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LAHAI HEALTH

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Company Details

Legal Name: LAHAI HEALTH
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 26th 2003
Expiration date: 28 Feb 2026
UBI Number: 602 274 995
FEIN Number: 33-1052418
Purpose: PROVIDE QUALITY, COMPASSIONATE HEALTH CARE TO LOW-INCOME, UNINSURED, AND UNDER-INSURED FAMILIES.
ZIP code: 98036
City: Lynnwood
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 19820 SCRIBER LAKE RD STE 2, LYNNWOOD, WA, 98036-6121, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 19820 SCRIBER LAKE RD # STE2, LYNNWOOD, WA, 98036-6121, UNITED STATES

Contact Details

E-Mail: FINANCE@LAHAI.ORG
Phone Number: +1 206-889-4764
+1 206-899-4764

Nature of Business

Charitable, MEDICAL, DENTAL AND MENTAL HEALTH PROVIDER.

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Registered Agent Information

Name Role
LAHAI HEALTH Registered Agent

Key Officers & Management

Name Role Address
LARRY RAFFERTY Governing Person -
DAVID ELLER Governing Person -
BECKY WILLIAMSON Governing Person -
BECKY WILLIAMSON PRESIDENT 685 SPRING ST # 295, FRIDAY HARBOR, WA, 98250-8058, UNITED STATES
COLIN ECCLES VICE PRESIDENT 16611 74TH PL W, EDMONDS, WA, 98026-5116, UNITED STATES

Unique Entity ID

Unique Entity ID:
LH8HQZ6PK4R6
CAGE Code:
8JV61
UEI Expiration Date:
2025-12-26

Business Information

URL:
lahai.org
Activation Date:
2024-12-27
Initial Registration Date:
2020-04-03

National Provider Identifier

NPI Number:
1235683194
Certification Date:
2024-08-01
Link:
View on NPI website

Authorized Person:

Name:
LARRY RAFFERTY
Role:
DIRECTOR OF FINANCE
Phone:
2063634105

Taxonomy:

Selected Taxonomy:
1223D0001X - Public Health Dentist
Is Primary:
Yes

Contacts:

Phone:
+1 206-363-4105
Fax:
2068231010

Form 5500 Series

Employer Identification Number (EIN):
331052418
Plan Year:
2024
Number Of Participants:
40
Plan Name:
401(K)
Sponsor's telephone number:
2063634105
File:
View File
Plan Administrator / Signatory:
LARRY RAFFERTY(Plan administrator)
Plan Year:
2023
Number Of Participants:
27
Plan Name:
401(K)
Sponsor's telephone number:
2063634105
File:
View File
Plan Administrator / Signatory:
LARRY RAFFERTY(Plan administrator)
Plan Year:
2022
Number Of Participants:
24
Plan Name:
401(K)
Sponsor's telephone number:
2063634105
File:
View File
Plan Administrator / Signatory:
LARRY RAFFERTY(Plan administrator)
Plan Year:
2021
Number Of Participants:
19
Plan Name:
401(K)
Sponsor's telephone number:
2063634105
File:
View File
Plan Administrator / Signatory:
LARRY RAFFERTY(Plan administrator)
Plan Year:
2020
Number Of Participants:
17
Plan Name:
401(K)
Sponsor's telephone number:
2063634105
File:
View File
Plan Administrator / Signatory:
DAVID ELLER(Plan administrator)

History

Type Old value New value Date of change
Name change PUGET SOUND CHRISTIAN CLINIC LAHAI HEALTH 2018-03-27

Tax Exempt

Employer Identification Number (EIN):
33-1052418
In Care Of Name:
% LYNN GOOD
Ruling Date:
2004-02
National Taxonomy Of Exempt Entities:
Health Care: Ambulatory Health Center, Community Clinic
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:
202212
Link:
Download 990
Return Type:
990
Tax Period:
202112
Link:
Download 990
Return Type:
990
Tax Period:
202012
Link:
Download 990

Paycheck Protection Program

Jobs Reported:
21
Initial Approval Amount:
$120,000
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$120,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$121,150.68
Servicing Lender:
HomeStreet Bank
Use of Proceeds:
Payroll: $120,000

Motor Carrier Census

Carrier Operation:
Intrastate Non-Hazmat
Phone:
(206) 899-4753
Fax:
(206) 363-1723
Email:
TATYANAP@LAHAI.ORG
Add Date:
2010-08-03
Operation Classification:
Private(Property)
power Units:
1
Drivers:
2
Inspections:
1
FMCSA Link:
View on FMCSA website

Charity/Fundraiser/Trust

Registration Number:
1110760
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:
$1,311,839.00
Revenue:
$2,236,146.00
Program Services:
$1,392,601.00
Expenses:
$1,760,045.00
End Assets:
$1,720,485.00
% To Program Services:
79%
Fiscal Begin Date:
2022-01-01
Fiscal End Date:
2022-12-31
Begin Assets:
$1,013,686.00
Revenue:
$1,612,526.00
Program Services:
$1,213,162.00
Expenses:
$1,531,223.00
End Assets:
$1,311,839.00
% To Program Services:
79%
Fiscal Begin Date:
2021-01-01
Fiscal End Date:
2021-12-31
Begin Assets:
$1,779,239.00
Revenue:
$1,596,238.00
Program Services:
$1,218,332.00
Expenses:
$1,503,297.00
End Assets:
$1,013,686.00
% To Program Services:
81%
Fiscal Begin Date:
2020-01-01
Fiscal End Date:
2020-12-31
Begin Assets:
$1,065,480.00
Revenue:
$1,549,412.00
Program Services:
$1,137,337.00
Expenses:
$1,437,456.00
End Assets:
$1,779,239.00
% To Program Services:
79%
Fiscal Begin Date:
2019-01-01
Fiscal End Date:
2019-12-31
Begin Assets:
$1,198,770.00
Revenue:
$1,096,044.00
Program Services:
$962,542.00
Expenses:
$1,171,689.00
End Assets:
$1,065,480.00
% To Program Services:
82%
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