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PENNYROYAL HEALTHCARE SERVICES, INC.

Company Details

Name: PENNYROYAL HEALTHCARE SERVICES, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 10 Nov 2010 (15 years ago)
Organization Date: 10 Nov 2010 (15 years ago)
Last Annual Report: 22 May 2024 (a year ago)
Organization Number: 0775273
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42445
City: Princeton
Primary County: Caldwell County
Principal Office: 402 NORTH JEFFERSON STREET, P.O. BOX 151, PRINCETON, KY 42445
Place of Formation: KENTUCKY

Treasurer

Name Role
Rhonda Oldham Treasurer

Vice President

Name Role
Chris Baird Vice President

Director

Name Role
Pat Godwin Director
Ramonda Quick Director
Jill Giordano Director
Amy Birdsong Director
DAVID PTASZEK Director
GALE CHERRY Director
PATSY OLIVER Director
Amy Berry Director
Millie Arnaez Director
Bobby Acree Director

President

Name Role
Jennifer East President

Secretary

Name Role
Rhonda Oldham Secretary

Registered Agent

Name Role
KECIA FULCHER Registered Agent

Incorporator

Name Role
DAVID PTASZEK Incorporator

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.

Unique Entity ID:
XPL4K5F58UK5
CAGE Code:
66R39
UEI Expiration Date:
2026-04-08

Business Information

Doing Business As:
PENNYROYAL HEALTH CARE SERVICES
Activation Date:
2025-04-10
Initial Registration Date:
2010-11-08

National Provider Identifier

NPI Number:
1104532332
Certification Date:
2023-01-24

Authorized Person:

Name:
STARLA CUMMINGS
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
No
Selected Taxonomy:
261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
273618164
Plan Year:
2023
Number Of Participants:
65
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
60
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
57
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
50
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
43
Sponsors Telephone Number:

Former Company Names

Name Action
PENNYROYAL HEALTH CARE SERVICES, INC. Old Name
PENNYROYAL HEALTHCARE SERVICES, INC. Old Name

Assumed Names

Name Status Expiration Date
COMMUNITY MEDICAL CLINIC, OAK GROVE Active 2028-10-05
PENNYROYAL HEALTH CARE SERVICES Inactive 2022-06-25
COMMUNITY MEDICAL CLINIC, PRINCETON Inactive 2021-03-02
COMMUNITY MEDICAL CLINIC, HOPKINSVILLE Inactive 2021-03-02
COMMUNITY MEDICAL CLINIC, PAK GROVE Inactive 2021-03-02

Filings

Name File Date
Annual Report 2024-08-12
Annual Report 2024-05-22
Certificate of Assumed Name 2023-10-05
Certificate of Assumed Name 2023-10-05
Certificate of Assumed Name 2023-10-05

USAspending Awards / Financial Assistance

Date:
2023-08-29
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 BRIDGE ACCESS PROGRAM
Obligated Amount:
11931.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-05-18
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 EXPANDING COVID-19 VACCINATION
Obligated Amount:
22763.49
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2022-09-13
Awarding Agency Name:
Delta Regional Authority
Transaction Description:
PURCHASE XRAY EQUIPMENT FOR RURAL HEALTHCARE CLINICS
Obligated Amount:
120957.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-09-20
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
HEALTH CENTER INFRASTRUCTURE SUPPORT
Obligated Amount:
547476.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-09-21
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM
Obligated Amount:
800000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
27-3618164
In Care Of Name:
% PENNYROYAL HEALTHCARE SERVICES
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:
2011-02
National Taxonomy Of Exempt Entities:
Health Care: Ambulatory Health Center, Community Clinic
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Paycheck Protection Program

Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
391912
Current Approval Amount:
391912
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
394579.18
Date Approved:
2021-01-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
391913
Current Approval Amount:
391913
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
394503.98

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 19555.47
Executive 2025-02-21 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 40359.63
Executive 2025-01-10 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 25946.66
Executive 2024-12-05 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 12530.99
Executive 2024-10-30 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 16183.3

Sources: Kentucky Secretary of State