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 |
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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 | |||||||||||||||||||||||||||||||||||||||||||
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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 |
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 |
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 |
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 |
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 |
Name | Role |
---|---|
Jeni Schwenzfeier | Agent |
Name | Role | Address |
---|---|---|
Janelle Craigmile | President | 1010 S BIRCH AVE, HALLOCK, MN 56728–4215, USA |
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 |
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 | |||||||||||||||||||||||||
|
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 | |||||||||||||||||||||
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EIN | Type of Organization | Exempt Organization Status | Address | Ruling Date | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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41-0724034 | Corporation | Unconditional Exemption | PO BOX 700, HALLOCK, MN, 56728-0700 | 1937-10 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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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 |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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4612067000 | 2020-04-04 | 0508 | PPP | 1010 South Birch Avenue, HALLOCK, MN, 56728-4215 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 09 Feb 2025
Sources: Minnesota's Official State Website