2023-08-14T19:48:19-05:00 2022-09-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2021-10-01 610444716 ASHLAND HOSPITAL CORPORATION ASHL 6064084000 2201 LEXINGTON AVENUE ASHLAND KY 41101 AUTUMN MCFANN VICE PRESIDENT/CFO/CAO 6064084000 2023-08-14 1 AUTUMN MCFANN 999009999 KERRI N BOGDA CPA P00760402 7177404863 2023-08-14 X 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z KING'S DAUGHTERS MEDICAL CENTER SARA MARKS 2201 LEXINGTON AVENUE ASHLAND KY 41101 932861607 0 X WWW.KINGSDAUGHTERSHEALTH.COM X 1941 KY TO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL. 8 4 4844 58 107408 0 9478565 9336431 694864019 831889501 26282758 7443814 4143582 5473943 734768924 854143689 384626 566765 0 0 271985531 318471331 0 0 0 325426024 372432256 597796181 691470352 136972743 162673337 776253929 875286431 410878817 413401184 365375112 461885247 X TO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL. 0 0 587095976 566765 831781205 LOCATED IN ASHLAND, KY., KING'S DAUGHTERS MEDICAL CENTER HAS BEEN SERVING THE PEOPLE OF NORTHEASTERN KENTUCKY, SOUTHERN OHIO, AND WESTERN WEST VIRGINIA FOR MORE THAN 120 YEARS. OUR FOCUS HAS ALWAYS BEEN ON HEALING THE SICK; IMPROVING QUALITY AND LENGTH OF LIFE; BUILDING HEALTHY COMMUNITIES; AND MEETING THE EVER-CHANGING HEALTHCARE NEEDS OF OUR REGION. AS ONE OF THE AREA'S LARGEST EMPLOYERS, KING'S DAUGHTERS IS AN IMPORTANT PART OF THE REGION'S INFRASTRUCTURE, ENSURING LOCAL ACCESS TO HIGH-QUALITY HEALTHCARE SERVICES; PROVIDING STABLE JOBS; ENCOURAGING ECONOMIC DEVELOPMENT; AND SUPPORTING EDUCATION FROM PRE-SCHOOL TO SENIOR CITIZENS. KING'S DAUGHTERS PROVIDES COMPREHENSIVE HEALTHCARE IN THE FOLLOWING SPECIALTIES: HEART AND VASCULAR; ORTHOPEDICS AND SPORTS MEDICINE; DIGESTIVE HEALTH; SURGICAL SERVICES AND BARIATRICS; BEHAVIORAL MEDICINE/PSYCHIATRIC; ONCOLOGY; MATERNITY, WOMEN'S CARE AND PEDIATRICS; PULMONOLOGY; AND PRIMARY CARE. KING'S DAUGHTERS IS COMPRISED OF TWO ACUTE-CARE HOSPITALS TOTALING 465 LICENSED BEDS; AN INTEGRATED NETWORK OF MORE THAN 400 PHYSICIANS AND ADVANCED PRACTITIONERS; 80 AMBULATORY CENTERS AND PRACTICE LOCATIONS OFFERING BOTH PRIMARY AND SPECIALTY CARE THROUGHOUT EASTERN KENTUCKY AND SOUTHERN OHIO. OUR GEOGRAPHICALLY DISTRIBUTED NETWORK OF PRIMARY CARE AND SPECIALIST PHYSICIANS, ALONG WITH DIAGNOSTIC CENTERS, HELPS ENSURE ACCESSIBLE, CONVENIENT HEALTHCARE SERVICES FOR PEOPLE WHERE THEY LIVE AND WORK. KING'S DAUGHTERS, ALONG WITH ITS TEAM MEMBERS, IS DEEPLY INVOLVED IN SUPPORTING PROGRAMS THAT IMPACTS THE HEALTH, WELL-BEING, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY. - PROVIDING FREE IN-PERSON HEALTH SCREENINGS COVERING TOPICS RANGING FROM HEART DISEASE TO JOINT HEALTH TO SLEEP DISORDERS AND SKIN CANCER.- OFFERING FREE, ONLINE HEALTH RISK ASSESSMENTS AND SUPPORT GROUPS.- SPONSORING OR PARTICIPATING IN COMMUNITY EVENTS SUCH AS STRIKE-OUT STROKE, AND FREE FLU VACCINATIONS.- PROVIDING FREE SPORTS PHYSICALS TO YOUNG ATHLETES AT SCHOOLS THROUGHOUT OUR REGION; PLACING CERTIFIED ATHLETIC TRAINERS AT SCHOOLS; AND OFFERING WALK-IN ORTHOPEDIC AND SATURDAY MORNING SPORTS CLINICS.- PURCHASING AND DONATING AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS) AND ANCILLARY EQUIPMENT (BATTERIES, PADS) TO FIRST-RESPONDERS AND LOCAL ORGANIZATIONS THROUGHOUT OUR SERVICE AREA.- EXTENSIVE EFFORTS TO INCREASE COMMUNITY AWARENESS OF AND/OR COMPLIANCE WITH SCREENING RECOMMENDATIONS FOR COMMON HEALTH ISSUES INCLUDING BREAST, LUNG, AND COLORECTAL CANCERS; STROKE; HEART DISEASE; AND MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS. - OFFERING 3D MAMMOGRAPHY THROUGHOUT OUR REGION THROUGH STATIONARY LOCATIONS AT KING'S DAUGHTERS MEDICAL CENTER AND KING'S DAUGHTERS OHIO.- PROVIDING MOBILE HEALTH SERVICES ABOARD OUR MOBILE MAMMOGRAPHY OFFERING 3D IMAGES AND TWO ADDITIONAL FLEXIBLE MOBILE UNITS PROVIDING A WIDE RANGE OF SERVICES INCLUDING OCCUPATIONAL MEDICINE SERVICES, HEALTH SCREENINGS, EKG'S, PFTS, AND OTHER SERVICES TRAVELING THROUGHOUT THE REGION. - INCREASING ACCESS TO FRESH, HEALTHY FOODS THROUGH SPONSORSHIP OF THE BOYD, CARTER, GREENUP COUNTIES IN KY AND LAWRENCE COUNTY OH FARMERS MARKETS.- INCREASING BLOOD DONATION THROUGH PARTNERSHIPS WITH THE KENTUCKY BLOOD CENTER AND THE RED CROSS. - DONATING FOOD TO LOCAL FOOD BANKS TO ADDRESS THE FOOD INSECURITY ISSUE IN OUR AREA.- PROVIDING FREE TRANSPORTATION TO HEALTH CARE VISITS FOR INDIVIDUALS THAT LACK DEPENDABLE TRANSPORTATION. - PROVIDING MEALS ON WHEELS SERVICES IN SEVERAL BOYD AND GREENUP COUNTY COMMUNITIES FOR FREE TO INDIVIDUALS LIVING BELOW THE POVERTY LINE AND AT AN AFFORDABLE COST TO INDIVIDUALS THAT CAN AFFORD TO PAY. - SPONSORING AND PARTNERING WITH DOZENS OF OTHER ORGANIZATIONS TO HELP FURTHER EDUCATIONAL OPPORTUNITIES, PHYSICAL ACTIVITY, SOCIAL INTERACTION AND ECONOMIC DEVELOPMENT IN THE COMMUNITIES WE SERVE. 587095976 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 339 0 4844 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 8 4 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 KY X LAURIE STEWART CONTROLLER 6064089640 2201 LEXINGTON AVENUE ASHLAND KY 41101 DAVID JONES BOARD CHAIRMAN 2.00 4.50 X X 0 0 0 DR MARK NEWMAN BOARD VICE-CHAIRMAN 2.00 4.00 X X 0 0 0 JOHN STEWART DIRECTOR 0.25 2.75 X 0 0 0 TOM BURNETTE DIRECTOR 0.25 2.75 X 0 0 0 STEPHEN ADDINGTON DIRECTOR 0.25 2.50 X 0 0 0 ERIC MONDAY DIRECTOR 0.25 2.25 X 0 0 0 CRAIG COLLINS DIRECTOR 0.25 2.25 X 0 0 0 MARK BIRDWHISTELL DIRECTOR 0.25 2.25 X 0 0 0 KRISTIE WHITLATCH NON-VOTING PRESIDENT/CEO 51.25 9.50 X X 2269672 0 2437 AUTUMN MCFANN NON-VOTING TREASURER, SR. VP/CFO 51.25 9.50 X 641478 0 79681 SHERYL MAHANEY NON-VOTING SECRETARY, VP/CHIEF LEGAL OFFICER 51.25 9.50 X 681233 0 32931 SARA MARKS SR. VP/COO 51.25 9.00 X 652411 0 90218 RYAN ISON VP INTEGRATED PRACTICES 45.00 X 309879 0 91697 CURTIS METZLER CNO/VP PATIENT CARE SERVICES 45.00 X 316236 0 72398 STACY CAUDILL MD VP/CHIEF INPATIENT CLINICAL OFFICER 0.25 40.00 X 0 389892 30297 STACY PATRICK VP CLINICAL & PROCEDURAL OPS. 45.00 X 312282 0 79742 RICHARD FORD MD VP/CMO INPATIENT & PROCEDURAL SVCS. 0.25 40.00 X 0 565476 18367 CHARBEL SALEM MD VP/CHIEF POPULATION HEALTH OFF., KHF MEDICAL DIR. 0.25 50.00 X 0 681980 41311 JAMES DETHERAGE MD VP/CMO OUTPATIENT INTEGRATED PRACTICES 0.25 40.00 X 0 552479 43337 JANE STRADER MD PHYSICIAN/ANHC MED DIRECTOR 40.00 20.00 X 397373 0 29209 MELINDA ELKINS-SMITH MD PHYSICIAN 40.00 X 381468 0 10642 JASON FORD MD PHYSICIAN 40.00 X 415562 0 39335 CHARLES CONLEY DO PHYSICIAN 40.00 9.50 X 422003 95020 35682 EVAN CONDEE DO PHYSICIAN 40.00 0.50 X 442842 4920 22039 7242439 2289767 719323 322 0 1 0 RIVERSIDE ANESTHESIA 425 LEWIS HARGETT CIRCLE LEXINGTON KY 40503 ANESTHESIA SERVICES 8847101 HARRIS BROTHERS ROOFING CO 1533 HANSFORD STREET CHARLESTON WV 25311 CONSTRUCTION SERVICES 1323395 OBHG KENTUCKY PSC 777 LOWNDES HILL ROAD-BUILDING 1 GREENVILLE SC 29607 HOSPITALISTS 1281519 EMCARE INC 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 EMERGENCY ROOM PHYSICIANS 842979 BASS BERRY & SIMS PLC 150 THIRD AVENUE SOUTH SUITE 2800 NASHVILLE TN 37201 CONSULTANTS 738093 40 8850056 486375 9336431 NET PATIENT SVC REV 621110 788615556 788615556 PHARMACY 446110 42692036 42583740 108296 COVID IV THERAPY REV 621110 572640 572640 MEANINGFUL USE REVENUE 621110 9269 9269 831889501 9996883 9996883 300 300 746536 3675 526011 4563 220525 -888 219637 -888 220525 75555255 78720 76412772 1774572 -857517 -1695852 -2553369 -2553369 QUALITY INCENTIVE 900099 2378764 2378764 CAFETERIA 900099 2066524 2066524 MANAGEMENT FEES 900099 395799 395799 413219 413219 5254306 854143689 831781205 107408 12918645 566765 566765 4739958 4739958 209472 119300 90172 245452533 216600687 28851846 6846475 6042014 804461 42883514 37844701 5038813 18339379 15876400 2462979 12808713 12808713 2846569 19794 2826775 150000 150000 24707 24707 648542 648542 54087044 50299181 3787863 2215411 29460 2185951 3348426 1866245 1482181 3814883 3812520 2363 9459287 2614555 6844732 124284 14311 109973 60396 56277 4119 9530529 9530529 25723954 22756321 2967633 7448265 7448265 MEDICAL SUPPLIES 159231548 155767410 3464138 BAD DEBT EXPENSE 36462179 36462179 REPAIRS & MAINTENANCE 21195861 18523243 2672618 TAX (INC. PROVIDER TAX) 8073804 7312974 760830 15177854 10486932 4690922 691470352 587095976 104374376 0 24188762 21398248 25828434 50567795 1160072 561991 72317227 63764043 1098276 1402776 14435120 11655075 5201343 6694653 722113694 446503561 247257922 275610133 325905680 319822534 5013605 5013605 788715 788715 53058773 118006863 776253929 875286431 68914028 76771650 205876098 248418025 3404951 2087164 132683740 86124345 410878817 413401184 X 365375112 461885247 365375112 461885247 776253929 875286431 X 162673337 -53952939 -12210263 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 24707 24707 0 PART II-B, LINE 1: - $17,012: A PORTION OF THE DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING. - $6,331: A PORTION OF DUES PAID TO THE COLLEGE OF AMERICAN PATHOLOGISTS ATTRIBUTABLE TO LOBBYING. - $934: A PORTION OF THE DUES PAID TO THE AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS ATTRIBUTABLE TO LOBBYING. - $384: A PORTION OF THE DUES PAID TO THE AMERICAN COLLEGE OF SURGEONS ATTRIBUTABLE TO LOBBYING. - $46: A PORTION OF THE DUES PAID TO THE AMERICAN ACADEMY OF SLEEP MEDICINE ATTRIBUTABLE TO LOBBYING. 27928528 27928528 395922076 224636661 171285415 283178336 217765954 65412382 15084754 4100946 10983808 275610133 TRUSTEED FUNDS 24401508 DUE FROM RELATED PARTIES 1400601 DUE FROM KY MEDICAID 57340574 OPERATING LEASES 10786932 DUE FROM INTEGRATED HEALTH INSURANCE LTD. 24077248 118006863 MALPRACTICE COSTS 35323140 ACCRUED PENSION 4577907 LONG-TERM RETENTION PLAN 399917 INTEREST RATE SWAP AGREEMENTS 5872521 EST. THIRD PARTY PAYOR SETTLEMENTS 19215274 LEASES PAYABLE 20735586 86124345 X PART X, LINE 2: THE MEDICAL CENTER, KHF, KBNH, CDC, KHI, KDMT, KDMS, KDHF AND PHC HAVE BEEN RECOGNIZED BY THE IRS AS SECTION 501(C)(3) CHARITABLE ORGANIZATIONS. SECTION 501(C)(3) ORGANIZATIONS ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME. 1 1 X 1 X 1 X 1 1 0 1 1 2658225 2658225 0.00410 134874369 302751817 0 0.00000 137532594 302751817 2658225 0.00410 4535723 4535723 0.00690 619798 619798 0.00090 23056821 23056821 0.03520 148267 148267 0.00020 1850449 1850449 0.00280 30211058 30211058 0.04600 167743652 302751817 32869283 0.05010 1 13072353 122632688 143188835 -20556147 X 1 1 1 1 ASHLAND HOSPITAL CORPORATION 2201 LEXINGTON AVENUE ASHLAND KY 41101 WWW.KINGSDAUGHTERSHEALTH.COM 100958 X X X ASHLAND HOSPITAL CORPORATION 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X KINGSDAUGHTERSHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X 1 21 1 KINGSDAUGHTERSHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 200.000000000000 300.000000000000 X X X X 1 1 X X X 1 X KINGSDAUGHTERSHEALTH.COM/PATIENT-VISITORS/FINANCIAL-SERVICES-RESOURCES X KINGSDAUGHTERSHEALTH.COM/PATIENT-VISITORS/FINANCIAL-SERVICES-RESOURCES X KINGSDAUGHTERSHEALTH.COM/PATIENT-VISITORS/FINANCIAL-SERVICES-RESOURCES X X X X X X 1 X 0 X X X X 1 X 0 1 ASHLAND HOSPITAL CORPORATION PART V, SECTION B, LINE 5: IN ORDER TO ASSURE THAT THERE WAS A BROAD INVOLVEMENT FROM ALL FOUR COUNTIES IN THE ASSESSMENT PROCESS, FOCUS GROUPS AND A SURVEY WERE SELECTED TO GAIN INPUT. EACH COUNTY FOCUS GROUP CONSISTED OF INDIVIDUALS FROM PUBLIC HEALTH, BUSINESS, NON-PROFITS, HEALTHCARE AND OTHERS INTERESTED IN THE HEALTH OF THEIR COMMUNITY. THERE WERE INDIVIDUALS FROM EACH COUNTY PUBLIC HEALTH DEPARTMENT, WHICH REPRESENTED THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. IN ADDITION, MULTIPLE OTHER NON-PROFITS ALSO REPRESENTED THOSE WHO ARE UNDERSERVED, LOW INCOME OR PART OF THE MINORITY COMMUNITY. THESE COVERED PROGRAMS FOR THE AGED TO THOSE FOR YOUNG CHILDREN/INFANTS. ASHLAND HOSPITAL CORPORATION PART V, SECTION B, LINE 11: THE 2021-22 COMMUNITY HEALTH NEED ASSESSMENT IDENTIFIED THE FOLLOWING NEEDS THAT THE MEDICAL CENTER WILL BE ADDRESSING:1) ACCESS TO CARE2) HOLISTIC HEALTH (PHYSICAL, MENTAL, SOCIAL, SPIRITUAL)3) POVERTYTHIS HEALTH NEEDS WILL BE ADDRESS IN THE FOLLOWING WAYS:1) ACCESS TO CARE:KDMC WILL IMPROVE ACCESS TO CARE BY REMOVING BARRIERS TO TRANSPORTATION BY PROVIDING TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS THROUGH THEIR VAN MINISTRY. IN REMOTE AREAS WHERE FEW PROVIDERS ARE LOCATED, KDMC WILL PROVIDE FREE COMMUNITY HEALTH SCREENINGS LIKE THEIR HEATLHY HEART SCREENINGS (INCLUDES BLOOD SUGAR, TOTAL CHOLESTEROL, BLOOD PRESSURE AND EKG). TO INCREASE THE NUMBER OF INDIVIDUALS WITH A MEDICAL HOME/PRIMARY CARE PROVIDER, KDMC PLANS TO OFFER EDUCATION ON THE BENEFITS OF PRIMARY CARE. KDMC ALSO PLANS TO PROVIDE EDUCATION ON THE BENEFITS OF COLON/RECTAL SCREENING AND STATIN THERAPIES TO IMPROVE ACCESS TO CARE AND OUTCOMES FOR PATIENTS. IN ADDITION, KDMC PLANS TO PROMOTE THE USE OF THE MYKD HEALTH APP AND THE WAY IN WHICH IT CAN HELP THE PATIENT CONNECT WITH THEIR HEALTHCARE PROVIDER; PROMOTE WELL CARE VISITS FOR CHILDREN AT 15 MONTHS AND 3-6 YEARS; AND TO INCREASE CHILDHOOD IMMUNIZATIONS IN THE AREA.2) HOLISTIC HEALTH:AS PART OF HOLISTIC HEALTH, KDMC WILL PROVIDE STRATEGIES UNDER PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL HEALTH. - PHYSICAL HEALTH: IDENTIFY, PROMOTE AND/OR EXPAND WALKING OR OTHER PHYSICAL ACTIVITY OPPORTUNITIES. PARTNER WITH LOCAL FOOD SOURCES TO PROVIDE HEALTHY FOOD TO THE ELDERLY, PEOPLE IN FOOD DESERTS AND THOSE WITH SPECIFIC MEDICAL CONDITIONS. - MENTAL HEALTH: PROMOTE SUICIDE PREVENTION HOTLINE. EDUCATE AND PROVIDE NARCAN TO BEHAVIORAL HEALTH PATIENTS AT DISCHARGE AS APPROPRIATE. COLLABORATE ON TWO MENTAL HEALTH AWARENESS ACTIVITIES: (1) FOR THE COMMUNITY AND (2) FOR NETWORKING AMONG PROVIDERS. INCREASE NUMBER OF CERTIFIED PEER SUPPORT SPECIALISTS. PROMOTE MENTAL HEALTH AWARENESS AT COMMUNITY EVENTS 4 TIMES PER YEAR. REDUCE THE NUMBER OF HIGH DOSE OPIOID PRESCRIPTIONS FROM KD PRESCRIBERS. - SOCIAL HEALTH: PROVIDE FREE, INTERACTIVE LEARNING FOR CHILDREN AND YOUTH. TOPICS MAY INCLUDE, BULLYING, NICOTINE/VAPING, SUD, SUICIDE PREVENTION, GRIEF, ETC. PROVIDE SOCIAL HEALTH PROGRAMMING FOR ADULTS. TOPICS MAY INCLUDE DEALING WITH DEPRESSION, ACTIVE LIVING, STAYING SOCIALLY ACTIVE, GRIEF, DIET & MENTAL HEALTH, ETC. IMPLEMENT SOCIAL DETERMINANTS OF HEALTH SCREENING PROTOCOL IN EPIC.- SPIRITUAL HEALTH: REBUILD THE FAITHWORKS COLLABORATIVE PROGRAM TO SUPPORT COMMUNITY HEALTH INITIATIVES.3) POVERTY:KDMC PLANS TO SUPPORT ORGANIZATIONS FOCUSED ON THOSE LIVING IN POVERTY BY HELPING THEM EXPAND THEIR SERVICES AND SERVE MORE CLIENTS. THE FOCUS IS ON ORGANIZATIONS PROVIDING FOOD, CLOTHING, HOUSING AND SOCIAL SERVICES. OTHER IDENTIFIED HEALTH NEEDS HAVE NOT BEEN SPECIFICALLY ADDRESSED THROUGH THE DEVELOPMENT OF THIS IMPLEMENTATION STRATEGY. HOWEVER, MANY OF THESE NEEDS ARE COVERED THROUGH KDMC'S PROVISION OF COMPREHENSIVE SERVICES OR THROUGH THE THREE ABOVE-MENTIONED PRIORITY AREAS TO BE FOCUSED ON OVER THE NEXT THREE YEARS. SPECIFIC REASONS ARE OUTLINED BELOW.IDENTIFIED NEEDS (ADDRESSED THROUGH ACCESS TO CARE, HOLISTIC HEALTH, AND POVERTY):- CHRONIC HEALTH CONDITIONS- LACK OF HEALTHCARE PROVIDERS- MENTAL HEALTH- OBESITY- PHYSICAL INACTIVITY- PREVENTIVE CARE- SMOKING/VAPING- SUBSTANCE USE DISORDERSIDENTIFIED NEEDS (ADDRESSED THROUGH KDMC'S COMPREHENSIVE SERVICES AND/OR EDUCATIONAL OUTREACH. RELATIVELY LOW PRIORITY PER COMMUNITY INPUT OBTAINED THROUGH KEY STAKEHOLDER INTERVIEWS AND COMMUNITY SURVEY):- CANCER- HEART DISEASE- LACK OF PRENATAL CARE IDENTIFIED NEEDS (OUTSIDE THE SCOPE OF SERVICES PROVIDED BY KDMC, BUT OPPORTUNITIES MAY EXIST FOR KDMC TO SUPPORT ORGANIZATIONS ADDRESSING THESE NEEDS):- LACK OF AFFORDABLE HOUSING- TEENAGE PREGNANCY- UNINTENTIONAL INJURY- FOOD INSECURITY ASHLAND HOSPITAL CORPORATION PART V, SECTION B, LINE 13H: DOES NOT COVER SERVICES DEEMED NOT MEDICALLY NECESSARY. ASHLAND HOSPITAL CORPORATION PART V, SECTION B, LINE 24: ONLY FOR SERVICES EXCLUDED FROM ELIGIBILITY AS DEFINED WITHIN THE FAP, WHICH ARE DEFINED AS ELECTIVE SERVICES AND THEREFORE NOT MEDICALLY NECESSARY. 41 1 - CENTER FOR ADVANCED IMAGING 2225 CENTRAL AVENUE ASHLAND KY 41101 OUTPATIENT IMAGING CENTER 2 - ASHLAND URGENT CARE 2245 WINCHESTER AVENUE ASHLAND KY 41101 URGENT CARE 3 - GRAYSON URGENT CARE I-64 INTERCHANGE GRAYSON KY 41143 URGENT CARE 4 - IRONTON URGENT CARE 912 PARK AVENUE IRONTON OH 45638 URGENT CARE 5 - OUTPATIENT SERVICES CENTER 480 23RD STREET ASHLAND KY 41101 PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY 6 - CATLETTSBURG FAMILY CARE CENTER 4004 LOUIS ROAD CATLETTSBURG KY 41129 FAMILY CARE CENTER 7 - CEDAR KNOLL FAMILY CARE CENTERPEDIATRIC 10650 US ROUTE 60 ASHLAND KY 41102 FAMILY CARE CENTER/PEDIATRICS 8 - FLATWOODS FAMILY CARE 1107 BELLEFONTE ROAD FLATWOODS KY 41139 FAMILY CARE CENTER 9 - GRAYSON MEDICAL SPECIALTIES 609 N CAROL MALONE BOULEVARD GRAYSON KY 41143 FAMILY CARE CENTER 10 - FLATWOODS MEDICAL SPECIALTIES 1109 BELLEFONTE ROAD FLATWOODS KY 41139 FAMILY CARE CENTER 11 - OLIVE HILL FAMILY CARE CENTER 391 WEST TOM T HALL BOULEVARD OLIVE HILL KY 41164 FAMILY CARE CENTER 12 - BURLINGTON FAMILY CARE CENTER 384 COUNTRY ROAD 120 SOUTH SOUTH POINT OH 45680 FAMILY CARE CENTER 13 - IRONTON FAMILY CARE CENTER 912 PARK AVENUE IRONTON OH 45638 FAMILY CARE CENTER 14 - JACKSON MEDICAL SPECIALTIES 14395 STATE ROUTE 93 JACKSON OH 45640 FAMILY CARE CENTER 15 - PORTSMOUTH MEDICAL SPECIALTIES 2001 SCIOTO TRAIL PORTSMOUTH OH 45662 FAMILY CARE CENTER 16 - SANDY HOOK FAMILY CARE CENTER STATE ROUTES 7 AND 32 SANDY HOOK KY 41171 FAMILY CARE CENTER 17 - KDMC OCCUPATIONAL MEDICINE 2301 LEXINGTON AVENUE SUITE 215 ASHLAND KY 41101 OCCUPATIONAL MEDICINE 18 - KDMC HOME HEALTH 2301 LEXINGTON AVENUE SUITE 215 ASHLAND KY 41101 HOME HEALTH SERVICES 19 - PRESTONSBURG FAMILY CARE 1279 OLD ABBOT MOUNTAIN ROAD PRESTONBURG KY 41653 FAMILY CARE CENTER 20 - RUSSELL URGENT CARE 399 DIEDERICH BOULEVARD RUSSELL KY 41169 URGENT CARE 21 - BURLINGTON URGENT CARE 384 COUNTRY ROAD 120 SOUTH SOUTH POINT OH 45680 URGENT CARE 22 - PORTSMOUTH INTERNAL MEDICINE 1729 KINNEYS LANE PORTSMOUTH OH 45662 FAMILY CARE CENTER 23 - ASHLAND PEDIATRICS 2301 LEXINGTON AVENUE SUITE 215 ASHLAND KY 41101 PEDIATRICS CENTER 24 - CANNONSBURG URGENT CARE 12470 US 60 ASHLAND KY 41102 URGENT CARE 25 - KD BELLEFONTE PRIMARY CAREPEDIATRICS 1000 ASHLAND DRIVE SUITE 102 ASHLAND KY 41101 FAMILY CARE CENTER/PEDIATRICS 26 - KD CORNERSTONE MEDICAL PLAZA 1816 CARTER AVENUE ASHLAND KY 41101 FAMILY CARE CENTER 27 - KD ASHLAND 29TH ST PEDIATRICS 336 29TH STREET SUITE 201 ASHLAND KY 41101 PEDIATRICS CENTER 28 - KD ASHLAND PRIMARY CARE 2028 WINCHESTER AVENUE ASHLAND KY 41101 FAMILY CARE CENTER 29 - KD CANNONSBURG PRIMARY CARE 12470 US 60 ASHLAND KY 41102 FAMILY CARE CENTER 30 - KD FLATWOODS PRIMARY CARE 2420 ARGILLITE ROAD SUITE B FLATWOODS KY 41139 FAMILY CARE CENTER 31 - KD GRAYSON PRIMARY CARE MED SPEC & PEDS 100 BELLEFONTE DRIVE GRAYSON KY 41143 FAMILY CARE CENTER/PEDIATRICS 32 - KD GREENUP PRIMARY CARE 1629 ASHLAND ROAD GREENUP KY 41144 FAMILY CARE CENTER 33 - VITALITY CENTER - PED & ADULT PTOT 1100 STREET CHRISTOPHER DRIVE ASHLAND KY 41101 PHYSICAL & OCCUPATIONAL THERAPY CTR 34 - WOUND CENTER MEDICAL PLAZA A SUITE 215 ASHLAND KY 41101 WOUND CENTER 35 - KD ASHLAND FAMILY MEDICINE 2222 WINCHESTER AVENUE ASHLAND KY 41101 FAMILY CARE CENTER 36 - WHEELERSBURG FAMILY CARE CENTER 8750 OHIO RIVER ROAD WHEELERSBURG OH 45694 FAMILY CARE CENTER 37 - CENTER FOR HEALTHY LIVING 1200 CENTRAL AVENUE SUITE 1 ASHLAND KY 41101 SPECIALTY CARE CENTER 38 - KD PAINTSVILLE PRIMARY CARE AND MEDICAL 336 NORTH MAYO TRAIL PAINTSVILLE KY 41240 FAMILY AND SPECIALTY CARE CENTER 39 - KD CARTER COUNTY PRIMARY CARE 105 STATE HIGHWAY 1947 SUITE A GRAYSON KY 41143 FAMILY CARE CENTER 40 - KD HENRY ADKINS PRIMARY CARE 105 STATE HIGHWAY 1947 SUITE B GRAYSON KY 41143 FAMILY CARE CENTER 41 - KD PAINTSVILLE PRIMARY CARE AND MEDICAL 335 NORTH MAYO TRAIL PAINTSVILLE KY 41240 FAMILY AND SPECIALTY CARE CENTER PART I, LINE 7: KDMC USED WORKSHEET 2 PROVIDED IN THE SCHEDULE H INSTRUCTIONS (FORM 990) TO CALCULATE A COST TO CHARGE RATIO. THIS RATIO WAS USED TO CALCULATE CHARITY CARE AT COST. TO CALCULATE UNPAID COSTS OF MEDICAID, THE HOSPITAL'S COST ACCOUNTING SYSTEM WAS USED, ALONG WITH DATA FROM THE KY MEDICAID COST REPORT. ALL OTHER ITEMS WERE REPORTED AS NET EXPENSE. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $36,462,179. PART III, LINE 2: KDMC USED WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS (FORM 990) TO CALCULATE A COST TO CHARGE RATIO. THIS RATIO WAS USED TO CALCULATE BAD DEBT EXPENSE AT COST. PART III, LINE 3: BAD DEBT EXPENSE IS RECORDED AFTER ANY DISCOUNTS AND PAYMENTS ARE MADE ON PATIENT ACCOUNTS. HOWEVER, THE BUSINESS OFFICE DOES NOT KEEP TRACK OF "NO-RESPONSE" APPLICATIONS AND DOES NOT FEEL THAT THE PORTION CONSIDERED TO BE A COMMUNITY BENEFIT IS MATERIAL. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUAL AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND INSURED PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES), THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: THE HOSPITAL CONTINUES TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY TO PAY. NOTWITHSTANDING THE COSTS TO PROVIDE CARE, RECEIVING "LESS" THAN WHAT IT COSTS TO PROVIDE ADEQUATE CARE TO MEDICARE COVERED LIVES DOES THE HOSPITAL A DISSERVICE. THIS SHORTFALL SHOULD COUNT AS A COMMUNITY BENEFIT. THE HOSPITAL USES THE ALLOWABLE COSTS PER THE MEDICARE COST REPORT, THE MOST RECENT COST REPORT DATA, AND PROVIDER STATISTICAL AND REIMBURSEMENT REPORT WAS USED TO COMPUTE THE INFORMATION. PART III, LINE 9B: THE HOSPITAL HAS A WRITTEN POLICY FOR BAD DEBT. UNINSURED PATIENTS ARE SCREENED FOR ELIGIBILITY FOR MEDICARE, MEDICAID AND OTHER SUCH PROGRAMS BY A CONTRACTED VENDOR. ALL PATIENTS, INSURED AND UNINSURED, WITH VALID MAILING ADDRESSES RECEIVE POST-DISCHARGE BILLING STATEMENTS OVER THE COURSE OF A 120 DAY PERIOD. IF THERE ARE NO ACTIVE DISPUTES OR OTHER PAYMENT SOURCES AVAILABLE, AND THE BALANCE IS UNPAID AT THE END OF THE STATEMENT PERIOD, THE ACCOUNT WILL BE PLACED WITH A COLLECTION AGENCY TO REPORT AS A BAD DEBT. EACH STATEMENT INCLUDES INFORMATION REGARDING THE AVAILABILITY OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM ALONG WITH A NUMBER WHERE THE REPRESENTATIVES CAN BE REACHED FOR ASSISTANCE. PART VI, LINE 2: DURING FY21, KDMC CONTRACTED WITH THE CROWE LLP TO MANAGE THE COMMUNITY HEALTH NEEDS ASSESSMENT. THROUGH THIS PROCESS QUANTITATIVE DATA WAS COLLECTED FROM LOCAL, STATE AND NATIONAL SOURCES TO USE AS COMPARATIVE DATE TO THE QUALITATIVE DATA COLLECTED FROM KEY LEADER TELEPHONE INTERVIEWS AND A BROADER COMMUNITY SURVEY. DATA COLLECTED LOOKED AT SOCIOECONOMIC INDICATORS, EDUCATION LEVELS, HEALTH BEHAVIORS, MORBIDITY, AND MORTALITY AND WHAT THE COMMUNITY THOUGHT WERE THE MOST PRESSING HEALTH NEEDS IN THE COMMUNITIES SERVED.IN ADDITION TO THE TRIANNUAL CHNA, KDMC CONTINUOUSLY MONITORS HOSPITAL DATA AND COMMUNITY SPREAD DISEASES LIKE SEASONAL FLU AND COVID-19. DEPENDING ON THE ISSUE, KDMC RESPONDS WITH STRATEGIES TO HELP MITIGATE THE ISSUE, AS EXAMPLE, WITH COVID-19 KDMC, AS SOON AS AVAILABLE, DEVELOPED THE CAPABILITY TO DO SCREENING LOCALLY TO REDUCE WAIT TIMES AND IDENTIFY DISEASE EARLY. IN ADDITION, THE HOSPITAL TOOK THE LEAD IN THE VACCINATION EFFORT PROVIDING THE VACCINE IN MULTIPLE LOCATIONS AROUND THE AREA. PART VI, LINE 3: THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY PROVIDES DIRECTION FOR FREE OR DISCOUNTED SERVICES TO RESIDENTS OF THE COMMUNITY WHO HAVE INADEQUATE FINANCIAL RESOURCES TO PAY FOR NECESSARY HEALTHCARE SERVICES PROVIDED BY KING'S DAUGHTERS. THE POLICY STATES THAT THE MEDICAL CENTER WILL NOT DENY CARE TO ANY PATIENT REQUIRING CARE DUE TO THEIR INABILITY TO PAY. THE FINANCIAL ASSISTANCE POLICY PROVIDES GUIDANCE TO PROVIDING ASSISTANCE BASED ON SLIDING SCALE METHODOLOGY AND THE FEDERAL POVERTY GUIDELINES ESTABLISHED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. PATIENTS REQUIRING CARE WITH INCOME BELOW 300% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR FREE OR REDUCED COST SERVICES. KING'S DAUGHTERS ALSO CONTRACTS WITH OUTSIDE VENDORS TO ASSIST PATIENTS IN GOVERNMENT ENROLLMENT PROGRAMS. THERE ARE VARIOUS WAYS THE FINANCIAL ASSISTANCE PROGRAM IS CONVEYED TO THE COMMUNITY: KDMC WEBSITE, SIGNS IN VARIOUS PATIENT REGISTRATION AREAS, OUTBOUND/INBOUND CUSTOMER SERVICES CALLS, AND STATEMENT LANGUAGE. PART VI, LINE 4: THE SERVICE AREA IS MADE UP OF SIX COUNTIES IN TWO STATES BOYD, CARTER, GREENUP AND LAWRENCE COUNTIES IN KENTUCKY AND LAWRENCE AND SCIOTO COUNTIES IN OHIO. ACCORDING TO THE US CENSUS BUREAU AMERICAN COMMUNITY SURVEY (UPDATE 7/1/2021), A TOTAL OF 257,041 PEOPLE LIVE IN THE SIX-COUNTY SERVICE REGION. THE REGION COVERS 2,397 SQUARE MILES. THE POPULATION DENSITY IS APPROXIMATELY 107 PERSONS PER SQUARE MILE. THE AREA IS PREDOMINANTLY RURAL (47.19%), WITH AN URBAN POPULATION AT 35.3% AND SUBURBAN (17.5%). OF THE POPULATION, 96.0% ARE WHITE, 1.7% ARE BLACK, 1.4% HISPANIC/LATINO AND 0.9% MAKE UP ALL OTHER RACES. THERE ARE MORE FEMALES (50.5%) THAN MALES (49.5%) IN THE AREA. THE MEDIAN FAMILY INCOME IS $44,026, COMPARED TO KENTUCKY ($52,238) AND OHIO ($58,116), THE UNITED STATES $(64,994). PER CAPITA INCOME IS $23,392, COMPARED TO KENTUCKY ($29,123), OHIO ($32,465) AND THE NATION ($35,384). APPROXIMATELY 18.7% OF THE TOTAL POPULATION AND 30.3% OF CHILDREN UNDER AGE 18 LIVE IN POVERTY. MORE THAN SEVEN PERCENT (7.4%) OF THE POPULATION UNDER THE AGE OF 65 IS WITHOUT ANY FORM OF HEALTHCARE COVERAGE. AS OF AUGUST 2022, THE AVERAGE UNEMPLOYMENT RATE FOR THE SIX-COUNTY AREA WAS 6.0%. PART VI, LINE 5: COMMUNITY HEALTH ACTIVITIES:THE MEDICAL CENTER PROVIDES FREE EDUCATIONAL AND SCREENING SERVICES IN MULTIPLE COUNTIES IN EASTERN KENTUCKY, SOUTHERN OHIO AND WESTERN WEST VIRGINIA. KDMC WORKS WITH CHURCHES, SCHOOLS, BUSINESSES AND COMMUNITY GROUPS TO HELP IMPROVE HEALTH THROUGHOUT THE TRI-STATE AREA. AS A LEADER IN HEALTHCARE IN THE AREA, KDMC IS OFTEN CALLED UPON TO PROVIDE SCREENINGS AND HEALTH EDUCATION IN MORE REMOTE REGIONS WHERE THERE ARE NO PROVIDERS TO OFFER THESE SERVICES. THE FOLLOWING ACTIVITIES, WHICH CONTRIBUTE TO COMMUNITY HEALTH, WERE PROVIDED:1) SCREENINGS, IMMUNIZATIONS AND PHYSICALS:- COVID-19 VACCINATIONS - 53 SERVED- BLOOD PRESSURE SCREENING - 39 SCREENED- HEALTHY HEART SCREENING (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR AND EKG) ADULTS SCREENED, TOTAL TESTS PROVIDED - 334 SCREENED- MOBILE MAMMOGRAPHY - 2,153 SERVED- SKIN CANCER - 162 SERVED- SPORTS PHYSICALS - 562 YOUTH- FLU SHOTS - 732 VACCINES ADMINISTERED- FIT TESTING - 6 SERVED2) HEALTH EDUCATION: - ALCOHOL AND OTHER DRUGS - 311 ADULTS EDUCATED- AED TRAINING - 111 ADULTS AND 14 CHILDREN SERVED- ATRIAL FIBRILLATION (AFIB) - 12 ADULTS SERVED- BLOOD DONATIONS - 20 EVENTS, 735 DONATIONS COLLECTED- BONE HEALTH - 25 ADULTS AND 150 CHILDREN SERVED- BREAST CANCER - 1,719 ADULTS SERVED- CONGESTIVE HEART FAILURE - 663 ADULTS SERVED- COLON CANCER - 143 ADULTS- COVID - 1,758 SERVED- DIABETES - 697 ADULTS SERVED- 1ST AID EDUCATION - 30 ADULTS AND 60 CHILDREN SERVED- HANDWASHING EDUCATION - 1,391 ADULTS AND 570 CHILDREN SERVED- HANDS ONLY CPR - 166 ADULTS AND 63 CHILDREN SERVED- HEALTHY HEART EDUCATION - 661 ADULTS SERVED - HOLIDAY SAFETY - 40 ADULTS SERVED- HYPERTENSION - 775 ADULTS SERVED- LUNG CANCER - 100 ADULTS SERVED- MENTAL HEALTH - 21 ADULTS SERVED- NUTRITION EDUCATION - 644 ADULTS AND 246 CHILDREN SERVED - SKIN CANCER - 252 SERVED- SAFE MEDICATION PRACTICES - 510 ADULTS SERVED- STROKE - 954 ADULTS AND 150 CHILDREN SERVED - STUFFEE (TEACHES NUTRITION, PARTS AND FUNCTION OF THE BODY, ETC.) - 30 ADULTS AND 146 CHILDREN SERVED- SUBSTANCE USE DISORDER - 487 ADULTS SERVED- SMOKELESS TOBACCO/VAPING - 759 ADULTS AND 408 CHILDREN SERVED- TOBACCO - 564 ADULTS AND 658 CHILDREN - VACCINE - 350 SERVED- EDUCATIONAL PROGRAMMING / VIDEOS POSTED TO FACEBOOK. THE FOLLOWING HAD AT LEAST A 15 SECOND VIEW:O BREAST CANCER - 3 VIDEOS, WITH 1,301 VIEWO LUNG CANCER - 3 VIDEOS, WITH 1,055 VIEWSO EPILEPSY - 1 VIDEO, WITH 124 VIEWSO GERD - 1 VIDEO, WITH 211 VIEWSO COVID TREATMENT OPTIONS - 1 VIDEO, WITH 896 VIEWSO HIGH BLOOD PRESSURE - 1 VIDEO, WITH 396 VIEWSO STROKE - 1 VIDEO, WITH 248 VIEWSO HEART DISEASE - 1 VIDEO, WITH 941 VIEWSO COLON CANCER - 6 VIDEOS, WITH 1,396 VIEWSO SKIN CANCER - 1 VIDEO, WITH 592 VIEWSO WELL CHILD VISITS - 1 VIDEO, WITH 131 VIEWSO THYROID CANCER - 1 VIDEO, WITH 116 VIEWSO SHOULD REPAIR - 1 VIDEO, WITH 264 VIEWSSUPPORT GROUPS KDMC PROVIDES VARIOUS SUPPORT GROUPS FOR INDIVIDUALS WITH DISEASE AND/OR THEIR CAREGIVERS. DURING FY21, THE FOLLOWING GROUPS WERE OFFERED.- BREAST CANCER - 13 ATTENDED- PROSTATE CANCER - 15 ATTENDED- STROKE - 1 ATTENDED- ANGER MANAGEMENT - 139 ATTENDED- MARRIAGE COUNSELING - 352 ATTENDED- SURGICAL WEIGHT LOSS - 6 ATTENDEDCLINICAL RESEARCH: KDMC SUPPORTS CLINICAL RESEARCH IN BOTH CARDIAC AND ONCOLOGY. OTHER COMMUNITY ACTIVITIES:AED PROGRAM: AS PART OF THEIR HEART CARE PROGRAM, KING'S DAUGHTERS DONATED 34 AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS) TO FIRST RESPONDERS AND COMMUNITY ORGANIZATIONS IN EASTERN KENTUCKY AND SOUTHERN OHIO. THE RECIPIENTS INCLUDED:- ASHLAND POLICE DEPARTMENT (2)- BOYD COUNTY SHERIFF'S DEPARTMENT (2)- GREENUP COUNTY SHERIFF'S DEPARTMENT (2)- RACELAND POLICE DEPARTMENT (2)- RUSSELL POLICE DEPARTMENT (2)- WORTHINGTON POLICE DEPARTMENT (2)- LOAD VOLUNTEER FIRE DEPARTMENT, GREENUP COUNTY (2)- SOUTH SHORE FIRE DEPARTMENT (2)- LITTLE SANDY FIRE DEPARTMENT (2)- DECATUR TOWNSHIP VOLUNTEER FIRE DEPARTMENT, LAWRENCE COUNTY, OHIO (1)- INEZ FIRE DEPARTMENT (2)- ASHLAND BOYD COUNTY EMERGENCY MANAGEMENT (1)- THE NEIGHBORHOOD/ASHLAND COMMUNITY KITCHEN (1)- GREENUP COUNTY SCHOOLS (2)- CARTER COUNTY SCHOOLS (2)- ASHLAND INDEPENDENT SCHOOLS (2)- BOYD COUNTY PUBLIC SCHOOLS (2)- HOPE'S PLACE (1)- ASHLAND SALVATION ARMY (2)- ADDICTION RECOVERY: KDMC WORKS WITH THE ADDICTION RECOVERY CENTER (ARC) WHICH IS HOUSED NEAR KDMC'S CAMPUS BY PROVIDING SPIRITUAL COUNSELING SERVICES.- BACKPACK PROGRAM: THIS IS A PARTNERSHIP WITH THE ASHLAND ALLIANCE. TEAM MEMBERS FILLED BACKPACKS WITH SCHOOL SUPPLIES FOR 78 ELEMENTARY, MIDDLE, AND HIGH SCHOOL AGED CHILDREN TO ENSURE STUDENTS START THE SCHOOL YEAR WITH THE NECESSARY SCHOOL SUPPLIES AND AT LEAST ONE NEW OUTFIT OF CLOTHES.- ADOPT-A-FAMILY: TEAM MEMBERS ADOPTED 210 INDIVIDUALS WHICH INCLUDED WHOLE FAMILIES, NURSING HOME RESIDENTS AND INDIVIDUAL CHILDREN, PROVIDING GIFTS AND FOOD TO THOSE IN NEED AT CHRISTMAS TIME. - BUILD-A-BED: BUILD-A-BED IS AN EFFORT TO PUT TOGETHER BEDS FOR UNDERPRIVILEGED CHILDREN IN THE REGION. THESE BEDS COME INTO KDMC'S PRIMARY SERVICE AREA THROUGH AN APPLICATION PROCESS WHERE PARENTS/GUARDIANS CAN APPLY FOR BEDS FOR THEIR CHILDREN. THE APPLICANTS MUST MEET INCOME ELIGIBILITY GUIDELINES. KDMC SUPPLIED 75 BED KITS (COMFORTER, SHEETS, PILLOW) FOR THE BEDS. - CHILDBIRTH CLASSES: CHILDBIRTH CLASSES HELP MOTHERS-TO-BE AND THEIR PARTNERS BECOME MORE COMFORTABLE WITH THE BIRTH EXPERIENCE, LEARN BIRTHING OPTIONS, NUTRITION, THE LABOR PROCESS, AND PAIN MANAGEMENT, TO HELP THEM MAKE THE BEST DECISIONS ABOUT HOW THEY WISH TO GIVE BIRTH. PARENTS-TO-BE ALSO LEARN ABOUT THE BENEFITS OF BREAST FEEDING. THE WOMEN'S HEALTH TEAM PROVIDED CHILDBIRTH EDUCATION ONLINE AND THEN WORKED WITH THE NEW PARENTS WHEN ADMITTED TO THE HOSPITAL. KDMC WAS ABLE TO REACH 49 MOTHERS-TO-BE THROUGH THE ONLINE PROGRAM.- COMMUNITY VAN MINISTRY: THE COMMUNITY VAN MINISTRY IS A FREE NON-EMERGENCY TRANSPORTATION PROGRAM FOR PATIENTS NEEDING A RIDE TO THE HOSPITAL FOR ANY MEDICAL SERVICE, DOCTOR APPOINTMENTS AND THERAPY. THERE WERE 1,296 INDIVIDUALS SERVED.- CPR TRAINING CENTER: 1,128 PEOPLE TRAINED. KDMC PROVIDED FREE TRAINING AND CERTIFICATION FOR THE FOLLOWING:1) ADVANCED LIFE SUPPORT BOYD CO. EMS, CARTER CO. EMS, CEREDO/KENOVA EMS, HEALTH NET, PATRIOT EMS, ROWAN CO. EMS, AIR EVAC., KENOVA EMS, BOYD COUNTY CORONER, CEREDO FIRE DEPT., 36 CARDS ISSUED.2) PEDIATRIC ADVANCED LIFE SUPPORT AIR EVAC., BOYD CO. EMS, ROWAN CO. EMS, CEREDO/KENOVA EMS, BOYD COUNTY CORONER, AND CARTER CO. EMS 22 CARDS ISSUED.3) BASIC LIFE SUPPORT EMS: AIR EVAC, HEALTHNET, BOYD CO., CARTER CO., BOYD CO. EMA, GREENUP CO., CEREDO/KENOVA, ROWAN CO. SCHOOLS: ACTC, OUS, MOREHEAD STATE, MAYSVILLE CTC, AMERICAN NATIONAL UNIVERSITY, UNIV. OF TENNESSEE, MT. VERNON NAZARENE UNIVERSITY, BIG SANDY CTC, COLLINS CAREER CENTER, SPRING VALLEY SCHOOLS, WAYNE CO. HIGH. LAW ENFORCEMENT: BOYD CO. SHERIFF, AND BELLEFONTE PD. FIRE DEPARTMENTS: SCIOTO COUNTY FD, ASHLAND FD, 148 BLS CARDS ISSUED. PART VI, LINE 6: KING'S DAUGHTERS MEDICAL CENTER IS PART OF AN AFFILIATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM OPERATES ANOTHER HOSPITAL, KING'S DAUGHTERS MEDICAL CENTER OHIO ("KDOH") IN PORTSMOUTH, OH. KDOH HAS BEEN SPECIFICALLY DESIGNED TO MEETING THE HEALTHCARE NEEDS OF PORTSMOUTH AND ITS SURROUNDING AREAS. KDOH OFFERS SURGICAL AND URGENT CARE SERVICES. KDOH PROVIDES CHARITY CARE AND PARTICIPATES IN GOVERNMENT PROGRAMS. THE SYSTEM PROVIDES PHYSICIAN SERVICES THROUGH KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. ("KDMS"). KDMS PROVIDES CHARITY CARE AND PARTICIPATES IN GOVERNMENT PROGRAMS. KING'S DAUGHTERS ALSO INCLUDES TWO OTHER AFFILIATES - KING'S DAUGHTERS MEDICAL TRANSPORT, WHICH SEEKS TO CONTINUOUSLY IMPROVE THE PRE- AND POST-HOSPITAL HEALTHCARE PROVIDED IN ALL OF IT'S SERVICES AREAS WHILE ENSURING THAT EMERGENCY AND NON-EMERGENCY AMBULANCE SERVICE WILL BE AVAILABLE TO ALL THOSE IN NEED; AND KINGSBROOK NURSING HOME, WHICH PROVIDES QUALITY CARE TO PATIENTS, MEETING THE NEEDS AND DESIRES OF RESIDENTS AT VARIOUS LEVELS OF CARE, INCLUDING SHORT-TERM AND LONG-TERM CARE. 1 THE COMMUNITY & TECHNICAL COLLEGE FOUNDATION OF ASHLAND INC 1400 COLLEGE DRIVE ASHLAND KY 411013683 611274401 501(C)(3) 152200 0 SUPPORT OF 2 NURSING AND 1 RADIOLOGY TECH FACULTY POSITIONS ASHLAND COMMUNITY KITCHEN PO BOX 1743 ASHLAND KY 411051743 611100724 501(C)(3) 0 27789 INVOICES FOOD AND MISC. SUPPLIES PROVIDE FOOD TO SENIOR CITIZENS IN OUR COMMUNITY THROUGH MEALS ON WHEELS RIVER CITIES HARVEST PO BOX 2136 ASHLAND KY 411052136 611208113 501(C)(3) 5440 72017 INVOICES FOOD FOODBANK SUPPORT SUMMER MOTION INC PO BOX 1643 ASHLAND KY 41105 311695435 501(C)(4) 15000 0 SPONSORSHIP OF COMMUNITY EVENT ASHLAND ALLIANCE PO BOX 830 ASHLAND KY 41105 611347516 501(C)(6) 8325 0 SPONSORSHIP OF COMMUNITY EVENT NEIGHBORS HELPING NEIGHBORS 2516 CARTER AVENUE ASHLAND KY 41101 611450110 501(C)(3) 6000 0 SPONSORSHIP OF FUNDRAISING EVENTS PARAMOUNT ARTS CENTER 1300 WINCHESTER AVENUE ASHLAND KY 41101 611181883 501(C)(3) 14000 0 SPONSORSHIP OF FUNDRAISING EVENTS UNITED WAY OF NORTHEAST KENTUCKY 2000 CARTER AVENUE SUITE D ASHLAND KY 41101 616000060 501(C)(3) 31725 1505 INVOICES MARKETING MATERIALS CONTRIBUTION TO ANNUAL FUNDRAISING CAMPAIGN GREEUNP COUNTY HIGH SCHOOL 196 MUSKETEER DRIVE GREENUP KY 41144 871979092 GOVT. 6600 0 SPONSORSHIP OF SCHOOL ORGANIZATION JOHNSON COUNTY HIGH SCHOOL 257 NORTH MAYO TRAIL PAINTSVILLE KY 41240 311731099 GOVT. 27465 0 SPONSORSHIP OF SCHOOL ORGANIZATION SCIOTO COUNTY AGRICULTURAL SOCIETY 426A SHEEP RANCH HOLLOW ROAD MCDERMOTT OH 45652 316401779 501(C)(3) 7000 0 SPONSORSHIP OF COMMUNITY EVENT SHAPING OUR APPALACHIAN REGION INC (SOAR) 137 MAIN STREET SUITE 300 PIKEVILLE KY 41501 371760428 501(C)(3) 8000 0 SPONSORSHIP OF COMMUNITY EVENT UNIVERSITY OF KENTUCKY HEALTHCARE 1000 SOUTH LIMESTONE LEXINGTON KY 40536 616001218 501(C)(3) 30000 0 SPONSORSHIP OF 60TH ANNIVERSARY EVENT FOR UK CHANDLER HOSPITAL BOYD COUNTY COOPERATIVE EXTENSION AGENCY 2420 CENTER STREET CATLETTSBURG KY 41129 900992379 501(C)(3) 0 14276 INVOICE TENT SUPPORT OF COMMUNITY FARMER'S MARKET THE SALVATION ARMY PO BOX 1405 ASHLAND KY 41105 371760428 501(C)(3) 5827 0 PROVIDE FOOD TO HOMELESS CITIZENS IN OUR COMMUNITY CARES PO BOX 1503 ASHLAND KY 41105 611255918 501(C)(3) 10000 0 SPONSORSHIP OF COMMUNITY EVENT CR FESTIVALS 415 MCPHEARSON AVENUE IRONTON OH 45638 814156565 FOR PROFIT 6000 0 SPONSORSHIP OF COMMUNITY FESTIVAL COMMONWEALTH OF KENTUCKY (FLOOD RELIEF) 200 MERO STREET 5TH FLOOR FRANKFORT KY 40622 610600439 GOVT. 15000 0 DONATION TO FLOOD RELIEF FOR KENTUCKY RESIDENTS 12 6 PART I, LINE 2: KING'S DAUGHTERS MEDICAL CENTER MAKES GRANTS/CONTRIBUTIONS TO ORGANIZATIONS BASED ON THE NEED OF THE ORGANIZATION AND THE TYPE OF EVENT IT SUPPORTS. MOST CONTRIBUTIONS ARE TO NON-PROFIT ORGANIZATIONS THAT FULFILL A NEED IN THE COMMUNITY, PROMOTE HEALTHY LIVING AND/OR ARE ECONOMIC-DEVELOPMENT BASED. ALL REQUESTS MUST BE MADE IN WRITING TO KDMC OUTLINING WHAT IS NEEDED AND HOW IT WILL BE USED. CONTRIBUTIONS ARE TRACKED AND DOCUMENTED. X 0 1 X X X X 1 1 0 0 0 0 0 1 0 KRISTIE WHITLATCH NON-VOTING PRESIDENT/CEO 201814 0 0 0 2067858 0 0 0 2437 0 2272109 0 169891 0 SARA MARKS SR. VP/COO 395578 0 173348 0 83485 0 63050 0 27168 0 742629 0 50000 0 CHARBEL SALEM MD VP/CHIEF POPULATION HEALTH OFF., KHF 0 681140 0 0 0 840 0 13050 0 28261 0 723291 0 0 AUTUMN MCFANN NON-VOTING TREASURER, SR. VP/CFO 434390 0 138000 0 69088 0 63050 0 16631 0 721159 0 50000 0 SHERYL MAHANEY NON-VOTING SECRETARY, VP/CHIEF LEGAL OFFICER 365660 0 182037 0 133536 0 16300 0 16631 0 714164 0 82011 0 JAMES DETHERAGE MD VP/CMO OUTPATIENT INTEGRATED PRACTIC 0 529637 0 0 0 22842 0 16300 0 27037 0 595816 0 0 RICHARD FORD MD VP/CMO INPATIENT & PROCEDURAL SVCS. 0 538905 0 0 0 26571 0 8700 0 9667 0 583843 0 0 CHARLES CONLEY DO PHYSICIAN 410786 95020 0 0 11217 0 8700 0 26982 0 457685 95020 0 0 EVAN CONDEE DO PHYSICIAN 436974 4920 0 0 5868 0 13050 0 8989 0 464881 4920 0 0 JASON FORD MD PHYSICIAN 395408 0 0 0 20154 0 12185 0 27150 0 454897 0 0 0 JANE STRADER MD PHYSICIAN/ANHC MED DIRECTOR 396869 0 0 0 504 0 13050 0 16159 0 426582 0 0 0 STACY CAUDILL MD VP/CHIEF INPATIENT CLINICAL OFFICER 0 389291 0 0 0 601 0 13050 0 17247 0 420189 0 0 RYAN ISON VP INTEGRATED PRACTICES 213236 0 88429 0 8214 0 63050 0 28647 0 401576 0 0 0 MELINDA ELKINS-SMITH MD PHYSICIAN 360730 0 0 0 20738 0 9500 0 1142 0 392110 0 0 0 STACY PATRICK VP CLINICAL & PROCEDURAL OPS. 237076 0 74025 0 1181 0 63050 0 16692 0 392024 0 0 0 CURTIS METZLER CNO/VP PATIENT CARE SERVICES 203084 0 91948 0 21204 0 63050 0 9348 0 388634 0 0 0 PART I, LINE 1A THE HOSPITAL REIMBURSED (GROSS-UP PAYMENTS) TO THE FOLLOWING INDIVIDUALS: - RYAN ISON: $7,554; - SHERYL MAHANEY: $31,037; - SARA MARKS: $19,848; - CURTIS METZLER: $11,073. PART I, LINE 1B THE GROSS-UP PAYMENTS ARE APPROVED BY THE PRESIDENT/CEO. PART I, LINES 4A-B - KRISTIE WHITLATCH (PRESIDENT/CEO) RECEIVED A CHANGE-OF-CONTROL PAYMENT OF $2,066,538 DURING THE CALENDAR YEAR 2021. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: - RICHARD FORD, MD: $24,639; - KRISTIE WHITLATCH: $66,075; - AUTUMN MCFANN: $18,248; - SHERYL MAHANEY: $16,876; - SARA MARKS: $12,377; - JAMES DETHERAGE, MD: $20,168. THE CEO AND CERTAIN VICE PRESIDENTS, WHOSE BENEFIT IN THE QUALIFIED TAX SHELTERED ANNUITY PLAN IS LIMITED DUE TO THE IRS COMPENSATION AND BENEFIT LIMITS, RECEIVE A BENEFIT RESTORATION CONTRIBUTION UNDER THE DEFERRED ANNUITY PLAN THAT IS PAID AS A TAXABLE DISTRIBUTION TO THE PARTICIPANT ANNUALLY. THE FOLLOWING INDIVIDUALS RECEIVED 457(F) EXECUTIVE RETENTION PLAN PAYOUTS: - KRISTIE WHITLATCH: $169,891; - SHERYL MAHANEY: $82,011; - AUTUMN MCFANN: $50,000; - SARA MARKS: $50,000. PART I, LINE 7 NONFIXED PAYMENTS ARE MADE AS A PART OF THE MEDICAL CENTER'S TEAM INCENTIVE AWARD (TIA) PLAN. ALL TEAM MEMBERS ARE ELIGIBLE FOR THE TIA. THE TIA IS PAID OUT BASED UPON SUCCESSFUL COMPLETION OF BOTH QUANTITATIVE AND QUALITATIVE STRATEGIC GOALS, SET ANNUALLY BY THE MEDICAL CENTER LEADERSHIP TEAM AND APPROVED BY THE BOARD OF DIRECTORS. A CITY OF ASHLAND KENTUCKY 616001775 044293AN8 2016-09-23 73445000 REFUND PRIOR BOND ISSUES 0 0 0 B CITY OF ASHLAND KENTUCKY 616001775 NONEAVAIL 2016-09-23 50000000 REFUND PRIOR BOND ISSUES 0 0 0 C CITY OF ASHLAND KENTUCKY 616001775 044293CB2 2019-12-30 95490000 REFUND PRIOR BOND ISSUES 0 0 0 D CITY OF ASHLAND KENTUCKY 616001775 NONEAVAIL 2022-09-22 50570000 HEALTHCARE FACILITIES, BUILDINGS AND EQUIPMENT 0 0 0 A 12335000 81984559 1200341 80784218 2016 1 0 1 1 B 7562097 50000000 254000 49746000 2016 1 0 1 1 C 11355000 103952363 1303871 532314 102116178 2020 1 0 1 1 D 50570059 570000 26011402 23988657 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF ASHLAND, KENTUCKY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/08/2021 ISSUER NAME: CITY OF ASHLAND, KENTUCKY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/08/2021 PART I, BOND ISSUES: ISSUE A (2016A): (F) DESCRIPTION OF PURPOSE: REFUND PRIOR BOND ISSUES ISSUE A (2016B): (F) DESCRIPTION OF PURPOSE: REFUND PRIOR BOND ISSUES ISSUE A (2019): (F) DESCRIPTION OF PURPOSE: REFUND PRIOR BOND ISSUES ISSUE D (2022): (F) DESCRIPTION OF PURPOSE: HEALTHCARE FACILITIES, BUILDINGS AND EQUIPMENT PART II, LINE 3: ISSUE A: SERIES 2016A - DIFFERENCE FROM PART I DUE TO BOND PREMIUM OF $8,539,559. ISSUE C: SERIES 2019 - DIFFERENCE FROM PART I DUE TO BOND PREMIUM OF $8,462,363. ISSUE D: SERIES 2022 - DIFFERENCE FROM PART I DUE TO INVESTMENT INCOME. BEYOND BLUE CORPORATION SEE PART V 10893238 SEE PART V 0 OFFICE FUNITURE USA SEE PART V 2186782 SEE PART V 0 ASHLAND OFFICE SUPPLY SEE PART V 1043478 SEE PART V 0 JODY ARCHER SEE PART V 90172 SEE PART V 0 CINDY HANSHAW SEE PART V 41103 SEE PART V 0 FRESENIUS MEDICAL CARE SEE PART V 1808125 SEE PART V 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: BEYOND BLUE CORPORATION(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: CRAIG COLLINS (BOARD MEMBER) IS THE TREASURER, ERIC MONDAY (BOARD MEMBER) IS PRESIDENT, AND MARK NEWMAN (BOARD VICE-CHAIR) IS VICE-PRESIDENT.(D) DESCRIPTION OF TRANSACTION: MANAGEMENT FEE. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: OFFICE FUNITURE USA(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TOM BURNETTE (BOARD MEMBER)'S DAUGHTER IS THE OWNER.(D) DESCRIPTION OF TRANSACTION: PURCHASE OF OFFICE FURNITURE. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: ASHLAND OFFICE SUPPLY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TOM BURNETTE (BOARD MEMBER) IS THE OWNER.(D) DESCRIPTION OF TRANSACTION: PURCHASE OF OFFICE SUPPLIES & EQUIPMENT. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: JODY ARCHER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SISTER-IN-LAW OF SARA MARKS (SR. VP/COO).(D) DESCRIPTION OF TRANSACTION: EMPLOYEE PAYROLL COMPENSATION. THERE IS NO MANAGEMENT RELATIONSHIP OR CONTROL OVER COMPENSATION BY SARA MARKS.(A) NAME OF PERSON: CINDY HANSHAW(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SISTER OF KRISTIE WHITLATCH (PRESIDENT/CEO).(D) DESCRIPTION OF TRANSACTION: EMPLOYEE PAYROLL COMPENSATION. THERE IS NO MANAGEMENT RELATIONSHIP OR CONTROL OVER COMPENSATION BY KRISTIE WHITLATCH.(A) NAME OF PERSON: FRESENIUS MEDICAL CARE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DON HAMMONDS (FORMER BOARD MEMBER) IS AN INDEPENDENT CONTRACTOR/CONSULTANT FOR FRESENIUS.(D) DESCRIPTION OF TRANSACTION: INPATIENT DIALYSIS TREATMENT. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH. FORM 990, PART VI, SECTION A, LINE 6 ROYAL BLUE HEALTH LLC (RBH) IS THE CORPORATE MEMBER OF ASHLAND HOSPITAL CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A AS THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM, RBH HAS CERTAIN GOVERNANCE RIGHTS WITH RESPECT TO AHC. THOSE RIGHTS INCLUDE ELECTING OR REMOVING AHC'S DIRECTORS AND OFFICERS. FORM 990, PART VI, SECTION A, LINE 7B AS THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM, RBH HAS CERTAIN GOVERNANCE RIGHTS WITH RESPECT TO AHC. THOSE RIGHTS REQUIRE CERTAIN SIGNIFICANT AHC ACTIONS TO NOW ALSO BE APPROVED BY RBH, INCLUDING, AMONG OTHERS, A CHANGE OF MEMBERSHIP OR SALE OF AHC, ELECTING OR REMOVING AHC'S DIRECTORS AND OFFICERS, AMENDING AHC'S ARTICLES AND BYLAWS, OR ANY BANKRUPTCY, LIQUIDATION OR DISSOLUTION OF AHC, INCLUDING THE TAX-EXEMPT ORGANIZATION TO WHOM AHC'S ASSETS ARE DISTRIBUTED UPON ITS DISSOLUTION. RBH'S BOARD OF TRUSTEES MAY IDENTIFY ADDITIONAL AHC ACTIONS THAT MUST BE APPROVED BY RBH IN ADDITION TO THOSE SPECIFICALLY LISTED IN AHC'S ARTICLES AND BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WILL BE REVIEWED BY THE CFO AND CONTROLLER BEFORE IT IS FILED WITH THE IRS. THE 990 WILL BE KEPT ON FILE AND AVAILABLE FOR REVIEW BY BOARD MEMBERS UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 12C ASHLAND HOSPITAL CORPORATION DBA KING'S DAUGHTERS MEDICAL CENTER REQUIRES ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO COMPLY WITH ITS CONFLICTS OF INTEREST POLICY, WHICH TRACKS THE IRS' RECOMMENDED POLICY WITH RESPECT TO SUCH OFFICERS AND DIRECTORS. MEMBERS OF THE MEDICAL CENTER'S BOARD OF DIRECTORS MUST ANNUALLY IDENTIFY, IN WRITING, ANY INTEREST THAT COULD GIVE RISE TO A CONFLICT, SUCH AS A LEADERSHIP POSITION IN A CONFLICTING ORGANIZATION; DISCLOSURE IS NOT LIMITED TO FINANCIAL CONFLICTS. LEADERSHIP EMPLOYEES MUST ANNUALLY CERTIFY, IN WRITING, THAT THEY KNOW OUR CONFLICTS OF INTEREST POLICY AND PROCEDURE AND HAVE NO CONFLICTS OF INTEREST. IN ADDITION, EMPLOYEES OF THE MEDICAL CENTER CERTIFY THAT NO CONFLICTS OF INTEREST EXIST OR OBTAIN AN ADVANCE WAIVER OF ANY CONFLICTS. THE MEDICAL CENTER'S HUMAN RESOURCES AND CORPORATE COMPLIANCE DEPARTMENT MAINTAINS ALL RELEVANT DISCLOSURES AND SIGNATURES. ALL EMPLOYEES PROVIDE ANNUAL CONFLICT CHECKS. IF A CONFLICT OF INTEREST IS REPORTED, THE VICE PRESIDENT TO WHOM THE REPORTING EMPLOYEE DIRECTLY OR INDIRECTLY REPORTS, TOGETHER WITH THE CEO, CORPORATE COMPLIANCE OFFICER AND GENERAL COUNSEL, DETERMINES IF A CONFLICT EXISTS. IF THE REPORTING EMPLOYEE IS A VICE PRESIDENT, THE CEO, IN CONSULTATION WITH THE GENERAL COUNSEL, DETERMINES IF A CONFLICT EXISTS. ANNUALLY, BOARD MEMBERS DISCLOSE PERSONAL AND PROFESSIONAL RELATIONSHIPS TO THE SECRETARY OF THE BOARD. IF A POTENTIAL CONFLICT EXISTS, THE BOARD SECRETARY OR A BOARD MEMBER WILL IDENTIFY THE CONFLICT, OR POTENTIAL CONFLICT, AND THE BOARD MEMBER WILL BE REMOVED FROM ANY PART OF THE DECISION-MAKING PROCESS, AND HAS NO ROLE IN THE INSTANCE IN WHICH THE CONFLICT EXISTS. A BOARD MEMBER WHO HAS A CONFLICT OF INTEREST MUST ABSTAIN FROM ANY RELEVANT DISCUSSION OR VOTE. IF A CONFLICT OF INTEREST IS DISCOVERED AFTER THE FACT, THE CEO AND VICE PRESIDENT, TOGETHER WITH THE GENERAL COUNSEL, IF APPROPRIATE, REVIEW THE INSTANCE IN WHICH THE CONFLICT OCCURRED. THOSE LEADERS DETERMINE WHETHER THE CONFLICTED INDIVIDUAL INFLUENCED THE DECISION-MAKING OR PROFITED FROM THE CONFLICT. THE CONFLICTED INDIVIDUAL IS REMOVED FROM ANY FURTHER INVOLVEMENT. IN ADDITION, ANY FAILURE TO REPORT CONFLICTS OF INTEREST VIOLATES THE MEDICAL CENTER'S POLICY AND COULD RESULT IN DISCIPLINARY ACTION, UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR REMOVAL FROM THE MEDICAL CENTER'S BOARD OF DIRECTORS. MEDICAL STAFF MEMBERS ARE REQUIRED BY THE MEDICAL STAFF BYLAWS TO DISCLOSE CONFLICTS OF INTEREST. ONCE DISCLOSED, THE MEDICAL STAFF MEMBER IS REMOVED FROM ANY DISCUSSION, DECISION-MAKING, AND/OR VOTE ON ANY RELATED ISSUE. FORM 990, PART VI, SECTION B, LINE 15 AT THE DIRECTION OF THE BOARD OF DIRECTORS, KDMC SETS COMPENSATION FOR THE TEAM MEMBERS AND LEADERS USING SEDONA PARTNERS AS WELL AS REVIEW OF LOCAL AND REGIONAL SALARY INFORMATION PROVIDED THROUGH A MARSHALL UNIVERSITY SURVEY. MERCER PERIODICALLY PERFORMS A REVIEW OF EXECUTIVE COMPENSATION AND BENEFITS. THE PRIMARY OBJECTIVE OF KING'S DAUGHTERS' COMPENSATION PHILOSOPHY IS TO HAVE COMPENSATION AND BENEFITS SET THAT REFLECT OTHER SIMILAR INDEPENDENT NOT FOR PROFIT HEALTHCARE SERVICES AS WELL AS THE WORK PERFORMANCE OF THE ORGANIZATION. SULLIVAN COTTER, AN INDEPENDENT COMPENSATION EXPERT, REVIEWS ALL PHYSICIAN COMPENSATION AND BENEFITS FOR DETERMINATION OF FAIR MARKET VALUE. FORM 990, PART VI, SECTION C, LINE 19 ON A QUARTERLY BASIS, THE FINANCIAL STATEMENTS ARE REPORTED TO EMMA (ELECTRONIC MUNICIPAL MARKET ACCESS) AND MADE AVAILABLE ON THEIR WEBSITE. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN MARKET VALUE INTEREST RATE SWAP 6,802,093. PENSION LIABILITY ADJUSTMENT 5,762,093. ADJUSTMENT FOR ACCUMULATED LOSS ON SWAP 79,556. CHANGE IN MARKET VALUE - PREMIER -176,933. FORGIVENESS OF INTERCOMPANY RECEIVABLES -24,677,072. ASHLAND NURSING HOME CORPORATION 2500 STATE ROUTE 5 ASHLAND KY 41102 611386016 NURSING HOME KY 501(C)(3) LINE 10 ASHLAND HOSPITAL CORPORATION 1 CHILD DEVELOPMENT CENTER CORPORATION 2201 LEXINGTON AVENUE ASHLAND KY 41101 010560598 DAYCARE KY 501(C)(3) LINE 10 ASHLAND HOSPITAL CORPORATION 1 KENTUCKY HEART INSTITUTE INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 611255904 PHYSICIANS KY 501(C)(3) LINE 10 ASHLAND HOSPITAL CORPORATION 1 KENTUCKY HEART FOUNDATION INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 260791997 MEDICAL RESEARCH KY 501(C)(3) LINE 7 ASHLAND HOSPITAL CORPORATION 1 KENTUCKY MEDICAL LOGISTICS INC 425 22ND STREET ASHLAND KY 41101 264736971 MEDICAL TRANSPORT KY 501(C)(3) LINE 10 ASHLAND HOSPITAL CORPORATION 1 KING'S DAUGHTERS HEALTH FOUNDATION INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 611035701 FUNDRAISING KY 501(C)(3) LINE 12B, II ASHLAND HOSPITAL CORPORATION 1 KING'S DAUGHTERS HEALTH SYSTEM 2201 LEXINGTON AVENUE ASHLAND KY 41101 274553836 HEALTHCARE KY 501(C)(3) LINE 12B, II N/A 0 KING'S DAUGHTERS MEDICAL SPECIALTIES INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 264183569 PHYSICIANS KY 501(C)(3) LINE 10 ASHLAND HOSPITAL CORPORATION 1 PORTSMOUTH HOSPITAL CORPORATION 1901 ARGONNE AVENUE PORTSMOUTH OH 45662 453215312 HEALTHCARE OH 501(C)(3) LINE 3 ROYAL BLUE HEALTH LLC 0 ROYAL BLUE HEALTH LLC 2201 LEXINGTON AVENUE ASHLAND KY 41101 862993817 HEALTHCARE KY 501(C)(3) LINE 12B, II KING'S DAUGHTERS HEALTH SYSTEM 0 ASHLAND MEDICAL PROPERTIES INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 611079090 RENTALS KY ASHLAND HOSPITAL CORPORATION C -175 1.00000 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 1 ASHLAND NURSING HOME CORP O 154059 ALL TRANSACTIONS BETWEEN ASHLAND NURSING HOME CORP R 6838384 COMPANIES ARE CAPTURED AT COST ASHLAND NURSING HOME CORP S 5923267 IN THE DUE TO/FROM CHILD DEVELOPMENT CENTER CORP R 191888 ACCOUNTS. THE TYPES OF CHILD DEVELOPMENT CENTER CORP S 85099 TRANSACTIONS THAT HIT THIS KENTUCKY HEART FOUNDATION INC O 77026 ACCOUNT ARE TRACKED MONTHLY. KENTUCKY HEART FOUNDATION INC R 105664 KENTUCKY MEDICAL LOGISTICS INC A 56742 KENTUCKY MEDICAL LOGISTICS INC O 2652979 KENTUCKY MEDICAL LOGISTICS INC R 4505300 KENTUCKY MEDICAL LOGISTICS INC S 4299332 KING'S DAUGHTERS MEDICAL SPECIALTIES INC O 711972 KING'S DAUGHTERS MEDICAL SPECIALTIES INC R 89927407 KING'S DAUGHTERS MEDICAL SPECIALTIES INC S 50260909