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  5. LIFECENTER NORTHWEST

LIFECENTER NORTHWEST

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Company Details

Legal Name: LIFECENTER NORTHWEST
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 22nd 1996
Expiration date: 31 Aug 2026
UBI Number: 601 734 268
FEIN Number: 94-3253342
Purpose: LIFECENTER NORTHWEST IS THE FEDERALLY FUNDED ORGAN AND TISSUE RECOVERY AGENCY FOR WASHINGTON, MONTANA AND ALASKA.
ZIP code: 98006
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3650 131ST AVE SE STE 200, BELLEVUE, WA, 98006-1395, UNITED STATES

Contact Details

E-Mail: ADMINISTRATIVESUPPORT@LCNW.ORG
cheryl.wynne@lcnw.org
LEGAL@LCNW.ORG
Website: www.lcnw.org
Phone Number: +1 425-201-6563
+1 425-515-5194

Nature of Business

HEALTHCARE - THE ORGANIZATION WHICH PROCURES ORGANS AND TISSUE FOR TRANSPLANTATION

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Registered Agent Information

Name Role
COGENCY GLOBAL INC. Registered Agent

Key Officers & Management

Name Role
Kevin O'Connor Officer
CHERYL WYNNE Officer
Gerard Fischer Officer
JEFFREY TOMLIN Governing Person
KATIE BELL Governing Person
CRAIG HENDRICKSON Governing Person
SARAH TALLON Governing Person
JOYCE JACKSON Governing Person
KEN PRICE Governing Person
PAM PALAGI Governing Person

Links between entities

Type:
Headquarter of
Company Number:
60013F
State:
ALASKA
ALASKA profile:
LIFECENTER NORTHWEST (AK)
Type:
Headquarter of
Company Number:
360753
State:
IDAHO
IDAHO profile:
LIFECENTER NORTHWEST (ID)
Type:
Headquarter of
Company Number:
593635
State:
IDAHO
IDAHO profile:
LIFECENTER NORTHWEST (ID)

National Provider Identifier

NPI Number:
1285382390
Certification Date:
2022-03-17
Link:
View on NPI website

Authorized Person:

Name:
KEVIN PETERSON
Role:
VP FINANCE AND ACCOUNTING
Phone:
4252016604

Taxonomy:

Selected Taxonomy:
335U00000X - Organ Procurement Organization
Is Primary:
Yes

Contacts:

Phone:
+1 877-275-5269

Form 5500 Series

Employer Identification Number (EIN):
943253342
Plan Year:
2014
Number Of Participants:
113
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
4252016623
File:
View File
Plan Administrator / Signatory:
AMY WILSON(Plan administrator) AMY WILSON(Employer/plan sponsor)
Plan Year:
2013
Number Of Participants:
103
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
4252016588
File:
View File
Plan Administrator / Signatory:
JOHN KLEIN(Plan administrator)
Plan Year:
2012
Number Of Participants:
90
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
4252016588
File:
View File
Plan Administrator / Signatory:
JOHN H. KLEIN(Plan administrator)
Plan Year:
2011
Number Of Participants:
90
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
4252016588
File:
View File
Plan Administrator / Signatory:
JOHN KLEIN(Plan administrator)
Plan Year:
2010
Number Of Participants:
110
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
4252016588
File:
View File
Plan Administrator / Signatory:
JOHN H. KLEIN(Plan administrator)

Tax Exempt

Employer Identification Number (EIN):
94-3253342
In Care Of Name:
% RALPH BARTH
Ruling Date:
1996-10
National Taxonomy Of Exempt Entities:
Health Care: Health - General and Rehabilitative N.E.C.
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:
162
Initial Approval Amount:
$2,988,522
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$2,927,025
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Servicing Lender:
GBC International Bank
Use of Proceeds:
Payroll: $2,755,926
Utilities: $1,110
Rent: $134,000
Healthcare: $35989

Labor Condition Applications

Case Number:
I-200-21055-099660
Program:
H-1B
Job Title:
Recovery Surgeon
SOC (ONET/OES) code:
29-1067.00
SOC (ONET/OES) occupation title:
Surgeons
Begin Date:
2021-08-24
End Date:
2024-08-23

Employment and Wage Information

Address:
3650 131st Avenue SE, Suite 200, Bellevue, KING, WA
Wage Rate Paid to Nonimmigrant Workers:
$250,000
Per:
Year
Prevailing Wage Rate:
$208,000
Case Number:
I-200-18046-381993
Program:
H-1B
Job Title:
RECOVERY SURGEON
SOC (ONET/OES) code:
29-1067
SOC (ONET/OES) occupation title:
SURGEONS
Begin Date:
2018-08-23
End Date:
2021-08-23

Employment and Wage Information

Address:
BELLEVUE, KING, WA, 98006
Wage Rate Paid to Nonimmigrant Workers:
$240,000
Per:
Year
Prevailing Wage Rate:
$237,536

Charity/Fundraiser/Trust

Registration Number:
1102699
Type:
CHARITABLE ORGANIZATION
Status:
Involuntarily Closed
Renewal Date:
2017-11-30

Financial History

Fiscal Begin Date:
2015-01-01
Fiscal End Date:
2015-12-31
Begin Assets:
$11,377,273.00
Revenue:
$29,558,587.00
Program Services:
$22,202,748.00
Expenses:
$26,422,891.00
End Assets:
$14,472,578.00
% To Program Services:
84%
Fiscal Begin Date:
2014-01-01
Fiscal End Date:
2014-12-31
Begin Assets:
$8,394,279.00
Revenue:
$27,080,665.00
Program Services:
$21,016,345.00
Expenses:
$24,390,897.00
End Assets:
$11,377,273.00
% To Program Services:
86%
Fiscal Begin Date:
2013-01-01
Fiscal End Date:
2013-12-31
Begin Assets:
$6,993,502.00
Revenue:
$22,880,283.00
Program Services:
$18,342,739.00
Expenses:
$21,263,486.00
End Assets:
$8,394,279.00
% To Program Services:
86%
Fiscal Begin Date:
2012-01-01
Fiscal End Date:
2012-12-31
Begin Assets:
$3,834,141.00
Revenue:
$22,608,888.00
Program Services:
$17,469,607.00
Expenses:
$20,189,676.00
End Assets:
$6,993,502.00
% To Program Services:
87%
Fiscal Begin Date:
2011-01-01
Fiscal End Date:
2011-12-31
Begin Assets:
$4,121,702.00
Revenue:
$19,435,248.00
Program Services:
$16,037,790.00
Expenses:
$18,641,095.00
End Assets:
$3,834,141.00
% To Program Services:
86%
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