2017-08-15T11:42:45-05:00 2016-09-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2015-10-01 610444716 ASHLAND HOSPITAL CORPORATION ASHL 6064084000 2201 LEXINGTON AVENUE ASHLAND KY 41101 AUTUMN MCFANN VICE PRESIDENT/CFO 6064084000 2017-08-14 1 JULIUS C GREEN CPA P00350393 2159720701 2017-08-14 2015 2021-01-29 14:40:06Z KING'S DAUGHTERS MEDICAL CENTER KRISTIE WHITLATCH 2201 LEXINGTON AVENUE ASHLAND KY 41101 552657233 0 X WWW.KDMC.COM X 1941 KY TO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL. 10 4 3332 181 567099 0 161788 2388659 390182619 397634103 14331870 9545333 3628898 3277187 408305175 412845282 57564 216648 0 0 169652779 173353940 0 0 0 226494925 227090776 396205268 400661364 12099907 12183918 673175591 665564914 344378968 333635889 328796623 331929025 X TO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL. 0 0 330067282 216648 397634103 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. COMMUNITY DEMOGRAPHICS: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. MORE THAN 265,000 PEOPLE LIVE IN THE SIX-COUNTY PRIMARY SERVICE AREA. WITH THE EXCEPTION OF ONE CITY WITH A POPULATION AROUND 20,000 THE AREA IS VERY RURAL, COVERING NEARLY 2,000 SQUARE MILES WITH A POPULATION DENSITY OF 126 PEOPLE PER SQUARE MILE. NEARLY 21% OF THE POPULATION LIVES IN POVERTY, COMPARED WITH 18.5% FOR KENTUCKY, 14.8% FOR OHIO AND 13.5% FOR THE NATION. THE POPULATION IS 96.33% WHITE, 1.68% BLACK AND ALL OTHER RACES 1.99%. THE AVERAGE PER CAPITA INCOME IS $21,492, WELL BELOW THE LEVELS FOR KENTUCKY ($24,063), OHIO ($26,953) AND THE NATION ($28,930). (DATA FROM US CENSUS BUREAU 2015, SMALL AREA INCOME AND POVERTY ESTIMATES 2015). 330067282 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 347 0 1 3332 1 1 1 0 0 0 0 0 0 0 0 0 X 10 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X GREG WHITLOCK CONTROLLER 6064080160 2201 LEXINGTON AVENUE ASHLAND KY 41101 JONES DAVID CHAIRMAN 2.00 4.50 X X 0 0 0 ADDINGTON STEPHEN VICE CHAIRMAN 0.25 0.25 X 0 0 0 BURNETTE TOM DIRECTOR 0.25 0.50 X 0 0 0 FORD RICHARD MD DIRECTOR 40.25 0.25 X 261407 0 13113 HAMMONDS DONALD DO DIRECTOR 0.25 40.25 X 0 76545 16558 MCCANN KIM DIRECTOR 0.25 2.25 X 0 0 0 MECCA RAYMOND MD DIRECTOR 0.25 0.25 X 0 0 0 STEWART JOHN DIRECTOR 0.25 0.50 X 0 0 0 VINCENT JOHN DIRECTOR 0.25 1.50 X 0 0 0 WHITLATCH KRISTIE PRESIDENT/CEO 51.25 11.25 X X 623142 0 13721 MCFANN AUTUMN TREASURER, VP/CFO 51.25 11.25 X 257682 0 13660 MAHANEY SHERYL SECRETARY, VP/CHIEF LEGAL 51.25 11.25 X 404207 0 14223 EBAUGH MATTHEW CHIEF STRATEGY OFFICER/CIO 45.00 X 322743 0 24371 MARKS SARA VP/EXECUTIVE DIRECTOR KDIP 45.00 X 225983 0 24121 BALL PATRICK DO PHYSICIAN 40.00 X 387301 0 14580 CONDEE EVAN DO PHYSICIAN 40.00 X 325441 0 7930 CONLEY CHARLES DO PHYSICIAN 40.00 X 298579 0 22871 ESHAM GEORGE MD PHYSICIAN 40.00 X 375203 0 14581 FANNIN FRANKLIN MD PHYSICIAN 40.00 X 332227 13336 22849 JACKSON FRED FORMER PRESIDENT/CEO 0.00 X 855151 0 0 HIGGINS LARRY FORMER VP/CAO 0.00 X 667632 0 0 5336698 89881 202578 152 1 1 0 HURON CONSULTING SERVICES LLP 3005 MOMENTUM PLACE CHICAGO IL 606895330 CONSULTANTS 10473002 DLA PIPER LLP (US) 500 8TH STREET NW WASHINGTON DC 20004 LAWYERS 2575414 CLEVELAND CLINIC FOUNDATION PO BOX 931760 CLEVELAND OH 441931861 CONSULTANTS 2500000 DULEY ENTERPRISES LLC 24203 JACKS FORK ROAD RUSH KY 41168 CONSULTANTS 1741372 STITES & HARBISON PLLC 250 W MAIN STREET 2300 LEXINGTON F LEXINGTON KY 405071758 LAWYERS 1184722 35 2065000 143324 180335 2388659 NET PATIENT SVC REV 621110 384716177 384562435 153742 PHARMACY 446110 12765131 12691017 74114 MEANINGFUL USE REVENUES 621110 152795 152795 397634103 4412836 8931 4403905 59882 59882 713448 2888 579232 3726 134216 -838 133378 -838 134216 144261767 39841 138942196 286797 5319571 -246956 5072615 5072615 CAFETERIA 722210 2137905 2137905 HOME MEDICAL EQUIPMENT 621610 331150 331150 MANAGEMENT FEES 900099 271740 271740 403014 403014 3143809 412845282 397406247 567099 12483277 216648 216648 2703127 2703127 133727166 118599851 15127315 608635 539738 68897 26702279 23679581 3022698 9612733 8355388 1257345 3693636 22536 3671100 142800 142800 50929 50929 397944 397944 34140934 23202929 10938005 2715838 2715838 2394388 1182648 1211740 3906142 3902313 3829 7068163 1510530 5557633 402064 320782 81282 51523 51338 185 11624153 74730 11549423 23760125 21918751 1841374 3060357 3060357 MEDICAL SUPPLIES 79548224 75831608 3716616 BAD DEBT EXPENSE 22372823 22372823 REPAIRS & MAINTENANCE 15991705 14451433 1540272 TAX (INC. PROVIDER TAX) 7678292 7598845 79447 8090736 6183881 1906855 400661364 330067282 70594082 0 9015627 3777842 5466036 20248674 50933767 51435556 2262641 1950276 10846645 10984895 9061475 5010351 709740921 458049804 258997941 251691117 173423042 168323226 6444436 5097340 757523 757523 145966458 146288114 673175591 665564914 44346147 33269686 233545281 237391132 75701 51254 66411839 62923817 344378968 333635889 X 328796623 331929025 328796623 331929025 673175591 665564914 X 12183918 2811902 -11863418 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 50929 50929 0 PART II-B, LINE 1: $20,259: A PORTION OF THE DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. $4,403: A PORTION OF THE DUES PAID TO THE AMERICAN MEDICAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. $4,240: A PORTION OF THE DUES PAID TO THE AMERICAN COLLEGE OF CARDIOLOGY ATTRIBUTABLE TO LOBBYING EXPENSES. $151: A PORTION OF DUES PAID TO THE KENTUCKY MEDICAL ASSOCIATION ATTRIBUTABLE TO LOBBYING. $152: A PORTION OF DUES PAID TO THE SAFETY NET HOSPITALS FOR PHARMACEUTICALS ACCESS ATTRIBUTABLE TO LOBBYING. $21,368: A PORTION OF DUES PAID TO THE COLLEGE OF AMERICAN PATHOLOGISTS ATTRIBUTABLE TO LOBBYING. $356: A PORTION OF DUES PAID TO THE AMERICAN COLLEGE OF SURGEONS ATTRIBUTABLE TO LOBBYING. 28415203 28415203 376438772 213511307 162927465 289640387 238483412 51156975 15246559 6055085 9191474 251691117 SELF INSURANCE FUNDS 181492 TRUSTEED FUNDS 703991 DUE FROM RELATED PARTIES 143431096 OTHER RECEIVABLES 1971535 146288114 MALPRACTICE COSTS 16655733 ACCRUED PENSION 23905000 LONG-TERM RETENTION PLAN 1182316 INTEREST RATE SWAP AGREEMENTS 19120461 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 667074 LEASES PAYABLE 1393233 62923817 X PART X, LINE 2: 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. THESE ORGANIZATIONS DO NOT ENGAGE IN SIGNIFICANT UNRELATED ACTIVITIES AND THEREFORE NO TAX IS RECORDED. 1 1 X 1 X 1 X 1 1 0 1 1 1191848 1191848 0.00320 90277120 62721293 27555827 0.07280 91468968 62721293 28747675 0.07600 1638517 1638517 0.00430 1000 1000 0.00000 507097 507097 0.00130 73230 73230 0.00020 252204 252204 0.00070 2472048 2472048 0.00650 93941016 62721293 31219723 0.08250 831507 831507 0.00220 831507 831507 0.00220 1 7835299 112863921 125425796 -12561875 X 1 1 1 1 ASHLAND HOSPITAL CORPORATION 2201 LEXINGTON AVENUE ASHLAND KY 41101 WWW.KDMC.COM 100958 X X X ASHLAND HOSPITAL CORPORATION 1 0 0 1 X X X X X X X X X 15 1 1 0 1 X WWW.KINGSDAUGHTERSHEALTH.COM/ABOUT-US/COMMUNITY X 1 15 1 WWW.KINGSDAUGHTERSHEALTH.COM/ABOUT-US/COMMUNITY 0 0 1 X 200.000000000000 300.000000000000 X X 1 1 X X X 1 X KINGSDAUGHTERSHEALTH.COM/PATIENTS-VISITORS/PATIENTS/ X X X X X 1 X 0 X X X X 1 X 0 1 ASHLAND HOSPITAL CORPORATION PART V, SECTION B, LINE 5: 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: WE OFFER A VARIETY OF SCREENINGS AND EDUCATIONAL PROGRAMS ON DOZENS OF TOPICS THROUGHOUT THE YEAR. WE MAKE SURE TO ALIGN SCREENING AND EDUCATION EFFORTS WITH THE RESULTS OF OUR HEALTH NEEDS ASSESSMENT. WE ALSO MAKE SURE THAT OUR SPONSORSHIPS AND DONATIONS ALIGN WITH OUR MOST RECENT HEALTH NEEDS. IN ADDITION, WE KNOW THAT COLLABORATION WITH COMMUNITY PARTNERS IS VERY IMPORTANT AND PLAN TO UTILIZE PARTNERSHIPS FOR IMPLEMENTATION. FOR EXAMPLE, WE ARE PARTNERING WITH PATHWAYS, A MENTAL HEALTH ORGANIZATION, TO HOST AN ADDICTION CONFERENCE FOR COMMUNITY MEMBERS AND YOUTH ON THE HOSPITAL CAMPUS. CHILD ABUSE, CRIME AND HOMELESSNESS DID SURFACE AS NEEDS BUT KING'S DAUGHTERS NEITHER HAS THE EXPERTISE OR RESOURCES TO SIGNIFICANTLY IMPACT THESE ISSUES. KING'S DAUGHTERS WILL, HOWEVER, SUPPORT OTHER ORGANIZATIONS IN THE COMMUNITY WORKING ON THESE ISSUES. ASHLAND HOSPITAL CORPORATION PART V, SECTION B, LINE 22D: THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS IS BASED ON THE AVERAGE OVERALL COMMERCIAL RATE WITH A 50% SELF PAY DISCOUNT. 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. 26 1 - CENTER FOR ADVANCED IMAGING 2225 CENTRAL AVENUE ASHLAND KY 41101 OUTPATIENT IMAGING CENTER 2 - ASHLAND URGENT CARE 2245 WINCHESTER AVENUE ASHLAND KY 41101 URGENT CARE 3 - GRAYSON URGENT CARE I-64 INTERCHANGE GRAYSON KY 41143 URGENT CARE 4 - IRONTON URGENT CARE 912 PARK AVENUE IRONTON OH 45638 URGENT CARE 5 - PORTSMOUTH URGENT CARE 2001 SCIOTO TRAIL PORTSMOUTH OH 45662 URGENT CARE 6 - OUTPATIENT SERVICES CENTER 480 23RD STREET ASHLAND KY 41101 PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY 7 - CATLETTSBURG FAMILY CARE CENTER 4004 LOUIS RD CATLETTSBURG KY 41129 FAMILY CARE CENTER 8 - CEDAR KNOLL FAMILY CARE CENTERPEDIATRIC 10650 US ROUTE 60 ASHLAND KY 41102 FAMILY CARE CENTER/PEDIATRICS 9 - FLATWOODS FAMILY CARE 1107 BELLEFONTE RD FLATWOODS KY 41139 FAMILY CARE CENTER 10 - GRAYSON MEDICAL SPECIALTIES 609 N CAROL MALONE BLVD GRAYSON KY 41143 FAMILY CARE CENTER 11 - FLATWOODS MEDICAL SPECIALTIES 1109 BELLEFONTE RD FLATWOODS KY 41139 FAMILY CARE CENTER 12 - OLIVE HILL FAMILY CARE CENTER 391 WEST TOM T HALL BOULEVARD OLIVE HILL KY 41164 FAMILY CARE CENTER 13 - BURLINGTON FAMILY CARE CENTER 384 COUNTRY ROAD 120 SOUTH SOUTH POINT OH 45680 FAMILY CARE CENTER 14 - IRONTON FAMILY CARE CENTER 912 PARK AVENUE IRONTON OH 45638 FAMILY CARE CENTER 15 - JACKSON MEDICAL SPECIALTIES 14395 STATE ROUTE 93 JACKSON OH 45640 FAMILY CARE CENTER 16 - PORTSMOUTH MEDICAL SPECIALTIES 2001 SCIOTO TRAIL PORTSMOUTH OH 45662 FAMILY CARE CENTER 17 - PRESTONSBURG FAMILY CARE 1279 OLD ABBOT MOUNTAIN RD PRESTONBURG KY 41653 FAMILY CARE CENTER 18 - WHEELERSBURG FAMILY CARE 8750 OHIO RIVER ROAD WHEELERSBURG OH 45694 FAMILY CARE CENTER 19 - SANDY HOOK FAMILY CARE CENTER STATE ROUTES 7 AND 32 SANDY HOOK KY 41171 FAMILY CARE CENTER 20 - KDMC INPATIENT REHABILITATION 2201 LEXINGTON AVENUE ASHLAND KY 41101 INPATIENT REHABILITATION 21 - KDMC OCCUPATIONAL MEDICINE 2025 CARTER AVE ASHLAND KY 41101 OCCUPATIONAL MEDICINE 22 - KDMC HOME HEALTH 399 DIEDERICH BLVD RUSSELL KY 41169 HOME HEALTH SERVICES 23 - KDMC HOME MEDICAL EQUIPMENT 1700 WINCHESTER AVE ASHLAND KY 41101 DURABLE MEDICAL EQUIPMENT 24 - RUSSELL WALK-IN CAREHALL FAMILY CARE 399 DIEDERICH BLVD RUSSELL KY 41169 WALK-IN CLINIC AND FAMILY CARE CENTER 25 - BURLINGTON URGENT CARE 384 COUNTRY ROAD 120 SOUTH SOUTH POINT OH 45680 URGENT CARE 26 - KDMC SKILLED NURSING FACILITY 2201 LEXINGTON AVENUE ASHLAND KY 41101 SKILLED NURSING 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 $22,372,823. 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 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 WORKED WITH THE UK COLLEGE OF PUBLIC IN DETERMINING NEEDS AND ADDRESSING PRIORITIES. 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 KDMC. 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 ACCESSING 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. THE FINANCIAL ASSISTANCE PROGRAM IS ON THE KDMC WEBSITE AND THE PHONE NUMBER TO ACCESS INFORMATION IS PROVIDED TO PATIENTS THROUGH THE PATIENT INFORMATION GUIDE AT ADMITTANCE TO THE HOSPITAL. KDMC WORKS TO IDENTIFY PATIENTS THAT MAY HAVE LIMITED RESOURCES AND OFFERS FINANCIAL ASSISTANCE WHEN APPROPRIATE. THERE ARE SIGNS POSTED IN VARIOUS REGISTRATION AREAS INFORMING PATIENTS OF THE PHONE NUMBER TO CALL IF THEY NEED FINANCIAL ASSISTANCE. ON EACH PATIENT STATEMENT THE INFORMATION IS ALSO PRINTED WITH THE PHONE NUMBER. WE ALSO HAVE FINANCIAL RESOURCE STAFF IN THE OUTPATIENT IMAGING CENTER, HEART & VASCULAR CENTER, ADMITTING AND PRE-ADMISSION TESTING AREAS. ALL SELF-PAY PATIENTS RECEIVE CORRESPONDENCE AND PHONE CALLS AND INPATIENTS RECEIVE VISITS FROM OUR MEDICAID ELIGIBILITY VENDOR IN REFERENCE TO GOVERNMENT PROGRAMS. PART VI, LINE 4: 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 AND LAWRENCE IN KENTUCKY AND LAWRENCE AND SCIOTO IN OHIO. MORE THAN 265,000 PEOPLE LIVE IN THE SIX-COUNTY PRIMARY SERVICE AREA. WITH THE EXCEPTION OF ONE CITY WITH A POPULATION AROUND 20,000; THE AREA IS VERY RURAL, COVERING NEARLY 2,000 SQUARE MILES WITH A POPULATION DENSITY OF 126 PEOPLE PER SQUARE MILE. NEARLY 21% OF THE POPULATION LIVES IN POVERTY. THE POPULATION IS 96.33% WHITE, 1.68% BLACK AND ALL OTHER RACES 1.99%. THE AVERAGE PER CAPITA INCOME IS $21,492.66, WELL BELOW THE LEVELS FOR KENTUCKY ($24,063) AND OHIO ($26,953). IN KDMC'S PRIMARY MARKET AREA, 7.26% 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. 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.PART VI LINE 7: THE COMMUNITY BENEFIT REPORT IS NOT REPORTED WITH ANY STATE BUT IT IS AVAILABLE TO THE PUBLIC. 1 AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 10000 1200 INVOICES FOOD DONATION TO SUPPORT HEART CHASE FUNDRAISING EVENT AMERICAN RED CROSS 510 E CHESTNUT STREET LOUISVILLE KY 40202 530196605 501(C)(3) 1000 5387 INVOICES FOOD CONTRIBUTION TO HEROES HOEDOWN FUNDRAISER & FOOD FOR MONTHLY BLOOD DRIVES ASHLAND ALLIANCE 1730 WINCHESTER AVENUE ASHLAND KY 41101 611347516 501(C)(6) 5035 0 ECONOMIC DEVELOPMENT INVESTMENT, SPONSORSHIP OF 2 FUNDRAISING EVENTS, & AWARDS SPONSORSHIP ASHLAND COMMUNITY KITCHEN PO BOX 1743 ASHLAND KY 411051743 611100724 501(C)(3) 33126 209 INVOICES MISC SUPPLIES PROVIDE FOOD TO SENIOR CITIZENS IN OUR COMMUNITY THROUGH MEALS ON WHEELS & SUPPORT ANNUAL HUNGER AWARENESS EVENT FEDERATED CHARITIES 2516 CARTER AVENUE ASHLAND KY 41101 610458366 501(C)(3) 500 33676 INVOICES SCRUBS PROGRAM SUPPORT AND PROVIDE CLOTHING TO THOSE IN NEED HIGHLANDS MUSEUM AND DISCOVERY CENTER 1620 WINCHESTER AVENUE ASHLAND KY 41101 311061542 501(C)(3) 5650 SPONSORHIP OF 2 FUNDRAISING EVENTS RIVER CITIES HARVEST PO BOX 2136 ASHLAND KY 411052136 611208113 501(C)(3) 0 19764 INVOICES FOOD FOODBANK SUPPORT THE RUSSELL INDEPENDENT SCHOOLS ENDOWMENT FOUNDATION INC PO BOX 101 RUSSELL KY 41169 412206238 501(C)(3) 10000 0 CONTRIBUTION TO STEAM LAB FOR STUDENTS SAFE HARBOR OF NORTHEAST KENTUCKY PO BOX 2163 ASHLAND KY 411052163 611155742 501(C)(3) 6200 0 SPONSORSHIP OF ANNUAL LOBSTER FEST FUNDRAISER SUMMER MOTION PO BOX 1643 ASHLAND KY 41105 311695435 501(C)(4) 5040 0 SUPPORT OF ANNUAL COMMUNITY FESTIVAL THE ASHLAND PUTNAM STADIUM RESTORATION FOUNDATION PO BOX 3000 ASHLAND KY 411053000 261674277 501(C)(3) 10000 REPAIR OF LOCAL HIGH SCHOOL FOOTBALL STADIUM UNITED WAY OF NORTHEAST KENTUCKY 2000 CARTER AVENUE SUITE D ASHLAND KY 41101 616000060 501(C)(3) 4860 12532 INVOICES MARKETING MATERIALS CONTRIBUTION TO ANNUAL FUNDRAISING CAMPAIGN & SPONSORSHIP OF 2 FUNDRAISING EVENTS 10 2 PART I, LINE 2: 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. X 0 1 X X X X 1 1 0 0 0 0 0 0 0 FORD RICHARD MD DIRECTOR 261407 0 0 0 0 0 0 0 13113 0 274520 0 0 0 WHITLATCH KRISTIE PRESIDENT/CEO 452763 0 0 0 170379 0 0 0 13721 0 636863 0 89713 0 MCFANN AUTUMN TREASURER, VP/CFO 212480 0 0 0 45202 0 0 0 13660 0 271342 0 0 0 MAHANEY SHERYL SECRETARY, VP/CHIEF LEGAL 281136 0 0 0 123071 0 0 0 14223 0 418430 0 75383 0 EBAUGH MATTHEW CHIEF STRATEGY OFFICER/CIO 277067 0 0 0 45676 0 0 0 24371 0 347114 0 0 0 MARKS SARA VP/EXECUTIVE DIRECTOR KDIP 181175 0 0 0 44808 0 0 0 24121 0 250104 0 0 0 BALL PATRICK DO PHYSICIAN 386905 0 0 0 396 0 0 0 14580 0 401881 0 0 0 CONDEE EVAN DO PHYSICIAN 315387 0 0 0 10054 0 0 0 7930 0 333371 0 0 0 CONLEY CHARLES DO PHYSICIAN 298519 0 0 0 60 0 0 0 22871 0 321450 0 0 0 ESHAM GEORGE MD PHYSICIAN 374441 0 0 0 762 0 0 0 14581 0 389784 0 0 0 FANNIN FRANKLIN MD PHYSICIAN 322167 13336 0 0 10060 0 0 0 22849 0 355076 13336 0 0 JACKSON FRED FORMER PRESIDENT/CEO 0 0 0 0 855151 0 0 0 0 0 855151 0 0 0 HIGGINS LARRY FORMER VP/CAO 135666 0 0 0 531966 0 0 0 0 0 667632 0 0 0 PART I, LINE 1A GROSS UP PAYMENTS: AUTUMN MCFANN $15,897 (100% TAXABLE), SARA MARKS $15,302 (100% TAXABLE). PART I, LINE 1B THE GROSS UPS ARE APPROVED BY THE CEO FOR THE VICE PRESIDENTS. PART I, LINES 4A-B FRED JACKSON RECEIVED A SEVERANCE PAYMENT OF $854,833 AND LARRY HIGGINS RECEIVED A SEVERANCE OF $531,827. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS: SHERYL MAHANEY - $75,383 KRISTIE WHITLATCH - $89,713 THERE WERE NO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS/DEFERRALS IN 2015. 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 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. A KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA) 610600439 491269CG9 2008-09-24 146580000 REFUND PRIOR BOND ISSUES 0 0 0 B KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA) 610600439 491269CY0 2010-04-01 75000000 HEALTHCARE FACILITIES, BUILDING AND EQUIPMENT 0 0 0 C CITY OF ASHLAND KENTUCKY 616001775 044293AA6 2010-04-01 32615000 REFUND SERIES 1998 BONDS 0 0 0 D CITY OF ASHLAND KENTUCKY 616001775 044293AN8 2016-09-23 73445000 REFUND OF PRIOR BOND ISSUE 0 0 0 A 119125000 145708338 1423351 12574982 131710005 2010 1 0 1 1 B 16705000 73889274 1170837 72718420 17 2015 0 0 1 1 C 9420000 33986558 507546 33479012 2010 1 0 1 1 D 81750846 1200341 80550505 2016 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: 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 $207,435 INTEREST EARNED THROUGH SEPTEMBER 30, 2016. 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 A CITY OF ASHLAND KENTUCKY 616001775 2016-09-23 50000000 REFUND OF PRIOR BOND ISSUE 0 0 0 A 50000000 254000 49746000 2016 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 1 A 1 ANNE SLOAN SISTER-IN-LAW OF JOHN STEWART 50446 EMPLOYEE PAYROLL COMPENSATION 0 ASHLAND OFFICE SUPPLY TOM BURNETTE IS OWNER 1056430 PURCHASE OF OFFICE SUPPLIES & EQUIPMENT 0 CINDY GILLUM SISTER OF KRISTIE WHITLATCH 21264 EMPLOYEE PAYROLL COMPENSATION 0 FRESENIUS MEDICAL CARE DON HAMMONDS IS INDEPENDENT CONTRACTOR/CONSULTANT FOR FRESENIUS 1066868 INPATIENT DIALYSIS TREATMENT 0 VAN ART PROPERTIES SON OF JOHN STEWART IS OWNER 312737 OFFICE SPACE RENT 0 VANANTWERP MONGE JONES EDWARDS & MCCANN KIM MCCANN IS A PARTNER IN THE LAW FIRM 441505 PAYMENTS FOR LEGAL SERVICES 0 FORM 990, PART III, LINE 4A COMMUNITY HEALTH NEEDS ASSESSMENT: DURING FISCAL YEAR 2013, KDMC CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THE ASSESSMENT WAS CONDUCTED FOR KDMC'S PRIMARY MARKET AREA AT THE TIME (BOYD, CARTER, GREENUP, & LAWRENCE COUNTIES, KENTUCKY AND LAWRENCE AND SCIOTO, COUNTIES, OHIO) AND SECONDARY MARKET COUNTIES FLOYD AND JOHNSON WHERE KDMC HAS A SIGNIFICANT PRESENCE. THE 2013 ASSESSMENT SHOWED: -LEADING CAUSES OF DEATH (AGE ADJUSTED) ARE PRIMARILY FROM CHRONIC DISEASES INCLUDING HEART DISEASE, CANCER, COPD AND DIABETES. IN ADDITION, UNINTENTIONAL INJURY IS A LEADING CAUSE. THESE RATES ARE HIGHER IN THE PRIMARY AND SECONDARY MARKET COUNTIES, THAN THE NATION. -RESIDENTS LIVE UNHEALTHY LIFESTYLES WITH 30% OF ADULTS SMOKING, 37% OBESE AND 37% PHYSICALLY INACTIVE. THESE RATES ARE ALL WELL ABOVE THE NATIONAL AVERAGE. -THE SERVICE AREA HAS A HIGH NUMBER OF VULNERABLE POPULATIONS, WITH SIX OF SEVEN COUNTIES SHOWING A HIGH LOW BIRTH WEIGHT RATE OF 10.5% (8.6% NATIONALLY), 17% OF THE POPULATION UNINSURED AND 32% OF CHILDREN LIVING IN POVERTY. -ENVIRONMENTAL FACTORS OFTEN CONTRIBUTE TO THE HEALTH OF THE COMMUNITY. IN THE AREA THERE ARE BARRIERS TO LIVING HEALTHY, INCLUDING LOW ACCESS TO RECREATIONAL FACILITIES, LIMITED ACCESS TO HEALTHY FOODS AND A HIGHER THAN AVERAGE NUMBER OF FAST FOOD RESTAURANTS. COMMUNITY INPUT WAS SOUGHT THROUGH FOCUS GROUPS AND SURVEYS, WITH THE FOLLOWING FINDINGS: -FOCUS GROUP PARTICIPANTS CITED, AS BARRIERS TO GOOD HEALTH, IN SCIOTO COUNTY THE FOLLOWING: --UNHEALTHY LIFESTYLES (POOR NUTRITION AND PHYSICAL INACTIVITY) --OBESITY --DRUGS AND CRIME RELATED TO DRUGS --TRANSPORTATION -RESPONDENTS TO THE HEALTH SURVEY CITED THE FOLLOWING TOP ISSUES IN THE COUNTY: --SUBSTANCE ABUSE --OBESITY --CHRONIC DISEASES - CANCER, HEART DISEASE AND DIABETES A STRATEGIC PLAN WAS DEVELOPED AND APPROVED BY THE BOARD OF DIRECTORS, AND IMPLEMENTATION WAS SLATED FOR 2014-2016. THE FOLLOWING COMMUNITY ACTIVITIES WERE PLANNED AND EXECUTED WHILE KEEPING IN MIND THE ASSESSMENT'S TOP PRIORITIES. KING'S DAUGHTERS DID RECENTLY COMPLETE THEIR COMMUNITY HEALTH NEEDS ASSESSMENT FOR FISCAL YEAR 2016 AND THE BOARD OF DIRECTORS APPROVED THE NEW IMPLEMENTATION PLAN FOR FISCAL YEARS 2017-2019. THE NEW IMPLEMENTATION PLAN WILL BE REPORTED ON NEXT FISCAL YEAR. COMMUNITY BUILDING ACTIVITIES: COLLABORATION WITH COMMUNITY: DURING 2016, KING'S DAUGHTERS, IN COLLABORATION WITH OUR LADY OF BELLEFONTE HOSPITAL (OLBH), CONTINUED TO CO-COORDINATE THE HEALTHY CHOICES, HEALTHY COMMUNITIES COALITION. BEFORE 2015, BOTH HOSPITALS WERE OPERATING COALITIONS SEPARATELY. OLBH AND KDMC KNEW THAT TO REALLY MAKE CHANGE AND IMPROVE COMMUNITY HEALTH BOTH HOSPITALS AND THEIR PARTNERS NEEDED TO MERGE, WORK TOGETHER AND UTILIZE EXISTING RESOURCES. SINCE THEN, THE COALITION HAS BEEN MEETING REGULARLY TO TACKLE HEALTH ISSUES IN THE LOCAL COMMUNITY. OTHER ACTIVITIES OF 2016 INCLUDE: - HELD 4 COALITION MEETINGS IN FY16; - KDMC, OLBH, THE LOCAL HEALTH DEPARTMENTS WORKED WITH THE COALITION TO COMPLETE THE FY16 COMMUNITY HEALTH NEEDS ASSESSMENT FOR BOTH HOSPITALS; 4 FOCUS GROUPS WERE HELD IN BOYD, CARTER AND GREENUP COUNTIES IN KY AND LAWRENCE CO. IN OHIO; SURVEYS ALSO CONDUCTED. -ASSISTED THE ASHLAND-BOYD COUNTY HEALTH DEPARTMENT WITH THEIR ACCREDITATION; - PARTICIPATED IN THE ANNUAL FESTIVAL OF FITNESS IN DOWNTOWN ASHLAND; -FOUR WORKGROUPS OF THE COALITION (SUBSTANCE ABUSE, POVERTY, ACCESS TO CARE AND OBESITY) MET IN BETWEEN THE LARGER COALITION MEETINGS; AN EMPLOYEE OF KING'S DAUGHTERS HAS CHAIRED THE COALITION FOR MORE THAN FIVE YEARS AND IN 2015 BECAME CO-CHAIR WITH A REPRESENTATIVE FROM OLBH. AS CO-CHAIR, THIS EMPLOYEE SPENDS A GREAT DEAL OF TIME COORDINATING AND OVERSEEING THE WORK OF THE ENTIRE GROUP. THIS EMPLOYEE'S WORK INCLUDES ATTENDING ALL COALITION MEETINGS, MAINTAINING AND UPDATING THE COALITION LIST AND EMAIL LISTSERV, HELPING TO SET MEETING AGENDAS, TAKING AND DISTRIBUTING MINUTES, COMMUNICATING WITH PARTNERS, PLUS MORE. OTHER KDMC PARTNERSHIPS: KDMC KNOWS THE POWER OF PARTNERSHIPS. IN 2016, KDMC PARTNERED WITH THE FOLLOWING: -CITY OF ASHLAND AND OTHER LOCAL GOVERNMENTS -LOCAL CHAMBER OF COMMERCE -LOCAL EMS SERVICES -NON-PROFITS- AMERICAN RED CROSS, AMERICAN HEART ASSOCIATION, THE NEIGHBORHOOD, ASHLAND AREA YMCA; HIGHLANDS MUSEUM, PARAMOUNT ARTS CENTER, AMERICAN CANCER SOCIETY, MARCH OF DIMES, UNITED WAY, SALVATION ARMY, PATHWAYS, SAFE HARBOR, PLUS MORE -CIVIC ORGANIZATIONS- ASHLAND LIONS CLUB, ROTARY & KIWANIS -16 SCHOOL DISTRICTS AND NEARBY COLLEGES AND UNIVERSITIES, -AREA SENIOR CENTERS -GIRL SCOUTS -ASHLAND TOWN CENTER MALL -MORE THAN 100 CHURCHES TO DELIVER HEALTH SERVICES AND EDUCATION TO RESIDENTS. KDMC'S COMMUNITY HEALTH TEAM GOES OUT INTO THE COMMUNITY TO MEET PEOPLE ON THEIR TIME AND IN THE PLACES THAT ARE COMFORTABLE FOR THEM - SCHOOLS, MALLS, LIBRARIES, WORKSITES, GROCERY STORES AND MORE. KDMC SUPPORTS THE HEALTH OF THE COMMUNITY BY PROVIDING FREE AND REDUCED COST SERVICES, INCLUDING HEALTH SCREENINGS AND HEALTH EDUCATION. THESE SERVICES HELP INDIVIDUALS IDENTIFY THEIR PERSONAL HEALTH RISKS AND LEARN HOW TO IMPROVE THEIR HEALTH THROUGH LIFESTYLE CHANGE OR WHEN NEEDED MEDICAL INTERVENTION. DURING FISCAL YEAR 2016, KDMC PROVIDED THE FOLLOWING: HEALTH SCREENINGS: -CARPAL TUNNEL -89 ADULTS SERVED -DERMA SCAN- 100 ADULTS SERVED -GENERAL HEALTH (TOTAL CHOLESTEROL, BLOOD PRESSURE AND BLOOD SUGAR) - 3,495 ADULTS SERVED -GENERAL HEALTH-WELLNESS (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR AND MAY INCLUDE OSTEOPOROSIS AND LUNG FUNCTION- 270 ADULTS SERVED -HEALTHY HEART - (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR & EKG) - 3,445 ADULTS SERVED -HEARING - 110 ADULTS SERVED -JOINT PAIN- 8 ADULTS -LOW-DOSE CT- 53 ADULTS SERVED -LUNG FUNCTION SCREENING- 33 ADULTS -PROSTATE CANCER - 42 MEN SERVED -SPORTS PHYSICALS- 821 CHILDREN/YOUTH SERVED -SKIN CANCER - 75 ADULTS SERVED -MAMMOGRAPHY- 860 ADULTS -ORAL HEALTH- 7 ADULTS IDENTIFYING THOSE AT RISK FOR HEART AND VASCULAR DISEASE, EDUCATING THE PUBLIC ABOUT HEART ATTACK AND STROKE SIGNS AND SYMPTOMS, AND REDUCING TOBACCO USE THROUGHOUT THE REGION ARE AREAS OF FOCUS. OUR REGION HAS A HIGH INCIDENCE OF UNDIAGNOSED OR UNTREATED HEART AND VASCULAR DISEASE. HEALTH EDUCATION: -ASTHMA- 6 ADULTS; 3 CHILDREN/YOUTH SERVED -BICYCLE SAFETY- 5 ADULTS; 12 CHILDREN/YOUTH SERVED -BONE HEALTH- 100 ADULTS, 150 CHILDREN/YOUTH SERVED -BREAST CANCER - 1,705 ADULTS, 168 CHILDREN/YOUTH SERVED -CHF (HEART FAILURE)- 474 ADULTS -COLON CANCER - 397 ADULTS; 50 CHILDREN/YOUTH -DENTAL - 47 ADULTS, 220 CHILDREN/YOUTH SERVED -DIABETES - 1,620 ADULTS, 80 CHILDREN/YOUTH SERVED -EXERCISE - 113 ADULTS, 489 CHILDREN/YOUTH SERVED -FIRE SAFETY- 6 ADULTS; 302 CHILDREN/YOUTH SERVED -FIRST AID- 5 ADULTS, 23 CHILDREN/YOUTH SERVED -FLU EDUCATION- 394 ADULTS; 87 CHILDREN/YOUTH SERVED -HAND WASHING - 463 ADULTS, 417 CHILDREN/YOUTH SERVED -HEART - 1,612 ADULTS, 149 CHILDREN/YOUTH SERVED -IMMUNIZATION- 220 ADULTS -LUNG CANCER- 38 ADULTS -NUTRITION - 1,629 ADULTS, 2,140 CHILDREN/YOUTH SERVED -POISON PREVENTION- 11 ADULTS -PROSTATE CANCER - 289 ADULTS -SAFETY, OTHER- 406 ADULTS, 123 CHILDREN/YOUTH SERVED -SCHOOL BUS SAFETY - 102 ADULTS, 35 CHILDREN/YOUTH SERVED -SKIN CANCER - 410 ADULTS, 146 CHILDREN/YOUTH SERVED -STROKE - 1,024 ADULTS, 16 CHILDREN/YOUTH SERVED -STUFFEE (USED TO TEACH ABOUT DIGESTIVE, CIRCULATORY AND RESPIRATORY)- 127 CHILDREN -SUMMER SAFETY- 85 ADULTS, 16 CHILDREN/YOUTH SERVED -TOBACCO - 503 ADULTS, 1,560 CHILDREN/YOUTH SERVED -ALL OTHERS- 1,458 ADULTS, 201 CHILDREN/YOUTH SERVED VARIETY OF HEALTH TOPICS MAY BE OFFERED ONLY ONCE OR TWICE A YEAR. THESE TOPICS ARE CONSIDERED MISCELLANEOUS IN NATURE AND ARE INCLUDED AS SUCH. OTHER SERVICES: FLU SHOTS: DURING THE FISCAL YEAR, KDMC PROVIDED 1,065 FREE FLU SHOTS THROUGHOUT THE COMMUNITY. FLU SHOTS ARE DELIVERED THROUGH A VARIETY OF SETTINGS AND IN MULTIPLE COUNTIES SERVED BY THE MEDICAL CENTER. CARDON OUTREACH: IN 2016, KDMC CONTINUED A PARTNERSHIP WITH CARDON OUTREACH TO HELP ENSURE THAT PATIENTS WHO ARE ELIGIBLE FOR HEALTH COVERAGE UNDER MEDICAID OR THE AFFORDABLE CARE ACT GET PROPERLY ENROLLED. ENROLLMENT FOR MEDICAID AND OTHER MEDICAL ASSISTANCE PROGRAMS IS AVAILABLE THROUGH KING'S DAUGHTERS AT NO COST. MEALS-ON-WHEELS: THE KDMC MEALS-ON-WHEELS PROGRAM IS A COLLABORATIVE EFFORT BETWEEN THE MEDICAL CENTER, ASHLAND COMMUNITY KITCHEN AND CARES. KDMC PROVIDES COORDINATION FOR THE PROGRAM WHICH SERVES RESIDENTS WITHIN THE CITY OF ASHLAND. IN ADDITION TO A COORDINATOR, KDMC SUPPORTS THE PROGRAM BY SUPPLEMENTING THE AMOUNT PAID BY THE CLIENTS IN ORDER TO PROVIDE HEALTHY NUTRITIOUS MEALS. KDMC TEAM MEMBERS, LOCAL CHURCHES AND COMMUNITY RESIDENTS VOLUNTEER TO DELIVER THE MEALS TO 50 RECIPIENTS EACH DAY, MANY OF WHOM ARE ELDERLY AND CONFINED TO THEIR HOMES. DELIVERIES INCLUDE A HOT MEAL, COLD MEAL, BREAKFAST, SNACK AND TWO MILKS. FORM 990, PART III, LINE 4A KDMC'S MEALS-ON-WHEELS PROGRAM IS MUCH MORE THAN A FOOD DELIVERY SERVICE. VISITING WITH RECIPIENTS DURING MEAL DELIVERY IS AN OPPORTUNITY TO CARE FOR THEM IN OTHER WAYS. VOLUNTEERS OFTEN SHOVEL SNOW, TAKE OUT TRASH OR GET THE MAIL FOR THE RECIPIENT. IN 2016, THERE WERE A TOTAL OF 2,281 VOLUNTEERED HOURS BY BOTH KDMC TEAM MEMBERS AND COMMUNITY MEMBERS AND 6,124 MEALS WERE SERVED TO APPROXIMATELY 647 PEOPLE. CPR TRAINING CENTER: KING'S DAUGHTERS SERVES AS THE REGIONAL TRAINING CENTER FOR THE AMERICAN HEART ASSOCIATION. KING'S DAUGHTERS REGIONAL CPR TRAINING CENTER PROVIDED MORE THAN 5,000 CERTIFICATION CARDS FOR BLS/ACLS/PALS IN FY16. PINK LADIES DAY: KDMC, THROUGH FUNDING FROM BREAST CANCER RESEARCH AND EDUCATION TRUST FUND, PROVIDED BREAST CANCER EDUCATION, FREE SCREENING MAMMOGRAMS AND FOLLOW-UP TESTING FOR WOMEN AGE 40-64 YEARS OLD THAT WERE UNDERINSURED OR UNINSURED IN SEVEN COUNTIES IN KENTUCKY. APPROXIMATELY 34 WOMEN WERE PROVIDED WITH FREE SCREENING MAMMOGRAMS AND/OR FINANCIAL ASSISTANCE FOR DIAGNOSTIC TESTING, ULTRASOUND AND BIOPSIES. IN FY2016, MORE THAN 1,000 WOMEN WERE SEEN ON KDMC'S MOBILE MAMMOGRAPHY UNIT. SUPPORT GROUPS- KDMC PROVIDED A VARIETY OF SUPPORT GROUPS IN 2016 THAT WERE FREE TO ALL INTERESTED COMMUNITY MEMBERS. SUPPORT GROUPS OFFERED WERE ADULT DIABETES, SURGICAL WEIGHT LOSS, PARKINSON'S DISEASE, LOOK GOOD & FEEL BETTER, PREGNANCY AND INFANT LOSS. TEAM MEMBERS VOLUNTEERED 51 HOURS. FAITHWORKS: FAITHWORKS IS A HEALTH MINISTRY PROGRAM THAT WAS OFFERED TO MORE THAN 100 CHURCHES IN 2016 AS PART OF KDMC'S COMMITMENT TO THE FAITH COMMUNITY. THE GOAL IS TO PROMOTE WELLNESS BY ENABLING CHURCHES TO ENCOURAGE AND EMPOWER PEOPLE TO TAKE BETTER CARE OF THEMSELVES. EDUCATION AND SCREENING MATERIALS ARE PROVIDED FREE OF CHARGE TO OVER 100 PARTICIPATING CHURCHES. GO RED FOR GIRL SCOUTS: GO RED FOR GIRL SCOUTS IS A PROGRAM THAT TOOK PLACE IN FEBRUARY 2016 IN HONOR OF AMERICAN HEART MONTH. FUNDED BY KING'S DAUGHTERS, GIRLS HAD THE OPPORTUNITY TO EXPLORE EXERCISE TECHNIQUES SUCH AS ZUMBA, SAVOR EXOTIC FRUITS SUCH AS PASSION FRUIT AND STAR FRUIT, AND LEARN HOW EVERYDAY ACTIVITIES SUCH AS BRUSHING THEIR TEETH CAN HELP THEIR HEARTS. KING'S DAUGHTERS, ITS COMMUNITY RELATIONS TEAM AND THE GIRL SCOUTS ALL AIM TO TEACH GIRLS HEALTHY CHOICES AT AN EARLIER AGE. GIRLS WHO PARTICIPATED IN THE PROGRAM RECEIVED MATERIALS TO SHARE WHAT THEY HAD LEARNED WITH THEIR FAMILIES. THERE WERE 76 GIRLS AND 16 ADULTS IN ATTENDANCE. CANCER REGISTRIES -KDMC ENTERED CANCER DATA FOR 2015 INTO THE CANCER PATIENT DATA MANAGEMENT SYSTEM FOR BENEFIT OF THE KENTUCKY STATE CANCER REGISTRY. REGISTRARS TRACKED PATIENT DEMOGRAPHICS, TYPE OF TUMOR FOUND, TREATMENT FOR CANCER DIAGNOSIS PLUS MORE AND FOLLOWS PATIENT UNTIL DEATH. OVER THE YEARS, THIS PROCESS HAS HELPED IN PREPARING HUNDREDS OF CANCER RESEARCH PROJECTS AND PROPOSALS. IN ADDITION, IT HAS ALSO HELPED SUB-GEOGRAPHIC AREAS OF THE STATE TO IDENTIFY CANCER CONTROL ISSUES THAT COULD NOT HAVE BEEN SEEN WITHOUT A POPULATION-BASED CANCER REGISTRY AND TO TARGET THEIR LIMITED RESOURCES. THE PROCESS HAS RESULTED IN THE IMPLEMENTATION OF MANY CANCER CONTROL INTERVENTIONS. LIFELINE SCREENING DEVICES- KING'S DAUGHTERS OFFERS PHILLIP'S LIFELINE MEDICAL ALERT SYSTEM AT A NOMINAL COST TO COMMUNITY MEMBERS THAT LIVE ALONE AND ARE AT HIGH RISK FOR FALLS OR MEDICAL EMERGENCIES. THIS DEVICE IS ACCESSIBLE TO COMMUNITY RESIDENTS WITHIN THE LOCAL DIALING AREA. WELCOME TO MEDICARE- KING'S DAUGHTERS OFFERS WELCOME TO MEDICARE LUNCHES FOR OF AGE COMMUNITY MEMBERS. THE PURPOSE IS TO DETAIL PLAN COVERAGE AND SERVICES OFFERED. IN FY16, THERE WERE 6 SESSIONS WITH 119 PEOPLE. MEGA COLON: KDMC, IN PARTNERSHIP WITH OUR LADY OF BELLEFONTE HOSPITAL, BROUGHT MEGA COLON TO THE ASHLAND TOWN CENTER MALL. MEGAN COLON IS A SCIENTIFICALLY ACCURATE INFLATABLE REPLICA OF THE HUMAN COLON. THIS DISPLAY PROVIDED VISITORS OF THE MALL WITH A HIGHLY INTERACTIVE, EDUCATIONAL EXPERIENCE FEATURING COLORECTAL POLYPS, VARIOUS STAGES OF COLON CANCER AND CHRON'S AND COLITIS. CANCER SURVIVOR'S DAY- KDMC HOSTED A CANCER SURVIVOR'S DAY CELEBRATION IN FY2016 FOR APPROXIMATELY 250 CANCER SURVIVORS. SURVIVORS RECEIVED A MEAL PLUS AN ABUNDANCE OF CANCER EDUCATION FREE OF COST. PARTICIPANTS RECEIVED A PAMPHLET ON RECOMMENDED EXAMS FOR MEN AND WOMEN AND APPROPRIATE AGES FOR THOSE EXAMS. IN ADDITION, EDUCATION ON MAMMOGRAMS, BREAST CANCER, SKIN CANCER, LUNG CANCER, PROSTATE CANCER AND COLON CANCER WERE ALSO PROVIDED. CANCER SURVIVOR'S DAY IS OPEN TO ALL CANCER SURVIVORS, NOT JUST THOSE FROM KDMC. PARTICIPANTS ALSO HAD THE OPPORTUNITY TO SPEAK WITH SEVERAL ONCOLOGY NURSES DURING THE CELEBRATION. BACK TO SCHOOL HEALTH AND WELLNESS EVENT-THE CENTER FOR HEALTHY LIVING HOSTED A BACK TO SCHOOL WELLNESS FOR STUDENTS AND FAMILIES IN FY2016. THE GOAL WAS TO PROMOTE HEALTHY EATING AND PHYSICAL ACTIVITY TO FAMILIES. ACTIVITIES INCLUDED YOGA, SUGARY DRINKS AND FOODS LAB, FOODUCATE APP (GROCERY STORE SETTING), OBSTACLE COURSE, ZUMBA, HEALTHY SNACKS AND THEN A SPECIAL PRESENTATION FOR THE PARENTS "PREPARING HEALTHY MEALS ON A BUDGET; 380 KIDS AND ADULTS COMBINED. AMERICAN CANCER SOCIETY- KDMC IS ACTIVELY INVOLVED WITH THE AMERICAN CANCER SOCIETY EVENTS. WE PROVIDE VOLUNTEERS AND SPONSORSHIPS FOR RELAY FOR LIFE, MAKING STRIDES WALK AND CHILI FEST. DONATIONS- KDMC'S HOME HEALTH TEAM DONATED $33,675.85 WORTH OF EQUIPMENT AND CLOTHING TO FEDERATED CHARITIES AND THE DRESSING ROOM FOR THOSE STRUGGLING FINANCIALLY IN OUR AREA. KDMC ALSO DONATED EKG SUPPLIES AND OTHER EQUIPMENT TO ASHLAND INDEPENDENT SCHOOLS FOR THEIR EKG TECH PROGRAM. A LARGE DONATION WAS ALSO MADE TO RUSSELL MCDOWELL-INTERMEDIATE STEAM (SCIENCE, TECHNOLOGY, ENGINEERING, ARTS AND MATH) LAB. HEART CHASE- KDMC PARTNERED WITH OLBH AS A PRESENTING SPONSOR FOR THE AMERICAN HEART ASSOCIATION'S HEART CHASE. KDMC PROVIDED TWO TEAM MEMBERS FOR THEIR COMMUNITY PLANNING COMMITTEE THAT ASSISTED IN SPONSORSHIPS, PLANNING AND DAY-OF-EVENT ACTIVITIES. KING'S DAUGHTERS ALSO PROVIDED TEAMS TO PARTICIPATE. THE KING'S DAUGHTERS TEAM ACTUALLY TOOK HOME ALL OF THE FUNDRAISING AWARDS. A TOTAL OF $41,049 WAS RAISED BY ALL PARTICIPATING SPONSORS AND TEAMS. COLOR SPLASH 5K- A KDMC SPORTS MEDICINE EVENT TO RAISE MONEY FOR FREE BASELINE COMMUNITY CONCUSSION TESTING FOR 15 LOCAL HIGH SCHOOLS; 900+ RACE PARTICIPANTS AND OVER 40 VOLUNTEERS. YOUNG WOMEN LEAD- YOUNG WOMEN LEAD IS A TWO DAY LEADERSHIP CONFERENCE FOR HIGH SCHOOL GIRLS FOCUSING ON LEADERSHIP, EDUCATION AND DEVELOPMENT. THE PURPOSE OF THE CONFERENCE IS TO EMPOWER HIGH SCHOOL GIRLS TO EMBRACE THEIR STRENGTHS AND TO REACH THEIR FULL POTENTIAL. THE ALL-DAY SESSION FEATURES NATIONALLY RECOGNIZED WOMEN WHO SHARE THEIR OWN INSIGHTS ON REAL LIFE ISSUES AND HOW TO OVERCOME THEM TO ACHIEVE SUCCESSFUL AND MEANINGFUL CAREERS. THE CONFERENCE ALSO PROVIDES AN OPPORTUNITY FOR THE TEENS TO CONNECT TO AND LEARN FROM LOCAL FEMALE BUSINESS LEADERS. KDMC HAS ONE PERSON ON THEIR PLANNING COMMITTEE WHICH INVOLVES MORE THAN 32 HOURS EACH YEAR. KDMC ALSO SENDS FEMALE SPEAKERS TO PARTICIPATE EACH DAY. NATIONAL DAY OF PRAYER- KDMC PARTNERS WITH OUR LADY OF BELLEFONTE HOSPITAL TO HOST A NATIONAL DAY OF PRAYER BREAKFAST FOR COMMUNITY MEMBERS FREE OF CHARGE. THERE ARE NORMALLY 100 IN ATTENDANCE. ADDITIONAL INFORMATION THAT SHOWS HOW MUCH KDMC AND ITS TEAM MEMBERS CARE ABOUT THE COMMUNITY: HOSPITALITY HOUSE: FAMILIES THAT LIVE OUTSIDE OUR COMMUNITY WHO HAVE A LOVED ONE IN CRITICAL CARE ARE REFERRED BY KDMC SOCIAL WORKERS TO THE KDMC HOSPITALITY HOUSE. NOT ONLY DO THEY LIVE OUTSIDE OUR COMMUNITY, BUT MANY ALSO HAVE LIMITED RESOURCES (FINANCIAL, TRANSPORTATION, FAMILY SUPPORT). GUESTS OF THE HOSPITALITY HOUSE INCLUDE ADULT FAMILY MEMBERS OR CAREGIVERS OF EITHER CRITICALLY ILL PATIENTS RECEIVING CARE AT KDMC, OR QUALIFYING OUTPATIENTS RECEIVING EXTENDED THERAPEUTIC CARE. THE HOUSE ALSO PARTNERS WITH TRI-STATE REGIONAL CANCER CENTER TO HOUSE PATIENTS RECEIVING RADIATION AND/OR CHEMO. IN NEARLY ALL CASES, GUESTS LIVE OUTSIDE A 30-MILE RADIUS OF ASHLAND. THE HOUSE DOES NOT CHARGE FAMILIES TO STAY, HOWEVER A NUMBER OF THE GUESTS MAKE A VOLUNTARY CONTRIBUTION. THERE IS ALSO A VARIETY OF FREE FOOD AND SNACKS AVAILABLE TO FAMILIES STAYING AT THE HOUSE. THE HOSPITALITY HOUSE SERVED 481 FAMILIES DURING FY2016. IF FAMILIES DON'T QUALIFY FOR THE HOSPITALITY HOUSE, KDMC WORKS WITH SOCIAL SERVICES TO PURCHASE A HOTEL ROOM FOR QUALIFYING FAMILIES AT NO COST TO THE FAMILIES. FORM 990, PART III, LINE 4A FAMILIES IN NEED: KDMC SEES MANY FAMILIES THAT CAN'T AFFORD FOOD, MEDICINE, MEDICAL EQUIPMENT OR TRANSPORTATION WHILE STAYING WITH THEIR LOVED ONE IN THE HOSPITAL. IN RESPONSE, KDMC SOCIAL WORKERS AND PATIENT REPRESENTATIVES PROVIDE MEAL TICKETS, CLOTHING AND PERSONAL HYGIENE ITEMS, FREE OF CHARGE, TO THOSE IN NEED. IN ADDITION, KDMC ALSO PROVIDES GENERAL EMERGENCY MEDICAL ASSISTANCE TO HELP WITH DURABLE MEDICAL EQUIPMENT, HOME HEALTH AND MEDICATION ASSISTANCE. TRANSPORTATION IS ALSO A BIG NEED IN OUR COMMUNITY SO THE HOSPITAL ALSO ASSISTS IN PROVIDING GAS CARDS TO FAMILIES. IN 2016, KDMC SPENT MORE THAN $225,000 TO PROVIDE FOR FAMILIES IN NEED. SPIRITUAL SERVICES: THE PASTORAL CARE SERVICE DEPARTMENT EMPLOYS TWO FULL-TIME CHAPLAINS AND TO PROVIDE SPIRITUAL AND EMOTIONAL SUPPORT FOR OUR PATIENTS, THEIR FAMILIES AND FRIENDS AND FOR THE STAFF OF KING'S DAUGHTERS MEDICAL CENTER. RESEARCH: KDMC THROUGH THE ONCOLOGY SERVICES AND THE KENTUCKY HEART FOUNDATION OFFER CUTTING EDGE RESEARCH OPPORTUNITIES TO PATIENTS AT KDMC. THERE WERE 129 PATIENTS THAT PARTICIPATED IN RESEARCH STUDIES IN FY2016. MY CHART- KDMC PROVIDES A FREE TOOL TO PATIENTS TO HELP THEM MANAGE THEIR OWN HEALTH. MY CHART GIVES PATIENTS PERSONALIZED ACCESS TO PARTS OF THEIR MEDICAL RECORD. PATIENTS CAN VIEW THEIR HEALTH SUMMARY, TRACK HEALTH OVER TIME AND SCHEDULE APPOINTMENTS AS NEEDED. CONTINUING NURSING EDUCATION- KING'S DAUGHTERS PROVIDES CONTINUING NURSING EDUCATION TO NURSES INSIDE AND OUTSIDE OF KDMC. SELECT CONFERENCES AND OTHER LEARNING OPPORTUNITIES ARE AVAILABLE TO THE PUBLIC FREE OF CHARGE. BLOOD DRIVES- KDMC PARTNERED WITH THE AMERICAN RED CROSS TO HOST MONTHLY BLOOD DRIVES. A TOTAL OF 135 HOURS WERE VOLUNTEERED BY KDMC TEAM MEMBERS TO WORK THE DRIVE. A TOTAL OF 472 TEAM MEMBERS DONATED BLOOD. KDMC ALSO PROVIDED FOOD AND DRINKS FOR EACH DRIVE. HALLOWEEN IN THE PARK- KING'S DAUGHTERS COMMUNITY SERVICE TEAM PROVIDES FUN GIVEAWAYS AND GAMES FOR CHILDREN ON HALLOWEEN. THERE ARE GENERALLY AROUND 500 CHILDREN THAT ATTEND AND KDMC PROVIDES 20+ VOLUNTEERS. SPORTS PHYSICALS- 1,521 SPORTS PHYSICALS WERE COMPLETED FOR HIGH SCHOOLS IN KY, OH AND FOR KENTUCKY CHRISTIAN UNIVERSITY. HOPE'S PLACE CHOCOLATE EXTRAVAGANZA- EACH YEAR KDMC TEAM MEMBERS CREATE AND DONATE BASKETS FOR AUCTION TO RAISE MONEY FOR HOPE'S PLACE CHILDREN ADVOCACY CENTER. KDMC TEAM MEMBERS DONATED 50 BASKETS IN 2016. BUILD-A-BED- 60 KDMC TEAM MEMBERS MADE GENEROUS DONATIONS OF BLANKETS, COMFORTERS, PILLOWS, BOOKS, HYGIENE ITEMS AND STUFFED ANIMALS FOR BUILD-A-BED MOREHEAD, AN AGENCY THAT MAKES A DIFFERENCE IN CHILDREN'S LIVES. MANY KENTUCKY CHILDREN GO TO BED EACH NIGHT IN MAKESHIFT CIRCUMSTANCES - SLEEPING ON THE FLOOR, COUCH, WITH PARENTS OR SIBLINGS. BACKPACK PROGRAM- KDMC TEAM MEMBERS MADE BACKPACKS FOR 173 ELEMENTARY AGED CHILDREN TO ENSURE STUDENTS START THE YEAR WITH THE NECESSARY SCHOOL SUPPLIES AND AT LEAST ONE NEW OUTFIT. ADOPT-A-FAMILY-73 DEPARTMENTS ADOPTED 167 FAMILIES AND SPENT $38,131 ON CHRISTMAS GIFTS FOR FAMILIES IN NEED. RIVER CITIES HARVEST-KDMC TEAM MEMBERS DONATED MORE THAN 14,000 POUNDS OF FOOD TO RIVER CITIES HARVEST IN 2016. JOE STEVENS COAT DRIVE-ON A COLD DAY, EMERGENCY DEPARTMENT NURSE JOE STEVENS GAVE HIS OWN COAT TO A PATIENT WHO DIDN'T HAVE ONE. IT WAS A SIMPLE ACT OF KINDNESS, BUT NOT OUT OF CHARACTER FOR JOE, WHO COULD ALWAYS BE COUNTED ON TO PRACTICE RANDOM ACTS OF KINDNESS. JOE WORKED IN THE KDMC EMERGENCY DEPARTMENT. IN 2012, JOE PASSED AWAY AFTER A LONG BATTLE WITH CANCER. INSPIRED BY JOE'S GIVING SPIRIT, HIS FRIENDS AND CO-WORKERS DETERMINED TO HONOR HIS LIFE THROUGH AN ANNUAL COAT DRIVE TO BENEFIT THE HOMELESS AND THOSE IN NEED. IN 2016, TEAM KDMC DONATED 700 COATS, 100 PAIRS OF SOCKS, 100 TOBOGGANS & GLOVES, 100 SNACK BAGS AND 100 HYGIENE BAGS FOR THE JOE STEVENS MEMORIAL COAT DRIVE KDMC AUXILIARY- THE KING'S DAUGHTERS AUXILIARY SUPPORTS THE HEALTH OF OUR COMMUNITY GREATLY. IN FY2016, THE GROUP PROVIDED $185,125 TO DEPARTMENTS WITHIN THE HOSPITAL WORKING ON IMPROVING PATIENT EXPERIENCE AND PATIENT HEALTH. OF THE $185,125, $160,449 WAS DEDICATED TO COMMUNITY BENEFIT PROGRAMS LIKE MEDICATION ASSISTANCE AND CAR SEATS FOR CHILDREN. UNITED WAY CAMPAIGN-KDMC HAS A STRONG PARTNERSHIP WITH THE UNITED WAY OF NORTHEAST KY. THE HOSPITAL EMPLOYEES DONATED $102,000 OF THEIR OWN MONEY TO SUPPORT THIS WONDERFUL AGENCY. IN ADDITION, THE KDMC MARKETING DEPARTMENT DONATES STAFF TIME AND MATERIALS TO ENCOURAGE EMPLOYEES TO PARTICIPATE AND DONATE. FROM OCTOBER THROUGH DECEMBER, THE MARKETING TEAM SPENT 600+ HOURS PLANNING AND ORGANIZING UNITED WAY ACTIVITIES. CBISA TRAINING- KDMC KNOWS THE IMPORTANCE OF COMMUNITY BENEFIT AND THEREFORE SENT AN EMPLOYEE TO TWO DAY TRAINING IN ATLANTA WITH LYON'S SOFTWARE IN FY2016. THE PURPOSE WAS FOR THIS TEAM MEMBER TO LEARN MORE ABOUT THE COMMUNITY BENEFIT REPORTING TOOL, CBISA. COMMUNITY LEADERSHIP DEVELOPMENT- KDMC PARTNERS WITH THE LOCAL CHAMBER OF COMMERCE EVERY YEAR TO PLAN AND HOST THE COMMUNITY LEADERSHIP DEVELOPMENT PROGRAM. KDMC PROVIDES ONE STAFF MEMBER TO SERVE ON THE PLANNING COMMITTEE AND ALSO HOSTS/SPONSORS THE GROUP DURING THE HEALTHCARE SESSION. THE GROUP STARTS THE DAY AT A VARIETY OF NON-PROFITS IN THE AREA (HOSPICE, DRESSING ROOM, COMMUNITY KITCHEN) AND THEN IS PROVIDED WITH A TOUR AND LUNCH FROM KDMC. THE PURPOSE OF THIS PROGRAM IS TO BUILD FUTURE LEADERS FOR OUR AREA. PROGRAM PARTICIPANTS VISIT DIFFERENT LOCATIONS EACH WEEK. KDMC ALSO SENDS TEAM MEMBERS THROUGH THE PROGRAM YEARLY. NON-PROFIT BOARDS AND ACTIVITIES-KDMC'S LEADERSHIP TEAM GIVES BACK TO THE COMMUNITY BY SERVING ON BOARDS AND PARTICIPATING IN ACTIVITIES FOR LOCAL NON-PROFITS. KDMC HAS TEAM MEMBERS SERVING FOR COMMUNITY HOSPICE, THE NEIGHBORHOOD, ASHLAND YMCA, RIVER CITIES HARVEST, BIG BROTHER'S, BIG SISTERS AND MANY MORE. THE LEADERSHIP TEAM AND EMPLOYEES PUT IN MORE THAN 1,000 COMMUNITY HOURS IN FY2016. 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. 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; AND DR. RAYMOND MECCA, TRUSTEE. 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 11 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'S 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, REVIEWS 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 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. THIS IS AN ANNUAL PROCESS AND SULLIVAN COTTER'S MOST RECENT EXECUTIVE COMPENSATION REVIEW WAS PERFORMED IN 2015 AND REMAINS IN PROCESS. 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 ANNUAL 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, CHIEF STRATEGY/INFORMATION SERVICES & TECHNOLOGY OFFICER 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 -6,346,648. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS -5. PENSION LIABILITY ADJUSTMENT -5,583,061. WRITE OFF OF DUE FROM AFFILIATE -13,274. ADJUSTMENT FOR ACCUMULATED LOSS ON SWAP 79,570. ASHLAND NURSING HOME CORP 2500 STATE ROUTE 5 ASHLAND KY 41102 611386016 NURSING HOME KY 501(C)(3) 9 ASHLAND HOSPITAL CORPORATION 1 CHILD DEVELOPMENT CENTER CORP 2201 LEXINGTON AVENUE ASHLAND KY 41101 010560598 CHILD CARE KY 501(C)(3) 9 ASHLAND HOSPITAL CORPORATION 1 KENTUCKY HEART INSTITUTE 2201 LEXINGTON AVENUE ASHLAND KY 41101 611255904 PHYSICIANS KY 501(C)(3) 9 ASHLAND HOSPITAL CORPORATION 1 KENTUCKY HEART FOUNDATION 2201 LEXINGTON AVENUE ASHLAND KY 41101 260791997 MEDICAL RESEARCH KY 501(C)(3) 7 ASHLAND HOSPITAL CORPORATION 1 KENTUCKY MEDICAL LOGISTICS INC 425 22ND STREET ASHLAND KY 41101 264736971 MEDICAL TRANSPORT KY 501(C)(3) 9 ASHLAND HOSPITAL CORPORATION 1 KING'S DAUGHTERS HEALTH FOUNDATION INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 611035701 FUNDRAISING KY 501(C)(3) 11-III-FI ASHLAND HOSPITAL CORPORATION 1 KING'S DAUGHTERS HEALTH SYSTEM INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 274553836 HEALTHCARE KY 501(C)(3) 11-II N/A 0 KING'S DAUGHTERS MEDICAL SPECIALTIES INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 264183569 PHYSICIANS KY 501(C)(3) 9 ASHLAND HOSPITAL CORPORATION 1 PORTSMOUTH HOSPITAL CORP 1901 ARGONNE AVENUE PORTSMOUTH OH 45662 453215312 HEALTHCARE OH 501(C)(3) 3 ASHLAND HOSPITAL CORPORATION 1 ASHLAND MEDICAL PROPERTIES INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 611079090 RENTALS KY ASHLAND HOSPITAL CORPORATION C -3915 43182 1.00000 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 1 ASHLAND NURSING HOME CORP C 1500000 ALL TRANSACTIONS BETWEEN ASHLAND NURSING HOME CORP R 2367982 COMPANIES ARE CAPTURED AT COST ASHLAND NURSING HOME CORP S 2419525 IN THE DUE TO/FROM KENTUCKY HEART FOUNDATION INC A 19176 ACCOUNTS. THE TYPES OF KENTUCKY HEART FOUNDATION INC O 298308 TRANSACTIONS THAT HIT THIS KENTUCKY HEART FOUNDATION INC R 355778 ACCOUNT ARE TRACKED MONTHLY. KENTUCKY MEDICAL LOGISTICS INC O 356255 KENTUCKY MEDICAL LOGISTICS INC R 842233 KENTUCKY MEDICAL LOGISTICS INC S 298801 KING'S DAUGHTERS MEDICAL SPECIALTIES INC O 949532 KING'S DAUGHTERS MEDICAL SPECIALTIES INC R 13792494 KING'S DAUGHTERS MEDICAL SPECIALTIES INC S 1309103 KING'S DAUGHTERS HEALTH FOUNDATION INC S 565000 PORTSMOUTH HOSPITAL CORPORATION R 2384254 PORTSMOUTH HOSPITAL CORPORATION S 4005927