ASHLAND HOSPITAL CORPORATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: ASHLAND HOSPITAL CORPORATION (EIN 61-0444716)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2012-08-15
IRS object ID: 201202289349302685
Schema version: 2010v3.4
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)
Timestamp	2012-08-15T13:47:43-05:00	Timestamp
Tax Period End Date	2011-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	400 MARKET STREET	AddressLine1
City	WILLIAMSPORT	City
State	PA	State
ZIP Code	17701	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	610444716	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND HOSPITAL CORPORATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ASHL	NameControl
Phone	6064084000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2201 LEXINGTON AVENUE	AddressLine1
City	ASHLAND	City
State	KY	State
ZIP Code	41101	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	PAUL MCDOWELL	Name
Title	CFO/VP FINANCE	Title
Phone	6064084000	Phone
Date Signed	2012-08-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JULIUS C GREEN CPA JD	Name
Phone	5703236023	Phone
Date Prepared	2012-08-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	KING'S DAUGHTERS MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	FRED L JACKSON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2201 LEXINGTON AVENUE	AddressLine1
City	ASHLAND	City
State	KY	State
ZIP Code	41101	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	584498660	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.KDMC.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1941	YearFormation
State Legal Domicile	KY	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	4196	TotalNbrEmployees
Total Nbr Volunteers	363	TotalNbrVolunteers
Total Gross UBI	94778	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	584947	ContributionsGrantsPriorYear
Contributions Grants Current Year	203811	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	550203300	ProgramServiceRevenuePriorYear
Program Service Revenue CY	534999548	ProgramServiceRevenueCY
Investment Income Prior Year	1656761	InvestmentIncomePriorYear
Investment Income Current Year	12986750	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4459923	OtherRevenuePriorYear
Other Revenue Current Year	3663228	OtherRevenueCurrentYear
Total Revenue Prior Year	556904931	TotalRevenuePriorYear
Total Revenue Current Year	551853337	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	141508	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	113452	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	233478751	SalariesEtcPriorYear
Salaries Etc Current Year	217826537	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	300848360	OtherExpensePriorYear
Other Expenses Current Year	295821871	OtherExpensesCurrentYear
Total Expenses Prior Year	534468619	TotalExpensesPriorYear
Total Expenses Current Year	513761860	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	22436312	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	38091477	RevenuesLessExpensesCY
Total Assets BOY	778947132	TotalAssetsBOY
Total Assets EOY	789113026	TotalAssetsEOY
Total Liabilities BOY	406709400	TotalLiabilitiesBOY
Total Liabilities EOY	394922121	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	372237732	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	394190905	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO CARE. TO SERVE. TO HEAL.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	439727264	Expense
Grants	113452	Grants
Revenue	529754751	Revenue
Description	COMMUNITY INFORMATION:KING'S DAUGHTERS ("KDMC") IS NESTLED IN THE FOOTHILLS OF THE APPALACHIAN MOUNTAINS, WHERE THE KENTUCKY, OHIO AND WEST VIRGINIA STATE LINES MEET. KDMC'S PRIMARY SERVICE AREA ENCOMPASSES SIX COUNTIES IN TWO STATES, BOYD, CARTER, GREENUP AND LAWRENCE COUNTIES IN KENTUCKY AND LAWRENCE AND SCIOTO COUNTIES IN OHIO. MORE THAN 272,000 PEOPLE (U.S. CENSUS BUREAU) LIVE IN THE SIX-COUNTY PRIMARY SERVICE AREA. WITH THE EXCEPTION OF TWO CITIES WITH POPULATIONS AROUND 20,000 THE AREA IS VERY RURAL, COVERING NEARLY 2,400 SQUARE MILES WITH A POPULATION DENSITY OF 113 PEOPLE PER SQUARE MILE. MORE THAN 18% OF THE POPULATION LIVES IN POVERTY, WITH CHILDREN IN POVERTY AT MORE THAN 25%. THE POPULATION IS 96% WHITE, 2% BLACK AND ALL OTHER RACES 2%. THE AVERAGE MEDIAN INCOME IS $36,575, WELL BELOW THE LEVELS FOR KENTUCKY, OHIO AND THE NATION. AVERAGE UNEMPLOYMENT IS 10.1% COMPARED TO 8.9% NATIONALLY AND 9.5% FOR KENTUCKY. THE KENTUCKY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM SHOWS THAT IN 2008, IN KDMC'S KENTUCKY MARKET AREA, 18.9% OF THOSE AGED 19-64 YEARS LACKED ANY FORM OF HEALTHCARE COVERAGE, COMPARED TO 14.4% FOR THE STATE AND 14.5% FOR THE NATION. KDMC'S OHIO MARKET AREA SHOWS 17.4% WITHOUT HEALTHCARE COVERAGE COMPARED TO 12.5% IN THE STATE AND 14.5% IN THE NATION.COMMUNITY BUILDING ACTIVITIES:TO REACH OUR COMMUNITIES AND TO PROVIDE THE BEST OUTREACH SERVICES POSSIBLE, WE PARTNERED WITH A DIVERSE GROUP OF BOTH PUBLIC AND PRIVATE ENTITIES. WE HAVE ESTABLISHED PARTNERSHIPS WITH AREA RETAILERS, HEALTH DEPARTMENTS, FACTORIES AND CHEMICAL PLANTS, CITY OF ASHLAND, LOCAL EMS SERVICES, AMERICAN RED CROSS, SUSAN G. KOMEN FOR THE CURE, CARES (LOCAL REFERRAL AGENCY), COMMUNITY KITCHEN, SAFE HARBOR, 16 SCHOOL DISTRICTS AND NEARBY COLLEGES AND UNIVERSITIES, NAACP, ASHLAND FAIR HOUSING, SHELTER OF HOPE, ASHLAND AREA YMCA, KENTUCKY STATE POLICE, OHIO HIGHWAY PATROL, AREA SENIOR CENTERS AND MORE THAN 150 CHURCHES. WE SEND OUR HEALTH TEAMS OUT INTO THE COMMUNITY TO MEET PEOPLE ON THEIR TIME AND IN THE PLACES THAT ARE COMFORTABLE FOR THEM - SCHOOLS, MALLS, LIBRARIES, WORKSITES, GROCERY STORES AND MORE. SERVICES PROVIDED INCLUDE MORE THAN 75 SCREENING AND EDUCATIONAL EVENTS PER MONTH, MOBILE HEALTH SERVICES, COORDINATION OF THE CPR TRAINING CENTER, AND A MEALS ON WHEELS PROGRAM. PATIENTS WITH ABNORMAL RESULTS FROM OUR HEALTH SCREENINGS RECEIVE A FOLLOW-UP LETTER REMINDING THEM OF THE IMPORTANCE OF SHARING THE RESULTS WITH THEIR HEALTHCARE PROVIDER. IDENTIFYING THOSE AT RISK FOR HEART AND VASCULAR DISEASE, EDUCATING THE PUBLIC ABOUT HEART ATTACK AND STROKE SIGNS AND SYMPTOMS, AND REDUCING TOBACCO USE THROUGHOUT THE REGION ARE THREE IMPORTANT AREAS OF FOCUS. OUR REGION HAS A HIGH INCIDENCE OF UNDIAGNOSED OR UNTREATED HEART AND VASCULAR DISEASE. HEALTH CONNECTIONS CONTINUES TO EXPAND SERVICES BY OFFERING FREE COMPREHENSIVE HEALTHY HEART AND VASCULAR SCREENINGS TO HIGH RISK POPULATIONS. THIS SCREENING MAY INCLUDE A FASTING LIPID PANEL, TOTAL CHOLESTEROL, AN ANKLE BRACHIAL INDEX, BLOOD PRESSURE, BLOOD SUGAR AND AN EKG. WE ARE RAISING AWARENESS ABOUT THE CARDIOVASCULAR RISKS AND CATCHING DISEASE THAT HAD NOT BEEN DIAGNOSED SO IT CAN BE TREATED. WE ARE MAKING SURE THE PARTICIPANTS KNOW THEIR HEART RISK NUMBERS. OUR HEART SCREENINGS PROVIDED 6,861 BLOOD PRESSURE (44% ABNORMAL), 5,531 BLOOD SUGAR (14% ABNORMAL) AND 5,271 TOTAL CHOLESTEROL (34% ABNORMAL) SCREENINGS IN 2011. THESE SCREENINGS HAD MORE THAN 2,100 PARTICIPANTS. THE AGE ADJUSTED CARDIOVASCULAR MORTALITY RATE FOR THE SERVICE AREA HAS IMPROVED 22.7% FROM 1998 TO 2006.OTHER INFORMATION:WITH THE EXCEPTION OF TWO CITIES WITH A POPULATION AROUND 20,000, KDMC'S MARKET AREA IS VERY RURAL COVERING NEARLY 2,000 SQUARE MILES WITH A POPULATION DENSITY OF 129 PEOPLE PER SQUARE MILE. BARRIERS TO HEALTHCARE INCLUDE LACK OF TRANSPORTATION, LOW HEALTH LITERACY AND GEOGRAPHIC ISOLATION. IN ADDITION THERE ARE CULTURAL BARRIERS INCLUDING A DISTRUST OF HEALTHCARE PROVIDERS WHICH IMPACTS HEALTH AND HEALTH-RELATED COMMUNICATION. KING'S DAUGHTERS TAKES AN ACTIVE ROLE IN RECRUITING AND RETAINING PHYSICIANS IN THESE RURAL, UNDERSERVED AREAS. EFFORTS ARE MADE TO INTEGRATE THE PHYSICIAN INTO THE NETWORK OF THE COMMUNITY THROUGH FREE SCREENINGS, SPEAKING PRESENTATIONS AND ATTENDANCE AT COMMUNITY EVENTS THUS BUILDING TRUST AND POSITIVE RELATIONSHIPS.FAMILIES THAT LIVE OUTSIDE OUR COMMUNITY WITH LIMITED RESOURCES (FINANCIAL, TRANSPORTATION, FAMILY SUPPORT) WHO HAVE A LOVED ONE IN CRITICAL CARE ARE REFERRED BY KDMC SOCIAL WORKERS TO THE KDMC HOSPITALITY HOUSE. GUESTS OF THE HOSPITALITY HOUSE INCLUDE ADULT FAMILY MEMBERS OR CAREGIVERS OF EITHER CRITICALLY ILL PATIENTS RECEIVING CARE AT KDMC, OR QUALIFYING OUTPATIENTS RECEIVING EXTENDED THERAPEUTIC CARE. IN NEARLY ALL CASES, GUESTS LIVE OUTSIDE A 30-MILE RADIUS OF ASHLAND. THE HOUSE DOES NOT CHARGE FAMILIES TO STAY, HOWEVER A NUMBER OF THE GUESTS MADE A VOLUNTARY CONTRIBUTION.FAMILY CARE CENTERS PROVIDE SAMPLE MEDICATIONS TO INDIGENT PATIENTS. THIS PROGRAM IS PROVIDED AT NO COST TO THE PATIENT. FAMILY CARE CENTER STAFF RECORDS THE MEDICATIONS, LABEL FOR USE AND DOCUMENT THE DISTRIBUTION.THE TOBACCO CESSATION PROGRAM AND LUNG HEALTH PROGRAM OFFER SUPPORT THROUGH TOBACCO CESSATION CLASSES AND ASSISTANCE TO PATIENTS DIAGNOSED WITH LUNG CANCER AT KDMC. THE LUNG HEALTH PROGRAM INCLUDES A CLINICAL NURSE SPECIALIST WHO PROVIDES PATIENT NAVIGATION FOR NEWLY DIAGNOSED LUNG CANCER PATIENTS. THE PROGRAM INCLUDES TWO LUNG HEALTH ADVOCATES THAT PROVIDE TOBACCO CESSATION COUNSELING AND CLASSES. DURING THE FISCAL YEAR, KDMC PROVIDED 811 FREE FLU SHOTS THROUGHOUT THE COMMUNITY. WITH THE FLU SHOT PROGRAM, WE STRIVE TO REACH POPULATIONS THAT ARE AT HIGHER RISK OF CONTRACTING THE FLU. TARGETED POPULATIONS INCLUDE THOSE DESIGNATED HIGH RISK BY THE CENTER FOR DISEASE CONTROL, CAREGIVERS OF VULNERABLE POPULATIONS INCLUDING HOMELESS, INDIGENT, SCHOOL TEACHERS, DAY CARE WORKERS AND CAREGIVERS FOR THE ELDERLY. FLU SHOTS ARE DELIVERED THROUGH A VARIETY OF SETTINGS AND IN MULTIPLE COUNTIES SERVED BY THE MEDICAL CENTER.THE PASTORAL CARE SERVICE DEPARTMENT EMPLOYS FOUR FULL-TIME CHAPLAINS AND AN ADMINISTRATIVE ASSISTANT TO PROVIDE SPIRITUAL AND EMOTIONAL SUPPORT FOR OUR PATIENTS, THEIR FAMILIES AND FRIENDS AND FOR THE STAFF OF KING'S DAUGHTERS MEDICAL CENTER. ONE-ON-ONE COUNSELING AS WELL AS GROUP COUNSELING, WHICH INCLUDES GRIEF SUPPORT AND PALLIATIVE CARE FOR END-OF-LIFE PATIENTS AND THEIR FAMILIES, IS OFFERED BY THE DEPARTMENT.AFFILIATED HEALTH CARE SYSTEM ROLES:KING'S DAUGHTERS MEDICAL CENTER IS PART OF AN AFFILIATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM PROVIDES PHYSICIAN SERVICES THROUGH TWO AFFILIATES, KENTUCKY HEART INSTITUTE AND KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. BOTH AFFILIATES PROVIDE CHARITY CARE AND PARTICIPATE IN GOVERNMENT PROGRAMS.	Description
Total Program Service Expense	439727264	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	384	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	4196	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	KY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	AUTUMN MCFANN CONTROLLER	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6064089631	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2201 LEXINGTON AVENUE	AddressLine1
City	ASHLAND	City
State	KY	State
ZIP Code	41101	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ADDINGTON STEPHEN
DIRECTOR	0.30	X	0	0	0
BLAIR JACK
DIRECTOR	0.30	X	0	0	0
BORDERS CHARLIE
DIRECTOR	0.30	X	0	0	0
BOYKIN MAYOLA MD
DIRECTOR& MEDICAL/DENTAL PRES.	1.30	X	24000	0	0
BURNETTE TOM
DIRECTOR	0.30	X	0	0	0
CANTRELL JIM
DIRECTOR	0.30	X	0	0	0
CASSIDY DAN
DIRECTOR	0.30	X	0	0	0
HAMMONDS DONALD DO
DIRECTOR	0.30	X	0	0	0
HILLMAN TRACY
DIRECTOR	0.30	X	0	0	0
MECCA RAYMOND MD
DIRECTOR	0.50	X	1000	0	0
STEWART JOHN
DIRECTOR	0.30	X	0	0	0
JONES DAVID
CHAIRMAN OF THE BOARD	1.00	X	0	0	0	X
JACKSON FRED
PRESIDENT/CEO	40.00	X	959193	0	419480	X
MCDOWELL PAUL
TRESURER, SR VP FINANCE/CFO	40.00		497185	0	157130	X
MAHANEY SHERYL
SECRETARY, SR VP GENERAL COUNSEL/CLO	40.00		356898	0	119271	X
FIORET PHILIP MD
SR VP MEDICAL AFF	40.00		769486	20000	187318		X
HIGGINS LARRY
SR VP OPERATIONS & ORGANIZATIONAL EFFECTIVENESS	40.00		414010	0	133907		X
WHITLATCH KRISTIE
SR VP SERVICE LINE	40.00		441868	0	138400		X
BAILIFF ROBERT MD
PHYSICIAN	40.00		479916	0	22553			X
GUIAB ROBIN MD
PHYSICIAN	40.00		462710	0	29032			X
MARCUM JENAWIK M
PHYSICIAN	40.00		457342	0	29711			X
SANCHEZ-VANHOOSE TRACI MD
PHYSICIAN	40.00		473508	0	19841			X
SMITH PAUL DO
PHYSICIAN	40.00		466575	0	14494			X
CORBITT PATRICIA
FORMER VP, MARKETING/PR& COMMUNITY RELATIONS	40.00		165192	0	21594				X
LUCAS ROBERT
FORMER SR VP OPERATIONS	40.00		288573	0	90673				X
PARIKH MANISH MD
FORMER PHYSICIAN	40.00		110071	0	0				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6367527	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	20000	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1383404	TotalOtherCompensation
Number Individuals GT100 K	131	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
TRI-STATE RADIOLOGY ASSOCIATES
POBOX 2408	ASHLAND	KY	41105	RADIOLOGISTS	3409530
DELOITTE CONSULTING LLP
POBOX 7247-6447	PHILADELPHIA	PA	19170	CONSULTANTS	3009242
ASHLAND ANESTHESIOLOGY ASSOCIATES
POBOX 986	ASHLAND	KY	41105	ANESTHESIOLOGISTS	1565430
STITES & HARBISON PLLC
250 W MAIN ST 2300 LEXINGTON FINAN	LEXINGTON	KY	40507	LAWYERS	1171267
MARILLIA DESIGN & CONSTRUCTION
259 WEST SHORT STREET SUITE 325	LEXINGTON	KY	40507	CONSTRUCTION CONTRACTORS	726364

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	57	NumberOfContractorsGT100K
Government Grants	20000	GovernmentGrants
All Other Contributions	183811	AllOtherContributions
Total Contributions	203811	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE RE	621110	526280764	526280764
MEANINGFUL USE REVENUE	621110	5192214	5192214
PHARMACY	446110	3526570	3473987	52583

Field	Value	IRS element (for citing)
Total Program Service Revenue	534999548	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	8807188	TotalRevenueColumn
Unrelated Business Revenue	1659	UnrelatedBusinessRevenue
Exclusion	$8,805,529	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2143164	Real
Personal	3150	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1209069	Real
Personal	2520	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	934095	Real
Personal	630	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	934725	TotalRevenueColumn
Unrelated Business Revenue	630	UnrelatedBusinessRevenue
Exclusion	$934,095	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	34304588	Securities
Other	1308708	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	30042681	Securities
Other	1391053	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	4261907	Securities
Other	-82345	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	4179562	TotalRevenueColumn
Exclusion	$4,179,562	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
CAFETERIA	722210	2370667	3099	$2,367,568
MEDICAL RECORDS	561499	105732		$105,732
VALET REVENUE	561499	88184		$88,184

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	163920	TotalRevenueColumn
Unrelated Business Revenue	36807	UnrelatedBusinessRevenue
Exclusion	$127,113	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	2728503	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	551853337	TotalRevenueColumn
Related Or Exempt Function Income	534946965	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	94778	UnrelatedBusinessRevenue
Exclusion	$16,607,783	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	113452	Total
Program Services	113452	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4645342	Total
Management And General	4645342	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	165692184	Total
Program Services	148800577	ProgramServices
Management And General	16891607	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6661338	Total
Program Services	5982548	ProgramServices
Management And General	678790	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	29017390	Total
Program Services	26060518	ProgramServices
Management And General	2956872	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11810283	Total
Program Services	10407221	ProgramServices
Management And General	1403062	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	3262937	Total
Program Services	133437	ProgramServices
Management And General	3129500	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	127940	Total
Management And General	127940	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	28602	Total
Program Services	28602	ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	527998	Total
Management And General	527998	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	33081902	Total
Program Services	22105700	ProgramServices
Management And General	10976202	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2684140	Total
Program Services	403	ProgramServices
Management And General	2683737	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3044773	Total
Program Services	1792062	ProgramServices
Management And General	1252711	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1160557	Total
Program Services	1160557	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5665007	Total
Program Services	1646628	ProgramServices
Management And General	4018379	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	422122	Total
Program Services	327439	ProgramServices
Management And General	94683	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	8383	Total
Program Services	8383	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	9303730	Total
Program Services	3931	ProgramServices
Management And General	9299799	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	36353225	Total
Program Services	32331430	ProgramServices
Management And General	4021795	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4952638	Total
Program Services	96883	ProgramServices
Management And General	4855755	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	98275427	95104568	3170859
PROVISION FOR BAD DEBTS	52828740	52828740
REPAIR AND MAINTENANCE	13719736	12201907	1517829
PHYSICIAN FEES	13108366	13108366
TAXES (INCLUDING PROVID	7699800	7625008	74792

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	9565848	Total
Program Services	7858904	ProgramServices
Management And General	1706944	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	513761860	Total
Program Services	439727264	ProgramServices
Management And General	74034596	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	13075	BOY
EOY	49154674	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	85534850	BOY
EOY	27329088	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	68308397	BOY
EOY	72959350	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	3017230	BOY
EOY	1872493	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	9517272	BOY
EOY	10389576	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	9582091	BOY
EOY	9769950	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	652332786	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	333921987	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	326386943	BOY
EOY	318410799	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	158600089	BOY
EOY	182075735	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	9845848	BOY
EOY	8722251	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	108141337	BOY
EOY	108429110	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	778947132	BOY
EOY	789113026	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	62939282	BOY
EOY	65168270	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	253307026	BOY
EOY	248738461	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	14638476	BOY
EOY	8212718	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	15000000	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	60824616	BOY
EOY	72802672	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	406709400	BOY
EOY	394922121	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	372237732	BOY
EOY	394190905	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	372237732	BOY
EOY	394190905	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	778947132	BOY
EOY	789113026	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	38091477	ReconcilationRevenueExpenses
Reconcilation Other Changes	-16138304	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$28,602	OtherActivitiesAmount
Total Lobbying Expenditures IIB	28602	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF OTHER LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1I:	ReturnReference
Explanation	$25,409: A PORTION OF THE DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. $3,193: A PORTION OF THE DUES PAID TO THE AMERICAN MEDICAL REHABILITATION PROVIDERS ATTRIBUTABLE TO LOBBYING EXPENSES.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	27831018	OtherCostOrOtherBasis
Book Value	27831018	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	360651204	OtherCostOrOtherBasis
Depreciation	154164218	Depreciation
Book Value	206486986	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	253144160	OtherCostOrOtherBasis
Depreciation	174916133	Depreciation
Book Value	78228027	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10706404	OtherCostOrOtherBasis
Depreciation	4841636	Depreciation
Book Value	5864768	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	318410799	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
SELF INSURANCE FUNDS	9708778
TRUSTEED FUNDS	35829320
DEFERRED FINANCING COSTS	2791479
OTHER ASSETS	499383
DUE FROM RELATED PARTIES	59600150

Field	Value	IRS element (for citing)
Total Book Value Other Assets	108429110	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
MALPRACTICE COSTS	$12,084,910
ACCRUED PENSION	$21,247,000
OTHER LONG-TERM LIABILITIES	$1,940,466
DERIVATIVES OBLIGATION	$20,112,124
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS	$17,418,172

Field	Value	IRS element (for citing)
Total Of Amounts	72802672	TotalOfAmounts
Total Revenue	551853337	TotalRevenue
Total Expenses	513761860	TotalExpenses
Excess Or Deficit For Year	38091477	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-14501382	NetUnrealizedGLOnInvestments
Other	-$1,636,922	OtherAmount
Total Adjustments	-16138304	TotalAdjustments
Excess Or Deficit Per FS	21953173	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	534284609	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-14501382	NetUnrealizedGainsInvestments
Other Revenues	-4275180	OtherRevenues
Revenue Not Rptd F990	-18776562	RevenueNotRptdF990
Revenue Subtotal	553061171	RevenueSubtotal
Other Revenues Not Included	-1207834	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-1207834	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	551853337	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	514973449	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	1211589	OtherExpensesIncluded
Expenses Not Rptd F990	1211589	ExpensesNotRptdF990
Expenses Subtotal	513761860	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	513761860	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	THE MEDICAL CENTER, KHF, KBNH, CDC, KHI, KDMT, KDMS, AND THE FOUNDATION 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. THESE ORGANIZATIONS DO NOT ENGAGE IN SIGNIFICANT UNRELATED ACTIVITIES AND THEREFORE NO TAX IS RECORDED.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		PENSION LIABILITY ADJUSTMENT 1,933,904. AMORTIZATION OF SWAP AGREEMENT 79,556. CHANGE IN MARKET VALUE INTEREST RATE SWAP -4,152,944. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS -122,236. TRANSFER FROM AFFILIATE 624,798.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		CHANGE IN MARKET VALUE INTEREST RATE SWAP -4,152,944. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS -122,236.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		RENTAL EXPENSES -1,211,589. GIFT FOR CAPITAL ITEM NOT REPORTED AS OPERATING INCOME ON F/S 3,755.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSES 1,211,589.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17099767	TotalCommunityBenefitExpense
Net Community Benefit Expense	17099767	NetCommunityBenefitExpense
Percent Of Total Expense	0.03710	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	54611607	TotalCommunityBenefitExpense
Direct Offsetting Revenue	40155907	DirectOffsettingRevenue
Net Community Benefit Expense	14455700	NetCommunityBenefitExpense
Percent Of Total Expense	0.03140	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	71711374	TotalCommunityBenefitExpense
Direct Offsetting Revenue	40155907	DirectOffsettingRevenue
Net Community Benefit Expense	31555467	NetCommunityBenefitExpense
Percent Of Total Expense	0.06850	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2145046	TotalCommunityBenefitExpense
Net Community Benefit Expense	2145046	NetCommunityBenefitExpense
Percent Of Total Expense	0.00470	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	328891	TotalCommunityBenefitExpense
Net Community Benefit Expense	328891	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2350596	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2181289	DirectOffsettingRevenue
Net Community Benefit Expense	169307	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	575421	TotalCommunityBenefitExpense
Direct Offsetting Revenue	462857	DirectOffsettingRevenue
Net Community Benefit Expense	112564	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	51417	TotalCommunityBenefitExpense
Net Community Benefit Expense	51417	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5451371	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2644146	DirectOffsettingRevenue
Net Community Benefit Expense	2807225	NetCommunityBenefitExpense
Percent Of Total Expense	0.00610	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	77162745	TotalCommunityBenefitExpense
Direct Offsetting Revenue	42800053	DirectOffsettingRevenue
Net Community Benefit Expense	34362692	NetCommunityBenefitExpense
Percent Of Total Expense	0.07460	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	199074	TotalCommunityBuildingExpense
Net Community Building Expense	199074	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	199074	TotalCommunityBuildingExpense
Net Community Building Expense	199074	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$16,682,664	BadDebtExpenseAmount
Amount Attributable To	3589825	AmountAttributableTo
Amount Reimbursed By Medicare	148989304	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	157958306	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-8969002	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND HOSPITAL CORPORATION	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	2201 LEXINGTON AVENUE	AddressLine1
City	ASHLAND	City
State	KY	State
ZIP Code	41101	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NOT REQUIRED	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanation
PART I, LINE 7: KDMC USED WORKSHEET 2 PROVIDED IN THE 2010 SCHEDULE H INSTRUCTIONS (FORM 990) TO CALCULATE A COST OF CHARGE RATIO. THIS RATIO WAS USED TO CALCULATE CHARITY CARE AT COST. ALL OTHER ITEMS WERE REPORTED AT NET EXPENSE.
PART I, LINE 7G: THERE ARE NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS INCLUDED AS SUBSIDIZED HEALTH SERVICES.
PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE THAT WAS SUBTRACTED IN ORDER TO CALCULATE THE PERCENT OF TOTAL EXPENSE WAS $52,828,740.
PART II: TO REACH OUR COMMUNITIES AND TO PROVIDE THE BEST OUTREACH SERVICES POSSIBLE, WE PARTNER WITH A DIVERSE GROUP OF BOTH PUBLIC AND PRIVATE ENTITIES. WE HAVE ESTABLISHED PARTNERSHIPS WITH AREA RETAILERS, HEALTH DEPARTMENTS, FACTORIES, CITY OF ASHLAND, LOCAL EMS SERVICES, AMERICAN RED CROSS, SUSAN G. KOMEN FOR THE CURE, CARES, COMMUNITY KITCHEN, SAFE HARBOR, 16 SCHOOL DISTRICTS AND NEARBY COLLEGES AND UNIVERSITIES, SHELTER OF HOPE, ASHLAND AREA YMCA, AREA SENIOR CITIZENS CENTERS AND MORE THAN 150 CHURCHES. WE SEND OUR OUTREACH TEAMS OUT INTO THE COMMUNITY TO MEET PEOPLE ON THEIR TIME AND IN THE PLACES THAT ARE COMFORTABLE FOR THEM - SCHOOLS, MALLS, CHURCHES, LIBRARIES, WORKSITES, GROCERY STORES AND MORE. SERVICES PROVIDED INCLUDE MORE THAN 75 SCREENING AND EDUCATIONAL EVENTS EACH MONTH, MOBILE HEALTH SERVICES, COORDINATION OF A REGIONAL CPR TRAINING CENTER AND A MEALS ON WHEELS PROGRAM. PATIENTS WITH ABNORMAL RESULTS FROM OUR HEALTH SCREENINGS RECEIVE A FOLLOW-UP LETTER REMINDING THEM OF THE IMPORTANCE OF SHARING THE RESULTS WITH THEIR HEALTHCARE PROVIDER.IDENTIFYING THOSE AT RISK FOR HEART AND VASCULAR DISEASE, EDUCATING THE PUBLIC ABOUT HEART ATTACK AND STROKE SIGNS AND SYMPTOMS, AND REDUCING TOBACCO USE THROUGHOUT THE REGION ARE THREE IMPORTANT AREAS OF FOCUS. OUR REGION HAS A HIGH INCIDENCE OF UNDIAGNOSED OR UNTREATED HEART AND VASCULAR DISEASE. OUR "HEALTH CONNECTIONS" PROGRAM CONTINUES TO EXPAND SERVICES BY OFFERING FREE COMPREHENSIVE HEALTHY HEART AND VASCULAR SCREENINGS TO HIGH RISK POPULATIONS. THIS SCREENING MAY INCLUDE A FASTING LIPID PANEL, TOTAL CHOLESTEROL, AN ANKLE BRACHIAL INDEX, BLOOD PRESSURE, BLOOD SUGAR OR AN EKG. WE ARE RAISING AWARENESS ABOUT THE CARDIOVASCULAR RISKS AND CATCHING DISEASE THAT HAD NOT BEEN DIAGNOSED SO IT CAN BE TREATED. WE ARE MAKING SURE THE PARTICIPANTS KNOW THEIR HEART RISK NUMBERS. OUR TOTAL HEART SCREENINGS PROVIDED 6,861 BLOOD PRESSURE (44% ABNORMAL), 5,531 BLOOD SUGAR (14% ABNORMAL) AND 5,271 TOTAL CHOLESTEROL (34% ABNORMAL) SCREENINGS IN 2011. OUR "HEALTHY HEART" SCREENINGS HAD MORE THAN 2,100 PARTICIPANTS. THE AGE ADJUSTED CARDIOVASCULAR MORTALITY RATE FOR THE SERVICE AREA HAS IMPROVED 22.7% FROM 1998 TO 2006.WITH THE EXCEPTION OF TWO CITIES WITH A POPULATION AROUND 20,000, KDMC'S MARKET AREA IS VERY RURAL COVERING NEARLY 2,000 SQUARE MILES WITH A POPULATION DENSITY OF 150 PEOPLE PER SQUARE MILE. BARRIERS TO HEALTHCARE INCLUDE LACK OF TRANSPORTATION, LOW HEALTH LITERACY AND GEOGRAPHIC ISOLATION. IN ADDITION THERE ARE CULTURAL BARRIERS INCLUDING A DISTRUST OF HEALTHCARE PROVIDERS WHICH IMPACTS HEALTH AND HEALTH-RELATED COMMUNICATION. KING'S DAUGHTERS TAKES AN ACTIVE ROLE IN RECRUITING AND RETAINING PHYSICIANS IN THESE RURAL, UNDERSERVED AREAS. EFFORTS ARE MADE TO INTEGRATE THE PHYSICIAN INTO THE NETWORK OF THE COMMUNITY THROUGH FREE SCREENINGS, SPEAKING PRESENTATIONS AND ATTENDANCE AT COMMUNITY EVENTS THUS BUILDING TRUST AND POSITIVE RELATIONSHIPS.FAMILIES THAT LIVE OUTSIDE OUR COMMUNITY WITH LIMITED RESOURCES (FINANCIAL, TRANSPORTATION, FAMILY SUPPORT) WHO HAVE A LOVED ONE IN CRITICAL CARE ARE REFERRED BY KDMC SOCIAL WORKERS TO THE KDMC HOSPITALITY HOUSE. GUESTS OF THE HOSPITALITY HOUSE INCLUDE ADULT FAMILY MEMBERS OR CAREGIVERS OF EITHER CRITICALLY ILL PATIENTS RECEIVING CARE AT KDMC, OR QUALIFYING OUTPATIENTS RECEIVING EXTENDED THERAPEUTIC CARE. IN NEARLY ALL CASES, GUESTS LIVE OUTSIDE A 30-MILE RADIUS OF ASHLAND. THE HOUSE DOES NOT CHARGE FAMILIES TO STAY, HOWEVER A NUMBER OF THE GUESTS MADE A VOLUNTARY CONTRIBUTION.FAMILY CARE CENTERS PROVIDE SAMPLE MEDICATIONS TO INDIGENT PATIENTS. THIS PROGRAM IS PROVIDED AT NO COST TO THE PATIENT. FAMILY CARE CENTER STAFF RECORDS THE MEDICATIONS, LABELS FOR USE AND DOCUMENTS THE DISTRIBUTION.THE TOBACCO CESSATION PROGRAM AND LUNG HEALTH PROGRAM OFFER SUPPORT THROUGH TOBACCO CESSATION CLASSES AND ASSISTANCE TO PATIENTS DIAGNOSED WITH LUNG CANCER AT KDMC. THE LUNG HEALTH PROGRAM INCLUDES A CLINICAL NURSE SPECIALIST WHO PROVIDES PATIENT NAVIGATION FOR NEWLY DIAGNOSED LUNG CANCER PATIENTS. THE PROGRAM INCLUDES TWO LUNG HEALTH ADVOCATES THAT PROVIDE TOBACCO CESSATION COUNSELING AND CLASSES. DURING THE FISCAL YEAR, KDMC PROVIDED 811 FREE FLU SHOTS THROUGHOUT THE COMMUNITY. WITH THE FLU SHOT PROGRAM, WE STRIVE TO REACH POPULATIONS THAT ARE AT HIGHER RISK OF CONTRACTING THE FLU. TARGETED POPULATIONS INCLUDE THOSE DESIGNATED HIGH RISK BY THE CENTER FOR DISEASE CONTROL, CAREGIVERS OF VULNERABLE POPULATIONS INCLUDING HOMELESS, INDIGENT, SCHOOL TEACHERS, DAY CARE WORKERS AND CAREGIVERS FOR THE ELDERLY. FLU SHOTS ARE DELIVERED THROUGH A VARIETY OF SETTINGS AND IN MULTIPLE COUNTIES SERVED BY THE MEDICAL CENTER.THE PASTORAL CARE SERVICE DEPARTMENT EMPLOYS FOUR FULL-TIME CHAPLAINS AND AN ADMINISTRATIVE ASSISTANT TO PROVIDE SPIRITUAL AND EMOTIONAL SUPPORT FOR OUR PATIENTS, THEIR FAMILIES AND FRIENDS AND FOR THE STAFF OF KING'S DAUGHTERS MEDICAL CENTER. ONE-ON-ONE COUNSELING AS WELL AS GROUP COUNSELING, WHICH INCLUDES GRIEF SUPPORT AND PALLIATIVE CARE FOR END-OF-LIFE PATIENTS AND THEIR FAMILIES, IS OFFERED BY THE DEPARTMENT.
PART III, LINE 4: MANAGEMENT MAINTAINS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS TO RESERVE FOR ESTIMATED LOSSES BASED ON THE LENGTH OF TIME THE ACCOUNT HAS BEEN PAST DUE, THIRD PARTY PAYER CLASSIFICATION, AND HISTORICAL EXPERIENCE. BAD DEBT IS CLASSIFIED AS AN OPERATING EXPENSE WHICH IS CONSISTENT WITH THE HFMA PRINCIPLES AND PRACTICES BOARD STATEMENT NO. 15.KDMC USED WORKSHEET 2 PROVIDED IN THE 2010 SCHEDULE H INSTRUCTIONS (FORM 990) TO CALCULATE A COST TO CHARGE RATIO. THIS RATIO WAS USED TO CALCULATE BAD DEBT EXPENSE AT COST. BAD DEBT EXPENSE IS RECORDED AFTER ANY DISCOUNTS AND PAYMENTS ARE MADE ON PATIENT ACCOUNTS. THE BUSINESS OFFICE ESTIMATED AN AMOUNT BASED ON A NUMBER OF "NO-RESPONSE" APPLICATIONS ANNUALLY. THEY THEN APPLY THIS NUMBER TO A PRO-RATED AVERAGE COST OF IP AND OP CASES TO ESTIMATE THE COST.
PART III, LINE 8: THE HOSPITAL CONTINUES TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY OR 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.
PART III, LINE 9B: THE HOSPITAL DOES HAVE A WRITTEN POLICY FOR BAD DEBT. IT IS A SYSTEM PROGRESSION WITH THREE PATIENT STATEMENTS, THREE LETTERS FROM CREDIT COLLECTIONS, INC., AND IF NO PAYMENT ARRANGEMENTS ARE MADE DURING THIS TIME, THERE IS AUTOMATION TO THE COLLECTION AGENCY. EACH BILL THAT A PATIENT RECEIVES HAS A STATEMENT STATING IF THEY ARE UNABLE TO PAY THEIR BILL TO CONTACT THE HOSPITAL'S FINANCIAL ASSISTANCE TEAM WITH A DIRECT LINE NUMBER. ALSO, EACH SELF-PAY PATIENT IS CONTACTED BY THE HOSPITAL'S MEDICAID ELIGIBILITY VENDOR AS WELL AS RECEIVING A FINANCIAL ASSISTANCE APPLICATION.
PART VI, LINE 2: WE USE A VARIETY OF RESOURCES TO HELP US MAKE DECISIONS ON HOW TO BEST TARGET OUR ACTIVITIES. WE'VE CONDUCTED INFORMAL NEEDS ASSESSMENTS, ANALYZED STATE AND COUNTY MORTALITY DATA AND TALKED WITH SCHOOL OFFICIALS, NON-PROFIT AGENCIES AND ELECTED OFFICIALS ABOUT TRENDS AND ISSUES. ONCE WE KNOW WHAT ISSUES WE WANT TO TARGET, OUR COMMUNITY HEALTH INITIATIVES ARE BUILT INTO THE MEDICAL CENTER'S THREE-YEAR STRATEGIC PLAN. IN 2011, THE CORPORATE GOAL WAS TO PROMOTE WELLNESS THROUGH AT LEAST 180 COMMUNITY HEALTH SCREENINGS AND EDUCATIONAL PROGRAMS THROUGH THE PARTICIPATION OF NO LESS THAN 2,461 KDMC TEAM MEMBERS, PHYSICIANS AND ALLIED HEALTH PROFESSIONALS AS VOLUNTEERS. THE KDMC TEAM EXCEEDED THIS GOAL BY PROVIDING 289 SCREENINGS AND EDUCATIONAL PROGRAMS WITH 2,663 TEAM MEMBERS AND PROVIDERS VOLUNTEERING MORE THAN 29,000 HOURS.
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 KDMC. 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. THE FINANCIAL ASSISTANCE PROGRAM IS ON THE KDMC WEBSITE AND THE PHONE NUMBER TO ACCESS INFORMATION IS PROVIDED TO PATIENTS THROUGH THE PATIENT INFORMATION GUIDE AT ADMITTANCE TO THE HOSPITAL. KDMC WORKS TO IDENTIFY PATIENTS THAT MAY HAVE LIMITED RESOURCES AND OFFERS FINANCIAL ASSISTANCE WHEN APPROPRIATE. THERE ARE SIGNS POSTED IN VARIOUS REGISTRATION AREAS INFORMING PATIENTS OF THE PHONE NUMBER TO CALL IF THEY NEED FINANCIAL ASSISTANCE. ON EACH PATIENT STATEMENT THE INFORMATION IS ALSO PRINTED WITH THE PHONE NUMBER. WE ALSO HAVE STAFF IN THE OUTPATIENT IMAGING CENTER, HEART AND VASCULAR CENTER, ADMITTING AND PRE ADMISSION TESTING AREAS. ALL SELF-PAY PATIENTS RECEIVE CORRESPONDENCE AND PHONES CALLS AND INPATIENTS RECEIVE VISITS FROM OUR MEDICAID ELIGIBILITY VENDOR IN REFERENCE TO GOVERNMENT PROGRAMS.
PART VI, LINE 4: KDMC IS NESTLED IN THE FOOTHILLS OF THE APPALACHIAN MOUNTAINS, WHERE THE KENTUCKY, OHIO AND WEST VIRGINIA STATE LINES MEET. OUR PRIMARY SERVICE AREA ENCOMPASSES SIX COUNTIES IN TWO STATES, BOYD, CARTER, GREENUP AND LAWRENCE COUNTIES IN KENTUCKY AND LAWRENCE AND SCIOTO COUNTIES IN OHIO. MORE THAN 272,000 PEOPLE (U. S. CENSUS BUREAU) LIVE IN THE SIX-COUNTY AREA. WITH THE EXCEPTION OF TWO CITIES WITH POPULATIONS AROUND 20,000, THE AREA IS VERY RURAL, COVERING APPROXIMATELY 2,400 SQUARE MILES WITH A POPULATION DENSITY OF 113 PEOPLE PER SQUARE MILE. MORE THAN 18% OF THE POPULATION LIVES IN POVERTY, WITH CHILDREN IN POVERTY AT MORE THAN 25%. THE POPULATION IS 97% WHITE, 2% BLACK AND ALL OTHER RACES 1%. APPROXIMATELY 20% OF THE POPULATION DID NOT GRADUATE FROM HIGH SCHOOL. THE AVERAGE MEDIAN INCOME IS $36,695, WELL BELOW THE LEVELS FOR KENTUCKY, OHIO AND THE NATION. AVERAGE UNEMPLOYMENT IS 10.8% COMPARED TO 9.6% NATIONALLY AND 10% FOR KENTUCKY. THE KENTUCKY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM SHOWS THAT IN 2007, IN KDMC'S KENTUCKY MARKET AREA, 15.7% OF THOSE AGE 19-64 YEARS LACKED ANY FORM OF HEALTHCARE COVERAGE, COMPARED TO 14.5% IN THE NATION.
PART VI, LINE 6: KING'S DAUGHTERS MEDICAL CENTER ("KDMC") IS A LOCALLY CONTROLLED, NOT-FOR-PROFIT, 465-BED REGIONAL REFERRAL CENTER, COVERING A 150-MILE RADIUS THAT INCLUDES SOUTHERN OHIO, EASTERN KENTUCKY AND WESTERN WEST VIRGINIA. KDMC OFFERS COMPREHENSIVE CARDIAC, MEDICAL, SURGICAL, PEDIATRIC, REHABILITATIVE, PSYCHIATRIC, CANCER, NEUROLOGICAL, PAIN CARE, WOUND CARE AND HOME CARE SERVICES IN ONE CONVENIENT LOCATION.THERE ARE 295 PHYSICIANS ON STAFF, AND APPROXIMATELY 1,900 CLINICAL EMPLOYEES, INCLUDING LAB TECHNICIANS, NURSES, NURSING ASSISTANTS, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, RADIOLOGY TECHNICIANS, PHLEBOTOMISTS, AND SUPPORT PERSONNEL. EACH ARE HIGHLY TRAINED TO DELIVER QUALITY AND SAFE CARE TO INPATIENTS AND OUTPATIENTS. THE MEDICAL CENTER HAS:1) AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREAS;2) A BOARD OF DIRECTORS WHO GOVERN THE ORGANIZATION. THE BOARD IS COMPRISED OF COMMUNITY AND BUSINESS LEADERS, AND PHYSICIANS REPRESENTING THE GEOGRAPHIC AREA OF OUR REGION;3) AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES;4) PROVIDES FINANCIAL SUPPORT TO OTHER NONPROFIT ORGANIZATIONS FOR THE PURPOSE OF HEALTH PROMOTION AND COLLABORATING TO MEET UNMET NEEDS IN THE COMMUNITY.5) THE MEDICAL CENTER'S COMMUNITY RELATIONS DEPARTMENT IS FUNDED USING MEDICAL CENTER RESOURCES. THE DEPARTMENT INITIATES AND ORGANIZES HEALTH SCREENINGS AND EDUCATIONAL EVENTS DEVELOPED FOR THE SOLE PURPOSE OF IMPROVING THE HEALTH OF THOSE IN OUR REGION. THE COMMUNITY RELATIONS STAFF OFFERS: HEALTH SCREENINGS, HEALTH EDUCATION TO ADULTS AND CHILDREN, SUPPORT GROUPS, FLU SHOTS, AND SAFETY INSPECTIONS. IN FISCAL YEAR 2011, THE COMMUNITY RELATIONS DEPARTMENT PROVIDED NEARLY 300 HEALTH SCREENING EVENTS, 1074 FLU VACCINATIONS AND EDUCATED 19,000 YOUTH ABOUT THE HARMFUL EFFECTS OF TOBACCO USE AND THE IMPORTANCE OF HEALTHY EATING. ANY SURPLUS FUNDS ARE REINVESTED IN THE CAPITAL AND OPERATIONS OF THE HOSPITAL.
PART VI, LINE 7: KING'S DAUGHTERS MEDICAL CENTER IS PART OF AN AFFILIATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM PROVIDES PHYSICIAN SERVICES THROUGH TWO AFFILIATES, KENTUCKY HEART INSTITUTE AND KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. BOTH AFFILIATES PROVIDE CHARITY CARE AND PARTICIPATE IN GOVERNMENT PROGRAMS.PART VI LINE 7: THE COMMUNITY BENEFIT REPORT IS NOT REPORTED WITH ANY STATE BUT IT IS AVAILABLE TO THE PUBLIC.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
UNITED WAY OF NORTHEAST KENTUCKY
1236 WINCHESTER AVENUE	ASHLAND	KY	41101	616000060	501(C)(3)	60785	ANNUAL SUPPORT
BOYD COUNTY FISCAL COURT DBA BOYD COUNTY SHERIFF'S DEPARTMENT
2900 LOUISA STREET	CATLETTSBURG	KY	41129	616000733	GOVMT		TO PURCHASE TASERS	8856	INVOICE FROM COMPANY	12 TASERS
LEXINGTON AFFILIATE OF SUSAN G KOMEN FOR THE CURE
1795 ALYSHEBA WAY SUITE 3104	LEXINGTON	KY	40509	752854969	501(C)(3)	5000	SPONSORSHIP FOR THE "I AM THE CURE" WALK IN ASHLAND

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: ANY REQUEST FOR A GRANT MUST BE SUBMITTED IN WRITING TO THE COMMUNITY SERVICES DEPARTMENT AT KDMC. THIS REQUEST MUST BE SPECIFIC AS TO THE USE OF THE GRANT BY THE REQUESTING ORGANIZATION. ONCE THE GRANT CHECK IS ISSUED, A REPRESENTATIVE FROM THE GRANTEE ORGANIZATION MUST SIGN FOR THE CHECK AND SUBMIT A REPORT ON THE USE OF THE FUNDS AS WELL AS THE NUMBER OF PEOPLE SERVED BY THE GRANT. SINCE THIS IS A SMALL COMMUNITY, KDMC ALSO USUALLY KNOWS SOMEONE WITH CLOSE ASSOCIATION TO THE ORGANIZATION OR WHO REPRESENTS THE MEDICAL CENTER ON THEIR BOARD SO THAT USE OF THE GRANT CAN BE INDIRECTLY MONITORED.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	0	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JACKSON FRED
700728	0	147441	0	111024	0	402464	0	17016	0	1378673	0	0	0
MCDOWELL PAUL
253783	0	150887	0	92515	0	138914	0	18216	0	654315	0	65236	0
MAHANEY SHERYL
213109	0	95734	0	48055	0	102255	0	17016	0	476169	0	41848	0
FIORET PHILIP MD
465718	20000	172191	0	131577	0	167302	0	20016	0	956804	20000	89622	0
HIGGINS LARRY
209271	0	119662	0	85077	0	118851	0	15056	0	547917	0	51143	0
WHITLATCH KRISTIE
272286	0	109619	0	59963	0	121384	0	17016	0	580268	0	44897	0
BAILIFF ROBERT MD
479658	0	0	0	258	0	7350	0	15203	0	502469	0	0	0
GUIAB ROBIN MD
462572	0	0	0	138	0	7350	0	21682	0	491742	0	0	0
MARCUM JENAWIK M
429628	0	15000	0	12714	0	7350	0	22361	0	487053	0	0	0
SANCHEZ-VANHOOSE TRACI MD
473418	0	0	0	90	0	7350	0	12491	0	493349	0	0	0
SMITH PAUL DO
432437	0	25000	0	9138	0	7350	0	7144	0	481069	0	0	0
CORBITT PATRICIA
144128	0	20370	0	694	0	4976	0	16618	0	186786	0	0	0
LUCAS ROBERT
147981	0	78970	0	61622	0	73149	0	17524	0	379246	0	37432	0
PARIKH MANISH MD
110071	0	0	0	0	0	0	0	0	0	110071	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 1A	GROSS-UP PAYMENTS: PAUL MCDOWELL $6,708 (100% TAXABLE); LARRY HIGGINS $3,795 (100% TAXABLE) ARE RELATED TO ANNUAL BONUSES.
PART I, LINE 1B	THE GROSS-UP PAYMENTS ARE APPROVED BY THE CEO FOR THE VICE-PRESIDENTS.
PART I, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS: PAUL MCDOWELL - $65,236; SHERYL MAHANEY - $41,848; PHILIP FIORET - $89,622; LARRY HIGGINS - $51,143; KRISTIE WHITLATCH - $44,897; ROBERT LUCAS - $37,432 THE CEO AND 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. IN ADDITION, FRED JACKSON WILL BE PROVIDED WITH A LUMP-SUM SUPPLEMENTAL RETIREMENT BENEFIT IF HE REMAINS EMPLOYED UNTIL AGE 62. THE LUMP-SUM PAYMENT, WHEN COMBINED WITH ALL OTHER RETIREMENT BENEFITS, IS ESTIMATED TO PRODUCE A TARGET RETIREMENT INCOME REPLACEMENT EQUAL TO A PERCENTAGE OF FRED JACKSON'S FINAL AVERAGE PAY COMMENCING AT AGE 62.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA)
610600439	491269CG9	2008-09-24	146580000	REFUND PRIOR BOND ISSUES	0	0	0
KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA)
610600439	491269CX2	2010-04-01	75000000	HEALTHCARE FACILITIES, BUILDING AND EQUIPMENT	0	0	0
CITY OF ASHLAND KENTUCKY
616001775	044293AA6	2010-04-01	32615000	REFUND SERIES 1998 BONDS	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceeds	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount UnspentAmountUnspent
145708338	131710005	1423351	12574982	2010	1	1	1
73681839		1170837	36847567		0	0	1	35823487
33986558	33479012	507546			1	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	1	0.00000	0.00000	0.00000	1
0	0	0	0	1	0.00000	0.00000	0.00000	1
0	0	0	0	1	0.00000	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
JP MORGAN
0	1	1	22.500000000000	0	0	0	0	0
(no name)
0	0	0				0	0	0
(no name)
0	0	0				0	0	0

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PART II, LINE 3, ISSUE A	TOTAL PROCEEDS LISTED ON LINE 3 ARE NOT THE SAME AS THE ISSUE PRICE.	SERIES 2008C BOND DISCOUNT $871,662. ALSO, THE BOND ISSUES LISTED ON SCHEDULE K, PART I, LINE A CONSISTED OF THREE SERIES: SERIES 2008A, CUSIP 49126CG9, ISSUE PRICE 50,000,000 VARIABLE RATE ISSUE; SERIES 2008B, CUSIP 401269CH7, ISSUE PRICE 50,000,000, VARIABLE RATE ISSUE; SERIES 2008C, CUSIP 491269CJ3, ISSUE PRICE $46,580,000, FIXED RATE ISSUE.
PART II, LINE 3, ISSUE B	TOTAL PROCEEDS LISTED ON LINE 3 ARE NOT THE SAME AS THE ISSUE PRICE.	SERIES 2010A BOND DISCOUNT $1,318,161.05.
PART II, LINE 3, ISSUE C	TOTAL PROCEEDS LISTED ON LINE 3 ARE NOT THE SAME AS THE ISSUE PRICE.	SERIES 2010B BOND PREMIUM $1,371,558.05

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
ASHLAND AREA YMCA
TOM BURNETTE,BOARD DIRECTOR, IS ON THE BOARD OF ASHLAND AREA YMCA	403956	TOM BURNETTE IS ON THE ASHLAND AREA YMCA BOARD. ASHLAND HOSPITAL CORPORATION PAID THE YMCA $403,956 VIA PAYROLL DEDUCTIONS FOR DUES FOR EMPLOYEES.	0
ASHLAND OFFICE SUPPLY
TOM BURNETTE, BOARD DIRECTOR, IS THE OWNER OF ASHLAND OFFICE SUPPLY	2610179	TOM BURNETTE IS OWNER OF ASHLAND OFFICE SUPPLY. THE HOSPITAL PURCHASES OFFICE SUPPLIES & EQUIPMENT FROM ASHLAND OFFICE SUPPLY.	0
FRESENIUS MEDICAL CARE
DON HAMMONDS, BOARD DIRECTOR, IS MEDICAL DIRECTOR OF FRESENIUS MEDICAL CARE	1111013	DON HAMMONDS IS MEDICAL DIRECTOR OF FRESENIUS MEDICAL CARE WHICH PROVIDES INPATIENT DIALYSIS TREATMENT TO THE HOSPITAL.	0
SUSAN K SCHNEIDER
SISTER OF TRACY HILLMAN, BOARD DIRECTOR	30100	EMPLOYEE PAYROLL COMPENSATION FOR SUSAN SCHNEIDER	0
VAN ART PROPERTIES
JOHN STEWART, BOARD DIRECTOR, IS THE OWNER OF VAN ART PROPERTIES	476296	JOHN STEWART IS THE OWNER OF VAN ART PROPERTIES. THE HOSPITAL RENTS OFFICE SPACE FROM VAN ART PROPERTIES.	0
TRI-STATE RADIOLOGY
MAYOLA BOYKIN, BOARD DIRECTOR, IS AN EMPLOYEE OF TRI-STATE RADIOLOGY	3435771	MAYOLA BOYKIN IS AN EMPLOYEE OF TRI-STATE RADIOLOGY, WHICH PROVIDES RADIOLOGY SERVICES AND SUPPORT TO THE HOSPITAL.	0
ANN SLOAN
SISTER IN LAW OF JOHN STEWART, BOARD DIRECTOR	38823	EMPLOYEE PAYROLL COMPENSATION FOR ANN SLOAD	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11	THE 990 WILL BE REVIEWED IN DETAIL BY THE CFO AND CONTROLLER, BUT BEFORE IT IS FILED WITH THE IRS.
	KING'S DAUGHTERS MEDICAL CENTER REQUIRES ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO COMPLY WITH ITS CONFLICTS OF INTEREST POLICY, WHICH TRACKS THE IRS'S 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 NO CONFLICTS OF INTEREST EXIST. IN ADDITION, EMPLOYEES OF THE MEDICAL CENTER MUST CERTIFY THAT NO CONFLICTS OF INTEREST EXIST OR OBTAIN AN ADVANCE WAIVER OF ANY CONFLICTS. THE MEDICAL CENTER'S GENERAL COUNSEL OBTAINS ALL RELEVANT DISCLOSURES AND SIGNATURES. IF A CONFLICT OF INTEREST IS REPORTED, THE VICE PRESIDENT OR SENIOR VICE PRESIDENT TO WHOM THE REPORTING EMPLOYEE DIRECTLY OR INDIRECTLY REPORTS, TOGETHER WITH THE CEO, DETERMINES IF A CONFLICT EXISTS. IF THE REPORTING EMPLOYEE IS A SENIOR VICE PRESIDENT, THE CEO, IN CONSULTATION WITH THE GENERAL COUNSEL, DETERMINES IF A CONFLICT EXISTS. A MEMBER OF THE MEDICAL CENTER'S BOARD OF DIRECTORS REPORTS ANY CONFLICT OR POTENTIAL CONFLICT TO THE CHAIRMAN OF THE BOARD, THE CEO AND/OR THE GENERAL COUNSEL OF THE MEDICAL CENTER, AS APPROPRIATE. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE EMPLOYEE OR BOARD MEMBER IS 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 REPORTS A POTENTIAL OR ACTUAL 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 OR SENIOR VICE PRESIDENT, TOGETHER WITH THE GENERAL COUNSEL, IF APPROPRIATE, REVIEWS THE INSTANCE IN WHICH THE CONFLICT OCCURRED. THOSE LEADERS ENSURE THAT THE CONFLICTED INDIVIDUAL DID NOT INFLUENCE DECISION-MAKING OR PROFIT 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.	FORM 990, PART VI, SECTION B, LINE 12C
	AT THE DIRECTION OF THE HUMAN RESOURCES & COMPENSATION COMMITTEE OF THE BOARD, KDMC ENGAGES AON HEWITT, A LEADING INDEPENDENT GLOBAL HUMAN CAPITAL AND COMPENSATION CONSULTING COMPANY TO ASSIST IN DETERMINING COMPENSATION OF THE CEO AND VICE PRESIDENTS. THIS IS AN ANNUAL PROCESS AND AON HEWITT'S MOST RECENT EXECUTIVE COMPENSATION REVIEW WAS PERFORMED IN 2011. AON HEWITT IS NOT ENGAGED IN ANY OTHER WORK WITH KDMC. THE PRINCIPLE OBJECTIVE OF THIS STUDY WAS TO ASSEMBLE A DETAILED PROFILE OF THE CURRENT COMPENSATION LEVELS AVAILABLE TO EXECUTIVES MANAGING SIMILAR TASKS AND RESPONSIBILITIES AS MEMBERS OF THE KDMC EXECUTIVE TEAM, AS AON HEWITT SELECTED OTHER KEY EXECUTIVE MANAGEMENT ROLES. MOREOVER, THE OBJECTIVE WAS TO COMPILE MARKET DATA FOR EACH POSITION THAT WAS REFLECTIVE OF THE PAY LEVELS OFFERED BY INDEPENDENT, NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS OF COMPARABLE SIZE (I.E., $600 MILLION IN ANNUAL REVENUE) WITH OPERATIONS IN THE UNITED STATES. THE AON HEWITT DATA COUPLED WITH THE PERFORMANCE OF THE ORGANIZATION AS WELL AS THE PERSONAL PERFORMANCE OF EACH EXECUTIVE IS THE BASIS FOR KDMC'S HUMAN RESOURCE & COMPENSATION COMMITTEE'S REVIEW AND RECOMMENDATIONS, AND THE BOARD'S REVIEW AND APPROVAL OF ANNUAL COMPENSATION INCREASES. THE PROCESS INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THIS PROCESS WAS USED TO DETERMINE COMPENSATION FOR THE PRESIDENT/CEO AND ALL VICE-PRESIDENTS.	FORM 990, PART VI, SECTION B, LINE 15
	ON A QUARTERLY BASIS, THE FINANCIAL STATEMENTS ARE REPORTED TO EMMA AND MADE AVAILABLE ON THEIR WEBSITE. GOVERNING DOCUMENTS AND POLICIES ARE AVAILABLE UPON REQUEST.	FORM 990, PART VI, SECTION C, LINE 19
	AVERAGE HOURS PER WEEK FOR ASHLAND HOSPITAL CORPORATION AND ALL RELATED ORGANIZATIONS IS AS FOLLOWS: JACK BLAIR - 0.8 HOURS TOM BURNETTE - 0.8 HOURS JOHN STEWART - 0.6 HOURS DAVID JONES - 5.5 HOURS FRED JACKSON - 47.0 HOURS PAUL MCDOWELL - 46.3 HOURS SHERYL MAHANEY - 46.0 HOURS PHILIP FIORET - 41.0 HOURS LARRY HIGGINS - 41.5 HOURS KRISTIE WHITLATCH - 40.5 HOURS	FORM 990, PART VII
CHANGES IN NET ASSETS OR FUND BALANCES:	NET UNREALIZED LOSSES ON INVESTMENTS: -14,501,382. PENSION LIABILITY ADJUSTMENT 1,933,904. AMORTIZATION OF SWAP AGREEMENT 79,556. CHANGE IN MARKET VALUE INTEREST RATE SWAP -4,152,944. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS -122,236. TRANSFER FROM AFFILIATE 624,798. TOTAL TO FORM 990, PART XI, LINE 5: -16,138,304.	FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
ASHLAND NURSING HOME CORP
2500 STATE ROUTE 5	ASHLAND	KY	41102	611386016	NURSING HOME	KY	501(C)(3)	11-I	ASHLAND HOSPITAL CORPORATION	1
CHILD DEVELOPMENT CENTER CORP
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	010560598	CHILD CARE	KY	501(C)(3)	11-I	ASHLAND HOSPITAL CORPORATION	1
KENTUCKY HEART INSTITUTE
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	611255904	PHYSICIANS	KY	501(C)(3)	9	ASHLAND HOSPITAL CORPORATION	1
KENTUCKY HEART FOUNDATION
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	260791997	MEDICAL RESEARCH	KY	501(C)(3)	7	ASHLAND HOSPITAL CORPORATION	1
KENTUCKY MEDICAL LOGISTICS INC
2518 STATE ROUTE 5	ASHLAND	KY	41102	264736971	MEDICAL TRANSPORT	KY	501(C)(3)	9	ASHLAND HOSPITAL CORPORATION	1
KING'S DAUGHTERS HEALTH FOUNDATION INC
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	611035701	FUNDRAISING	KY	501(C)(3)	11-III-FI	ASHLAND HOSPITAL CORPORATION	1
KING'S DAUGHTERS HEALTH SYSTEM INC
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	274553836	HEALTHCARE	KY	501(C)(3)	11-II		1	N/A
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	264183569	PHYSICIANS	KY	501(C)(3)	9	ASHLAND HOSPITAL CORPORATION	1
PORTSMOUTH HOSPITAL CORP
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	453215312	HEALTHCARE	KY	501(C)(3)	3	ASHLAND HOSPITAL CORPORATION	1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND MEDICAL PROPERTIES INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2201 LEXINGTON AVENUE	AddressLine1
City	ASHLAND	City
State	KY	State
ZIP Code	41101	ZIPCode

Field	Value	IRS element (for citing)
EIN	611079090	EIN
Primary Activity	RENTALS	PrimaryActivity
Legal Domicile State	KY	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND HOSPITAL CORPORATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity
Share Of EOY Assets	62242	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
ASHLAND NURSING HOME CORP
Q	806632	ALL TRANSACTIONS BETWEEN
ASHLAND NURSING HOME CORP
R	847757	COMPANIES ARE CAPTURED
CHILD DEVELOPMENT CENTER CORP
Q	204125	IN THE DUE TO/FROM
KING'S DAUGHTERS HEALTH FOUNDATION INC
R	624798	ACCOUNTS. THE TYPES OF
KENTUCKY HEART FOUNDATION INC
A	28764	TRANSACTIONS THAT HIT THIS
KENTUCKY HEART INSTITUTE INC
A	504026	ACCOUNT ARE TRACKED MONTHLY.
KENTUCKY HEART INSTITUTE INC
B	770526
KENTUCKY HEART INSTITUTE INC
N	173434
KENTUCKY HEART INSTITUTE INC
Q	9971773
KENTUCKY MEDICAL LOGISTICS INC
Q	1430069
KENTUCKY MEDICAL LOGISTICS INC
R	1000000
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
A	270404
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
B	1524152
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
N	138990
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
Q	5905243