2026-05-15T13:38:46-05:00 2025-06-30 390859910 BAKER TILLY ADVISORY GROUP LP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2024-07-01 610444716 ASHLAND HOSPITAL CORPORATION ASHL 6064084000 2201 LEXINGTON AVENUE ASHLAND KY 41101 SARA MARKS PRESIDENT/CEO 6064084000 2026-05-14 1 1 KERRI N BOGDA P00760402 7177404863 2026-05-14 2024 2025-03-06 01:10:19Z UK KING'S DAUGHTERS MEDICAL CENTER SARA MARKS 2201 LEXINGTON AVENUE ASHLAND KY 41101 1055840538 0 X WWW.KINGSDAUGHTERSHEALTH.COM X 1941 KY TO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL. 10 9 5852 101 170756 0 3200831 772698 946381206 960409610 19857604 34508058 7373242 10920232 976812883 1006610598 581113 609933 0 0 392170861 416649322 0 0 0 412924100 455967265 805676074 873226520 171136809 133384078 1341036066 1411623047 409734361 388655838 931301705 1022967209 X TO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL. 0 0 767239819 609933 960409610 LOCATED IN ASHLAND, KY., KING'S DAUGHTERS MEDICAL CENTER HAS BEEN SERVING THE PEOPLE OF NORTHEASTERN KENTUCKY, SOUTHERN OHIO, AND WESTERN WEST VIRGINIA SINCE 1899. OUR MISSION IS CENTERED ON HEALING THE SICK, IMPROVING QUALITY AND LENGTH OF LIFE, BUILDING HEALTHY COMMUNITIES, AND MEETING THE EVOLVING HEALTHCARE NEEDS OF THE REGION.AS ONE OF THE AREA'S LARGEST EMPLOYERS, KING'S DAUGHTERS PLAYS A VITAL ROLE IN THE REGION'S INFRASTRUCTURE BY ENSURING ACCESS TO HIGH-QUALITY HEALTHCARE SERVICES; PROVIDING STABLE EMPLOYMENT; SUPPORTING ECONOMIC DEVELOPMENT; AND INVESTING IN EDUCATION FROM PRE-SCHOOL THROUGH SENIOR CITIZENS.KING'S DAUGHTERS PROVIDES COMPREHENSIVE HEALTHCARE SERVICES ACROSS A BROAD RANGE OF SPECIALTIES, INCLUDING HEART AND VASCULAR CARE; ORTHOPEDICS AND SPORTS MEDICINE; DIGESTIVE HEALTH; SURGICAL SERVICES AND BARIATRICS; BEHAVIORAL MEDICINE AND PSYCHIATRIC CARE; ONCOLOGY; MATERNITY, WOMEN'S CARE AND PEDIATRICS; PULMONOLOGY; AND PRIMARY CARE. KING'S DAUGHTERS IS COMPRISED OF ONE ACUTE-CARE HOSPITAL TOTALING 465 LICENSED BEDS; AN INTEGRATED NETWORK OF MORE THAN 500 PHYSICIANS AND ADVANCED PRACTITIONERS; AND MORE THAN 80 AMBULATORY CENTERS AND PRACTICE LOCATIONS OFFERING BOTH PRIMARY AND SPECIALTY CARE THROUGHOUT EASTERN KENTUCKY AND SOUTHERN OHIO. THIS GEOGRAPHICALLY DISTRIBUTED NETWORK OF PROVIDERS AND DIAGNOSTIC CENTERS HELPS ENSURE ACCESSIBLE, CONVENIENT HEALTHCARE SERVICES FOR INDIVIDUALS WHERE THEY LIVE AND WORK.KING'S DAUGHTERS AND ITS TEAM MEMBERS ARE DEEPLY ENGAGED IN PROGRAMS THAT SUPPORT THE HEALTH, WELL-BEING, AND ECONOMIC VITALITY OF THE COMMUNITIES WE SERVE, INCLUDING:- PROVIDING FREE IN-PERSON HEALTH SCREENINGS ADDRESSING CONDITIONS SUCH AS DIABETES, COLON CANCER, HEART DISEASE, JOINT HEALTH, SLEEP DISORDERS, AND SKIN CANCER.- OFFERING FREE ONLINE HEALTH RISK ASSESSMENTS AND FOLLOW UP.- CONDUCTING EXTENSIVE COMMUNITY EDUCATION AND OUTREACH EFFORTS TO INCREASE AWARENESS OF AND COMPLIANCE WITH SCREENING RECOMMENDATIONS FOR BREAST, SKIN, LUNG, AND COLORECTAL CANCERS; STROKE; HEART DISEASE; DIABETES; AND MENTAL HEALTH AND SUBSTANCE USE DISORDERS.- PARTNERING WITH COMMUNITY ORGANIZATIONS TO PROMOTE EDUCATION, PHYSICAL ACTIVITY, SOCIAL ENGAGEMENT, AND ECONOMIC DEVELOPMENT.- SPONSORING OR PARTICIPATING IN COMMUNITY EVENTS SUCH AS STRIKE-OUT STROKE, COMMUNITY BABY SHOWERS, AND FREE FLU VACCINATION CLINICS.- SPONSORING IN-PERSON SUPPORT GROUPS FOR INDIVIDUALS, THEIR FAMILIES, AND CAREGIVERS.- PROVIDING FREE SPORTS PHYSICALS TO STUDENT ATHLETES THROUGHOUT THE REGION; PLACING CERTIFIED ATHLETIC TRAINERS IN LOCAL SCHOOLS; AND OFFERING WEEKDAY WALK-IN ORTHOPEDIC CLINICS IN ASHLAND, KY., AND PORTSMOUTH, OHIO.- PLACING ADVANCED PRACTICE NURSES IN LOCAL ELEMENTARY, MIDDLE, AND HIGH SCHOOLS TO PROVIDE HEALTH EDUCATION, IMMUNIZATIONS, SCREENINGS, AND CARE FOR ACUTE ILLNESS TO STUDENTS, FACULTY, AND STAFF.- PROVIDING 3D MAMMOGRAPHY SERVICES AT TWO PERMANENT IMAGING LOCATIONS AND TWO MOBILE MAMMOGRAPHY UNITS THAT BRING THIS POTENTIALLY LIFE-SAVING TESTING TO UNDERSERVED AND REMOTE AREAS.- RAISING FUNDS TO ASSIST UNINSURED AND UNDERINSURED PATIENTS RECEIVE DIAGNOSTIC MAMMOGRAMS, BREAST BIOPSIES AND ADVANCED CARE RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT. - EXPANDING ACCESS TO CARE THROUGH TWO MOBILE HEALTH UNITS OFFERING OCCUPATIONAL MEDICINE, HEARING SCREENINGS, GENERAL HEALTH SCREENINGS, EKGS, AND OTHER SERVICES AS REQUESTED BY LOCAL PROVIDERS.- INCREASING ACCESS TO FRESH, HEALTHY FOOD THROUGH SPONSORSHIP OF FARMERS MARKETS SERVING FIVE COUNTIES IN KENTUCKY AND OHIO.- DONATING FOOD AND SUPPORTING LOCAL FOOD BANKS TO ADDRESS FOOD INSECURITY IN THE REGION.- MANAGING MEALS ON WHEELS PROGRAMS IN BOYD AND GREENUP COUNTIES, PROVIDING FREE AND LOW-COST MEALS TO ELIGIBLE RESIDENTS.- PARTNERING WITH THE AMERICAN RED CROSS TO SPONSOR MONTHLY BLOOD DRIVES ON THE ASHLAND CAMPUS AND UKKD PAVILION IN GREENUP, KY.- PROVIDING FREE TRANSPORTATION TO MEDICAL APPOINTMENTS FOR INDIVIDUALS WITHOUT DEPENDABLE TRANSPORTATION THROUGH THE VAN MINISTRY PROGRAM.- PROVIDING PEER SUPPORT SPECIALIST AND COMMUNITY HEALTH WORKERS TO WORK WITH INDIVIDUALS IN THE COMMUNITY THAT STRUGGLE WITH VARIOUS SOCIAL DETERMINANTS OF HEALTH INCLUDING FOOD INSECURITY AND TRANSPORTATION. THESE PROGRAMS ARE DESIGNED TO ASSIST COMMUNITY MEMBERS WITH BASIC NEEDS THAT SO OFTEN FALL THROUGH THE CRACKS. STAFF ALSO ASSIST INDIVIDUALS THAT ARE DEALING WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS FIND TREATMENT AND ASSIST WITH ARRANGING TRANSPORTATION TO PROGRAMS OFFERED IN THE COMMUNITY. THROUGH THESE AND OTHER INITIATIVES, KING'S DAUGHTERS REMAINS COMMITTED TO IMPROVING ACCESS TO CARE, ADVANCING COMMUNITY HEALTH, AND MEETING THE EVOLVING NEEDS OF THE REGION. 767239819 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 378 0 5852 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 10 9 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 KY X LAURIE STEWART CONTROLLER 6064089640 2201 LEXINGTON AVENUE ASHLAND KY 41101 DAVID JONES CHAIRMAN, BOARD OF DIRECTOR 2.00 2.75 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 2.50 X 0 0 0 TOM BURNETTE BOARD OF DIRECTORS 0.25 2.75 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 2.00 2.25 X 0 0 0 SARA MARKS PRESIDENT/CEO 51.25 10.25 X 1057903 0 138206 AUTUMN MCFANN TEASURER, SENIOR VP/CHIEF FIN. & ADMIN OFFICER 51.25 10.25 X 1017721 0 137762 AMY SAUNDERS ASSISTANT SECRETARY 42.00 2.25 X 262208 0 27466 JAMES DETHERAGE VP / CMO OF OUTPATIENT & INTEGRATED PRACTICES 0.25 40.00 X 0 709810 108979 CHARBEL SALEM VP/CHIEF POPULATION HEALTH OFFICER, PHYSICIAN 0.25 50.00 X 0 935903 108277 RICHARD FORD VP / CMO OF INPATIENT / PROCEDURAL SERVICES 0.25 40.00 X 0 706934 81681 STACY CAUDILL VP/CHIEF INPATIENT CLINICAL OFFICER, PHYSICIAN 0.25 40.00 X 0 516858 90844 OMRAN ABUL-KHOUDOUD INTERIM VP, CMO INPATIENT/PROC SERVICES, PHYSICIAN 0.25 40.75 X 0 1242173 72802 PAUL MATHAROO PHYSICIAN 40.00 0.00 X 817201 0 45625 BRADLEY WELLS PHYSICIAN 40.00 0.00 X 756960 0 38349 GARRICK SHERMAN PHYSICIAN 40.00 0.00 X 742576 0 37325 SCOTT MOORE PHYSICIAN 40.00 0.00 X 1102860 0 44056 PHO NGUYEN PHYSICIAN 40.00 0.00 X 742783 0 62797 6500212 4111678 994169 534 0 1 0 THE ROBINS & MORTON GROUP 400 SHADES CREEK PARKWAY BIRMINGHAM AL 35209 CONSTRUCTION 68205096 EMCARE INC 13737 NOEL ROAD SUITE 1600 DALLAS TX 75240 PHYSICIAN SERVICES 2125288 HEALTH CAROUSEL LLC 4000 SMITH ROAD SUITE 410 CINCINNATI OH 45209 AGENCY NURSES 1782413 OBHG KENTUCKY PSC 777 LOWNDES HILL ROAD BUILDING 1 GREENVILLE SC 296072131 HOSPITALISTS 1614909 ELEVATE PFS HOLDINGS 25700 INTERSTATE 45 NORTH SUITE 30 SPRING TX 77386 CONSULTANTS 1437700 37 367005 405693 772698 NET PATIENT SVC REV 621110 876838654 876838654 PHARMACY 456110 83089375 82910746 178629 LOST PATIENT REVENUE S 621110 481367 481367 MEANINGFUL USE REVENUE 621110 214 214 960409610 22542744 22542744 2297 2297 1093620 1575 475958 9448 617662 -7873 609789 -7873 617662 60704875 2676 46749801 1994733 13955074 -1992057 11963017 11963017 CAFETERIA 900099 4233676 4233676 QUALITY INCENTIVE 900099 3064884 3064884 INSURANCE SETTLEMENT 900099 2230269 2230269 781614 781614 10310443 1006610598 960230981 170756 45436163 609933 609933 2584670 2584670 251199 152119 99080 314844564 275922171 38922393 12098315 10602963 1495352 63784241 55947497 7836744 23086333 19930431 3155902 1738965 107890 1631075 200400 200400 35290 35290 674551 674551 55505730 52041858 3463872 1658278 1658278 3238241 1509418 1728823 5578515 5571697 6818 11987231 4034479 7952752 437885 437885 253752 239103 14649 10371322 635070 9736252 47493145 38388096 9105049 MEDICAL SUPPLIES 220401598 215621034 4780564 BAD DEBT EXPENSE 46080859 46080859 REPAIRS & MAINTENANCE 29170548 23403751 5766797 TAX (INC. PROVIDER TAX) 7962074 7658020 304054 13178881 8748140 4430741 873226520 767239819 105986701 0 3516892 1327353 98337340 125789141 72357438 75011273 34927 149364 2320163 1290600 13715902 14655848 5373075 7006669 625660440 88054977 443332624 537605463 423754687 463537844 3821341 3821341 100000 274471677 181328151 1341036066 1411623047 84889156 88534251 5132966 5874927 221870466 212931214 99948 1066909 97741825 80248537 409734361 388655838 X 931301705 1022967209 931301705 1022967209 1341036066 1411623047 X 133384078 7224765 -48943339 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 35290 35290 0 PART II-B, LINE 1: - $984: PORTION OF DUES PAID TO THE AMERICAN COLLEGE OF RADIOLOGISTS ATTRIBUTABLE TO LOBBYING. - $10,630: PORTION OF DUES PAID TO THE COLLEGE OF AMERICAN PATHOLOGISTS ATTRIBUTABLE TO LOBBYING. - $19,585 : PORTION OF DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING. - $72: PORTION OF DUES PAID TO THE AMERICAN ACADEMY OF SLEEP MEDICINE ATTRIBUTABLE TO LOBBYING. - $3,383: PORTION OF DUES PAID TO THE ASSOCIATION OF PERIOPERATIVE REGISTERED NURSES ATTRIBUTABLE TO LOBBYING. - $636: PORTION OF DUES PAID TO 340B HEALTH ATTRIBUTABLE TO LOBBYING. 26169370 26169370 427594648 36231852 391362796 14356987 2933462 11423525 138257765 48182548 90075217 19281670 707115 18574555 537605463 TRUSTEED FUNDS 3723 DUE FROM RELATED PARTIES 1505880 DUE FROM KY MEDICAID 112376918 OPERATING LEASES 33057399 DUE FROM INTEGRATED HEALTH INSURANCE LTD. 27630401 DEFERRED EXPENSES 6753830 181328151 MALPRACTICE COSTS 20242820 ACCRUED PENSION 12987541 LONG-TERM RETENTION PLAN 1000008 INTEREST RATE SWAP AGREEMENTS 3454773 EST. THIRD PARTY PAYOR SETTLEMENTS 12989359 LEASES PAYABLE 29572940 DUE TO RELATED PARTIES 1096 80248537 1 1 X 1 X 1 X 1 1 1 0 1 1 3663574 3663574 0.00440 182619874 275586675 0 0.00000 186283448 275586675 3663574 0.00440 7401293 7401293 0.00890 5888370 5888370 0.00710 9810514 9810514 0.01190 232253 232253 0.00030 1971920 1971920 0.00240 25304350 25304350 0.03060 211587798 275586675 28967924 0.03500 1 17232424 925078 123307948 150268813 -26960865 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 24 1 0 0 1 X KINGSDAUGHTERSHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X 1 25 1 KINGSDAUGHTERSHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 200.000000000000 300.000000000000 X X X X 1 1 X X X 1 X KINGSDAUGHTERSHEALTH.COM/PATIENT-VISITORS/FINANCIAL-SERVICES-RESOURCES X KINGSDAUGHTERSHEALTH.COM/PATIENT-VISITORS/FINANCIAL-SERVICES-RESOURCES X KINGSDAUGHTERSHEALTH.COM/PATIENT-VISITORS/FINANCIAL-SERVICES-RESOURCES X X X X X X 1 X 0 X X X X 1 X 0 1 ASHLAND HOSPITAL CORPORATION PART V, SECTION B, LINE 5: COMMUNITY FORUMS WERE CONDUCTED IN EACH OF THE COUNTS IN THE CHNA COMMUNITY. EACH ATTENDEE WAS SELECTED AND ENCOURGED TO ATTEND SO THE HOSPITAL COULD SOLICIT INPUT FROM THE HEALTH DEPARTMENT, COMMUNITY MEMBERS, AND MEMBERS OF THE UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. HEALTH DEPARTMENT LEADERS PROVIDED RELEVANT INFORMATION TO ATTENDEES AND COUNTY HELALTH STATISTICS WERE DISCUSSED AS A PART OF THE COMMUNITY FOUMS. THREE QUESTIONS WERE DISCUSSED AMONTH THE ATTENDEES AND A CONTENT ANALYSIS WAS CONDUCTED FOR EACH QUESTION IDENTIFYING THE TOP NEEDS THAT EMERGED. THREE QUESTIONS THAT WERE DISCUSSED WERE: 1. WHAT DOES A HEALTHY COUNTY LOOK LIKE? 2. WHAT ARE THE COUNTY'S BIGGEST NEEDS IN ORDER TO BE THE HEALTHY COUNTY THAT WE ENVISONED? 3. WHAT ARE THE TOP HEALTH NEEDS IN OUR COUNTY? ASHLAND HOSPITAL CORPORATION PART V, SECTION B, LINE 11: THE 2024-2025 COMMUNITY HEALTH NEED ASSESSMENT IDENTIFIED THE FOLLOWING NEEDS THAT THE MEDICAL CENTER WILL BE ADDRESSING:THE PRIORITIES IDENTIFIED BY THE CHNA AND RATIFIED BY THE KDMC LEADERSHIP TEAM ARE: PREVENTIVE HEALTH AND EDUCATION1. ACCESS TO HEALTH SERVICES/NAVIGATING HEALTHCARE SERVICES2. CHRONIC HEALTH CONDITIONS (HIGH BLOOD PRESSURE, DIABETES, HEART DISEASE, CANCER, CHRONIC PAIN.3. FOOD INSECURITY/LACK OF HEALTHY NUTRITION4. OBESITY5. PHYSICAL INACTIVITY6. SENIOR SERVICES7. SMOKING/VAPING8. MONETARY SPONSORSHIPS TO COMMUNITY-BASED ORGANIZATIONS. MENTAL HEALTH/SUBSTANCE USE DISORDER1. SUICIDE PREVENTION AND MENTAL HEALTH AWARENESS. 2. MENTAL HEALTH RESOURCES/PROGRAMING IN THE COMMUNITY TRANSPORTATION1. EVALUATE UKKD AND THE SURROUNDING COMMUNITIES' TRANSPORTATION SYSTEMS AND IDENTIFY GAPS AND OPPORTUNITIES. DEVELOP A COMPREHENSIVE PLAN TO MAXIMIZE EFFICIENCIES AND EXPAND SERVICES WHERE FEASIBLE WITH POTENTIAL SOLUTIONS FOR RELIABLE TRANSPORTATION IN THE COMMUNITY.DESCRIBE ANY NEEDS THAT ARE NOT BEING ADDRESSED, AND THE REASONS WHY THE NEEDS ARE NOT BEING ADDRESSED. CHILDCARE- THIS IS OUT OF OUR SCOPE OF WORK POVERTY- KDMC ADDRESS THIS THROUGH OUR SPONSORSHIPS OF ORGANIZATIONS FOCUSED ON THOSE LIVING IN POVERTY BY HELPING THEM EXPAND THEIR SERVICES AND SERVE MORE CLIENTS. THE FOCUS IS ON ORGANIZATIONS PROVIDING FOOD, CLOTHING, HOUSING AND SOCIAL SERVICES. UNINTENTIONAL INJURY- THIS IS NOT IN OUR SCOPE OF WORK. POOR DENTAL HEALTH- THIS IS NOT IN OUR SCOPE OF WORK. PROGRESS ON ACCESS TO DENTAL CARE IS BEING ADDRESSED BY, COMMUNITY PARTNERS AND LOCAL HEALTH DEPARTMENTS. LACK OF AFFORDABLE HOUSING-THIS IS OUTSIDE OF OUR SCOPE OF WORKIDENTIFIED NEEDS (ADDRESSED THROUGH PREVENTIVE HEALTH AND EDUCATION, MENTAL HEALTH AND SUBSTANCE USE DISORDER AND TRANSPORTATION).CHRONIC HEALTH CONDITIONSLACK OF HEALTHCARE PROVIDERSHEALTHY NUTRITIONOBESITYPHYSICAL INACTIVITYPREVENTIVE CARESMOKING/VAPINGSUBSTANCE USE DISORDERSMENTAL HEALTH SUICIDEIDENTIFIED NEEDS (ADDRESSED THROUGH KDMC'S COMPREHENSIVE SERVICES AND/OR EDUCATIONAL OUTREACH. RELATIVELY LOW PRIORITY PER COMMUNITY INPUT OBTAINED THROUGH COMMUNITY FORUMS AND COMMUNITY AND PROVIDER SURVEYS)CANCERMATERNAL INFANT AND CHILD HEALTHLOW BIRTH WEIGHTTEEN BIRTH RATENEEDS (OUTSIDE THE SCOPE OF SERVICES PROVIDED BY KDMC, BUT OPPORTUNITIES MAY EXIST FOR KDMC TO SUPPORT ORGANIZATIONS ADDRESSING THESE NEEDS)POVERTYDENTALLACK OF AFFORDABLE HOUSINGTEENAGE PREGNANCYUNINTENTIONAL INJURYFOOD INSECURITY ASHLAND HOSPITAL CORPORATION PART V, SECTION B, LINE 13H: DOES NOT COVER SERVICES DEEMED NOT MEDICALLY NECESSARY. ASHLAND HOSPITAL CORPORATION PART V, SECTION B, LINE 24: ONLY FOR SERVICES EXCLUDED FROM ELIGIBILITY AS DEFINED WITHIN THE FAP, WHICH ARE DEFINED AS ELECTIVE SERVICES AND THEREFORE NOT MEDICALLY NECESSARY. 41 1 - CENTER FOR ADVANCED IMAGING 2225 CENTRAL AVENUE ASHLAND KY 41101 OUTPATIENT IMAGING CENTER 2 - ASHLAND URGENT CARE 2245 WINCHESTER AVENUE ASHLAND KY 41101 URGENT CARE 3 - GRAYSON URGENT CARE 609 N CAROL MALONE BLVD STE 100 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 10015 US 23 CATLETTSBURG KY 41129 FAMILY CARE CENTER 7 - CEDAR KNOLL FAMILY CARE CENTERPEDIATRIC 10650 US ROUTE 60 ASHLAND KY 41102 FAMILY CARE CENTER/PEDIATRICS 8 - FLATWOODS FAMILY CARE 1107 BELLEFONTE ROAD FLATWOODS KY 41139 FAMILY CARE CENTER 9 - GRAYSON MEDICAL SPECIALTIESPRIMARY CARE 609 N CAROL MALONE BOULEVARD GRAYSON KY 41143 FAMILY CARE CENTER 10 - OLIVE HILL FAMILY CARE CENTER 391 WEST TOM T HALL BOULEVARD OLIVE HILL KY 41164 FAMILY CARE CENTER 11 - SOUTH POINT PRIMARY CARE CENTER 214 COLLINS AVE SUITE A SOUTH POINT OH 45680 FAMILY CARE CENTER 12 - IRONTON FAMILY CARE CENTERURGENT CARE 912 PARK AVENUE IRONTON OH 45638 FAMILY CARE CENTER 13 - JACKSON MEDICAL SPECIALTIES 14395 STATE ROUTE 93 JACKSON OH 45640 FAMILY CARE CENTER 14 - SANDY HOOK FAMILY CARE CENTER 1908 N KY 7 SANDY HOOK KY 41171 FAMILY CARE CENTER 15 - KDMC OCCUPATIONAL MEDICINE 1000 ASHLAND DRIVE SUITE G1 ASHLAND KY 41101 OCCUPATIONAL MEDICINE 16 - KDMC HOME HEALTH 2000 ASHLAND DRIVE ASHLAND KY 41101 HOME HEALTH SERVICES 17 - PRESTONSBURG FAMILY CARE 1279 OLD ABBOT MOUNTAIN ROAD PRESTONBURG KY 41653 FAMILY CARE CENTER 18 - RUSSELL URGENT CARE 398 DIEDERICH BOULEVARD RUSSELL KY 41169 URGENT CARE 19 - BURLINGTON URGENT CARE 384 COUNTRY ROAD 120 SOUTH SOUTH POINT OH 45680 URGENT CARE 20 - ASHLAND PEDIATRICS 2301 LEXINGTON AVENUE SUITE 215 ASHLAND KY 41101 PEDIATRICS CENTER 21 - CANNONSBURG URGENT CARE 12470 US 60 ASHLAND KY 41102 URGENT CARE 22 - KD BELLEFONTE PRIMARY CAREPEDIATRICS 1000 ASHLAND DRIVE SUITE 102 ASHLAND KY 41101 FAMILY CARE CENTER/PEDIATRICS 23 - KD CORNERSTONE MEDICAL PLAZA 1816 CARTER AVENUE ASHLAND KY 41101 FAMILY CARE CENTER 24 - KD ASHLAND 29TH ST PEDIATRICS 2910 CARTER AVE ASHLAND KY 41101 PEDIATRICS CENTER 25 - KD ASHLAND PRIMARY CARE 2028 WINCHESTER AVENUE ASHLAND KY 41101 FAMILY CARE CENTER 26 - KD CANNONSBURG PRIMARY CARE 12470 US 60 ASHLAND KY 41102 FAMILY CARE CENTER 27 - KD FLATWOODS PRIMARY CARE 2420 ARGILLITE ROAD SUITE B FLATWOODS KY 41139 FAMILY CARE CENTER 28 - KD GRAYSON PRIMARY CARE MED SPEC & PEDS 100 BELLEFONTE DRIVE GRAYSON KY 41143 FAMILY CARE CENTER/PEDIATRICS 29 - KD GREENUP PRIMARY CARE 1629 ASHLAND ROAD GREENUP KY 41144 FAMILY CARE CENTER 30 - VITALITY CENTER - PED & ADULT PTOT 1100 STREET CHRISTOPHER DRIVE ASHLAND KY 41101 PHYSICAL & OCCUPATIONAL THERAPY CTR 31 - WOUND CENTER MEDICAL PLAZA A SUITE 215 ASHLAND KY 41101 WOUND CENTER 32 - KD ASHLAND FAMILY MEDICINE 2340 CARTER AVE ASHLAND KY 41101 FAMILY CARE CENTER 33 - WHEELERSBURG FAMILY CARE CENTER 8750 OHIO RIVER ROAD WHEELERSBURG OH 45694 FAMILY CARE CENTER 34 - CENTER FOR HEALTHY LIVING 1200 CENTRAL AVENUE SUITE 1 ASHLAND KY 41101 SPECIALTY CARE CENTER 35 - KD CARTER COUNTY PRIMARY CARE 105 STATE HIGHWAY 1947 SUITE A GRAYSON KY 41143 FAMILY CARE CENTER 36 - KD HENRY ADKINS PRIMARY CARE 105 STATE HIGHWAY 1947 SUITE B GRAYSON KY 41143 FAMILY CARE CENTER 37 - KD PAINTSVILLE PRIMARY CARE AND MEDICAL 354 NORTH MAYO TRAIL PAINTSVILLE KY 41240 URGENTY, FAMILY, AND SPECIALTY CARE CENTER 38 - OUTPATIENT BEHAVIORAL HEALTH CENTER 1061 KENWOOD DRIVE RUSSELL KY 41169 OUTPATIENT SERVICES 39 - KD OUTPATIENT WELLNESS & RECOVERY 2301 LEXINGTON AVENUE SUITE 125 ASHLAND KY 41001 OUTPATIENT SERVICES 40 - KD DRIVE-THRU CENTER ASHLAND 2406 CARTER AVE ASHLAND KY 41101 OUTPATIENT SERVICES 41 - KD SLEEP MEDICINE CENTER 1000 ASHLAND DRIVE SUITE G2 RUSSELL KY 41169 OUTPATIENT SERVICES 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 $46,080,859. 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: THE PATIENT ACCOUNTING TEAM QUERIED THE EPIC SYSTEM TO PULL ANY BAD DEBT ACCOUNT THAT WAS FLAGGED AS HAVING AN INCOMPLETE FA APPLICATION. THE BAD DEBT BALANCE WAS THEN NETTED DOWN TO COST, USING THE COST TO CHARGE RATIO. THE SERVICE WAS STILL PROVIDED, REGARDLESS OF PAYMENT AND THEREFORE THIS SHOULD BE COUNTED AS A PART OF COMMUNITY BENEFIT. PART III, LINE 4: SEE PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS (ATTACHED). PART III, LINE 8: THE HOSPITAL CONTINUES TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY TO PAY. NOTWITHSTANDING THE COSTS TO PROVIDE CARE, RECEIVING "LESS" THAN WHAT IT COSTS TO PROVIDE ADEQUATE CARE TO MEDICARE COVERED LIVES DOES THE HOSPITAL A DISSERVICE. THIS SHORTFALL SHOULD COUNT AS A COMMUNITY BENEFIT. THE HOSPITAL USES THE ALLOWABLE COSTS PER THE MEDICARE COST REPORT, THE MOST RECENT COST REPORT DATA, AND PROVIDER STATISTICAL AND REIMBURSEMENT REPORT WAS USED TO COMPUTE THE INFORMATION. PART III, LINE 9B: THE HOSPITAL HAS A WRITTEN POLICY FOR BAD DEBT. UNINSURED PATIENTS ARE SCREENED FOR ELIGIBILITY FOR MEDICARE, MEDICAID AND OTHER SUCH PROGRAMS BY A CONTRACTED VENDOR. ALL PATIENTS, INSURED AND UNINSURED, WITH VALID MAILING ADDRESSES RECEIVE POST-DISCHARGE BILLING STATEMENTS OVER THE COURSE OF A 120 DAY PERIOD. IF THERE ARE NO ACTIVE DISPUTES OR OTHER PAYMENT SOURCES AVAILABLE, AND THE BALANCE IS UNPAID AT THE END OF THE STATEMENT PERIOD, THE ACCOUNT WILL BE PLACED WITH A COLLECTION AGENCY TO REPORT AS A BAD DEBT. EACH STATEMENT INCLUDES INFORMATION REGARDING THE AVAILABILITY OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM ALONG WITH A NUMBER WHERE THE REPRESENTATIVES CAN BE REACHED FOR ASSISTANCE. PART VI, LINE 2: KING'S DAUGHTERS CONDUCTED A COMMUNITY HEALTH NEED ASSESSMENT (CHNA). THE ASSESSMENT WAS CONDUCTED FROM NOVEMBER 2024 TO MARCH 2025. THE GOALS OF THE ASSESSMENT PROCESS WERE TO: IDENTIFY AND PRIORITIZE HEALTH ISSUES IN KDMC'S SERVICE AREA, PARTICULARLY FOR VULNERABLE AND UNDER-REPRESENTED POPULATIONS. ENSURE THAT PROGRAMS AND SERVICES CLOSELY MATCH THE PRIORITIES AND NEEDS OF THE COMMUNITY. STRATEGICALLY ADDRESS THOSE NEEDS TO IMPROVE THE HEALTH OF THE COMMUNITIES SERVED BY KDMC. DETERMINE STRENGTHS AND WEAKNESS OF CURRENT RESOURCES. INVESTIGATE WHAT ELSE CAN BE DONE TO IMPROVE THE HEALTH OF THE COMMUNITY. KING'S DAUGHTERS USED THE FOLLOWING TO GATHER INFORMATION FOR THE ASSESSMENT: COMMUNITY FORUMS IN BOYD, CARTER AND GREENUP COUNTIES IN KY AND LAWRENCE COUNTY IN OHIO. WEB/PRINT SURVEY IN BOTH ENGLISH AND SPANISH VERSIONS PROFESSIONAL AND PROVIDER SURVEY LOCAL, STATE AND NATIONAL DATA PART VI, LINE 3: THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY PROVIDES DIRECTION FOR FREE OR DISCOUNTED SERVICES TO RESIDENTS OF THE COMMUNITY WHO HAVE INADEQUATE FINANCIAL RESOURCES TO PAY FOR NECESSARY HEALTHCARE SERVICES PROVIDED BY KING'S DAUGHTERS. THE POLICY STATES THAT THE MEDICAL CENTER WILL NOT DENY CARE TO ANY PATIENT REQUIRING CARE DUE TO THEIR INABILITY TO PAY. THE FINANCIAL ASSISTANCE POLICY PROVIDES GUIDANCE TO PROVIDING ASSISTANCE BASED ON SLIDING SCALE METHODOLOGY AND THE FEDERAL POVERTY GUIDELINES ESTABLISHED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. PATIENTS REQUIRING CARE WITH INCOME BELOW 300% OF THE FEDERAL POVERTYLEVEL QUALIFY FOR FREE OR REDUCED COST SERVICES. KING'S DAUGHTERS ALSO CONTRACTS WITH OUTSIDE VENDORS TO ASSIST PATIENTS IN GOVERNMENT ENROLLMENT PROGRAMS. THERE ARE VARIOUS WAYS THE FINANCIAL ASSISTANCE PROGRAM IS CONVEYED TO THE COMMUNITY: KDMC WEBSITE, SIGNS IN VARIOUS PATIENT REGISTRATION AREAS, OUTBOUND/INBOUND CUSTOMER SERVICES CALLS, AND STATEMENT LANGUAGE. PART VI, LINE 4: THE POPULATION IS 256,871 FOR THE SIX-COUNTY SERVICE REGION, COMPRISED OF BOYD, CARTER, GREENUP AND LAWRENCE COUNTY IN KY AND LAWRENCE AND SCIOTO COUNTY IN OH. THE REGION COVERS 2,393 SQUARE MILES. THE POPULATION DENSITY IS APPROXIMATELY 107 PERSONS PER SQUARE MILE. THE AREA IS PREDOMINANTLY RURAL (47.19%), WITH AN URBAN POPULATION AT 35.3% AND SUBURBAN (17.5%). OF THE POPULATION, 96.0% ARE NON-HISPANIC WHITE, 1.7% ARE NON-HISPANIC BLACK, 1.4% HISPANIC/LATINO AND 0.9% MAKE UP ALL OTHER RACES. THERE ARE MORE FEMALES (50.6%) THAN MALES (49.4%) IN THE SIX COUNTY AREA. THE AVERAGE FAMILY INCOME IN THE SIX COUNTY REGION IS $86,230, COMPARED TO KENTUCKY ($103,036) AND OHIO ($115,826), THE UNITED STATES ($130,215). PER CAPITA INCOME IS $29,115, COMPARED TO KENTUCKY ($34,960), OHIO ($39,454) AND THE NATION ($43,288). APPROXIMATELY 19.1% OF THE TOTAL POPULATION AND 24.4% OF CHILDREN UNDER THE AGE OF 18 LIVE IN POVERTY. ALMOST SEVEN PERCENT (6.9%) OF THE POPULATION UNDER THE AGE OF 65 IS WITHOUT ANY FORM OF HEALTHCARE COVERAGE AS OF JANUARY 2025. THE AVERAGE UNEMPLOYMENT RATE FOR THE SIX-COUNTY AREA WAS 6.7%. PART VI, LINE 5: EFFECTIVE APRIL 2021, KDMC BEGAN PARTICIPATING IN THE KENTUCKY MEDICAID DIRECTED PAYMENT PROGRAM. THROUGH THIS PROGRAM, KDMC IS PAID FOR MEDICAID VOLUMES AT AN AVERAGE COMMERCIAL RATE AND THEREFORE, NO LONGER HAS A LOSS ON MEDICAID SERVICES. DUE TO INCREASING GROWTH, KDMC HAS UTILIZED THESE SURPLUS FUNDS TO BUILD A NEW EMERGENCY DEPARTMENT\IMAGING BUILDING, WHICH WILL BE APPROXIMATELY 200,000 SQUARE FEET AND INCLUDE 80 NEW EMERGENCY TREATMENT AREAS, CENTRALIZED IMAGING DEPARTMENT, AND NEW RETAIL PHARMACY SPACE. THE TOTAL INVESTMENT OF THE PROJECT WAS BE OVER $170 MILLION AND OPENED IN SPRING OF 2025. THIS NEW BUILDING CREATED BETTER ACCESS FOR PATIENT CARE IN THE COMMUNITY. COMMUNITY HEALTH ACTIVITIES OTHER THAN IMPLEMENTATION PLAN: THE MEDICAL CENTER PROVIDES FREE EDUCATIONAL AND SCREENING SERVICES IN AN AREA BROADER THAN THE PRIMARY MARKET. THIS AREA INCLUDES MULTIPLE COUNTIES IN EASTERN KENTUCKY, SOUTHERN OHIO. KDMC WORKS WITH CHURCHES, SCHOOLS, BUSINESSES AND COMMUNITY GROUPS TO HELP IMPROVE HEALTH THROUGHOUT THE TRISTATE AREA. AS A LEADER IN HEALTHCARE IN THE AREA, KDMC IS OFTEN CALLED UPON TO PROVIDE SCREENINGS AND HEALTH EDUCATION IN MORE REMOTE REGIONS WHERE THERE ARE NO PROVIDERS TO OFFER THESE SERVICES. THE FOLLOWING ACTIVITIES, WHICH CONTRIBUTE TO COMMUNITY HEALTH, BUT ARE NOT SPECIFIC TO THE IMPLEMENTATION PLAN GOALS AND OBJECTIVES WERE PROVIDED (COVERED AREAS INCLUDE PRIMARY, SECONDARY AND TERTIARY COUNTIES UNLESS OTHERWISE STATED): SCREENINGS, IMMUNIZATIONS AND PHYSICALS:- HEALTHY HEART SCREENING 1,560 (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR AND EKG) ADULTS SCREENED, (SECONDARY, TERTIARY COUNTIES)- SPORTS PHYSICALS- 850 YOUTH - FLU SHOTS 166 VACCINES ADMINISTERED- WELL CHILD VISITS-2,383 CHILDREN HEALTH EDUCATION: - ALCOHOL AND OTHER DRUGS 28 ADULTS AND CHILDREN SERVED- BICYCLE SAFETY - 25 CHILDREN SERVED- BLOOD DONATIONS 740 DONATIONS COLLECTED- BONE HEALTH 16 ADULTS SERVED- BLOOD PRESSURE SCREENINGS - 488 ADULTS SERVED- BRAIN HEALTH 24 ADULTS - BREAST CANCER SCREENING MOBILE UNIT 434 ADULTS SERVED- COLON CANCER EDUCATION 307 ADULT- CHF 530 ADULTS- DIABETES EDUCATION 2,312 ADULTS AND CHILDREN SERVED - EARLY SIGNS AND SYMPTOMS OF HEART ATTACK 501 ADULTS AND CHILDREN SERVED- EXERCISE EDUCATION- 695 ADULTS AND CHILDREN SERVED- 1ST AID EDUCATION 156 ADULTS AND CHILDREN SERVED- FLU EDUCATION- 60 ADULTS SERVED- HANDWASHING EDUCATION 1305 ADULTS AND CHILDREN SERVED- HANDS ONLY CPR EDUCATION- 595 ADULTS SERVED- HEALTHY HEART EDUCATION 1916 ADULTS SERVED - HEALTHY HEART SCREENINGS- EKG 258 ADULTS SERVED- HYDRATION 800 CHILDREN SERVED- HYGIENE EDUCATION 40 CHILDREN SERVED- HYPERTENSION - 1198 ADULTS - IMMUNIZATION EDUCATION- 1446 ADULTS SERVED- LUNG CANCER EDUCATION- 939 ADULTS SERVED- MENTAL HEALTH EDUCATION 1,649 ADULTS AND CHILDREN SERVED- NARCAN EDUCATION- 112 ADULTS SERVED - NUTRITION EDUCATION 2,164 ADULTS AND CHILDREN SERVED (SECONDARY/TERTIARY COUNTIES) AND 663 STUDENTS WERE EDUCATED IN THE SCHOOLS. - POISON PREVENTION 40 CHILDREN SERVED- SKIN CANCER EDUCATION AND SCREENING 160 ADULTS EDUCATED AND 10 ADULTS SCREENED- STROKE 2,219 ADULTS AND SERVED - SUBSTANCE USE DISORDER 1,307 ADULTS AND CHILDREN SERVED- SUMMER SAFETY 1,549 ADULTS AND CHILDREN SERVED- TICK BITE EDUCATION- 1,108 ADULTS AND CHILDREN SERVED- TOBACCO 1,604 ADULTS AND CHILDREN SERVED (SECONDARY AND TERTIARY COUNTIES) - TOBACCO CESSATION CLASSES 77 ADULTS SERVED. - TOBACCO EDUCATION IN THE SCHOOLS- 587 CHILDREN SERVED. - VAPING EDUCATION- 1, 233 ADULTS AND STUDENTS SERVED-EDUCATIONAL PROGRAMMING INCLUDE VIDEOS POSTED TO FACEBOOK. KDMC POSTED THE FOLLOWING EDUCATIONAL VIDEOS:- CARDIOLOGY VIDEOS - HEALTHY COOKING TIPS VIDEOS - FLU AND VACCINES EDUCATION VIDEOS - STROKE VIDEO SUPPORT GROUPS KDMC PROVIDES VARIOUS SUPPORT GROUPS FOR INDIVIDUALS WITH DISEASE AND/OR THEIR CAREGIVERS. DURING FY25, 293 ATTENDED. CLINICAL RESEARCH: KDMC SUPPORTS CLINICAL RESEARCH IN BOTH CARDIAC AND ONCOLOGY. OTHER COMMUNITY ACTIVITIES:BLOOD DRIVES- KDMC HOSTED 24 BLOOD DRIVES ON KDMC CAMPUSES. BACKPACK PROGRAM- THIS IS A PARTNERSHIP WITH THE ASHLAND ALLIANCE. TEAM MEMBERS FILLED BACKPACKS WITH SCHOOL SUPPLIES FOR 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 INDIVIDUALS FROM AREA FAMILIES AND NURSING HOME RESIDENTS, PROVIDING GIFTS AND FOOD TO THOSE IN NEED AT CHRISTMAS TIMEBUILD-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 BED KITS (COMFORTER, SHEETS, AND PILLOW) FOR THE BEDS. IN ADDITION, A STUFFED TOY AND BOOK WERE PROVIDED WITH EACH BED KIT FOR THE CHILDREN RECEIVING BEDS.COMMUNITY VAN MINISTRY THE COMMUNITY VAN MINISTRY IS A FREE NON-EMERGENCY TRANSPORTATION PROGRAM FOR PATIENTS NEEDING A RIDE TO THE HOSPITAL FOR ANY MEDICAL SERVICE, DOCTOR APPOINTMENTS AND THERAPY. THERE WERE 1,541 INDIVIDUALS SERVED.MEALS ON WHEELS-THE MOW PROGRAM SERVES NUTRITIOUS MEALS TO SENIORS AND DISABLED INDIVIDUALS 814 INDIVIDUALS WERE SERVED IN THIS PROGRAM. CPR TRAINING CENTER KDMC PROVIDED FREE TRAINING AND CERTIFICATION FOR THE FOLLOWING: ADVANCED LIFE SUPPORT EMS: BOYD CO., CARTER CO., CEREDO/KENOVA, LAWRENCE CO., AND AIR EVAC.; SCIOTO COUNTY FIRE DEPT.; AND BOYD COUNTY EMERGENCY MANAGEMENT PEDIATRIC ADVANCED LIFE SUPPORT AIR EVAC., BOYD CO. EMS, SCIOTO TOWNSHIP FD, AND CARTER CO. EMS BASIC LIFE SUPPORT EMS: AIR EVAC, BOYD CO., CARTER CO., BOYD CO. 911, COLLEGES/UNIVERSITIES: KCTC, OUS, UK, MOREHEAD STATE, WALDEN U., MARSHALL AND EKU); LAW ENFORCEMENT: ASHLAND PD, CARTER CO. SHERIFF, BELLEFONTE PD, AND GRAYSON PD; FIRE DEPARTMENTS: SCIOTO COUNTY FD, DECATUR VFD, SCIOTO TOWNSHIP VFD, RACELAND FD, 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 ASHLAND ALLIANCE CORP DBA NORTHEAST KENTUCKY CHAMBER OF COMMERCE 1730 WINCHESTER AVENUE ASHLAND KY 41101 611347516 501( C)(6) 7100 660 INVOICES FOOD SUPPORT OF COMMUNITY ECONOMIC DEVELOPMENT AND COMMUNITY LEADERSHIP EVENTS ASHLAND ALLIANCE FOUNDATION INC PO BOX 830 ASHLAND KY 411050830 611370476 501( C)3) 5000 160 INVOICES FOOD SUPPORT OF SEASONAL COMMUNITY EVENT ASHLAND AREA YOUNG MENS CHRISTIAN ASSOCIATION 3232 MEGAN NEYER WAY ASHLAND KY 41102 610444836 501( C)3) 10000 0 SUPPORT OF ANNUAL FUNDRAISING DRIVE. ASHLAND COMMUNITY KITCHEN PO BOX 1743 ASHLAND KY 41105 611100724 501( C)3) 2000 80306 INVOICES FOOD AND MISC. SUPPLY PROVIDE FOOD TO SENIOR CITIZENS IN OUR COMMUNITY THROUGH MEALS ON WHEELS AND SUPPORT OF A FUNDRAISING EVENT COMMUNIITY ASSISTANCE AND REFERRAL SERVICES (CARES) INC PO BOX 1503 ASHLAND KY 411051503 611255918 501( C)3) 32942 0 SUPPORT OF STAFF FOR SELF SUFFICIENCY PROGRAM TO COMBAT HOMELESSNESS IN OUR COMMUNITY HIGHLANDS MUSEUM AND DISCOVERY INC 1620 WINCHESTER AVENUE ASHLAND KY 41101 311061542 501( C)(3) 12500 0 SPONSORHIP OF FUNDRAISING EVENTS. NEIGHBORS HELPING NEIGHBORS PO BOX 1703 ASHLAND KY 411051703 611450110 501( C)3) 32000 0 SUPPORT OF SALARY FOR SECURITY OFFICER TO IMPROVE SAFETY AROUND FACILITY WHERE ASSISTANCE IS PROVIDED TO THOSE FACING CHALLENGES IN THE COMMUINITY. PARAMOUNT ARTS CENTER INC 1300 WINCHESTER AVENUE ASHLAND KY 41101 611181883 501( C)3) 6000 0 SPONSORSHIP OF 3 COMMUNITY EVENTS AND SUMMER CAMP FOR THE ARTS RIVER CITIES HARVEST PO BOX 2136 ASHLAND KY 41105 611208113 501( C)3) 3250 53140 INOVICES FOOD FOODBANK SUPPORT AND SUPPORT OF FOOD RESCUE FUNDRAISING EVENT. SAFE HARBOR OF NORTHEAST KENTUCKY PO BOX 2163 ASHLAND KY 411052163 611155742 501( C)3) 19100 0 SPONSORSHIP OF COMMUNITY EVENTS TO SUPPORT VICTIMS OF DOMESTIC VIOLENCE. SHAPING OUR APPALCHIAN REGION INC (SOAR) 137 MAIN STREET SUITE 300 PIKEVILLE KY 41501 371760428 501( C)3) 10000 0 SPONSORSHIP OF COMMUNITY EVENT. SUMMER MOTION INC PO BOX 1643 ASHLAND KY 411051643 311695435 501( C)4) 6000 398 INVOICES FOOD SUPPORT OF COMMUNITY EVENT THE COMMUNITY & TECHNICAL COLLEGE FOUNDATION OF ASHLAND INC 1400 COLLEGE DRIVE ASHLAND KY 41101 611274401 501( C)3) 91550 0 SUPPORT OF 2 NURSING FACULTY POSITIONS AND SUPPORT OF 2 COMMUNITY EVENTS THE SALVATION ARMY PO BOX 1405 ASHLAND KY 411051405 135562351 501( C)3) 5000 82 INVOICES FOOD SUPPORT OF EMERGENCY SHELTER OF HOMELESS MEMBERS OF THE COMMUNITY UNITED WAY OF NORTHEAST KENTUCKY 2000 CARTER AVENUE SUITE D ASHLAND KY 41101 616000060 501( C)3) 100 5837 INVOICES MARKETING MATERIALS FOR ANNUAL FUNDRAISING DRIVE AND FOOD FOR MEETING SUPPORT OF ANNUAL FUNDRAISING DRIVE FOR AGENCY AND SUPPORT OF A COMMUNITY EVENT. 14 2 PART I, LINE 2: KING'S DAUGHTERS MEDICAL CENTER MAKES GRANTS/CONTRIBUTIONS TO ORGANIZATIONS BASED ON THE DATA FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT, 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. 1 X X X 0 1 0 0 0 0 0 1 0 OMRAN ABUL-KHOUDOUD INTERIM VP, CMO INPATIENT/PROC SERVI 0 1240241 0 0 0 1932 0 19275 0 53527 0 1314975 0 0 SARA MARKS PRESIDENT/CEO 602112 0 316250 0 139541 0 115525 0 22681 0 1196109 0 100000 0 AUTUMN MCFANN TEASURER, SENIOR VP/CHIEF FIN. & ADM 619374 0 265400 0 132947 0 115525 0 22237 0 1155483 0 100000 0 SCOTT MOORE PHYSICIAN 1101600 0 0 0 1260 0 15525 0 28531 0 1146916 0 0 0 CHARBEL SALEM VP/CHIEF POPULATION HEALTH OFFICER, 0 848346 0 0 0 87557 0 65525 0 42752 0 1044180 0 50000 PAUL MATHAROO PHYSICIAN 792941 0 0 0 24260 0 0 0 45625 0 862826 0 0 0 JAMES DETHERAGE VP / CMO OF OUTPATIENT & INTEGRATED 0 607109 0 0 0 102701 0 69275 0 39704 0 818789 0 50000 PHO NGUYEN PHYSICIAN 737239 0 0 0 5544 0 19275 0 43522 0 805580 0 0 0 BRADLEY WELLS PHYSICIAN 755700 0 0 0 1260 0 0 0 38349 0 795309 0 0 0 RICHARD FORD VP / CMO OF INPATIENT / PROCEDURAL S 0 629881 0 0 0 77053 0 65525 0 16156 0 788615 0 50000 GARRICK SHERMAN PHYSICIAN 718316 0 0 0 24260 0 0 0 37325 0 779901 0 0 0 STACY CAUDILL VP/CHIEF INPATIENT CLINICAL OFFICER, 0 455819 0 0 0 61039 0 65525 0 25319 0 607702 0 50000 AMY SAUNDERS ASSISTANT SECRETARY 237373 0 23706 0 1129 0 11858 0 15608 0 289674 0 0 0 PART I, LINE 4B 6 EMPLOYEES RECEIVED SUPPLEMENTAL RETIREMENT PLAN (SERP) PAYMENTS: - RICHARD FORD M.D. $22,151 - AUTUMN MCFANN $31,237 - SARA MARKS $36,931 - JAMES DETHERAGE M.D. $19,579 - CHARBEL SALEM M.D. $36,417 - STACY CAUDILL M.D. $9,899 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. 6 EMPLOYEES RECEIVED 457(F) EXECUTIVE RETENTION PLAN PAYOUTS. - AUTUMN MCFANN $100,000 - SARA MARKS $100,000 - JAMES DETHERAGE M.D. $50,000 - CHARBEL SALEM M.D. $50,000 - RICHARD FORD M.D. $50,000 - STACY CAUDILL M.D. $50,000 PART I, LINE 7 NONFIXED PAYMENTS ARE MADE AS A PART OF THE MEDICAL CENTER'S TEAM INCENTIVE AWARD (TIA) PLAN. ALL TEAM MEMBERS ARE ELIGIBLE FOR THE TIA. THE TIA IS PAID OUT BASED UPON SUCCESSFUL COMPLETION OF BOTH QUANTITATIVE AND QUALITATIVE STRATEGIC GOALS, SET ANNUALLY BY THE MEDICAL CENTER LEADERSHIP TEAM AND APPROVED BY THE BOARD OF DIRECTORS. A CITY OF ASHLAND KENTUCKY (SERIES A) 616001775 044293AN8 2016-09-23 73445000 SEE PART VI 0 0 0 B CITY OF ASHLAND KENTUCKY (SERIES B) 616001775 NONEAVAIL 2016-09-23 50000000 SEE PART VI 0 0 0 C CITY OF ASHLAND KENTUCKY 616001775 044293CB2 2019-12-30 95490000 SEE PART VI 0 0 0 D CITY OF ASHLAND KENTUCKY 616001775 NONEAVAIL 2022-09-22 50570000 SEE PART VI 0 0 0 A 18785000 81984559 1200341 80784218 2016 1 0 1 1 B 12453786 50000000 254000 49746000 2016 1 0 1 1 C 21995000 103952363 1303871 532314 102116178 2020 1 0 1 1 D 3340000 51083941 570000 50513941 2023 0 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 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF ASHLAND, KENTUCKY (SERIES A) DATE THE REBATE COMPUTATION WAS PERFORMED: 10/08/2021 ISSUER NAME: CITY OF ASHLAND, KENTUCKY (SERIES B) DATE THE REBATE COMPUTATION WAS PERFORMED: 10/08/2021 ISSUER NAME: CITY OF ASHLAND, KENTUCKY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/25/2024 PART I, BOND ISSUES: ISSUE A (2016A): (F) DESCRIPTION OF PURPOSE: REFUND PRIOR BOND ISSUES ISSUE A (2016B): (F) DESCRIPTION OF PURPOSE: REFUND PRIOR BOND ISSUES ISSUE A (2019): (F) DESCRIPTION OF PURPOSE: REFUND PRIOR BOND ISSUES ISSUE D (2022): (F) DESCRIPTION OF PURPOSE: HEALTHCARE FACILITIES, BUILDINGS AND EQUIPMENT PART II, LINE 3: ISSUE A: SERIES 2016A - DIFFERENCE FROM PART I DUE TO BOND PREMIUM OF $8,539,559. ISSUE C: SERIES 2019 - DIFFERENCE FROM PART I DUE TO BOND PREMIUM OF $8,462,363. ISSUE D: SERIES 2022 - DIFFERENCE FROM PART I DUE TO INVESTMENT INCOME: $99,310 INTEREST EARNED IN BOND CONSTRUCTION FUND THROUGH JUNE 2025 PLUS $414,631 INTEREST EARNED IN INVESTMENTS THROUGH JUNE 2025. AUTUMN MCFANN TREASURER, SENIOR VP/CHIEF FINANCIAL AND ADMINISTRATIVE OFFICER SEE PART V X 10577 10965 0 1 1 SARA MARKS PRESIDENT/CEO SEE PART V X 134615 138669 0 1 1 149634 OFFICE FUNITURE USA SEE PART V 2051364 SEE PART V 0 ASHLAND OFFICE SUPPLY SEE PART V 966704 SEE PART V 0 JODY ARCHER SEE PART V 99080 SEE PART V 0 RACHEL SAUNDERS SEE PART V 89154 SEE PART V 0 HANNAH DANIELS SEE PART V 62965 SEE PART V 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: OFFICE FUNITURE USA(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TOM BURNETTE (BOARD MEMBER)'S DAUGHTER IS THE OWNER.(D) DESCRIPTION OF TRANSACTION: PURCHASE OF OFFICE FURNITURE. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: ASHLAND OFFICE SUPPLY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TOM BURNETTE (BOARD MEMBER) IS THE OWNER.(D) DESCRIPTION OF TRANSACTION: PURCHASE OF OFFICE SUPPLIES & EQUIPMENT. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: JODY ARCHER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SISTER-IN-LAW OF SARA MARKS (PRESIDENT/CEO).(D) DESCRIPTION OF TRANSACTION: EMPLOYEE PAYROLL COMPENSATION. THERE IS NO MANAGEMENT RELATIONSHIP OR CONTROL OVER COMPENSATION BY SARA MARKS.(A) NAME OF PERSON: RACHEL SAUNDERS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DAUGHTER OF AMY SAUNDERS (ASSISTANT SECRETARY)(D) DESCRIPTION OF TRANSACTION: EMPLOYEE PAYROLL COMPENSATION. THERE IS NO MANAGEMENT RELATIONSHIP OR CONTROL OVER COMPENSATION BY AMY SAUNDERS.(A) NAME OF PERSON: HANNAH DANIELS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DAUGHTER OF AMY SAUNDERS (ASSISTANT SECRETARY)(D) DESCRIPTION OF TRANSACTION: EMPLOYEE PAYROLL COMPENSATION. THERE IS NO MANAGEMENT RELATIONSHIP OR CONTROL OVER COMPENSATION BY AMY SAUNDERS. SCH L, PART II, PURPOSE OF LOAN: THE ORGANIZATION SPONSORS SPECIFIC WELFARE BENEFIT PLANS FOR EACH OF THE INTERESTED PERSONS LISTED IN PART II, 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 VI, SECTION A, LINE 6 ROYAL BLUE HEALTH LLC (RBH) IS THE CORPORATE MEMBER OF ASHLAND HOSPITAL CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A AS THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM, RBH HAS CERTAIN GOVERNANCE RIGHTS WITH RESPECT TO AHC. THOSE RIGHTS INCLUDE ELECTING OR REMOVING AHC'S DIRECTORS AND OFFICERS. FORM 990, PART VI, SECTION A, LINE 7B AS THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM, RBH HAS CERTAIN GOVERNANCE RIGHTS WITH RESPECT TO AHC. THOSE RIGHTS REQUIRE CERTAIN SIGNIFICANT AHC ACTIONS TO NOW ALSO BE APPROVED BY RBH, INCLUDING, AMONG OTHERS, A CHANGE OF MEMBERSHIP OR SALE OF AHC, ELECTING OR REMOVING AHC'S DIRECTORS AND OFFICERS, AMENDING AHC'S ARTICLES AND BYLAWS, OR ANY BANKRUPTCY, LIQUIDATION OR DISSOLUTION OF AHC, INCLUDING THE TAX-EXEMPT ORGANIZATION TO WHOM AHC'S ASSETS ARE DISTRIBUTED UPON ITS DISSOLUTION. RBH'S BOARD OF TRUSTEES MAY IDENTIFY ADDITIONAL AHC ACTIONS THAT MUST BE APPROVED BY RBH IN ADDITION TO THOSE SPECIFICALLY LISTED IN AHC'S ARTICLES AND BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WILL BE REVIEWED BY THE 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 ASHLAND HOSPITAL CORPORATION DBA KING'S DAUGHTERS MEDICAL CENTER REQUIRES ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO COMPLY WITH ITS CONFLICTS OF INTEREST POLICY, WHICH TRACKS THE IRS' RECOMMENDED POLICY WITH RESPECT TO SUCH OFFICERS AND DIRECTORS. MEMBERS OF THE MEDICAL CENTER'S BOARD OF DIRECTORS MUST ANNUALLY IDENTIFY, IN WRITING, ANY INTEREST THAT COULD GIVE RISE TO A CONFLICT, SUCH AS A LEADERSHIP POSITION IN A CONFLICTING ORGANIZATION; DISCLOSURE IS NOT LIMITED TO FINANCIAL CONFLICTS. LEADERSHIP EMPLOYEES MUST ANNUALLY CERTIFY, IN WRITING, THAT THEY KNOW OUR CONFLICTS OF INTEREST POLICY AND PROCEDURE AND HAVE NO CONFLICTS OF INTEREST. IN ADDITION, EMPLOYEES OF THE MEDICAL CENTER CERTIFY THAT NO CONFLICTS OF INTEREST EXIST OR OBTAIN AN ADVANCE WAIVER OF ANY CONFLICTS. THE MEDICAL CENTER'S HUMAN RESOURCES AND CORPORATE COMPLIANCE DEPARTMENT MAINTAINS ALL RELEVANT DISCLOSURES AND SIGNATURES. ALL EMPLOYEES PROVIDE ANNUAL CONFLICT CHECKS. IF A CONFLICT OF INTEREST IS REPORTED, THE VICE PRESIDENT TO WHOM THE REPORTING EMPLOYEE DIRECTLY OR INDIRECTLY REPORTS, TOGETHER WITH THE CEO, CORPORATE COMPLIANCE OFFICER AND GENERAL COUNSEL, DETERMINES IF A CONFLICT EXISTS. IF THE REPORTING EMPLOYEE IS A VICE PRESIDENT, THE CEO, IN CONSULTATION WITH THE GENERAL COUNSEL, DETERMINES IF A CONFLICT EXISTS. ANNUALLY, BOARD MEMBERS DISCLOSE PERSONAL AND PROFESSIONAL RELATIONSHIPS TO THE SECRETARY OF THE BOARD. IF A POTENTIAL CONFLICT EXISTS, THE BOARD SECRETARY OR A BOARD MEMBER WILL IDENTIFY THE CONFLICT, OR POTENTIAL CONFLICT, AND THE BOARD MEMBER WILL BE REMOVED FROM ANY PART OF THE DECISION-MAKING PROCESS, AND HAS NO ROLE IN THE INSTANCE IN WHICH THE CONFLICT EXISTS. A BOARD MEMBER WHO HAS A CONFLICT OF INTEREST MUST ABSTAIN FROM ANY RELEVANT DISCUSSION OR VOTE. IF A CONFLICT OF INTEREST IS DISCOVERED AFTER THE FACT, THE CEO AND VICE PRESIDENT, TOGETHER WITH THE GENERAL COUNSEL, IF APPROPRIATE, REVIEW THE INSTANCE IN WHICH THE CONFLICT OCCURRED. THOSE LEADERS DETERMINE WHETHER THE CONFLICTED INDIVIDUAL INFLUENCED THE DECISION-MAKING OR PROFITED FROM THE CONFLICT. THE CONFLICTED INDIVIDUAL IS REMOVED FROM ANY FURTHER INVOLVEMENT. IN ADDITION, ANY FAILURE TO REPORT CONFLICTS OF INTEREST VIOLATES THE MEDICAL CENTER'S POLICY AND COULD RESULT IN DISCIPLINARY ACTION, UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR REMOVAL FROM THE MEDICAL CENTER'S BOARD OF DIRECTORS. MEDICAL STAFF MEMBERS ARE REQUIRED BY THE MEDICAL STAFF BYLAWS TO DISCLOSE CONFLICTS OF INTEREST. ONCE DISCLOSED, THE MEDICAL STAFF MEMBER IS REMOVED FROM ANY DISCUSSION, DECISION-MAKING, AND/OR VOTE ON ANY RELATED ISSUE. FORM 990, PART VI, SECTION B, LINE 15 AT THE DIRECTION OF THE BOARD OF DIRECTORS, KDMC 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 DETERMATION 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 228,796. FORGIVENESS OF INTERCOMPANY RECEIVABLES -49,172,135. 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 201 SOUTHLAND DRIVE ASHLAND KY 41102 264736971 MEDICAL TRANSPORT KY 501(C)(3) LINE 10 ASHLAND HOSPITAL CORPORATION 1 KING'S DAUGHTERS MEDICAL SPECIALTIES INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 264183569 PHYSICIANS KY 501(C)(3) LINE 10 ASHLAND HOSPITAL CORPORATION 1 PORTSMOUTH HOSPITAL CORPORATION 1901 ARGONNE AVENUE PORTSMOUTH OH 45662 453215312 HEALTHCARE OH 501(C)(3) LINE 3 ROYAL BLUE HEALTH LLC 0 ROYAL BLUE HEALTH LLC 2201 LEXINGTON AVENUE ASHLAND KY 41101 862993817 HEALTHCARE KY 501(C)(3) LINE 12B, II N/A 0 KING'S DAUGHTERS HEALTH SYSTEM INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 274553836 HEALTHCARE KY 501(C)(3) LINE 12B, II N/A 0 KING'S DAUGHTERS HEALTH FOUNDATION INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 611035701 FUNDRAISING KY 501(C)(3) LINE 12B, II N/A 0 ASHLAND MEDICAL PROPERTIES INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 611079090 RENTALS KY ASHLAND HOSPITAL CORPORATION C -175 1.00000 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 1 KENTUCKY MEDICAL LOGISTICS INC A 63398 ALL TRANSACTIONS BETWEEN ASHLAND NURSING HOME CORP O 207326 COMPANIES ARE CAPTURED AT COST KENTUCKY HEART FOUNDATION INC O 85054 IN THE DUE TO/FROM KENTUCKY MEDICAL LOGISTICS INC O 2590305 ACCOUNTS. THE TYPES OF KING'S DAUGHTERS MEDICAL SPECIALTIES INC O 737185 TRANSACTIONS THAT HIT THIS ASHLAND NURSING HOME CORP R 7228843 ACCOUNT ARE TRACKED MONTHLY. CHILD DEVELOPMENT CENTER CORP R 489805 KENTUCKY HEART FOUNDATION INC R 115380 KENTUCKY MEDICAL LOGISTICS INC R 292867 KING'S DAUGHTERS MEDICAL SPECIALTIES INC R 119094621 ASHLAND NURSING HOME CORP S 7387613 CHILD DEVELOPMENT CENTER CORP S 70627 KENTUCKY MEDICAL LOGISTICS INC S 845536 KING'S DAUGHTERS MEDICAL SPECIALTIES INC S 60240530