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EXCELSIOR WELLNESS

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Company Details

Legal Name: EXCELSIOR WELLNESS
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 1st 1982
Expiration date: 31 Oct 2025
UBI Number: 601 138 592
FEIN Number: 91-1189908
Purpose: PURPOSE: TO PROVIDE INTEGRATED HEALTHCARE AND EDUCATION FOR CHILDREN AND FAMILIES. MISSION: EXCELSIOR WELLNESS ALIGNS PEOPLE, INSTITUTIONS, AND RESOURCES WITH RESTORING AND PRESERVING OUR COMMUNITY'S MENTAL, EMOTIONAL AND PHYSICAL HEALTH, AND WELL-BEING VISION: THAT ALL PEOPLE LIVE HEALTHIER, STRONGER, AND MORE SATISFYING LIVES VALUES: QUALITY, COMPASSION, ADAPTION, AND INNOVATION
ZIP code: 99208
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3754 W INDIAN TRAIL RD, SPOKANE, WA, 99208-4736, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,795,488

Contact Details

E-Mail: KIM.PIERONI@4EYC.ORG
INFO@EXCELSIORWELLNESS.ORG
Phone Number: +1 509-559-3100

Nature of Business

Charitable, INTEGRATED HEALTHCARE AND EDUCATION SERVICES

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Registered Agent Information

Name Role
WBM CORPORATE SERVICES LLC Registered Agent

Key Officers & Management

Name Role Address
ALAN BASHAM VICE CHAIR 3754 W INDIAN TRAIL RD, SPOKANE, WA, 99208-4736, UNITED STATES
CARMEN GREEN CHAIR 3754 W. INDIAN TRAIL ROAD, COLBERT, WA, 99005-9736, UNITED STATES
DENNIS HESSION SECRETARY 3754 W INDIAN TRAIL RD, SPOKANE, WA, 99208-4736, UNITED STATES
ANDREW HILL PRESIDENT & CEO 3754 W Indian Trail Rd, SPOKANE, WA, 99208-4736, UNITED STATES
DAPHNE SMITH INTERIM VICE-CHAIR 3754 W INDIAN TRAIL RD, SPOKANE, WA, 99208-4736, UNITED STATES
SHAUN CROSS TREASURER 3754 W INDIAN TRAIL RD, SPOKANE, WA, 99208-4736, UNITED STATES
DR. AMANDA REEDY DIRECTOR 3754 W INDIAN TRAIL RD, SPOKANE, WA, 99208-4736, UNITED STATES
ANNA FRANKLIN DIRECTOR 3754 W INDIAN TRAIL RD, SPOKANE, WA, 99208-4736, UNITED STATES
GERALD CROWSHOE DIRECTOR 3754 W INDIAN TRAIL RD, SPOKANE, WA, 99208-4736, UNITED STATES
JACQUELYNNE SANDOVAL DIRECTOR 3754 W INDIAN TRAIL RD, SPOKANE, WA, 99208-4736, UNITED STATES

Unique Entity ID

Unique Entity ID:
SGNPAMRGGHN4
CAGE Code:
5YKA2
UEI Expiration Date:
2025-11-03

Business Information

Doing Business As:
EXCELSIOR WELLNESS
URL:
www.excelsiorwellness.org
Division Name:
EXCELSIOR WELLNESS
Division Number:
EXCELSIOR
Activation Date:
2024-11-05
Initial Registration Date:
2010-04-06

Commercial and government entity program

CAGE number:
5YKA2
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-11-05
SAM Expiration:
2025-11-03
CAGE Link:
View company profile on CAGE website

Contact Information

POC:
ANDREW HILL
Corporate URL:
www.excelsiorwellness.org

National Provider Identifier

NPI Number:
1184322109
Certification Date:
2023-02-15
Link:
View on NPI website

Authorized Person:

Name:
DOVIE BRITTON
Role:
CONTRACT & CREDENTIAL COORDINATOR
Phone:
5092189539

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
Yes

Contacts:

Phone:
+1 509-559-3100

Form 5500 Series

Employer Identification Number (EIN):
912047747
Plan Year:
2022
Number Of Participants:
63
Plan Name:
401(K)
Sponsor's telephone number:
5095394558
Plan Administrator / Signatory:
CHERYL CROSKREY(Plan administrator)
Plan Year:
2015
Number Of Participants:
96
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
5093287041
File:
View File
Plan Administrator / Signatory:
KIMBERLY PIERONI(Plan administrator)
Plan Year:
2014
Number Of Participants:
100
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
5093287041
File:
View File
Plan Administrator / Signatory:
KIMBERLY PIERONI(Plan administrator)
Plan Year:
2013
Number Of Participants:
94
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
5093287041
Plan Administrator / Signatory:
KIMBERLY PIERONI(Plan administrator)
Plan Year:
2013
Number Of Participants:
94
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
5093287041
File:
View File
Plan Administrator / Signatory:
KIMBERLY PIERONI(Plan administrator)

History

Type Old value New value Date of change
Name change EXCELSIOR YOUTH CENTER EXCELSIOR WELLNESS 2021-06-14

Tax Exempt

Employer Identification Number (EIN):
91-1189908
Ruling Date:
1983-05
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns

Return Type:
990T
Tax Period:
202212
Link:
Download 990T
Return Type:
990
Tax Period:
202212
Link:
Download 990
Return Type:
990T
Tax Period:
202112
Link:
Download 990T

Paycheck Protection Program

Jobs Reported:
142
Initial Approval Amount:
$1,825,800
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,825,800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,838,255.46
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $1,825,800
Jobs Reported:
171
Initial Approval Amount:
$1,812,600
Date Approved:
2021-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,812,600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,825,114.39
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $1,812,600

Charity/Fundraiser/Trust

Registration Number:
1101534
Type:
CHARITABLE ORGANIZATION
Status:
Active
Renewal Date:
2025-11-30

Financial History

Fiscal Begin Date:
2023-01-01
Fiscal End Date:
2023-12-31
Begin Assets:
$18,663,066.00
Revenue:
$23,080,043.00
Program Services:
$15,950,052.00
Expenses:
$20,480,190.00
End Assets:
$21,333,948.00
% To Program Services:
78%
Fiscal Begin Date:
2022-01-01
Fiscal End Date:
2022-12-31
Begin Assets:
$18,215,561.00
Revenue:
$21,076,646.00
Program Services:
$15,843,666.00
Expenses:
$19,897,563.00
End Assets:
$18,663,066.00
% To Program Services:
80%
Fiscal Begin Date:
2021-01-01
Fiscal End Date:
2021-12-31
Begin Assets:
$13,469,336.00
Revenue:
$21,355,241.00
Program Services:
$16,382,027.00
Expenses:
$16,607,208.00
End Assets:
$18,215,561.00
% To Program Services:
98%
Fiscal Begin Date:
2020-01-01
Fiscal End Date:
2020-12-31
Begin Assets:
$11,206,860.00
Revenue:
$19,324,343.00
Program Services:
$11,695,367.00
Expenses:
$14,336,233.00
End Assets:
$13,469,336.00
% To Program Services:
82%
Fiscal Begin Date:
2019-01-01
Fiscal End Date:
2019-12-31
Begin Assets:
$4,816,886.00
Revenue:
$17,086,775.00
Program Services:
$10,699,363.00
Expenses:
$10,699,363.00
End Assets:
$11,206,860.00
% To Program Services:
100%

Related by address

3754 W INDIAN TRAIL RD, SPOKANE, WA, 99208-4736, UNITED STATES

ANDREW HILL MS NCC LMHC
WA LIMITED LIABILITY COMPANY - Administratively Dissolved
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