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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

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
GGKLUF61DJM5 2025-01-28 366 S WASHINGTON ST, CLINTON, KY, 42031, 1324, USA 366 S WASHINGTON ST, CLINTON, KY, 42031, 1324, USA

Business Information

Congressional District 01
State/Country of Incorporation KY, USA
Activation Date 2024-01-31
Initial Registration Date 2015-10-30
Entity Start Date 1968-12-01
Fiscal Year End Close Date Jun 30

Service Classifications

NAICS Codes 623110

Points of Contacts

Electronic Business
Title PRIMARY POC
Name JENNIFER H CONNELL
Role ADMINISTRATOR
Address 366 SOUTH WASHINGTON, CLINTON, KY, 42031, USA
Title ALTERNATE POC
Name JENNIFER H CONNELL
Role ADMINISTRATOR
Address 366 SOUTH WASHINGTON STREET, CLINTON, KY, 42031, USA
Government Business
Title PRIMARY POC
Name JENNIFER H CONNELL
Role ADMINISTRATOR
Address 366 SOUTH WASHINGTON, CLINTON, KY, 42031, USA
Title ALTERNATE POC
Name JENNIFER H CONNELL
Role ADMINISTRATOR
Address 366 SOUTH WASHINGTON STREET, CLINTON, KY, 42031, USA
Past Performance
Title PRIMARY POC
Name JENNIFER H CONNELL
Role ADMINISTRATOR
Address 366 SOUTH WASHINGTON STREET, CLINTON, KY, 42031, USA

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

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
Annual Report 2019-05-01
Registered Agent name/address change 2019-05-01
Reinstatement 2018-10-30
Reinstatement Certificate of Existence 2018-10-30
Reinstatement Approval Letter Revenue 2018-10-30

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD 36C25524K0171 2023-10-01 2024-09-30 2024-09-30
Unique Award Key CONT_AWD_36C25524K0171_3600_36C25523D0004_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 77625.50
Current Award Amount 77625.50
Potential Award Amount 77625.50

Description

Title EXPRESS REPORT: 3RD QUARTER EXPRESS REPORT EXPENDITURES FOR COMMUNITY NURSING HOME.
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES

Recipient Details

Recipient CLINTON & HICKMAN COUNTY HOSPITAL INC
UEI GGKLUF61DJM5
Recipient Address UNITED STATES, 366 S WASHINGTON ST, CLINTON, HICKMAN, KENTUCKY, 420311324
No data IDV 36C25523D0004 2022-10-01 No data No data
Unique Award Key CONT_IDV_36C25523D0004_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 0.00
Potential Award Amount 2759242.09

Description

Title ECONOMIC PRICE ADJUSTMENT IN STATE MEDICAID RATE.
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Recipient Details

Recipient CLINTON & HICKMAN COUNTY HOSPITAL INC
UEI GGKLUF61DJM5
Recipient Address UNITED STATES, 366 S WASHINGTON ST, CLINTON, HICKMAN, KENTUCKY, 420311324

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
61-0476685 Corporation Unconditional Exemption S WASHINGTON, CLINTON, KY, 42031-0000 1957-08
In Care of Name -
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 2024-06
Asset 10,000,000 to 49,999,999
Income 5,000,000 to 9,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 10957691
Income Amount 8243414
Form 990 Revenue Amount 4768066
National Taxonomy of Exempt Entities -
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)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name CLINTON AND HICKMAN COUNTY HOSPITAL INC
EIN 61-0476685
Tax Period 202306
Filing Type E
Return Type 990
File View File
Organization Name CLINTON AND HICKMAN COUNTY HOSPITAL INC
EIN 61-0476685
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name CLINTON AND HICKMAN COUNTY HOSPITAL INC
EIN 61-0476685
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name CLINTON AND HICKMAN COUNTY HOSPITAL INC
EIN 61-0476685
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name CLINTON AND HICKMAN COUNTY HOSPITAL INC
EIN 61-0476685
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name CLINTON AND HICKMAN COUNTY HOSPITAL INC
EIN 61-0476685
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name CLINTON AND HICKMAN COUNTY HOSPITAL INC
EIN 61-0476685
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name CLINTON AND HICKMAN COUNTY HOSPITAL INC
EIN 61-0476685
Tax Period 201606
Filing Type E
Return Type 990
File View File

Sources: Kentucky Secretary of State