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KENTUCKY MEDICAL SERVICES FOUNDATION, INC.

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Company Details

Name: KENTUCKY MEDICAL SERVICES FOUNDATION, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 19 Jun 1978 (47 years ago)
Organization Date: 19 Jun 1978 (47 years ago)
Last Annual Report: 02 Apr 2024 (a year ago)
Organization Number: 0089960
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40517
City: Lexington
Primary County: Fayette County
Principal Office: 2333 Alumni Park Plaza, Suite 400, Lexington, KY 40517
Place of Formation: KENTUCKY

Director

Name Role
JACQUELINE A. NOONAN, M. Director
WARD O. GRIFFEN, M.D. Director
William Inabnet, III, MD Director
D. KAY CLAWSON, M.D. Director
JOHN J. HUTTON, M.D. Director
Charles Griffith, MD Director
Roger Humphries, MD Director
Ginny Gottschalk, MD Director
JOHN W. GREENE, M.D. Director

Incorporator

Name Role
RUFUS LISLE Incorporator
NATHAN ELLIOTT, JR. Incorporator
RICHARD BUSH, JR. Incorporator

Vice President

Name Role
Elizabeth Oates, MD Vice President

Treasurer

Name Role
Zaki Hassan, MD Treasurer

President

Name Role
Seth Himelhoch, MD President

Registered Agent

Name Role
JAY S GRIDER, DO Registered Agent

Secretary

Name Role
Stephen Strup, MD Secretary

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:
Q1A5A9GKT137
CAGE Code:
3KFZ3
UEI Expiration Date:
2025-08-18

Business Information

Doing Business As:
KENTUCKY MEDICAL SERVICES FOUNDATION
Division Name:
KENTUCKY MEDICAL SERVICES FOUNDATION INC
Activation Date:
2024-08-20
Initial Registration Date:
2003-10-13

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
3KFZ3
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-08-20
CAGE Expiration:
2029-08-20
SAM Expiration:
2025-08-18

Contact Information

POC:
KATERINA MOLINA

National Provider Identifier

NPI Number:
1356817274

Authorized Person:

Name:
DR. MARCUS E RANDALL
Role:
AUTHROIZED OFFICIAL, CHAIR, DEPARTM
Phone:

Taxonomy:

Selected Taxonomy:
2084P0802X - Addiction Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
175T00000X - Peer Specialist
Is Primary:
No
Selected Taxonomy:
2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician
Is Primary:
No
Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
103K00000X - Behavior Analyst
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
8592575232

Assumed Names

Name Status Expiration Date
KMSF Inactive 2012-01-28
KENTUCKY MEDICAL SERVICES FOUNDATION Inactive 2012-01-28

Filings

Name File Date
Annual Report 2024-04-02
Principal Office Address Change 2024-04-02
Registered Agent name/address change 2024-04-02
Annual Report 2023-06-02
Annual Report 2022-06-01

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24925N0028
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
36529.92
Base And Exercised Options Value:
36529.92
Base And All Options Value:
36529.92
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2024-10-01
Description:
PATHOLOGY SERVICES
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q515: MEDICAL- PATHOLOGY
Procurement Instrument Identifier:
36C24925D0009
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
191860.20
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2024-10-01
Description:
PATHOLOGY SERVICES
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q515: MEDICAL- PATHOLOGY
Procurement Instrument Identifier:
15B11721PVB240850
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
34218.00
Base And Exercised Options Value:
34218.00
Base And All Options Value:
34218.00
Awarding Agency Name:
Department of Justice
Performance Start Date:
2021-01-06
Description:
OUTSIDE MEDICAL SERVICE FOR INMATE JEFFREY SWECKER #46082-074 DATE OF SERVICE 07/02/20-07/19/20
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q201: MEDICAL- GENERAL HEALTH CARE

USAspending Awards / Financial Assistance

Date:
2020-05-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
-2791300.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
61-0945743
In Care Of Name:
% NICOLE TUCKER
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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:
1980-04
Deductibility:
Type of organization and use of contribution: A supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

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Contracts

Branch Contract Id Procurement Type Begin Date End Date Amount
Executive 2200001503 MOA/PSC Exception 2022-07-01 2024-06-30 1682526
Department Behavioral Health, Developmental & Intellectual Disabilities
Category (918) CONSULTING SERVICES
Authorization Memorandum of Agreement - Non Profit 501 (c) 3
Document View Document
Executive 2000002293 MOA/PSC Exception 2020-07-01 2022-06-30 1628726
Department Behavioral Health, Developmental & Intellectual Disabilities
Category (918) CONSULTING SERVICES
Authorization Memorandum of Agreement - Non Profit 501 (c) 3
Document View Document
Executive 1900001670 Memorandum of Agreement 2018-07-01 2020-06-30 1628726
Department Behavioral Health, Developmental & Intellectual Disabilities
Category (918) CONSULTING SERVICES
Authorization Memorandum of Agreement

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2025-02-26 2025 Education and Labor Cabinet Department For Workforce Investment Fin Assist/Non-State Emp Rehab-Client Serv Cst-1099 Rpt 7625.67
Executive 2025-02-14 2025 Education and Labor Cabinet Department For Workforce Investment Fin Assist/Non-State Emp Rehab-Client Serv Cst-1099 Rpt -1584
Executive 2025-02-06 2025 Education and Labor Cabinet Department For Workforce Investment Fin Assist/Non-State Emp Rehab-Client Serv Cst-1099 Rpt 6754
Executive 2025-01-31 2025 Personnel Cabinet Department For Employee Insurance Fringe Benefits Self Insured Healthcare Cost 6133.6
Executive 2025-01-24 2025 Education and Labor Cabinet Department For Workforce Investment Fin Assist/Non-State Emp Rehab-Client Serv Cst-1099 Rpt 1478.35

Sources: Kentucky Secretary of State