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  5. COMMUNITY HOME HEALTH/HOSPICE

COMMUNITY HOME HEALTH/HOSPICE

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Company Details

Legal Name: COMMUNITY HOME HEALTH/HOSPICE
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 1st 1988
Expiration date: 28 Feb 2026
UBI Number: 601 066 671
FEIN Number: 91-1399370
Purpose: COMMUNITY HOME HEALTH & HOSPICE SUPPORTS THE HEALTHCARE AND INDEPENDENT LIVING GOALS OF EACH PATIENT AND THEIR LOVED ONES BY DELIVERING THE HIGHEST QUALITY, COMPASSION AND DIGNIFIED CARE TO INDIVIDUALS IN THEIR CHOSEN PLACE OF RESIDENCE.
ZIP code: 98632
City: Longview
County: COWLITZ
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1000 12TH AVE STE 1, LONGVIEW, WA, 98632-2500, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 2067, LONGVIEW WA 98632, LONGVIEW, WA, 98632-8189, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,561,787

Contact Details

E-Mail: CARI.CLIZBE@CHHH.ORG
cari.clizbe@chhh.org
Website: www.chhh.org
Phone Number: +1 360-751-6933

Nature of Business

Charitable, SUPPORTING HOME HEALTH & HOSPICE SERVICES

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Registered Agent Information

Name Role Address
COMMUNITY HOME HEALTH & HOSPICE Registered Agent 1035 11TH AVE, LONGVIEW, WA, 98632-2505, UNITED STATES

Key Officers & Management

Name Role Address
KENDRA ZERN Governing Person -
JAIME BOAGLIO Governing Person -
MAX ANDERSON Governing Person -
CARI CLIZBE Governing Person -
COREY BALKAN Governing Person -
JAIME BOAGALIO SECRETARY PO BOX 2067, LONGVIEW, WA, 98632-8189, UNITED STATES
COREY BALKAN PRESIDENT PO BOX 2067, LONGVIEW, WA, 98632-8189, UNITED STATES
MAX ANDERSON VICE PRESIDENT PO BOX 2067, LONGVIEW, WA, 98632-8189, UNITED STATES

Unique Entity ID

CAGE Code:
4DLE9
UEI Expiration Date:
2016-06-21

Business Information

Corporate URL:
http://www.chhh.org
Activation Date:
2015-06-22
Initial Registration Date:
2006-04-21

Commercial and government entity program

CAGE number:
4DLE9
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2016-06-21
CAGE Link:
View company profile on CAGE website

Contact Information

POC:
DELORIS POSEY
Corporate URL:
http://www.chhh.org

National Provider Identifier

NPI Number:
1871573766
Link:
View on NPI website

Authorized Person:

Name:
MR. GREG PANG
Role:
EXECUTIVE DIRECTOR
Phone:
3604258510

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
No
Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
No

Contacts:

Phone:
+1 360-425-8510
Fax:
3604254667

Form 5500 Series

Employer Identification Number (EIN):
911399370
Plan Year:
2021
Number Of Participants:
280
Sponsor's telephone number:
3604145439
File:
View File
Plan Administrator / Signatory:
JASON MEUNIER(Plan administrator) JASON MEUNIER(Employer/plan sponsor)
Plan Year:
2020
Number Of Participants:
254
Sponsor's telephone number:
3604145439
File:
View File
Plan Administrator / Signatory:
JASON MEUNIER(Plan administrator) JASON MEUNIER(Employer/plan sponsor)
Plan Year:
2019
Number Of Participants:
271
Sponsor's telephone number:
3604145439
File:
View File
Plan Administrator / Signatory:
JASON MEUNIER(Plan administrator) JASON MEUNIER(Employer/plan sponsor)
Plan Year:
2018
Number Of Participants:
265
Sponsor's telephone number:
3604145439
File:
View File
Plan Administrator / Signatory:
JASON MEUNIER(Plan administrator) JASON MEUNIER(Employer/plan sponsor)
Plan Year:
2017
Number Of Participants:
260
Sponsor's telephone number:
3604145439
File:
View File
Plan Administrator / Signatory:
JASON MEUNIER(Plan administrator) JASON MEUNIER(Employer/plan sponsor)

Tax Exempt

Employer Identification Number (EIN):
91-1399370
In Care Of Name:
% MELISSA YOUNG
Ruling Date:
1989-08
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns

Return Type:
990
Tax Period:
202109
Link:
Download 990
Return Type:
990
Tax Period:
202009
Link:
Download 990
Return Type:
990
Tax Period:
201909
Link:
Download 990

Paycheck Protection Program

Jobs Reported:
289
Initial Approval Amount:
$3,640,357
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$3,640,357
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$3,687,232.83
Servicing Lender:
Heritage Bank
Use of Proceeds:
Payroll: $3,640,357

Facilities

FRS ID:
110045013506
Facility Address:
3100 NE 136TH CIR, VANCOUVER, CLARK, WA, 98686
Link:
View a detailed facility report on Enforcement and Compliance History (ECHO)

Facility SIC Codes

System:
NPDES
Identifier:
WAR125703
SIC Code:
1794

Charity/Fundraiser/Trust

Registration Number:
1101073
Type:
CHARITABLE ORGANIZATION
Status:
Active
Renewal Date:
2026-08-31

Financial History

Fiscal Begin Date:
2023-10-01
Fiscal End Date:
2024-09-30
Begin Assets:
$22,075,504.00
Revenue:
$96,363.00
Expenses:
$1,775,375.00
End Assets:
$18,549,116.00
Fiscal Begin Date:
2022-10-01
Fiscal End Date:
2023-09-30
Begin Assets:
$19,019,157.00
Revenue:
$18,922,970.00
Program Services:
$18,208,209.00
Expenses:
$22,709,311.00
End Assets:
$22,075,504.00
% To Program Services:
80%
Fiscal Begin Date:
2021-10-01
Fiscal End Date:
2022-09-30
Begin Assets:
$23,718,679.00
Revenue:
$19,070,615.00
Program Services:
$18,922,970.00
Expenses:
$22,723,733.00
End Assets:
$19,019,157.00
% To Program Services:
83%
Fiscal Begin Date:
2020-10-01
Fiscal End Date:
2021-09-30
Begin Assets:
$26,692,072.00
Revenue:
$27,696,398.00
Program Services:
$21,077,355.00
Expenses:
$24,947,640.00
End Assets:
$23,718,679.00
% To Program Services:
84%
Fiscal Begin Date:
2019-10-01
Fiscal End Date:
2020-09-30
Begin Assets:
$20,344,063.00
Revenue:
$25,214,467.00
Program Services:
$22,268,696.00
Expenses:
$26,276,424.00
End Assets:
$26,692,072.00
% To Program Services:
85%
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