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PINEVILLE COMMUNITY HEALTH CENTER, INC

Company Details

Name: PINEVILLE COMMUNITY HEALTH CENTER, INC
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 03 Jun 2019 (6 years ago)
Organization Date: 03 Jun 2019 (6 years ago)
Last Annual Report: 12 Dec 2024 (3 months ago)
Organization Number: 1060488
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 40977
City: Pineville, Balkan, Callaway, Cary, Chenoa, Clear Cr...
Primary County: Bell County
Principal Office: 850 Riverview Ave, Pineville, KY 40977
Place of Formation: KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
Q5RXEKBSVW85 2022-02-09 850 RIVERVIEW AVE, PINEVILLE, KY, 40977, 1452, USA 850 RIVERVIEW AVE, PINEVILLE, KY, 40977, 1452, USA

Business Information

URL pinevillehospital.org
Division Name PINEVILLE COMMUNITY HEALTH CENTER, INC
Congressional District 05
State/Country of Incorporation KY, USA
Activation Date 2021-02-24
Initial Registration Date 2020-03-23
Entity Start Date 2019-06-03
Fiscal Year End Close Date Jun 30

Points of Contacts

Electronic Business
Title PRIMARY POC
Name DALE FARRELL
Role CFO
Address 850 RIVERVIEW AVE, PINEVILLE, KY, 40977, 1452, USA
Government Business
Title PRIMARY POC
Name DALE FARRELL
Role CFO
Address 850 RIVERVIEW AVE, PINEVILLE, KY, 40977, 1452, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PINEVILLE COMMUNITY HEALTH CENTER, INC. 403(B) PLAN 2023 841949748 2024-10-15 PINEVILLE COMMUNITY HEALTH CENTER, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-07-01
Business code 622000
Sponsor’s telephone number 6063373051
Plan sponsor’s address 850 RIVERVIEW AVE, PINEVILLE, KY, 40977
PINEVILLE COMMUNITY HEALTH CENTER, INC. 403(B) PLAN 2022 841949748 2023-10-16 PINEVILLE COMMUNITY HEALTH CENTER, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-07-01
Business code 622000
Sponsor’s telephone number 6063373051
Plan sponsor’s address 850 RIVERVIEW AVE, PINEVILLE, KY, 40977
PINEVILLE COMMUNITY HEALTH CENTER, INC. 403(B) PLAN 2021 841949748 2022-10-17 PINEVILLE COMMUNITY HEALTH CENTER, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-07-01
Business code 622000
Sponsor’s telephone number 6063373051
Plan sponsor’s address 850 RIVERVIEW AVE, PINEVILLE, KY, 40977
PINEVILLE COMMUNITY HEALTH CENTER, INC. 403(B) PLAN 2020 841949748 2021-10-15 PINEVILLE COMMUNITY HEALTH CENTER, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-07-01
Business code 622000
Sponsor’s telephone number 6063373051
Plan sponsor’s address 850 RIVERVIEW AVE, PINEVILLE, KY, 40977

Registered Agent

Name Role
Sheryl Richter Registered Agent
Millard Kevin Couch Registered Agent

President

Name Role
Sheryl Richter President

Director

Name Role
Dennis Varghese Director
Sheryl Richter Director
Tyler Stapp Director
Scott Madon Director
Robert Roan Director
Steve Cawood Director

Incorporator

Name Role
Millard Kevin Couch Incorporator

Filings

Name File Date
Registered Agent name/address change 2024-12-12
Annual Report Amendment 2024-12-12
Annual Report 2024-04-11
Registered Agent name/address change 2024-04-11
Annual Report 2023-02-01
Registered Agent name/address change 2023-01-13
Registered Agent name/address change 2022-03-08
Annual Report 2022-03-08
Annual Report 2021-04-16
Annual Report 2020-06-26

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
84-1949748 Corporation Unconditional Exemption 850 RIVERVIEW AVE, PINEVILLE, KY, 40977-1452 2020-04
In Care of Name % MILLARD KEVIN COUCH
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 2022-06
Asset 5,000,000 to 9,999,999
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 Jun
Asset Amount 6532725
Income Amount 11300874
Form 990 Revenue Amount 9373374
National Taxonomy of Exempt Entities Health Care: Hospital, General
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)

Determination Letter

Final Letter(s) FinalLetter_84-1949748_PINEVILLECOMMUNITYHEALTHCENTERINC_06292019_00.tif
FinalLetter_84-1949748_PINEVILLECOMMUNITYHEALTHCENTERINC_06292019.tif

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name PINEVILLE COMMUNITY HEALTH CENTER INC
EIN 84-1949748
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name PINEVILLE COMMUNITY HEALTH CENTER INC
EIN 84-1949748
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name PINEVILLE COMMUNITY HEALTH CENTER INC
EIN 84-1949748
Tax Period 201906
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
8749747002 2020-04-08 0457 PPP 850 RIVERVIEW AVE, PINEVILLE, KY, 40977-1400
Loan Status Date 2020-12-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 645600
Loan Approval Amount (current) 645600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27783
Servicing Lender Name Community Trust Bank, Inc.
Servicing Lender Address 346 N Mayo Trl, PIKEVILLE, KY, 41501-1847
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address PINEVILLE, BELL, KY, 40977-1400
Project Congressional District KY-05
Number of Employees 75
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 27783
Originating Lender Name Community Trust Bank, Inc.
Originating Lender Address PIKEVILLE, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 649597.41
Forgiveness Paid Date 2020-11-30

Financial Incentive

Program Program Status Average Hourly Wage Project Cost Incentive Amount Initial Jobs New Jobs Date of Action Approval Type
KRHLP - Kentucky Rural Hospital Loan Program Active - $1,000,000 $1,000,000 102 - 2021-10-28 Final

Sources: Kentucky Secretary of State