ASHLAND HOSPITAL CORPORATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ASHLAND HOSPITAL CORPORATION (EIN 61-0444716)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-17
IRS object ID: 202022309349300637
Schema version: 2018v3.2
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 K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-17T12:50:03-05:00	ReturnTs
Tax Period End	2019-09-30	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	2018-10-01	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	VICE PRESIDENT/CFO	PersonTitleTxt
Phone	6064084000	PhoneNum
Signature	2020-08-17	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KERRI N BOGDA CPA	PreparerPersonNm
PTIN	P00760402	PTIN
Phone	7177404863	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	23.130.16.102	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-08-17	IPDt
IP Tm	12:47:48	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	AE0C272A69DD34E2EDF3B6A185DE1CF90EACE8A4	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	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	KRISTIE WHITLATCH	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	$449,837,483	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	5	VotingMembersIndependentCnt
Total Employee	3491	TotalEmployeeCnt
Total Volunteers	157	TotalVolunteersCnt
Total Gross UBI	$14,759	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,210,887	PYContributionsGrantsAmt
CY Contributions Grants	$311,238	CYContributionsGrantsAmt
PY Program Service Revenue	$417,843,604	PYProgramServiceRevenueAmt
CY Program Service Revenue	$438,711,069	CYProgramServiceRevenueAmt
PY Investment Income	$11,178,446	PYInvestmentIncomeAmt
CY Investment Income	$5,969,898	CYInvestmentIncomeAmt
PY Other Revenue	$4,261,391	PYOtherRevenueAmt
CY Other Revenue	$4,340,051	CYOtherRevenueAmt
PY Total Revenue	$434,494,328	PYTotalRevenueAmt
CY Total Revenue	$449,332,256	CYTotalRevenueAmt
PY Grants And Similar Paid	$169,186	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$325,686	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$185,803,624	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$194,212,755	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$232,096,346	PYOtherExpensesAmt
CY Other Expenses	$234,000,924	CYOtherExpensesAmt
PY Total Expenses	$418,069,156	PYTotalExpensesAmt
CY Total Expenses	$428,539,365	CYTotalExpensesAmt
PY Revenues Less Expenses	$16,425,172	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$20,792,891	CYRevenuesLessExpensesAmt
Total Assets BOY	$676,221,177	TotalAssetsBOYAmt
Total Assets EOY	$692,505,967	TotalAssetsEOYAmt
Total Liabilities BOY	$310,679,220	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$319,401,817	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$365,541,957	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$373,104,150	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	$358,908,376	ExpenseAmt
Grant	$325,686	GrantAmt
Revenue	$438,711,069	RevenueAmt
Desc	KING'S DAUGHTERS MEDICAL CENTER IS A LOCALLY CONTROLLED, NOT-FOR-PROFIT, 465-BED REGIONAL REFERRAL CENTER, COVERING A 150-MILE RADIUS THAT INCLUDES EASTERN KENTUCKY, WESTERN WEST VIRGINIA, AND SOUTHERN OHIO. KDMC OFFERS COMPREHENSIVE CARDIAC, MEDICAL, SURGICAL, MATERNITY, PEDIATRIC, REHABILITATIVE, BARIATRIC, PSYCHIATRIC, CANCER, NEUROLOGICAL, PAIN AND WOUND CARE AS WELL AS HOME-BASED SERVICES. KDMC OPERATES MORE THAN 25 OFFICES IN EASTERN KENTUCKY AND SOUTHERN OHIO. KING'S DAUGHTERS MEDICAL CENTER IS THE LARGEST EMPLOYER BETWEEN CHARLESTON, WV, AND LEXINGTON, KY. OUR VISION: WORLD CLASS CARE IN OUR COMMUNITIES.CONTINUED ON SCHEDULE "O".KING'S DAUGHTERS MEDICAL CENTER IS LOCATED IN ASHLAND, KY., AT THE INTERSECTION OF KENTUCKY, OHIO AND WEST VIRGINIA. THE PRIMARY SERVICE AREA ENCOMPASSES SIX COUNTIES IN TWO STATES: BOYD, CARTER, GREENUP AND LAWRENCE COUNTIES IN KENTUCKY AND LAWRENCE AND SCIOTO COUNTIES IN OHIO. THE HEALTH AND WELL-BEING OF THE COMMUNITY IS VITALLY IMPORTANT TO US AT KING'S DAUGHTERS. WE OWE OUR VERY EXISTENCE TO FORWARD-THINKING COMMUNITY MEMBERS, VOLUNTEERS WHO HELPED SHAPE KING'S DAUGHTERS, AND TO THE PATIENTS AND FAMILIES WHO CHOOSE US FOR THEIR CARE. OUR COMMITMENT TO COMMUNITY DRIVES US TO GIVE BACK. OUR TEAM MEMBERS, PHYSICIANS AND HEALTH PROFESSIONALS PROVIDE FREE SCREENINGS AND EDUCATION, AND PARTICIPATE IN HEALTH FAIRS AND OTHER SPECIAL EVENTS DESIGNED TO HELP PEOPLE AND THE COMMUNITY BE HEALTHIER.	Desc
Total Program Service Expenses	$358,908,376	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
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
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	Yes (1)	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 With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	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	292	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3491	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	0	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	5	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	Yes (1)	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 (22 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID JONES
CHAIRMAN	2.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
KRISTIE WHITLATCH
PRESIDENT/CEO	51.25	11.25	Yes (X)	Yes (X)	$842,313	$0	$22,947
SHERYL MAHANEY NON-VOTING
SECRETARY, VP/CHIEF LEGAL & REG. OFF.	51.25	11.25	Yes (X)	Yes (X)	$423,069	$0	$23,048
AUTUMN MCFANN NON-VOTING
TREASURER, VP/CFO	51.25	11.25	Yes (X)	Yes (X)	$350,905	$0	$23,048
STEPHEN ADDINGTON
DIRECTOR	0.25	1.00	Yes (X)		$0	$0	$0
WILLIAM BOYKIN MD
DIRECTOR/MEDICAL STAFF PRESIDENT	0.25	40.25	Yes (X)		$23,000	$423,680	$7,477
TOM BURNETTE
DIRECTOR	0.25	1.25	Yes (X)		$0	$0	$0
DONALD HAMMONDS DO
DIRECTOR/PHYSICIAN	0.25	30.25	Yes (X)		$0	$31,393	$14,595
BRADLEY LEVI
DIRECTOR	0.25	0.25	Yes (X)		$0	$0	$0
KIM MCCANN
DIRECTOR	0.25	2.25	Yes (X)		$0	$0	$0
JOHN STEWART
DIRECTOR	0.25	1.25	Yes (X)		$0	$0	$0
JOHN VINCENT
DIRECTOR	0.25	1.50	Yes (X)		$0	$0	$0
RAMONA THOMPSON
VP/CHIEF COMPLIANCE OFFICER	45.00	1.25			$251,306	$0	$17,978	Yes (X)
SARA MARKS
VP/EXECUTIVE DIRECTOR KDIP	51.25	6.25			$370,702	$0	$33,305	Yes (X)
RICHARD FORD MD
VP/CMO OF INPATIENT/PROC.	0.25	40.25			$0	$622,027	$23,048	Yes (X)
JAMES DETHERAGE MD
VP/CMO OF OUTPATIENT/KDIP/PHYSICIAN	0.25	40.25			$2,000	$545,313	$33,139	Yes (X)
EVAN CONDEE DO
PHYSICIAN	40.00				$376,345	$0	$16,024		Yes (X)
CHARLES CONLEY DO
PHYSICIAN	40.00	15.00			$430,071	$103,078	$33,176		Yes (X)
PATRICK BALL DO
PHYSICIAN	40.00				$389,344	$0	$22,964		Yes (X)
JANE STRADER MD
PHYSICIAN	40.00				$257,251	$0	$21,178		Yes (X)
JONATHAN MAYNARD MD
PHYSICIAN	40.00				$264,785	$0	$32,725		Yes (X)
PHILIP FIORET MD
FORMER KEY EMPLOYEE	0.00	0.00			$224,194	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,205,285	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,725,491	TotReportableCompRltdOrgAmt
Total Other Compensation	$324,652	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	161	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	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	296072131	HOSPITALISTS	$1,773,655
CLEVELAND CLINIC FOUNDATION
PO BOX 931760	CLEVELAND	OH	441931861	CONSULTANTS	$1,250,000
DULEY ENTERPRISES LLC
24203 JACKS FORK ROAD	RUSH	KY	41168	CONSULTANTS	$1,238,465
BIO-MEDICAL APPS OF OHIO
16343 COLLECTIONS CENTER DR	CHICAGO	IL	60693	DIALYSIS SERVICES	$1,017,363
STITES & HARBISON PLLC
250 WEST MAIN STREET	LEXINGTON	KY	405071758	LAWYERS	$993,563

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	39	CntrctRcvdGreaterThan100KCnt
Government Grants	$176,009	GovernmentGrantsAmt
All Other Contributions	$135,229	AllOtherContributionsAmt
Total Contributions	$311,238	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	$414,637,202	$414,637,202
PHARMACY	446110	$24,009,007	$24,008,151	$856
MEANINGFUL USE REVENUES	621110	$64,860	$64,860

Field	Value	IRS element (for citing)
Total Program Service Revenue	$438,711,069	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,900,529	TotalRevenueColumnAmt
Unrelated Business Revenue	$14,479	UnrelatedBusinessRevenueAmt
Exclusion	$5,886,050	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$771	TotalRevenueColumnAmt
Exclusion	$771	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$910,299	RealAmt
Personal	$3,150	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$482,434	RealAmt
Personal	$3,726	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$427,865	RealAmt
Personal	-$576	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$427,289	TotalRevenueColumnAmt
Unrelated Business Revenue	-$576	UnrelatedBusinessRevenueAmt
Exclusion	$427,865	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$87,665	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$19,067	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$68,598	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$68,598	TotalRevenueColumnAmt
Exclusion	$68,598	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	722210	$2,327,183	$2,327,183
QUALITY INCENTIVE	900099	$961,359	$961,359
MANAGEMENT FEES	900099	$271,740	$271,740

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$352,480	TotalRevenueColumnAmt
Exclusion	$352,480	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,912,762	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$449,332,256	TotalRevenueColumnAmt
Related Or Exempt Func Income	$438,710,213	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$14,759	UnrelatedBusinessRevenueAmt
Exclusion	$10,296,046	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$325,686	TotalAmt
Program Services	$325,686	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,507,668	TotalAmt
Management And General	$2,507,668	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$150,769,395	TotalAmt
Program Services	$131,660,881	ProgramServicesAmt
Management And General	$19,108,514	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,955,152	TotalAmt
Program Services	$2,580,734	ProgramServicesAmt
Management And General	$374,418	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$27,146,690	TotalAmt
Program Services	$23,707,204	ProgramServicesAmt
Management And General	$3,439,486	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,833,850	TotalAmt
Program Services	$9,306,277	ProgramServicesAmt
Management And General	$1,527,573	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,344,443	TotalAmt
Management And General	$2,344,443	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$180,000	TotalAmt
Management And General	$180,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$53,630	TotalAmt
Program Services	$53,630	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$463,119	TotalAmt
Management And General	$463,119	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,557,744	TotalAmt
Program Services	$23,892,813	ProgramServicesAmt
Management And General	$5,664,931	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,783,027	TotalAmt
Program Services	$12,101	ProgramServicesAmt
Management And General	$1,770,926	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,232,872	TotalAmt
Program Services	$1,091,219	ProgramServicesAmt
Management And General	$1,141,653	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,883,477	TotalAmt
Program Services	$2,872,987	ProgramServicesAmt
Management And General	$10,490	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,916,418	TotalAmt
Program Services	$1,610,439	ProgramServicesAmt
Management And General	$5,305,979	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$265,572	TotalAmt
Program Services	$150,680	ProgramServicesAmt
Management And General	$114,892	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$62,887	TotalAmt
Program Services	$31,117	ProgramServicesAmt
Management And General	$31,770	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,315,897	TotalAmt
Program Services	$44,509	ProgramServicesAmt
Management And General	$12,271,388	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$21,468,354	TotalAmt
Program Services	$19,934,845	ProgramServicesAmt
Management And General	$1,533,509	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,154,416	TotalAmt
Management And General	$5,154,416	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$93,542,350	$89,905,111	$3,637,239
BAD DEBT EXPENSE	$23,994,308	$23,994,308
REPAIRS & MAINTENANCE	$16,459,814	$15,147,980	$1,311,834
TAX (INC. PROVIDER TAX)	$7,675,993	$7,633,965	$42,028

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,646,603	TotalAmt
Program Services	$4,951,890	ProgramServicesAmt
Management And General	$1,694,713	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$428,539,365	TotalAmt
Program Services	$358,908,376	ProgramServicesAmt
Management And General	$69,630,989	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,045,692	BOYAmt
EOY	$5,233,090	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$12,380,469	BOYAmt
EOY	$13,408,922	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$56,582,731	BOYAmt
EOY	$59,854,147	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,195,231	BOYAmt
EOY	$1,046,131	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,577,837	BOYAmt
EOY	$7,443,119	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,627,275	BOYAmt
EOY	$5,582,597	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$633,537,608	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$397,078,427	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$239,387,205	BOYAmt
EOY	$236,459,181	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$165,156,607	BOYAmt
EOY	$176,820,552	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$5,575,663	BOYAmt
EOY	$5,005,696	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$172,903,752	BOYAmt
EOY	$180,863,817	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$676,221,177	BOYAmt
EOY	$692,505,967	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$36,716,167	BOYAmt
EOY	$35,441,337	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$224,864,944	BOYAmt
EOY	$218,517,125	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$49,098,109	BOYAmt
EOY	$65,443,355	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$310,679,220	BOYAmt
EOY	$319,401,817	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$365,541,957	BOYAmt
EOY	$373,104,150	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$365,541,957	BOYAmt
EOY	$373,104,150	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$676,221,177	BOYAmt
EOY	$692,505,967	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$20,792,891	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$317,739	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$13,548,437	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	0	FederalGrantAuditRequiredInd

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	$53,630	OtherActivitiesAmt
Total Lobbying Expenditures	$53,630	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	- $22,623: A PORTION OF THE DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. - $27,110: A PORTION OF DUES PAID TO THE COLLEGE OF AMERICAN PATHOLOGISTS ATTRIBUTABLE TO LOBBYING. - $3,201: A PORTION OF THE DUES PAID TO THE AMERICAN COLLEGE OF CARDIOLOGY ATTRIBUTABLE TO LOBBYING EXPENSES. - $696: A PORTION OF DUES PAID TO THE AMERICAN COLLEGE OF SURGEONS ATTRIBUTABLE TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,415,203	OtherCostOrOtherBasisAmt
Book Value	$28,415,203	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$363,271,386	OtherCostOrOtherBasisAmt
Depreciation	$205,974,200	DepreciationAmt
Book Value	$157,297,186	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$235,567,489	OtherCostOrOtherBasisAmt
Depreciation	$186,174,978	DepreciationAmt
Book Value	$49,392,511	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,283,530	OtherCostOrOtherBasisAmt
Depreciation	$4,929,249	DepreciationAmt
Book Value	$1,354,281	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$236,459,181	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
SELF INSURANCE FUNDS	$185,200
TRUSTEED FUNDS	$1,317
DUE FROM RELATED PARTIES	$179,476,237
OTHER RECEIVABLES	$1,201,063

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$180,863,817	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
MALPRACTICE COSTS	$20,462,876
ACCRUED PENSION	$17,002,000
LONG-TERM RETENTION PLAN	$262,621
INTEREST RATE SWAP AGREEMENTS	$15,516,071
EST. THIRD PARTY PAYOR SETTLEMENTS	$5,961,000
LEASES PAYABLE	$6,238,787

Field	Value	IRS element (for citing)
Total Liability	$65,443,355	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE MEDICAL CENTER, KHF, KBNH, CDC, KHI, KDMT, KDMS, KDHF AND PHC HAVE BEEN RECOGNIZED BY THE IRS AS SECTION 501(C)(3) CHARITABLE ORGANIZATIONS. SECTION 501(C)(3) ORGANIZATIONS ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME.	ExplanationTxt

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	$2,034,619	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,034,619	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$97,270,690	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,866,997	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,403,693	NetCommunityBenefitExpnsAmt
Total Expense	0.06530	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,305,309	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,866,997	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,438,312	NetCommunityBenefitExpnsAmt
Total Expense	0.07030	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,439,839	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,439,839	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$321,931	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$321,931	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,761,770	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,761,770	NetCommunityBenefitExpnsAmt
Total Expense	0.00680	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$102,067,079	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,866,997	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,200,082	NetCommunityBenefitExpnsAmt
Total Expense	0.07710	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$499,846	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$499,846	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$499,846	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$499,846	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,043,484	BadDebtExpenseAmt
Reimbursed By Medicare	$120,306,322	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$127,395,624	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,089,302	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	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	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	18	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
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
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 (5 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 6A: BON SECOURS KENTUCKY A.K.A. OUR LADY OF BELLEFONTE HOSPITAL & PORTSMOUTH HOSPITAL CORPORATION.
ASHLAND HOSPITAL CORPORATION	PART V, SECTION B, LINE 11: THE SIGNIFICANT NEEDS IDENTIFIED BY THE 2019 CHNA AND RATIFIED BY THE KDMC LEADERSHIP TEAM ARE: SUBSTANCE ABUSE, OBESITY/DIABETES, CANCER PREVENTION, HEART DISEASE/HYPERTENSION, AND COPD/LUNG DISEASE. THE 2019 CHNA IDENTIFIED NEW NEEDS TO BE ADDRESSED INCLUDING SUBSTANCE ABUSE/MISUSE, OBESITY/DIABETES, HEART DISEASE, COPD AND OTHER BREATHING ISSUES, AND CANCER PREVENTION. THESE NEEDS ARE BEING ADDRESSED THROUGH THE IMPLEMENTATION PLAN IN THE FOLLOWING WAYS:- SUBSTANCE ABUSE/MISUSE: KDMC IS PARTNERING WITH LOCAL COURT SYSTEMS TO WORK WITH JUSTICE INVOLVED INDIVIDUALS WHO ARE PARTICIPATING IN DRUG COURT. A GRANT HAS ENABLED KDMC TO EXPAND THEIR OUTPATIENT BEHAVIORAL SERVICES TO INCLUDE A LICENSED CLINICAL SOCIAL WORKER AND NURSE PRACTITIONERS WHO HAVE SPECIALTY IN WORKING WITH SUBSTANCE ABUSE PATIENTS. THE PRIMARY FOCUS IS ON JUSTICE INVOLVED INDIVIDUALS WITH OPIOID ADDICTION. THE PROGRAM ADDRESSES NOT ONLY THE ISSUE OF ADDICTION BUT ALSO PRIMARY CARE AND REMOVAL OF SOCIAL/ECONOMIC ISSUES THAT LIMIT THE PATIENT'S ABILITY TO OVERCOME THEIR ADDICTION. KDMC IS ALSO WORKING THROUGH THE FAITH COMMUNITY TO REMOVE THE STIGMA OF ADDICTION TO HELP IMPROVE RECOVERY RATES. KDMC WILL CONTINUE TO PROVIDE EDUCATION ABOUT SAFE MEDICATION PRACTICE IN SCHOOLS AND THROUGHOUT THE COMMUNITY TO REDUCE ACCIDENTAL POISONING. - OBESITY/DIABETES: KDMC WILL CONTINUE TO MEET THE FOOD NEEDS OF THE COMMUNITY THROUGH FARMER'S MARKETS, FOOD BANK DONATIONS AND THE MEALS-ON-WHEELS PROGRAM, WHILE LOOKING FOR ADDITIONAL WAYS TO ASSURE THE AVAILABILITY OF HEALTHY FOODS FOR THOSE IN NEED. TO ADDRESS OBESITY, KDMC WILL SUPPORT PHYSICAL ACTIVITY PROGRAMS IN THE AREA AND SPONSOR YOUNG PEOPLE WHO CANNOT AFFORD ENTRY INTO RUNS/WALKS. IN ADDITION, SCHOOL-BASED PROGRAMS FOR PHYSICAL ACTIVITY WILL BE IMPLEMENTED. TO ADDRESS DIABETES, KDMC WILL CONTINUE TO PROVIDE FREE NON-FASTING BLOOD SUGAR SCREENINGS THROUGHOUT THE AREA TO IDENTIFY THOSE WITH PREDIABETES OR DIABETES. THE LOW-COST BLOOD PROFILES, INCLUDING A1C WILL CONTINUE TO BE PROVIDED. - CANCER PREVENTION: KDMC WILL ADDRESS PREVENTION OF THREE CANCERS: LUNG, BREAST AND COLON/RECTAL. LUNG CANCER WILL BE TACKLED THROUGH LOW-DOSE CT SCREENING, PATIENT EDUCATION AND THE HEALTHAWARE RISK ASSESSMENT; COLON/RECTAL CANCERS WILL BE ADDRESSED THROUGH VARIOUS SCREENING OPTIONS, INCLUDING COLONOSCOPY, SIGMOIDOSCOPY AND FIT TESTING. THE HEALTHAWARE RISK ASSESSMENT WILL ALSO ADDRESS COLON/RECTAL CANCER. BREAST CANCER WILL FOCUS ON CARTER COUNTY, WHERE SCREENING IS LOW AND BREAST CANCER DEATHS ARE HIGH. THE MOBILE MAMMOGRAPHY UNIT WILL INCREASE THE NUMBER OF VISITS TO CARTER COUNTY FOR SCREENING. OTHER RESOURCES, SUCH AS GRANT FUNDS TO PAY FOR MAMMOGRAMS AND DIAGNOSTIC TESTING, WILL BE PROVIDED FOR WOMEN IN THE COUNTY. GENETIC TESTING FOR CANCER IS ALSO BEING OFFERED. - COPD AND OTHER BREATHING ISSUES: THESE LUNG ISSUES ARE BEING ADDRESSED THROUGH INCREASING EFFORTS TO EDUCATE INDIVIDUALS IN THE COMMUNITY ABOUT THE ILL EFFECTS OF TOBACCO USE AND E-CIGARETTES (VAPING). THIS EDUCATION IS PROVIDED THROUGH SCHOOLS AND COMMUNITY EVENTS. IN ADDITION, AN INCREASED EFFORT TO ASSIST INDIVIDUALS TO QUIT TOBACCO USE IS BEING MADE THROUGH REFERRALS AND SMOKING CESSATION CLASSES. FURTHER INCREASED EFFORT IS BEING MADE TO HELP IDENTIFY INDIVIDUALS WITH LUNG ISSUES THROUGH TAKING BREATHING SCREENINGS (PFT TESTING) TO RURAL AREAS THROUGH THE MOBILE HEALTH UNIT. - HEART DISEASE: THE EARLY DETECTION OF HEART DISEASE AIDS IN PREVENTING FUTURE CATASTROPHIC EVENTS. THROUGH SCREENING AND PREVENTION EDUCATION, KDMC ADDRESSES THE NEED TO LOWER CHOLESTEROL AND HIGH BLOOD PRESSURE. THOSE SCREENED RECEIVE EDUCATION AND BASED ON THEIR NUMBERS, MAY BE ADVISED TO FURTHER SEE A PHYSICIAN. MENTAL HEALTH AND DEPRESSION WERE PART OF THE SIGNIFICANT NEEDS IDENTIFIED. WHILE KING'S DAUGHTERS RECOGNIZES THAT MENTAL HEALTH AND DEPRESSION ARE ISSUES FOR OUR SERVICE AREA, KING'S DAUGHTERS NEITHER HAS THE EXPERTISE OR RESOURCES TO SIGNIFICANTLY IMPACT THESE ISSUES. KING'S DAUGHTERS DOES RECOGNIZE THAT THESE ISSUES MAY BE SOMEWHAT IMPACTED THROUGH TARGETING OTHER ISSUES LIKE SUBSTANCE ABUSE. IN ADDITION, KDMC DOES HAVE A NETWORK OF OUTSIDE AGENCIES, INCLUDING PATHWAYS, THAT INDIVIDUALS SUFFERING FROM MENTAL HEALTH AND DEPRESSION ARE REFERRED TO AS NEEDED.
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	25	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 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 RD	CATLETTSBURG	KY	41129	FAMILY CARE CENTER
7 - CEDAR KNOLL FAMILY CARE CENTERPEDIATRIC
10650 US ROUTE 60	ASHLAND	KY	41102	FAMILY CARE CENTER/PEDIATRICS
8 - FLATWOODS FAMILY CARE
1107 BELLEFONTE RD	FLATWOODS	KY	41139	FAMILY CARE CENTER
9 - GRAYSON MEDICAL SPECIALTIES
609 N CAROL MALONE BLVD	GRAYSON	KY	41143	FAMILY CARE CENTER
10 - FLATWOODS MEDICAL SPECIALTIES
1109 BELLEFONTE RD	FLATWOODS	KY	41139	FAMILY CARE CENTER
11 - OLIVE HILL FAMILY CARE CENTER
391 WEST TOM T HALL BOULEVARD	OLIVE HILL	KY	41164	FAMILY CARE CENTER
12 - BURLINGTON FAMILY CARE CENTER
384 COUNTRY ROAD 120 SOUTH	SOUTH POINT	OH	45680	FAMILY CARE CENTER
13 - IRONTON FAMILY CARE CENTER
912 PARK AVENUE	IRONTON	OH	45638	FAMILY CARE CENTER
14 - JACKSON MEDICAL SPECIALTIES
14395 STATE ROUTE 93	JACKSON	OH	45640	FAMILY CARE CENTER
15 - PORTSMOUTH MEDICAL SPECIALTIES
2001 SCIOTO TRAIL	PORTSMOUTH	OH	45662	FAMILY CARE CENTER
16 - WHEELERSBURG FAMILY CARE
8750 OHIO RIVER ROAD	WHEELERSBURG	OH	45694	FAMILY CARE CENTER
17 - SANDY HOOK FAMILY CARE CENTER
STATE ROUTES 7 AND 32	SANDY HOOK	KY	41171	FAMILY CARE CENTER
18 - KDMC OCCUPATIONAL MEDICINE
2301 LEXINGTON AVE STE 215	ASHLAND	KY	41101	OCCUPATIONAL MEDICINE
19 - KDMC HOME HEALTH
2301 LEXINGTON AVE STE 305	ASHLAND	KY	41101	HOME HEALTH SERVICES
20 - PRESTONSBURG FAMILY CARE
1279 OLD ABBOT MOUNTAIN RD	PRESTONBURG	KY	41653	FAMILY CARE CENTER
21 - RUSSELL WALK-IN CAREHALL FAMILY CARE
399 DIEDERICH BLVD	RUSSELL	KY	41169	WALK-IN CLINIC AND FAMILY CARE CENTER
22 - BURLINGTON URGENT CARE
384 COUNTRY ROAD 120 SOUTH	SOUTH POINT	OH	45680	URGENT CARE
23 - KDMC SKILLED NURSING FACILITY
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	SKILLED NURSING
24 - PORTSMOUTH INTERNAL MEDICINE
1729 KINNEYS LANE	PORTSMOUTH	OH	45662	FAMILY CARE CENTER
25 - ASHLAND PEDIATRICS
2301 LEXINGTON AVE STE 135	ASHLAND	KY	41101	PEDIATRICS CENTER

Supplemental Information Detail SupplementalInformationDetail (13 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 $23,994,308.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE EXPENSES REPORTED IN PART II FOR COMMUNITY BUILDING ACTIVITIES ARE THE EXPENSES ASSOCIATED WITH RECRUITING PHYSICIANS TO MEDICALLY UNDER-SERVED AREAS (MURS). THESE EXPENSES ARE NECESSARY TO ENSURE OUR COMMUNITY IS STAFFED WITH THE PHYSICIANS TO MEET THE NEEDS OF THE PEOPLE LIVING HERE.
PART III, LINE 2:	KDMC USED WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS (FORM 990) TO CALCULATE A COST TO CHARGE RATIO. THIS RATIO WAS USED TO CALCULATE BAD DEBT EXPENSE AT COST.
PART III, LINE 3:	BAD DEBT EXPENSE IS RECORDED AFTER ANY DISCOUNTS AND PAYMENTS ARE MADE ON PATIENT ACCOUNTS. HOWEVER, THE BUSINESS OFFICE DOES NOT KEEP TRACK OF "NO-RESPONSE" APPLICATIONS AND DOES NOT FEEL THAT THE PORTION CONSIDERED TO BE A COMMUNITY BENEFIT IS MATERIAL.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUAL AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND INSURED PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES), THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:	THE HOSPITAL CONTINUES TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY TO PAY. NOTWITHSTANDING THE COSTS TO PROVIDE CARE, RECEIVING "LESS" THAN WHAT IT COSTS TO PROVIDE ADEQUATE CARE TO MEDICARE COVERED LIVES DOES THE HOSPITAL A DISSERVICE. THIS SHORTFALL SHOULD COUNT AS A COMMUNITY BENEFIT. THE HOSPITAL USES THE ALLOWABLE COSTS PER THE MEDICARE COST REPORT, THE MOST RECENT COST REPORT DATA, AND PROVIDER STATISTICAL AND REIMBURSEMENT REPORT WAS USED TO COMPUTE THE INFORMATION.
PART III, LINE 9B:	THE HOSPITAL HAS A WRITTEN POLICY FOR BAD DEBT. UNINSURED PATIENTS ARE SCREENED FOR ELIGIBILITY FOR MEDICARE, MEDICAID AND OTHER SUCH PROGRAMS BY A CONTRACTED VENDOR. ALL PATIENTS, INSURED AND UNINSURED, WITH VALID MAILING ADDRESSES RECEIVE POST-DISCHARGE BILLING STATEMENTS OVER THE COURSE OF A 120 DAY PERIOD. IF THERE ARE NO ACTIVE DISPUTES OR OTHER PAYMENT SOURCES AVAILABLE, AND THE BALANCE IS UNPAID AT THE END OF THE STATEMENT PERIOD, THE ACCOUNT WILL BE PLACED WITH A COLLECTION AGENCY TO REPORT AS A BAD DEBT. EACH STATEMENT INCLUDES INFORMATION REGARDING THE AVAILABILITY OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM ALONG WITH A NUMBER WHERE REPRESENTATIVES CAN BE REACHED FOR ASSISTANCE.
PART VI, LINE 2:	WE USE A VARIETY OF RESOURCES TO HELP MAKE DECISIONS ON HOW TO BEST TARGET OUR ACTIVITIES, INCLUDING INFORMATION FROM OUR COMMUNITY HEALTH NEEDS ASSESSMENT, STATE AND COUNTY MORTALITY DATA AND HOSPITAL DATA. WE HAVE AN ACTIVE PATIENT ADVISORY COUNCIL THAT GIVES INPUT ON NEEDS, ACTIVITIES, AND PROCESSES FOR THE MEDICAL CENTER. WE HAVE CHAPLAINS, PATIENT REPRESENTATIVES AND SOCIAL WORKERS WHO ALSO HELP IDENTIFY AND MEET NEEDS. WE ARE ACTIVELY INVOLVED IN THE COMMUNITY PARTICIPATING ON A HEALTH COALITION, NON-PROFIT BOARDS, ATTENDING COMMUNITY PROGRAMS/MEETINGS AND OTHER ACTIVITIES TO HELP KEEP US INFORMED OF NEEDS, CONCERNS AND ISSUES. ONCE WE KNOW ISSUES WE WANT TO TARGET, OUR COMMUNITY HEALTH ISSUES ARE BUILT INTO THE MEDICAL CENTER'S STRATEGIC PLAN. IN ADDITION TO THE TRI-ANNUAL CHNA, KDMC'S ONCOLOGY SERVICE LINE CONDUCTS A CANCER SPECIFIC ASSESSMENT EVERY THREE YEARS. THIS ASSESSMENT IS PART OF THE PART OF THE STANDARD OF ACCREDITATION SET BY THE COMMISSION ON CANCER (COC) OF THE AMERICAN COLLEGE OF SURGEONS (ACOS) TO ADDRESS HEALTH CARE DISPARITIES AND BARRIERS TO CANCER CARE. THE ASSESSMENT COVERS THE PRIMARY COUNTIES SERVED BY KDMC AND KDOH. THE LATEST NEED ASSESSMENT WAS CONDUCTED AUGUST 2018.
PART VI, LINE 3:	THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY PROVIDES DIRECTION FOR FREE OR DISCOUNTED SERVICES TO RESIDENTS OF THE COMMUNITY WHO HAVE INADEQUATE FINANCIAL RESOURCES TO PAY FOR NECESSARY HEALTHCARE SERVICES PROVIDED BY KING'S DAUGHTERS. THE POLICY STATES THAT THE MEDICAL CENTER WILL NOT DENY CARE TO ANY PATIENT REQUIRING CARE DUE TO THEIR INABILITY TO PAY. THE FINANCIAL ASSISTANCE POLICY PROVIDES GUIDANCE TO PROVIDING ASSISTANCE BASED ON SLIDING SCALE METHODOLOGY AND THE FEDERAL POVERTY GUIDELINES ESTABLISHED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. PATIENTS REQUIRING CARE WITH INCOME BELOW 300% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR FREE OR REDUCED COST SERVICES. KING'S DAUGHTERS ALSO CONTRACTS WITH CARDON OUTREACH TO ASSIST PATIENTS IN GOVERNMENT ENROLLMENT PROGRAMS. THERE ARE VARIOUS WAYS THE FINANCIAL ASSISTANCE PROGRAM IS CONVEYED TO THE COMMUNITY: KDMC WEBSITE, SIGNS IN VARIOUS PATIENT REGISTRATION AREAS, OUTBOUND/INBOUND CUSTOMER SERVICES CALLS, STATEMENT LANGUAGE, AND CERTAIN COMMUNITY EVENTS ("IN THE KNOW" NIGHT FOR BOYD CO. SCHOOLS).
PART VI, LINE 4:	KING'S DAUGHTERS MEDICAL CENTER IS LOCATED IN EASTERN KENTUCKY, WHERE THE KENTUCKY, OHIO AND WEST VIRGINIA LINES MEET. KDMC'S PRIMARY SERVICE AREA ENCOMPASSES SIX COUNTIES IN TWO STATES: BOYD, CARTER, GREENUP AND LAWRENCE IN KY AND LAWRENCE AND SCIOTO IN OHIO. ABOUT 260,000 PEOPLE LIVE IN THE SIX-COUNTY SERVICE REGION. THE REGION COVERS 12,392 SQUARE MILES. THE POPULATION DENSITY IS APPROXIMATELY 108 PERSON PER SQUARE MILE. THE AREA IS PREDOMINANTLY RURAL (47.19%), WITH AN URBAN POPULATION AT 35.3% AND SUBURBAN (17.5%). OF THE POPULATION, 96.1% ARE WHITE, 1.6% ARE BLACK, 1.4% ARE HISPANIC/LATINO AND 0.9% MAKE UP ALL OTHER RACES. THERE ARE MORE FEMALES (50.8%) THAN MALES (49.2%) IN THE AREA. PER CAPITA INCOME IS $22,482, COMPARED TO KENTUCKY ($26,948) AND OHIO ($30,304). APPROXIMATELY 22.2% OF THE POPULATION LIVES IN POVERTY. ALMOST SEVEN PERCENT OF THE POPULATION UNDER THE AGE OF 65 IS WITHOUT ANY FORM OF HEALTHCARE COVERAGE.
PART VI, LINE 5:	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 AND WESTERN WEST VIRGINIA. KDMC WORKS WITH CHURCHES, SCHOOLS, BUSINESSES AND COMMUNITY GROUPS TO HELP IMPROVE HEALTH THROUGHOUT THE TRI-STATE 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:- CARPAL TUNNEL SCREENING 84 ADULTS SCREENED- COLON CANCER SCREENING 30 ADULTS SCREENED- DIABETIC FOOT SCREENING 29 ADULTS SCREENED- GENERAL HEALTH SCREENING (TOTAL CHOLESTEROL, BLOOD PRESSURE AND BLOOD SUGAR TESTS) 137 ADULTS SCREENED, TOTAL TESTS PROVIDED 95 (SECONDARY, TERTIARY COUNTIES)- HEALTHY HEART SCREENING (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR AND EKG) 95 ADULTS SCREENED, TOTAL TESTS PROVIDED 475 SCREENED (SECONDARY, TERTIARY COUNTIES)- PROSTATE CANCER 8 ADULTS SCREENED- SHOULDER SCREENING 38 ADULTS SERVED- SKIN CANCER 37 ADULTS- SPORTS PHYSICALS- 120 ADULTS (COLLEGE), 1,608 YOUTH- SURGICAL WEIGHT LOSS SCREENING 40 ADULTS SERVED- FLU SHOTS 1,2962) HEALTH EDUCATION:- AUTOMATED EXTERNAL DEFIBRILLATOR 230 ADULTS SERVED- BLOOD DONATIONS 562 SERVED- BRAIN HEALTH- 4 ADULTS, 200 CHILDREN SERVED- BREAST CANCER 2,960 ADULTS, 105 CHILDREN/YOUTH SERVED- CONCUSSION 12 ADULTS SERVED- CONGESTIVE HEART FAILURE 194 ADULTS- COLON CANCER 412 ADULTS, 50 CHILDREN- DIABETES 113 ADULTS, 50 CHILDREN SERVED (SECONDARY, TERTIARY COUNTIES)- FIRE SAFETY 85 ADULTS, 400 CHILDREN- FIRST AID- 10 ADULTS, 115 CHILDREN SERVED- FLU PREVENTION 227 ADULTS AND 131 CHILDREN SERVED- HAND WASHING- 427 ADULTS, 132 CHILDREN SERVED- HEALTHY HEART EDUCATION 245 ADULTS AND 50 CHILDREN/YOUTH (SECONDARY/TERTIARY COUNTIES)- HEART CHALLENGE 4 ADULTS, 200 CHILDREN- HYDRATION 78 ADULTS, 226 CHILDREN SERVED- IMMUNIZATIONS- 15 ADULTS SERVED- LUNG CANCER 200 ADULTS SERVED- MISSION HEART 74 ADULTS- NUTRITION EDUCATION 50 ADULTS, 250 CHILDREN/YOUTH SERVED (SECONDARY/TERTIARY COUNTIES)- PREGNANCY/PARENTING EDUCATION 150 ADULTS AND 73 CHILDREN SERVED- PROSTATE CANCER 357 ADULTS, 105 YOUTH/CHILDREN SERVED- SCHOOL BUS SAFETY- 165 ADULTS, 300 CHILDREN SERVED- SIGNS AND SYMPTOMS OF HEART ATTACK 271 SERVED- SKIN CANCER 342 ADULTS, 60 CHILDREN SERVED- STROKE 163 SERVED (SECONDARY/TERTIARY COUNTIES)- STOP THE BLEED 20 SERVED- SUMMER SAFETY- 180 ADULTS, 160 CHILDREN/YOUTH SERVED- TOBACCO - 163 ADULTS, 100 CHILDREN/YOUTH (SECONDARY AND TERTIARY COUNTIES) - WHEEL OF HEALTH (ASSORTED HEALTH TOPICS) 20 ADULTS SERVEDAED DONATIONS WERE MADE IN ALL FOUR COUNTIES IN THE PRIMARY SERVICE AREA. THESE INCLUDE DONATIONS TO GREENUP COUNTY SHERRIFF'S DEPARTMENT 2 AED'S, WESTWOOD FIRE PROTECTION DISTRICT 1 AED, ASHLAND-BOYD COUNTY-CATLETTSBURG OFFICE OF EMERGENCY MANAGEMENT 1 AED, CITY OF ASHLAND DEPARTMENT OF POLICE 2 AED'S, BOYD COUNTY PUBLIC SCHOOLS 2 AED'S, ASHLAND INDEPENDENT SCHOOL DISTRICT 4 AED'S, SAFE HARBOR 1 AED, IRONTON POLICE DEPARTMENT 2 AED'S, BOYD COUNTY SHERRIFF'S DEPARTMENT 2 AED'S, CARTER COUNTY SHERRIFF'S OFFICE 2 AED'S, GREENUP COUNTY SCHOOL DISTRICT 2 AED'S, WURTLAND VOLUNTEER FIRE DISTRICT, INC. -1 AED, LITTLE SANDY FIRE DEPARTMENT 1 AED. AN ADDITIONAL AED WAS DONATED TO THE FLOYD COUNTY SHERIFF'S OFFICE, WHICH IS IN KDMC'S SECONDARY MARKET.IN ADDITION, KDMC DID AN AED ROUND-UP WHERE LOCAL AGENCIES WITH EXISTING AEDS COULD BRING THEIR AEDS IN FOR SERVICING THROUGH KDMC'S BIO-MEDICAL ENGINEERING DEPARTMENT. THE AEDS WERE CHECKED AND THOSE NEEDING REPAIRS WERE DONE AT NO CHARGE TO THE OWNER. KDMC ALSO REPLACED BATTERIES, PROVIDED PADS AND TRAINING WHERE NEEDED. THIS WAS AN APPROXIMATE INVESTMENT ON KDMC'S PART OF $3,500-$5,000. SUPPORT GROUPS: KDMC PROVIDES VARIOUS SUPPORT GROUPS FOR INDIVIDUALS WITH DISEASE AND/OR THEIR CAREGIVERS. DURING FY19, THE FOLLOWING GROUPS WERE OFFERED: - ADULT DIABETES MELLITUS 44 ATTENDED- LOOK GOOD, FEEL BETTER 2 ATTENDED- PARKINSON'S DISEASE 75 ATTENDED- BREAST CANCER 35 ATTENDEDCLINICAL RESEARCH: KDMC SUPPORTS CLINICAL RESEARCH IN BOTH CARDIAC AND ONCOLOGY. OTHER COMMUNITY ACTIVITIES:- BLOOD DRIVES: KDMC HOSTED 17 BLOOD DRIVES ON KDMC CAMPUSES. A TOTAL OF 562 COMMUNITY AND TEAM MEMBERS DONATED BLOOD.- FIRST AID STATION: KDMC OFFERS FIRST AID STATION SUPPORT FOR AREA EVENTS. DURING THE FISCAL YEAR, 10 ADULTS AND 25 CHILDREN WERE SERVED.- FOOD FEUD: THE FOOD FEUD IS A FOOD DRIVE COMPETITION BETWEEN KDMC AND OUR LADY OF BELLEFONTE HOSPITAL TO SEE WHICH HOSPITAL CAN COLLECT THE MOST NON-PERISHABLE FOOD FOR DONATION TO RIVER CITIES HARVEST. A TOTAL OF 25,747 POUNDS OF FOOD WERE COLLECTED. KDMC'S CONTRIBUTION WAS 16,487 POUNDS.- BACKPACK PROGRAM: THIS IS A PARTNERSHIP WITH THE ASHLAND ALLIANCE. TEAM MEMBERS FILLED BACKPACKS WITH SCHOOL SUPPLIES FOR 110 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 27 FAMILIES (INCLUDES 84 INDIVIDUALS) AND 86 INDIVIDUAL CHILDREN, PROVIDING GIFTS AND FOOD TO THOSE IN NEED AT CHRISTMAS TIME. - BUILD-A-BED: BUILD-A-BED IS AN EFFORT OF MOREHEAD STATE UNIVERSITY THAT PUTS 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'S AMBASSADOR TEAM HELPED BUILD, WRAP AND DISTRIBUTE 100 BEDS. KDMC SUPPLIED 35 BED KITS (COMFORTER, SHEETS, AND PILLOW) FOR THE BEDS. IN ADDITION, 12 HYGIENE KITS (INCLUDING SHAMPOO, CONDITIONER, SOAP, TOOTH BRUSH AND TOOTHPASTE) AND 15 STUFFED TOYS WERE DONATED.- CHILDBIRTH CLASSES: CHILDBIRTH CLASSES HELP MOTHERS-TO-BE AND THEIR PARTNERS BECOME MORE COMFORTABLE WITH THE BIRTH EXPERIENCE, LEARN BIRTHING OPTIONS, NUTRITION, THE LABOR PROCESS, AND PAIN MANAGEMENT, TO HELP THEM MAKE THE BEST DECISIONS ABOUT HOW THEY WISH TO GIVE BIRTH. PARENTS-TO-BE ALSO LEARN ABOUT THE BENEFITS OF BREAST FEEDING. DURING FY19, THE WOMEN'S HEALTH TEAM CONTINUED TO PARTNER WITH LOCAL OB/GYN PHYSICIANS, OFFERING A CHILDBIRTH CLASSROOM IN THE DOCTOR'S PRACTICE AND PROVIDED A NURSE CHILDBIRTH EDUCATOR/LACTATION CONSULTANT ON MONDAY AND WEDNESDAY DURING THE OFFICE'S BUSIEST APPOINTMENT DAYS. BY ABANDONING THE TRADITIONAL ALL-DAY CHILDBIRTH CLASS AND PROVIDING MORE ONE-ON-ONE OR SMALL GROUP EDUCATION SESSIONS IN THE DOCTOR'S OFFICE, KDMC HAS BEEN ABLE TO REACH MORE MOTHERS-TO-BE, SERVING 262 MOTHERS AND 315 (WHEN INCLUDING SIGNIFICANT OTHERS) TOTAL IN THESE SESSIONS.CPR TRAINING CENTER 3,591 PEOPLE TRAINED. KDMC PROVIDED FREE TRAINING (VALUE $18,190) AND ISSUED 414 CARDS FOR THE FOLLOWING:- FIRST RESPONDERS INCLUDES POLICE, FIRE DEPARTMENTS AND EMS PROVIDERS (ASHLAND POLICE, BOYD CO., CARTER CO., GREENUP CO., AIR EVAC., PORTSMOUTH, LAWRENCE CO. OH, WEST LIBERTY POLICE, UPPER TOWNSHIP VFD, MAGOFFIN CO. FD, JACKSON CO. OH EMS, BOYD CO. 911, US ARMY, ROWAN CO. EMS, LOGAN CO. EMS, PAINTSVILLE FD, MORGAN CO. EMS, MTS, CABELL CO. WV EMS, MEDCARE EMS AND COAL GROVE FD) 311 CARDS ISSUED (BLS, PALS AND ACLS INCLUDED)- COLLEGE STUDENTS (INCLUDES ACTC, OUS, SHAWNEE STATE, MARSHALL UNIVERSITY, BIG SANDY CTC, NORTHERN KY UNIVERSITY, KENTUCKY CHRISTIAN UNIVERSITY, MOREHEAD STATE, WALDEN UNIVERSITY) 103 CARDS ISSUED (BLS, PALS AND ACLS INCLUDED)BRIDGES OUT OF ADDICTION: THIS ALL-DAY SEMINAR OFFERED EDUCATION AND SUPPORT TO ADDRESS SUBSTANCE USE DISORDER (SUD) IN OUR COMMUNITY. THE SEMINAR WAS AT ASHLAND COMMUNITY AND TECHNICAL COLLEGE IN ASHLAND, KY. THE ENTIRE COMMUNITY WAS INVITED. THE SEMINAR OFFERED MAIN EDUCATIONAL SESSIONS AND BREAKOUT SESSIONS SPECIFIC TO SUCH TOPICS AS FAMILY SUPPORT, TREATMENT AND RECOVERY, SUBSTANCE USE DISORDER, AND A COMMUNITY LEADERSHIP SESSION. MULTIPLE EXPERTS WERE GUEST SPEAKERS AND THOSE OVERCOMING ADDICTION ALSO PROVIDED THEIR INSPIRATIONAL STORIES. IN ADDITION, COMMUNITY ORGANIZATIONS OFFERING SUPPORT RELATED TO SUD ALSO SET UP TABLES TO OFFER SUPPORT AND ANSWER QUESTIONS. MORE THAN 300 ATTENDED.
OTHER ACTIVITIES:	PARTNERSHIP WITH DRUG COURT: KDMC RECEIVED NOTIFICATION OF FUNDING TO IMPLEMENT A PARTNERSHIP WITH THE GREENUP COUNTY DRUG COURT TO ASSIST JUDICIAL INVOLVED INDIVIDUALS TO OVERCOME THE OBSTACLE TO LIVING A DRUG FREE LIFE. THE NEW PROGRAM THROUGH KORE, KICKED OFF IN OCTOBER 2019.RIVER CITIES HARVEST KDMC DONATED 20,665 POUNDS OF FOOD FROM THE HOSPITAL CAFETERIA, VALUED AT $34,510. THE FOOD IS COLLECTED WEEKLY AND DELIVERED TO RCH BY VOLUNTEERS. KDMC ALSO PURCHASED $3,375 WORTH OF LIVESTOCK FROM THE BOYD COUNTY FAIR, WHICH WAS DONATED TO RCH FOR PROCESSING AND DISTRIBUTION TO THOSE IN NEED. YOUTH LEADERSHIP: KDMC SPONSORS AND PROVIDES STAFF FOR PLANNING AND EXECUTION OF THE YOUNG WOMEN LEAD AND YOUNG MEN LEAD CONFERENCES. THE CONFERENCES ARE A TWO-DAY EVENTS WHERE HIGH SCHOOL AGE GIRLS AND BOYS LEARN ABOUT LEADERSHIP. THE PURPOSE OF THE EVENT IS TO EMPOWER HIGH SCHOOL STUDENTS TO EMBRACE THEIR STRENGTHS AND TO REACH THEIR FULL POTENTIAL. NATIONALLY RECOGNIZED LEADERS SHARE THEIR INSIGHTS ON REAL LIFE ISSUES AND HOW TO OVERCOME THEM IN ORDER TO ACHIEVE SUCCESSFUL AND FULFILLING CAREERS. IN ADDITION, TEENS CONNECT WITH LOCAL LEADERS TO LEARN FROM THEM. NEARLY 600 YOUNG WOMEN AND 315 YOUNG MEN ATTENDED THE CONFERENCE.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
ASHLAND ALLIANCE
1730 WINCHESTER AVENUE	ASHLAND	KY	41101	611347516	501(C)(6)	$7,165	$3,416	INVOICES, PAYROLL INFORMATION	FOOD, BANQUET SUPPLIES, SHUTTLE SERVICE	SPONSORSHIP OF ANNUAL AWARDS CEREMONY, YOUTH LEADERSHIP BANQUET, AND 2 FUNDRAISING EVENTS
ASHLAND AREA MINISTERIAL ASSOCIATION
1320 BATH AVENUE	ASHLAND	KY	41101	611383510	501(C)(3)	$5,000	$936	INVOICES	FOOD	SUPPORT OF VETERANS EMERGENCY FUND AND NATIONAL DAY OF PRAYER SERVICE FOR COMMUNITY
ASHLAND COMMUNITY KITCHEN
PO BOX 1743	ASHLAND	KY	411051743	611100724	501(C)(3)	$17,727	$10,386	INVOICES	FOOD AND MISC SUPPLIES	PROVIDE FOOD TO SENIOR CITIZENS IN OUR COMMUNITY THROUGH MEALS ON WHEELS AND SPONSORSHIP OF FUNDRAISING EVENT
ASHLAND INDEPENDENT SCHOOLS
1820 HICKMAN STREET	ASHLAND	KY	41101	616001384	501(C)(3)	$1,000	$11,824	INVOICES	MEDICAL SUPPLIES AND EQUIPMENT	SUPPORT OF FOOD SERVICE SUMMER FOOD PROGRAM; DONATION OF 4 DEFIBRILLATORS; DONATION OF MEDICAL SUPPLIES AND EQUIPMENT FOR VOCATIONAL CLASSES
ASPIRE CONSERVATORY OF FINE AND PERFORMING ARTS INC
PO BOX 1162	ASHLAND	KY	41105	841978257	501(C)(3)		$11,450	FMV	PIANO	DONATION OF PIANO
CITY OF ASHLAND DEPARTMENT OF POLICE
PO BOX 1864	ASHLAND	KY	41105	616001775			$5,415	INVOICES	MEDICAL EQUIPMENT AND MISCELLANEOUS SUPPLIES	FREE BLS CERTIFICATON AND DONATION OF 2 DEFIBRILLATORS
COLLINS CAREER TECHNICAL CENTER
11627 STATE ROUTE 243	CHESAPEAKE	OH	45619	310749724	501(C)(3)		$9,035	INVOICES	MEDICAL SUPPLIES	DONATION OF MEDICAL SUPPLIES FOR MEDICAL-RELATED VOCATIONAL CLASSES
HIGHLANDS MUSEUM AND DISCOVERY CENTER
1620 WINCHESTER AVENUE	ASHLAND	KY	41101	311061542	501(C)(3)	$5,500				SPONSORHIP OF FUNDRAISING EVENT
JINGLE BELL CHARITY BALL
1627 GREENUP AVENUE	ASHLAND	KY	41101	371479051	501(C)(3)	$1,200	$4,231	INVOICES	INVITATIONS AND TUMBLERS	SPONSORHIP OF FUNDRAISING EVENT
NEIGHBORS HELPING NEIGHBORS
2516 CARTER AVENUE	ASHLAND	KY	41101	611450110	501(C)(3)	$7,000				SPONSORHIP OF 3 FUNDRAISING EVENTS
PARAMOUNT ARTS CENTER
1300 WINCHESTER AVENUE	ASHLAND	KY	41101	611181883	501(C)(3)	$19,216	$810	INVOICES, PAYROLL INFORMATION	MISCELLANEOUS SUPPLIES AND SHUTTLE SERVICE	SPONSORSHIP OF ANNUAL SPRING GALA FUNDRAISER AND ARTS & MUSIC EVENTS
PATHWAYS INC
1212 BATH AVENUE	ASHLAND	KY	41101	610661987	501(C)(3)	$3,200	$9,100	INVOICES	MEDICAL SUPPLIES AND EQUIPMENT	SPONSORHIP OF 2 FUNDRAISING EVENTS AND DONATED ITEMS TO BE USED IN PROVIDING LOW-COST MENTAL HEALTH SERVICES TO COMMUNITY
RIVER CITIES HARVEST
PO BOX 2136	ASHLAND	KY	411052136	611208113	501(C)(3)	$5,865	$2,793	INVOICES	FOOD	FOODBANK SUPPORT & SPONSORSHIP OF FUNDRAISING EVENT
SAFE HARBOR OF NORTHEAST KENTUCKY
PO BOX 2163	ASHLAND	KY	411052163	611155742	501(C)(3)	$7,750	$760	INVOICES	MEDICAL EQUIPMENT	SPONSORSHIP OF ANNUAL LOBSTER FEST FUNDRAISER AND AWARDS CEREMONY; DONATION OF DEFIBRILLATOR
SHAWNEE STATE UNIVERSITY
940 SECOND STREET	PORTSMOUTH	OH	45662	310864917	501(C)(3)		$30,380	INVOICES	MEDICAL EQUIPMENT AND SUPPLIES; MISCELLANEOUS SUPPLIES	REDUCED-COST BLS CERTIFICATION AND DONATION OF MEDICAL EQUIPMENT AND SUPPLIES FOR MEDICAL-RELATED CLASSES
SUMMER MOTION
PO BOX 1643	ASHLAND	KY	41105	311695435	501(C)(4)	$5,000	$1,020	INVOICES	FOOD	SUPPORT OF ANNUAL COMMUNITY FESTIVAL & VOLUNTEERS
THE COMMUNITY & TECHNICAL COLLEGE FOUNDATION OF ASHLAND INC
1400 COLLEGE DRIVE	ASHLAND	KY	411013683	611274401	501(C)(3)	$89,400	$21,674	INVOICES	MEDICAL SUPPLIES AND EQUIPMENT;JEWELRY	SPONSORSHIP OF 2 YOUTH LEADERSHIP EVENTS AND A SCHOLARSHIP FUNDRAISING EVENT; SUPPORT OF 2 NURSING FACULTY POSITIONS; DONATION OF MEDICAL SUPPLIES AND EQUIPMENT FOR MEDICAL-RELATED CLASSES.
UNITED WAY OF NORTHEAST KENTUCKY
2000 CARTER AVENUE SUITE D	ASHLAND	KY	41101	616000060	501(C)(3)	$5,381	$12,249	INVOICES	MARKETING MATERIALS	CONTRIBUTION TO ANNUAL FUNDRAISING CAMPAIGN

Field	Value	IRS element (for citing)
Total501c3 Org	16	Total501c3OrgCnt
Total Other Org	2	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 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)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	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 (14 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
KRISTIE WHITLATCH
PRESIDENT/CEO	$602,826	$0	$108,665	$0	$130,822	$0	$6,875	$0	$16,072	$0	$865,260	$0	$79,985	$0
SHERYL MAHANEY NON-VOTING
SECRETARY, VP/CHIEF LEGAL & REG. OFF	$283,686	$0	$50,814	$0	$88,569	$0	$6,875	$0	$16,173	$0	$446,117	$0	$60,398	$0
AUTUMN MCFANN NON-VOTING
TREASURER, VP/CFO	$295,939	$0	$52,212	$0	$2,754	$0	$6,875	$0	$16,173	$0	$373,953	$0	$0	$0
WILLIAM BOYKIN MD
DIRECTOR/MEDICAL STAFF PRESIDENT	$23,000	$419,156	$0	$0	$0	$4,524	$0	$6,875	$0	$602	$23,000	$431,157	$0	$0
RAMONA THOMPSON
VP/CHIEF COMPLIANCE OFFICER	$196,821	$0	$35,550	$0	$18,935	$0	$6,287	$0	$11,691	$0	$269,284	$0	$16,133	$0
SARA MARKS
VP/EXECUTIVE DIRECTOR KDIP	$232,470	$0	$41,022	$0	$97,210	$0	$6,875	$0	$26,430	$0	$404,007	$0	$96,450	$0
RICHARD FORD MD
VP/CMO OF INPATIENT/PROC.	$0	$613,815	$0	$0	$0	$8,212	$0	$6,875	$0	$16,173	$0	$645,075	$0	$0
JAMES DETHERAGE MD
VP/CMO OF OUTPATIENT/KDIP/PHYSICIAN	$2,000	$510,010	$0	$0	$0	$35,303	$0	$6,875	$0	$26,264	$2,000	$578,452	$0	$29,669
EVAN CONDEE DO
PHYSICIAN	$375,834	$0	$0	$0	$511	$0	$6,875	$0	$9,149	$0	$392,369	$0	$0	$0
CHARLES CONLEY DO
PHYSICIAN	$399,269	$103,078	$0	$0	$30,802	$0	$6,875	$0	$26,301	$0	$463,247	$103,078	$0	$0
PATRICK BALL DO
PHYSICIAN	$379,796	$0	$0	$0	$9,548	$0	$6,875	$0	$16,089	$0	$412,308	$0	$0	$0
JANE STRADER MD
PHYSICIAN	$236,902	$0	$0	$0	$20,349	$0	$6,476	$0	$14,702	$0	$278,429	$0	$0	$0
JONATHAN MAYNARD MD
PHYSICIAN	$249,461	$0	$0	$0	$15,324	$0	$6,616	$0	$26,109	$0	$297,510	$0	$0	$0
PHILIP FIORET MD
FORMER KEY EMPLOYEE	$0	$0	$0	$0	$224,194	$0	$0	$0	$0	$0	$224,194	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B

FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: - KRISTIE WHITLATCH $79,985; - SHERYL MAHANEY $60,398; - RAMONA THOMPSON $16,133; - SARA MARKS $96,450; - JAMES DETHERAGE, M.D. $29,669; - PHILIP FIORET, M.D. $224,194. THERE WERE NO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS/DEFERRALS IN 2018. THE CEO AND CERTAIN VICE PRESIDENTS, WHOSE BENEFIT IN THE QUALIFIED TAX SHELTERED ANNUITY PLAN IS LIMITED DUE TO THE IRS COMPENSATION AND BENEFIT LIMITS, RECEIVE A BENEFIT RESTORATION CONTRIBUTION UNDER THE DEFERRED ANNUITY PLAN THAT IS PAID AS A TAXABLE DISTRIBUTION TO THE PARTICIPANT ANNUALLY.

PART I, LINE 7

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

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
KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA)
A	610600439	491269CG9	2008-09-24	$146,580,000	REFUND PRIOR BOND ISSUES	0	0	0
KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA)
B	610600439	491269CY0	2010-04-01	$75,000,000	HEALTHCARE FACILITIES, BUILDING AND EQUIPMENT	0	0	0
CITY OF ASHLAND KENTUCKY
C	616001775	044293AA6	2010-04-01	$32,615,000	REFUND SERIES 1998 BOND	0	0	0
CITY OF ASHLAND KENTUCKY
D	616001775	044293AN8	2016-09-23	$73,445,000	REFUND PRIOR BOND ISSUES	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	UnspentUnspentAmt
A	$119,125,000	$145,708,338	$1,423,351	$12,574,982	$131,710,005	2010	Yes (1)	Yes (1)	Yes (1)
B	$18,290,000	$73,889,274	$1,170,837	$72,718,420		2015	0	Yes (1)	Yes (1)	$17
C	$16,365,000	$33,986,558	$507,546		$33,479,012	2010	Yes (1)	Yes (1)	Yes (1)
D	$5,990,000	$81,984,559	$1,200,341		$80,784,218	2016	Yes (1)	Yes (1)	Yes (1)

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)	Yes (1)	Yes (1)
B	0	Yes (1)	0	Yes (1)
C	0	Yes (1)	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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA) DATE THE REBATE COMPUTATION WAS PERFORMED: 10/21/2018 ISSUER NAME: KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA) DATE THE REBATE COMPUTATION WAS PERFORMED: 03/24/2015 ISSUER NAME: CITY OF ASHLAND, KENTUCKY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/24/2015
PART II, LINE 3, ISSUE A:	SERIES 2008C BOND DISCOUNT $871,662. ALSO, THE BOND ISSUES LISTED ON SCHEDULE K, PART I, LINE A CONSISTED OF THREE SERIES: SERIES 2008A, CUSIP 49126CG9, ISSUE PRICE 50,000,000 VARIABLE RATE ISSUE; SERIES 2008B, CUSIP 401269CH7, ISSUE PRICE 50,000,000, VARIABLE RATE ISSUE; SERIES 2008C, CUSIP 491269CJ3, ISSUE PRICE $46,580,000, FIXED RATE ISSUE.
PART II, LINE 3, ISSUE B:	SERIES 2010A DIFFERENCE FROM PART I DUE TO BOND DISCOUNT $1,318,161, OFFSET BY $207,435 INTEREST EARNED.
PART II, LINE 3, ISSUE C:	SERIES 2010B - DIFFERENCE FROM PART I DUE TO BOND PREMIUM $1,371,558.
PART II, LINE 3, ISSUE D:	SERIES 2016A - DIFFERENCE FROM PART I DUE TO BOND PREMIUM OF $8,539,559.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF ASHLAND KENTUCKY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	616001775	BondIssuerEIN
Bond Issued	2016-09-23	BondIssuedDt
Issue Price	$50,000,000	IssuePriceAmt
Purpose	REFUND PRIOR BOND ISSUES	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$3,624,345	RetiredAmt
Total Proceeds	$50,000,000	TotalProceedsAmt
Issuance Costs From Proceeds	$254,000	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$49,746,000	OtherSpentProceedsAmt
Substantial Completion	2016	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ASHLAND OFFICE SUPPLY
SEE PART V	$751,393	SEE PART V	0
ASHLAND RADIOLOGY ASSOCIATES PSC
SEE PART V	$330,411	SEE PART V	0
CINDY GILLUM
SEE PART V	$29,493	SEE PART V	0
FRESENIUS MEDICAL CARE
SEE PART V	$1,262,066	SEE PART V	0
OFFICE FUNITURE USA
SEE PART V	$375,697	SEE PART V	0
VAN ART PROPERTIES
SEE PART V	$371,235	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: ASHLAND OFFICE SUPPLY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TOM BURNETTE (BOARD MEMBER) IS THE OWNER OF ASHLAND OFFICE SUPPLY(D) DESCRIPTION OF TRANSACTION: PURCHASE OF OFFICE SUPPLIES & EQUIPMENT. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: ASHLAND RADIOLOGY ASSOCIATES, PSC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: WIFE OF WILLIAM BOYKIN (BOARD MEMBER) IS A PHYSICIAN OF THIS PRACTICE(D) DESCRIPTION OF TRANSACTION: PAYMENTS FOR RADIOLOGY SERVICES. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: CINDY GILLUM(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SISTER OF KRISTIE WHITLATCH (PRESIDENT/CEO)(D) DESCRIPTION OF TRANSACTION: EMPLOYEE PAYROLL COMPENSATION. THERE IS NO MANAGEMENT RELATIONSHIP OR CONTROL OVER COMPENSATION BY KRISTIE WHITLATCH.(A) NAME OF PERSON: FRESENIUS MEDICAL CARE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DON HAMMONDS (BOARD MEMBER) IS AN INDEPENDENT CONTRACTOR/CONSULTANT FOR FRESENIUS(D) DESCRIPTION OF TRANSACTION: INPATIENT DIALYSIS TREATMENT. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: OFFICE FUNITURE USA(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TOM BURNETTE (BOARD MEMBER) IS THE OWNER(D) DESCRIPTION OF TRANSACTION: PURCHASE OF OFFICE FURNITURE. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: VAN ART PROPERTIES(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SON OF JOHN STEWART (BOARD MEMBER) IS THE OWNER(D) DESCRIPTION OF TRANSACTION: OFFICE SPACE RENT. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	THE EXECUTIVE COMMITTEE OF THE AHC BOARD IS MADE UP OF THE FOLLOWING MEMBERS: DAVID JONES, CHAIR; STEPHEN ADDINGTON, VICE CHAIR; KRISTIE WHITLATCH, CHIEF EXECUTIVE OFFICER; JOHN STEWART, TRUSTEE; AND TOM BURNETTE, TRUSTEE. ELECTION AND COMPOSITION: THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE BOARD OF TRUSTEES CHAIR, ANY VICE-CHAIRS, THE CHIEF EXECUTIVE OFFICER, AND ANY OTHER TRUSTEE RECOMMENDED BY THE CHAIR AND APPROVED BY THE BOARD OF TRUSTEES. THE TRUSTEES' CHAIR SHALL SERVE AS CHAIR OF THE EXECUTIVE COMMITTEE. THE CHIEF EXECUTIVE OFFICER SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. POWERS AND FUNCTIONS: THE EXECUTIVE COMMITTEE SHALL HAVE ALL POWERS AND AUTHORITY OF THE TRUSTEES TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION, SUBJECT TO ANY LIMITATIONS IMPOSED BY THE TRUSTEES, THE BYLAWS OR BY APPLICABLE LAW. MEETINGS OF THE EXECUTIVE COMMITTEE SHALL BE HELD AS NEEDED. THE EXECUTIVE COMMITTEE SHALL FROM TIME TO TIME, AS IT DETERMINES APPROPRIATE, REVIEW AND RECOMMEND REVISIONS TO THE BYLAWS FOR CONSIDERATION AND APPROVAL BY THE TRUSTEES. THE EXECUTIVE COMMITTEE SHALL ALSO RECEIVE SUCH REPORTS AS THE COMMITTEE MAY DIRECT FROM THE EXECUTIVE OR ANY SIMILAR COMMITTEE OF THE BOARD OF DIRECTORS OF EACH AFFILIATED ORGANIZATION CONCERNING THE ACTIVITIES OF SUCH COMMITTEE AND PROVIDE PERIODIC REPORTS ON SUCH ACTIVITIES TO THE TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 6	KING'S DAUGHTERS HEALTH SYSTEM IS THE CORPORATE MEMBER OF ASHLAND HOSPITAL CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	AS THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM, KDHS HAS CERTAIN GOVERNANCE RIGHTS WITH RESPECT TO AHC. THOSE RIGHTS INCLUDE ELECTING OR REMOVING AHC'S DIRECTORS AND OFFICERS.
FORM 990, PART VI, SECTION A, LINE 7B	AS THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM, KDHS HAS CERTAIN GOVERNANCE RIGHTS WITH RESPECT TO AHC. THOSE RIGHTS REQUIRE CERTAIN SIGNIFICANT AHC ACTIONS TO NOW ALSO BE APPROVED BY KDHS, INCLUDING, AMONG OTHERS, A CHANGE OF MEMBERSHIP OR SALE OF AHC, ELECTING OR REMOVING AHC'S DIRECTORS AND OFFICERS, AMENDING AHC'S ARTICLES AND BYLAWS, OR ANY BANKRUPTCY, LIQUIDATION OR DISSOLUTION OF AHC, INCLUDING THE TAX-EXEMPT ORGANIZATION TO WHOM AHC'S ASSETS ARE DISTRIBUTED UPON ITS DISSOLUTION. KDHS' BOARD OF TRUSTEES MAY IDENTIFY ADDITIONAL AHC ACTIONS THAT MUST BE APPROVED BY KDHS IN ADDITION TO THOSE SPECIFICALLY LISTED IN AHC'S ARTICLES AND BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11B	THE 990 WILL BE REVIEWED BY THE CFO AND CONTROLLER. AFTER THIS REVIEW, BUT BEFORE IT IS FILED WITH THE IRS, THE FINAL 990 WILL BE PROVIDED TO THE FULL BOARD OF DIRECTORS USING BOARD EFFECTS SOFTWARE. AN E-MAIL WITH A LINK TO THE POSTING WILL BE SENT TO EACH BOARD MEMBER ONCE THE REPORT HAS BEEN POSTED.
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 DEPARTMENT MAINTAINS ALL RELEVANT DISCLOSURES AND SIGNATURES. ALL EMPLOYEES PROVIDE ANNUAL CONFLICT CHECKS. IF A CONFLICT OF INTEREST IS REPORTED, THE VICE PRESIDENT TO WHOM THE REPORTING EMPLOYEE DIRECTLY OR INDIRECTLY REPORTS, TOGETHER WITH THE CEO, CHIEF CORPORATE COMPLIANCE OFFICER AND GENERAL COUNSEL, DETERMINES IF A CONFLICT EXISTS. IF THE REPORTING EMPLOYEE IS A VICE PRESIDENT, THE CEO, IN CONSULTATION WITH THE GENERAL COUNSEL, DETERMINES IF A CONFLICT EXISTS. ANNUALLY, BOARD MEMBERS DISCLOSE PERSONAL AND PROFESSIONAL RELATIONSHIPS TO THE SECRETARY OF THE BOARD. IF A POTENTIAL CONFLICT EXISTS, THE BOARD SECRETARY OR A BOARD MEMBER WILL IDENTIFY THE CONFLICT, OR POTENTIAL CONFLICT, AND THE BOARD MEMBER WILL BE REMOVED FROM ANY PART OF THE DECISION-MAKING PROCESS, AND HAS NO ROLE IN THE INSTANCE IN WHICH THE CONFLICT EXISTS. A BOARD MEMBER WHO HAS A CONFLICT OF INTEREST MUST ABSTAIN FROM ANY RELEVANT DISCUSSION OR VOTE. IF A CONFLICT OF INTEREST IS DISCOVERED AFTER THE FACT, THE CEO AND VICE PRESIDENT, TOGETHER WITH THE GENERAL COUNSEL, IF APPROPRIATE, REVIEW THE INSTANCE IN WHICH THE CONFLICT OCCURRED. THOSE LEADERS DETERMINE WHETHER THE CONFLICTED INDIVIDUAL INFLUENCED THE DECISION-MAKING OR PROFITED FROM THE CONFLICT. THE CONFLICTED INDIVIDUAL IS REMOVED FROM ANY FURTHER INVOLVEMENT. IN ADDITION, ANY FAILURE TO REPORT CONFLICTS OF INTEREST VIOLATES THE MEDICAL CENTER'S POLICY AND COULD RESULT IN DISCIPLINARY ACTION, UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR REMOVAL FROM THE MEDICAL CENTER'S BOARD OF DIRECTORS. MEDICAL STAFF MEMBERS ARE REQUIRED BY THE MEDICAL STAFF BYLAWS TO DISCLOSE CONFLICTS OF INTEREST. ONCE DISCLOSED, THE MEDICAL STAFF MEMBER IS REMOVED FROM ANY DISCUSSION, DECISION-MAKING, AND/OR VOTE ON ANY RELATED ISSUE.
FORM 990, PART VI, SECTION B, LINE 15	AT THE DIRECTION OF THE HUMAN RESOURCES & COMPENSATION COMMITTEE OF THE BOARD OF KING'S DAUGHTERS HEALTH SYSTEM (KDHS), KDHS ENGAGED SULLIVAN COTTER AND ASSOCIATES, INC., A LEADING INDEPENDENT COMPENSATION CONSULTING COMPANY SPECIALIZING IN EXECUTIVE, EMPLOYEE AND PHYSICIAN COMPENSATION AND BENEFITS FOR THE HEALTH CARE AND NOT-FOR-PROFIT INDUSTRY, TO ASSIST IN DETERMINING COMPENSATION OF THE CEO, VICE PRESIDENTS, AND CHIEF MEDICAL OFFICERS. SULLIVAN COTTER'S LAST EXECUTIVE COMPENSATION REVIEW WAS PERFORMED IN 2016 DUE TO FINANCIAL CONSTRAINTS OF THE MEDICAL CENTER. THE PRINCIPLE OBJECTIVE OF THIS STUDY WAS TO ASSEMBLE A DETAILED PROFILE OF THE CURRENT COMPENSATION LEVELS AVAILABLE TO EXECUTIVES MANAGING SIMILAR TASKS AND RESPONSIBILITIES AS MEMBERS OF THE KDHS EXECUTIVE TEAM. MOREOVER, THE OBJECTIVE WAS TO COMPILE MARKET DATA FOR EACH POSITION THAT WAS REFLECTIVE OF THE PAY LEVELS OFFERED BY INDEPENDENT, NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS OF COMPARABLE SIZE WITH OPERATIONS IN THE UNITED STATES. THE SULLIVAN COTTER DATA COUPLED WITH THE PERFORMANCE OF THE ORGANIZATION AS WELL AS THE PERSONAL PERFORMANCE OF EACH EXECUTIVE IS THE BASIS FOR KDHS'S HUMAN RESOURCE & COMPENSATION COMMITTEE'S REVIEW AND RECOMMENDATIONS, AND THE BOARD'S REVIEW AND APPROVAL OF COMPENSATION INCREASES. THE PROCESS INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THIS PROCESS WAS USED TO DETERMINE COMPENSATION FOR THE FOLLOWING POSITIONS: - PRESIDENT/CEO - VP, CHIEF COMPLIANCE OFFICER - VP, CHIEF FINANCIAL OFFICER - VP, CHIEF LEGAL & REGULATORY OFFICER/GENERAL COUNSEL - CHIEF MEDICAL OFFICERS - VP, PEOPLE SERVICES - VP, PATIENT SERVICES/CHIEF NURSING OFFICER - VP, CHIEF OPERATING OFFICER
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 -5,075,996. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS 3. PENSION LIABILITY ADJUSTMENT -8,552,000. ADJUSTMENT FOR ACCUMULATED LOSS ON SWAP 79,556.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 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	Yes (1)
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	ASHLAND HOSPITAL CORPORATION	Yes (1)
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	KING'S DAUGHTERS HEALTH SYSTEM	0

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	-$4,137	ShareOfTotalIncomeAmt
Share Of EOY Assets	$31,265	ShareOfEOYAssetsAmt
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	0	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	0	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
ASHLAND NURSING HOME CORP
R	$2,413,001	ALL TRANSACTIONS BETWEEN
ASHLAND NURSING HOME CORP
S	$2,436,364	COMPANIES ARE CAPTURED AT COST
CHILD DEVELOPMENT CENTER CORP
R	$103,670	IN THE DUE TO/FROM
KENTUCKY HEART FOUNDATION INC
O	$67,415	ACCOUNTS. THE TYPES OF
KENTUCKY MEDICAL LOGISTICS INC
A	$55,086	TRANSACTIONS THAT HIT THIS
KENTUCKY MEDICAL LOGISTICS INC
O	$1,129,996	ACCOUNT ARE TRACKED MONTHLY.
KENTUCKY MEDICAL LOGISTICS INC
R	$1,738,247
KENTUCKY MEDICAL LOGISTICS INC
S	$2,725,800
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
O	$391,287
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
R	$34,232,183
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
S	$20,670,965