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LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC.

Company Details

Name: LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
Organization Date: 31 Jan 1964 (61 years ago)
Last Annual Report: 07 Mar 2024 (a year ago)
Organization Number: 0158547
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 42078
City: Salem, Lola
Primary County: Livingston County
Principal Office: 131 HOSPITAL DRIVE, SALEM, KY 42078
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES RETIREMENT PLAN 2023 610518022 2024-06-25 LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC. 194
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Three-digit plan number (PN) 003
Effective date of plan 2010-07-01
Business code 622000
Sponsor’s telephone number 2709887280
Plan sponsor’s address 131 HOSPITAL DRIVE, SALEM, KY, 42078
KY HOSPITAL EMPLOYEE HEALTH BENEFIT DENTAL PLAN 2011 610518022 2012-10-15 LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC. 91
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Three-digit plan number (PN) 502
Effective date of plan 1990-09-01
Business code 622000
Sponsor’s telephone number 2709887280
Plan sponsor’s address 131 HOSPITAL DRIVE, SALEM, KY, 42078

Plan administrator’s name and address

Administrator’s EIN 610518022
Plan administrator’s name LIVINGSTON HOSPITAL AND HEALTHCARE
Plan administrator’s address 131 HOSPITAL DRIVE, SALEM, KY, 42078
Administrator’s telephone number 2709887280

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing CARLA WIGGINS
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
EDWARD F. RILEY Director
ROBERT SPRAGUE Director
Larry McGregor Director
Ghassan Yazigi Director
Andy Fox Director
Jared Florence Director
Brad Housman Director
William Guyette Director
Stephen Williams Director
Terry Teitloff Director

Incorporator

Name Role
J. R. DEBOE Incorporator
EDWARD F. RILEY Incorporator
ROBERT SPRAGUE Incorporator
S. D. LOYD Incorporator
W. B. BUTLER Incorporator
TOMMYE MAY Incorporator
ROSCOE FAULKNER Incorporator
SHELBY VAUGHN Incorporator
G. D. KITCHEN Incorporator
WAYNE NELSON Incorporator

Vice President

Name Role
Susan Alexander Vice President

Registered Agent

Name Role
ROD SHANE WHITTINGTON Registered Agent

President

Name Role
Barry Chittenden President

Secretary

Name Role
Jim Belt Secretary

Former Company Names

Name Action
LIVINGSTON COUNTY HOSPITAL, INC. Old Name
COMMUNITY MEDICAL CENTER, INCORPORATED Old Name

Assumed Names

Name Status Expiration Date
EDDYVILLE FAMILY MEDICAL Inactive 2022-12-05

Filings

Name File Date
Annual Report 2024-03-07
Annual Report 2023-07-27
Annual Report 2022-07-28
Amended and Restated Articles 2022-01-11
Registered Agent name/address change 2021-12-01
Annual Report 2021-05-24
Annual Report 2020-06-01
Annual Report 2019-04-19
Annual Report 2018-05-17
Name Renewal 2017-08-04

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
61-0518022 Corporation Unconditional Exemption 131 HOSPITAL DR, SALEM, KY, 42078-8043 1957-07
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 2023-12
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 12688370
Income Amount 22275654
Form 990 Revenue Amount 22268466
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 LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES INC
EIN 61-0518022
Tax Period 202212
Filing Type E
Return Type 990T
File View File
Organization Name LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES INC
EIN 61-0518022
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES INC
EIN 61-0518022
Tax Period 202112
Filing Type E
Return Type 990T
File View File
Organization Name LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES INC
EIN 61-0518022
Tax Period 201912
Filing Type P
Return Type 990T
File View File
Organization Name LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES INC
EIN 61-0518022
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES INC
EIN 61-0518022
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES INC
EIN 61-0518022
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES INC
EIN 61-0518022
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES INC
EIN 61-0518022
Tax Period 201712
Filing Type P
Return Type 990T
File View File
Organization Name LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES INC
EIN 61-0518022
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES INC
EIN 61-0518022
Tax Period 201612
Filing Type E
Return Type 990T
File View File
Organization Name LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES INC
EIN 61-0518022
Tax Period 201612
Filing Type P
Return Type 990T
File View File
Organization Name LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES INC
EIN 61-0518022
Tax Period 201512
Filing Type E
Return Type 990
File View File
Organization Name LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES INC
EIN 61-0518022
Tax Period 201512
Filing Type P
Return Type 990T
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5814437007 2020-04-06 0457 PPP 131 HOSPITAL DR, SALEM, KY, 42078-8043
Loan Status Date 2021-03-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1688732.7
Loan Approval Amount (current) 1688732.7
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27590
Servicing Lender Name Farmers Bank & Trust Company
Servicing Lender Address 201 S Main St, MARION, KY, 42064-1542
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address SALEM, LIVINGSTON, KY, 42078-8043
Project Congressional District KY-01
Number of Employees 142
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 27590
Originating Lender Name Farmers Bank & Trust Company
Originating Lender Address MARION, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1703260.43
Forgiveness Paid Date 2021-02-19

Financial Incentive

Program Program Status Average Hourly Wage Project Cost Incentive Amount Initial Jobs New Jobs Date of Action Approval Type
KRHLP - Kentucky Rural Hospital Loan Program Active - $0 $1,000,000 127 6 2024-08-29 Final

Sources: Kentucky Secretary of State