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  5. GRACE COMMUNITY HEALTH CENTER, INC.

GRACE COMMUNITY HEALTH CENTER, INC.

Company Details

Name: GRACE COMMUNITY HEALTH CENTER, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 18 Jan 2008 (17 years ago)
Organization Date: 18 Jan 2008 (17 years ago)
Last Annual Report: 06 Mar 2025 (8 days ago)
Organization Number: 0683440
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 40701
City: Corbin, Keavy, Woodbine
Primary County: Whitley County
Principal Office: GRACE COMMUNITY HEALTH CENTER, INC., 1019 CUMBERLAND FALLS HWY, SUITE B201, CORBIN, KY 40701
Place of Formation: KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
TCMJCK4MYHT3 2025-01-30 1019 CUMBERLAND FALLS HWY, STE B201, CORBIN, KY, 40701, 2793, USA 1019 CUMBERLAND FALLS HWY, SUITE B201, CORBIN, KY, 40701, 2793, USA

Business Information
Congressional District 05
State/Country of Incorporation KY, USA
Activation Date 2024-02-02
Initial Registration Date 2008-02-27
Entity Start Date 2008-01-15
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name CHAD STEVENS
Role CFO
Address 1019 CUMBERLAND FALLS HWY, CORBIN, KY, 40701, 2793, USA
Title ALTERNATE POC
Name CHAD STEVENS
Role CFO
Address 1019 CUMBERLAND FALLS HWY, CORBIN, KY, 40701, USA
Government Business
Title PRIMARY POC
Name JEFFREY CAMPBELL
Role MR
Address 1019 CUMBERLAND FALLS HWY, SUITE B201, CORBIN, KY, 40701, 2793, USA
Title ALTERNATE POC
Name SAMANTHA DAVIS
Address 1019 CUMBERLAND FALLS HWY, SUITE B201, CORBIN, KY, 40701, 4536, USA
Past Performance
Title PRIMARY POC
Name PHYLLIS PLATT
Address 1019 CUMBERLAND FALLS HWY, CORBIN, KY, 40701, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRACE COMMUNITY HEALTH CENTER, INC. 401(K) RETIREMENT SAVINGS PLAN 2016 261779437 2017-10-11 GRACE COMMUNITY HEALTH CENTER, INC. 115
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 6065269005
Plan sponsor’s address 1019 CUMBERLAND FALLS HIGHWAY, SUITE B201, CORBIN, KY, 40701
GRACE COMMUNITY HEALTH CENTER, INC. 401(K) RETIRMENT SAVINGS PLAN 2015 261779437 2016-10-14 GRACE COMMUNITY HEALTH CENTER, INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 8595269005
Plan sponsor’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734
GRACE COMMUNITY HEALTH CENTER, INC. 401(K) RETIRMENT SAVINGS PLAN 2014 261779437 2015-10-13 GRACE COMMUNITY HEALTH CENTER, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 8595269005
Plan sponsor’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734

Plan administrator’s name and address
Administrator’s EIN 261779437
Plan administrator’s name GRACE COMMUNITY HEALTH CENTER, INC.
Plan administrator’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734
Administrator’s telephone number 8595269005

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing MICHAEL STANLEY
Valid signature Filed with authorized/valid electronic signature
GRACE COMMUNITY HEALTH CENTER, INC. 401(K) RETIRMENT SAVINGS PLAN 2013 261779437 2014-07-20 GRACE COMMUNITY HEALTH CENTER, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 8595269005
Plan sponsor’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734

Plan administrator’s name and address
Administrator’s EIN 261779437
Plan administrator’s name GRACE COMMUNITY HEALTH CENTER, INC.
Plan administrator’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734
Administrator’s telephone number 8595269005

Signature of
Role Plan administrator
Date 2014-07-20
Name of individual signing MICHAEL STANLEY
Valid signature Filed with authorized/valid electronic signature
GRACE COMMUNITY HEALTH CENTER, INC. 401(K) RETIRMENT SAVINGS PLAN 2012 261779437 2013-09-29 GRACE COMMUNITY HEALTH CENTER, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 8595269005
Plan sponsor’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734

Plan administrator’s name and address
Administrator’s EIN 261779437
Plan administrator’s name GRACE COMMUNITY HEALTH CENTER, INC.
Plan administrator’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734
Administrator’s telephone number 8595269005

Signature of
Role Plan administrator
Date 2013-09-29
Name of individual signing MICHAEL STANLEY
Valid signature Filed with authorized/valid electronic signature
GRACE COMMUNITY HEALTH CENTER, INC. 401(K) RETIRMENT SAVINGS PLAN 2011 261779437 2012-09-19 GRACE COMMUNITY HEALTH CENTER, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 8595269005
Plan sponsor’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734

Plan administrator’s name and address
Administrator’s EIN 261779437
Plan administrator’s name GRACE COMMUNITY HEALTH CENTER, INC.
Plan administrator’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734
Administrator’s telephone number 8595269005

Signature of
Role Plan administrator
Date 2012-09-19
Name of individual signing MICHAEL STANLEY
Valid signature Filed with authorized/valid electronic signature
GRACE COMMUNITY HEALTH CENTER, INC. 401(K) RETIRMENT SAVINGS PLAN 2010 261779437 2011-09-23 GRACE COMMUNITY HEALTH CENTER, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 8595269005
Plan sponsor’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734

Plan administrator’s name and address
Administrator’s EIN 261779437
Plan administrator’s name GRACE COMMUNITY HEALTH CENTER, INC.
Plan administrator’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734
Administrator’s telephone number 8595269005

Signature of
Role Plan administrator
Date 2011-09-23
Name of individual signing DAVID WORTHY
Valid signature Filed with authorized/valid electronic signature
GRACE COMMUNITY HEALTH CENTER, INC. 401(K) RETIRMENT SAVINGS PLAN 2009 261779437 2010-10-05 GRACE COMMUNITY HEALTH CENTER, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 8595269005
Plan sponsor’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734

Plan administrator’s name and address
Administrator’s EIN 261779437
Plan administrator’s name GRACE COMMUNITY HEALTH CENTER, INC.
Plan administrator’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734
Administrator’s telephone number 8595269005

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing LESLIE A. O'BRYAN
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
Melinda Bowling Director
James Ed Garrison Director
BRUCE JUNG Director
DAVE WORTHY Director
JOHN LOWDER Director
Melvin Scarberry Director
Jeff Hamlin Director
Hiram Cornett Director
Damon Huff Director
Angie Singley Director

Officer

Name Role
Michael Wayne Stanley Officer
Chad Robert Stevens Officer
Jeffrey M Campbell Officer
Kelly Evans Officer

Registered Agent

Name Role
MICHAEL W. STANLEY Registered Agent

Incorporator

Name Role
BRUCE JUNG Incorporator

Assumed Names

Name Status Expiration Date
GRACE HEALTH Inactive 2021-12-09

Filings

Name File Date
Annual Report 2025-03-06
Annual Report 2024-03-25
Annual Report 2023-03-24
Annual Report 2022-05-02
Certificate of Assumed Name 2022-01-26
Annual Report 2021-02-10
Annual Report 2020-04-17
Annual Report 2019-04-08
Annual Report 2018-05-29
Annual Report 2017-04-25

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
RO47446 20658 Department of Agriculture 10.855 - DISTANCE LEARNING AND TELEMEDICINE LOANS AND GRANTS 2011-09-28 2013-09-28 TELEMEDICINE GRANT
Recipient GRACE COMMUNITY HEALTH CENTER
Recipient Name Raw GRACE COMMUNITY HEALTH CENTER, INC.
Recipient UEI TCMJCK4MYHT3
Recipient DUNS 803432066
Recipient Address 39 CUMBERLAND GAP PLAZA, GRAY, KNOX, KENTUCKY, 40734-4536, UNITED STATES
Obligated Amount 70010.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
G20RH19281 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 2010-08-01 2013-07-31 SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT
Recipient GRACE COMMUNITY HEALTH CENTER
Recipient Name Raw GRACE COMMUNITY HEALTH CENTER INC.
Recipient UEI TCMJCK4MYHT3
Recipient DUNS 803432066
Recipient Address 39 CUMBERLAND GAP PLAZA, GRAY, KNOX, KENTUCKY, 40734, UNITED STATES
Obligated Amount 300000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C81CS14433 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 GRACE COMMUNITY HEALTH CENTER
Recipient Name Raw GRACE COMMUNITY HEALTH CENTER, INC.
Recipient UEI TCMJCK4MYHT3
Recipient DUNS 803432066
Recipient Address 39 CUMBERLAND GAP PLAZA, GRAY, KNOX, KENTUCKY, 40734, UNITED STATES
Obligated Amount 322590.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS12386 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 GRACE COMMUNITY HEALTH CENTER
Recipient Name Raw GRACE COMMUNITY HEALTH CENTER, INC.
Recipient UEI TCMJCK4MYHT3
Recipient DUNS 803432066
Recipient Address 39 CUMBERLAND GAP PLAZA, GRAY, KNOX, KENTUCKY, 40734, UNITED STATES
Obligated Amount 119410.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS09959 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) 2008-06-01 2011-05-31 HEALTH CENTER CLUSTER
Recipient GRACE COMMUNITY HEALTH CENTER
Recipient Name Raw GRACE COMMUNITY HEALTH CENTER, INC.
Recipient UEI TCMJCK4MYHT3
Recipient DUNS 803432066
Recipient Address 140 BRYAN BOULEVARD, CORBIN, WHITLEY, KENTUCKY, 40701
Obligated Amount 23649561.00
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
26-1779437 Corporation Unconditional Exemption 1019CUMBERLAND FALLS HWY, CORBIN, KY, 40701-2735 2008-06
In Care of Name % THE ORGANIZATION
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 92077186
Income Amount 66988457
Form 990 Revenue Amount 66379098
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 GRACE COMMUNITY HEALTH CENTER INC
EIN 26-1779437
Tax Period 202212
Filing Type E
Return Type 990T
File View File
Organization Name GRACE COMMUNITY HEALTH CENTER INC
EIN 26-1779437
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name GRACE COMMUNITY HEALTH CENTER INC
EIN 26-1779437
Tax Period 202112
Filing Type E
Return Type 990T
File View File
Organization Name GRACE COMMUNITY HEALTH CENTER INC
EIN 26-1779437
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name GRACE COMMUNITY HEALTH CENTER INC
EIN 26-1779437
Tax Period 202012
Filing Type E
Return Type 990T
File View File
Organization Name GRACE COMMUNITY HEALTH CENTER INC
EIN 26-1779437
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name GRACE COMMUNITY HEALTH CENTER INC
EIN 26-1779437
Tax Period 201912
Filing Type P
Return Type 990T
File View File
Organization Name GRACE COMMUNITY HEALTH CENTER INC
EIN 26-1779437
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name GRACE COMMUNITY HEALTH CENTER INC
EIN 26-1779437
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name GRACE COMMUNITY HEALTH CENTER INC
EIN 26-1779437
Tax Period 201712
Filing Type P
Return Type 990T
File View File
Organization Name GRACE COMMUNITY HEALTH CENTER INC
EIN 26-1779437
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name GRACE COMMUNITY HEALTH CENTER INC
EIN 26-1779437
Tax Period 201612
Filing Type P
Return Type 990T
File View File
Organization Name GRACE COMMUNITY HEALTH CENTER INC
EIN 26-1779437
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
5652507000 2020-04-06 0457 PPP 1019 cumberland falls, hwy ste B201, CORBIN, KY, 40701-2714
Loan Status Date 2021-07-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 2998500
Loan Approval Amount (current) 2998500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 282649
Servicing Lender Name Forcht Bank, National Association
Servicing Lender Address 2404 Sir Barton Way, LEXINGTON, KY, 40509-2267
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address CORBIN, WHITLEY, KY, 40701-2714
Project Congressional District KY-05
Number of Employees 291
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 282649
Originating Lender Name Forcht Bank, National Association
Originating Lender Address LEXINGTON, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 3033815.67
Forgiveness Paid Date 2021-06-14

Contracts

Branch Contract Id Procurement Type Begin Date End Date Amount
Executive 2400001164 Grant 2023-12-20 2024-06-30 205000
Department Attorney General
Category (952) HUMAN SERVICES
Authorization Kentucky Opioid Abatement Awards
Document View Document

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2025-02-24 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 22088.97
Executive 2025-01-10 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 17259.37
Executive 2024-12-09 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 25566.7
Executive 2024-10-30 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 17710.55
Executive 2024-10-03 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 16142.04
Executive 2024-09-13 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 17094.17
Executive 2024-08-13 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 17876.45

Financial Incentive

Program Program Status Average Hourly Wage Project Cost Incentive Amount Initial Jobs New Jobs Date of Action Approval Type
KSBCI - Kentucky Small Business Credit Initiative Inactive - $0 $120,000 - - 2014-03-06 Final

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Sources: Kentucky Secretary of State

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