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  5. COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.

COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.

Company Details

Name: COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 20 Jun 1994 (31 years ago)
Organization Date: 20 Jun 1994 (31 years ago)
Last Annual Report: 05 Feb 2025 (2 months ago)
Organization Number: 0332143
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42345
City: Greenville
Primary County: Muhlenberg County
Principal Office: 480 HOPKINSVILLE ST, SUITE 2, GREENVILLE, KY 42345
Place of Formation: KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
FGW9Y14PTD35 2025-01-25 480 HOPKINSVILLE ST STE 2, GREENVILLE, KY, 42345, 1124, USA PO BOX 257, GREENVILLE, KY, 42345, 0257, USA

Business Information
Congressional District 02
State/Country of Incorporation KY, USA
Activation Date 2024-01-30
Initial Registration Date 2006-08-22
Entity Start Date 1994-06-13
Fiscal Year End Close Date Apr 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ROGER ARBUCKLE
Address 480 HOPKINSVILLE STREET, GREENVILLE, KY, 42345, 1124, USA
Title ALTERNATE POC
Name KELLY DURALL
Address 480 HOPKINSVILLE STREET, GREENVILLE, KY, 42345, 1124, USA
Government Business
Title PRIMARY POC
Name ROGER ARBUCKLE
Address 480 HOPKINSVILLE STREET, GREENVILLE, KY, 42345, 1124, USA
Title ALTERNATE POC
Name LINDSAY DURALL
Address 480 HOPKINSVILLE STREET, GREENVILLE, KY, 42345, 1124, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY 403(B) PLAN 2023 611268014 2024-10-14 COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC. 120
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621112
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY 403(B) PLAN 2022 611268014 2023-07-18 COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC. 103
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621112
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY 403(B) PLAN 2021 611268014 2022-09-08 COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC. 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621112
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY 403(B) PLAN 2020 611268014 2021-11-12 COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC. 103
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621112
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, GREENVILLE, KY, 42345
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY 403(B) PLAN 2019 611268014 2020-11-13 COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621112
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY 403(B) PLAN 2018 611268014 2019-11-14 COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY 403(B) PLAN 2017 611268014 2019-01-22 COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY 403(B) PLAN 2016 611268014 2018-06-21 COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621498
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345

Signature of
Role Plan administrator
Date 2018-06-21
Name of individual signing JOSEPH SWAB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-21
Name of individual signing JOSEPH SWAB
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY 403(B) PLAN 2016 611268014 2018-06-20 COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY 57
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621498
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345

Signature of
Role Plan administrator
Date 2018-06-20
Name of individual signing JOSEPH SWAB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-20
Name of individual signing JOSEPH SWAB
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY 403(B) PLAN 2016 611268014 2018-05-22 COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY 57
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621498
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345

Signature of
Role Plan administrator
Date 2018-05-22
Name of individual signing JOSEPH SWAB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-22
Name of individual signing JOSEPH SWAB
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/09/26/20160926085454P030011076439001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621498
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345

Signature of
Role Plan administrator
Date 2016-09-26
Name of individual signing JOSEPH SWAB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-26
Name of individual signing JOSEPH SWAB
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/23/20151023085519P040055766055001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621498
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345

Signature of
Role Plan administrator
Date 2015-10-23
Name of individual signing JOSEPH SWAB
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/09/30/20140930161206P030010222701001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621498
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345

Signature of
Role Plan administrator
Date 2014-09-30
Name of individual signing JOHN DAVID SANDEFUR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/23/20130723142358P030309838355001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621498
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345

Signature of
Role Plan administrator
Date 2013-07-23
Name of individual signing JOHN DAVID SANDEFUR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/23/20130723141914P030309829139001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621498
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345

Plan administrator’s name and address
Administrator’s EIN 611268014
Plan administrator’s name COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY
Plan administrator’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345
Administrator’s telephone number 2703385777

Signature of
Role Plan administrator
Date 2013-07-23
Name of individual signing JOHN DAVID SANDEFUR
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621498
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345

Plan administrator’s name and address
Administrator’s EIN 611268014
Plan administrator’s name COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY
Plan administrator’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345
Administrator’s telephone number 2703385777

Signature of
Role Plan administrator
Date 2012-09-13
Name of individual signing STEPHANIE WEBSTER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/23/20130723141329P030309813155001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621498
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345

Plan administrator’s name and address
Administrator’s EIN 611268014
Plan administrator’s name COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY
Plan administrator’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345
Administrator’s telephone number 2703385777

Signature of
Role Plan administrator
Date 2013-07-23
Name of individual signing JOHN DAVID SANDEFUR
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621498
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345

Plan administrator’s name and address
Administrator’s EIN 611268014
Plan administrator’s name COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY
Plan administrator’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345
Administrator’s telephone number 2703385777

Signature of
Role Plan administrator
Date 2011-11-28
Name of individual signing STEPHANIE WEBSTER
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621498
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345

Plan administrator’s name and address
Administrator’s EIN 611268014
Plan administrator’s name COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY
Plan administrator’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345
Administrator’s telephone number 2703385777

Signature of
Role Employer/plan sponsor
Date 2011-11-28
Name of individual signing STEPHANIE WEBSTER
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621498
Sponsor’s telephone number 2703385777
Plan sponsor’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345

Plan administrator’s name and address
Administrator’s EIN 611268014
Plan administrator’s name COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY
Plan administrator’s address 480 HOPKINSVILLE STREET, PO BOX 257, GREENVILLE, KY, 42345
Administrator’s telephone number 2703385777

Signature of
Role Employer/plan sponsor
Date 2011-11-28
Name of individual signing STEPHANIE WEBSTER
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role
Roger Arbuckle Officer

Director

Name Role
Billy Steele Director
Elizabeth Gentry Director
Cindy Baird Director
Andrehia Hatfield Director
Cary Davis Director
Richard Neathamer Director
Rosemary Buck Director
Amanda Henson Director
Jimmy Owens Director
Ed Dukes Director

Registered Agent

Name Role
ROGER ARBUCKLE Registered Agent

Incorporator

Name Role
LUCIEN CISNEY Incorporator

Permits

Agency Interest Id Program Activity Type Current Milestone Issued Date Milestone Date
130915 Wastewater KPDES Ind Storm Gen Const Permit Terminated 2016-07-11 2017-08-10
Document Name KYR10K685 Coverage Letter.pdf
Date 2016-07-12
Document Download

Filings

Name File Date
Annual Report 2025-02-05
Annual Report 2024-03-19
Annual Report 2023-03-16
Annual Report 2022-03-07
Annual Report 2021-02-09
Annual Report 2020-02-13
Annual Report 2019-04-24
Annual Report 2018-04-11
Annual Report 2017-05-04
Annual Report 2016-03-14

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C81CS13593 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-06-29 2011-06-28 ARRA - CAPITAL IMPROVEMENT PROGRAM
Recipient COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC
Recipient Name Raw COMMUNITY HEALTH CENTERS OF WESTERN KY
Recipient UEI FGW9Y14PTD35
Recipient DUNS 956401590
Recipient Address 480 HOPKINSVILLE ST., SUITE 2, GREENVILLE, MUHLENBERG, KENTUCKY, 42345-1124, UNITED STATES
Obligated Amount 514705.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS12267 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-03-27 2011-03-26 ARRA - INCREASE SERVICES TO HEALTH CENTERS
Recipient COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC
Recipient Name Raw COMMUNITY HEALTH CENTERS OF WESTERN KY
Recipient UEI FGW9Y14PTD35
Recipient DUNS 956401590
Recipient Address 480 HOPKINSVILLE ST., SUITE 2, GREENVILLE, MUHLENBERG, KENTUCKY, 42345-1124, UNITED STATES
Obligated Amount 182725.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS00562 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2002-07-01 2015-04-30 HEALTH CENTER CLUSTER
Recipient COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC
Recipient Name Raw COMMUNITY HEALTH CENTERS OF WESTERN KY
Recipient UEI FGW9Y14PTD35
Recipient DUNS 956401590
Recipient Address 480 HOPKINSVILLE ST. SUITE 2, GREENVILLE, MUHLENBERG, KENTUCKY, 42345-1124, UNITED STATES
Obligated Amount 15572492.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
61-1268014 Corporation Unconditional Exemption 480 HOPKINSVILLE ST, GREENVILLE, KY, 42345-1124 1994-11
In Care of Name % LINDSAY DURALL
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 Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-04
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 Apr
Asset Amount 20941640
Income Amount 13091506
Form 990 Revenue Amount 13091506
National Taxonomy of Exempt Entities Health Care: Hospitals and Related Primary Medical Care Facilities
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 HEALTH CENTERS OF WESTERN KENTUCKY
EIN 61-1268014
Tax Period 202304
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC
EIN 61-1268014
Tax Period 202204
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC
EIN 61-1268014
Tax Period 202004
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC
EIN 61-1268014
Tax Period 201904
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC
EIN 61-1268014
Tax Period 201804
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC
EIN 61-1268014
Tax Period 201704
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC
EIN 61-1268014
Tax Period 201604
Filing Type E
Return Type 990
File View File

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2025-02-17 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 831.85
Executive 2025-01-28 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 36000
Executive 2025-01-14 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 1215.42
Executive 2024-12-18 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 3402.69
Executive 2024-10-11 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 1668.09
Executive 2024-07-31 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 23125
Executive 2024-07-19 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 5162.86
Executive 2023-09-15 2024 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 2473.98

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Related by address

No related companies by address

Sources: Kentucky Secretary of State

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