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  5. LEWIS COUNTY COMMUNITY HEALTH SERVICES

LEWIS COUNTY COMMUNITY HEALTH SERVICES

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Company Details

Legal Name: LEWIS COUNTY COMMUNITY HEALTH SERVICES
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 18th 2003
Expiration date: 31 Jul 2026
UBI Number: 602 312 048
FEIN Number: 42-1599749
Purpose: TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY BY PROVIDING QUALITY AND COMPASSIONATE HEALTH CARE SERVICES IN A PATIENT-CENTERED ATMOSPHERE RESPECTING INDIVIDUAL AND CULTURAL DIVERSITY.
ZIP code: 98532
City: Chehalis
County: LEWIS
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2690 NE KRESKY AVE, CHEHALIS, WA, 98532-2412, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,499,984

Contact Details

E-Mail: ADMINISTRATION@VVHC.ORG
Phone Number: +1 360-330-9595
+1 360-330-7860

Nature of Business

FEDERALLY QUALIFIED HEALTH CENTER

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Registered Agent Information

Name Role Address
HOLLY SLIVA Registered Agent 2690 NE KRESKY AVE, CHEHALIS, WA, 98532-2412, UNITED STATES

Key Officers & Management

Name Role Address
GREG MARTIN BOARD PRESIDENT 2690 NE KRESKY AVE, CHEHALIS, WA, 98532-2412, UNITED STATES
DANIEL STUSSER BOARD SECRETARY 2690 NE KRESKY AVE, CHEHALIS, WA, 98532-2412, UNITED STATES
CHRIS RUST BOARD VICE PRESIDENT 2690 NE KRESKY AVE, CHEHALIS, WA, 98532-2412, UNITED STATES
TAMRA RUYMANN BOARD TREASURER 2690 NE KRESKY AVE, CHEHALIS, WA, 98532-2412, UNITED STATES
TONI GWIN Governing Person -
GREG MARTIN Governing Person -
DANNY STUSSER Governing Person -
ROBERT MOHRBACHER Governing Person -
ROBERT 'CHRIS' RUST Governing Person -
BOBBY BURGER Governing Person -

Unique Entity ID

Unique Entity ID:
PFK5Q73R4JN6
CAGE Code:
4AL07
UEI Expiration Date:
2026-01-08

Business Information

Doing Business As:
VALLEY VIEW HEALTH CENTER
URL:
http://www.vvhc.org
Activation Date:
2025-01-10
Initial Registration Date:
2006-02-06

Commercial and government entity program

CAGE number:
4AL07
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-01-10
SAM Expiration:
2026-01-08
CAGE Link:
View company profile on CAGE website

Contact Information

POC:
CHRIS HALSELL
Corporate URL:
http://www.vvhc.org

National Provider Identifier

NPI Number:
1720840135
Certification Date:
2024-01-30
Link:
View on NPI website

Authorized Person:

Name:
GAELON B SPRADLEY
Role:
CEO
Phone:
3603309555

Taxonomy:

Selected Taxonomy:
3336C0002X - Clinic Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
No
Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
Yes

Contacts:

Phone:
+1 360-330-9595
Fax:
3603309560
Phone:
+1 360-996-3733
Fax:
3606690602

Business Licenses

Status Issue Date Type Expiration Date
Active 2023-10-26 CONSTRUCTION CONTRACTOR -
Active 2024-01-02 CONSTRUCTION CONTRACTOR -

L&I insurance

Insurance Policy Number:
CSARCGL000482001
Insurance Amount:
$1,000,000
Insurance Agency Name:
LOVSTED WORTHINGTON LLC
Insurance Company:
Champlain Specialty Insurance
Effective Date:
2024-10-16
Expiration Date:
2025-10-16
Create Date:
2024-10-15

Tax Exempt

Employer Identification Number (EIN):
42-1599749
In Care Of Name:
% HOLLY SLIVA
Ruling Date:
2004-02
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:
201912
Link:
Download 990

Paycheck Protection Program

Jobs Reported:
125
Initial Approval Amount:
$2,176,200
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$2,176,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$2,207,382.26
Servicing Lender:
Customers Bank
Use of Proceeds:
Payroll: $2,176,200

Labor Condition Applications

Case Number:
I-200-24043-711579
Program:
H-1B
Job Title:
Dentist
SOC (ONET/OES) code:
29-1021.00
SOC (ONET/OES) occupation title:
Dentists, General
Begin Date:
2024-07-08
End Date:
2027-07-07

Employment and Wage Information

Address:
2690 NE Kresky Ave., Chehalis, LEWIS, WA, 98532
Wage Rate Paid to Nonimmigrant Workers:
$191,984
Per:
Year
Prevailing Wage Rate:
$140,837
Case Number:
I-200-23291-441106
Program:
H-1B
Job Title:
Dentist
SOC (ONET/OES) code:
29-1021.00
SOC (ONET/OES) occupation title:
Dentists, General
Begin Date:
2023-12-01
End Date:
2026-11-30

Employment and Wage Information

Address:
2690 NE Kresky Ave., Chehalis, LEWIS, WA, 98532
Wage Rate Paid to Nonimmigrant Workers:
$166,640
Per:
Year
Prevailing Wage Rate:
$140,837
Case Number:
I-200-23116-968846
Program:
H-1B
Job Title:
Family Medicine Physician
SOC (ONET/OES) code:
29-1215.00
SOC (ONET/OES) occupation title:
Family Medicine Physicians
Begin Date:
2023-07-01
End Date:
2026-06-30

Employment and Wage Information

Address:
2690 NE Kresky Ave., Chehalis, LEWIS, WA, 98532
Wage Rate Paid to Nonimmigrant Workers:
$223,334.61
Per:
Year
Prevailing Wage Rate:
$208,000

Charity/Fundraiser/Trust

Registration Number:
1133715
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:
$33,793,494.00
Revenue:
$33,883,695.00
Program Services:
$29,675,189.00
Expenses:
$34,877,525.00
End Assets:
$37,850,257.00
% To Program Services:
85%
Fiscal Begin Date:
2022-01-01
Fiscal End Date:
2022-12-31
Begin Assets:
$29,600,058.00
Revenue:
$31,338,356.00
Program Services:
$23,075,110.00
Expenses:
$27,139,255.00
End Assets:
$33,793,494.00
% To Program Services:
85%
Fiscal Begin Date:
2021-01-01
Fiscal End Date:
2021-12-31
Begin Assets:
$23,617,603.00
Revenue:
$31,885,230.00
Program Services:
$21,129,819.00
Expenses:
$24,722,737.00
End Assets:
$29,600,058.00
% To Program Services:
85%
Fiscal Begin Date:
2020-01-01
Fiscal End Date:
2020-12-31
Begin Assets:
$17,115,645.00
Revenue:
$26,307,194.00
Program Services:
$18,109,150.00
Expenses:
$22,688,846.00
End Assets:
$23,617,603.00
% To Program Services:
80%
Fiscal Begin Date:
2019-01-01
Fiscal End Date:
2019-12-31
Begin Assets:
$17,796,508.00
Revenue:
$22,222,407.00
Program Services:
$16,575,983.00
Expenses:
$20,674,377.00
End Assets:
$17,115,645.00
% To Program Services:
80%
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