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  5. MONTROSE MEMORIAL HOSPITAL, INC.

MONTROSE MEMORIAL HOSPITAL, INC.

Company Details

Name: MONTROSE MEMORIAL HOSPITAL, INC.
Jurisdiction: Colorado
Legal type: Domestic nonprofit corporation
Status: Good Standing
Date of registration: 11 Oct 2010 (14 years ago)
Entity Number: 20101559064
ZIP code: 81401
County: Montrose County
Place of Formation: COLORADO
Principal Address: 800 S 3rd St Montrose CO 81401 US

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
Q7GAS1L8LFS3 2025-01-31 800 S 3RD ST, MONTROSE, CO, 81401, 4212, USA 800 S 3RD ST, MONTROSE, CO, 81401, 4212, USA

Business Information
Doing Business As MONTROSE REGIONAL HEALTH
Congressional District 03
Activation Date 2024-02-02
Initial Registration Date 2002-10-29
Entity Start Date 1946-09-19
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ROBYN FUNK
Address 800 S. 3RD ST, MONTROSE, CO, 81401, 4212, USA
Government Business
Title PRIMARY POC
Name ROBYN FUNK
Address 800 S. 3RD ST, MONTROSE, CO, 81401, 4212, USA
Past Performance
Title PRIMARY POC
Name DANIELLE BEARD
Role SENIOR ACCOUNTING MANAGER
Address 800 S. 3RD STREET, MONTROSE, CO, 81401, 4212, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3CCP1 Active Non-Manufacturer 2002-10-30 2024-02-02 2029-02-02 2025-01-31

Contact Information
POC ROBYN FUNK
Phone +1 970-252-2522
Fax +1 970-240-7100
Address 800 S 3RD ST, MONTROSE, CO, 81401 4212, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MONTROSE MEMORIAL HOSPITAL INC. 403B PLAN 2023 846002707 2024-04-11 MONTROSE MEMORIAL HOSPITAL INC. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-08-10
Business code 622000
Sponsor’s telephone number 9702407395
Plan sponsor’s address 800 S 3RD ST, MONTROSE, CO, 81401

Signature of
Role Plan administrator
Date 2024-04-11
Name of individual signing ERIN SKEES
Valid signature Filed with authorized/valid electronic signature
MONTROSE MEMORIAL HOSPITAL INC. 403B PLAN 2022 846002707 2023-05-15 MONTROSE MEMORIAL HOSPITAL INC. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-08-10
Business code 622000
Sponsor’s telephone number 9702407395
Plan sponsor’s address 800 SOUTH 3RD STREET, MONTROSE, CO, 81401

Signature of
Role Plan administrator
Date 2023-05-15
Name of individual signing ERIN SKEES
Valid signature Filed with authorized/valid electronic signature
MONTROSE MEMORIAL HOSPITAL INC. 403B PLAN 2021 846002707 2022-07-13 MONTROSE MEMORIAL HOSPITAL INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-08-10
Business code 622000
Sponsor’s telephone number 9702407395
Plan sponsor’s address 800 S 3RD ST, MONTROSE, CO, 81401

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing ERIN SKEES
Valid signature Filed with authorized/valid electronic signature
MONTROSE MEMORIAL HOSPITAL INC. 403B PLAN 2021 846002707 2022-07-13 MONTROSE MEMORIAL HOSPITAL INC. 14
Three-digit plan number (PN) 002
Effective date of plan 2005-08-10
Business code 622000
Sponsor’s telephone number 9702407395
Plan sponsor’s address 800 S 3RD ST, MONTROSE, CO, 81401

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing ERIN SKEES
Valid signature Filed with authorized/valid electronic signature
MONTROSE MEMORIAL HOSPITAL INC. 403B PLAN 2020 846002707 2021-05-28 MONTROSE MEMORIAL HOSPITAL INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-08-10
Business code 622000
Sponsor’s telephone number 9702407395
Plan sponsor’s address 800 S 3RD ST, MONTROSE, CO, 81401

Signature of
Role Plan administrator
Date 2021-05-28
Name of individual signing ERIN SKEES
Valid signature Filed with authorized/valid electronic signature
MONTROSE MEMORIAL HOSPITAL INC. 403B PLAN 2019 846002707 2020-06-10 MONTROSE MEMORIAL HOSPITAL INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-08-10
Business code 622000
Sponsor’s telephone number 9702407395
Plan sponsor’s address 800 S 3RD ST, MONTROSE, CO, 81401

Signature of
Role Plan administrator
Date 2020-06-10
Name of individual signing ERIN SKEES
Valid signature Filed with authorized/valid electronic signature
MONTROSE MEMORIAL HOSPITAL, INC. EMPLOYEE BENEFIT PLAN 2018 846002707 2019-09-30 MONTROSE MEMORIAL HOSPITAL, INC. 484
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-11-01
Business code 622000
Sponsor’s telephone number 9702407395
Plan sponsor’s mailing address 800 SOUTH 3RD STREET, MONTROSE, CO, 81401
Plan sponsor’s address 800 SOUTH 3RD STREET, MONTROSE, CO, 81401

Number of participants as of the end of the plan year
Active participants 476
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2019-09-30
Name of individual signing ERIN SKEES
Valid signature Filed with authorized/valid electronic signature
MONTROSE MEMORIAL HOSPITAL INC. 403B PLAN 2018 846002707 2019-08-29 MONTROSE MEMORIAL HOSPITAL INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-08-10
Business code 622000
Sponsor’s telephone number 9702407395
Plan sponsor’s address 800 S 3RD ST, MONTROSE, CO, 81401

Signature of
Role Plan administrator
Date 2019-08-29
Name of individual signing ERIN SKEES
Valid signature Filed with authorized/valid electronic signature
MONTROSE MEMORIAL HOSPITAL INC. 403B PLAN 2018 846002707 2019-08-29 MONTROSE MEMORIAL HOSPITAL INC. 15
Three-digit plan number (PN) 002
Effective date of plan 2005-08-10
Business code 622000
Sponsor’s telephone number 9702407395
Plan sponsor’s address 800 S 3RD ST, MONTROSE, CO, 81401

Signature of
Role Plan administrator
Date 2019-08-29
Name of individual signing ERIN SKEES
Valid signature Filed with authorized/valid electronic signature
MONTROSE MEMORIAL HOSPITAL, INC. EMPLOYEE BENEFIT PLAN 2017 846002707 2020-01-09 MONTROSE MEMORIAL HOSPITAL, INC. 721
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-11-01
Business code 622000
Sponsor’s telephone number 9702407395
Plan sponsor’s mailing address 800 SOUTH 3RD STREET, MONTROSE, CO, 81401
Plan sponsor’s address 800 SOUTH 3RD STREET, MONTROSE, CO, 81401

Number of participants as of the end of the plan year
Active participants 484
Retired or separated participants receiving benefits 7
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2020-01-09
Name of individual signing ERIN SKEES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Mary Vader Agent 800 S 3rd St Montrose CO 81401 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20248362807 File Report 2024-12-24 2024-12-24 No data Principal address changed, Change in registered agent information
20238097282 File Report 2023-10-19 2023-10-19 No data Principal address changed, Change in registered agent information
20228152051 File Report 2022-11-27 2022-11-27 No data Principal address changed, Change in registered agent information
20218204528 File Report 2021-12-24 2021-12-24 No data No data
20208106599 File Report 2020-12-24 2020-12-24 No data No data
20191940321 File Report 2019-11-27 2019-11-27 No data No data
20181951877 File Report 2018-12-04 2018-12-04 No data Change of Registered Agent
20171755389 File Report 2017-10-04 2017-10-04 No data No data
20161694809 File Report 2016-10-14 2016-10-14 No data Change of Registered Agent
20151632864 File Report 2015-09-29 2015-09-29 No data No data

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD VA575C07080 2009-11-23 2010-09-30 2010-09-30
Unique Award Key CONT_AWD_VA575C07080_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title LEASING SPACE FOR MONTROSE EAR,NOSE, AND THROAT CLINIC
NAICS Code 923140: ADMINISTRATION OF VETERANS' AFFAIRS
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details
Recipient MONTROSE MEMORIAL HOSPITAL INC
UEI Q7GAS1L8LFS3
Legacy DUNS 010633667
Recipient Address 800 S 3RD ST, MONTROSE, 814014212, UNITED STATES
PURCHASE ORDER AWARD DOLB104R22979 2009-10-01 2010-09-30 2010-09-30
Unique Award Key CONT_AWD_DOLB104R22979_1605_-NONE-_-NONE-
Awarding Agency Department of Labor
Link View Page

Award Amounts
Obligated Amount 3415.50
Current Award Amount 3415.50
Potential Award Amount 3415.50

Description
Title PHYSICALS FOR MINE INSPECTORS
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q526: MEDICAL/PSYCH CONSULTATION SVCS

Recipient Details
Recipient MONTROSE MEMORIAL HOSPITAL INC
UEI Q7GAS1L8LFS3
Legacy DUNS 010633667
Recipient Address 800 S 3RD ST, MONTROSE, MONTROSE, COLORADO, 814014212, UNITED STATES

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
84-6002707 Corporation Unconditional Exemption 800 S 3RD ST, MONTROSE, CO, 81401-4212 2013-03
In Care of Name % THE CORPORATION
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-12
Asset 50,000,000 to greater
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 185527723
Income Amount 182607221
Form 990 Revenue Amount 174821714
National Taxonomy of Exempt Entities Health Care: Hospitals and Related Primary Medical Care Facilities
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letter
Final Letter(s) FinalLetter_84-6002707_MONTROSEMEMORIALHOSPITALINC_07252011_01.tif
FinalLetter_84-6002707_MONTROSEMEMORIALHOSPITALINC_07252011_02.tif

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name MONTROSE MEMORIAL HOSPITAL INC
EIN 84-6002707
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name MONTROSE MEMORIAL HOSPITAL INC
EIN 84-6002707
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name MONTROSE MEMORIAL HOSPITAL INC
EIN 84-6002707
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name MONTROSE MEMORIAL HOSPITAL INC
EIN 84-6002707
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name MONTROSE MEMORIAL HOSPITAL INC
EIN 84-6002707
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name MONTROSE MEMORIAL HOSPITAL INC
EIN 84-6002707
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name MONTROSE MEMORIAL HOSPITAL INC
EIN 84-6002707
Tax Period 201512
Filing Type E
Return Type 990
File View File

Related by officers

Mary Vader

Montrose Longevity Clinic LLC

Related by address

800 S 3rd St Montrose CO 81401 US

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Date of last update: 10 Mar 2025

Sources: Colorado's Secretary of State

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