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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

Incorporator

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

Director

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

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

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

CAGE Code:
63RW6
UEI Expiration Date:
2020-08-08

Business Information

Activation Date:
2019-08-09
Initial Registration Date:
2010-08-18

National Provider Identifier

NPI Number:
1578549184
Certification Date:
2020-11-02

Authorized Person:

Name:
MR. MARK A EDWARDS
Role:
CHIEF EXECUTIVE OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2709883900
Fax:
2703629757

Form 5500 Series

Employer Identification Number (EIN):
610518022
Plan Year:
2023
Number Of Participants:
194
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
91
Sponsors Telephone Number:

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

USAspending Awards / Financial Assistance

Date:
2020-04-07
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:
1688732.70
Total Face Value Of Loan:
1688732.70

Tax Exempt

Employer Identification Number (EIN) :
61-0518022
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:
1957-07
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
1688732.7
Current Approval Amount:
1688732.7
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
1703260.43

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