2026-05-15T13:40:47-05:00 2025-06-30 390859910 BAKER TILLY ADVISORY GROUP LP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2024-07-01 264183569 KING'S DAUGHTERS MEDICAL SPECIALTIES INC KING 6064084000 2201 LEXINGTON AVENUE ASHLAND KY 41101 SARA MARKS PRESIDENT 6064084000 2026-05-14 1 1 KERRI N BOGDA P00760402 7177404863 2026-05-13 2024 2025-03-06 01:10:19Z SARA MARKS 2201 LEXINGTON AVENUE ASHLAND KY 41101 98619241 0 X WWW.KINGSDAUGHTERSHEALTH.COM X 2009 KY TO DELIVER QUALITY HEALTHCARE SERVICES WHICH PROVIDE VALUE TO THE PATIENT, PAYER, AND KDHS. 10 10 337 11 0 0 0 0 97162851 98199726 157542 317220 62761 102295 97383154 98619241 0 0 0 0 118821107 126713739 0 0 0 22155138 22521218 140976245 149234957 -43593091 -50615716 15875809 20695469 16186620 15945366 -310811 4750103 X KING'S DAUGHTERS MEDICAL SPECIALTIES (KDMS) IS AN INTERGRATED SYSTEM OF MEDICAL SPECIALISTS AND PRIMARY CARE PHYSICIANS DESIGNED TO PROVIDE AN AVENUE FOR PHYSICIAN RECRUITMENT, RETENTION, AND EMPLOYMENT. CONTINUED ON SCHEDULE "O".KDMS PROVIDES ACCESS TO INFORMATION TECHNOLOGY, AS WELL AS LEADERSHIP AND DIRECTION IN A RAPIDLY TRANSFORMING HEALTHCARE ENVIRONMENT WITH CHANGING PAYOR DEMANDS. THE GOALS OF KDMS INCLUDE THE DELIVERY OF QUALITY SERVICE WHICH PROVIDES VALUE TO THE PATIENT, THE PAYOR, AND THE HEALTH SYSTEM. 0 0 149234957 98199726 KDMS HAS 29 MEDICAL SPECIALTIES PLUS PRIMARY CARE PHYSICIANS PROVIDING SERVICES IN 40 DIFFERENT LOCATIONS. THERE ARE 157 PHYSICIANS AND 132 ADVANCED PRACTITIONERS THAT MAKE UP THE PROVIDERS. KDMS SAW APPROXIMATELY 101,816 PATIENTS DURING FY2025 AND PROVIDED $1,180,855 OF CHARITY CARE. 149234957 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 337 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 KY X LAURIE STEWART CONTROLLER 6064089640 2201 LEXINGTON AVENUE ASHLAND KY 41101 DAVID JONES CHAIRMAN, BOARD OF DIRECTOR 0.25 4.00 X X 0 0 0 MARK BIRDWHISTELL BOARD OF DIRECTORS 0.25 2.25 X 0 0 0 CRAIG COLLINS BOARD OF DIRECTORS 0.25 2.25 X 0 0 0 ERIC MONDAY BOARD OF DIRECTORS 0.25 2.25 X 0 0 0 STEPHEN ADDINGTON BOARD OF DIRECTORS 0.25 2.25 X 0 0 0 TOM BURNETTE BOARD OF DIRECTORS 0.25 2.25 X 0 0 0 JOHN STEWART BOARD OF DIRECTORS 0.25 2.25 X 0 0 0 ROBERT DIPAOLA BOARD OF DIRECTORS 0.25 2.25 X 0 0 0 GINA DUGAS BOARD OF DIRECTORS 0.25 2.25 X 0 0 0 PENNY COX BOARD OF DIRECTORS 0.25 2.25 X 0 0 0 STEVEN CLIFTON SECRETARY 0.25 4.00 X 0 0 0 AUTUMN MCFANN TREASURER 1.25 60.25 X 0 1017721 137762 SARA MARKS PRESIDENT/CEO 1.25 60.25 X 0 1057903 138206 AMY SAUNDERS ASSISTANT SECRETARY 0.25 44.00 X 0 262208 27466 OMRAN ABUL-KHOUDOUD PHYSICIAN 40.75 0.25 X 1242173 0 72802 ZANE DARNELL PHYSICIAN 40.00 0.00 X 1948477 0 64455 ARTHUR GAING PHYSICIAN 40.00 0.00 X 1528573 0 48015 JENNIFER LISTERMAN PHYSICIAN 40.00 0.00 X 1460562 0 59274 SRIHARSHA VELURY PHYSICIAN 40.00 0.00 X 1152625 0 28214 7332410 2337832 576194 293 0 1 0 JACKSON & COKER LOCUMTENENS LLC 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 LOCUM TENENS PHYSICIANS 1642407 LOCUMTENENSCOM 2575 NORTHWINDS PARKWAY ALPHARETTA GA 30009 LOCUM TENENS PHYSICIANS 1393021 UNIVERSITY PHYSICIANS & SURGEONS 1600 MEDICAL CENTER DRIVE SUITE G5 HUNTINGTON WV 25701 PHYSICIANS 1111461 HAYES LOCUMS LLC 5900 N ANDREWS AVENUE 900 FORT LAUDERDALE FL 33309 LOCUM TENENS PHYSICIANS 1027889 BLUEGRASS ANESTHESIA ASSOCIATES 1140 CARTER AVENUE 2496 ASHLAND KY 41101 PHYSICIAN 842657 19 NET PATIENT SERVICE RE 621110 98152097 98152097 MEANINGFUL USE REVENUE 621110 47629 47629 98199726 317220 317220 1656 0 1656 1656 1656 QUALITY INCENTIVE 900099 95005 95005 INSURANCE REIMBURSEMEN 900099 5634 5634 100639 98619241 98199726 0 419515 X 113029314 113029314 3127504 3127504 6206950 6206950 4349971 4349971 16093978 16093978 330 330 158309 158309 96767 96767 314988 314988 254679 254679 165673 165673 BAD DEBT EXPENSE 5304915 5304915 PATIENT CARE AUTO EXPEN 76080 76080 REPAIRS & MAINTENANCE 24630 24630 SUPPLIES 14042 14042 16827 16827 149234957 149234957 0 0 100819 47794 8817463 9149811 1751738 2704210 4075112 7840161 88298 95579 1419728 561814 1042379 857914 15875809 20695469 16170746 15893121 15874 52245 16186620 15945366 X -310811 4750103 -310811 4750103 15875809 20695469 X -50615716 55676630 X 0 1 X 1 0 X 2950 2950 68093591 83715208 78683950 97162851 98199726 425855326 68093591 83715208 78686900 97162851 98199726 425858276 0 0 0 425858276 1683 1795 61442 159198 318876 542994 1683 1795 61442 159198 318876 542994 19484 184344 35242 61105 100639 400814 68114758 83901347 78783584 97383154 98619241 426802084 0.99780 0.99810 0.00130 0.00060 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: QUALITY INCENTIVE - 2020 AMOUNT: $ 19,484. 2021 AMOUNT: $ 184,344. 2022 AMOUNT: $ 35,242. 2023 AMOUNT: $ 61,105. 2024 AMOUNT: $ 95,005. INSURANCE REIMBURSEMENT - 2024 AMOUNT: $ 5,634. SCHEDULE A, PAGE 3, PART III: KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. FILED A SHORT YEAR RETURN FOR FISCAL YEAR END JUNE 30, 2023. 216000 22298 193702 1203728 539516 664212 857914 KENTUCKY SALES TAX PAYABLE 52245 52245 1 0 1 0 0 0 0 0 1 0 ZANE DARNELL PHYSICIAN 1944865 0 0 0 3612 0 19275 0 45180 0 2012932 0 0 0 ARTHUR GAING PHYSICIAN 1520766 0 0 0 7807 0 19275 0 28740 0 1576588 0 0 0 JENNIFER LISTERMAN PHYSICIAN 1459302 0 0 0 1260 0 15525 0 43749 0 1519836 0 0 0 OMRAN ABUL-KHOUDOUD PHYSICIAN 1240241 0 0 0 1932 0 19275 0 53527 0 1314975 0 0 0 SARA MARKS PRESIDENT/CEO 0 602112 0 316250 0 139541 0 115525 0 22681 0 1196109 0 100000 SRIHARSHA VELURY PHYSICIAN 1116581 0 0 0 36044 0 19275 0 8939 0 1180839 0 0 0 AUTUMN MCFANN TREASURER 0 619374 0 265400 0 132947 0 115525 0 22237 0 1155483 0 100000 AMY SAUNDERS ASSISTANT SECRETARY 0 237373 0 23706 0 1129 0 11858 0 15608 0 289674 0 0 PART I, LINE 3 COMPENSATION FOR THE CEO IS DETERMINED BY ASHLAND HOSPITAL CORPORATION (RELATED ORGANIZATION) USING THE FOLLOWING METHODS: INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY/STUDY, AND APPROVAL BY THE BOARD. PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: - AUTUMN MCFANN $31,237 - SARA MARKS $36,931 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. ABUL-KOHUDOUD OMRAN MD PHYSICIA 5 HIGHEST PAID SEE PART V X 1006000 1063841 0 1 1 VELURY SRIHARSHA MD PHYSICIAN 5 HIGHEST PAID SEE PART V X 1499999 1640369 0 1 1 2704210 SCHEDULE L, PART II, PURPOSE OF LOAN: THE ORGANIZATION SPONSORS SPECIFIC WELFARE BENEFIT PLANS FOR EACH OF THE INTERESTED PERSONS LISTED ABOVE, THAT AUTHORIZE THE PURCHASE OF LIFE INSURANCE POLICIES AS A MEANS OF PROVIDING POST-EMPLOYMENT BENEFITS. EACH PREMIUM CONTRIBUTION PAID ON BEHALF OF THE INTERESTED PERSON IS TREATED FOR TAX, LEGAL AND FINANCIAL PURPOSES AS A LONG-TERM LOAN RECEIVABLE. AS SUCH THE ORGANIZATION RETAINS A PERMANENT AND PRIMARY IRREVOCABLE INTEREST IN THE DEATH BENEFIT OF THE LIFE INSURANCE POLICIES THAT WILL PROVIDE FULL REPAYMENT OF THE ACCUMULATED LOAN RECEIVABLE AT THE DEATH OF THE INTERESTED PERSON. FORM 990, PART V, LINE 1A: THERE IS NO SEPARATE FORM 1096 FILED BY KING'S DAUGHTERS MEDICAL SPECIALITIES, INC. ("KDMS"). ALL THE PAYMENTS ARE MADE BY ASHLAND HOSPITAL CORPORATION ("AHC"), AN AFFILIATE ENTITIY, UNDER ITS EIN 61-0444716. FORM 990, PART VI, SECTION A, LINE 6 ASHLAND HOSPITAL CORPORATION (AHC) IS THE SOLE CORPORATE MEMBER OF KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. (KDMS). AHC, A 501(C)(3) ENTITY, IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A THE KDMS BOARD IS FOLDED INTO THE MAIN BOARD OF TRUSTEES OF AHC'S PARENT CORPORATION. THE BUSINESS OF KDMS IS AN INCORPORATED INTO THE BUSINESS OF THE FULL BOARD INDEPENDENTLY, OR THROUGH ITS COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WILL BE REVIEWED BY THE CEO AND CONTROLLER BEFORE IT IS FILED WITH THE IRS. THE 990 WILL BE KEPT ON FILE AND AVAILABLE FOR REVIEW BY BOARD MEMBERS UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 12C 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 DEPARTMENTS MAINTAIN ALL RELEVANT DISCLOSURES AND SIGNATURES. ALL EMPLOYEES PROVIDE ANNUAL CONFLICT CHECKS. IF A CONFLICT OF INTEREST IS REPORTED, THE VICE PRESIDENT TO WHOM THE REPORTING EMPLOYEE DIRECTLY OR INDIRECTLY REPORTS, TOGETHER WITH THE CEO, CORPORATE COMPLIANCE OFFICER AND GENERAL COUNSEL, DETERMINES IF A CONFLICT EXISTS. IF THE REPORTING EMPLOYEE IS A VICE PRESIDENT, THE CEO, IN CONSULTATION WITH THE GENERAL COUNSEL, DETERMINES IF A CONFLICT EXISTS. ANNUALLY, BOARD MEMBERS DISCLOSE PERSONAL AND PROFESSIONAL RELATIONSHIPS TO THE SECRETARY OF THE BOARD. IF A POTENTIAL CONFLICT EXISTS, THE BOARD SECRETARY OR A BOARD MEMBER WILL IDENTIFY THE CONFLICT, OR POTENTIAL CONFLICT, AND THE BOARD MEMBER WILL BE REMOVED FROM ANY PART OF THE DECISION-MAKING PROCESS, AND HAS NO ROLE IN THE INSTANCE IN WHICH THE CONFLICT EXISTS. A BOARD MEMBER WHO HAS A CONFLICT OF INTEREST MUST ABSTAIN FROM ANY RELEVANT DISCUSSION OR VOTE. IF A CONFLICT OF INTEREST IS DISCOVERED AFTER THE FACT, THE CEO AND VICE PRESIDENT, TOGETHER WITH THE GENERAL COUNSEL, IF APPROPRIATE, REVIEW THE INSTANCE IN WHICH THE CONFLICT OCCURRED. THOSE LEADERS DETERMINE WHETHER THE CONFLICTED INDIVIDUAL INFLUENCED THE DECISION-MAKING OR PROFITED FROM THE CONFLICT. THE CONFLICTED INDIVIDUAL IS REMOVED FROM ANY FURTHER INVOLVEMENT. IN ADDITION, ANY FAILURE TO REPORT CONFLICTS OF INTEREST VIOLATES THE MEDICAL CENTER'S POLICY AND COULD RESULT IN DISCIPLINARY ACTION, UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR REMOVAL FROM THE MEDICAL CENTER'S BOARD OF DIRECTORS. MEDICAL STAFF MEMBERS ARE REQUIRED BY THE MEDICAL STAFF BYLAWS TO DISCLOSE CONFLICTS OF INTEREST. ONCE DISCLOSED, THE MEDICAL STAFF MEMBER IS REMOVED FROM ANY DISCUSSION, DECISION-MAKING, AND/OR VOTE ON ANY RELATED ISSUE. FORM 990, PART VI, SECTION B, LINE 15 AT THE DIRECTION OF THE BOARD OF DIRECTORS, KDMC SET COMPENSATION FOR THE TEAM MEMBERS AND LEADERS USING LOCAL, REGIONAL AND NATIONAL SALARY INFORMATION PROVIDED THROUGH SURVEY DATA. THE PRIMARY OBJECTIVE OF KING'S DAUGHTERS COMPENSATION PHILOSOPHY IS TO HAVE COMPENSATION AND BENEFITS SET THAT REFLECT OTHER SIMILAR INDEPENDENT NOT FOR PROFIT HEALTHCARE SERVICES AS WELL AS THE WORK PERFORMANCE OF THE ORGANIZATION. MERCER, AN INDEPENDENT COMPENSATION EXPERT, PERIODICALLY PERFORMS A REVIEW OF EXECUTIVE COMPENSATION AND BENEFITS. SULLIVAN COTTER, AN INDEPENDENT COMPENSATION EXPERT, PROVIDES ANNUAL MARKET SURVEY DATA FOR PHYSICIAN COMPENSATION AND BENEFITS WHICH IS USED FOR DETERMINATION OF FAIR MARKET VALUE. FORM 990, PART VI, SECTION C, LINE 19 ON A QUARTERLY BASIS, THE FINANCIAL STATEMENTS ARE REPORTED TO THE MUNICIPAL SECURITIES RULEMAKING BOARD AND MADE AVAILABLE ON THEIR WEBSITE. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROGRAM SERVICES EXPENSE: PROGRAM SERVICE EXPENSES 16,093,978. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,093,978. FORM 990, PART XI, LINE 9: FORGIVENESS OF INTERCOMPANY PAYABLE 55,676,630. ASHLAND HOSPITAL CORPORATION 2201 LEXINGTON AVENUE ASHLAND KY 41101 610444716 HEALTHCARE KY 501(C)(3) LINE 3 ROYAL BLUE HEALTH LLC 0 ASHLAND NURSING HOME CORPORATION 2500 STATE ROUTE 5 ASHLAND KY 41102 611386016 NURSING HOME KY 501(C)(3) LINE 10 ASHLAND HOSPITAL CORPORATION 0 KENTUCKY MEDICAL LOGISTICS INC 201 SOUTHLAND DRIVE ASHLAND KY 41102 264736971 MEDICAL TRANSPORT KY 501(C)(3) LINE 10 ASHLAND HOSPITAL CORPORATION 0 PORTSMOUTH HOSPITAL CORPORATION 1901 ARGONNE AVENUE PORTSMOUTH OH 45662 453215312 HEALTHCARE OH 501(C)(3) LINE 3 ROYAL BLUE HEALTH LLC 0 KENTUCKY HEART FOUNDATION INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 260791997 MEDICAL RESEARCH KY 501(C)(3) LINE 7 ASHLAND HOSPITAL CORPORATION 0 CHILD DEVELOPMENT CENTER CORPORATION 2201 LEXINGTON AVENUE ASHLAND KY 41101 010560598 DAYCARE KY 501(C)(3) LINE 10 ASHLAND HOSPITAL CORPORATION 0 KENTUCKY HEART INSTITUTE INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 611255904 PHYSICIANS KY 501(C)(3) LINE 10 ASHLAND HOSPITAL CORPORATION 0 ROYAL BLUE HEALTH LLC 2201 LEXINGTON AVENUE ASHLAND KY 41101 862993817 HEALTHCARE KY 501(C)(3) LINE 12B, II N/A 0 ASHLAND MEDICAL PROPERTIES INC 2201 LEXINGTON AVE ASHLAND KY 41101 611079090 RENTALS KY N/A C 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 1