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REGIONAL HEALTH CARE AFFILIATES, INC.

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Company Details

Name: REGIONAL HEALTH CARE AFFILIATES, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 29 Jul 1982 (43 years ago)
Organization Date: 29 Jul 1982 (43 years ago)
Last Annual Report: 25 Mar 2025 (4 months ago)
Organization Number: 0169094
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 42450
City: Providence
Primary County: Webster County
Principal Office: 121 E. MAIN ST., PO BOX 134, PROVIDENCE, KY 42450
Place of Formation: KENTUCKY

Officer

Name Role
Shelley Gobin Officer
Brittney Dever Officer
Jack Merrill Officer

Director

Name Role
Ali Drake Director
Amanda Dame Director
Venita Murphy Director
William Bratcher Director
Anthony Dotson Director
Raegina Scott Director
Donna Bumpus Director
Shannon Layton Director
Cheryl Ladd Director
Britney Mitchell Director

Registered Agent

Name Role
SHELLEY GOBIN Registered Agent

Incorporator

Name Role
MORTON DICKERSON Incorporator
CARL VANNOY Incorporator
J. L. BECK Incorporator

Unique Entity ID

Unique Entity ID:
JML6TB9QWJG5
CAGE Code:
5UQV7
UEI Expiration Date:
2025-09-26

Business Information

Doing Business As:
REGIONAL HEALTH CARE AFFILIATES INC
Activation Date:
2024-09-30
Initial Registration Date:
2010-01-07

Commercial and government entity program

CAGE number:
5UQV7
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-09-30
CAGE Expiration:
2029-09-30
SAM Expiration:
2025-09-26

Contact Information

POC:
SHELLEY GOBIN

National Provider Identifier

NPI Number:
1679395040
Certification Date:
2024-10-24

Authorized Person:

Name:
CHRISTINA HUNT
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary:
Yes

Contacts:

Fax:
2706646082

Form 5500 Series

Employer Identification Number (EIN):
611043375
Plan Year:
2024
Number Of Participants:
118
Sponsors Telephone Number:

Assumed Names

Name Status Expiration Date
HEALTH FIRST COMMUNITY HEALTH CENTER Inactive 2020-03-02
HEALTH FIRST CHC Inactive 2015-03-02

Filings

Name File Date
Annual Report 2025-03-25
Annual Report 2024-05-02
Certificate of Assumed Name 2023-05-03
Certificate of Assumed Name 2023-05-03
Annual Report 2023-03-20

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:
22251.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-01-11
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 EXPANDING COVID-19 VACCINATION
Obligated Amount:
0.00
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:
634090.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-03-27
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS
Obligated Amount:
2193750.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-05-05
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)
Obligated Amount:
281179.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
61-1043375
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:
2009-07
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)

Paycheck Protection Program

Jobs Reported:
96
Initial Approval Amount:
$518,746.9
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$518,746.9
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$521,575.14
Servicing Lender:
Independence Bank of Kentucky
Use of Proceeds:
Payroll: $518,746.9

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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 2034.66
Executive 2025-01-23 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 1418.74
Executive 2024-12-20 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 2717.74
Executive 2024-11-20 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 769.24
Executive 2024-10-30 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 3102.36

Sources: Kentucky Secretary of State