2021-08-16T15:25:38-05:00 2020-09-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2019-10-01 610444716 ASHLAND HOSPITAL CORPORATION ASHL 6064084000 2201 LEXINGTON AVENUE ASHLAND KY 41101 AUTUMN MCFANN VICE PRESIDENT/CFO 6064084000 2021-08-16 1 KERRI N BOGDA CPA P00760402 7177404863 X 2019 2022-09-23 18:48:47Z KING'S DAUGHTERS MEDICAL CENTER KRISTIE WHITLATCH 2201 LEXINGTON AVENUE ASHLAND KY 41101 515835600 0 X WWW.KINGSDAUGHTERSHEALTH.COM X 1941 KY TO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL. 9 4 3694 118 20254 0 311238 8099760 438711069 474377589 5969898 5909338 4340051 5475565 449332256 493862252 325686 412185 0 0 194212755 209388611 0 0 0 234000924 253422804 428539365 463223600 20792891 30638652 692505967 810355083 319401817 405385538 373104150 404969545 X TO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL. 0 0 387064612 412185 474377589 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. 387064612 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 1 0 0 0 0 1 1 1 0 0 1 289 0 3694 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X LAURIE STEWART CONTROLLER 6064089640 2201 LEXINGTON AVENUE ASHLAND KY 41101 KRISTIE WHITLATCH PRESIDENT/CEO 51.25 11.25 X X 781097 0 80370 RICHARD FORD MD VP/INPATIENT CMO/PROC. SVCS 0.25 40.25 X 0 586479 21994 AUTUMN MCFANN NON-VOTING TREASURER, VP/CFO 51.25 11.25 X X 522077 0 76217 WILLIAM BOYKIN1019-1219 DIRECTOR/MEDICAL STAFF PRESIDENT 0.25 40.25 X 24000 556687 16908 JAMES DETHERAGE MD VP/OUTPATIENT CMO/KDIP/PHYSICIAN 0.25 40.25 X 0 538224 34483 CHARLES CONLEY DO PHYSICIAN 40.00 12.00 X 384241 115715 30310 SHERYL MAHANEY NON-VOTING SECRETARY, VP/CHIEF LEGAL 51.25 11.25 X X 409633 0 80728 SARA MARKS VP/COO 51.25 11.25 X 335955 0 84951 PATRICK BALL DO PHYSICIAN 40.00 0.00 X 379566 0 30432 JANE STRADER MD PHYSICIAN 40.00 13.00 X 300539 81419 25569 EVAN CONDEE DO PHYSICIAN 40.00 3.00 X 336758 27060 20465 RAMONA THOMPSON VP/CHIEF COMPLIANCE OFFICER 45.00 1.25 X 292882 0 26131 JONATHAN MAYNARD MD PHYSICIAN 40.00 0.00 X 271022 0 31832 STACY PATRICK VP CLINICAL & PROCEDURAL OPERATIONS 45.00 1.25 X 236094 0 25121 BRIAN J FREDERICK120-920 DIRECTOR/MEDICAL STAFF PRESIDENT 0.25 0.25 X 22000 0 0 STEPHEN ADDINGTON DIRECTOR 0.25 0.25 X 0 0 0 TOM BURNETTE DIRECTOR 0.25 0.50 X 0 0 0 DONALD HAMMONDS DO DIRECTOR 0.25 0.25 X 0 0 0 KIM MCCANN DIRECTOR 0.25 2.25 X 0 0 0 JOHN STEWART DIRECTOR 0.25 0.50 X 0 0 0 JOHN VINCENT DIRECTOR 0.25 1.50 X 0 0 0 DAVID JONES CHAIRMAN 2.00 4.00 X X 0 0 0 4295864 1905584 585511 167 0 1 0 EMCARE INC 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 EMERGENCY ROOM PHYSICIANS 1439725 OBHG KENTUCKY PSC 777 LOWNDES HILL ROAD-BUILDING 1 GREENVILLE SC 296072131 HOSPITALISTS 1194899 SPECIALTYCARE CARDIOVASCULAR RESOURCES PO BOX 11407 BIRMINGHAM AL 352461614 PERFUSIONISTS 976581 CLEVELAND CLINIC FOUNDATION PO BOX 931760 CLEVELAND OH 441931861 CONSULTANTS 833333 VANANTWERP ATTORNEYS LLP 1544 WINCHESTER AVENUE ASHLAND KY 41101 LAWYERS 792192 34 7393028 706732 300852 8099760 NET PATIENT SVC REV 621110 450090651 450090651 PHARMACY 446110 24286738 24271408 15330 MEANINGFUL USE REVENUES 621110 200 200 474377589 4500412 4924 4495488 770 770 1102811 3150 667188 3150 435623 0 435623 435623 22702391 8775 20776678 526332 1925713 -517557 1408156 1408156 CAFETERIA 722210 1865631 1865631 EMPLOYEE RETENTION CREDIT 900099 1251153 1251153 QUALITY INCENTIVE 900099 961524 961524 961634 961634 5039942 493862252 474362259 20254 11379979 412185 412185 2664800 2664800 32296 32296 160827831 139168688 21659143 6218141 5381179 836962 27793885 24052828 3741057 11851658 10089316 1762342 2727072 11620 2715452 150000 150000 34030 34030 480507 480507 32760380 27936160 4824220 1607705 261240 1346465 2182220 1104236 1077984 3052047 3036576 15471 6445453 1658409 4787044 170902 8115 162787 11226858 11226858 22653770 21080159 1573611 6555201 6555201 MEDICAL SUPPLIES 101196148 96061987 5134161 BAD DEBT EXPENSE 27162565 27162565 REPAIRS & MAINTENANCE 16936648 15587312 1349336 TAX (INC. PROVIDER TAX) 7711845 7637735 74110 10369453 6347976 4021477 463223600 387064612 76158988 0 5233090 8728800 13408922 23414142 59854147 67615013 1046131 1146026 7443119 11044762 5582597 3835664 655664781 415762217 236459181 239902564 176820552 248579107 5005696 5013605 788715 788715 180863817 200286685 692505967 810355083 35441337 46503538 218517125 213039656 65443355 145842344 319401817 405385538 X 373104150 404969545 373104150 404969545 692505967 810355083 X 30638652 3851391 -2624648 X 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 34030 34030 0 PART II-B, LINE 1: - $27,995: A PORTION OF THE DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. - $5,995: A PORTION OF DUES PAID TO THE COLLEGE OF AMERICAN PATHOLOGISTS ATTRIBUTABLE TO LOBBYING. - $40: A PORTION OF THE DUES PAID TO THE AMERICAN SOCIETY FOR HEALTH CARE HUMAN RESOURCES ADMINISTRATION ATTRIBUTABLE TO LOBBYING EXPENSES. 27678029 27678029 368097333 213533206 154564127 253331026 197226568 56104458 6558393 5002443 1555950 239902564 TRUSTEED FUNDS 33766 DUE FROM RELATED PARTIES 182778062 OTHER RECEIVABLES 2061250 OPERATING LEASES 15413607 200286685 MALPRACTICE COSTS 23085371 ACCRUED PENSION 17807000 LONG-TERM RETENTION PLAN 401818 INTEREST RATE SWAP AGREEMENTS 17149230 EST. THIRD PARTY PAYOR SETTLEMENTS 60707464 LEASES PAYABLE 26691461 145842344 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 2048852 2048852 0.00470 101276312 74490371 26785941 0.06140 103325164 74490371 28834793 0.06610 2396089 2396089 0.00550 405322 405322 0.00090 2801411 2801411 0.00640 106126575 74490371 31636204 0.07250 1108664 1108664 0.00250 1108664 1108664 0.00250 1 9414843 111951757 121552913 -9601156 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 18 1 1 0 1 X KINGSDAUGHTERSHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X 1 18 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 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 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/MISUSE: KDMC IS PARTNERING WITH LOCAL COURT SYSTEMS TO WORK WITH JUSTICE INVOLVED INDIVIDUALS THAT ARE PARTICIPATING IN DRUG COURT. A GRANT HAS ENABLED KDMC TO EXPAND THEIR OUTPATIENT BEHAVIORAL SERVICES TO INCLUDE A LCSW AND NURSE PRACTITIONERS THAT HAVE SPECIALTY IN WORKING WITH SUBSTANCE ABUSE PATIENTS. THE PRIMARY FOCUS IS ON JUSTICE INVOLVED INDIVIDUALS WITH OPIOID ADDICTION. THE PROGRAM ADDRESSES NOT ONLY THE ISSUE OF ADDICTION BUT ALSO PRIMARY CARE AND REMOVAL OF SOCIAL/ECONOMIC ISSUES THAT LIMIT THE PATIENT'S ABILITY TO OVERCOME THEIR ADDICTION. KDMC IS ALSO WORKING THROUGH THE FAITH COMMUNITY TO REMOVE THE STIGMA OF ADDICTION IN ORDER TO HELP IMPROVE RECOVERY RATES. IN ADDITION, KDMC RECEIVED A SECOND GRANT TO OPEN A RECOVERY CLINIC DEDICATED TO HELPING THOSE WITH SUBSTANCE USE DISORDER TO OVERCOME AND RECOVERY FROM THEIR ADDICTION. KDMC ALSO CONTINUES TO PROVIDE EDUCATION ABOUT SAFE MEDICATION PRACTICE SCHOOLS AND THROUGHOUT THE COMMUNITY TO REDUCE ACCIDENTAL POISONING.- OBESITY/DIABETES: KDMC CONTINUES TO HELP MEET THE FOOD NEEDS OF THE COMMUNITY THROUGH FARMER'S MARKETS, FOOD BANK DONATIONS AND THE MEALS-ON-WHEELS PROGRAM, WHILE LOOKING FOR ADDITIONAL WAYS TO ASSURE THE AVAILABILITY OF HEALTHY FOODS FOR THOSE IN NEED. TO ADDRESS OBESITY, KDMC SUPPORTS PHYSICAL ACTIVITY PROGRAMS IN THE AREA AND SPONSORS YOUNG PEOPLE THAT CANNOT AFFORD ENTRY INTO RUNS/WALKS. IN ADDITION, SCHOOL-BASED PROGRAMS FOR PHYSICAL ACTIVITY THAT WERE SUSPENDED DUE TO COVID-19 WILL AGAIN BE AVAILABLE FALL 2021. TO ADDRESS DIABETES, KDMC CONTINUES TO PROVIDE FREE NON-FASTING BLOOD SUGAR SCREENINGS THROUGHOUT THE AREA IN ORDER TO IDENTIFY THOSE WITH PREDIABETES OR DIABETES. THE LOW-COST BLOOD PROFILES, INCLUDING A1C ARE ALSO AN ONGOING OFFERING.- CANCER PREVENTION: KDMC IS ADDRESSING PREVENTION OF THREE CANCERS LUNG, BREAST AND COLON/RECTAL. LUNG CANCER IS BEING TACKLED THROUGH EARLY DETECTION USING LOW-DOSE CT SCREENING, PATIENT EDUCATION AND THE HEALTHAWARE RISK ASSESSMENT; COLON/RECTAL CANCERS IS BEING ADDRESSED THROUGH INCREASING VARIOUS SCREENING OPTIONS, INCLUDING COLONOSCOPY, COLOGUARD AND FIT TESTING. THE HEALTHAWARE RISK ASSESSMENT ALSO ADDRESS COLON/RECTAL CANCER. BREAST CANCER SCREENING IS FOCUSED ON CARTER COUNTY, WHERE SCREENING IS LOW AND BREAST CANCER DEATHS ARE HIGH. THE MOBILE MAMMOGRAPHY UNIT WILL INCREASE THE NUMBER OF VISITS TO CARTER COUNTY FOR SCREENING AND EDUCATION. KDMC HAS FUNDS AVAILABLE TO PAY FOR MAMMOGRAMS AND DIAGNOSTIC TESTING FOR THE UNINSURED AND UNDER INSURED. GENETIC TESTING FOR CANCER IS ALSO BEING OFFERED.- COPD AND OTHER BREATHING ISSUES: THESE LUNG ISSUES ARE BEING ADDRESSED THROUGH INCREASING EFFORT TO EDUCATION THE COMMUNITY ABOUT THE ILL EFFECTS OF TOBACCO USE AND E-CIGARETTES (VAPING). THIS EDUCATION IS PROVIDED THROUGH SCHOOLS AND COMMUNITY EVENTS. IN ADDITION, AN INCREASED EFFORT TO ASSIST INDIVIDUALS TO QUIT TOBACCO USE IS BEING MADE THROUGH REFERRALS AND SMOKING CESSATION CLASSES. AN INCREASED EFFORT IS BEING MADE TO HELP IDENTIFY INDIVIDUALS WITH LUNG ISSUES THROUGH TAKING BREATHING SCREENINGS (PFT TESTING) TO RURAL AREAS THROUGH THE MOBILE HEALTH UNIT.- HEART DISEASE: THE EARLY DETECTION OF HEART DISEASE AIDS IN PREVENTING FUTURE CATASTROPHIC EVENTS. THROUGH SCREENING AND PREVENTION EDUCATION, KDMC ADDRESSES THE NEED TO LOWER CHOLESTEROL AND HIGH BLOOD PRESSURE. THOSE SCREENED RECEIVED EDUCATION, BASED ON THEIR NUMBERS, ON WHETHER TO SEE A DOCTOR OR HOW THEY CAN ADDRESS REDUCING OR IMPROVING THEIR CHOLESTEROL AND/OR HIGH BLOOD PRESSURE READINGS.ALL OF THE PRIMARY NEEDS IDENTIFIED IN THE CHNA ARE BEING ADDRESSED IN THE 2020-21 IMPLEMENTATION PLAN. 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. 35 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 WALK-IN CAREHALL FAMILY CARE 399 DIEDERICH BLVD RUSSELL KY 41169 WALK-IN CLINIC AND FAMILY CARE CENTER 21 - BURLINGTON URGENT CARE 384 COUNTRY ROAD 120 SOUTH SOUTH POINT OH 45680 URGENT CARE 22 - KDMC SKILLED NURSING FACILITY 2201 LEXINGTON AVENUE ASHLAND KY 41101 SKILLED NURSING 23 - PORTSMOUTH INTERNAL MEDICINE 1729 KINNEYS LANE PORTSMOUTH OH 45662 FAMILY CARE CENTER 24 - ASHLAND PEDIATRICS 2301 LEXINGTON AVE STE 135 ASHLAND KY 41101 PEDIATRICS CENTER 25 - CANNONSBURG URGENT CARE 12470 US 60 ASHLAND KY 41102 URGENT CARE 26 - KD BELLEFONTE PRIMARY CAREPEDIATRI 1000 ASHLAND DR STE 102 ASHLAND KY 41101 FAMILY CARE CENTER/PEDIATRICS 27 - KD CORNERSTONE MEDICAL PLAZA 1816 CARTER AVE ASHLAND KY 41101 FAMILY CARE CENTER 28 - KD ASHLAND 29TH ST PEDIATRICS 336 29TH ST STE 201 ASHLAND KY 41101 PEDIATRICS CENTER 29 - KD ASHLAND PRIMARY CARE 2028 WINCHESTER AVE ASHLAND KY 41101 FAMILY CARE CENTER 30 - KD CANNONSBURG PRIMARY CARE 12470 US 60 ASHLAND KY 41102 FAMILY CARE CENTER 31 - KD FLATWOODS PRIMARY CARE 2420 ARGILLITE RD STE B FLATWOODS KY 41139 FAMILY CARE CENTER 32 - KD GRAYSON PRIMARY CARE MED SPEC & PEDS 100 BELLEFONTE DR GRAYSON KY 41143 FAMILY CARE CENTER/PEDIATRICS 33 - KD GREENUP PRIMARY CARE 1629 ASHLAND ROAD GREENUP KY 41144 FAMILY CARE CENTER 34 - VITALITY CENTER - PED & ADULT PTOT 1100 ST CHRISTOPHER DR ASHLAND KY 41101 PHYSICAL & OCCUPATIONAL THERAPY CTR 35 - WOUND CENTER MEDICAL PLAZA A STE 215 ASHLAND KY 41101 WOUND 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 $27,162,565. PART II, COMMUNITY BUILDING ACTIVITIES: THE EXPENSES REPORTED IN PART II FOR COMMUNITY BUILDING ACTIVITIES ARE THE EXPENSES ASSOCIATED WITH RECRUITING PHYSICIANS TO MEDICALLY UNDER-SERVED AREAS (MURS). THESE EXPENSES ARE NECESSARY TO ENSURE OUR COMMUNITY IS STAFFED WITH THE PHYSICIANS TO MEET THE NEEDS OF THE PEOPLE LIVING HERE. 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 REPRESENTATIVES CAN BE REACHED FOR ASSISTANCE. PART VI, LINE 2: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED AS A COLLABORATIVE EFFORT BETWEEN KING'S DAUGHTERS MEDICAL CENTER, BON SECOURS KENTUCKY (OUR LADY OF BELLEFONTE HOSPITAL), LOCAL HEALTH DEPARTMENTS, THE HEALTHY COMMUNITIES COALITION, AND THE CHNA ADVISORY GROUP. THE CHNA INCLUDES BOTH PRIMARY (FOCUS GROUP AND QUESTIONNAIRE) AND SECONDARY DATA ANALYSIS. THE PRIMARY DATA WAS COLLECTED FROM COMMUNITY MEMBERS AND LOCAL LEADERS REPRESENTING A BROAD SPECTRUM OF THE SERVICE AREA. THE FOCUS GROUPS INCLUDED REPRESENTATION FROM PUBLIC HEALTH IN ALL FOUR COUNTIES, AS WELL AS, INDIVIDUALS WITH SPECIAL KNOWLEDGE OF THE MEDICALLY UNDERSERVED, LOW INCOME AND VULNERABLE POPULATIONS AND PEOPLE WITH CHRONIC DISEASE. DURING 2020, KDMC ALSO CONDUCTED A SUPPLEMENTARY QUESTIONNAIRE TO MEASURE THE HEALTHCARE NEEDS OF LOCAL MINORITY POPULATIONS. THE RESULTS OF THE QUESTIONNAIRE WERE USED TO REEVALUATE THE STRATEGIES IN THE IMPLEMENTATION PLAN TO ASSURE THAT THE NEEDS OF THESE POPULATIONS WERE BEING MET. THE CHNA HELPED KDMC DETERMINE WHAT AGENCIES WERE DOING TO MEET AND OR IMPROVE HEALTHCARE NEEDS IN THE AREA, LEARN WHAT HEALTHCARE NEEDS WERE NOT BEING MET AND WHY, DETERMINE THE STRENGTHS AND WEAKNESSES OF CURRENT RESOURCES, AND TO INVESTIGATE WHAT CAN BE DONE TO IMPROVE THE HEALTH OF THE COMMUNITY. 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 CARDON OUTREACH 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, STATEMENT LANGUAGE, AND CERTAIN COMMUNITY EVENTS ("IN THE KNOW" NIGHT FOR BOYD CO. SCHOOLS). 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 (ESTIMATES AS OF APRIL 26, 2021), A TOTAL OF 258,707 PEOPLE LIVE IN THE SIX-COUNTY SERVICE REGION. THE REGION COVERS 12,397 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, 96.1% ARE WHITE, 1.6% ARE BLACK, 1.4% HISPANIC/LATINO AND 0.9% MAKE UP ALL OTHER RACES. THERE ARE MORE FEMALES (50.8%) THAN MALES (49.2%) IN THE AREA. THE MEDIAN FAMILY INCOME IS $42,359, COMPARED TO KENTUCKY ($50,589) AND OHIO ($56,602). PER CAPITA INCOME IS $23,183, COMPARED TO KENTUCKY ($28,178) AND OHIO ($31,552). APPROXIMATELY 19.7% OF THE POPULATION LIVES IN POVERTY. MORE THAN SEVEN-PERCENT (7.2%) OF THE POPULATION UNDER THE AGE OF 65 IS WITHOUT ANY FORM OF HEALTHCARE COVERAGE. AS OF APRIL 2021, THE UNEMPLOYMENT RATE FOR THE FOUR-COUNTY AREA IS 5.4%. PART VI, LINE 5: KDMC PROVIDES A NUMBER OF SCREENING AND EDUCATIONAL PROGRAMS THAT ARE OUTSIDE OF THE CHNA IMPLEMENTATION PLAN AND BEYOND THE BORDERS OF THE PRIMARY MARKET. THESE PROGRAMS STRETCH INTO EASTERN KENTUCKY, SOUTHEASTERN OHIO, AND WEST VIRGINIA. THE FOLLOWING DEMONSTRATES PROGRAMS/SERVICES DELIVERED THAT ARE BEYOND THE IMPLEMENTATION PLAN STRATEGIES: COVID RESPONSE: COVID-19 HIT THE AREA IN FEBRUARY/MARCH OF 2020. IN RESPONSE TO THE PANDEMIC, KDMC PROVIDED ACCESS TO COVID-19 SCREENING UTILIZING EXTERNAL LABS FOR THE RESULTS. THIS PROCESS WAS VERY SLOW, WITH RESULTS OFTEN TAKING DAYS TO BE RECEIVED; SO KDMC PURCHASED NEW LAB EQUIPMENT THAT COULD PROVIDE RESULTS IN A MORE-TIMELY MANNER. BEGINNING IN MAY 2020, KDMC'S LAB STARTED PROCESSING THE TESTS FOR COVID-19; PROVIDING THE RESULTS TO PATIENTS IN LESS THAN 24 HOURS. DURING THE FISCAL YEAR, KDMC PROVIDED MORE THAN 58,300 COVID-19 SCREENING TESTS AND 652 SARS COV-2 IGG ANTIBODY TESTS. IN ADDITION, KDMC WORKED HARD TO EDUCATE THE COMMUNITY ABOUT SAFETY MEASURES TO REDUCE THE SPREAD INCLUDING SOCIAL DISTANCING, STAYING HOME AND WEARING A MASK. KDMC USED SOCIAL MEDIA IN ITS OUTREACH, POSTING 14 VIDEOS TO PROVIDE SCIENCE-BASED INFORMATION PRESENTED BY KDMC PHYSICIANS AND OTHER CLINICAL STAFF. THESE VIDEOS REACHED MORE THAN 68,000 PEOPLE.SCREENINGS, IMMUNIZATIONS AND PHYSICALS:- CARPAL TUNNEL SCREENING 7 ADULTS SCREENED- COVID-19 CONVALESCENT PLASMA COLLECTION 4 SERVED- HEALTHY HEART SCREENING (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR AND EKG) ADULTS SCREENED, TOTAL TESTS PROVIDED 87 SCREENED (SECONDARY, TERTIARY COUNTIES)- SPORTS PHYSICALS- 339 YOUTH- FLU SHOTS 1,749 VACCINES ADMINISTEREDHEALTH EDUCATION: - ALCOHOL AND OTHER DRUGS 185 ADULTS AND 320 CHILDREN EDUCATED- BLOOD DONATIONS 458 DONATIONS COLLECTED- BONE HEALTH 21 ADULTS SERVED- BREAST CANCER 2,260 ADULTS, 10 CHILDREN/YOUTH SERVED- BREAST FEEDING EDUCATION 20 ADULTS SERVED- CONGESTIVE HEART FAILURE 193 ADULTS- COLON CANCER 30 ADULTS- DIABETES 73 ADULTS, 50 CHILDREN SERVED (SECONDARY, TERTIARY COUNTIES)- EARLY SIGNS AND SYMPTOMS OF HEART ATTACK 112 ADULTS SERVED- EXERCISE EDUCATION 30 ADULTS (SECONDARY/TERTIARY COUNTIES)- FIRE SAFETY 50 ADULTS, 50 CHILDREN- FLU PREVENTION 12 ADULTS SERVED- HAND WASHING- 75 ADULTS SERVED- HEALTHY HEART EDUCATION 53 ADULTS (SECONDARY/TERTIARY COUNTIES)- MEDICATION SAFETY 53 ADULTS SERVED- NUTRITION EDUCATION 60 ADULTS, 60 CHILDREN/YOUTH SERVED (SECONDARY/TERTIARY COUNTIES)- POISON PREVENTION 30 ADULTS SERVED- PREGNANCY/PARENTING EDUCATION 34 ADULTS AND 24 CHILDREN SERVED- STROKE 223 SERVED - SUBSTANCE USE DISORDER 200 PROFESSIONAL AND COMMUNITY MEMBERS SERVED- TOBACCO - 53 ADULTS (SECONDARY AND TERTIARY COUNTIES) - WORKPLACE SAFETY - 155 ADULTS SERVEDDURING COVID-19, EDUCATIONAL PROGRAMMING WAS SHIFTED TO INCLUDE VIDEOS POSTED TO FACEBOOK. KDMC POSTED THE FOLLOWING EDUCATIONAL VIDEOS:- DIGESTIVE HEALTH FIVE VIDEOS WITH 2,331 REACHED- STROKE ONE VIDEO WITH 1,534 REACHED- SURGICAL WEIGHT LOSS ONE VIDEO WITH 365 REACHEDSUPPORT GROUPS: KDMC PROVIDES VARIOUS SUPPORT GROUPS FOR INDIVIDUALS WITH DISEASE AND/OR THEIR CAREGIVERS. DURING FY20, THE FOLLOWING GROUPS WERE OFFERED.- ADULT DIABETES MELLITUS 10 ATTENDED- BREAST CANCER 7 ATTENDED- PREGNANCY LOSS GROUP 40 ATTENDED- SURGICAL WEIGHT LOSS 7 ATTENDEDCLINICAL RESEARCH: KDMC SUPPORTS CLINICAL RESEARCH IN BOTH CARDIAC AND ONCOLOGY. OTHER COMMUNITY ACTIVITIES:- BLOOD DRIVES: KDMC HOSTED 14 BLOOD DRIVES ON KDMC CAMPUSES. A TOTAL OF 485 COMMUNITY AND TEAM MEMBERS DONATED BLOOD.- BACKPACK PROGRAM: THIS IS A PARTNERSHIP WITH THE ASHLAND ALLIANCE. TEAM MEMBERS FILLED BACKPACKS WITH SCHOOL SUPPLIES FOR 76 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 5 BED KITS (COMFORTER, SHEETS, PILLOWS) 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 PRACTICE AND PROVIDED A NURSE CHILDBIRTH EDUCATOR/LACTATION CONSULTANT ON MONDAY AND WEDNESDAY DURING THE OFFICE'S BUSIEST APPOINTMENT DAYS. BY PROVIDING ONE-ON-ONE OR SMALL GROUP EDUCATION SESSIONS IN THE DOCTOR'S OFFICE, KDMC WAS ABLE TO REACH 162 MOTHERS-TO-BE IN THESE SESSIONS BEFORE COVID-19 LIMITED THE ABILITY TO PROVIDE THIS SERVICE SAFELY.- 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 74 INDIVIDUALS SERVED WITH 324 ENCOUNTERS.- CPR TRAINING CENTER: 2,544 PEOPLE TRAINED. BEFORE COVID-19 LIMITED THE ABILITY TO PROVIDE CPR COURSES, KDMC PROVIDED FREE TRAINING AND CERTIFICATION FOR THE FOLLOWING:1) EMS (INCLUDES BOYD CO., CARTER CO., AND AIR EVAC. 23 CARDS ISSUES (BLS, PALS AND ACLS INCLUDED)2) COLLEGE STUDENTS (INCLUDES KCTC, OUS, MARSHALL AND EKU) 26 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) 211000 40 INVOICES FOOD SPONSORSHIP OF YOUTH LEADERSHIP EVENT; SUPPORT OF 2 NURSING FACULTY POSITIONS ASHLAND COMMUNITY KITCHEN PO BOX 1743 ASHLAND KY 411051743 611100724 501(C)(3) 721 29819 INVOICES FOOD AND MISC SUPPLIES PROVIDE FOOD TO SENIOR CITIZENS IN OUR COMMUNITY THROUGH MEALS ON WHEELS BELLEFONTE COUNTY CLUB PO BOX 1875 ASHLAND KY 411051743 610131100 501(C)(7) 5000 SPONSORSHIP OF RENOVATION PROJECT RIVER CITIES HARVEST PO BOX 2136 ASHLAND KY 411052136 611208113 501(C)(3) 3430 54604 INVOICES FOOD FOODBANK SUPPORT HIGHLANDS MUSEUM AND DISCOVERY CENTER 1620 WINCHESTER AVENUE ASHLAND KY 41101 311061542 501(C)(3) 13250 SPONSORHIP OF 3 FUNDRAISING EVENTS AND CAPITAL CAMPAIGN NEIGHBORS HELPING NEIGHBORS 2516 CARTER AVENUE ASHLAND KY 41101 611450110 501(C)(3) 6000 SPONSORHIP OF 2 FUNDRAISING EVENTS PARAMOUNT ARTS CENTER 1300 WINCHESTER AVENUE ASHLAND KY 41101 611181883 501(C)(3) 12050 SPONSORSHIP OF ANNUAL SPRING GALA FUNDRAISER AND 1 OTHER FUNDRAISING EVENT UNITED WAY OF NORTHEAST KENTUCKY 2000 CARTER AVENUE SUITE D ASHLAND KY 41101 616000060 501(C)(3) 11629 INVOICES MARKETING MATERIALS CONTRIBUTION TO ANNUAL FUNDRAISING CAMPAIGN 7 1 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 X 0 1 X X X X 0 1 0 0 0 0 0 1 0 KRISTIE WHITLATCH PRESIDENT/CEO 602821 0 126776 0 51500 0 65600 0 14770 0 861467 0 27321 0 RICHARD FORD MD VP/INPATIENT CMO/PROC. SVCS 0 573912 0 0 0 12567 0 8400 0 13594 0 608473 0 0 AUTUMN MCFANN NON-VOTING TREASURER, VP/CFO 334600 0 74839 0 112638 0 62600 0 13617 0 598294 0 105450 0 WILLIAM BOYKIN1019-1219 DIRECTOR/MEDICAL STAFF PRESIDENT 24000 551569 0 0 0 5118 0 15600 0 1308 24000 573595 0 0 JAMES DETHERAGE MD VP/OUTPATIENT CMO/KDIP/PHYSICIAN 0 501328 0 0 0 36896 0 12600 0 21883 0 572707 0 27423 CHARLES CONLEY DO PHYSICIAN 374280 115715 0 0 9961 0 8400 0 21910 0 414551 115715 0 0 SHERYL MAHANEY NON-VOTING SECRETARY, VP/CHIEF LEGAL 305674 0 68833 0 35126 0 65600 0 15128 0 490361 0 24859 0 SARA MARKS VP/COO 274148 0 57659 0 4148 0 62600 0 22351 0 420906 0 0 0 PATRICK BALL DO PHYSICIAN 372899 0 0 0 6667 0 15600 0 14832 0 409998 0 0 0 JANE STRADER MD PHYSICIAN 280203 81419 0 0 20336 0 12600 0 12969 0 326108 81419 0 0 EVAN CONDEE DO PHYSICIAN 333729 27060 0 0 3029 0 12600 0 7865 0 357223 27060 0 0 RAMONA THOMPSON VP/CHIEF COMPLIANCE OFFICER 209887 0 54625 0 28370 0 15600 0 10531 0 319013 0 17195 0 JONATHAN MAYNARD MD PHYSICIAN 255698 0 0 0 15324 0 8169 0 23663 0 302854 0 0 0 STACY PATRICK VP CLINICAL & PROCEDURAL OPERATIONS 188163 0 44158 0 3773 0 10642 0 14479 0 261215 0 0 0 PART I, LINE 1A THE FOLLOWING INDIVIDUALS RECEIVED 100% TAXABLE GROSS UP PAYMENTS: - AUTUMN MCFANN: $8,741 - SHERYL MAHANEY: $8,842 - STACY PATRICK: $8,239 - RAMONA THOMPSON: $18,373 THE HOSPITAL PAID COUNTRY CLUB MEMBERSHIP DUES OF $4,333 FOR KRISTIE WHITLATCH. THESE WERE INCLUDED TO HER TAXABLE WAGES. PART I, LINE 1B THE GROSS UPS ARE APPROVED BY THE CEO. 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.: $10,784; - KRISTIE WHITLATCH: $17,224; - AUTUMN MCFANN: $2,607; - SHERYL MAHANEY: $4,493; - SARA MARKS $3,308; - JAMES DETHERAGE, M.D.: $8,827. THE FOLLOWING INDIVIDUALS RECEIVED 457(F) EXECUTIVE RETENTION PLAN PAYOUTS: - KRISTIE WHITLATCH: $27,321; - AUTUMN MCFANN: $105,450 - SHERYL MAHANEY: $24,859; - RAMONA THOMPSON: $17,195; - JAMES DETHERAGE M.D.: $27,423. THE FOLLOWING INDIVIDUALS RECEIVED 457(F) EXECUTIVE RETENTION PLAN DEFERRALS: - KRISTIE WHITLATCH: $50,000; - SHERYL MAHANEY: $50,000; - AUTUMN MCFANN: $50,000; - SARA MARKS: $50,000. 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. 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 A 7945000 81984559 1200341 80784218 2016 1 0 1 1 B 4903593 50000000 254000 49746000 2016 1 0 1 1 C 5020000 103952363 1303871 532314 102116178 2020 1 0 1 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 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 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. FRESENIUS MEDICAL CARE SEE PART V 1389084 SEE PART V 0 OFFICE FUNITURE USA SEE PART V 801598 SEE PART V 0 ASHLAND OFFICE SUPPLY SEE PART V 726023 SEE PART V 0 VAN ART PROPERTIES SEE PART V 370632 SEE PART V 0 ASHLAND RADIOLOGY ASSOCIATES PSC SEE PART V 248967 SEE PART V 0 THE COMMUNITY & TECHNICAL COLLEGE FOUNDATION OF ASHLAND INC SEE PART V 211650 SEE PART V 0 CINDY GILLUM SEE PART V 32296 SEE PART V 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (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: VAN ART PROPERTIES(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SON OF JOHN STEWART (BOARD MEMBER) IS THE OWNER(D) DESCRIPTION OF TRANSACTION: OFFICE SPACE RENT. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: ASHLAND RADIOLOGY ASSOCIATES, PSC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: WIFE OF WILLIAM BOYKIN (BOARD MEMBER) IS A PHYSICIAN OF THIS PRACTICE(D) DESCRIPTION OF TRANSACTION: PAYMENTS FOR RADIOLOGY SERVICES. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: THE COMMUNITY & TECHNICAL COLLEGE FOUNDATION OF ASHLAND INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: JOHN STEWART (BOARD MEMBER) IS THE PRESIDENT (YEAR 2 OF 5)(D) DESCRIPTION OF TRANSACTION: SUPPORT OF LOCAL COMMUNITY COLLEGE NURSING PROGRAM. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: CINDY GILLUM(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. X 1 15852 COST X 1 270000 SIMILAR PROPERTY VALUE X 1 15000 BV IN DONOR'S ASSET REC. 0 1 1 PART I, COLUMN (B): THE NUMBER IN PART I, COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE OF THE AHC BOARD IS MADE UP OF THE FOLLOWING MEMBERS: DAVID JONES, CHAIR; STEPHEN ADDINGTON, VICE CHAIR; KRISTIE WHITLATCH, CHIEF EXECUTIVE OFFICER; JOHN STEWART, TRUSTEE; AND TOM BURNETTE, TRUSTEE. ELECTION AND COMPOSITION: THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE BOARD OF TRUSTEES CHAIR, ANY VICE-CHAIRS, THE CHIEF EXECUTIVE OFFICER, AND ANY OTHER TRUSTEE RECOMMENDED BY THE CHAIR AND APPROVED BY THE BOARD OF TRUSTEES. THE TRUSTEES' CHAIR SHALL SERVE AS CHAIR OF THE EXECUTIVE COMMITTEE. THE CHIEF EXECUTIVE OFFICER SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. POWERS AND FUNCTIONS: THE EXECUTIVE COMMITTEE SHALL HAVE ALL POWERS AND AUTHORITY OF THE TRUSTEES TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION, SUBJECT TO ANY LIMITATIONS IMPOSED BY THE TRUSTEES, THE BYLAWS OR BY APPLICABLE LAW. MEETINGS OF THE EXECUTIVE COMMITTEE SHALL BE HELD AS NEEDED. THE EXECUTIVE COMMITTEE SHALL FROM TIME TO TIME, AS IT DETERMINES APPROPRIATE, REVIEW AND RECOMMEND REVISIONS TO THE BYLAWS FOR CONSIDERATION AND APPROVAL BY THE TRUSTEES. THE EXECUTIVE COMMITTEE SHALL ALSO RECEIVE SUCH REPORTS AS THE COMMITTEE MAY DIRECT FROM THE EXECUTIVE OR ANY SIMILAR COMMITTEE OF THE BOARD OF DIRECTORS OF EACH AFFILIATED ORGANIZATION CONCERNING THE ACTIVITIES OF SUCH COMMITTEE AND PROVIDE PERIODIC REPORTS ON SUCH ACTIVITIES TO THE TRUSTEES. FORM 990, PART VI, SECTION A, LINE 6 KING'S DAUGHTERS HEALTH SYSTEM 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, KDHS 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, KDHS HAS CERTAIN GOVERNANCE RIGHTS WITH RESPECT TO AHC. THOSE RIGHTS REQUIRE CERTAIN SIGNIFICANT AHC ACTIONS TO NOW ALSO BE APPROVED BY KDHS, 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. KDHS' BOARD OF TRUSTEES MAY IDENTIFY ADDITIONAL AHC ACTIONS THAT MUST BE APPROVED BY KDHS 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. AFTER THIS REVIEW, BUT BEFORE IT IS FILED WITH THE IRS, THE FINAL 990 WILL BE PROVIDED TO THE FULL BOARD OF DIRECTORS THROUGH AN E-MAIL SENT TO EACH BOARD MEMBER. 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 EXECUTIVE COMMITTEE OF KING'S DAUGHTERS BOARD OF TRUSTEES, KDMC SET COMPENSATION FOR THE TEAM MEMBERS, LEADERS AND EXECUTIVES USING A 2016 SULLIVAN COTTER AND ASSOCIATES COMPENSATION REVIEW AS WELL AS REVIEW OF LOCAL AND REGIONAL SALARY INFORMATION. A NEW COMPENSATION STUDY FOR TEAM MEMBERS, LEADERS AND EXECUTIVES WAS NOT PERFORMED IN THE PAST YEAR. THE PRIMARY OBJECTIVE OF KING'S DAUGHTERS COMPENSATION PHILOSOPHY IS TO HAVE COMPENSATION AND BENEFITS SET THAT REFLECTS OTHER SIMILAR INDEPENDENT NOT FOR PROFIT HEALTHCARE SERVICES AS WELL AS REFLECTS THE WORK PERFORMANCE OF THE ORGANIZATION. HOWEVER, SULLIVAN COTTER, AN INDEPENDENT COMPENSATION EXPERT, DID REVIEW 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 -1,633,159. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS -58. PENSION LIABILITY ADJUSTMENT -1,005,000. ADJUSTMENT FOR ACCUMULATED LOSS ON SWAP 79,556. CHANGE IN MARKET VALUE - PREMIER -65,987. FORM 990, PART XII, LINE 3B: THE ORGANIZATION AND AFFILIATES RECEIVED FEDERAL FUNDING DURING THE YEAR WHICH REQUIRES A SINGLE AUDIT. THE AUDIT HAS NOT BEEN COMPLETED YET BUT IS SCHEDULED TO BE PREPARED IN ACCORDANCE WITH THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. 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 KING'S DAUGHTERS HEALTH SYSTEM 0 ASHLAND MEDICAL PROPERTIES INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 611079090 RENTALS KY ASHLAND HOSPITAL CORPORATION C -275 30990 1.00000 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 ASHLAND NURSING HOME CORP R 1960651 ALL TRANSACTIONS BETWEEN ASHLAND NURSING HOME CORP S 1957859 COMPANIES ARE CAPTURED AT COST CHILD DEVELOPMENT CENTER CORP R 84405 IN THE DUE TO/FROM KENTUCKY HEART FOUNDATION INC O 101080 ACCOUNTS. THE TYPES OF KENTUCKY HEART FOUNDATION INC R 121912 ACCOUNTS. THE TYPES OF KENTUCKY MEDICAL LOGISTICS INC A 55086 TRANSACTIONS THAT HIT THIS KENTUCKY MEDICAL LOGISTICS INC O 1256720 ACCOUNT ARE TRACKED MONTHLY. KENTUCKY MEDICAL LOGISTICS INC R 1624684 KENTUCKY MEDICAL LOGISTICS INC S 2339100 KING'S DAUGHTERS MEDICAL SPECIALTIES INC R 51581115 KING'S DAUGHTERS MEDICAL SPECIALTIES INC S 34069018