ASHLAND HOSPITAL CORPORATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: ASHLAND HOSPITAL CORPORATION (EIN 61-0444716)
Tax period: 2022-10-01 to 2023-06-30
Filed: 2024-05-15
IRS object ID: 202431369349303168
Schema version: 2022v5.0
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-05-15T09:45:48-05:00	ReturnTs
Tax Period End	2023-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	610444716	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	AUTUMN MCFANN	PersonNm
Person Title	TREASURER, SR. VP/CFO/CAO	PersonTitleTxt
Phone	6064084000	PhoneNum
Signature	2024-05-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

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

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KERRI N BOGDA CPA	PreparerPersonNm
PTIN	P00760402	PTIN
Phone	7177404863	PhoneNum
Preparation	2024-05-13	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

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

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	SARA MARKS	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$779,119,163	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.KINGSDAUGHTERSHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1941	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	5236	TotalEmployeeCnt
Total Volunteers	85	TotalVolunteersCnt
Total Gross UBI	$123,810	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,336,431	PYContributionsGrantsAmt
CY Contributions Grants	$3,124,987	CYContributionsGrantsAmt
PY Program Service Revenue	$831,889,501	PYProgramServiceRevenueAmt
CY Program Service Revenue	$744,157,103	CYProgramServiceRevenueAmt
PY Investment Income	$7,443,814	PYInvestmentIncomeAmt
CY Investment Income	$9,854,998	CYInvestmentIncomeAmt
PY Other Revenue	$5,473,943	PYOtherRevenueAmt
CY Other Revenue	$5,220,076	CYOtherRevenueAmt
PY Total Revenue	$854,143,689	PYTotalRevenueAmt
CY Total Revenue	$762,357,164	CYTotalRevenueAmt
PY Grants And Similar Paid	$566,765	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$427,552	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$318,471,331	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$274,368,194	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$372,432,256	PYOtherExpensesAmt
CY Other Expenses	$291,730,066	CYOtherExpensesAmt
PY Total Expenses	$691,470,352	PYTotalExpensesAmt
CY Total Expenses	$566,525,812	CYTotalExpensesAmt
PY Revenues Less Expenses	$162,673,337	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$195,831,352	CYRevenuesLessExpensesAmt
Total Assets BOY	$875,286,431	TotalAssetsBOYAmt
Total Assets EOY	$1,184,563,830	TotalAssetsEOYAmt
Total Liabilities BOY	$413,401,184	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$407,562,527	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$461,885,247	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$777,001,303	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$483,753,897	ExpenseAmt
Grant	$427,552	GrantAmt
Revenue	$744,032,405	RevenueAmt
Desc	LOCATED IN ASHLAND, KY, KING'S DAUGHTERS MEDICAL CENTER HAS BEEN SERVING THE PEOPLE OF NORTHEASTERN KENTUCKY, SOUTHERN OHIO, AND WESTERN WEST VIRGINIA FOR MORE THAN 120 YEARS. OUR FOCUS HAS ALWAYS BEEN ON HEALING THE SICK; IMPROVING QUALITY AND LENGTH OF LIFE; BUILDING HEALTHY COMMUNITIES; AND MEETING THE EVER-CHANGING HEALTHCARE NEEDS OF OUR REGION. AS ONE OF THE AREA'S LARGEST EMPLOYERS, KING'S DAUGHTERS IS AN IMPORTANT PART OF THE REGION'S INFRASTRUCTURE, ENSURING LOCAL ACCESS TO HIGH-QUALITY HEALTHCARE SERVICES; PROVIDING STABLE JOBS; ENCOURAGING ECONOMIC DEVELOPMENT; AND SUPPORTING EDUCATION FROM PRE-SCHOOL TO SENIOR CITIZENS. KING'S DAUGHTERS PROVIDES COMPREHENSIVE HEALTHCARE IN THE FOLLOWING SPECIALTIES: HEART AND VASCULAR; ORTHOPEDICS AND SPORTS MEDICINE; DIGESTIVE HEALTH; SURGICAL SERVICES AND BARIATRICS; BEHAVIORAL MEDICINE/PSYCHIATRIC; ONCOLOGY; MATERNITY, WOMEN'S CARE AND PEDIATRICS; PULMONOLOGY; AND PRIMARY CARE. KING'S DAUGHTERS IS COMPRISED OF TWO ACUTE-CARE HOSPITALS TOTALING 465 LICENSED BEDS; AN INTEGRATED NETWORK OF MORE THAN 400 PHYSICIANS AND ADVANCED PRACTITIONERS; 80 AMBULATORY CENTERS AND PRACTICE LOCATIONS OFFERING BOTH PRIMARY AND SPECIALTY CARE THROUGHOUT EASTERN KENTUCKY AND SOUTHERN OHIO. OUR GEOGRAPHICALLY DISTRIBUTED NETWORK OF PRIMARY CARE AND SPECIALIST PHYSICIANS, ALONG WITH DIAGNOSTIC CENTERS, HELPS ENSURE ACCESSIBLE, CONVENIENT HEALTHCARE SERVICES FOR PEOPLE WHERE THEY LIVE AND WORK. KING'S DAUGHTERS, ALONG WITH ITS TEAM MEMBERS, IS DEEPLY INVOLVED IN SUPPORTING PROGRAMS THAT IMPACT THE HEALTH, WELL-BEING, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY. - PROVIDING FREE IN-PERSON HEALTH SCREENINGS COVERING TOPICS RANGING FROM HEART DISEASE TO JOINT HEALTH TO SLEEP DISORDERS AND SKIN CANCER.- OFFERING FREE, ONLINE HEALTH RISK ASSESSMENTS AND SUPPORT GROUPS.- SPONSORING OR PARTICIPATING IN COMMUNITY EVENTS SUCH AS STRIKE-OUT STROKE, AND FREE FLU VACCINATIONS.- PROVIDING FREE SPORTS PHYSICALS TO YOUNG ATHLETES AT SCHOOLS THROUGHOUT OUR REGION; PLACING CERTIFIED ATHLETIC TRAINERS AT SCHOOLS; AND OFFERING WALK-IN ORTHOPEDIC AND SATURDAY MORNING SPORTS CLINICS FROM AUGUST TO NOVEMBER.- EXTENSIVE EFFORTS TO INCREASE COMMUNITY AWARENESS OF AND/OR COMPLIANCE WITH SCREENING RECOMMENDATIONS FOR COMMON HEALTH ISSUES INCLUDING BREAST, LUNG, AND COLORECTAL CANCERS; STROKE; HEART DISEASE; AND MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS. - OFFERING 3D MAMMOGRAPHY THROUGHOUT OUR REGION THROUGH STATIONARY LOCATIONS AT KING'S DAUGHTERS MEDICAL CENTER AND KING'S DAUGHTERS OHIO.- PROVIDING MOBILE HEALTH SERVICES ABOARD OUR MOBILE MAMMOGRAPHY UNIT WHICH OFFERS 3D IMAGES ALONG WITH TWO ADDITIONAL FLEXIBLE MOBILE UNITS THAT PROVIDE A WIDE RANGE OF SERVICES INCLUDING OCCUPATIONAL MEDICINE SERVICES, HEALTH SCREENINGS, EKG'S, PFT'S, AND OTHERS. THESE UNITS TRAVEL THROUGHOUT THE REGION TO OFFER THESE SERVICES IN CONVENIENT LOCATIONS FOR OUR COMMUNITIES. - INCREASING ACCESS TO FRESH, HEALTHY FOODS THROUGH SPONSORSHIP OF THE BOYD, CARTER, GREENUP COUNTIES IN KY AND LAWRENCE COUNTY OH FARMERS MARKETS AND KING'S DAUGHTERS MEDICAL CENTER IN PORTSMOUTH OHIO. - INCREASING BLOOD DONATION THROUGH A PARTNERSHIP WITH THE KENTUCKY BLOOD CENTER AND THE AMERICAN RED CROSS. - DONATING FOOD TO LOCAL FOOD BANKS TO ADDRESS THE FOOD INSECURITY ISSUE IN OUR AREA.- PROVIDING FREE TRANSPORTATION TO HEALTH CARE VISITS FOR INDIVIDUALS THAT LACK DEPENDABLE TRANSPORTATION. - PROVIDING MEALS ON WHEELS SERVICES IN SEVERAL BOYD AND GREENUP COUNTY COMMUNITIES FOR FREE TO INDIVIDUALS LIVING BELOW THE POVERTY LINE AND AT AN AFFORDABLE COST TO INDIVIDUALS THAT CAN AFFORD TO PAY. - SPONSORING AND PARTNERING WITH DOZENS OF OTHER ORGANIZATIONS TO HELP FURTHER EDUCATIONAL OPPORTUNITIES, PHYSICAL ACTIVITY, SOCIAL INTERACTION AND ECONOMIC DEVELOPMENT IN THE COMMUNITIES WE SERVE.	Desc
Total Program Service Expenses	$483,753,897	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	400	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	5236	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID JONES
BOARD CHAIRMAN	2.00	4.50	Yes (X)	Yes (X)	$0	$0	$0
DR MARK NEWMAN
BOARD VICE-CHAIRMAN (UNTIL 12/31/22)	2.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
PENNY COX
DIRECTOR	0.25	2.25	Yes (X)		$0	$0	$0
GINA DUGAS
DIRECTOR	0.25	2.25	Yes (X)		$0	$0	$0
ROBERT DIPAOLA
DIRECTOR	0.25	2.25	Yes (X)		$0	$0	$0
JOHN STEWART
DIRECTOR	0.25	2.75	Yes (X)		$0	$0	$0
TOM BURNETTE
DIRECTOR	0.25	2.75	Yes (X)		$0	$0	$0
STEPHEN ADDINGTON
DIRECTOR	0.25	2.50	Yes (X)		$0	$0	$0
ERIC MONDAY
DIRECTOR	0.25	2.25	Yes (X)		$0	$0	$0
CRAIG COLLINS
DIRECTOR	0.25	2.25	Yes (X)		$0	$0	$0
MARK BIRDWHISTELL
DIRECTOR	0.25	2.25	Yes (X)		$0	$0	$0
KRISTIE WHITLATCH
PRESIDENT/CEO (10/1/22-12/31/22)	51.25	10.75		Yes (X)	$0	$0	$0
SARA MARKS
PRESIDENT/CEO (BEG. 1/1/23)	51.25	10.25		Yes (X)	$1,844,834	$0	$142,949
AUTUMN MCFANN
TREASURER, SR. VP/CFO/CAO	51.25	10.25		Yes (X)	$1,897,128	$0	$131,808
SHERYL MAHANEY UNTIL 113022
SECRETARY, VP/CHIEF LEGAL OFFICER	51.25	10.75		Yes (X)	$1,518,132	$0	$8,395
STEVEN CLIFTON
SECRETARY (BEG. 12/1/22)	2.00	4.00		Yes (X)	$0	$0	$0
AMY SAUNDERS
ASSISTANT SECRETARY (BEG. 12/1/22)	42.00	4.00		Yes (X)	$227,968	$0	$12,371
RYAN ISON
VP INTEGRATED PRACTICES	45.00	0.00			$364,206	$0	$94,607	Yes (X)
CURTIS METZLER
CNO/VP PATIENT CARE SERVICES	45.00	0.00			$364,229	$0	$74,082	Yes (X)
STACY CAUDILL MD
VP/CHIEF INPATIENT CLINICAL OFFICER	0.25	40.00			$0	$443,891	$82,202	Yes (X)
STACY PATRICK
VP CLINICAL & PROCEDURAL OPS.	45.00	0.00			$375,110	$0	$81,893	Yes (X)
RICHARD FORD MD
VP/CMO INPATIENT & PROCEDURAL SVCS.	0.25	40.00			$0	$678,202	$74,342	Yes (X)
CHARBEL SALEM MD
VP/CHIEF POPULATION HEALTH OFF., KHF MEDICAL DIR.	0.25	50.00			$0	$782,130	$94,176	Yes (X)
JAMES DETHERAGE MD
VP/CMO OUTPATIENT INTEGRATED PRACTICES	0.25	40.00			$0	$602,565	$96,266	Yes (X)
JASON FORD MD
PHYSICIAN	40.00	0.00			$565,748	$0	$43,035		Yes (X)
JANE STRADER MD
PHYSICIAN, ANHC MEDICAL DIRECTOR	40.00	20.00			$403,333	$0	$45,660		Yes (X)
CHARLES CONLEY DO
PHYSICIAN, KML MEDICAL DIRECTOR	40.00	11.00			$480,661	$109,765	$38,366		Yes (X)
EVAN CONDEE DO
PHYSICIAN	40.00	0.50			$519,405	$4,920	$23,486		Yes (X)
BRANDI COLLINS DO
PHYSICIAN	40.00	0.00			$403,104	$0	$14,781		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,963,858	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,621,473	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,058,419	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	431	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
OBHG KENTUCKY PSC
777 LOWNDES HILL ROAD-BUILDING 1	GREENVILLE	SC	29607	HOSPITALISTS	$1,252,379
OC PARTNERS LLC
903 SPRING STREET	JEFFERSONVILLE	IN	47130	ARCHITECTS	$1,095,255
VANANTWERP ATTORNEYS LLP
1544 WINCHESTER AVENUE 5TH FLOOR	ASHLAND	KY	41101	ATTORNEYS	$883,469
ELEVATE PFS HOLDINGS
PO BOX 771850	CHICAGO	IL	60677	CONSULTANTS	$865,522
STITES & HARBISON PLLC
250 WEST MAIN ST 2300 LEXINGTON F	LEXINGTON	KY	40507	ATTORNEYS	$715,300

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	43	CntrctRcvdGreaterThan100KCnt
Related Organizations	$21,839	RelatedOrganizationsAmt
Government Grants	$2,498,282	GovernmentGrantsAmt
All Other Contributions	$604,866	AllOtherContributionsAmt
Noncash Contributions	$125,000	NoncashContributionsAmt
Total Contributions	$3,124,987	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SVC REV	621110	$690,191,303	$690,191,303
PHARMACY	456110	$53,961,411	$53,836,713	$124,698
MEANINGFUL USE REVENUE	621110	$4,389	$4,389

Field	Value	IRS element (for citing)
Total Program Service Revenue	$744,157,103	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,382,479	TotalRevenueColumnAmt
Exclusion	$10,382,479	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$378,984	TotalRevenueColumnAmt
Exclusion	$378,984	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$571,339	RealAmt
Personal	$3,150	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$351,496	RealAmt
Personal	$4,038	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$219,843	RealAmt
Personal	-$888	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$218,955	TotalRevenueColumnAmt
Unrelated Business Revenue	-$888	UnrelatedBusinessRevenueAmt
Exclusion	$219,843	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$15,500,000	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$16,409,219	SecuritiesAmt
Other	-$2,754	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$909,219	SecuritiesAmt
Other	$2,754	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$906,465	TotalRevenueColumnAmt
Exclusion	-$906,465	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
QUALITY INCENTIVE	900099	$2,511,684	$2,511,684
CAFETERIA	900099	$2,023,322	$2,023,322
MANAGEMENT FEES	900099	$310,132	$310,132

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$155,983	TotalRevenueColumnAmt
Exclusion	$155,983	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,001,121	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$762,357,164	TotalRevenueColumnAmt
Related Or Exempt Func Income	$744,032,405	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$123,810	UnrelatedBusinessRevenueAmt
Exclusion	$15,075,962	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$427,552	TotalAmt
Program Services	$427,552	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,570,273	TotalAmt
Management And General	$5,570,273	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$158,800	TotalAmt
Program Services	$85,999	ProgramServicesAmt
Management And General	$72,801	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$202,481,488	TotalAmt
Program Services	$179,619,885	ProgramServicesAmt
Management And General	$22,861,603	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,544,197	TotalAmt
Program Services	$11,127,957	ProgramServicesAmt
Management And General	$1,416,240	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$38,547,975	TotalAmt
Program Services	$34,195,909	ProgramServicesAmt
Management And General	$4,352,066	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,065,461	TotalAmt
Program Services	$12,869,312	ProgramServicesAmt
Management And General	$2,196,149	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,747,086	TotalAmt
Management And General	$2,747,086	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,741,641	TotalAmt
Program Services	$20,341	ProgramServicesAmt
Management And General	$1,721,300	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$357,480	TotalAmt
Management And General	$357,480	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$6,134	TotalAmt
Program Services	$6,134	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$510,405	TotalAmt
Management And General	$510,405	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$41,030,545	TotalAmt
Program Services	$33,012,019	ProgramServicesAmt
Management And General	$8,018,526	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,726,693	TotalAmt
Program Services	$1,714,654	ProgramServicesAmt
Management And General	$12,039	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,584,590	TotalAmt
Program Services	$1,275,385	ProgramServicesAmt
Management And General	$1,309,205	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,353,300	TotalAmt
Program Services	$2,353,300	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,324,951	TotalAmt
Program Services	$2,210,107	ProgramServicesAmt
Management And General	$5,114,844	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$230,062	TotalAmt
Program Services	$5,819	ProgramServicesAmt
Management And General	$224,243	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$120,469	TotalAmt
Program Services	$118,982	ProgramServicesAmt
Management And General	$1,487	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,321,645	TotalAmt
Program Services	$497,508	ProgramServicesAmt
Management And General	$7,824,137	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,559,625	TotalAmt
Program Services	$24,140,649	ProgramServicesAmt
Management And General	$4,418,976	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,058,215	TotalAmt
Management And General	$4,058,215	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$132,223,391	$129,582,085	$2,641,306
BAD DEBT EXPENSE	$23,881,296	$23,881,296
REPAIRS & MAINTENANCE	$17,694,631	$14,794,458	$2,900,173
TAX (INC. PROVIDER TAX)	$5,922,219	$4,830,899	$1,091,320

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,335,688	TotalAmt
Program Services	$6,983,647	ProgramServicesAmt
Management And General	$3,352,041	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$566,525,812	TotalAmt
Program Services	$483,753,897	ProgramServicesAmt
Management And General	$82,771,915	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$21,398,248	BOYAmt
EOY	$2,487,180	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$50,567,795	BOYAmt
EOY	$85,964,637	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$561,991	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$63,764,043	BOYAmt
EOY	$69,317,084	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,402,776	BOYAmt
EOY	$1,382,347	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,655,075	BOYAmt
EOY	$13,471,915	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,694,653	BOYAmt
EOY	$4,499,819	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$388,319,385	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$18,142,730	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$275,610,133	BOYAmt
EOY	$370,176,655	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$319,822,534	BOYAmt
EOY	$365,993,028	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$118,006,863	BOYAmt
EOY	$266,257,560	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$875,286,431	BOYAmt
EOY	$1,184,563,830	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$76,771,650	BOYAmt
EOY	$71,024,318	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$1,118,514	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$248,418,025	BOYAmt
EOY	$230,314,717	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,087,164	BOYAmt
EOY	$1,063,708	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$86,124,345	BOYAmt
EOY	$104,041,270	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$413,401,184	BOYAmt
EOY	$407,562,527	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$461,885,247	BOYAmt
EOY	$777,001,303	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$461,885,247	BOYAmt
EOY	$777,001,303	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$875,286,431	BOYAmt
EOY	$1,184,563,830	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$195,831,352	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$27,533,020	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$91,751,684	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$6,134	OtherActivitiesAmt
Total Lobbying Expenditures	$6,134	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	- $26: A PORTION OF DUES PAID TO THE ONCOLOGY NURSING SOCIETY ATTRIBUTABLE TO LOBBYING. - $5,980: A PORTION OF DUES PAID TO THE COLLEGE OF AMERICAN PATHOLOGISTS ATTRIBUTABLE TO LOBBYING - $37: A PORTION OF DUES PAID TO THE AMERICAN COLLEGE OF CARDIOLOGY ATTRIBUTABLE TO LOBBYING - $91: A PORTION OF THE DUES PAID TO THE AMERICAN ACADEMY OF SLEEP MEDICINE ATTRIBUTABLE TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,353,711	OtherCostOrOtherBasisAmt
Book Value	$25,353,711	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$247,079,573	OtherCostOrOtherBasisAmt
Depreciation	$7,694,593	DepreciationAmt
Book Value	$239,384,980	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,137,500	OtherCostOrOtherBasisAmt
Depreciation	$149,204	DepreciationAmt
Book Value	$988,296	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$86,223,287	OtherCostOrOtherBasisAmt
Depreciation	$10,185,380	DepreciationAmt
Book Value	$76,037,907	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,525,314	OtherCostOrOtherBasisAmt
Depreciation	$113,553	DepreciationAmt
Book Value	$28,411,761	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$370,176,655	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
TRUSTEED FUNDS	$12,400,818
DUE FROM RELATED PARTIES	$1,711,276
DUE FROM KY MEDICAID	$179,116,464
OPERATING LEASES	$31,794,672
DUE FROM INTEGRATED HEALTH INSURANCE LTD.	$27,726,672
DEFERRED EXPENSES	$13,507,658

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$266,257,560	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
MALPRACTICE COSTS	$35,620,782
ACCRUED PENSION	$18,572,301
LONG-TERM RETENTION PLAN	$700,000
INTEREST RATE SWAP AGREEMENTS	$5,123,576
EST. THIRD PARTY PAYOR SETTLEMENTS	$14,765,274
LEASES PAYABLE	$29,258,361
DUE TO RELATED PARTIES	$976

Field	Value	IRS element (for citing)
Total Liability	$104,041,270	TotalLiabilityAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,622,450	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,622,450	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,701,985	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$299,591,318	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$94,324,435	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$299,591,318	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,622,450	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,599,674	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,599,674	NetCommunityBenefitExpnsAmt
Total Expense	0.00660	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,840,364	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,840,364	NetCommunityBenefitExpnsAmt
Total Expense	0.01080	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,547,594	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,547,594	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$155,402	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$155,402	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,459,696	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,459,696	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,602,730	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,602,730	NetCommunityBenefitExpnsAmt
Total Expense	0.02880	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$109,927,165	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$299,591,318	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,225,180	NetCommunityBenefitExpnsAmt
Total Expense	0.03550	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$13,479,838	BadDebtExpenseAmt
Reimbursed By Medicare	$88,606,778	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$100,072,796	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$11,466,018	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	KINGSDAUGHTERSHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	KINGSDAUGHTERSHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	KINGSDAUGHTERSHEALTH.COM/PATIENT-VISITORS/FINANCIAL-SERVICES-RESOURCES	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	KINGSDAUGHTERSHEALTH.COM/PATIENT-VISITORS/FINANCIAL-SERVICES-RESOURCES	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	KINGSDAUGHTERSHEALTH.COM/PATIENT-VISITORS/FINANCIAL-SERVICES-RESOURCES	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ASHLAND HOSPITAL CORPORATION	PART V, SECTION B, LINE 5: IN ORDER TO ASSURE THAT THERE WAS A BROAD INVOLVEMENT FROM ALL FOUR COUNTIES IN THE ASSESSMENT PROCESS, FOCUS GROUPS AND A SURVEY WERE SELECTED TO GAIN INPUT. EACH COUNTY FOCUS GROUP CONSISTED OF INDIVIDUALS FROM PUBLIC HEALTH, BUSINESS, NON-PROFITS, HEALTHCARE AND OTHERS INTERESTED IN THE HEALTH OF THEIR COMMUNITY. THERE WERE INDIVIDUALS FROM EACH COUNTY PUBLIC HEALTH DEPARTMENT, WHICH REPRESENTED THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. IN ADDITION, MULTIPLE OTHER NON-PROFITS ALSO REPRESENTED THOSE WHO ARE UNDERSERVED, LOW INCOME OR PART OF THE MINORITY COMMUNITY. THESE COVERED PROGRAMS FOR THE AGED TO THOSE FOR YOUNG CHILDREN/INFANTS.
ASHLAND HOSPITAL CORPORATION	PART V, SECTION B, LINE 11: THE 2021-22 COMMUNITY HEALTH NEED ASSESSMENT IDENTIFIED THE FOLLOWING NEEDS THAT THE MEDICAL CENTER WILL BE ADDRESSING:1) ACCESS TO CARE2) HOLISTIC HEALTH (PHYSICAL, MENTAL, SOCIAL, SPIRITUAL)3) POVERTYTHIS HEALTH NEEDS WILL BE ADDRESS IN THE FOLLOWING WAYS:1) ACCESS TO CARE:KDMC WILL IMPROVE ACCESS TO CARE BY REMOVING BARRIERS TO TRANSPORTATION BY PROVIDING TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS THROUGH THEIR VAN MINISTRY. IN REMOTE AREAS WHERE FEW PROVIDERS ARE LOCATED, KDMC WILL PROVIDE FREE COMMUNITY HEALTH SCREENINGS LIKE THEIR HEALTHY HEART SCREENINGS (INCLUDES BLOOD SUGAR, TOTAL CHOLESTEROL, BLOOD PRESSURE AND EKG). TO INCREASE THE NUMBER OF INDIVIDUALS WITH A MEDICAL HOME/PRIMARY CARE PROVIDER, KDMC PLANS TO OFFER EDUCATION ON THE BENEFITS OF PRIMARY CARE. KDMC ALSO PLANS TO PROVIDE EDUCATION ON THE BENEFITS OF COLON/RECTAL SCREENING AND STATIN THERAPIES TO IMPROVE ACCESS TO CARE AND OUTCOMES FOR PATIENTS. IN ADDITION, KDMC PLANS TO PROMOTE THE USE OF THE MYKD HEALTH APP AND THE WAY IN WHICH IT CAN HELP THE PATIENT CONNECT WITH THEIR HEALTHCARE PROVIDER; PROMOTE WELL CARE VISITS FOR CHILDREN AT 15 MONTHS AND 3-6 YEARS; AND TO INCREASE CHILDHOOD IMMUNIZATIONS IN THE AREA.2) HOLISTIC HEALTH:AS PART OF HOLISTIC HEALTH, KDMC WILL PROVIDE STRATEGIES UNDER PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL HEALTH. -PHYSICAL HEALTH: IDENTIFY, PROMOTE AND/OR EXPAND WALKING OR OTHER PHYSICAL ACTIVITY OPPORTUNITIES. PARTNER WITH LOCAL FOOD SOURCES TO PROVIDE HEALTHY FOOD TO THE ELDERLY, PEOPLE IN FOOD DESERTS AND THOSE WITH SPECIFIC MEDICAL CONDITIONS. - MENTAL HEALTH: PROMOTE SUICIDE PREVENTION HOTLINE. EDUCATE AND PROVIDE NARCAN TO BEHAVIORAL HEALTH PATIENTS AT DISCHARGE AS APPROPRIATE. COLLABORATE ON TWO MENTAL HEALTH AWARENESS ACTIVITIES: (1) FOR THE COMMUNITY AND (2) FOR NETWORKING AMONG PROVIDERS. INCREASE NUMBER OF CERTIFIED PEER SUPPORT SPECIALISTS. PROMOTE MENTAL HEALTH AWARENESS AT COMMUNITY EVENTS 4 TIMES PER YEAR. REDUCE THE NUMBER OF HIGH DOSE OPIOID PRESCRIPTIONS FROM KD PRESCRIBERS. - SOCIAL HEALTH: PROVIDE FREE, INTERACTIVE LEARNING FOR CHILDREN AND YOUTH. TOPICS MAY INCLUDE, BULLYING, NICOTINE/VAPING, SUD, SUICIDE PREVENTION, GRIEF, ETC. PROVIDE SOCIAL HEALTH PROGRAMMING FOR ADULTS. TOPICS MAY INCLUDE DEALING WITH DEPRESSION, ACTIVE LIVING, STAYING SOCIALLY ACTIVE, GRIEF, DIET & MENTAL HEALTH, ETC. IMPLEMENT SOCIAL DETERMINANTS OF HEALTH SCREENING PROTOCOL IN EPIC.- SPIRITUAL HEALTH: REBUILD THE FAITHWORKS COLLABORATIVE PROGRAM TO SUPPORT COMMUNITY HEALTH INITIATIVES.3) POVERTY:KDMC PLANS TO SUPPORT 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. ALSO DESCRIBE ANY NEEDS THAT ARE NOT BEING ADDRESSED AND THE REASONS WHY THE NEEDS ARE NOT BEING ADDRESSED.OTHER IDENTIFIED HEALTH NEEDS HAVE NOT BEEN SPECIFICALLY ADDRESSED THROUGH THE DEVELOPMENT OF THIS IMPLEMENTATION STRATEGY. HOWEVER, MANY OF THESE NEEDS ARE COVERED THROUGH KDMC'S PROVISION OF COMPREHENSIVE SERVICES OR THROUGH THE THREE ABOVE-MENTIONED PRIORITY AREAS TO BE FOCUSED ON OVER THE NEXT THREE YEARS. SPECIFIC REASONS ARE OUTLINED BELOW.IDENTIFIED NEEDS (ADDRESSED THROUGH ACCESS TO CARE, HOLISTIC HEALTH, AND POVERTY) - CHRONIC HEALTH CONDITIONS - LACK OF HEALTHCARE PROVIDERS - MENTAL HEALTH - OBESITY - PHYSICAL INACTIVITY - PREVENTIVE CARE - SMOKING/VAPING - SUBSTANCE USE DISORDERS IDENTIFIED NEEDS (ADDRESSED THROUGH KDMC'S COMPREHENSIVE SERVICES AND/OR EDUCATIONAL OUTREACH. RELATIVELY LOW PRIORITY PER COMMUNITY INPUT OBTAINED THROUGH KEY STAKEHOLDER INTERVIEWS AND COMMUNITY SURVEY): - CANCER -HEART DISEASE - LACK OF PRENATAL CARE IDENTIFIED NEEDS (OUTSIDE THE SCOPE OF SERVICES PROVIDED BY KDMC, BUT OPPORTUNITIES MAY EXIST FOR KDMC TO SUPPORT ORGANIZATIONS ADDRESSING THESE NEEDS): - LACK OF AFFORDABLE HOUSING - TEENAGE PREGNANCY - UNINTENTIONAL INJURY - FOOD 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.

Field	Value	IRS element (for citing)
Facility	40	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (40 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - CENTER FOR ADVANCED IMAGING
2225 CENTRAL AVENUE	ASHLAND	KY	41101	OUTPATIENT IMAGING CENTER
2 - ASHLAND URGENT CARE
2245 WINCHESTER AVENUE	ASHLAND	KY	41101	URGENT CARE
3 - GRAYSON URGENT CARE
I-64 INTERCHANGE	GRAYSON	KY	41143	URGENT CARE
4 - IRONTON URGENT CARE
912 PARK AVENUE	IRONTON	OH	45638	URGENT CARE
5 - OUTPATIENT SERVICES CENTER
480 23RD STREET	ASHLAND	KY	41101	PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY
6 - CATLETTSBURG FAMILY CARE CENTER
4004 LOUIS ROAD	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 SPECIALTIES
609 N CAROL MALONE BOULEVARD	GRAYSON	KY	41143	FAMILY CARE CENTER
10 - FLATWOODS MEDICAL SPECIALTIES
1109 BELLEFONTE ROAD	FLATWOODS	KY	41139	FAMILY CARE CENTER
11 - OLIVE HILL FAMILY CARE CENTER
391 WEST TOM T HALL BOULEVARD	OLIVE HILL	KY	41164	FAMILY CARE CENTER
12 - BURLINGTON FAMILY CARE CENTER
384 COUNTRY ROAD 120 SOUTH	SOUTH POINT	OH	45680	FAMILY CARE CENTER
13 - IRONTON FAMILY CARE CENTER
912 PARK AVENUE	IRONTON	OH	45638	FAMILY CARE CENTER
14 - JACKSON MEDICAL SPECIALTIES
14395 STATE ROUTE 93	JACKSON	OH	45640	FAMILY CARE CENTER
15 - PORTSMOUTH MEDICAL SPECIALTIES
2001 SCIOTO TRAIL	PORTSMOUTH	OH	45662	FAMILY CARE CENTER
16 - SANDY HOOK FAMILY CARE CENTER
STATE ROUTES 7 AND 32	SANDY HOOK	KY	41171	FAMILY CARE CENTER
17 - KDMC OCCUPATIONAL MEDICINE
2301 LEXINGTON AVENUE SUITE 215	ASHLAND	KY	41101	OCCUPATIONAL MEDICINE
18 - KDMC HOME HEALTH
2301 LEXINGTON AVENUE SUITE 215	ASHLAND	KY	41101	HOME HEALTH SERVICES
19 - PRESTONSBURG FAMILY CARE
1279 OLD ABBOT MOUNTAIN ROAD	PRESTONBURG	KY	41653	FAMILY CARE CENTER
20 - RUSSELL URGENT CARE
399 DIEDERICH BOULEVARD	RUSSELL	KY	41169	URGENT CARE
21 - BURLINGTON URGENT CARE
384 COUNTRY ROAD 120 SOUTH	SOUTH POINT	OH	45680	URGENT CARE
22 - PORTSMOUTH INTERNAL MEDICINE
1729 KINNEYS LANE	PORTSMOUTH	OH	45662	FAMILY CARE CENTER
23 - ASHLAND PEDIATRICS
2301 LEXINGTON AVENUE SUITE 215	ASHLAND	KY	41101	PEDIATRICS CENTER
24 - CANNONSBURG URGENT CARE
12470 US 60	ASHLAND	KY	41102	URGENT CARE
25 - KD BELLEFONTE PRIMARY CAREPEDIATRICS
1000 ASHLAND DRIVE SUITE 102	ASHLAND	KY	41101	FAMILY CARE CENTER/PEDIATRICS
26 - KD CORNERSTONE MEDICAL PLAZA
1816 CARTER AVENUE	ASHLAND	KY	41101	FAMILY CARE CENTER
27 - KD ASHLAND 29TH ST PEDIATRICS
336 29TH STREET SUITE 201	ASHLAND	KY	41101	PEDIATRICS CENTER
28 - KD ASHLAND PRIMARY CARE
2028 WINCHESTER AVENUE	ASHLAND	KY	41101	FAMILY CARE CENTER
29 - KD CANNONSBURG PRIMARY CARE
12470 US 60	ASHLAND	KY	41102	FAMILY CARE CENTER
30 - KD FLATWOODS PRIMARY CARE
2420 ARGILLITE ROAD SUITE B	FLATWOODS	KY	41139	FAMILY CARE CENTER
31 - KD GRAYSON PRIMARY CARE MED SPEC & PEDS
100 BELLEFONTE DRIVE	GRAYSON	KY	41143	FAMILY CARE CENTER/PEDIATRICS
32 - KD GREENUP PRIMARY CARE
1629 ASHLAND ROAD	GREENUP	KY	41144	FAMILY CARE CENTER
33 - VITALITY CENTER - PED & ADULT PTOT
1100 STREET CHRISTOPHER DRIVE	ASHLAND	KY	41101	PHYSICAL & OCCUPATIONAL THERAPY CTR
34 - WOUND CENTER
MEDICAL PLAZA A SUITE 215	ASHLAND	KY	41101	WOUND CENTER
35 - KD ASHLAND FAMILY MEDICINE
2222 WINCHESTER AVENUE	ASHLAND	KY	41101	FAMILY CARE CENTER
36 - WHEELERSBURG FAMILY CARE CENTER
8750 OHIO RIVER ROAD	WHEELERSBURG	OH	45694	FAMILY CARE CENTER
37 - CENTER FOR HEALTHY LIVING
1200 CENTRAL AVENUE SUITE 1	ASHLAND	KY	41101	SPECIALTY CARE CENTER
38 - KD CARTER COUNTY PRIMARY CARE
105 STATE HIGHWAY 1947 SUITE A	GRAYSON	KY	41143	FAMILY CARE CENTER
39 - KD HENRY ADKINS PRIMARY CARE
105 STATE HIGHWAY 1947 SUITE B	GRAYSON	KY	41143	FAMILY CARE CENTER
40 - KD PAINTSVILLE PRIMARY CARE AND MEDICAL
335 NORTH MAYO TRAIL	PAINTSVILLE	KY	41240	FAMILY AND SPECIALTY CARE CENTER

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	KDMC USED WORKSHEET 2 PROVIDED IN THE SCHEDULE H INSTRUCTIONS (FORM 990) TO CALCULATE A COST TO CHARGE RATIO. THIS RATIO WAS USED TO CALCULATE CHARITY CARE AT COST. TO CALCULATE UNPAID COSTS OF MEDICAID, THE HOSPITAL'S COST ACCOUNTING SYSTEM WAS USED, ALONG WITH DATA FROM THE KY MEDICAID COST REPORT. ALL OTHER ITEMS WERE REPORTED AS NET EXPENSE.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $23,881,296.
PART III, LINE 2:	KDMC USED WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS (FORM 990) TO CALCULATE A COST TO CHARGE RATIO. THIS RATIO WAS USED TO CALCULATE BAD DEBT EXPENSE AT COST.
PART III, LINE 3:	BAD DEBT EXPENSE IS RECORDED AFTER ANY DISCOUNTS AND PAYMENTS ARE MADE ON PATIENT ACCOUNTS. HOWEVER, THE BUSINESS OFFICE DOES NOT KEEP TRACK OF "NO-RESPONSE" APPLICATIONS AND DOES NOT FEEL THAT THE PORTION CONSIDERED TO BE A COMMUNITY BENEFIT IS MATERIAL.
PART III, LINE 4:	"PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUAL AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND INSURED PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES), THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS."
PART III, LINE 8:	THE HOSPITAL CONTINUES TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY TO PAY. NOTWITHSTANDING THE COSTS TO PROVIDE CARE, RECEIVING "LESS" THAN WHAT IT COSTS TO PROVIDE ADEQUATE CARE TO MEDICARE COVERED LIVES DOES THE HOSPITAL A DISSERVICE. THIS SHORTFALL SHOULD COUNT AS A COMMUNITY BENEFIT. THE HOSPITAL USES THE ALLOWABLE COSTS PER THE MEDICARE COST REPORT, THE MOST RECENT COST REPORT DATA, AND PROVIDER STATISTICAL AND REIMBURSEMENT REPORT WAS USED TO COMPUTE THE INFORMATION.
PART III, LINE 9B:	THE HOSPITAL HAS A WRITTEN POLICY FOR BAD DEBT. UNINSURED PATIENTS ARE SCREENED FOR ELIGIBILITY FOR MEDICARE, MEDICAID AND OTHER SUCH PROGRAMS BY A CONTRACTED VENDOR. ALL PATIENTS, INSURED AND UNINSURED, WITH VALID MAILING ADDRESSES RECEIVE POST-DISCHARGE BILLING STATEMENTS OVER THE COURSE OF A 120 DAY PERIOD. IF THERE ARE NO ACTIVE DISPUTES OR OTHER PAYMENT SOURCES AVAILABLE, AND THE BALANCE IS UNPAID AT THE END OF THE STATEMENT PERIOD, THE ACCOUNT WILL BE PLACED WITH A COLLECTION AGENCY TO REPORT AS A BAD DEBT. EACH STATEMENT INCLUDES INFORMATION REGARDING THE AVAILABILITY OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM ALONG WITH A NUMBER WHERE THE REPRESENTATIVES CAN BE REACHED FOR ASSISTANCE.
PART VI, LINE 2:	DURING FY21, KDMC CONTRACTED WITH THE CROWE LLP TO MANAGE THE COMMUNITY HEALTH NEEDS ASSESSMENT. THROUGH THIS PROCESS QUANTITATIVE DATA WAS COLLECTED FROM LOCAL, STATE AND NATIONAL SOURCES TO USE AS COMPARATIVE DATE TO THE QUALITATIVE DATA COLLECTED FROM KEY LEADER TELEPHONE INTERVIEWS AND A BROADER COMMUNITY SURVEY. DATA COLLECTED LOOKED AT SOCIOECONOMIC INDICATORS, EDUCATION LEVELS, HEALTH BEHAVIORS, MORBIDITY, AND MORTALITY AND WHAT THE COMMUNITY THOUGHT WERE THE MOST PRESSING HEALTH NEEDS IN THE COMMUNITIES SERVED.IN ADDITION TO THE TRIANNUAL CHNA, KDMC CONTINUOUSLY MONITORS HOSPITAL DATA AND COMMUNITY SPREAD DISEASES LIKE SEASONAL FLU AND COVID-19. DEPENDING ON THE ISSUE, KDMC RESPONDS WITH STRATEGIES TO HELP MITIGATE THE ISSUE, AS EXAMPLE, WITH COVID-19 KDMC, AS SOON AS AVAILABLE, DEVELOPED THE CAPABILITY TO DO SCREENING LOCALLY TO REDUCE WAIT TIMES AND IDENTIFY DISEASE EARLY. IN ADDITION, THE HOSPITAL TOOK THE LEAD IN THE VACCINATION EFFORT PROVIDING THE VACCINE IN MULTIPLE LOCATIONS AROUND THE AREA.
PART VI, LINE 3:	THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY PROVIDES DIRECTION FOR FREE OR DISCOUNTED SERVICES TO RESIDENTS OF THE COMMUNITY WHO HAVE INADEQUATE FINANCIAL RESOURCES TO PAY FOR NECESSARY HEALTHCARE SERVICES PROVIDED BY KING'S DAUGHTERS. THE POLICY STATES THAT THE MEDICAL CENTER WILL NOT DENY CARE TO ANY PATIENT REQUIRING CARE DUE TO THEIR INABILITY TO PAY. THE FINANCIAL ASSISTANCE POLICY PROVIDES GUIDANCE TO PROVIDING ASSISTANCE BASED ON SLIDING SCALE METHODOLOGY AND THE FEDERAL POVERTY GUIDELINES ESTABLISHED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. PATIENTS REQUIRING CARE WITH INCOME BELOW 300% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR FREE OR REDUCED COST SERVICES. KING'S DAUGHTERS ALSO CONTRACTS WITH OUTSIDE VENDORS TO ASSIST PATIENTS IN GOVERNMENT ENROLLMENT PROGRAMS. THERE ARE VARIOUS WAYS THE FINANCIAL ASSISTANCE PROGRAM IS CONVEYED TO THE COMMUNITY: KDMC WEBSITE, SIGNS IN VARIOUS PATIENT REGISTRATION AREAS, OUTBOUND/INBOUND CUSTOMER SERVICES CALLS, AND STATEMENT LANGUAGE.
PART VI, LINE 4:	THE SERVICE AREA IS MADE UP OF SIX COUNTIES IN TWO STATES: BOYD, CARTER, GREENUP AND LAWRENCE COUNTIES IN KENTUCKY AND LAWRENCE AND SCIOTO COUNTIES IN OHIO. ACCORDING TO THE US CENSUS BUREAU AMERICAN COMMUNITY SURVEY (UPDATE 7/1/2021), A TOTAL OF 257,041 PEOPLE LIVE IN THE SIX-COUNTY SERVICE REGION. THE REGION COVERS 2,397 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 WHITE, 1.7% ARE BLACK, 1.4% HISPANIC/LATINO AND 0.9% MAKE UP ALL OTHER RACES. THERE ARE MORE FEMALES (50.5%) THAN MALES (49.5%) IN THE AREA. THE MEDIAN FAMILY INCOME IS $44,026, COMPARED TO KENTUCKY ($52,238) AND OHIO ($58,116), THE UNITED STATES $(64,994). PER CAPITA INCOME IS $23,392, COMPARED TO KENTUCKY ($29,123), OHIO ($32,465) AND THE NATION ($35,384). APPROXIMATELY 18.7% OF THE TOTAL POPULATION AND 30.3% OF CHILDREN UNDER AGE 18 LIVE IN POVERTY. MORE THAN SEVEN PERCENT (7.4%) OF THE POPULATION UNDER THE AGE OF 65 IS WITHOUT ANY FORM OF HEALTHCARE COVERAGE. AS OF AUGUST 2022, THE AVERAGE UNEMPLOYMENT RATE FOR THE SIX-COUNTY AREA WAS 6.0%.
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 IS UTILIZING 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 IS ESTIMATED TO BE OVER $170 MILLION AND IS SLATED TO OPEN SPRING OF 2025. THIS NEW BUILDING WILL CREATE 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):1) SCREENINGS, IMMUNIZATIONS AND PHYSICALS:- HEALTHY HEART SCREENING - 1,744 (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR, AND EKG) ADULTS SCREENED (SECONDARY AND TERTIARY COUNTIES)- SPORTS PHYSICALS - 858 YOUTH - FLU SHOTS - 528 VACCINES ADMINISTERED2) HEALTH EDUCATION: - ALCOHOL AND OTHER DRUGS - 619 ADULTS AND 579 CHILDREN EDUCATED- BLOOD DONATIONS - 348 DONATIONS COLLECTED- BONE HEALTH - 128 ADULTS AND CHILDREN SERVED- BREAST CANCER SCREENING MOBILE UNIT - 659 ADULTS SERVED- BREAST FEEDING EDUCATION - 14 ADULTS SERVED- COLON CANCER EDUCATION - 85 ADULTS- DENTAL HEALTH - 579 ADULTS AND 579 CHILDREN SERVED- DIABETES EDUCATION - 936 ADULTS AND CHILDREN SERVED (SECONDARY AND TERTIARY COUNTIES)- EARLY SIGNS AND SYMPTOMS OF HEART ATTACK - 987 ADULTS AND 579 CHILDREN SERVED- 1ST AID EDUCATION - 1,524 ADULTS AND CHILDREN SERVED- HANDWASHING EDUCATION - 89 ADULTS AND 192 CHILDREN SERVED- FLU PREVENTION EDUCATION - 460 ADULTS AND CHILDREN SERVED- HEALTHY HEART EDUCATION - 1,287 ADULTS AND CHILDREN SERVED (SECONDARY/TERTIARY COUNTIES)- HYDRATION - 247 CHILDREN SERVED- HYPERTENSION - 428 ADULTS AND 28 CHILDREN SERVED- NUTRITION EDUCATION - 1,227 ADULTS AND 1,061 CHILDREN SERVED (SECONDARY/TERTIARY COUNTIES)- PREGNANCY/PARENTING EDUCATION - 36 ADULTS SERVED- SAFE MEDICATION PRACTICES - 1,168 ADULTS AND CHILDREN SERVED- STROKE - 896 ADULTS AND 30 CHILDREN SERVED - SUBSTANCE USE DISORDER - 1,218 ADULTS AND CHILDREN SERVED- TOBACCO - 962 ADULTS AND 860 CHILDREN (SECONDARY AND TERTIARY COUNTIES) - DURING COVID-19, EDUCATIONAL PROGRAMMING WAS SHIFTED TO INCLUDE VIDEOS POSTED TO FACEBOOK. KDMC POSTED THE FOLLOWING EDUCATIONAL VIDEOS: O DIGESTIVE HEALTH ONE VIDEO WITH 262 VIEWS O STROKE EIGHT VIDEOS WITH 2,535 VIEWS O SURGICAL WEIGHT LOSS ONE VIDEO WITH 270 REACHED O EAR, NOSE AND THROAT ONE VIDEO WITH 66 VIEWS O JOINT HEALTH THREE VIDEOS WITH 455 VIEWS O EPILEPSY ONE VIDEO WITH 170 VIEWSSUPPORT GROUPS KDMC PROVIDES VARIOUS SUPPORT GROUPS FOR INDIVIDUALS WITH DISEASE AND/OR THEIR CAREGIVERS. DURING FY23, THE FOLLOWING GROUPS WERE OFFERED. - SURGICAL WEIGHT LOSS - 4 ATTENDED - GRIEF - 30 ATTENDED - RECOVERY - 40 ATTENDEDCLINICAL RESEARCH: KDMC SUPPORTS CLINICAL RESEARCH IN BOTH CARDIAC AND ONCOLOGY. OTHER COMMUNITY ACTIVITIES:- BLOOD DRIVES- KDMC HOSTED 9 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 TIME- BUILD-A-BED- BUILD-A-BED IS AN EFFORT TO PUT TOGETHER BEDS FOR UNDERPRIVILEGED CHILDREN IN THE REGION. THESE BEDS COME INTO KDMC'S PRIMARY SERVICE AREA THROUGH AN APPLICATION PROCESS WHERE PARENTS/GUARDIANS CAN APPLY FOR BEDS FOR THEIR CHILDREN. THE APPLICANTS MUST MEET INCOME ELIGIBILITY GUIDELINES. KDMC SUPPLIED 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 901 INDIVIDUALS SERVED.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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
HIGHLANDS MUSEUM AND DISCOVERY INC
1620 WINCHESTER AVENUE	ASHLAND	KY	41101	311061542	501(C)(3)	$259,402	$0	SPONSORHIP OF 2 FUNDRAISING EVENTS AND A PERMANENT HANDS-ON CHILDREN'S EXHIBIT ABOUT HEALTHCARE
SHAPING OUR APPALCHIAN REGION INC (SOAR)
137 MAIN STREET SUITE 300	ASHLAND	KY	41501	371760428	501(C)(3)	$20,000	$0	SPONSORSHIP OF COMMUNITY EVENTS
SUMMER MOTION INC
PO BOX 1643	ASHLAND	KY	41105	311695435	501(C)(4)	$10,000	$0	SPONSORSHIP OF COMMUNITY EVENT
ASHLAND AREA YOUNG MENS CHRISTIAN ASSOCIATION
3232 MEGAN NEYER WAY	ASHLAND	KY	41102	610444836	501(C)(3)	$6,000	$0	SUPPORT OF AFTERSCHOOL PROGRAM FOR UNDER-PRIVILEGED CHILDREN
NEIGHBORS HELPING NEIGHBORS
2516 CARTER AVENUE	ASHLAND	KY	41101	611450110	501(C)(3)	$5,300	$0	SPONSORSHIP OF FUNDRAISING EVENTS
RIVER CITIES HARVEST
PO BOX 2136	ASHLAND	KY	41105	611208113	501(C)(3)	$5,094	$21,418	FOODBANK SUPPORT	INVOICES	FOOD
ASHLAND COMMUNITY KITCHEN
PO BOX 1743	ASHLAND	KY	41105	611100724	501(C)(3)	$3,000	$15,622	PROVIDE FOOD TO SENIOR CITIZENS IN OUR COMMUNITY THROUGH MEALS ON WHEELS. FOOD WAS ALSO DONATED TO A COMMUNITY FOOD DRIVE. THE CASH DONATION WAS IN SUPPORT OF A COMMUNITY EVENT.	INVOICES	FOOD AND MISC. SUPPLY

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	KING'S DAUGHTERS MEDICAL CENTER MAKES GRANTS/CONTRIBUTIONS TO ORGANIZATIONS BASED ON THE 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
AUTUMN MCFANN
TREASURER, SR. VP/CFO/CAO	$480,101	$0	$138,000	$0	$1,279,027	$0	$113,725	$0	$18,083	$0	$2,028,936	$0	$50,000	$0
SARA MARKS
PRESIDENT/CEO (BEG. 1/1/23)	$464,919	$0	$133,500	$0	$1,246,415	$0	$113,725	$0	$29,224	$0	$1,987,783	$0	$50,000	$0
SHERYL MAHANEY UNTIL 113022
SECRETARY, VP/CHIEF LEGAL OFFICER	$307,303	$0	$0	$0	$1,210,829	$0	$0	$0	$8,395	$0	$1,526,527	$0	$0	$0
CHARBEL SALEM MD
VP/CHIEF POPULATION HEALTH OFF., KHF	$0	$781,387	$0	$0	$0	$743	$0	$63,725	$0	$30,451	$0	$876,306	$0	$0
RICHARD FORD MD
VP/CMO INPATIENT & PROCEDURAL SVCS.	$0	$660,842	$0	$0	$0	$17,360	$0	$63,725	$0	$10,617	$0	$752,544	$0	$0
JAMES DETHERAGE MD
VP/CMO OUTPATIENT INTEGRATED PRACTIC	$0	$567,027	$0	$0	$0	$35,538	$0	$66,975	$0	$29,291	$0	$698,831	$0	$0
CHARLES CONLEY DO
PHYSICIAN, KML MEDICAL DIRECTOR	$478,611	$109,765	$0	$0	$2,050	$0	$9,150	$0	$29,216	$0	$519,027	$109,765	$0	$0
JASON FORD MD
PHYSICIAN	$544,267	$0	$0	$0	$21,481	$0	$13,725	$0	$29,310	$0	$608,783	$0	$0	$0
EVAN CONDEE DO
PHYSICIAN	$519,170	$4,920	$0	$0	$235	$0	$13,725	$0	$9,761	$0	$542,891	$4,920	$0	$0
STACY CAUDILL MD
VP/CHIEF INPATIENT CLINICAL OFFICER	$0	$443,277	$0	$0	$0	$614	$0	$63,725	$0	$18,477	$0	$526,093	$0	$0
RYAN ISON
VP INTEGRATED PRACTICES	$241,325	$0	$70,875	$0	$52,006	$0	$63,725	$0	$30,882	$0	$458,813	$0	$50,000	$0
STACY PATRICK
VP CLINICAL & PROCEDURAL OPS.	$248,662	$0	$74,025	$0	$52,423	$0	$63,725	$0	$18,168	$0	$457,003	$0	$50,000	$0
JANE STRADER MD
PHYSICIAN, ANHC MEDICAL DIRECTOR	$402,600	$0	$0	$0	$733	$0	$13,725	$0	$31,935	$0	$448,993	$0	$0	$0
CURTIS METZLER
CNO/VP PATIENT CARE SERVICES	$232,126	$0	$70,875	$0	$61,228	$0	$63,725	$0	$10,357	$0	$438,311	$0	$50,000	$0
BRANDI COLLINS DO
PHYSICIAN	$375,725	$0	$20,000	$0	$7,379	$0	$13,725	$0	$1,056	$0	$417,885	$0	$0	$0
AMY SAUNDERS
ASSISTANT SECRETARY (BEG. 12/1/22)	$190,304	$0	$37,219	$0	$445	$0	$10,268	$0	$2,103	$0	$240,339	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINES 4A-B

THE FOLLOWING INDIVIDUALS RECEIVED A CHANGE-OF-CONTROL PAYMENT DURING THE CALENDAR YEAR 2022: - SHERYL MAHANEY $1,209,162 - SARA MARKS $1,175,614 - AUTUMN MCFANN $1,208,771 THESE WERE PAID AS A RESULT OF THE 12/1/22 MEMBER SUBSTITUTION WITH THE UNIVERSITY OF KENTUCKY. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: - RICHARD FORD M.D. $14,165 - AUTUMN MCFANN $18,996 - SARA MARKS $19,541 - JAMES DETHERAGE M.D. $13,833 - RYAN ISON $1,215 - CURTIS METZLER $1,430 - STACY PATRICK $1,179. 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. THE FOLLOWING INDIVIDUALS RECEIVED 457(F) EXECUTIVE RETENTION PLAN PAYOUTS: - AUTUMN MCFANN $50,000 - SARA MARKS $50,000 - RYAN ISON $50,000 - CURTIS METZLER $50,000 - STACY PATRICK $50,000 THE FOLLOWING INDIVIDUAL PARTICIPATED IN A CAPITAL ACCUMULATION PLAN: - CHARBEL SALEM M.D. PREMIUM PAYMENT $76,923

PART I, LINE 7

NONFIXED PAYMENTS ARE MADE AS A PART OF THE MEDICAL CENTER'S TEAM INCENTIVE AWARD (TIA) PLAN. ALL TEAM MEMBERS ARE ELIGIBLE FOR THE TIA. THE TIA IS PAID OUT BASED UPON SUCCESSFUL COMPLETION OF BOTH QUANTITATIVE AND QUALITATIVE STRATEGIC GOALS, SET ANNUALLY BY THE MEDICAL CENTER LEADERSHIP TEAM AND APPROVED BY THE BOARD OF DIRECTORS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF ASHLAND KENTUCKY (SERIES A)
A	616001775	044293AN8	2016-09-23	$73,445,000	SEE PART VI	0	0	0
CITY OF ASHLAND KENTUCKY (SERIES B)
B	616001775	NONEAVAIL	2016-09-23	$50,000,000	SEE PART VI	0	0	0
CITY OF ASHLAND KENTUCKY
C	616001775	044293CB2	2019-12-30	$95,490,000	SEE PART VI	0	0	0
CITY OF ASHLAND KENTUCKY
D	616001775	NONEAVAIL	2022-09-22	$50,570,000	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Credit EnhancementCreditEnhancementAmt	UnspentUnspentAmt
A	$14,625,000	$81,984,559	$1,200,341	$80,784,218	2016	Yes (1)	Yes (1)	Yes (1)
B	$8,645,287	$50,000,000	$254,000	$49,746,000	2016	Yes (1)	Yes (1)	Yes (1)
C	$14,780,000	$103,952,363	$1,303,871	$102,116,178	2020	Yes (1)	Yes (1)	Yes (1)	$532,314
D	$1,140,000	$50,948,071	$570,000	$38,014,781		0	0	Yes (1)		$12,363,291

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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
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: $98,262 INTEREST EARNED IN BOND CONSTRUCTION FUND THROUGH SEPTEMBER 2023 PLUS $279,809 INTEREST EARNED IN INVESTMENTS THROUGH SEPTEMBER 2023.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
OFFICE FUNITURE USA
SEE PART V	$846,516	SEE PART V	0
ASHLAND OFFICE SUPPLY
SEE PART V	$826,409	SEE PART V	0
JODY ARCHER
SEE PART V	$72,801	SEE PART V	0
CINDY HANSHAW
SEE PART V	$36,200	SEE PART V	0
RACHEL SAUNDERS
SEE PART V	$35,583	SEE PART V	0
HANNAH DANIELS
SEE PART V	$14,216	SEE PART V	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	FormAndLineReferenceDesc
Explanation	(A) NAME OF PERSON: 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: CINDY HANSHAW(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SISTER OF KRISTIE WHITLATCH (PRESIDENT/CEO).(D) DESCRIPTION OF TRANSACTION: EMPLOYEE PAYROLL COMPENSATION. THERE IS NO MANAGEMENT RELATIONSHIP OR CONTROL OVER COMPENSATION BY KRISTIE WHITLATCH.(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.	ExplanationTxt

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercialGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$125,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	INDEPENDENT APPRAISAL	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	1	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	ROYAL BLUE HEALTH LLC (RBH) IS THE CORPORATE MEMBER OF ASHLAND HOSPITAL CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	AS THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM, RBH HAS CERTAIN GOVERNANCE RIGHTS WITH RESPECT TO AHC. THOSE RIGHTS INCLUDE ELECTING OR REMOVING AHC'S DIRECTORS AND OFFICERS.
FORM 990, PART VI, SECTION A, LINE 7B	AS THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM, RBH HAS CERTAIN GOVERNANCE RIGHTS WITH RESPECT TO AHC. THOSE RIGHTS REQUIRE CERTAIN SIGNIFICANT AHC ACTIONS TO NOW ALSO BE APPROVED BY RBH, INCLUDING, AMONG OTHERS, A CHANGE OF MEMBERSHIP OR SALE OF AHC, ELECTING OR REMOVING AHC'S DIRECTORS AND OFFICERS, AMENDING AHC'S ARTICLES AND BYLAWS, OR ANY BANKRUPTCY, LIQUIDATION OR DISSOLUTION OF AHC, INCLUDING THE TAX-EXEMPT ORGANIZATION TO WHOM AHC'S ASSETS ARE DISTRIBUTED UPON ITS DISSOLUTION. RBH'S BOARD OF TRUSTEES MAY IDENTIFY ADDITIONAL AHC ACTIONS THAT MUST BE APPROVED BY RBH IN ADDITION TO THOSE SPECIFICALLY LISTED IN AHC'S ARTICLES AND BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11B	THE 990 WILL BE REVIEWED BY THE CFO AND CONTROLLER BEFORE IT IS FILED WITH THE IRS. THE 990 WILL BE KEPT ON FILE AND AVAILABLE FOR REVIEW BY BOARD MEMBERS UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 12C	ASHLAND HOSPITAL CORPORATION DBA KING'S DAUGHTERS MEDICAL CENTER REQUIRES ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO COMPLY WITH ITS CONFLICTS OF INTEREST POLICY, WHICH TRACKS THE IRS' RECOMMENDED POLICY WITH RESPECT TO SUCH OFFICERS AND DIRECTORS. MEMBERS OF THE MEDICAL CENTER'S BOARD OF DIRECTORS MUST ANNUALLY IDENTIFY, IN WRITING, ANY INTEREST THAT COULD GIVE RISE TO A CONFLICT, SUCH AS A LEADERSHIP POSITION IN A CONFLICTING ORGANIZATION; DISCLOSURE IS NOT LIMITED TO FINANCIAL CONFLICTS. LEADERSHIP EMPLOYEES MUST ANNUALLY CERTIFY, IN WRITING, THAT THEY KNOW OUR CONFLICTS OF INTEREST POLICY AND PROCEDURE AND HAVE NO CONFLICTS OF INTEREST. IN ADDITION, EMPLOYEES OF THE MEDICAL CENTER CERTIFY THAT NO CONFLICTS OF INTEREST EXIST OR OBTAIN AN ADVANCE WAIVER OF ANY CONFLICTS. THE MEDICAL CENTER'S HUMAN RESOURCES AND CORPORATE COMPLIANCE DEPARTMENT MAINTAINS ALL RELEVANT DISCLOSURES AND SIGNATURES. ALL EMPLOYEES PROVIDE ANNUAL CONFLICT CHECKS. IF A CONFLICT OF INTEREST IS REPORTED, THE VICE PRESIDENT TO WHOM THE REPORTING EMPLOYEE DIRECTLY OR INDIRECTLY REPORTS, TOGETHER WITH THE CEO, 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 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 748,945. ADJUSTMENT FOR ACCUMULATED LOSS ON SWAP -401,408. CHANGE IN MARKET VALUE - PREMIER -232,231. FORGIVENESS OF INTERCOMPANY RECEIVABLES -12,075,811. FASB TO GASB CONVERSION 105,747,189. TRANSFER TO RELATED PARTY -2,000,000. PENSION LIABILITY ADJUSTMENT -35,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ASHLAND NURSING HOME CORPORATION
2500 STATE ROUTE 5	ASHLAND	KY	41102	611386016	NURSING HOME	KY	501(C)(3)	LINE 10	ASHLAND HOSPITAL CORPORATION	Yes (1)
CHILD DEVELOPMENT CENTER CORPORATION
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	010560598	DAYCARE	KY	501(C)(3)	LINE 10	ASHLAND HOSPITAL CORPORATION	Yes (1)
KENTUCKY HEART INSTITUTE INC
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	611255904	PHYSICIANS	KY	501(C)(3)	LINE 10	ASHLAND HOSPITAL CORPORATION	Yes (1)
KENTUCKY HEART FOUNDATION INC
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	260791997	MEDICAL RESEARCH	KY	501(C)(3)	LINE 7	ASHLAND HOSPITAL CORPORATION	0
KENTUCKY MEDICAL LOGISTICS INC
425 22ND STREET	ASHLAND	KY	41101	264736971	MEDICAL TRANSPORT	KY	501(C)(3)	LINE 10	ASHLAND HOSPITAL CORPORATION	Yes (1)
KING'S DAUGHTERS HEALTH FOUNDATION INC
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	611035701	FUNDRAISING	KY	501(C)(3)	LINE 12B, II		0	N/A
KING'S DAUGHTERS HEALTH SYSTEM
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	274553836	HEALTHCARE	KY	501(C)(3)	LINE 12B, II		0	N/A
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	264183569	PHYSICIANS	KY	501(C)(3)	LINE 10	ASHLAND HOSPITAL CORPORATION	Yes (1)
PORTSMOUTH HOSPITAL CORPORATION
1901 ARGONNE AVENUE	PORTSMOUTH	OH	45662	453215312	HEALTHCARE	OH	501(C)(3)	LINE 3	ROYAL BLUE HEALTH LLC	0
ROYAL BLUE HEALTH LLC
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	862993817	HEALTHCARE	KY	501(C)(3)	LINE 12B, II		0	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

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

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

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
KENTUCKY MEDICAL LOGISTICS INC
A	$43,798	TRANSACTIONS THAT HIT THIS
ASHLAND NURSING HOME CORP
O	$128,827	ALL TRANSACTIONS BETWEEN
KENTUCKY MEDICAL LOGISTICS INC
O	$2,146,820	ACCOUNT ARE TRACKED MONTHLY.
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
O	$455,126
ASHLAND NURSING HOME CORP
R	$5,788,971	COMPANIES ARE CAPTURED AT COST
KENTUCKY HEART FOUNDATION INC
R	$61,993	ACCOUNTS. THE TYPES OF
KENTUCKY MEDICAL LOGISTICS INC
R	$3,627,661
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
R	$61,240,031
ASHLAND NURSING HOME CORP
S	$6,376,705	IN THE DUE TO/FROM
KENTUCKY MEDICAL LOGISTICS INC
S	$601,876
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
S	$38,945,832