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CLINTON AND HICKMAN COUNTY HOSPITAL, INC.

Company Details

Name: CLINTON AND HICKMAN COUNTY HOSPITAL, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 29 Dec 1947 (77 years ago)
Organization Date: 29 Dec 1947 (77 years ago)
Last Annual Report: 30 May 2024 (a year ago)
Organization Number: 0009944
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42031
City: Clinton
Primary County: Hickman County
Principal Office: 366 S WASHINGTON ST, CLINTON, KY 42031
Place of Formation: KENTUCKY

Registered Agent

Name Role
JENNIFER CONNELL Registered Agent

President

Name Role
Billy Little President

Secretary

Name Role
Jennifer H Connell Secretary

Vice President

Name Role
Scott Smith Vice President

Director

Name Role
Billy Little Director
Scott Smith Director
Jennifer H Connell Director
Lilly Kimbell Director
Larry Lewis Director
F. C. HOPKINS Director
R. L. BOLIN Director
R. T. GRIFFEY Director
W. M. CUNNINGHAM Director
GEORGE S. EMERSON Director

Incorporator

Name Role
F. C. HOPKINS Incorporator
R. L. BOLIN Incorporator
R. T. GRIFFEY Incorporator
W. M. CUNNINGHAM Incorporator
GEORGE S. EMERSON Incorporator

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
GGKLUF61DJM5
CAGE Code:
7H6D5
UEI Expiration Date:
2026-01-27

Business Information

Activation Date:
2025-01-29
Initial Registration Date:
2015-10-30

National Provider Identifier

NPI Number:
1467520650

Authorized Person:

Name:
MR. WILLIAM B. LITTLE
Role:
ADMINISTRAOT
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
2706534162

Filings

Name File Date
Annual Report 2024-05-30
Annual Report 2023-05-02
Annual Report 2022-03-07
Annual Report 2021-05-26
Annual Report 2020-03-19

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C25524K0171
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2023-10-01
Total Dollars Obligated:
77625.50
Current Total Value Of Award:
77625.50
Potential Total Value Of Award:
77625.50
Description:
EXPRESS REPORT: 3RD QUARTER EXPRESS REPORT EXPENDITURES FOR COMMUNITY NURSING HOME.
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES
Procurement Instrument Identifier:
36C25523D0004
Award Or Idv Flag:
IDV
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2022-10-01
Total Dollars Obligated:
0.00
Potential Total Value Of Award:
2759242.09
Description:
ECONOMIC PRICE ADJUSTMENT IN STATE MEDICAID RATE.
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C25523K0131
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2022-10-01
Total Dollars Obligated:
75290.61
Current Total Value Of Award:
75290.61
Potential Total Value Of Award:
75290.61
Description:
EXPRESS REPORT: 2ND QUARTER EXPRESS REPORT EXPENDITURES FOR COMMUNITY NURSING HOME
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

USAspending Awards / Financial Assistance

Date:
2022-05-12
Awarding Agency Name:
Department of Agriculture
Transaction Description:
ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES
Obligated Amount:
0.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
61-0476685
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)
Ruling Date:
1957-08
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Sources: Kentucky Secretary of State