ASHLAND HOSPITAL CORPORATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: ASHLAND HOSPITAL CORPORATION (EIN 61-0444716)
Tax period: 2016-10-01 to 2017-09-30
Filed: 2018-08-14
IRS object ID: 201842269349301844
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-08-14T15:01:39-05:00	ReturnTs
Tax Period End	2017-09-30	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 Virchow Krause LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1650 Market Street Suite 4500	AddressLine1Txt
City	Philadelphia	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	191037341	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-10-01	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	2018-08-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Julius C Green CPA	PreparerPersonNm
PTIN	P00350393	PTIN
Phone	2159720701	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$438,142,765	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.kdmc.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	11	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	3520	TotalEmployeeCnt
Total Volunteers	165	TotalVolunteersCnt
Total Gross UBI	$648,100	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$14,902	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,388,659	PYContributionsGrantsAmt
CY Contributions Grants	$2,299,721	CYContributionsGrantsAmt
PY Program Service Revenue	$397,634,103	PYProgramServiceRevenueAmt
CY Program Service Revenue	$412,729,012	CYProgramServiceRevenueAmt
PY Investment Income	$9,545,333	PYInvestmentIncomeAmt
CY Investment Income	$5,090,242	CYInvestmentIncomeAmt
PY Other Revenue	$3,277,187	PYOtherRevenueAmt
CY Other Revenue	$4,056,553	CYOtherRevenueAmt
PY Total Revenue	$412,845,282	PYTotalRevenueAmt
CY Total Revenue	$424,175,528	CYTotalRevenueAmt
PY Grants And Similar Paid	$216,648	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$171,269	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$173,353,940	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$190,135,379	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$227,090,776	PYOtherExpensesAmt
CY Other Expenses	$235,369,721	CYOtherExpensesAmt
PY Total Expenses	$400,661,364	PYTotalExpensesAmt
CY Total Expenses	$425,676,369	CYTotalExpensesAmt
PY Revenues Less Expenses	$12,183,918	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,500,841	CYRevenuesLessExpensesAmt
Total Assets BOY	$665,564,914	TotalAssetsBOYAmt
Total Assets EOY	$671,315,108	TotalAssetsEOYAmt
Total Liabilities BOY	$333,635,889	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$321,549,910	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$331,929,025	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$349,765,198	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	$355,470,026	ExpenseAmt
Grant	$171,269	GrantAmt
Revenue	$412,729,012	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 and southern Ohio. KDMC offers cardiac, medical, surgical, maternity, pediatric, rehabilitative, bariatric, psychiatric, cancer, neurological, pain care, wound care and home care services. KDMC operates more than 25 offices in eastern Kentucky and Southern Ohio. King's Daughters Medical Center is the largest employer between Charleston, West Virginia and Lexington, KY. Our vision: World class care in our communities. King's Daughters Medical Center is located in eastern Kentucky, where the Kentucky, Ohio and West Virginia state lines meet. KDMC's primary service area encompasses six counties in two states, Boyd, Carter, Greenup & Lawrence counties in Kentucky and Lawrence & 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, to 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	$355,470,026	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	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	339	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3520	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	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
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)	$688,020	$0	$11,186
STEPHEN ADDINGTON
Director	0.25	0.25	Yes (X)		$0	$0	$0
TOM BURNETTE
Director	0.25	0.50	Yes (X)		$0	$0	$0
JAMES DETHERAGE MD
Director/Med. Staff Pres./CMO Out	0.25	40.25	Yes (X)		$22,000	$487,681	$14,094
DONALD HAMMONDS DO
Director	0.25	40.25	Yes (X)		$0	$50,960	$10,464
KIM MCCANN
Director	0.25	2.25	Yes (X)		$0	$0	$0
JOHN STEWART
Director	0.25	0.50	Yes (X)		$0	$0	$0
JOHN VINCENT
Director	0.25	1.50	Yes (X)		$0	$0	$0
WILLIAM BOYKIN MD
Director/Medical Staff VP	0.25	0.25	Yes (X)		$11,000	$0	$0
BRADLEY LEVI
Director	0.25	0.25	Yes (X)		$0	$0	$0
RAYMOND MECCA MD
Director (term 12/31/16)	0.25	0.25	Yes (X)		$0	$0	$0
AUTUMN MCFANN
TReasurer, VP/CFO	51.25	11.25		Yes (X)	$283,114	$0	$14,709
SHERYL Mahaney
Secretary, VP/Chief Legal Officer	51.25	11.25		Yes (X)	$422,753	$0	$9,111
MATTHEW EBAUGH
CHIEF STRATEGY OFFICER/CIO	45.00				$328,104	$0	$13,384	Yes (X)
SARA MARKS
VP/EXECUTIVE DIRECTOR KDIP	51.25	6.25			$248,783	$0	$12,036	Yes (X)
RICHARD FORD MD
VP/CMO of Inpatient/Proc. Svcs.	40.25	0.25			$247,163	$0	$13,407	Yes (X)
PATRICK BALL DO
Physician	40.00				$473,772	$0	$12,876		Yes (X)
EVAN CONDEE DO
Physician	40.00				$334,562	$0	$7,748		Yes (X)
CHARLES CONLEY DO
Physician	40.00				$377,898	$0	$11,115		Yes (X)
GEORGE ESHAM MD
Physician	40.00				$345,743	$0	$11,806		Yes (X)
FRANKLIN FANNIN MD
Physician	40.00	10.00			$342,823	$0	$5,051		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,125,735	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$538,641	TotReportableCompRltdOrgAmt
Total Other Compensation	$146,987	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	154	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
OBHG Kentucky PSC
10 Centimeters Drive	Mauldin	SC	29662	Hospitalists	$1,673,234
Duley Enterprises LLC
24203 Jacks Fork Road	Rush	KY	41168	Consultants	$1,529,453
STITES & HARBISON PLLC
400 West Market Street Suite 1800	Louisville	KY	40202	LAWYERS	$1,353,901
Cleveland Clinic Foundation
PO Box 931760	Cleveland	OH	441931861	Consultants	$1,166,958
DLA PIPER LLP
6225 Smith Avenue	Baltimore	MD	21209	LAWYERS	$1,165,825

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	40	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,610,500	RelatedOrganizationsAmt
Government Grants	$172,892	GovernmentGrantsAmt
All Other Contributions	$516,329	AllOtherContributionsAmt
Noncash Contributions	$228,900	NoncashContributionsAmt
Total Contributions	$2,299,721	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	$397,740,823	$397,595,005	$145,818
Pharmacy	446110	$14,070,930	$14,010,446	$60,484
MEANINGFUL USE REVENUE	621110	$917,259	$917,259

Field	Value	IRS element (for citing)
Total Program Service Revenue	$412,729,012	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,272,634	TotalRevenueColumnAmt
Unrelated Business Revenue	$13,219	UnrelatedBusinessRevenueAmt
Exclusion	$5,259,415	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$654	TotalRevenueColumnAmt
Exclusion	$654	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,018,036	RealAmt
Personal	$3,150	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$722,754	RealAmt
Personal	$3,726	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$295,282	RealAmt
Personal	-$576	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$294,706	TotalRevenueColumnAmt
Unrelated Business Revenue	-$576	UnrelatedBusinessRevenueAmt
Exclusion	$295,282	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$13,000,000	SecuritiesAmt
Other	$57,711	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$12,764,766	SecuritiesAmt
Other	$475,991	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$235,234	SecuritiesAmt
Other	-$418,280	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$183,046	TotalRevenueColumnAmt
Exclusion	-$183,046	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	722210	$2,229,704	$2,229,704
QUALITY INCENTIVE	900099	$568,609	$568,609
HOME MEDICAL EQUIPMENT	621610	$429,155		$429,155

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$534,379	TotalRevenueColumnAmt
Exclusion	$534,379	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,761,847	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$424,175,528	TotalRevenueColumnAmt
Related Or Exempt Func Income	$412,522,710	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$648,100	UnrelatedBusinessRevenueAmt
Exclusion	$8,704,997	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$171,269	TotalAmt
Program Services	$171,269	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,249,755	TotalAmt
Management And General	$2,249,755	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$148,701,466	TotalAmt
Program Services	$127,399,793	ProgramServicesAmt
Management And General	$21,301,673	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,132,599	TotalAmt
Program Services	$1,827,211	ProgramServicesAmt
Management And General	$305,388	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$26,611,119	TotalAmt
Program Services	$22,800,407	ProgramServicesAmt
Management And General	$3,810,712	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,440,440	TotalAmt
Program Services	$8,811,731	ProgramServicesAmt
Management And General	$1,628,709	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,231,481	TotalAmt
Program Services	$9,996	ProgramServicesAmt
Management And General	$3,221,485	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$150,000	TotalAmt
Management And General	$150,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$57,216	TotalAmt
Program Services	$57,216	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$526,094	TotalAmt
Management And General	$526,094	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$31,596,183	TotalAmt
Program Services	$26,348,320	ProgramServicesAmt
Management And General	$5,247,863	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,266,154	TotalAmt
Program Services	$9,800	ProgramServicesAmt
Management And General	$2,256,354	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,627,047	TotalAmt
Program Services	$1,330,972	ProgramServicesAmt
Management And General	$1,296,075	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,811,171	TotalAmt
Program Services	$3,808,010	ProgramServicesAmt
Management And General	$3,161	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,384,084	TotalAmt
Program Services	$1,733,098	ProgramServicesAmt
Management And General	$5,650,986	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$220,999	TotalAmt
Program Services	$77,589	ProgramServicesAmt
Management And General	$143,410	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$99,673	TotalAmt
Program Services	$99,073	ProgramServicesAmt
Management And General	$600	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,452,622	TotalAmt
Program Services	$69,836	ProgramServicesAmt
Management And General	$12,382,786	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,123,376	TotalAmt
Program Services	$21,262,926	ProgramServicesAmt
Management And General	$860,450	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,270,425	TotalAmt
Management And General	$3,270,425	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$88,990,665	$85,451,411	$3,539,254
BAD DEBT EXPENSE	$25,933,895	$25,933,895
repairs & maintenance	$15,886,841	$14,967,345	$919,496
Tax (inc. provider tax)	$7,649,096	$7,594,623	$54,473

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,092,699	TotalAmt
Program Services	$5,705,505	ProgramServicesAmt
Management And General	$1,387,194	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$425,676,369	TotalAmt
Program Services	$355,470,026	ProgramServicesAmt
Management And General	$70,206,343	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,777,842	BOYAmt
EOY	$4,746,824	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$20,248,674	BOYAmt
EOY	$3,150,280	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$51,435,556	BOYAmt
EOY	$60,626,831	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,950,276	BOYAmt
EOY	$1,350,251	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,984,895	BOYAmt
EOY	$12,891,663	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,010,351	BOYAmt
EOY	$4,464,722	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$722,124,039	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$476,088,115	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$251,691,117	BOYAmt
EOY	$246,035,924	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$168,323,226	BOYAmt
EOY	$174,483,389	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$5,097,340	BOYAmt
EOY	$5,125,617	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$757,523	BOYAmt
EOY	$788,715	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$146,288,114	BOYAmt
EOY	$157,650,892	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$665,564,914	BOYAmt
EOY	$671,315,108	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$33,269,686	BOYAmt
EOY	$37,351,975	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$237,391,132	BOYAmt
EOY	$231,034,548	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$51,254	BOYAmt
EOY	$25,945	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$62,923,817	BOYAmt
EOY	$53,137,442	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$333,635,889	BOYAmt
EOY	$321,549,910	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$331,929,025	BOYAmt
EOY	$349,765,198	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$331,929,025	BOYAmt
EOY	$349,765,198	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$665,564,914	BOYAmt
EOY	$671,315,108	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,500,841	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$9,414,077	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$9,922,937	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	$57,216	OtherActivitiesAmt
Total Lobbying Expenditures	$57,216	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	$22,124: A portion of the dues paid to the Kentucky Hospital Association attributable to lobbying expenses. $4,243: A portion of the dues paid to the American Medical Association attributable to lobbying expenses. $4,535: A portion of the dues paid to the American College of Cardiology attributable to lobbying expenses. $25,424: A portion of dues paid to the college of american pathologists attributable to lobbying. $616: a portion of dues paid to the american college of surgeons attributable to lobbying. $274: a portion of dues paid to the OHIO HOSPITAL ASSOCIATION 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	$387,330,028	OtherCostOrOtherBasisAmt
Depreciation	$221,444,053	DepreciationAmt
Book Value	$165,885,975	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$299,231,326	OtherCostOrOtherBasisAmt
Depreciation	$248,420,008	DepreciationAmt
Book Value	$50,811,318	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,147,482	OtherCostOrOtherBasisAmt
Depreciation	$6,224,054	DepreciationAmt
Book Value	$923,428	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$246,035,924	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Self Insurance Funds	$181,909
TRUSTEED FUNDS	$100,087
DUE FROM RELATED PARTIES	$153,720,796
OTHER RECEIVABLES	$3,648,100

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$157,650,892	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Malpractice Costs	$17,042,445
Accrued Pension	$16,087,000
LONG-TERM RETENTION PLAN	$627,322
INTEREST RATE SWAP AGREEMENTS	$14,161,782
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS	$936,161
LEASES PAYABLE	$4,282,732

Field	Value	IRS element (for citing)
Total Liability	$53,137,442	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	$1,654,389	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,654,389	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$100,312,085	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,201,969	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,110,116	NetCommunityBenefitExpnsAmt
Total Expense	0.07530	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$101,966,474	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,201,969	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,764,505	NetCommunityBenefitExpnsAmt
Total Expense	0.07940	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,715,358	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,715,358	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$234,665	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$234,665	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,950,023	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,950,023	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$103,916,497	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,201,969	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,714,528	NetCommunityBenefitExpnsAmt
Total Expense	0.08430	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$319,099	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$319,099	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$319,099	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$319,099	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,488,324	BadDebtExpenseAmt
Reimbursed By Medicare	$123,690,440	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$135,795,305	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$12,104,865	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.kdmc.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	15	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	www.kingsdaughtershealth.com/About-Us/Community	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	www.kingsdaughtershealth.com/About-Us/Community	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	www.kingsdaughtershealth.com/Patients-Visitors/Patients	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.kingsdaughtershealth.com/Patients-Visitors/Patients	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.kingsdaughtershealth.com/Patients-Visitors/Patients	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Ashland Hospital Corporation	Part V, Section B, Line 5: King's Daughters conducted a CHNA with Bon Secours Kentucky, Our Lady of Bellefonte Hospital between September 2015 and March 2016. The CHNA included both primary and secondary data analysis. The primary data encompassed surveys and focus groups with key individuals in the community including those with knowledge of public health, the broad interests of the communities we serve, as well as individuals with special knowledge of the medically underserved, low-income and vulnerable populations and people with chronic diseases. We worked closely with the Healthy Choices, Healthy Communities coalition and the University of KY College of Public Health.
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: In 2016, KDMC conducted a CHNA, through which six primary needs were identified - substance abuse, obesity, access to care, poverty/unemployment, diabetes, and hypertension. The medical center developed an Implementation Plan, which covers three years, to address these needs. Each need was addressed using multiple approaches, as follows:Substance abuse: Several programs were offered to tackle substance abuse, including tobacco education in local schools and offering tobacco cessation for patients and community members. Through partnerships, the medical center held three programs to directly impact abuse of illicit substances. Two of these educational programs provided training for social workers, case managers, and others who work with individuals abusing drugs to help improve their knowledge and create a better referral system. In addition, a youth summit was held to educate young people about substance abuse. The medical center also reclassified four beds in the behavioral medicine nursing unit for detox patients. Safe medication take-back programs were also implemented through community events and fixed site drop-offs at KDMC family pharmacies.Obesity: As part of tackling the issue of obesity, the medical center chose to address nutrition, physical activity, and BMI. With a focus on healthy eating, KDMC provided nutrition education for students in area schools. Wellness programs were provided for school staff which included a healthy living challenge. At community events, KDMC staff provided nutrition education. Special events held included nutrition education and healthy cooking demonstrations. In addition, KDMC helped meet the needs of vulnerable populations through sponsorship of the Meals-on-Wheels program, helping collect food for the local food pantry through the Food Feud and sponsoring a Farmer's Market on campus which is located in a healthy food desert. To address physical activity, KDMC sponsored four events that included physical activity and education encouraging people to be physically active. Through the electronic medical record, primary care providers now include BMI as part of the patient assessment. Wellness programs also include BMI assessment as part of their programming.Access to Care: To improve access to care, KDMC established school-based clinics in four school districts in the service area. A 24/7 Care line was created to help community members reach a nurse to answer questions about their health or aid them in getting an appointment or with prescription medications. KDMC also expanded access to primary care, pediatric care, urgent care, and walk-in clinics, which has improved how quickly appointments can be provided. Through mobile services, KDMC takes mammography and cardiac screenings into areas of the region that have limited healthcare services. In addition, KDMC offers low-cost blood profiles and vascular screenings throughout the region to offer affordable options in convenient locations. Poverty/Unemployment: Poverty and unemployment are tough issues to tackle for a single organization. KDMC chose to work with area partners and provide staff at career fairs and as speakers on healthcare careers at local colleges/universities, technical schools, and high schools. In addition, through donations from KDMC, Ashland Independent School was able to expand its health careers classes from one to four career paths. Diabetes: During the fiscal year, KDMC staff conducted an evaluation for the need to do diabetes education and testing in area schools. A plan is under development to address these needs. KDMC also conducted free screening events and offered low-cost A1C blood profiles throughout the region to help identify people who may have pre-diabetes or diabetes and to educate them about seeking care and assisting individuals who are managing their condition. Hypertension: KDMC provided multiple screening and education events focused on hypertension in the service area and beyond. Materials were provided to participants on how to lower or maintain a healthy blood pressure.In addition to the programming focused specifically on the six primary needs from the CHNA, KDMC provided additional programming in the primary, secondary and tertiary market, including health screenings, health education programs, support groups, clinical research opportunities, blood drives, mobile services, and others.KDMC addressed all of the significant needs identified through the CHNA. All goals and objectives for the three-year plan are currently being met.
Ashland Hospital Corporation	Part V, Section B, Line 13b: 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	24	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 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
1 - KDMC OCCUPATIONAL MEDICINE
2025 CARTER AVE	ASHLAND	KY	41101	OCCUPATIONAL MEDICINE
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
19 - KDMC HOME HEALTH
2045 Carter Avenue	AshLAND	KY	41101	HOME HEALTH SERVICES
20 - KDMC HOME MEDICAL EQUIPMENT
1700 WINCHESTER AVE	ASHLAND	KY	41101	DURABLE MEDICAL EQUIPMENT
21 - PRESTONSBURG FAMILY CARE
1279 OLD ABBOT MOUNTAIN RD	PRESTONBURG	KY	41653	famILY CARE CENTER
22 - russell walk-in careHall Family Care
399 DIEDERICH BLVD	rusSELL	KY	41169	walk-in clinic and family care center
23 - BUrlington urgent care
384 COUNTRY ROAD 120 SOUTH	souTH POINT	OH	45680	urGENT CARE
24 - KDMC SKILLED NURSING FACILITY
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	SKILLED NURSING

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 $25,933,895.
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-profits boards, attending community programs/meetings and other activities to help keep us informed of needs, concerns and issues. Once we know what issues we want to target, our community health initiatives are built into the medical center's strategic plan. We also received a prescription education grant this year for local elementary children based on an identified community need.
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. The Financial Assistance Program is on the KDMC website and the phone number to access information is provided upon admittance to the hospital. There are also signs posted in various registration areas informing patients of the phone number to call if financial assistance is needed.
Part VI, Line 4:	King's Daughters Medical Center is located in Eastern Kentucky, where the Kentucky, Ohio and West Virginia state line 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. More than 260,000 people live in the six-county primary service area. With the exception of two cities of a population around 20,000, the area is very rural, covering nearly 2,000 square miles with a population density of 114 people per square mile. Nearly 21% of the population lives in poverty. The population is 94.54% white, 4.09% black, and all other races 1.37%. The average per capita income is $21,877, well below the levels for Kentucky ($24,802) and Ohio ($27,800). In KDMC's primary market area, 5.52% of persons under 65 years lack any form of healthcare coverage.
Part VI, Line 5:	To reach our communities and to provide the best outreach services possible, we partner with a diverse group of both public and private entities. We have established partnerships with area retailers, health departments, factories, City of Ashland, local EMS services, American Red Cross, Susan G. Komen, CAReS, Community Kitchen, Safe Harbor, 16 school districts and nearby colleges and universities, Shelter of Hope, Ashland Area YMCA, area senior citizens centers and more than 150 churches. We send our outreach teams out into the community to meet people on their time and in the places that are comfortable for them - schools, malls, churches, libraries, worksites, grocery stores and more. Services provided include more than 50 screening and educational events each month, mobile health services, coordination of a regional CPR training center and a Meals on Wheels program.Additional Community Health Activities: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):Screenings, immunizations and physicals:- Derma scan for skin damage 40 adults served- General health screening (total cholesterol, blood pressure and blood sugar tests) 189 adults screened, total tests provided 551 (secondary, tertiary counties)- Healthy Heart screening (total cholesterol, blood pressure, blood sugar and EKG) 148 adults screened, total tests provided 671 screened (secondary, tertiary counties)- Hearing 58 adults tested- Prostate cancer 14 adults screened- Skin cancer 110 adults, 6 children/youth screened- Sleep apnea 8 adults screened- Sports physicals- 1 adults, 633 youth- Flu shots 2,638Health education:- Bone health 20 adults served- Brain health- 36 adults served- Breast cancer 928 adults, 49 children served- Congestive heart failure 448 adults, 217 children served- Colon cancer 544 adults- Diabetes 284 adults, 50 children served (secondary, tertiary counties)- Fire safety 50 adults, 50 children served- First aid- 4 adults, 82 children served- Flu prevention 477 adults served- Hand washing- 660 adults, 152 children served- Healthy habits 50 children served- Healthy Heart Education 694 adults (secondary/tertiary counties)- Heart attack signs and symptoms 14 adults served- Heart challenge course 24 adults and 12 children served- Immunizations- 50 adults, 50 children served- Lung cancer 150 adults served- Nutrition education - 728 adults, 1,420 children/youth served (secondary/tertiary counties)- Physical Activity 50 adults, 200 youth (secondary service county)- Poison prevention 188 adults, 195 children served- Prostate cancer 435 adults served- School bus safety- 129 adults, 112 children served- Skin cancer 490 adults, 976 children served- Stroke 313 adults, 1,137 children served- Summer safety- 260 adults, 86 children/youth served- Tobacco - 656 adults, 1,278 children/youth (secondary and tertiary counties) KDMC's CPR Training Center provided basic life support, advanced life support and/or pediatric advanced life support training to 4,874 individuals.Support groups KDMC provides various support groups for individuals with disease and/or their caregivers. During FY17, the following groups were offered.- Celiac Disease 20 attended- Adult Diabetes Mellitus 79 attended- Look Good, Feel Better 6 attended- Dementia/Alzheimer's 65 attended- Breast Cancer 2 attended- Pregnancy and Infant Loss 8 attended- Parkinson's Disease 81 attended- Surgical Weight Loss 4 attended- Pulmonary Hypertension 7 attendedClinical Research: KDMC supports clinical research in both cardiology and oncology. Hospitality House: KDMC's Hospitality House provides a safe, comfortable place for adult family members to stay while their loved ones are hospitalized. The house is located a block from the main campus and features 13 private sleeping rooms as well as a communal kitchen and living area. The facility is staffed 24 hours a day and is available to family members of hospitalized patients who live 30 miles or more from Ashland. Referrals to the house are made by a King's Daughters social worker upon patient admission. During FY17 1,118 guests, from 560 families were served by the Hospitality House.Other Community Activities:Blood Drives- KDMC partnered with the American Red Cross to host 10 blood drives. A total of 487 community members and team members donated blood.First Aid Station KDMC offers first aid station support for area events. During the fiscal year, 250 adults and 220 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. KDMC won with a donation of 11,684 pounds of food.Backpack Program- This is a partnership with the Ashland Alliance. Team members filled backpacks with school supplies for 124 elementary 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 32 families, 20 nursing home residents and 95 individual children, providing gifts and food to those in need at Christmas time. In addition, winter food pantries were filled for 20 elderly in the community.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 supplied 30 bed kits (comforter, sheets, pillow) for the beds. In addition, hygiene items and a stuffed toy were provided with each bed kit for the children receiving beds.Joe Stevens Coat Drive More than 1,000 coats were collected and distributed to the homeless and others in need.
Part VI, Line 6:	King's Daughters Medical Center is part of an affiliated health care delivery system.The system operates another hospital, King's Daughters Medical Center Ohio ("KDOH") in Portsmouth, OH. KDOH has been specifically designed to meet the healthcare needs of Portsmouth and its surrounding areas. KDOH offers services ranging from surgery, cardiac care and urgent care. KDOH provides charity care and participates in Government programs.The system provides physician services through King's Daughters Medical Specialties, Inc. ("KDMS"). KDMS provides charity care and participates in government programs. King's Daughters also includes two other affiliates - King's Daughters Medical Transport, which seeks to continuously improve the pre- and post-hospital healthcare provided in all of its service areas while ensuring that emergency and non-emergency ambulance service will be available to all those in need; and Kingsbrook Nursing Home, which provides quality care to patients, meeting the needs and desires of residents at various levels of care, including short-term and long-term care.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (9 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
AMERICAN RED CROSS
510 E CHESTNUT STREET	LOUISVILLE	KY	40202	530196605	501(C)(3)	$1,500	$6,242	INVOICES	FOOD	CONTRIBUTION TO DANCING WITH OUR STARS & FOOD FOR MONTHLY BLOOD DRIVES
ASHLAND COMMUNITY KITCHEN
PO BOX 1743	ASHLAND	KY	411051743	611100724	501(C)(3)	$56,830	$2,310	INVOICES	FOOD AND MISC SUPPLIES	PROVIDE FOOD TO SENIOR CITIZENS IN OUR COMMUNITY THROUGH MEALS ON WHEELS & SUPPORT ANNUAL HUNGER AWARENESS & FUNDRAISING EVENTS
HIGHLANDS MUSEUM AND DISCOVERY CENTER
1620 WINCHESTER AVENUE	ASHLAND	KY	41101	311061542	501(C)(3)	$14,540				SPONSORHIP OF 2 FUNDRAISING EVENTS
NEIGHBORS HELPING NEIGHBORS
2516 Carter Avenue	AshLAND	KY	41101	611450110	501(C)(3)	$5,600				SPONSORHIP OF 2 FUNDRAISING EVENTS
PARAMOUNT ARTS CENTER
1300 Winchester Avenue	ASHLAND	KY	41101	611181883	501(C)(3)	$12,500	$240	INVOICES	ITEM FOR SILENT AUCTION	SPONSORSHIP OF ANNUAL SPRING GALA FUNDRAISER AND THE KENTUCKY MUSIC TRAIL AND DONATION OF ITEM FOR SILENT AUCTION FUNDRAISER
RIVER CITIES HARVEST
PO BOX 2136	ASHLAND	KY	411052136	611208113	501(C)(3)	$1,000	$19,764	INVOICES	FOOD	FOODBANK SUPPORT & SPONSORSHIP OF FUNDRAISING EVENT
SAFE HARBOR OF NORTHEAST KENTUCKY
PO BOX 2163	ASHLAND	KY	411052163	611155742	501(C)(3)	$7,200				SPONSORSHIP OF ANNUAL LOBSTER FEST FUNDRAISER AND PROGRAM TO ERADICATE DOMESTIC VIOLENCE
SUMMER MOTION
PO BOX 1643	ASHLAND	KY	41105	311695435	501(C)(4)	$5,000	$900	INVOICES	FOOD	SUPPORT OF ANNUAL COMMUNITY FESTIVAL & VOLUNTEERS
UNITED WAY OF NORTHEAST KENTUCKY
2000 CARTER AVENUE SUITE D	ASHLAND	KY	41101	616000060	501(C)(3)		$15,707	INVOICES	MARKETING MATERIALS	CONTRIBUTION TO ANNUAL FUNDRAISING CAMPAIGN

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	KING'S DAUGHTERS MEDICAL CENTER MAKES GRANTS/CONTRIBUTIONS TO ORGANIZATIONS BASED ON THE 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)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
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	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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	$500,034	$0	$68,054	$0	$119,932	$0	$3,975	$0	$7,211	$0	$699,206	$0	$117,310	$0
JAMES DETHERAGE MD
Director/Med. Staff Pres./CMO Out	$22,000	$487,591	$0	$0	$0	$90	$0	$3,975	$0	$10,119	$22,000	$501,775	$0	$0
AUTUMN MCFANN
TReasurer, VP/CFO	$226,377	$0	$48,871	$0	$7,866	$0	$3,975	$0	$10,734	$0	$297,823	$0	$0	$0
SHERYL Mahaney
Secretary, VP/Chief Legal Officer	$289,847	$0	$42,345	$0	$90,561	$0	$3,975	$0	$5,136	$0	$431,864	$0	$88,629	$0
MATTHEW EBAUGH
CHIEF STRATEGY OFFICER/CIO	$284,844	$0	$42,000	$0	$1,260	$0	$3,975	$0	$9,409	$0	$341,488	$0	$0	$0
SARA MARKS
VP/EXECUTIVE DIRECTOR KDIP	$196,815	$0	$45,134	$0	$6,834	$0	$3,761	$0	$8,275	$0	$260,819	$0	$0	$0
RICHARD FORD MD
VP/CMO of Inpatient/Proc. Svcs.	$247,163	$0	$0	$0	$0	$0	$3,750	$0	$9,657	$0	$260,570	$0	$0	$0
PATRICK BALL DO
Physician	$473,376	$0	$0	$0	$396	$0	$3,975	$0	$8,901	$0	$486,648	$0	$0	$0
EVAN CONDEE DO
Physician	$327,841	$0	$0	$0	$6,721	$0	$3,975	$0	$3,773	$0	$342,310	$0	$0	$0
CHARLES CONLEY DO
Physician	$366,975	$0	$0	$0	$10,923	$0	$3,975	$0	$7,140	$0	$389,013	$0	$0	$0
GEORGE ESHAM MD
Physician	$344,981	$0	$0	$0	$762	$0	$3,975	$0	$7,831	$0	$357,549	$0	$0	$0
FRANKLIN FANNIN MD
Physician	$332,763	$0	$0	$0	$10,060	$0	$3,975	$0	$1,076	$0	$347,874	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	GROSS UP PAYMENTS: AUTUMN MCFANN $7,236 (100% TAXABLE), SARA MARKS $6,199 (100% TAXABLE).
Part I, Line 1b	THE GROSS UPS ARE APPROVED BY THE CEO FOR THE VICE PRESIDENTS.
Part I, Line 4b	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS: SHERYL MAHANEY - $88,629 KRISTIE WHITLATCH - $117,310 THERE WERE NO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS/DEFERRALS IN 2016. THE CEO AND VICE PRESIDENTS ARE ELIGIBLE TO RECEIVE DISCRETIONARY INCENTIVES BASED ON CERTAIN METRICS (QUALITY MEASURES, INDIVIDUAL GOALS, ETC.). THESE AWARDS ARE DETERMINED BY THE BOARD AND VESTED OVER A 5-10 YEAR PERIOD IF THE INDIVIDUAL REMAINS WITH THE ORGANIZATION. 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.

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 Bonds	0	0	0
city of Ashland Kentucky
D	616001775	044293an8	2016-09-23	$73,445,000	refund of prior bond issue	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	Current RefundingCurrentRefundingInd	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	$10,550,000	$33,986,558	$507,546		$33,479,012	2010	Yes (1)	Yes (1)	Yes (1)
D	$2,335,000	$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: 11/06/2013 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 $1,318,161.05, offset by $207,592 interest earned through September 30, 2017.
Part II, line 3, Issue C	Series 2010B - DIFFERENCE FROM PART I DUE TO Bond Premium $1,371,558.05
PART II, LINE 3, Issue D	SERIES 2016A - DIFFERENCE FROM PART I DUE TO BOND PREMIUM OF $8,305,846

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 of prior bond issue	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	$1,155,849	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
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
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 (8 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ANNE SLOAN
SISTER-IN-LAW OF JOHN STEWART	$51,858	EMPLOYEE PAYROLL COMPENSATION. There is no management relationship or control over compensation by John Stewart.	0
ASHLAND OFFICE SUPPLY
TOM BURNETTE IS OWNER	$988,170	PURCHASE OF OFFICE SUPPLIES & EQUIPMENT. All transactions are done at arm's length.	0
CINDY GILLUM
SISTER OF KRISTIE WHITLATCH	$21,029	EMPLOYEE PAYROLL COMPENSATION. There is no management relationship or control over compensation by Kristie Whitlatch.	0
FRESENIUS MEDICAL CARE
DON HAMMONDS IS INDEPENDENT CONTRACTOR/CONSULTANT FOR FRESENIUS	$1,053,975	INPATIENT DIALYSIS TREATMENT. All transactions are done at arm's length.	0
VAN ART PROPERTIES
SON OF JOHN STEWART IS OWNER	$285,619	OFFICE SPACE RENT. All transactions are done at arm's length.	0
Carole Ebaugh
Wife of Matthew Ebaugh	$24,488	EMPLOYEE PAYROLL COMPENSATION. There is no management relationship or control over compensation by Matthew Ebaugh.	0
Office Funiture USA
TOM BURNETTE IS OWNER	$207,143	Purchase of office furniture. All transactions are done at arm's length.	0
Ashland Radiology Associates PSC
Wife of William Boykin is a physician of this practice	$661,003	Payments for radiology services. All transactions are done at arm's length.	0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	PHYSICIAN OFFICE SUITE AND EQUIPMENT	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$228,900	NoncashContributionsRptF990Amt
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenuesTxt

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Column (b):	FormAndLineReferenceDesc
Explanation	THE NUMBER IN COLUMN (B) REFERS TO THE NUMBER OF CONTRIBUTORS.	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; Tom Burnette, Trustee; Bradley Levi, Trustee; AND Raymond Mecca, Trustee (retired Jan. 2017). Election and Composition: The Executive Committee shall be composed of the Trustees Chair, any Vice-Chairs, the Chief Executive Officer, and any other Trustee recommended by the Chair and approved by the 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 SOLE 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	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. 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. A member of the Medical Center's Board of Directors reports any conflict or potential conflict to the Chairman of the Board, the CEO and/or the General Counsel of the Medical Center, as appropriate. If it is determined that a conflict exists, the employee or Board member is removed from any part of the decision-making process, and has no role in the instance in which the conflict exists. A Board member who 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 ensure that the conflicted individual did not influence decision-making or profit from the conflict. The conflicted individual is removed from any further involvement. In addition, any failure to report conflicts of interest violates the Medical Center's policy and could result in disciplinary action, up to and including termination of employment or removal from the Medical Center's Board of Directors.
Form 990, Part VI, Section B, line 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 most recent executive compensation review was performed in 2016. 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, Executive Director King's Daughters Integrated Physicians VP, Patient Services/Chief Nursing 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 4,958,679. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS -61. PENSION LIABILITY ADJUSTMENT 4,910,593. write off of due from affiliate -25,669. ADJUSTMENT FOR ACCUMULATED LOSS ON SWAP 79,556. MISCELLANEOUS ADJUSTMENT -161.

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 12c, III-FI	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	-$1,945	ShareOfTotalIncomeAmt
Share Of EOY Assets	$39,441	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	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
C	$1,600,000	all transactions between
KENTUCKY HEART FOUNDATION INC
O	$225,200	companies are captured at cost
KENTUCKY MEDICAL LOGISTICS INC
O	$1,001,984	in the Due to/from
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
O	$346,520	ACCOUNTS. transactions
ASHLAND NURSING HOME CORP
R	$2,265,726	that hit these accounts are
KENTUCKY HEART FOUNDATION INC
R	$243,264	tracked monthly.
KENTUCKY MEDICAL LOGISTICS INC
R	$1,457,430
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
R	$19,220,303
ASHLAND NURSING HOME CORP
S	$2,302,320
KENTUCKY MEDICAL LOGISTICS INC
S	$1,938,900
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
S	$4,764,672