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  5. CALDWELL COUNTY HOSPITAL, INC.

CALDWELL COUNTY HOSPITAL, INC.

Company Details

Name: CALDWELL COUNTY HOSPITAL, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 02 Jun 1947 (78 years ago)
Organization Date: 02 Jun 1947 (78 years ago)
Last Annual Report: 03 Feb 2025 (2 months ago)
Organization Number: 0157029
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 42445
City: Princeton
Primary County: Caldwell County
Principal Office: 100 MEDICAL CENTER DRIVE, P. O. BOX 410, PRINCETON, KY 42445
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2023 610432526 2024-10-01 CALDWELL COUNTY HOSPITAL, INC. 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2022 610432526 2023-10-13 CALDWELL COUNTY HOSPITAL, INC. 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2021 610432526 2022-10-17 CALDWELL COUNTY HOSPITAL, INC. 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2020 610432526 2021-10-12 CALDWELL COUNTY HOSPITAL, INC. 29
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2019 610432526 2020-09-09 CALDWELL COUNTY HOSPITAL, INC. 31
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2018 610432526 2019-09-20 CALDWELL COUNTY HOSPITAL, INC. 32
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2017 610432526 2018-10-12 CALDWELL COUNTY HOSPITAL, INC. 32
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2016 610432526 2017-10-16 CALDWELL COUNTY HOSPITAL, INC. 33
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2015 610432526 2016-10-17 CALDWELL COUNTY HOSPITAL, INC. 34
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing JOSEPH GRAY
Valid signature Filed with authorized/valid electronic signature
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2014 610432526 2015-10-15 CALDWELL COUNTY HOSPITAL, INC. 39
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445

Plan administrator’s name and address
Administrator’s EIN 610432526
Plan administrator’s name CHARLES LOVELL, JR.
Plan administrator’s address P.O. BOX 410, PRINCETON, KY, 42445

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing JOSEPH GRAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/15/20141015122417P040021046285003.pdf
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445

Plan administrator’s name and address
Administrator’s EIN 610432526
Plan administrator’s name CHARLES LOVELL, JR.
Plan administrator’s address P.O. BOX 410, PRINCETON, KY, 42445

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing CHARLES LOVELL, JR.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/15/20131015145400P040015336101003.pdf
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445

Plan administrator’s name and address
Administrator’s EIN 610432526
Plan administrator’s name CHARLES LOVELL, JR.
Plan administrator’s address P.O. BOX 410, PRINCETON, KY, 42445

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing CHARLES LOVELL, JR.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/08/20121008095121P030000614964001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445

Plan administrator’s name and address
Administrator’s EIN 610432526
Plan administrator’s name CHARLES LOVELL, JR.
Plan administrator’s address P.O. BOX 410, PRINCETON, KY, 42445
Administrator’s telephone number 2703650300

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing CHARLES LOVELL, JR.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/14/20111014121546P030149027201002.pdf
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445

Plan administrator’s name and address
Administrator’s EIN 610432526
Plan administrator’s name CHARLES LOVELL, JR.
Plan administrator’s address P.O. BOX 410, PRINCETON, KY, 42445
Administrator’s telephone number 2703650300

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing CHARLES LOVELL, JR.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/04/20101004150827P040002970642002.pdf
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445

Plan administrator’s name and address
Administrator’s EIN 610432526
Plan administrator’s name CALDWELL COUNTY HOSPITAL, INC.
Plan administrator’s address P.O. BOX 410, PRINCETON, KY, 42445
Administrator’s telephone number 2703650300

Signature of
Role Plan administrator
Date 2010-10-04
Name of individual signing CHARLES LOVELL, JR.
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
Steve Woodward Director
Pat Lander Director
David Lee Oliver, DDS Director
CLYDE O. WOOD Director
Ellen Dunning Director
Chantay Stallins Director
J. B. LESTER Director
Joe Gray Director
Joe Falder Director
Monte Nesmith Director

Incorporator

Name Role
HENRY SEVISON Incorporator
J. B. LESTER Incorporator
CLYDE O. WOOD Incorporator
GRAYSON HARRALSON Incorporator
ALTON TEMPLETON Incorporator

Registered Agent

Name Role
B. TODD WETZEL Registered Agent

Officer

Name Role
Brent Bugg Officer

Secretary

Name Role
David Lee Oliver, DDS Secretary

Former Company Names

Name Action
CALDWELL COUNTY WAR MEMORIAL HOSPITAL, INCORPORATED Old Name
CALDWELL COUNTY WAR MEMORIAL HOSPITAL AND SKILLED NURSING FACILITY, INCORPORATED Old Name

Assumed Names

Name Status Expiration Date
CALDWELL MEDICAL ASSOCIATES Active 2028-06-05
CALDWELL MEDICAL CENTER Active 2028-06-05

Filings

Name File Date
Annual Report 2025-02-03
Annual Report 2024-03-05
Name Renewal 2023-06-05
Name Renewal 2023-06-05
Annual Report 2023-03-15
Annual Report 2022-03-28
Annual Report 2021-02-10
Annual Report 2020-02-28
Annual Report 2019-04-18
Amendment 2019-03-01

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DO AWARD V255P657A5152408B 2008-03-15 2008-03-15 2008-03-15
Unique Award Key CONT_AWD_V255P657A5152408B_3600_V255P657A51524_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title HOME HEALTH CARE
NAICS Code 621610: HOME HEALTH CARE SERVICES
Product and Service Codes AD25: SERVICES (OPERATIONAL)

Recipient Details
Recipient CALDWELL COUNTY HOSPITAL, INC.
UEI K36CNRSMKUH9
Legacy DUNS 071327951
Recipient Address 101 HOSPITAL DR, PRINCETON, 424455230, UNITED STATES
No data IDV V255P657A51428 2008-03-03 No data No data
Unique Award Key CONT_IDV_V255P657A51428_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SKILLED HOME HEALTH CARE SERVICES
NAICS Code 621610: HOME HEALTH CARE SERVICES
Product and Service Codes AD25: SERVICES (OPERATIONAL)

Recipient Details
Recipient CALDWELL COUNTY HOSPITAL, INC.
UEI K36CNRSMKUH9
Legacy DUNS 071327951
Recipient Address 107 MAIN ST., PRINCETON, 424451546, UNITED STATES

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
5894454952200591 Department of Agriculture 10.766 - COMMUNITY FACILITIES LOANS AND GRANTS 2008-08-26 2008-08-26 DIRECT COMMUNITY FACILITY LOANS
Recipient CALDWELL COUNTY HOSPITAL, INC.
Recipient Name Raw CALDWELL COUNTY HOSPITAL, INC.
Recipient UEI K36CNRSMKUH9
Recipient DUNS 071327951
Recipient Address 101 HOSPITAL DRIVE, PRINCETON, CALDWELL, KENTUCKY, 42445-2301
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 499500.00
Face Value of Direct Loan 9000000.00
Link View Page
5894454952200593 Department of Agriculture 10.766 - COMMUNITY FACILITIES LOANS AND GRANTS 2008-08-26 2008-08-26 DIRECT COMMUNITY FACILITY LOANS
Recipient CALDWELL COUNTY HOSPITAL, INC.
Recipient Name Raw CALDWELL COUNTY HOSPITAL, INC.
Recipient UEI K36CNRSMKUH9
Recipient DUNS 071327951
Recipient Address 101 HOSPITAL DRIVE, PRINCETON, CALDWELL, KENTUCKY, 42445-2301
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 194250.00
Face Value of Direct Loan 3500000.00
Link View Page
5894454952200592 Department of Agriculture 10.766 - COMMUNITY FACILITIES LOANS AND GRANTS 2008-08-21 2008-08-21 GUARANTEED COMMUNITY FACILITY LOAN
Recipient CALDWELL COUNTY HOSPITAL, INC.
Recipient Name Raw CALDWELL COUNTY HOSPITAL, INC.
Recipient UEI K36CNRSMKUH9
Recipient DUNS 071327951
Recipient Address 101 HOSPITAL DRIVE, PRINCETON, CALDWELL, KENTUCKY, 42445-2301
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 667000.00
Face Value of Direct Loan 18125000.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
61-0432526 Corporation Unconditional Exemption 100 MEDICAL CENTER DR, PRINCETON, KY, 42445-2430 1952-11
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 2023-06
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 Jun
Asset Amount 32867447
Income Amount 31300280
Form 990 Revenue Amount 28822180
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 CALDWELL COUNTY HOSPITAL INC CALDWELL MEDICAL CENTER
EIN 61-0432526
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name CALDWELL COUNTY HOSPITAL INC CALDWELL MEDICAL CENTER
EIN 61-0432526
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name CALDWELL COUNTY HOSPITAL INC CALDWELL MEDICAL CENTER
EIN 61-0432526
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name CALDWELL COUNTY HOSPITAL INC CALDWELL MEDICAL CENTER
EIN 61-0432526
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name CALDWELL COUNTY HOSPITAL INC CALDWELL MEDICAL CENTER
EIN 61-0432526
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name CALDWELL COUNTY HOSPITAL INC CALDWELL MEDICAL CENTER
EIN 61-0432526
Tax Period 201606
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6124287007 2020-04-06 0457 PPP 100 Medical Center Drive, PRINCETON, KY, 42445-2430
Loan Status Date 2020-12-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1285667
Loan Approval Amount (current) 1285667
Undisbursed Amount 0
Franchise Name -
Lender Location ID 120955
Servicing Lender Name Planters Bank, Inc.
Servicing Lender Address 1312 S Main St, HOPKINSVILLE, KY, 42240-2016
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PRINCETON, CALDWELL, KY, 42445-2430
Project Congressional District KY-01
Number of Employees 130
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 120955
Originating Lender Name Planters Bank, Inc.
Originating Lender Address HOPKINSVILLE, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1293809.56
Forgiveness Paid Date 2020-11-30

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2024-11-25 2025 Justice & Public Safety Cabinet Kentucky State Police Non Pro Contract Lab Tests & Anal Fees 1099 Rep 17.63
Executive 2024-10-25 2025 Justice & Public Safety Cabinet Kentucky State Police Non Pro Contract Lab Tests & Anal Fees 1099 Rep 17.63
Executive 2024-09-25 2025 Justice & Public Safety Cabinet Kentucky State Police Non Pro Contract Lab Tests & Anal Fees 1099 Rep 52.89
Executive 2024-07-25 2025 Justice & Public Safety Cabinet Kentucky State Police Non Pro Contract Lab Tests & Anal Fees 1099 Rep 17.12
Executive 2023-09-26 2024 Justice & Public Safety Cabinet Kentucky State Police Non Pro Contract Lab Tests & Anal Fees 1099 Rep 17.12
Executive 2023-09-25 2024 Justice & Public Safety Cabinet Department Of Corrections Other Personnel Costs Employee Health Examinations 250
Executive 2023-09-21 2024 Justice & Public Safety Cabinet Department Of Corrections Other Personnel Costs Employee Health Examinations 500
Executive 2023-08-25 2024 Justice & Public Safety Cabinet Department Of Corrections Other Personnel Costs Employee Health Examinations 300
Executive 2023-08-16 2024 Justice & Public Safety Cabinet Department Of Corrections Other Personnel Costs Employee Health Examinations 900

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Sources: Kentucky Secretary of State

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