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  5. COMMUNITY HOSPICE, INC.

COMMUNITY HOSPICE, INC.

Company Details

Name: COMMUNITY HOSPICE, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 17 May 1979 (46 years ago)
Organization Date: 17 May 1979 (46 years ago)
Last Annual Report: 04 Feb 2025 (a month ago)
Organization Number: 0117961
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 41101
City: Ashland, Summitt, Westwood
Primary County: Boyd County
Principal Office: 1480 CARTER AVENUE, ASHLAND, KY 41101
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMUNITY HOSPICE, INC. 2023 310970252 2024-05-15 COMMUNITY HOSPICE, INC. 105
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-03-01
Business code 621610
Sponsor’s telephone number 6063291890
Plan sponsor’s mailing address 1480 CARTER AVENUE, ASHLAND, KY, 41101
Plan sponsor’s address 1480 CARTER AVENUE, ASHLAND, KY, 41101

Number of participants as of the end of the plan year
Active participants 104
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2024-05-10
Name of individual signing RODNEY N. HIENEMAN
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HOSPICE, INC. 2022 310970252 2023-05-05 COMMUNITY HOSPICE, INC. 109
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-03-01
Business code 621610
Sponsor’s telephone number 6063291890
Plan sponsor’s mailing address 1480 CARTER AVENUE, ASHLAND, KY, 41101
Plan sponsor’s address 1480 CARTER AVENUE, ASHLAND, KY, 41101

Number of participants as of the end of the plan year
Active participants 105
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2023-04-28
Name of individual signing RODNEY N. HIENEMAN
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HOSPICE, INC. 2021 310970252 2022-06-23 COMMUNITY HOSPICE, INC. 110
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-03-01
Business code 621610
Sponsor’s telephone number 6063291890
Plan sponsor’s mailing address 1480 CARTER AVENUE, ASHLAND, KY, 41101
Plan sponsor’s address 1480 CARTER AVENUE, ASHLAND, KY, 41101

Number of participants as of the end of the plan year
Active participants 109
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2022-06-01
Name of individual signing RODNEY N. HIENEMAN
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HOSPICE, INC. 2020 310970252 2021-06-08 COMMUNITY HOSPICE, INC. 154
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-03-01
Business code 621610
Sponsor’s telephone number 6063291890
Plan sponsor’s mailing address 1480 CARTER AVENUE, ASHLAND, KY, 41101
Plan sponsor’s address 1480 CARTER AVENUE, ASHLAND, KY, 41101

Number of participants as of the end of the plan year
Active participants 110
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2021-05-29
Name of individual signing RODNEY N. HIENEMAN
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HOSPICE, INC. 2019 310970252 2020-05-27 COMMUNITY HOSPICE, INC. 140
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-03-01
Business code 621610
Sponsor’s telephone number 6063291890
Plan sponsor’s mailing address 1480 CARTER AVENUE, ASHLAND, KY, 41101
Plan sponsor’s address 1480 CARTER AVENUE, ASHLAND, KY, 41101

Number of participants as of the end of the plan year
Active participants 154
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2020-04-14
Name of individual signing SUSAN HUNT
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HOSPICE, INC. 2018 310970252 2019-06-05 COMMUNITY HOSPICE, INC. 138
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-03-01
Business code 621610
Sponsor’s telephone number 6063291890
Plan sponsor’s mailing address 1480 CARTER AVENUE, ASHLAND, KY, 41101
Plan sponsor’s address 1480 CARTER AVENUE, ASHLAND, KY, 41101

Number of participants as of the end of the plan year
Active participants 140
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2019-04-09
Name of individual signing SUSAN HUNT
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HOSPICE, INC. 2017 310970252 2018-04-27 COMMUNITY HOSPICE, INC. 136
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-03-01
Business code 621610
Sponsor’s telephone number 6063291890
Plan sponsor’s mailing address 1480 CARTER AVENUE, ASHLAND, KY, 41101
Plan sponsor’s address 1480 CARTER AVENUE, ASHLAND, KY, 41101

Number of participants as of the end of the plan year
Active participants 138
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2018-04-27
Name of individual signing SUSAN HUNT
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HOSPICE, INC. 2016 310970252 2017-05-25 COMMUNITY HOSPICE, INC. 107
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-03-01
Business code 621610
Sponsor’s telephone number 6063291890
Plan sponsor’s mailing address 1480 CARTER AVENUE, ASHLAND, KY, 41101
Plan sponsor’s address 1480 CARTER AVENUE, ASHLAND, KY, 41101

Number of participants as of the end of the plan year
Active participants 136
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2017-05-25
Name of individual signing SUSAN HUNT
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HOSPICE, INC. 2015 310970252 2016-06-07 COMMUNITY HOSPICE, INC. 103
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-03-01
Business code 621610
Sponsor’s telephone number 6063291890
Plan sponsor’s mailing address 1480 CARTER AVENUE, ASHLAND, KY, 41101
Plan sponsor’s address 1480 CARTER AVENUE, ASHLAND, KY, 41101

Number of participants as of the end of the plan year
Active participants 107
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2016-06-07
Name of individual signing SUSAN HUNT
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HOSPICE, INC. 2014 310970252 2015-05-11 COMMUNITY HOSPICE, INC. 111
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-03-01
Business code 621610
Sponsor’s telephone number 6063291890
Plan sponsor’s mailing address 1480 CARTER AVENUE, ASHLAND, KY, 41101
Plan sponsor’s address 1480 CARTER AVENUE, ASHLAND, KY, 41101

Number of participants as of the end of the plan year
Active participants 103
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2015-04-24
Name of individual signing SUSAN HUNT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/09/20140609100004P030004716900003.pdf
Three-digit plan number (PN) 501
Effective date of plan 1994-03-01
Business code 621610
Sponsor’s telephone number 6063291890
Plan sponsor’s mailing address 1480 CARTER AVENUE, ASHLAND, KY, 41101
Plan sponsor’s address 1480 CARTER AVENUE, ASHLAND, KY, 41101

Number of participants as of the end of the plan year
Active participants 111

Signature of
Role Plan administrator
Date 2014-06-03
Name of individual signing SUSAN HUNT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/22/20130722130059P030308333907001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621610
Sponsor’s telephone number 6063291890
Plan sponsor’s mailing address 1480 CARTER AVENUE, ASHLAND, KY, 41101
Plan sponsor’s address 1480 CARTER AVENUE, ASHLAND, KY, 41101

Plan administrator’s name and address
Administrator’s EIN 310970252
Plan administrator’s name COMMUNITY HOSPICE, INC.
Plan administrator’s address 1480 CARTER AVENUE, ASHLAND, KY, 41101
Administrator’s telephone number 6063291890

Number of participants as of the end of the plan year
Active participants 106
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 16
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 113
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 5

Signature of
Role Plan administrator
Date 2013-07-22
Name of individual signing SUSAN HUNT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-22
Name of individual signing SUSAN HUNT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/09/20130509153955P030012338768003.pdf
Three-digit plan number (PN) 501
Effective date of plan 1994-03-01
Business code 621610
Sponsor’s telephone number 6063291890
Plan sponsor’s mailing address 1480 CARTER AVENUE, ASHLAND, KY, 41101
Plan sponsor’s address 1480 CARTER AVENUE, ASHLAND, KY, 41101

Number of participants as of the end of the plan year
Active participants 105

Signature of
Role Plan administrator
Date 2013-05-02
Name of individual signing SUSAN HUNT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/16/20120516083611P030000925510002.pdf
Three-digit plan number (PN) 501
Effective date of plan 1994-03-01
Business code 621610
Sponsor’s telephone number 6063291890
Plan sponsor’s mailing address 1480 CARTER AVENUE, ASHLAND, KY, 41101
Plan sponsor’s address 1480 CARTER AVENUE, ASHLAND, KY, 41101

Plan administrator’s name and address
Administrator’s EIN 310970252
Plan administrator’s name COMMUNITY HOSPICE, INC.
Plan administrator’s address 1480 CARTER AVENUE, ASHLAND, KY, 41101
Administrator’s telephone number 6063291890

Number of participants as of the end of the plan year
Active participants 108

Signature of
Role Plan administrator
Date 2012-05-07
Name of individual signing SUSAN HUNT
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role
Rodney Hieneman Officer

President

Name Role
Mary Kay McGinnis-Ruark President

Vice President

Name Role
Bob Hammond Vice President

Secretary

Name Role
Larry Brown Secretary

Treasurer

Name Role
Stan Vanderpool Treasurer

Director

Name Role
Kathy Elam Director
Matt Perkins Director
Shadow Skaggs Director
Thomas Burnette Director
Thuy Nguyen Director
Andrew Wheeler Director
Laurie Stewart Director
Bruce Vanhorn Director
MRS. DEBORAH S. BURNETTE Director
MRS. PATRICIA CALLIGHAN, Director

Incorporator

Name Role
DEBORAH S. BURNETTE Incorporator

Registered Agent

Name Role
RODNEY HIENEMAN Registered Agent

Former Company Names

Name Action
ASHLAND COMMUNITY HOSPICE, INC. Old Name

Assumed Names

Name Status Expiration Date
COMMUNITY PALLIATIVE CARE Inactive 2020-07-21

Filings

Name File Date
Annual Report 2025-02-04
Annual Report 2024-05-09
Annual Report 2023-03-17
Annual Report 2022-06-24
Annual Report 2021-03-11
Registered Agent name/address change 2021-03-11
Annual Report 2020-02-24
Annual Report 2019-04-24
Annual Report 2018-04-20
Annual Report 2017-04-11

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
31-0970252 Corporation Unconditional Exemption 1480 CARTER AVE, ASHLAND, KY, 41101-7546 1981-03
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 Central - This code is used if the organization is a central type organization (no group exemption) of 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 Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 41056107
Income Amount 20253410
Form 990 Revenue Amount 14940077
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 COMMUNITY HOSPICE INC
EIN 31-0970252
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HOSPICE INC
EIN 31-0970252
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HOSPICE INC
EIN 31-0970252
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HOSPICE INC
EIN 31-0970252
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HOSPICE INC
EIN 31-0970252
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HOSPICE INC
EIN 31-0970252
Tax Period 201612
Filing Type E
Return Type 990
File View File

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Sources: Kentucky Secretary of State

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