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CUMBERLAND FAMILY MEDICAL CENTER, INC.

Company Details

Name: CUMBERLAND FAMILY MEDICAL CENTER, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 27 Jun 2005 (20 years ago)
Organization Date: 27 Jun 2005 (20 years ago)
Last Annual Report: 17 Feb 2025 (25 days ago)
Organization Number: 0616256
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 42717
City: Burkesville, Bakerton, Bow, Dubre, Kettle, Peytonsbur...
Primary County: Cumberland County
Principal Office: 360 KEEN ST. - STE 500, BURKESVILLE, KY 42717-7915
Place of Formation: KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
WXGMEK9H7K35 2025-02-11 360 KEEN ST STE 500, BURKESVILLE, KY, 42717, 7944, USA PO BOX 1080, BURKESVILLE, KY, 42717, 7915, USA

Business Information

Congressional District 01
State/Country of Incorporation KY, USA
Activation Date 2024-02-14
Initial Registration Date 2006-10-24
Entity Start Date 2005-06-28
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name ERIC LOY
Address CUMBERLAND FAMILY MEDICAL CENTER, INC., P.O. BOX 1080, BURKESVILLE, KY, 42717, 7915, USA
Title ALTERNATE POC
Name TRACEY ANTLE
Address CUMBERLAND FAMILY MEDICAL CENTER, INC., P.O. BOX 1080, BURKESVILLE, KY, 42717, 1080, USA
Government Business
Title PRIMARY POC
Name ERIC LOY
Address CUMBERLAND FAMILY MEDICAL CENTER, INC., P.O. BOX 1080, BURKESVILLE, KY, 42717, 7915, USA
Title ALTERNATE POC
Name TRACEY ANTLE
Address CUMBERLAND FAMILY MEDICAL CENTER, INC., P.O. BOX 1080, BURKESVILLE, KY, 42717, 1080, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CUMBERLAND FAMILY MEDICAL CENTER SAFE HARBOR 401(K) PLAN 2013 203131989 2014-10-08 CUMBERLAND FAMILY MEDICAL CENTER 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2708642889
Plan sponsor’s address P.O. BOX 1080, BURKESVILLE, KY, 42717

Signature of

Role Plan administrator
Date 2014-10-08
Name of individual signing DR. ERIC LOY
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY MEDICAL CENTER SAFE HARBOR 401( K) PLAN 2012 203131989 2013-09-26 CUMBERLAND FAMILY MEDICAL CENTER 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2708642889
Plan sponsor’s address P.O. BOX 1080, BURKESVILLE, KY, 42717

Signature of

Role Plan administrator
Date 2013-09-26
Name of individual signing DR. ERIC LOY
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY MEDICAL CENTER SAFE HARBOR 401(K) PLAN 2011 203131989 2012-08-30 CUMBERLAND FAMILY MEDICAL CENTER 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2708642889
Plan sponsor’s address P.O. BOX 1080, BURKESVILLE, KY, 42717

Plan administrator’s name and address

Administrator’s EIN 203131989
Plan administrator’s name CUMBERLAND FAMILY MEDICAL CENTER
Plan administrator’s address P.O. BOX 1080, BURKESVILLE, KY, 42717
Administrator’s telephone number 2708642889

Signature of

Role Plan administrator
Date 2012-08-30
Name of individual signing ERIC LOY
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY MEDICAL CENTER SAFE HARBOR 401(K) PLAN 2010 203131989 2012-08-30 CUMBERLAND FAMILY MEDICAL CENTER 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2708642889
Plan sponsor’s address P.O. BOX 1080, BURKESVILLE, KY, 42717

Plan administrator’s name and address

Administrator’s EIN 203131989
Plan administrator’s name CUMBERLAND FAMILY MEDICAL CENTER
Plan administrator’s address P.O. BOX 1080, BURKESVILLE, KY, 42717
Administrator’s telephone number 2708642889

Signature of

Role Plan administrator
Date 2012-08-30
Name of individual signing ERIC LOY
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY MEDICAL CENTER SAFE HARBOR 401(K) PLAN 2010 203131989 2011-08-30 CUMBERLAND FAMILY MEDICAL CENTER 40
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621111
Sponsor’s telephone number 2708642889
Plan sponsor’s address P.O. BOX 1080, BURKESVILLE, KY, 42717

Plan administrator’s name and address

Administrator’s EIN 203131989
Plan administrator’s name CUMBERLAND FAMILY MEDICAL CENTER
Plan administrator’s address P.O. BOX 1080, BURKESVILLE, KY, 42717
Administrator’s telephone number 2708642889

Signature of

Role Plan administrator
Date 2011-08-30
Name of individual signing ERIC LOY
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY MEDICAL CENTER SAFE HARBOR 401(K) PLAN 2009 203131989 2010-07-28 CUMBERLAND FAMILY MEDICAL CENTER 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2708642889
Plan sponsor’s address PO BOX 1080, BURKESVILLE, KY, 42717

Plan administrator’s name and address

Administrator’s EIN 203131989
Plan administrator’s name CUMBERLAND FAMILY MEDICAL CENTER
Plan administrator’s address PO BOX 1080, BURKESVILLE, KY, 42717
Administrator’s telephone number 2708642889

Signature of

Role Plan administrator
Date 2010-07-28
Name of individual signing ERIC LOY
Valid signature Filed with authorized/valid electronic signature

Secretary

Name Role
JOSH HARDEN Secretary

Director

Name Role
PAULA LITTLE Director
ELIZABETH EVERLEY Director
JIM FLOWERS Director
GARYON SCOTT Director
TERRY GRIDER Director
LISA TARTER Director
LACY TERRY Director
ERIC LOY Director
FRAN HAY Director
DEANA LOY Director

Vice President

Name Role
KEITH RIDDLE Vice President

Treasurer

Name Role
BECKY RADFORD Treasurer

Incorporator

Name Role
MATHEW LEVERIDGE Incorporator

President

Name Role
BRIDGET BOOHER President

Registered Agent

Name Role
ERIC LOY, CEO Registered Agent

Assumed Names

Name Status Expiration Date
GLASGOW PEDIATRICS HEALTHCARE Inactive 2023-04-09
GREENSBURG HEALTHCARE Inactive 2023-04-09

Filings

Name File Date
Annual Report 2025-02-17
Annual Report 2024-04-01
Principal Office Address Change 2023-02-23
Annual Report 2023-02-23
Annual Report 2022-02-23
Annual Report 2021-02-11
Annual Report 2020-02-25
Annual Report 2019-03-14
Annual Report 2018-02-26
Name Renewal 2018-02-02

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD AG82A7P100041 2010-02-10 2010-06-30 2010-06-30
Unique Award Key CONT_AWD_AG82A7P100041_12C2_-NONE-_-NONE-
Awarding Agency Department of Agriculture
Link View Page

Description

Title PROVIDE MEDICAL SERVICES TO PINE KNOT JCC 3/1/10 - 6/30/10
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details

Recipient CUMBERLAND FAMILY MEDICAL CENTER, INC.
UEI WXGMEK9H7K35
Legacy DUNS 786726344
Recipient Address 360 KEENE ST, BURKESVILLE, 427177682, UNITED STATES

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C12CS21817 Department of Health and Human Services 93.501 - AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTER CAPITAL EXPENDITURES 2011-07-01 2013-06-30 AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM
Recipient CUMBERLAND FAMILY MEDICAL CENTER, INC.
Recipient Name Raw CUMBERLAND FAMILY MEDICAL CENTER
Recipient UEI WXGMEK9H7K35
Recipient DUNS 786726344
Recipient Address 340 KEENE STREET, BURKESVILLE, CUMBERLAND, KENTUCKY, 42717, UNITED STATES
Obligated Amount 474502.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C81CS13855 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 CUMBERLAND FAMILY MEDICAL CENTER, INC.
Recipient Name Raw CUMBERLAND FAMILY MEDICAL CENTER
Recipient UEI WXGMEK9H7K35
Recipient DUNS 786726344
Recipient Address 340 KEENE STREET, BURKESVILLE, CUMBERLAND, KENTUCKY, 42717, UNITED STATES
Obligated Amount 486180.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS11600 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 CUMBERLAND FAMILY MEDICAL CENTER, INC.
Recipient Name Raw CUMBERLAND FAMILY MEDICAL CENTER
Recipient UEI WXGMEK9H7K35
Recipient DUNS 786726344
Recipient Address 340 KEENE STREET, BURKESVILLE, CUMBERLAND, KENTUCKY, 42717, UNITED STATES
Obligated Amount 161457.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
G20RH10511 Department of Health and Human Services 93.912 - RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT PROGRAM 2008-09-01 2010-08-31 SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT
Recipient CUMBERLAND FAMILY MEDICAL CENTER, INC.
Recipient Name Raw CUMBERLAND FAMILY MEDICAL CENTER
Recipient UEI WXGMEK9H7K35
Recipient DUNS 786726344
Recipient Address 340 KEENE STREET, BURKESVILLE, CUMBERLAND, KENTUCKY, 42717
Obligated Amount 150000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS08218 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) 2007-07-01 2015-04-30 HEALTH CENTER CLUSTER
Recipient CUMBERLAND FAMILY MEDICAL CENTER, INC.
Recipient Name Raw CUMBERLAND FAMILY MEDICAL CENTER
Recipient UEI WXGMEK9H7K35
Recipient DUNS 786726344
Recipient Address 340 KEENE STREET, BURKESVILLE, CUMBERLAND, KENTUCKY, 42717, UNITED STATES
Obligated Amount 29091850.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
317642866 0452110 2015-01-21 404 STEVE DRIVE, RUSSELL SPRINGS, KY, 42642
Inspection Type Unprog Rel
Scope Partial
Safety/Health Safety
Close Conference 2015-02-27
Case Closed 2015-02-27

Related Activity

Type Inspection
Activity Nr 317642783

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
20-3131989 Corporation Unconditional Exemption PO BOX 1080, BURKESVILLE, KY, 42717-1080 2007-04
In Care of Name % ERIC LOY
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 50,000,000 to greater
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 77855194
Income Amount 109778850
Form 990 Revenue Amount 109778850
National Taxonomy of Exempt Entities Health Care: Ambulatory Health Center, Community Clinic
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 CUMBERLAND FAMILY MEDICAL CENTER INC
EIN 20-3131989
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name CUMBERLAND FAMILY MEDICAL CENTER INC
EIN 20-3131989
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name CUMBERLAND FAMILY MEDICAL CENTER INC
EIN 20-3131989
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name CUMBERLAND FAMILY MEDICAL CENTER INC
EIN 20-3131989
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name CUMBERLAND FAMILY MEDICAL CENTER INC
EIN 20-3131989
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name CUMBERLAND FAMILY MEDICAL CENTER INC
EIN 20-3131989
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name CUMBERLAND FAMILY MEDICAL CENTER INC
EIN 20-3131989
Tax Period 201512
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
1956148802 2021-04-11 0457 PPP 404 Steve Dr, Russell Springs, KY, 42642-4622
Loan Status Date 2022-01-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 8422200
Loan Approval Amount (current) 8422200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27542
Servicing Lender Name Republic Bank & Trust Company
Servicing Lender Address 601 W Market St Republic Corporate Center, LOUISVILLE, KY, 40202
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Russell Springs, RUSSELL, KY, 42642-4622
Project Congressional District KY-01
Number of Employees 106
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type 501(c)3 � Non Profit
Originating Lender ID 27542
Originating Lender Name Republic Bank & Trust Company
Originating Lender Address LOUISVILLE, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 8476242.45
Forgiveness Paid Date 2021-12-06

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
2309285 Intrastate Non-Hazmat 2012-05-24 - - 1 1 Auth. For Hire
Legal Name CUMBERLAND FAMILY MEDICAL CENTER
DBA Name -
Physical Address 360 KEEN STREET, BURKESVILLE, KY, 42717, US
Mailing Address PO BOX 1080, BURKESVILLE, KY, 42717, US
Phone (270) 864-2889
Fax -
E-mail ELOY@CUMBERLANDFAMILYMEDICAL.COM

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months) 0
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 0
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 0
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

Sources: Kentucky Secretary of State