2011-12-13T10:53:50-06:00 2011-04-30 MOUNTJOY CHILTON MEDLEY LLP 462 S FOURTH ST 2000 MEIDINGER TOWE LOUISVILLE KY 402023445 990 2010-05-01 311114441 KENTUCKY HOSPITAL EMPLOYEE HEALTH BENEFIT TRUST KENT 5024266220 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 BRIAN BREZOSKY 5024266220 2011-12-13 1 VICTORIA D BUSTER CPA 5027491900 2010 2016-02-24 21:20:13Z TRUSTCARE J MILTON BROOKS 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 27216440 0 X N/A X 1987 KY PROVIDE DEPOSITORY FOR ASSETS OF EMPLOYEE WELFARE BENEFIT PLANS AND TO ADMINISTER SUCH ASSETS. 5 5 0 5 0 0 0 0 26756027 27212006 3848 4295 0 139 26759875 27216440 0 0 23853834 23181752 0 0 0 0 0 3177643 3572957 27031477 26754709 -271602 461731 1103550 1565279 0 0 1103550 1565279 PROVIDING A DEPOSITORY FOR ASSETS OF EMPLOYEE WELFARE BENEFIT PLANS AND TO ADMINISTER SUCH ASSETS IN ACCORDANCE WITH SUCH PLANS. 0 0 PROVIDING A DEPOSITORY FOR ASSETS OF EMPLOYEE WELFARE BENEFIT PLANS AND TO ADMINISTER SUCH ASSETS IN ACCORDANCE WITH SUCH PLANS. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 X 5 5 0 1 0 0 1 1 1 1 1 0 0 1 0 0 0 0 0 0 X J MILTON BROOKS 5024266220 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 X J MILTON BROOKS 0.50 X X 0 0 0 AUSTIN MOSS 0.50 X X 0 0 0 HAROLD WARMAN 0.50 X 0 0 0 J D MULLINS 0.50 X 0 0 0 MIA SUTER 0.50 X 0 0 0 BARRY LINDEMAN 0.50 X 0 0 0 BRIAN BREZOSKY 5.00 X 0 0 0 0 0 0 0 0 0 0 MERITAIN HEALTH PO BOX 1090 EVANSVILLE IN 477061090 THIRD PARTY ADMINISTRATOR 475066 KENTUCKY HOSPITAL SERVICE CORP 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 ADMINISTRATIVE FEES 195461 UMR 333 WEST VINE SUITE 500 LEXINGTON KY 40507 THIRD PARTY ADMINISTRATOR 127808 3 EMPLOYER CONTRIBUTIONS 900099 27212006 27212006 27212006 4295 4295 MISCELLANEOUS REVENUE 900099 139 139 139 27216440 27212006 0 4434 23181752 9308 1787357 303 12751 16314 REINSURANCE EXPENSE 1746924 26754709 -2 1103550 1565281 1103550 1565279 0 0 X 1103550 1565279 1103550 1565279 1103550 1565279 461731 0 X 0 0 0 BRIAN BREZOSKY CURRENT OFFICER - PLAN ADMINISTRATOR 366509 BRIAN BREZOSKY IS THE SENIOR VICE PRESIDENT OF KHA SOLUTIONS GROUP WHICH HAS A MANAGEMENT CONTRACT WITH TRUSTCARE. FEES ASSOCIATED WITH THE MANAGEMENT CONTRACT TOTALED $156,159. KHA SOLUTIONS GROUP ALSO RECEIVES COMMISSIONS ON THE REINSURANCE POLICY. THE COMMISSIONS TOTALED $210,350 FOR THE YEAR. 0 FORM 990, PART VI, SECTION A, LINE 3 KENTUCKY HOSPITAL SERVICE COMPANY OF KENTUCKY, LLC BOARD OF TRUSTEES MANAGES THE DAY-TO-DAY OPERATIONS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER HAS THE AUTHORIY TO ELECT A DIRECTOR. FORM 990, PART VI, SECTION A, LINE 7B EACH MEMBER MAKES DECISIONS ON THEIR INDIVIDUAL PLANS, BUT THE BOARD MAKES THE DECISIONS THAT AFFECT THE TRUST AS A WHOLE. FORM 990, PART VI, SECTION B, LINE 11 A DRAFT OF THE RETURN IS REVIEWED FIRST BY INTERNAL MANAGEMENT. AFTER INTERNAL MANAGEMENT HAS REVIEWED THE RETURN AND ANY CHANGES ARE MADE, A COPY IS THEN EMAILED IN PDF FORMAT TO THE BOARD PRIOR TO ITS FILING. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.