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THE KENTUCKY HOSPITAL ASSOCIATION

Company Details

Name: THE KENTUCKY HOSPITAL ASSOCIATION
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 03 Mar 1954 (71 years ago)
Organization Date: 03 Mar 1954 (71 years ago)
Organization Number: 0027947
Industry: Membership Organizations
Number of Employees: Medium (20-99)
Primary County: Jefferson
Place of Formation: KENTUCKY
Last Annual Report: 21 Jun 2024 (5 months ago)
Principal Office: PO BOX 436629, LOUISVILLE, KY 40253-6629
Principal Office ZIP code: 40253

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
XBJPFKYMEKB8 2024-07-18 2501 NELSON MILLER PKWY, LOUISVILLE, KY, 40223, 2221, USA P.O. BOX 436629, LOUISVILLE, KY, 40253, 6629, USA

Business Information
URL http://www.kyha.com
Congressional District 03
State/Country of Incorporation KY, USA
Activation Date 2023-07-21
Initial Registration Date 2006-03-22
Entity Start Date 1929-07-01
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 813910

Points of Contacts
Electronic Business
Title PRIMARY POC
Name APRIL N SMITH
Address P.O. BOX 436629, LOUISVILLE, KY, 40253, 6629, USA
Title ALTERNATE POC
Name APRIL SMITH
Address P.O. BOX 436629, LOUISVILLE, KY, 40253, 6629, USA
Government Business
Title PRIMARY POC
Name APRIL N SMITH
Address P.O. BOX 436629, LOUISVILLE, KY, 40253, 6629, USA
Title ALTERNATE POC
Name BRENT WATES
Address P.O. BOX 436629, LOUISVILLE, KY, 40253, 6629, USA
Past Performance
Title PRIMARY POC
Name BRENT WATES
Address 2501 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223, 2221, USA
Title ALTERNATE POC
Name BRENT WATES
Address 2501 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223, 2221, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENTUCKY HOSPITAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2023 610574577 2024-05-08 KENTUCKY HOSPITAL ASSOCIATION 56
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address 2501 NELSON MILLER PARKWAY, SUITE 200, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2024-05-08
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
KENTUCKY HOSPITAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2022 610574577 2024-05-06 KENTUCKY HOSPITAL ASSOCIATION 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address 2501 NELSON MILLER PARKWAY, SUITE 200, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2024-05-06
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
KENTUCKY HOSPITAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2022 610574577 2023-07-03 KENTUCKY HOSPITAL ASSOCIATION 53
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address 2501 NELSON MILLER PARKWAY, SUITE 200, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2023-07-03
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
KENTUCKY HOSPITAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2021 610574577 2022-09-08 KENTUCKY HOSPITAL ASSOCIATION 47
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address 2501 NELSON MILLER PARKWAY, SUITE 200, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2022-09-08
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
KENTUCKY HOSPITAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2021 610574577 2023-06-02 KENTUCKY HOSPITAL ASSOCIATION 47
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address 2501 NELSON MILLER PARKWAY, SUITE 200, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2023-06-02
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
KENTUCKY HOSPITAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2021 610574577 2023-06-02 KENTUCKY HOSPITAL ASSOCIATION 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address 2501 NELSON MILLER PARKWAY, SUITE 200, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2023-06-02
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
KENTUCKY HOSPITAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2020 610574577 2021-09-27 KENTUCKY HOSPITAL ASSOCIATION 33
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address 2501 NELSON MILLER PARKWAY, SUITE 200, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2021-09-27
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
KENTUCKY HOSPITAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2020 610574577 2021-10-22 KENTUCKY HOSPITAL ASSOCIATION 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address 2501 NELSON MILLER PARKWAY, SUITE 200, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2021-10-22
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
KENTUCKY HOSPITAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2019 610574577 2020-10-13 KENTUCKY HOSPITAL ASSOCIATION 52
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address P.O. BOX 436629, LOUISVILLE, KY, 402536629

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing NANCY GALVAGNI
Valid signature Filed with authorized/valid electronic signature
KENTUCKY HOSPITAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2018 610574577 2019-10-14 KENTUCKY HOSPITAL ASSOCIATION 52
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address P.O. BOX 436629, LOUISVILLE, KY, 402536629

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing MICHAEL T RUST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/09/25/20180925133318P040008924741002.pdf
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address P.O. BOX 436629, LOUISVILLE, KY, 402536629

Signature of
Role Plan administrator
Date 2018-09-25
Name of individual signing MICHAEL T RUST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/13/20170713122715P030029336175001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address P.O. BOX 436629, LOUISVILLE, KY, 402536629

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing MICHAEL T. RUST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/06/15/20160615124516P030107401831001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address P.O. BOX 436629, LOUISVILLE, KY, 402536629

Signature of
Role Plan administrator
Date 2016-06-15
Name of individual signing MICHAEL T. RUST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/15/20150715092125P040093143095001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address P O BOX 436629, LOUISVILLE, KY, 402536629

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing MICHAEL T. RUST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing MICHAEL T. RUST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/29/20150629102934P040067348775001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1973-01-01
Business code 622000
Sponsor’s telephone number 5024266220
Plan sponsor’s address KENTUCKY HOSPITAL ASSOCIATION, P.O. BOX 436629, LOUISVILLE, KY, 402536629

Signature of
Role Plan administrator
Date 2015-06-24
Name of individual signing MICHAEL T. RUST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/02/20141002133343P040011029709001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1973-01-01
Business code 622000
Sponsor’s telephone number 5024266220
Plan sponsor’s address KENTUCKY HOSPITAL ASSOCIATION, P.O. BOX 436629, LOUISVILLE, KY, 402536629

Signature of
Role Plan administrator
Date 2014-10-02
Name of individual signing MICHAEL T. RUST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/25/20140625092051P030403545235001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address P O BOX 436629, LOUISVILLE, KY, 402536629

Signature of
Role Plan administrator
Date 2014-06-25
Name of individual signing MICHAEL T. RUST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-25
Name of individual signing MICHAEL T. RUST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/18/20130918133155P040022255728001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1973-01-01
Business code 622000
Sponsor’s telephone number 5024266220
Plan sponsor’s address KENTUCKY HOSPITAL ASSOCIATION, P.O. BOX 436629, LOUISVILLE, KY, 402536629

Signature of
Role Plan administrator
Date 2013-09-18
Name of individual signing MICHAEL T. RUST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/25/20130725133604P040117529189001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address P O BOX 436629, LOUISVILLE, KY, 402536629

Signature of
Role Plan administrator
Date 2013-07-25
Name of individual signing MICHAEL T. RUST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/10/20121010075909P030000444597001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1973-01-01
Business code 622000
Sponsor’s telephone number 5024266220
Plan sponsor’s address P.O. BOX 436629, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610574577
Plan administrator’s name KENTUCKY HOSPITAL ASSOCIATION
Plan administrator’s address P.O. BOX 436629, LOUISVILLE, KY, 40223
Administrator’s telephone number 5024266220

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing MICHAEL T. RUST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/19/20120719102244P040007341666001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address P O BOX 436629, LOUISVILLE, KY, 402536629

Plan administrator’s name and address
Administrator’s EIN 610574577
Plan administrator’s name KENTUCKY HOSPITAL ASSOCIATION
Plan administrator’s address P O BOX 436629, LOUISVILLE, KY, 402536629
Administrator’s telephone number 5024266220

Signature of
Role Plan administrator
Date 2012-07-19
Name of individual signing MICHAEL T. RUST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/03/20111003145703P040145185681001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1973-01-01
Business code 622000
Sponsor’s telephone number 5024266220
Plan sponsor’s address KENTUCKY HOSPITAL ASSOCIATION, 2501 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610574577
Plan administrator’s name KENTUCKY HOSPITAL ASSOCIATION
Plan administrator’s address KENTUCKY HOSPITAL ASSOCIATION, 2501 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Administrator’s telephone number 5024266220

Signature of
Role Plan administrator
Date 2011-10-03
Name of individual signing MICHAEL T. RUST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/17/20120717071212P030006600898001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address P O BOX 436629, LOUISVILLE, KY, 402536629

Plan administrator’s name and address
Administrator’s EIN 610574577
Plan administrator’s name KENTUCKY HOSPITAL ASSOCIATION
Plan administrator’s address P O BOX 436629, LOUISVILLE, KY, 402536629
Administrator’s telephone number 5024266220

Signature of
Role Plan administrator
Date 2012-07-17
Name of individual signing MICHAEL T. RUST
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address P O BOX 436629, LOUISVILLE, KY, 402536629

Plan administrator’s name and address
Administrator’s EIN 610574577
Plan administrator’s name KENTUCKY HOSPITAL ASSOCIATION
Plan administrator’s address P O BOX 436629, LOUISVILLE, KY, 402536629
Administrator’s telephone number 5024266220

Signature of
Role Plan administrator
Date 2011-07-20
Name of individual signing MICHAEL T. RUST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/21/20100721170827P040389037761001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1973-01-01
Business code 622000
Sponsor’s telephone number 5024266220
Plan sponsor’s address P. O. BOX 436629, LOUISVILLE, KY, 40253

Plan administrator’s name and address
Administrator’s EIN 610574577
Plan administrator’s name KENTUCKY HOSPITAL ASSOCIATION
Plan administrator’s address P. O. BOX 436629, LOUISVILLE, KY, 40253
Administrator’s telephone number 5024266220

Signature of
Role Plan administrator
Date 2010-07-21
Name of individual signing MICHAEL T. RUST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/19/20100719104541P030086962504001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 813000
Sponsor’s telephone number 5024266220
Plan sponsor’s address P O BOX 436629, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610574577
Plan administrator’s name KENTUCKY HOSPITAL ASSOCIATION
Plan administrator’s address P O BOX 436629, LOUISVILLE, KY, 40223
Administrator’s telephone number 5024266220

Signature of
Role Plan administrator
Date 2010-07-19
Name of individual signing MICHAEL T. RUST
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
KIMBERLEY SCHWOEPPE Registered Agent

President

Name Role
NANCY GALVAGNI President

Officer

Name Role
MIKE SHERROD Officer

Treasurer

Name Role
MARK BIRDWHISTELL Treasurer

Director

Name Role
GARREN COLVIN Director
DONALD LLOYD Director
DONOVAN BLACKBURN Director
KATHY STUMBO Director
WALTER PHELPS Director
ARDEN HARDGROVE Director
BENTLEY FREDERICK Director
HELENA HUGHES Director
EDWARD W. HORGEN Director
GERARD COLMAN Director

Incorporator

Name Role
HELENA HUGHES Incorporator
EDWARD W. HORGEN Incorporator
S. A. RUSKJER Incorporator
C. A. TOWELL Incorporator
BENTLEY FREDERICK Incorporator

Assumed Names

Name Status Expiration Date
KENTUCKY HOSPITAL AND HEALTHCARE ASSOCIATION Inactive 2003-07-15
KHA - AN ASSOCIATION OF KENTUCKY HOSPITALS AND HEALTH SYSTEMS Inactive 2003-07-15

Filings

Name File Date
Annual Report 2024-06-21
Annual Report 2023-03-15
Registered Agent name/address change 2022-05-16
Annual Report 2022-05-16
Annual Report 2021-04-12
Annual Report 2020-06-01
Registered Agent name/address change 2019-07-19
Annual Report 2019-07-08
Annual Report 2018-06-07
Annual Report 2017-06-06

Related by officers

KIMBERLEY SCHWOEPPE

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NANCY GALVAGNI

KENTUCKY HOSPITAL RESEARCH AND EDUCATION FOUNDATION, INC.

MIKE SHERROD

KENTUCKY HOSPITAL RESEARCH AND EDUCATION FOUNDATION, INC. PROJECT C.A.M.P., INC.

MARK BIRDWHISTELL

KENTUCKY HOSPITAL RESEARCH AND EDUCATION FOUNDATION, INC.

GARREN COLVIN

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DONALD LLOYD

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DONOVAN BLACKBURN

KENTUCKY HOSPITAL RESEARCH AND EDUCATION FOUNDATION, INC. PIKEVILLE MEDICAL DEVELOPMENT CORPORATION LANDMARK PROPERTIES OF PIKEVILLE, INC. PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE, INC. SHAPING OUR APPALACHIAN REGION, INC. KYCO, INC. CITY OF PIKEVILLE ECONOMIC AND INDUSTRIAL DEVELOPMENT AUTHORITY CORPORATION

KATHY STUMBO

KENTUCKY HOSPITAL RESEARCH AND EDUCATION FOUNDATION, INC.

GERARD COLMAN

BAPTIST HEALTH RICHMOND, INC. KENTUCKY HOSPITAL RESEARCH AND EDUCATION FOUNDATION, INC. BAPTIST HEALTHCARE FOUNDATION, INC. LOUISVILLE HEALTHCARE CEO COUNCIL, INC. Brownsboro Road Development, Inc. BAPTIST HEALTH DEACONESS MEDICAL GROUP, INC. BAPTIST HEALTH DEACONESS, LLC

Related by address

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Date of last update: 11 Nov 2024

Sources: Kentucky Secretary of State

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