ASHLAND NURSING HOME CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ASHLAND NURSING HOME CORPORATION (EIN 61-1386016)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201402279349300030
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-15T08:03:10-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN232932984EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PARENTEBEARD LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11650 MARKET STREET SUITE 4500AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN611386016EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ASHLAND NURSING HOME CORPBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlASHLNameControl
Phone6063241414Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12500 STATE ROUTE 5AddressLine1
CityASHLANDCity
StateKYState
ZIP Code41102ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameAUTUMN MCFANNName
TitleTREASURERTitle
Phone6063241414Phone
Date Signed2014-08-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJULIUS C GREEN CPA JDName
PTINP00350393PTIN
Phone2159722352Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1KINGSBROOK LIFECARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonKRISTIE WHITLATCHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12201 LEXINGTON AVENUEAddressLine1
CityASHLANDCity
StateKYState
ZIP Code41101ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15126117GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.KINGSBROOK-LIFECARE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionPROVIDE QUALITY CARE TO INDIVIDUALS NEEDING SHORT-TERM REHAB AND/OR LONG-TERM HEALTHCARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees367TotalNbrEmployees
Total Nbr Volunteers60TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13419109ProgramServiceRevenuePriorYear
Program Service Revenue CY15020791ProgramServiceRevenueCY
Investment Income Prior Year2441InvestmentIncomePriorYear
Investment Income Current Year3806InvestmentIncomeCurrentYear
Other Revenue Prior Year110669OtherRevenuePriorYear
Other Revenue Current Year101520OtherRevenueCurrentYear
Total Revenue Prior Year13532219TotalRevenuePriorYear
Total Revenue Current Year15126117TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7872360SalariesEtcPriorYear
Salaries Etc Current Year7328225SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5236515OtherExpensePriorYear
Other Expenses Current Year6694552OtherExpensesCurrentYear
Total Expenses Prior Year13111375TotalExpensesPriorYear
Total Expenses Current Year14025277TotalExpensesCurrentYear
Revenues Less Expenses Prior Year420844RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1100840RevenuesLessExpensesCY
Total Assets BOY12963030TotalAssetsBOY
Total Assets EOY13174633TotalAssetsEOY
Total Liabilities BOY1142336TotalLiabilitiesBOY
Total Liabilities EOY1522104TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11820694NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11652529NetAssetsOrFundBalancesEOY
Mission DescriptionOUR MISSION IS TO MEET THE NEEDS OF RESIDENTS AT VARIOUS LEVELS OF CARE INCLUDING SHORT-TERM REHAB AND LONG-TERM HEALTHCARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12410933Expense
Grants2500Grants
Revenue15020791Revenue
DescriptionKINGSBROOK PROVIDES QUALITY CARE TO PATIENTS, MEETING THE NEEDS AND DESIRES OF RESIDENTS AT VARIOUS LEVELS OF CARE, INCLUDING SHORT-TERM AND LONG-TERM CARE. KINGSBROOK IS A 147-BED NURSING FACILITY WHICH PROVIDES SKILLED NURSING SERVICES AND REHABILITATION THERAPY TO RESIDENTS DESIRING TO RETURN HOME FROM AN ACUTE CARE HOSPITAL STAY. KINGSBROOK ALSO PROVIDES NURSING SERVICES AND CARE FOR RESIDENTS ON A LONG-TERM BASIS.Description
Total Program Service Expense12410933TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees367NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAVID THOMAS DIRECTOR OF FINANCEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6063241414TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12500 STATE ROUTE 5AddressLine1
CityASHLANDCity
StateKYState
ZIP Code41102ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
DAVID JONES
DIRECTOR0.306.50X000
WILLIE MCCULLOUGH
DIRECTOR0.300.00X000
DR FLOYD PARIS
DIRECTOR0.300.00X000
PHILIP FIORET MD
DIRECTOR1.0049.00X0764484140538
EB LOWMAN II
CHAIRMAN OF THE BOARD1.000.00X000X
FRED JACKSON
PRESIDENT1.0049.00X0523812532860X
PAUL MCDOWELL
TREASURER (UNTIL 12/31/12)1.0049.00X054419432357X
SHERYL MAHANEY
SECRETARY (NON-VOTING)1.0049.00X0419810135314X
KRISTIE WHITLATCH
DIRECTOR1.0049.00X0563857170827
JEFF TREASURE
TREASURER (NON-VOTING)1.0049.00X000X
TOM BURNETTE
DIRECTOR0.301.00X000
ARTHUR MOORE
ADMINISTRATOR40.000.0012234200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org122342TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs7530470TotalReportableCompFrmRltdOrgs
Total Other Compensation511896TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FUNCTIONAL PATHWAYS INC
614 MABRY HOOD ROADKNOXVILLETN30368THERAPY CONTRACTING SERVICES1736852
MEDCARE PHARMACY
350 ARISTOCRAT DRIVEFLORENCEKY41042PHARMACEUTICALS758468
MAY CONTRACTING
12354 VIRGINIA BLVDASHLANDKY41102CONSTRUCTION CONTRACTING SERVICES220251
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column15020791TotalRevenueColumn
Related Or Exempt Function Income15020791RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15020791TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3806TotalRevenueColumn
Exclusion$3,806ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA/LAUNDRY SERVICES72221055460$55,460
BEAUTY/BARBER SHOP81290029682$29,682
VENDING COMMISSION/REBATES8123001892$1,892

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column14486TotalRevenueColumn
Exclusion$14,486ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue101520TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15126117TotalRevenueColumn
Related Or Exempt Function Income15020791RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$105,326ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2500Total
Program Services2500ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5936339Total
Program Services5164615ProgramServices
Management And General771724ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total953457Total
Program Services829508ProgramServices
Management And General123949ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total438429Total
Program Services381433ProgramServices
Management And General56996ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total30000Total
Program Services26100ProgramServices
Management And General3900ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7202Total
Program Services6266ProgramServices
Management And General936ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total4294Total
Program Services3736ProgramServices
Management And General558ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2243997Total
Program Services1952277ProgramServices
Management And General291720ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total23454Total
Program Services20405ProgramServices
Management And General3049ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total47159Total
Program Services41028ProgramServices
Management And General6131ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total42600Total
Program Services37062ProgramServices
Management And General5538ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total425153Total
Program Services369883ProgramServices
Management And General55270ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total18959Total
Program Services16494ProgramServices
Management And General2465ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3960Total
Program Services3445ProgramServices
Management And General515ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total230994Total
Program Services200965ProgramServices
Management And General30029ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total713791Total
Program Services620998ProgramServices
Management And General92793ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total77841Total
Program Services67722ProgramServices
Management And General10119ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES1032509898283134226
PHARMACY825585825585
BAD DEBT EXPENSE398795398795
PROVIDER TAX313804313804

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total254455Total
Program Services230029ProgramServices
Management And General24426ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14025277Total
Program Services12410933ProgramServices
Management And General1614344ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY553187BOY
EOY1291927EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1903513BOY
EOY1698815EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY20828BOY
EOY30701EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY58979BOY
EOY67469EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY82961BOY
EOY78967EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis16026750LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7841594LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8521964BOY
EOY8185156EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1821598BOY
EOY1821598EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12963030BOY
EOY13174633EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY898890BOY
EOY1173347EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY243446BOY
EOY348757EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1142336BOY
EOY1522104EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11820694BOY
EOY11652529EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11820694BOY
EOY11652529EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12963030BOY
EOY13174633EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1100840ReconcilationRevenueExpenses
Reconcilation Other Changes-1269005ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1ASHLAND HOSPITAL CORP DBA KING'S DAUGHTERS MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
EIN610444716EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$4,294OtherActivitiesAmount
Total Lobbying Expenditures IIB4294TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationA PORTION OF DUES ARE PAID TO THE FOLLOWING: KY ASSOCIATION OF HEALTH CARE FACILITIES $3,934 THE AMERICAN HEALTHCARE SERVICES ASSOCIATION $218 KY ASSOCIATION OF HOMES AND SERVICES FOR THE AGING $142Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis348396OtherCostOrOtherBasis
Book Value348396BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12632681OtherCostOrOtherBasis
Depreciation5998568Depreciation
Book Value6634113BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2261214OtherCostOrOtherBasis
Depreciation1383477Depreciation
Book Value877737BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis784459OtherCostOrOtherBasis
Depreciation459549Depreciation
Book Value324910BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8185156TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
NURSING HOME BED LICENSES1819300
GOODWILL - PHARMACY2298
FieldValueIRS element (for citing)
Total Book Value Other Assets1821598TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$263,698
DUE TO KING'S DAUGHTERS MEDICAL CENTER$85,059
FieldValueIRS element (for citing)
Total Of Amounts348757TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt14727322TotRevenueEtcAuditedFinclStmt
Other Revenues-398795OtherRevenues
Revenue Not Rptd F990-398795RevenueNotRptdF990
Revenue Subtotal15126117RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99015126117TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13626481TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal13626481ExpensesSubtotal
Other Expenses Not Included398795OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt398795ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014025276TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: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.
PART XI, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT EXPENSE NETTED AGAINST REVENUE ON F/S -398,795.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE NETTED AGAINST REVENUE ON F/S 398,795.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PHILIP FIORET MD
DIRECTOR04516820187905012489701166790238590905022086441
FRED JACKSON
PRESIDENT08311370216673041903150140000188600527098503355889
PAUL MCDOWELL
TREASURER (UNTIL 12/31/12)028569101702930882100112500211070576551069899
SHERYL MAHANEY
SECRETARY (NON-VOTING)0219538013662206365001103370249770555124048202
KRISTIE WHITLATCH
DIRECTOR0350327015424005929001498500209770734684045374

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1AGROSS UP PAYMENTS: PAUL MCDOWELL $3,084 (100% TAXABLE), SHERYL MAHANEY $6,434 (100% TAXABLE).
PART I, LINE 1BTHE GROSS UPS ARE APPROVED BY THE CEO FOR THE VICE PRESIDENTS.
PART I, LINE 3COMPENSATION FOR THE CEO IS DETERMINED BY ASHLAND HOSPITAL CORPORATION (RELATED ORGANIZATION) USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY/STUDY AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE.
PART I, LINE 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS: PAUL MCDOWELL $69,899 SHERYL MAHANEY $48,202 KRISTIE WHITLATCH $45,374 FRED JACKSON $4,117,216 THE CEO AND 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. IN ADDITION, FRED JACKSON WAS PROVIDED WITH A LUMP SUM SUPPLEMENTAL RETIREMENT BENEFIT SINCE HE WAS STILL EMPLOYED AT AGE 62. THE LUMP SUM PAYMENT, WHEN COMBINED WITH ALL OTHER RETIREMENT BENEFITS,WAS ESTIMATED TO PRODUCE A TARGET RETIREMENT INCOME REPLACEMENT EQUAL TO A PERCENTAGE OF FRED JACKSON'S FINAL AVERAGE PAY COMMENCING AT AGE 62.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6ASHLAND HOSPITAL CORPORATION D/B/A KING'S DAUGHTERS MEDICAL CENTER IS THE SOLE CORPORATE MEMBER OF ASHLAND NURSING HOME CORPORATION. ASHLAND HOSPITAL CORPORATION, A 501(C)(3) ENTITY, IS THE PARENT ORGANIZATION OF AN INTERGRATED HEALTHCARE DELIVERY SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7AASHLAND HOSPITAL CORPORATION ELECTS THE BOARD MEMBERS OF ASHLAND NURSING HOME CORPORATION ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE CONTROLLER AND THE CFO OF KING'S DAUGHTERS MEDICAL CENTER. 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 12CANY EMPLOYEE, MANAGER, OR OFFICER WHO REGULARLY INFLUENCES OR MAKES DECISIONS INVOLVING THE EXPENDITURE OF FACILITY FUNDS SHALL SIGN A CONFLICT OF INTEREST STATEMENT. THE FORM SHALL BE REVIEWED YEARLY AND SHALL BE FILED IN THE HUMAN RESOURCES OFFICE. WHEN AN EMPLOYEE HAS REPORTED A POTENTIAL OR ACTUAL CONFLICT OF INTEREST TO THE IMMEDIATE SUPERVISOR, THE RESPONSIBLE MANAGER AND THE ADMINISTRATOR SHALL BE NOTIFIED OF ALL FACTS PERTAINING TO ANY POTENTIAL TRANSACTIONS. IF IT IS DETERMINED THAT A CONFLICT DOES EXIST, THEN THE EMPLOYEES SHALL BE REMOVED FROM ANY PART OF THE DECISION-MAKING PROCESS, AND SHALL HAVE NO ROLE IN THE INSTANCE WHERE THE CONFLICT OF INTEREST EXISTS. THE EMPLOYEE'S IMMEDIATE SUPERVISOR SHALL ASSUME OR ASSIGN THE AUTHORITY TO ACT ON BEHALF OF THE EMPLOYEE IN ALL ACTIONS INVOLVING THE AREA OF CONFLICT. FAILURE TO REPORT CONFLICTS OF INTEREST IS A DIRECT VIOLATION OF KINGSBROOK'S POLICY AND WILL RESULT IN DISCIPLINARY ACTION. WHEN A MANAGER OF THE FACILITY REPORTS A POTENTIAL CONFLICT, THE MANAGER SHALL REMOVE HIMSELF/HERSELF FROM ANY DISCUSSION OR VOTING REGARDING THE POTENTIAL CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15COMPARABILITY DATA IS USED FOR SALARY ADJUSTMENTS. THE HUMAN RESOURCE DEPARTMENT INITIATES THE ANNUAL EVALUATION AND THE ADMINISTRATOR APPROVES ALL ADJUSTMENTS OF KEY EMPLOYEES. THE GOVERNING BODY APPROVES SALARY ADJUSTMENTS OF THE ADMINISTRATOR. THE PROCESS INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S CONSOLIDATED QUARTERLY FINANCIAL STATEMENTS AND AUDIT REPORT CAN BE ACCESSED AT HTTP://EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS). GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER FEES: PROGRAM SERVICE EXPENSES 52,277. MANAGEMENT AND GENERAL EXPENSES 291,720. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 343,997. PHYSICAL THERAPY FEES: PROGRAM SERVICE EXPENSES 1,900,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,900,000.OTHER FEES
FORM 990, PART XI, LINE 9:PARTIAL RETURN OF INVESTMENT TO AFFILIATE -1,269,005.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ASHLAND HOSPITAL CORPORATION
2201 LEXINGTON AVEASHLANDKY41101610444716HEALTHCAREKY501(C)(3)3KING'S DAUGHTERS HEALTH SYSTEM0
KENTUCKY MEDICAL LOGISTICS INC (DBA KINGS DAUGHTERS TRANS)
425 22ND STREETASHLANDKY41101264736971MEDICAL TRANSPORTKY501(C)(3)9ASHLAND HOSPITAL CORPORATION0
KING'S DAUGHTERS HEALTH SYSTEM
2201 LEXINGTON AVEASHLANDKY41101274553836HEALTHCAREKY501(C)(3)11-II0N/A
PORTSMOUTH HOSPITAL CORP
2201 LEXINGTON AVEASHLANDKY41101453215312HEALTHCAREKY501(C)(3)3ASHLAND HOSPITAL CORPORATION0
KENTUCKY HEART FOUNDATION
2201 LEXINGTON AVEASHLANDKY41101260791997MEDICAL RESEARCHKY501(C)(3)7ASHLAND HOSPITAL CORPORATION0
KING'S DAUGHTERS HEALTH FOUNDATION INC
2201 LEXINGTON AVEASHLANDKY41101611035701FUNDRAISINGKY501(C)(3)11-III-FIASHLAND HOSPITAL CORPORATION0
CHILD DEVELOPMENT CENTER CORPORATION
2201 LEXINGTON AVEASHLANDKY41101010560598DAYCAREKY501(C)(3)11-IASHLAND HOSPITAL CORPORATION0
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
2201 LEXINGTON AVEASHLANDKY41101264183569PHYSICIANSKY501(C)(3)9ASHLAND HOSPITAL CORPORATION0
KENTUCKY HEART INSTITUTE
2201 LEXINGTON AVEASHLANDKY41101611255904PHYSICIANSKY501(C)(3)9ASHLAND HOSPITAL CORPORATION0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1ASHLAND MEDICAL PROPERTIES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12201 LEXINGTON AVEAddressLine1
CityASHLANDCity
StateKYState
ZIP Code41101ZIPCode
FieldValueIRS element (for citing)
EIN611079090EIN
Primary ActivityRENTALSPrimaryActivity
Legal Domicile StateKYLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

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