ASHLAND HOSPITAL CORPORATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: ASHLAND HOSPITAL CORPORATION (EIN 61-0444716)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-15
IRS object ID: 202212279349302951
Schema version: 2020v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-15T11:46:02-05:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390859910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER TILLY US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1570 FRUITVILLE PIKE SUITE 400	AddressLine1Txt
City	LANCASTER	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17601	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	610444716	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND HOSPITAL CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ASHL	BusinessNameControlTxt
Phone	6064084000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2201 LEXINGTON AVENUE	AddressLine1Txt
City	ASHLAND	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41101	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	AUTUMN MCFANN	PersonNm
Person Title	VICE PRESIDENT/CFO	PersonTitleTxt
Phone	6064084000	PhoneNum
Signature	2022-08-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	AUTUMN	PersonFirstNm
Person Last	MCFANN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KERRI N BOGDA CPA	PreparerPersonNm
PTIN	P00760402	PTIN
Phone	7177404863	PhoneNum
Self Employed	Yes (X)	SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	KING'S DAUGHTERS MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	KRISTIE WHITLATCH	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2201 LEXINGTON AVENUE	AddressLine1Txt
City	ASHLAND	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41101	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$817,848,210	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.KINGSDAUGHTERSHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1941	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	4410	TotalEmployeeCnt
Total Volunteers	61	TotalVolunteersCnt
Total Gross UBI	$94,420	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,099,760	PYContributionsGrantsAmt
CY Contributions Grants	$9,478,565	CYContributionsGrantsAmt
PY Program Service Revenue	$474,377,589	PYProgramServiceRevenueAmt
CY Program Service Revenue	$694,864,019	CYProgramServiceRevenueAmt
PY Investment Income	$5,909,338	PYInvestmentIncomeAmt
CY Investment Income	$26,282,758	CYInvestmentIncomeAmt
PY Other Revenue	$5,475,565	PYOtherRevenueAmt
CY Other Revenue	$4,143,582	CYOtherRevenueAmt
PY Total Revenue	$493,862,252	PYTotalRevenueAmt
CY Total Revenue	$734,768,924	CYTotalRevenueAmt
PY Grants And Similar Paid	$412,185	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$384,626	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$209,388,611	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$271,985,531	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$253,422,804	PYOtherExpensesAmt
CY Other Expenses	$325,426,024	CYOtherExpensesAmt
PY Total Expenses	$463,223,600	PYTotalExpensesAmt
CY Total Expenses	$597,796,181	CYTotalExpensesAmt
PY Revenues Less Expenses	$30,638,652	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$136,972,743	CYRevenuesLessExpensesAmt
Total Assets BOY	$810,355,083	TotalAssetsBOYAmt
Total Assets EOY	$776,253,929	TotalAssetsEOYAmt
Total Liabilities BOY	$405,385,538	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$410,878,817	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$404,969,545	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$365,375,112	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$500,596,570	ExpenseAmt
Grant	$384,626	GrantAmt
Revenue	$694,864,019	RevenueAmt
Desc	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 THROUGH COLLEGE AND BEYOND. CONTINUED ON SCHEDULE O.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. 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 IMPACT 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, KICKOFF CARAVAN 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 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 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 AND TWO ADDITIONAL FLEXIBLE MOBILE UNITS PROVIDING A WIDE RANGE OF SERVICES INCLUDING OCCUPATIONAL MEDICINE SERVICES, HEALTH SCREENINGS, PFTS, AND OTHER SERVICES TRAVELING THROUGHOUT THE REGION. INCREASING ACCESS TO FRESH, HEALTHY FOODS THROUGH SPONSORSHIP OF THE BOYD COUNTY FARMERS MARKET IN DOWNTOWN ASHLAND AND AT KING'S DAUGHTERS MEDICAL CENTER OHIO. INCREASING BLOOD DONATION THROUGH A PARTNERSHIP WITH THE KENTUCKY BLOOD CENTER.	Desc
Total Program Service Expenses	$500,596,570	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	284	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	4410	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	LAURIE STEWART CONTROLLER	PersonNm
Phone	6064089640	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2201 LEXINGTON AVENUE	AddressLine1Txt
City	ASHLAND	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41101	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
KRISTIE WHITLATCH NON-VOTING
PRESIDENT/CEO	51.25	10.75	Yes (X)	Yes (X)	$935,505	$0	$40,469
AUTUMN MCFANN NON-VOTING
TREASURER, VP/CFO	51.25	10.75	Yes (X)	Yes (X)	$488,592	$0	$37,309
SHERYL MAHANEY NON-VOTING
SECRETARY, VP/CHIEF LEGAL	51.25	10.75	Yes (X)	Yes (X)	$482,139	$0	$43,259
DAVID JONES
BOARD CHAIRMAN	2.00	4.50	Yes (X)	Yes (X)	$0	$0	$0
DR MARK NEWMAN
BOARD VICE-CHAIR (4/1/21-9/30/21)	2.00	4.50	Yes (X)	Yes (X)	$0	$0	$0
STEPHEN ADDINGTON
DIRECTOR	0.25	0.50	Yes (X)		$0	$0	$0
MARK BIRDWHISTELL
DIRECTOR (4/1/21-9/30/21)	0.25	2.50	Yes (X)		$0	$0	$0
TOM BURNETTE
DIRECTOR	0.25	2.50	Yes (X)		$0	$0	$0
DONALD HAMMONDS DO
DIRECTOR (10/1/20-12/31/20)	0.25	0.25	Yes (X)		$0	$0	$0
KIM MCCANN
DIRECTOR (10/1/20-3/31/21)	0.25	0.25	Yes (X)		$0	$0	$0
J BRIAN FREDERICK
DIR/MED STAFF PRES(10/1/20-3/31/21)	0.25	0.00	Yes (X)		$23,000	$0	$0
JOHN STEWART
DIRECTOR	0.25	2.50	Yes (X)		$0	$0	$0
JOHN VINCENT
DIRECTOR (10/1/20-3/31/21)	0.25	0.25	Yes (X)		$0	$0	$0
CRAIG COLLINS
DIRECTOR (4/1/21-9/30/21)	0.25	2.50	Yes (X)		$0	$0	$0
ERIC MONDAY
DIRECTOR (4/1/21-9/30/21)	0.25	2.50	Yes (X)		$0	$0	$0
RAMONA THOMPSON
VP/CHIEF COMPLIANCE OFF.	45.00	0.00			$301,748	$0	$34,583	Yes (X)
SARA MARKS
VP/COO	51.25	9.00			$421,725	$0	$47,343	Yes (X)
RICHARD FORD MD
VP/INPATIENT CMO/PROC. SVC	0.25	40.00			$0	$567,401	$32,682	Yes (X)
JAMES DETHERAGE MD
VP/OUTPATIENT CMO/KDIP/PHY	0.25	40.00			$0	$515,163	$47,119	Yes (X)
STACY PATRICK
VP CLINICAL & PROCEDURAL O	45.00	0.50			$278,811	$0	$36,674	Yes (X)
EVAN CONDEE DO
PHYSICIAN	40.00	1.00			$301,071	$12,300	$30,271		Yes (X)
CHARLES CONLEY DO
PHYSICIAN	40.00	11.00			$345,718	$107,320	$42,881		Yes (X)
PATRICK BALL DO
PHYSICIAN	40.00	0.00			$390,637	$0	$41,130		Yes (X)
JANE STRADER MD
PHYSICIAN	40.00	9.00			$321,636	$57,500	$36,608		Yes (X)
KIMBERLY UMHEOFER DO
PHYSICIAN	40.00	6.00			$301,807	$36,000	$40,543		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,592,389	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,295,684	TotReportableCompRltdOrgAmt
Total Other Compensation	$510,871	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	212	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
RIVERSIDE ANESTHESIA
425 LEWIS HARGETT CIRCLE	LEXINGTON	KY	40503	ANESTHESIA SERVICES	$7,434,218
OBHG KENTUCKY PSC
777 LOWNDES HILL ROAD-BUILDING 1	GREENVILLE	SC	296072131	HOSPITALISTS	$1,206,684
EMCARE INC
7032 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	EMERGENCY ROOM PHYSICIANS	$913,183
VANANTWERP ATTORNEYS LLP
1544 WINCHESTER AVENUE	ASHLAND	KY	41101	LAWYERS	$812,102
MEDICAL WASTE SERVICES LLC
PO BOX 2558	ASHLAND	KY	41105	MEDICAL WASTE DISPOSAL	$572,949

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	34	CntrctRcvdGreaterThan100KCnt
Related Organizations	$32,055	RelatedOrganizationsAmt
Government Grants	$8,586,906	GovernmentGrantsAmt
All Other Contributions	$859,604	AllOtherContributionsAmt
Total Contributions	$9,478,565	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SVC REV	621110	$661,282,644	$661,282,644
PHARMACY	446110	$33,581,000	$33,486,580	$94,420
MEANINGFUL USE REVENUES	621110	$375	$375

Field	Value	IRS element (for citing)
Total Program Service Revenue	$694,864,019	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,853,979	TotalRevenueColumnAmt
Exclusion	$4,853,979	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5	TotalRevenueColumnAmt
Exclusion	$5	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,029,483	RealAmt
Personal	$3,150	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$690,447	RealAmt
Personal	$3,150	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$339,036	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$339,036	TotalRevenueColumnAmt
Exclusion	$339,036	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$103,774,113	SecuritiesAmt
Other	$40,350	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$81,994,847	SecuritiesAmt
Other	$390,842	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$21,779,266	SecuritiesAmt
Other	-$350,492	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,428,774	TotalRevenueColumnAmt
Exclusion	$21,428,774	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	722210	$1,778,895	$1,778,895
QUALITY INCENTIVE	900099	$1,174,437	$1,174,437
STUDENT HEALTH CLINIC	900099	$341,655	$341,655

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$509,559	TotalRevenueColumnAmt
Exclusion	$509,559	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,804,546	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$734,768,924	TotalRevenueColumnAmt
Related Or Exempt Func Income	$694,769,599	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$94,420	UnrelatedBusinessRevenueAmt
Exclusion	$30,426,340	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$384,626	TotalAmt
Program Services	$384,626	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,040,354	TotalAmt
Management And General	$5,040,354	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$38,398	TotalAmt
Program Services	$38,398	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$205,520,015	TotalAmt
Program Services	$181,050,368	ProgramServicesAmt
Management And General	$24,469,647	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,680,513	TotalAmt
Program Services	$8,528,532	ProgramServicesAmt
Management And General	$1,151,981	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$36,390,780	TotalAmt
Program Services	$32,060,277	ProgramServicesAmt
Management And General	$4,330,503	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,315,471	TotalAmt
Program Services	$13,169,774	ProgramServicesAmt
Management And General	$2,145,697	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$5,290,019	TotalAmt
Management And General	$5,290,019	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,285,229	TotalAmt
Program Services	$56,939	ProgramServicesAmt
Management And General	$2,228,290	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$60,000	TotalAmt
Management And General	$60,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$28,476	TotalAmt
Program Services	$28,476	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$576,853	TotalAmt
Management And General	$576,853	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$50,478,196	TotalAmt
Program Services	$41,583,311	ProgramServicesAmt
Management And General	$8,894,885	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,787,873	TotalAmt
Program Services	$28,268	ProgramServicesAmt
Management And General	$1,759,605	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,771,618	TotalAmt
Program Services	$1,526,320	ProgramServicesAmt
Management And General	$1,245,298	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,421,510	TotalAmt
Program Services	$3,418,700	ProgramServicesAmt
Management And General	$2,810	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,666,242	TotalAmt
Program Services	$2,174,934	ProgramServicesAmt
Management And General	$5,491,308	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$89,158	TotalAmt
Program Services	$2,101	ProgramServicesAmt
Management And General	$87,057	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$28,213	TotalAmt
Program Services	$25,795	ProgramServicesAmt
Management And General	$2,418	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,551,427	TotalAmt
Management And General	$10,551,427	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,504,550	TotalAmt
Program Services	$21,168,865	ProgramServicesAmt
Management And General	$2,335,685	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,620,122	TotalAmt
Management And General	$10,620,122	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$143,001,628	$137,379,276	$5,622,352
BAD DEBT EXPENSE	$24,198,332	$24,198,332
REPAIRS & MAINTENANCE	$19,339,437	$17,231,864	$2,107,573
TAX (INC. PROVIDER TAX)	$7,790,310	$7,684,177	$106,133

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,936,831	TotalAmt
Program Services	$8,857,237	ProgramServicesAmt
Management And General	$3,079,594	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$597,796,181	TotalAmt
Program Services	$500,596,570	ProgramServicesAmt
Management And General	$97,199,611	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,728,800	BOYAmt
EOY	$24,188,762	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$23,414,142	BOYAmt
EOY	$25,828,434	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$1,160,072	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$67,615,013	BOYAmt
EOY	$72,317,227	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,146,026	BOYAmt
EOY	$1,098,276	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,044,762	BOYAmt
EOY	$14,435,120	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,835,664	BOYAmt
EOY	$5,201,343	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$670,840,586	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$423,582,664	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$239,902,564	BOYAmt
EOY	$247,257,922	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$248,579,107	BOYAmt
EOY	$325,905,680	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$5,013,605	BOYAmt
EOY	$5,013,605	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$788,715	BOYAmt
EOY	$788,715	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$200,286,685	BOYAmt
EOY	$53,058,773	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$810,355,083	BOYAmt
EOY	$776,253,929	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$46,503,538	BOYAmt
EOY	$68,914,028	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$213,039,656	BOYAmt
EOY	$205,876,098	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
EOY	$3,404,951	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$145,842,344	BOYAmt
EOY	$132,683,740	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$405,385,538	BOYAmt
EOY	$410,878,817	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$404,969,545	BOYAmt
EOY	$365,375,112	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$404,969,545	BOYAmt
EOY	$365,375,112	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$810,355,083	BOYAmt
EOY	$776,253,929	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$136,972,743	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,567,666	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$179,134,842	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$28,476	OtherActivitiesAmt
Total Lobbying Expenditures	$28,476	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	- $15,725: A PORTION OF THE DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING. - $12,719: A PORTION OF DUES PAID TO THE COLLEGE OF AMERICAN PATHOLOGISTS ATTRIBUTABLE TO LOBBYING. - $32: A PORTION OF THE DUES PAID TO THE COLLEGE OF AMERICAN CARDIOLOGISTS ATTRIBUTABLE TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,678,029	OtherCostOrOtherBasisAmt
Book Value	$27,678,029	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$373,573,657	OtherCostOrOtherBasisAmt
Depreciation	$215,775,587	DepreciationAmt
Book Value	$157,798,070	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$262,177,229	OtherCostOrOtherBasisAmt
Depreciation	$203,849,993	DepreciationAmt
Book Value	$58,327,236	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,411,671	OtherCostOrOtherBasisAmt
Depreciation	$3,957,084	DepreciationAmt
Book Value	$3,454,587	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$247,257,922	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
TRUSTEED FUNDS	$560
DUE FROM RELATED PARTIES	$96,744
DUE FROM KY MEDICAID	$17,956,429
OPERATING LEASES	$12,294,656
DUE FROM INTEGRATED HEALTH INSURANCE LTD	$22,710,384

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$53,058,773	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
MALPRACTICE COSTS	$32,952,365
ACCRUED PENSION	$11,355,000
LONG-TERM RETENTION PLAN	$399,917
INTEREST RATE SWAP AGREEMENTS	$12,674,614
EST. THIRD PARTY PAYOR SETTLEMENTS	$55,368,330
LEASES PAYABLE	$19,933,514

Field	Value	IRS element (for citing)
Total Liability	$132,683,740	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,242,475	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,242,475	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$125,709,466	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$182,403,094	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$127,951,941	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$182,403,094	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,242,475	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,175,604	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,175,604	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$442,855	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$442,855	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,491,193	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,491,193	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$146,199	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$146,199	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,451,384	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,451,384	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,707,235	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,707,235	NetCommunityBenefitExpnsAmt
Total Expense	0.01700	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$137,659,176	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$182,403,094	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,949,710	NetCommunityBenefitExpnsAmt
Total Expense	0.02090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,824,966	BadDebtExpenseAmt
Reimbursed By Medicare	$127,324,798	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$134,155,873	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,831,075	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND HOSPITAL CORPORATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2201 LEXINGTON AVENUE	AddressLine1Txt
City	ASHLAND	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41101	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.KINGSDAUGHTERSHEALTH.COM	WebsiteAddressTxt
State License	100958	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND HOSPITAL CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	KINGSDAUGHTERSHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	KINGSDAUGHTERSHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	KINGSDAUGHTERSHEALTH.COM/PATIENT-VISITORS/FINANCIAL-SERVICES-RESOURCES	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	KINGSDAUGHTERSHEALTH.COM/PATIENT-VISITORS/FINANCIAL-SERVICES-RESOURCES	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	KINGSDAUGHTERSHEALTH.COM/PATIENT-VISITORS/FINANCIAL-SERVICES-RESOURCES	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 6A: BON SECOURS KENTUCKY A.K.A. OUR LADY OF BELLEFONTE HOSPITAL & PORTSMOUTH HOSPITAL CORPORATION.
ASHLAND HOSPITAL CORPORATION	PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED NEW NEEDS TO BE ADDRESSED INCLUDING SUBSTANCE ABUSE/MISUSE; OBESITY/DIABETES; HEART DISEASE; COPD AND OTHER BREATHING ISSUES; AND CANCER PREVENTION. THESE NEEDS ARE BEING ADDRESSED IN THE FOLLOWING WAYS:SUBSTANCE ABUSE: KDMC ESTABLISHED RELATIONSHIPS WITH THE GREENUP/LEWIS COUNTY DRUG COURT TO HELP JUSTICE INVOLVED INDIVIDUALS PARTICIPATING IN THE DRUG COURT REMOVE BARRIERS TO THEIR SUCCESS. SERVICES INCLUDE PRIMARY CARE AND RECEIVING INDIVIDUALIZED MENTAL HEALTH, PHYSICAL HEALTH, MAT AND SOCIAL SERVICES. IN ADDITION, KDMC WORKING WITH THE FAITH COMMUNITY HAS PROVIDED EDUCATIONAL PROGRAMMING TO HELP COMMUNITY MEMBERS UNDERSTAND THE NATURE OF ADDICTION AND TO BUILD A SUPPORTING COMMUNITY FOR THOSE TRYING TO OVERCOME THEIR ADDICTION. IN ADDITION AND IN ORDER TO REDUCE ACCIDENTAL POISONING FROM MEDICATIONS, KDMC HAS PROVIDED SAFE MEDICATION PRACTICE EDUCATION THROUGHOUT THE COMMUNITY.OBESITY/DIABETES: TO REDUCE THE BURDEN OF BOTH OBESITY AND DIABETES, KDMC HAS WORKED TO IMPROVE THE AVAILABILITY OF HEALTHY FOODS THROUGH FOOD PROGRAMS, INCLUDING HOSTING AND SUPPORTING FARMER'S MARKETS, RAISING FOOD DONATIONS FOR LOCAL FOOD BANKS, SUPPORTING THE MEALS-ON-WHEELS PROGRAM AND HELPING SCHOOLS WITH SEND HOME FOOD PROGRAMS. IN ADDITION, KDMC HAS PROVIDED NUTRITION EDUCATION THROUGHOUT THE COMMUNITY. KDMC HAS ALSO SUPPORTED AND/OR SPONSORED LOCAL ACTIVITIES TO INCREASE PHYSICAL ACTIVITY. KDMC HAS PROVIDED FREE NON-FASTING BLOOD SUGAR SCREENINGS ACROSS THE REGION TO HELP IN EARLY IDENTIFICATION OF DIABETES MELLITUS. IN ADDITION, THE KDMC LAB OFFERS LOW-COST BLOOD PROFILES, INCLUDING A1C TO HELP PEOPLE IDENTIFY THEIR RISK FOR DIABETES OR ACCESS THEIR PROGRESS IN CONTROLLING THE DISEASE.CANCER PREVENTION: KDMC HAS WORKED TO INCREASE SCREENING FOR THE AREA'S TOP THREE CANCERS LUNG, COLON/RECTAL AND BREAST. FOR LUNG CANCER, KDMC FOCUSED ON EARLY DETECTION AMONG HIGH-RISK INDIVIDUALS THROUGH LOW DOSE DT SCANS. COLON CANCER SCREENING, THROUGH FIT, COLONOSCOPY OR COLOGARD TESTING HAS BEEN INCREASED TO AID IN EARLY DETECTION OF COLON CANCER. CARTER COUNTY WAS THE ONLY COUNTY THAT HAD A HIGHER THAN THE STATE AND NATION RATE FOR BREAST CANCER. KDMC'S MOBILE MAMMOGRAPHY PROGRAM ADDED SCREENING DAYS IN CARTER COUNTY SO THAT MORE WOMEN COULD RECEIVE THIS LIFESAVING SCREENING. IN ADDITION, KDMC IMPLEMENTED THE HEALTHAWARE RISK ASSESSMENT PROGRAM THROUGH THEIR WEBSITE. RISK ASSESSMENTS FOR BREAST, COLON AND LUNG CANCER WERE MADE AVAILABLE ON THE KDMC WEBSITE AND ARE FREE TO ANYONE WANTING TO ASSESS THEIR CANCER RISK. HEART DISEASE/HYPERTENSION: THE EARLY IDENTIFICATION OF HEART DISEASE SAVES LIVES. KDMC USES FREE COMMUNITY HEART SCREENINGS TO HELP PEOPLE LEARN THEIR NUMBERS (CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR AND EKG) AND THEN EDUCATES THE INDIVIDUAL ON WHAT THEIR NUMBERS MEAN AND IF THEY SHOULD SEE A DOCTOR. IN ADDITION, HEART EDUCATION, INCLUDING SIGNS AND SYMPTOMS, AND PREVENTION OF HEART DISEASE IS BROADLY OFFERED IN THE SERVICE REGION.COPD/LUNG DISEASE: KDMC CONTINUED TO WORK TO IMPROVE LUNG HEALTH BY REDUCING ILLNESS, DISABILITY AND DEATH RELATED TO TOBACCO USE, INCLUDING VAPING. THE STRATEGIES WERE TWO-FOLD; WITH EDUCATION TO PREVENT INITIATION, ESPECIALLY AMONG YOUNG PEOPLE, AND TO AID IN HELPING SMOKERS QUIT TOBACCO USE THROUGH IDENTIFICATION OF SMOKERS AND REFERRAL TO SMOKING CESSATION CLASSES. IN ADDITION, KDMC HAS INCREASED LUNG HEALTH (PFT) SCREENING IN RURAL AREAS THROUGH THEIR MOBILE PROGRAM.
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.

Field	Value	IRS element (for citing)
Facility	37	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (37 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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 RD	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 RD	FLATWOODS	KY	41139	FAMILY CARE CENTER
9 - GRAYSON MEDICAL SPECIALTIES
609 N CAROL MALONE BLVD	GRAYSON	KY	41143	FAMILY CARE CENTER
10 - FLATWOODS MEDICAL SPECIALTIES
1109 BELLEFONTE RD	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 AVE STE 215	ASHLAND	KY	41101	OCCUPATIONAL MEDICINE
18 - KDMC HOME HEALTH
2301 LEXINGTON AVE STE 305	ASHLAND	KY	41101	HOME HEALTH SERVICES
19 - PRESTONSBURG FAMILY CARE
1279 OLD ABBOT MOUNTAIN RD	PRESTONBURG	KY	41653	FAMILY CARE CENTER
20 - RUSSELL URGENT CARE
399 DIEDERICH BLVD	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 AVE STE 135	ASHLAND	KY	41101	PEDIATRICS CENTER
24 - CANNONSBURG URGENT CARE
12470 US 60	ASHLAND	KY	41102	URGENT CARE
25 - KD BELLEFONTE PRIMARY CAREPEDIATRI
1000 ASHLAND DR STE 102	ASHLAND	KY	41101	FAMILY CARE CENTER/PEDIATRICS
26 - KD CORNERSTONE MEDICAL PLAZA
1816 CARTER AVE	ASHLAND	KY	41101	FAMILY CARE CENTER
27 - KD ASHLAND 29TH ST PEDIATRICS
336 29TH ST STE 201	ASHLAND	KY	41101	PEDIATRICS CENTER
28 - KD ASHLAND PRIMARY CARE
2028 WINCHESTER AVE	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 RD STE B	FLATWOODS	KY	41139	FAMILY CARE CENTER
31 - KD GRAYSON PRIMARY CARE MED SPEC & PEDS
100 BELLEFONTE DR	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 ST CHRISTOPHER DR	ASHLAND	KY	41101	PHYSICAL & OCCUPATIONAL THERAPY CTR
34 - WOUND CENTER
MEDICAL PLAZA A STE 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 RD	WHEELERSBURG	OH	45694	FAMILY CARE CENTER
37 - CENTER FOR HEALTHY LIVING
1200 CENTRAL AVENUE SUITE 1	ASHLAND	KY	41101	SPECIALTY CARE

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $24,198,332.
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:	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. DURING 2020, KDMC ALSO CONDUCTED A COMMUNITY SURVEY TARGETING MINORITY GROUPS (HISPANIC AND AFRICAN AMERICAN) TO ASSURE THAT THE 2019 CHNA RESPONSE WAS MEETING THE HEALTHCARE NEEDS OF THIS POPULATION.
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 POVERTYLEVEL 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 2020 AMERICAN COMMUNITY SURVEY, A TOTAL OF 259,391 PEOPLE LIVE IN THE SIX-COUNTY SERVICE REGION. THE REGION COVERS 2,397 SQUARE MILES. THE POPULATION DENSITY IS APPROXIMATELY 108 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, 96.6% ARE WHITE, 1.2% ARE BLACK, 1.4% HISPANIC/LATINO AND 0.8% MAKE UP ALL OTHER RACES. THERE ARE MORE FEMALES (50.5%) THAN MALES (49.5%) IN THE AREA. THE MEDIAN FAMILY INCOME IS $40,904, COMPARED TO KENTUCKY ($50,589) AND OHIO ($56,602), THE UNITED STATES $(60,293). PER CAPITA INCOME IS $22,251, COMPARED TO KENTUCKY ($28,178), OHIO ($31,552) AND THE NATION ($32,621). APPROXIMATELY 18.8% OF THE TOTAL POPULATION AND 29.6% OF CHILDREN UNDER AGE 18 LIVE IN POVERTY. NEARLY EIGHT PERCENT (7.9%) OF THE POPULATION UNDER THE AGE OF 65 IS WITHOUT ANY FORM OF HEALTHCARE COVERAGE. AS OF DECEMBER 2021, THE AVERAGE UNEMPLOYMENT RATE FOR THE SIX-COUNTY AREA WAS 5.0%.
PART VI, LINE 5:	COMMUNITY HEALTH ACTIVITIES OTHER THAN IMPLEMENTATION PLAN:THE MEDICAL CENTER PROVIDES FREE EDUCATIONAL AND SCREENING SERVICES IN AN AREA BROADER THAN THE PRIMARY MARKET. THIS AREA INCLUDES 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, BUT ARE NOT SPECIFIC TO THE IMPLEMENTATION PLAN GOALS AND OBJECTIVES WERE PROVIDED:SCREENINGS, IMMUNIZATIONS AND PHYSICALS:- COVID-19 CONVALESCENT PLASMA COLLECTION 3 SERVED- BLOOD PRESSURE SCREENING -15 SCREENED- HEALTHY HEART SCREENING (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR AND EKG) ADULTS SCREENED, TOTAL TESTS PROVIDED 258 SCREENED- GENERAL HEALTH SCREENING 35 SCREENED- SKIN CANCER 22 SERVED- SPORTS PHYSICALS 501 YOUTH- FLU SHOTS 865 VACCINES ADMINISTEREDHEALTH EDUCATION: - ALCOHOL AND OTHER DRUGS 258 ADULTS EDUCATED- ACTIVE SHOOTER TRAINING 61 ADULTS TRAINED- BLOOD DONATIONS 613 DONATIONS COLLECTED- BONE HEALTH 29 ADULTS AND 86 CHILDREN SERVED- BREAST CANCER 1,755 ADULTS SERVED- BREAST FEEDING EDUCATION 5 ADULTS SERVED- CONGESTIVE HEART FAILURE 251 ADULTS SERVED- COLON CANCER 100 ADULTS- COOKING SAFETY 50 SERVED- DENTAL HEALTH 250 CHILDREN SERVED- DIABETES 680 ADULTS, 70 CHILDREN SERVED (SECONDARY, TERTIARY COUNTIES)- 1ST AID EDUCATION 55 ADULTS AND 140 CHILDREN SERVED- HANDWASHING EDUCATION 699 ADULTS, 285 CHILDREN SERVED- HANDS ONLY CPR 2 ADULTS, 31 CHILDREN SERVED- FLU PREVENTION 85 ADULTS AND 50 CHILDREN SERVED- HEALTHY HEART EDUCATION 565 ADULTS AND 50 CHILDREN SERVED - HOLIDAY SAFETY 35 ADULTS; 5 CHILDREN SERVED- HYDRATION 250 CHILDREN SERVED- HYPERTENSION 541 ADULTS SERVED- NUTRITION EDUCATION 657 ADULTS; SERVED - PREGNANCY/PARENTING EDUCATION 36 ADULTS SERVED- SKIN CANCER 300 SERVED- SAFE MEDICATION PRACTICES 282 ADULTS SERVED- STROKE 717 SERVED - SUMMER SAFETY 10 ADULTS; 285 CHILDREN SERVED- SUBSTANCE USE DISORDER 253 PROFESSIONAL AND COMMUNITY MEMBERS SERVED- SMOKELESS TOBACCO/VAPING 330 SERVED- TOBACCO 1,105 ADULTS AND 50 CHILDREN DURING COVID-19, EDUCATIONAL PROGRAMMING WAS SHIFTED TO INCLUDE VIDEOS POSTED TO FACEBOOK. KDMC POSTED THE FOLLOWING EDUCATIONAL VIDEOS:- DIGESTIVE HEALTH ONE VIDEO WITH 262 VIEWS- STROKE EIGHT VIDEOS WITH 2,535 VIEWS- SURGICAL WEIGHT LOSS ONE VIDEO WITH 270 REACHED- EAR, NOSE AND THROAT ONE VIDEO WITH 66 VIEWS- JOINT HEALTH THREE VIDEOS WITH 455 VIEWS- EPILEPSY ONE VIDEO WITH 170 VIEWSSUPPORT GROUPS KDMC PROVIDES VARIOUS SUPPORT GROUPS FOR INDIVIDUALS WITH DISEASE AND/OR THEIR CAREGIVERS. DURING FY21, THE FOLLOWING GROUPS WERE OFFERED.- BREAST CANCER 12 ATTENDED- PROSTATE CANCER 15 ATTENDED- STROKE 1 ATTENDED- ANGER MANAGEMENT 310 ATTENDED- MARRIAGE COUNSELING 80 ATTENDED- SURGICAL WEIGHT LOSS 34 ATTENDEDCLINICAL RESEARCH: KDMC SUPPORTS CLINICAL RESEARCH IN BOTH CARDIAC AND ONCOLOGY. OTHER COMMUNITY ACTIVITIES:- BLOOD DRIVES- KDMC HOSTED 20 BLOOD DRIVES ON KDMC CAMPUSES. A TOTAL OF 613 COMMUNITY AND TEAM MEMBERS DONATED BLOOD.- BACKPACK PROGRAM- THIS IS A PARTNERSHIP WITH THE ASHLAND ALLIANCE. TEAM MEMBERS FILLED BACKPACKS WITH SCHOOL SUPPLIES FOR 128 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 30 FAMILIES, 26 NURSING HOME RESIDENTS AND 90 INDIVIDUAL CHILDREN, PROVIDING GIFTS AND FOOD TO THOSE IN NEED AT CHRISTMAS TIME. IN ADDITION, A CHRISTMAS PARTY WAS PROVIDED FOR THE SHELTER OF HOPE RESIDENTS AND RESIDENTS WERE PROVIDED STOCKINGS.- 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 30 BED KITS (COMFORTER, SHEETS, PILLOW) FOR THE BEDS. IN ADDITION, A STUFFED TOY AND BOOK WERE PROVIDED WITH EACH BED KIT FOR THE CHILDREN RECEIVING 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, IN PARTNERSHIP WITH LOCAL OB/GYN PHYSICIANS, PROVIDED CHILDBIRTH EDUCATION IN THE DOCTOR'S AND ONLINE. KDMC WAS ABLE TO REACH 31 MOTHERS-TO-BE IN PERSON AND 22 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 901 INDIVIDUALS SERVED.- CPR TRAINING CENTER 3,001 PEOPLE TRAINED. KDMC PROVIDED FREE TRAINING AND CERTIFICATION FOR THE FOLLOWING:- ADVANCED LIFE SUPPORT EMS: BOYD CO., CARTER CO., CEREDO/KENOVA, LAWRENCE CO., AND AIR EVAC.; SCIOTO COUNTY FIRE DEPT.; AND BOYD COUNTY EMERGENCY MANAGEMENT 30 CARDS ISSUED- PEDIATRIC ADVANCED LIFE SUPPORT AIR EVAC., BOYD CO. EMS, SCIOTO TOWNSHIP FD, AND CARTER CO. EMS 22 CARDS ISSUED- BASIC LIFE SUPPORT EMS: AIR EVAC, BOYD CO., CARTER CO., BOYD CO. 911, COLLEGES/UNIVERSITIES: KCTC, OUS, UK, MOREHEAD STATE, WALDEN U., MARSHALL AND EKU); LAW ENFORCEMENT: ASHLAND PD, CARTER CO. SHERIFF, BELLEFONTE PD, AND GRAYSON PD; FIRE DEPARTMENTS: SCIOTO COUNTY FD, DECATUR VFD, SCIOTO TOWNSHIP VFD, RACELAND FD, 200 BLS CARDS ISSUED IN JANUARY 2020, A NEIGHBORING HOSPITAL, OUR LADY OF BELLEFONTE HOSPITAL (OLBH), ANNOUNCED ITS PERMANENT CLOSURE EFFECTIVE APRIL 2020. KING'S DAUGHTERS IMMEDIATELY BEGAN PREPARING FOR AN INCREASE IN UTILIZATION BY HIRING NEW TEAM MEMBERS, INVESTING IN NEW PHYSICIANS, AND SPENDING THE NECESSARY CAPITAL TO INCREASE CAPACITY. BY THE END OF FISCAL YEAR 2020, KDMC HAD SPENT OVER $4 MILLION ON CAPITAL EQUIPMENT, EMPLOYED APPROXIMATELY 500 OLBH TEAM MEMBERS, INCLUDING ABOUT 40 PROVIDERS, AND SPENT $100,000 ON RECRUITING/COMMUNITY ENGAGEMENT DURING THE TRANSITION. DURING FISCAL YEAR 2021, KDMC SPENT AN ADDITIONAL $6 MILLION ON CAPITAL INVESTMENTS DIRECTLY TIED TO OLBH'S CLOSURE, AND BEGAN PLANNING EXPANSION PROJECTS TO ACCOMMODATE THE INFLUX OF PATIENTS AS A RESULT OF THE CLOSURE. OVER THE NEXT FEW YEARS, THE HOSPITAL PLANS TO BUILD OUT AN ADDITIONAL FLOOR ON THE PARKVIEW PATIENT TOWER, EXPAND THE CENTRAL STERILE DEPARTMENT TO BETTER SUPPORT THE OPERATING ROOMS, AND CONSTRUCT A NEW EMERGENCY DEPARTMENT/IMAGING BUILDING. THESE EXPANSION PROJECTS WILL COST THE HOSPITAL IN EXCESS OF $140 MILLION DOLLARS.IN APRIL 2021, KDMC, ALONG WITH THE REST OF THE RELATED ORGANIZATIONS, ENTERED INTO A PARTNERSHIP AGREEMENT WITH UK HEALTHCARE. AS A PART OF THIS AGREEMENT, KDMC BEGAN PARTICIPATING IN THE KENTUCKY MEDICAID DIRECTED PAYMENTS PROGRAM. THIS PROGRAM REIMBURSES THE HOSPITAL FOR KENTUCKY MEDICAID VOLUMES AT AN AVERAGE COMMERCIAL RATE CALCULATED BY AN INDEPENDENT ACTUARY. AS A RESULT OF THIS PROGRAM, THE HOSPITAL NO LONGER HAS A FINANCIAL SHORTFALL FROM ITS KENTUCKY MEDICAID BUSINESS. THESE FUNDS ARE BEING USED TO IMPROVE THE FACILITIES AND ADD CAPACITY FOR THE VOLUME GROWTH, INVEST IN THE HOSPITAL'S TEAM MEMBERS TO SUPPORT RETENTION AND RECRUITMENT EFFORTS, AND FUND THE MAJOR EXPANSION PROJECTS PLANNED OVER THE NEXT SEVERAL YEARS.
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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
THE COMMUNITY & TECHNICAL COLLEGE FOUNDATION OF ASHLAND INC
1400 COLLEGE DRIVE	ASHLAND	KY	411013683	611274401	501(C)(3)	$60,000	SUPPORT OF 1 NURSING FACULTY POSITION
ASHLAND COMMUNITY KITCHEN
PO BOX 1743	ASHLAND	KY	411051743	611100724	501(C)(3)	$4,943	PROVIDE FOOD TO SENIOR CITIZENS IN OUR COMMUNITY THROUGH MEALS ON WHEELS. DONATION OF AEDS.	$32,749	INVOICES	FOOD AND MISC SUPPLIES
ASHLAND BLAZER ATHLETICS
304 BUENA VISTA CT	ASHLAND	KY	41101	833292690	501(C)(3)	$5,000	SPONSORSHIP OF SCHOOL ATHLETIC ORGANIZATION.
RIVER CITIES HARVEST
PO BOX 2136	ASHLAND	KY	411052136	611208113	501(C)(3)	$12,000	FOODBANK SUPPORT	$54,604	INVOICES	FOOD
SUMMER MOTION INC
PO BOX 1643	ASHLAND	KY	41105	311695435	501(C)(4)	$5,000	SPONSORHIP OF COMMUNITY EVENT
NEIGHBORS HELPING NEIGHBORS
2516 CARTER AVENUE	ASHLAND	KY	41101	611450110	501(C)(3)	$5,600	SPONSORHIP OF FUNDRAISING EVENTS
PARAMOUNT ARTS CENTER
1300 WINCHESTER AVENUE	ASHLAND	KY	41101	611181883	501(C)(3)	$8,700	SPONSORSHIP OF FUNDRAISING EVENTS
UNITED WAY OF NORTHEAST KENTUCKY
2000 CARTER AVENUE SUITE D	ASHLAND	KY	41101	616000060	501(C)(3)	$0	CONTRIBUTION TO ANNUAL FUNDRAISING CAMPAIGN	$27,079	INVOICES	MARKETING MATERIALS
JINGLE BELL BALL
1627 GREENUP AVE	ASHLAND	KY	41101	371479051	501(C)(3)	$5,000	SPONSORHIP OF COMMUNITY EVENT	$143	INVOICES	FOOD
SAFE HARBOR OF NORTHEAST KENTUCKY
PO BOX 2163	ASHLAND	KY	411052163	611155742	501(C)(3)	$9,800	SPONSORSHIP OF COMMUNITY EVENT
ASHLAND AREA YOUNG MEN'S CHRISTIAN ASSOCIATION
3232 13TH STREET	ASHLAND	KY	41102	610444836	501(C)(3)	$5,500	SPONSORSHIP OF YOUTH EVENTS
COMMONWEALTH OF KENTUCKY ( TEAM KY COVID MEMORIAL FUND)
200 MERO STREET 5TH FLOOR	FRANKFORT	KY	40622	610600439	GOV	$75,000	DONATION TO TEAM KY COVID 19 MEMORIAL FUND

Field	Value	IRS element (for citing)
Total501c3 Org	11	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KRISTIE WHITLATCH NON-VOTING
PRESIDENT/CEO	$677,159	$0	$188,424	$0	$69,922	$0	$24,625	$0	$15,844	$0	$975,974	$0	$33,599	$0
RICHARD FORD MD
VP/INPATIENT CMO/PROC. SVC	$0	$549,015	$0	$0	$0	$18,386	$0	$17,100	$0	$15,582	$0	$600,083	$0	$0
JAMES DETHERAGE MD
VP/OUTPATIENT CMO/KDIP/PHY	$0	$499,991	$0	$0	$0	$15,172	$0	$21,375	$0	$25,744	$0	$562,282	$0	$0
AUTUMN MCFANN NON-VOTING
TREASURER, VP/CFO	$368,175	$0	$105,244	$0	$15,173	$0	$21,375	$0	$15,934	$0	$525,901	$0	$0	$0
SHERYL MAHANEY NON-VOTING
SECRETARY, VP/CHIEF LEGAL	$337,930	$0	$106,630	$0	$37,579	$0	$24,625	$0	$18,634	$0	$525,398	$0	$27,204	$0
CHARLES CONLEY DO
PHYSICIAN	$334,924	$107,320	$0	$0	$10,794	$0	$17,100	$0	$25,781	$0	$388,599	$107,320	$0	$0
SARA MARKS
VP/COO	$318,464	$0	$99,059	$0	$4,202	$0	$21,375	$0	$25,968	$0	$469,068	$0	$0	$0
PATRICK BALL DO
PHYSICIAN	$383,970	$0	$0	$0	$6,667	$0	$24,625	$0	$16,505	$0	$431,767	$0	$0	$0
JANE STRADER MD
PHYSICIAN	$301,138	$57,500	$0	$0	$20,498	$0	$21,375	$0	$15,233	$0	$358,244	$57,500	$0	$0
KIMBERLY UMHEOFER DO
PHYSICIAN	$288,902	$36,000	$0	$0	$12,905	$0	$24,625	$0	$15,918	$0	$342,350	$36,000	$0	$0
EVAN CONDEE DO
PHYSICIAN	$290,542	$12,300	$0	$0	$10,529	$0	$21,375	$0	$8,896	$0	$331,342	$12,300	$0	$0
RAMONA THOMPSON
VP/CHIEF COMPLIANCE OFF.	$231,581	$0	$66,469	$0	$3,698	$0	$24,625	$0	$9,958	$0	$336,331	$0	$0	$0
STACY PATRICK
VP CLINICAL & PROCEDURAL O	$217,268	$0	$60,623	$0	$920	$0	$20,912	$0	$15,762	$0	$315,485	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE HOSPITAL PAID COUNTRY CLUB MEMBERSHIP DUES OF $5,133 FOR KRISTIE WHITLATCH. THESE WERE INCLUDED TO HER TAXABLE WAGES.
PART I, LINE 1B	THE ANNUAL SOCIAL CLUB DUES ARE PAID DIRECTLY TO THE ORGANIZATION UPON APPROVAL OF THE INVOICE BY THE CFO.
PART I, LINE 4B	THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: - RICHARD FORD M.D.: $16,454; - KRISTIE WHITLATCH: $26,376; - AUTUMN MCFANN: $14,333; - SHERYL MAHANEY: $6,828; - SARA MARKS $3,362; - JAMES DETHERAGE, M.D.: $14,472; -RAMONA THOMPSON $673. THE FOLLOWING INDIVIDUALS RECEIVED 457(F) EXECUTIVE RETENTION PLAN PAYOUTS: - KRISTIE WHITLATCH: $33,599; - SHERYL MAHANEY: $27,204. 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.
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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF ASHLAND KENTUCKY
A	616001775	044293AN8	2016-09-23	$73,445,000	REFUND PRIOR BOND ISSUES	0	0	0
CITY OF ASHLAND KENTUCKY
B	616001775	NONEAVAIL	2016-09-23	$50,000,000	REFUND PRIOR BOND ISSUES	0	0	0
CITY OF ASHLAND KENTUCKY
C	616001775	044293CB2	2019-12-30	$95,490,000	REFUND PRIOR BOND ISSUES	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Credit EnhancementCreditEnhancementAmt
A	$10,090,000	$81,984,559	$1,200,341	$80,784,218	2016	Yes (1)	Yes (1)	Yes (1)
B	$6,217,845	$50,000,000	$254,000	$49,746,000	2016	Yes (1)	Yes (1)	Yes (1)
C	$8,105,000	$103,952,363	$1,303,871	$102,116,178	2020	Yes (1)	Yes (1)	Yes (1)	$532,314

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)
B	0	Yes (1)	Yes (1)
C	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 II, LINE 3, ISSUE A:	SERIES 2016A - DIFFERENCE FROM PART I DUE TO BOND PREMIUM OF $8,539,559.
PART II, LINE 3, ISSUE C:	SERIES 2019 - DIFFERENCE FROM PART I DUE TO BOND PREMIUM OF $8,462,363.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
FRESENIUS MEDICAL CARE
SEE PART V	$1,779,850	SEE PART V	0
OFFICE FUNITURE USA
SEE PART V	$1,041,493	SEE PART V	0
ASHLAND OFFICE SUPPLY
SEE PART V	$890,719	SEE PART V	0
CINDY HANSHAW
SEE PART V	$38,398	SEE PART V	0
BEYOND BLUE CORPORATION
SEE PART V	$2,620,882	SEE PART V	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	FormAndLineReferenceDesc
Explanation	(A) NAME OF PERSON: FRESENIUS MEDICAL CARE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DON HAMMONDS (BOARD MEMBER) IS AN INDEPENDENT CONTRACTOR/CONSULTANT FOR FRESENIUS(D) DESCRIPTION OF TRANSACTION: INPATIENT DIALYSIS TREATMENT. 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) 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 OF ASHLAND OFFICE SUPPLY(D) DESCRIPTION OF TRANSACTION: PURCHASE OF OFFICE SUPPLIES & EQUIPMENT. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(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: 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.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, CHIEF 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 SET 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. IN JANUARY 2021, MERCER PERFORMED A REIVEW 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 4,474,616. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS PENSION LIABILITY ADJUSTMENT 5,091,991. ADJUSTMENT FOR ACCUMULATED LOSS ON SWAP 79,556. CHANGE IN MARKET VALUE - PREMIER 302,455. FORGIVENESS OF INTERCOMPANY RECEIVABLES DUE TO RESTRUCTURING -189,083,460.
FORM 990, PART XII, LINE 3B:	THE ORGANIZATION AND AFFILIATES RECEIVED FEDERAL FUNDING DURING THE YEAR WHICH REQUIRES A SINGLE AUDIT. THE AUDIT IS SCHEDULED TO BE COMPLETED IN ACCORDANCE WITH THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ASHLAND NURSING HOME CORPORATION
2500 STATE ROUTE 5	ASHLAND	KY	41102	611386016	NURSING HOME	KY	501(C)(3)	LINE 10	ASHLAND HOSPITAL CORPORATION	Yes (1)
CHILD DEVELOPMENT CENTER CORPORATION
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	010560598	DAYCARE	KY	501(C)(3)	LINE 10	ASHLAND HOSPITAL CORPORATION	Yes (1)
KENTUCKY HEART INSTITUTE INC
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	611255904	PHYSICIANS	KY	501(C)(3)	LINE 10	ASHLAND HOSPITAL CORPORATION	Yes (1)
KENTUCKY HEART FOUNDATION INC
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	260791997	MEDICAL RESEARCH	KY	501(C)(3)	LINE 7	ASHLAND HOSPITAL CORPORATION	Yes (1)
KENTUCKY MEDICAL LOGISTICS INC
425 22ND STREET	ASHLAND	KY	41101	264736971	MEDICAL TRANSPORT	KY	501(C)(3)	LINE 10	ASHLAND HOSPITAL CORPORATION	Yes (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	Yes (1)
KING'S DAUGHTERS HEALTH SYSTEM
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	274553836	HEALTHCARE	KY	501(C)(3)	LINE 12B, II		0	N/A
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	264183569	PHYSICIANS	KY	501(C)(3)	LINE 10	ASHLAND HOSPITAL CORPORATION	Yes (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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND MEDICAL PROPERTIES INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2201 LEXINGTON AVENUE	AddressLine1Txt
City	ASHLAND	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41101	ZIPCd

Field	Value	IRS element (for citing)
EIN	611079090	EIN
Primary Activities	RENTALS	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND HOSPITAL CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	-$175	ShareOfTotalIncomeAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ASHLAND NURSING HOME CORP
R	$2,610,514	ALL TRANSACTIONS BETWEEN
ASHLAND NURSING HOME CORP
S	$2,216,514	COMPANIES ARE CAPTURED AT COST
CHILD DEVELOPMENT CENTER CORP
R	$249,076	IN THE DUE TO/FROM
CHILD DEVELOPMENT CENTER CORP
S	$337,630	ACCOUNTS. THE TYPES OF
KENTUCKY HEART FOUNDATION INC
O	$122,028	TRANSACTIONS THAT HIT THIS
KENTUCKY HEART FOUNDATION INC
R	$158,200	ACCOUNT ARE TRACKED MONTHLY.
KENTUCKY MEDICAL LOGISTICS INC
A	$56,742
KENTUCKY MEDICAL LOGISTICS INC
O	$1,755,832
KENTUCKY MEDICAL LOGISTICS INC
R	$3,272,177
KENTUCKY MEDICAL LOGISTICS INC
S	$2,069,244
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
O	$185,314
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
R	$75,403,861
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
S	$52,777,523