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HOSPICE OF SOUTHERN KENTUCKY, INC.

Company Details

Name: HOSPICE OF SOUTHERN KENTUCKY, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
Organization Date: 27 Jan 1981 (44 years ago)
Last Annual Report: 05 Mar 2025 (3 months ago)
Organization Number: 0153316
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42104
City: Bowling Green
Primary County: Warren County
Principal Office: 5872 SCOTTSVILLE RD, BOWLING GREEN, KY 42104
Place of Formation: KENTUCKY

Secretary

Name Role
Kim Vickous Secretary

Director

Name Role
Dot Darby-Paschall Director
Milli McIntosh Director
Steve Sinclair Director
Chad Hall Director
Alison Patton-Holland Director
HEIDI WILSON Director
JIMMIE PRICE Director
BILL LINDEMAN Director
Altricia Harrell Director
Julie Wedge Director

Officer

Name Role
Steve Jantz Officer

Registered Agent

Name Role
STEVE JANTZ Registered Agent

Incorporator

Name Role
C. WAYNE HIGGINS Incorporator
HEIDI WILSON Incorporator

Vice President

Name Role
Portia Pennington Vice President

President

Name Role
Ken Whitley President

Treasurer

Name Role
David Smith Treasurer

National Provider Identifier

NPI Number:
1790784312
Certification Date:
2024-11-11

Authorized Person:

Name:
MR. STEVEN JANTZ
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207QH0002X - Hospice and Palliative Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
No
Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
Yes

Contacts:

Fax:
2707820588
Fax:
2707823496

Form 5500 Series

Employer Identification Number (EIN):
311035478
Plan Year:
2023
Number Of Participants:
64
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
52
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
28
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
50
Sponsors Telephone Number:

Former Company Names

Name Action
HOSPICE OF BOWLING GREEN, INC. Old Name

Assumed Names

Name Status Expiration Date
PALLIATIVE CARE OF SOUTHERN KENTUCKY Active 2028-12-15
PHYSICIANS' PALLIATIVE CARE OF SOUTHERN KENTUCKY Inactive 2016-01-11

Filings

Name File Date
Annual Report 2025-03-05
Annual Report 2024-06-27
Certificate of Assumed Name 2023-12-15
Annual Report 2023-06-28
Annual Report Amendment 2022-09-29

USAspending Awards / Financial Assistance

Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
398635.00
Total Face Value Of Loan:
398635.00

Tax Exempt

Employer Identification Number (EIN) :
31-1035478
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:
1982-07
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
398635
Current Approval Amount:
398635
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
400622.71

Sources: Kentucky Secretary of State