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  5. SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC.

SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC.

Company Details

Name: SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 08 Feb 2008 (17 years ago)
Organization Date: 08 Feb 2008 (17 years ago)
Last Annual Report: 21 Feb 2025 (2 months ago)
Organization Number: 0685190
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40212
City: Louisville
Primary County: Jefferson County
Principal Office: 234 AMY AVENUE, LOUISVILLE, KY 40212
Place of Formation: KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
M7JBX3QK5WJ7 2025-02-22 234 AMY AVE, LOUISVILLE, KY, 40212, 2522, USA 234 AMY AVE, LOUISVILLE, KY, 40212, 2522, USA

Business Information
Division Name SHAWNEE CHRISTIAN HEALTHCARE CENTER
Congressional District 03
State/Country of Incorporation KY, USA
Activation Date 2024-02-26
Initial Registration Date 2010-09-08
Entity Start Date 2008-02-08
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name KIRSTIE MATZEK
Address 234 AMY AVE, LOUISVILLE, KY, 40212, 2522, USA
Title ALTERNATE POC
Name KIRSTIE MATZEK
Address 234 AMY AVE, LOUISVILLE, KY, 40212, USA
Government Business
Title PRIMARY POC
Name KIRSTIE MATZEK
Address 234 AMY AVE, LOUISVILLE, KY, 40212, 2522, USA
Title ALTERNATE POC
Name KIRSTIE MATZEK
Address 234 AMY AVE, LOUISVILLE, KY, 40212, USA
Past Performance
Title PRIMARY POC
Name KIRSTIE MATZEK
Address 234 AMY AVE, LOUISVILLE, KY, 40212, USA
Title ALTERNATE POC
Name KIRSTIE MATZEK
Address 234 AMY AVE, LOUISVILLE, KY, 40212, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHAWNEE CHRISTIAN HEALTHCARE CENTER INC CBS BENEFIT PLAN 2023 264345390 2024-12-30 SHAWNEE CHRISTIAN HEALTHCARE CENTER INC 39
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-06-01
Business code 621491
Sponsor’s telephone number 5027780001
Plan sponsor’s address 234 AMY AVE, LOUISVILLE, KY, 40212

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name JOSEPH HSU
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2024-12-30
Name of individual signing JOSEPH HSU
Valid signature Filed with authorized/valid electronic signature
SHAWNEE CHRISTIAN HEALTHCARE CENTER INC CBS BENEFIT PLAN 2022 264345390 2023-12-27 SHAWNEE CHRISTIAN HEALTHCARE CENTER INC 26
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-06-01
Business code 621491
Sponsor’s telephone number 5027780001
Plan sponsor’s address 234 AMY AVE, LOUISVILLE, KY, 40212

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2023-12-27
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 2021 264345390 2022-10-06 SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-07-01
Business code 621491
Sponsor’s telephone number 5027780001
Plan sponsor’s address 234 AMY AVE, LOUISVILLE, KY, 402122522

Signature of
Role Plan administrator
Date 2022-10-06
Name of individual signing DANA SCHULTZ
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 2020 264345390 2021-08-03 SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-07-01
Business code 621491
Sponsor’s telephone number 5027780001
Plan sponsor’s address 234 AMY AVE, LOUISVILLE, KY, 402122522

Signature of
Role Plan administrator
Date 2021-08-03
Name of individual signing DANIEL HUHNERKOCH
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 2019 264345390 2020-10-12 SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-07-01
Business code 621491
Sponsor’s telephone number 5027780001
Plan sponsor’s address 234 AMY AVE, LOUISVILLE, KY, 402122522

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing DANIEL HUHNERKOCH
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 2018 264345390 2019-08-16 SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-07-01
Business code 621111
Sponsor’s telephone number 5027780001
Plan sponsor’s address 234 AMY AVE, LOUISVILLE, KY, 402122522

Signature of
Role Plan administrator
Date 2019-08-16
Name of individual signing SUSAN MAGUIRE
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 2017 264345390 2018-07-06 SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-07-20
Business code 621111
Sponsor’s telephone number 5027780001
Plan sponsor’s address 234 AMY AVE, LOUISVILLE, KY, 402122522

Signature of
Role Plan administrator
Date 2018-07-06
Name of individual signing SUSAN MAGUIRE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-06
Name of individual signing SUSAN MAGUIRE
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 2016 264345390 2017-05-31 SHAWNEE CHRISTIAN HEALTHCARE CENTER , INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-07-01
Business code 621111
Sponsor’s telephone number 5027780001
Plan sponsor’s address 234 AMY AVE, LOUISVILLE, KY, 402122522

Signature of
Role Plan administrator
Date 2017-05-31
Name of individual signing SUSAN MAGUIRE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-31
Name of individual signing SUSAN MAGUIRE
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
DAVID A DAGEFORDE Director
MONICA BROWN Director
CHAD REHNBERG Director
PHYLLIS PLATT Director
Jennifer Miles Director
CHRISTOPHER REDHAGE Director
C L JORDAN Director
Sharon Elsesser Director
Deloris White Director
Sharon Bond Director

Incorporator

Name Role
D RANDALL GIBSON Incorporator

Vice President

Name Role
Frances Loueva Moss Vice President

President

Name Role
Leigh Mayes President

Secretary

Name Role
Marcia Liggin Secretary

Officer

Name Role
Kirstie Matzek Officer

Registered Agent

Name Role
SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. Registered Agent

Former Company Names

Name Action
NEIGHBORHOOD CHRISTIAN HEALTHCARE MINISTRIES, INC Old Name

Filings

Name File Date
Annual Report Amendment 2025-02-21
Annual Report 2025-02-20
Annual Report 2024-05-03
Annual Report 2023-05-17
Annual Report 2022-04-04
Annual Report 2021-02-09
Annual Report Amendment 2021-02-09
Annual Report Amendment 2020-11-16
Annual Report 2020-06-15
Annual Report 2019-06-20

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
26-4345390 Corporation Unconditional Exemption 234 AMY AVE, LOUISVILLE, KY, 40212-2522 2009-06
In Care of Name % DANA SCHULTZ
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 2023-12
Asset 1,000,000 to 4,999,999
Income 5,000,000 to 9,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 3300510
Income Amount 5367539
Form 990 Revenue Amount 4974021
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)

Form 990-N (e-Postcard)
Organization Name SHAWNEE CHRISTIAN HEALTHCARE CENTER INC
EIN 26-4345390
Tax Year 2009
Beginning of tax period 2009-01-01
End of tax period 2009-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 6100 Glen Hill Road, Louisville, KY, 40222, US
Principal Officer's Name David Dageforde
Principal Officer's Address 6100 Glen Hill Road, Louisville, KY, 40222, US

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name SHAWNEE CHRISTIAN HEALTHCARE CENTER INC
EIN 26-4345390
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name SHAWNEE CHRISTIAN HEALTHCARE CENTER INC
EIN 26-4345390
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name SHAWNEE CHRISTIAN HEALTHCARE CENTER INC
EIN 26-4345390
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name SHAWNEE CHRISTIAN HEALTHCARE CENTER INC
EIN 26-4345390
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name SHAWNEE CHRISTIAN HEALTHCARE CENTER INC
EIN 26-4345390
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name SHAWNEE CHRISTIAN HEALTHCARE CENTER INC
EIN 26-4345390
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name SHAWNEE CHRISTIAN HEALTHCARE CENTER INC
EIN 26-4345390
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name SHAWNEE CHRISTIAN HEALTHCARE CENTER INC
EIN 26-4345390
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
7623337705 2020-05-01 0457 PPP 234 AMY AVE, LOUISVILLE, KY, 40212-2522
Loan Status Date 2021-04-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 375000
Loan Approval Amount (current) 375000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Unanswered
Project Address LOUISVILLE, JEFFERSON, KY, 40212-2522
Project Congressional District KY-03
Number of Employees 35
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 44449
Originating Lender Name PNC Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 378218.75
Forgiveness Paid Date 2021-03-25

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2023-07-07 2024 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 12323.97

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No related companies by address

Sources: Kentucky Secretary of State

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