ASHLAND HOSPITAL CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ASHLAND HOSPITAL CORPORATION (EIN 61-0444716)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-15
IRS object ID: 201422279349300727
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-08-15T08:03:10-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	232932984	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1650 MARKET STREET SUITE 4500	AddressLine1
City	PHILADELPHIA	City
State	PA	State
ZIP Code	19103	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	610444716	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND HOSPITAL CORPORATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ASHL	NameControl
Phone	6064084000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2201 LEXINGTON AVENUE	AddressLine1
City	ASHLAND	City
State	KY	State
ZIP Code	41101	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	AUTUMN MCFANN	Name
Title	CHIEF FINANCIAL OFFICER	Title
Phone	6064084000	Phone
Date Signed	2014-08-13	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JULIUS C GREEN CPA JD	Name
PTIN	P00350393	PTIN
Phone	2159722352	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	KING'S DAUGHTERS MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	KRISTIE WHITLATCH	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2201 LEXINGTON AVENUE	AddressLine1
City	ASHLAND	City
State	KY	State
ZIP Code	41101	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	522223369	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.KDMC.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1941	YearFormation
State Legal Domicile	KY	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	4064	TotalNbrEmployees
Total Nbr Volunteers	308	TotalNbrVolunteers
Total Gross UBI	267459	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	291132	ContributionsGrantsPriorYear
Contributions Grants Current Year	374195	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	541522680	ProgramServiceRevenuePriorYear
Program Service Revenue CY	452296162	ProgramServiceRevenueCY
Investment Income Prior Year	8154919	InvestmentIncomePriorYear
Investment Income Current Year	9778710	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3480867	OtherRevenuePriorYear
Other Revenue Current Year	2775826	OtherRevenueCurrentYear
Total Revenue Prior Year	553449598	TotalRevenuePriorYear
Total Revenue Current Year	465224893	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	57393	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	160047	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	238475540	SalariesEtcPriorYear
Salaries Etc Current Year	200968260	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	278657127	OtherExpensePriorYear
Other Expenses Current Year	264662867	OtherExpensesCurrentYear
Total Expenses Prior Year	517190060	TotalExpensesPriorYear
Total Expenses Current Year	465791174	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	36259538	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-566281	RevenuesLessExpensesCY
Total Assets BOY	835789288	TotalAssetsBOY
Total Assets EOY	822243145	TotalAssetsEOY
Total Liabilities BOY	395652723	TotalLiabilitiesBOY
Total Liabilities EOY	404817852	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	440136565	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	417425293	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO CARE. TO SERVE. TO HEAL.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	1	SignificantChange
Expense	389747707	Expense
Grants	160047	Grants
Revenue	452059929	Revenue
Description	COMMUNITY INFORMATION:KING'S DAUGHTERS IS NESTLED IN THE FOOTHILLS OF THE APPALACHIAN MOUNTAINS, 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 COUNTIES IN KENTUCKY AND LAWRENCE AND SCIOTO COUNTIES IN OHIO. MORE THAN 269,000 PEOPLE (U.S. CENSUS BUREAU) LIVE IN THE SIX-COUNTY PRIMARY SERVICE AREA. WITH THE EXCEPTION OF TWO CITIES WITH POPULATIONS AROUND 20,000 THE AREA IS VERY RURAL, COVERING NEARLY 2,400 SQUARE MILES WITH A POPULATION DENSITY OF 112 PEOPLE PER SQUARE MILE. NEARLY 20.3% OF THE POPULATION LIVES IN POVERTY, COMPARED WITH 18.6% FOR KENTUCKY, 15.4% FOR OHIO AND 14.9% FOR THE NATION. MORE THAN 25% OF CHILDREN LIVE IN POVERTY. THE POPULATION IS 97% WHITE, 2% BLACK AND ALL OTHER RACES 1%. THE AVERAGE PER CAPITA INCOME IS $19,795, WELL BELOW THE LEVELS FOR KENTUCKY ($23,051), OHIO ($25,857) AND THE NATION ($28,051). IN KDMC'S PRIMARY MARKET AREA, 17% OF THOSE AGED 19-64 YEARS LACKED ANY FORM OF HEALTHCARE COVERAGE, COMPARED TO KENTUCKY-18%, OHIO-14% AND THE NATION-11%. 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 (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 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 ANOTHER 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 DIABETESA STRATEGIC PLAN HAS BEEN DEVELOPED AND APPROVED BY THE BOARD OF DIRECTORS, WHICH BEGINS IMPLEMENTATION WITH FISCAL YEAR 2014. THE PLAN PROPOSES MULTIPLE WAYS TO ADDRESS THE CHRONIC DISEASE BURDEN IN THE AREA. COMMUNITY BUILDING ACTIVITIES: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.COLLABORATION WITH COMMUNITY: KDMC HAS ESTABLISHED PARTNERSHIPS WITH AREA RETAILERS, HEALTH DEPARTMENTS, FACTORIES AND CHEMICAL PLANTS, CITY OF ASHLAND, LOCAL EMS SERVICES, AMERICAN RED CROSS, SUSAN G. KOMEN FOR THE CURE, FOUNDATION FOR A HEALTHY KENTUCKY, CARES (LOCAL REFERRAL AGENCY), COMMUNITY KITCHEN, SAFE HARBOR, 16 SCHOOL DISTRICTS AND NEARBY COLLEGES AND UNIVERSITIES, NAACP, ASHLAND FAIR HOUSING, SHELTER OF HOPE, ASHLAND AREA YMCA, KENTUCKY STATE POLICE, OHIO HIGHWAY PATROL, AREA SENIOR CENTERS AND MORE THAN 150 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. DURING FISCAL YEAR 2013, KDMC PROVIDED THE FOLLOWING:HEALTH SCREENINGS:- STROKE (CAROTID) 135 ADULTS SERVED- CARPAL TUNNEL 272 ADULTS SERVED- GENERAL HEALTH (TOTAL CHOLESTEROL, BLOOD PRESSURE AND BLOOD SUGAR) 4,756 ADULTS SERVED- HEALTHY HEART - (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR & EKG) 2,941 ADULTS SERVED- HEARING 49 ADULTS SERVED- JOINT PAIN 61 ADULTS SERVED- LUNG FUNCTION 89 ADULTS SERVED- MOBILE MAMMOGRAPHY 1,923 WOMEN SERVED- OSTEOPOROSIS 243 ADULTS SERVED- PROSTATE CANCER 160 MEN SERVED- SKIN CANCER 326 ADULTS SERVEDPATIENTS WITH ABNORMAL RESULTS FROM OUR HEALTH SCREENINGS RECEIVE A FOLLOW-UP LETTER REMINDING THEM OF THE IMPORTANCE OF SHARING THE RESULTS WITH THEIR HEALTHCARE PROVIDER. 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:- BICYCLE SAFETY - 311 ADULTS, 130 CHILDREN/YOUTH SERVED- BREAST CANCER - 2,751 ADULTS, 107 CHILDREN/YOUTH SERVED- COLON CANCER - 1,116 ADULTS, 880 CHILDREN/YOUTH SERVED- ORAL HEALTH - 27 ADULTS, 888 CHILDREN/YOUTH SERVED- DIABETES - 2,274 ADULTS, 905 CHILDREN/YOUTH SERVED- PHYSICAL ACTIVITY - 1,502 ADULTS, 1,121 CHILDREN/YOUTH SERVED- HAND HYGIENE - 1,119 ADULTS, 1,327 CHILDREN/YOUTH SERVED- HEART HEALTH - 3,853 ADULTS, 750 CHILDREN/YOUTH SERVED- NUTRITION - 3,814 ADULTS, 7,530 CHILDREN/YOUTH SERVED- PROSTATE CANCER - 1,360 ADULTS, 117 CHILDREN/YOUTH SERVED- SCHOOL BUS SAFETY - 1,222 ADULTS, 601 CHILDREN/YOUTH SERVED- SKIN CANCER - 2,280 ADULTS, 314 CHILDREN/YOUTH SERVED- STROKE - 1,964 ADULTS, 250 CHILDREN/YOUTH SERVED- TOBACCO - 2,564 ADULTS, 15,099 CHILDREN/YOUTH SERVEDOTHER SERVICES:HOSPITALITY HOUSE: FAMILIES THAT LIVE OUTSIDE OUR COMMUNITY WITH LIMITED RESOURCES (FINANCIAL, TRANSPORTATION, FAMILY SUPPORT) WHO HAVE A LOVED ONE IN CRITICAL CARE ARE REFERRED BY KDMC SOCIAL WORKERS TO THE KDMC HOSPITALITY HOUSE. 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. 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. MORE THAN 700 FAMILY MEMBERS WERE SERVED BY THE HOSPITALITY HOUSE DURING THE YEAR.FLU SHOTS: DURING THE FISCAL YEAR, KDMC PROVIDED 405 FREE FLU SHOTS THROUGHOUT THE COMMUNITY. FLU SHOTS ARE DELIVERED THROUGH A VARIETY OF SETTINGS AND IN MULTIPLE COUNTIES SERVED BY THE MEDICAL CENTER.SPIRITUAL SERVICES: THE PASTORAL CARE SERVICE DEPARTMENT EMPLOYS ONE PART-TIME AND TWO FULL-TIME CHAPLAINS TO PROVIDE SPIRITUAL AND EMOTIONAL SUPPORT FOR OUR PATIENTS, THEIR FAMILIES AND FRIENDS AND FOR THE STAFF OF KING'S DAUGHTERS MEDICAL CENTER. ONE-ON-ONE COUNSELING AS WELL AS GROUP COUNSELING, WHICH INCLUDES GRIEF SUPPORT AND PALLIATIVE CARE FOR END-OF-LIFE PATIENTS AND THEIR FAMILIES, IS OFFERED BY THE DEPARTMENT.RESEARCH: KDMC THROUGH THE ONCOLOGY SERVICES AND THE KENTUCKY HEART FOUNDATION OFFER CUTTING EDGE RESEARCH OPPORTUNITIES TO PATIENTS AT KDMC. MORE THAN 500 PATIENTS PARTICIPATE IN RESEARCH STUDIES OFFERED AT KDMC.AFFILIATED HEALTH CARE SYSTEM ROLES:KING'S DAUGHTERS MEDICAL CENTER IS PART OF AN AFFILIATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM PROVIDES PHYSICIAN SERVICES THROUGH TWO AFFILIATES, KENTUCKY HEART INSTITUTE AND KING'S DAUGHTERS MEDICAL SPECIALTIES. BOTH AFFILIATES PROVIDE CHARITY CARE AND PARTICIPATE IN GOVERNMENT PROGRAMS.	Description
Total Program Service Expense	389747707	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	441	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	4064	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	KY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	GREG WHITLOCK CONTROLLER	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6064080160	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2201 LEXINGTON AVENUE	AddressLine1
City	ASHLAND	City
State	KY	State
ZIP Code	41101	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
ADDINGTON STEPHEN
DIRECTOR	0.30	0.30	X	0	0	0
BURNETTE TOM
DIRECTOR	0.30	1.00	X	0	0	0
CANTRELL JIM
DIRECTOR	0.30	0.30	X	0	0	0
CASSIDY DAN
DIRECTOR	0.30	1.30	X	0	0	0
HAMMONDS DONALD DO
DIRECTOR	0.30	40.30	X	0	86272	22982
KANOUSE STEVE
DIRECTOR	0.30	0.30	X	0	0	0
KRIVCHENIA ALEXANDER MD
DIRECTOR	1.30	1.00	X	26687	0	0
MCCANN KIM
DIRECTOR	0.30	1.30	X	0	0	0
MECCA RAYMOND MD
DIRECTOR	0.50	0.30	X	1000	0	0
STEWART JOHN
DIRECTOR	0.30	0.50	X	0	0	0
VINCENT JOHN
DIRECTOR	0.30	1.30	X	0	0	0
JONES DAVID
CHAIRMAN	1.00	5.80	X	0	0	0	X
JACKSON FRED
PRESIDENT/CEO	41.00	9.00	X	5238125	0	32860	X
MCDOWELL PAUL
VP/CFO, TREASURER (UNTIL 12/31/12)	41.00	9.00	X	544194	0	32357	X
TREASURE JEFF
TREASURER, VP/CFO	41.00	9.00		0	0	0	X
MAHANEY SHERYL
SECRETARY, VP/CHIEF LEGAL/	41.00	9.00		419810	0	135314	X
FIORET PHILIP MD
VP/CMO	41.00	9.00		764484	0	140538		X
HIGGINS LARRY
VP/CAO	41.00	9.00		472158	0	124691		X
WHITLATCH KRISTIE
VP/COO	41.00	9.00		563857	0	170827		X
BOYKIN MAYOLA MD
PHYSICIAN	40.00			751664	0	34119			X
FRALEY ERIK MD
PHYSICIAN	40.00			652344	0	17241			X
HOWARD-CLAUDIO CANDACE MD
PHYSICIAN	40.00			828819	0	36227			X
MOTIMAYA ASH MD
PHYSICIAN	40.00			701467	0	36121			X
POWELL STELLA MD
PHYSICIAN	40.00			659659	0	31369			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	11624268	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	86272	TotalReportableCompFrmRltdOrgs
Total Other Compensation	814646	TotalOtherCompensation
Number Individuals GT100 K	210	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
STITES & HARBISON PLLC
250 W MAIN ST 2300 LEXINGTON FINAN	LEXINGTON	KY	405071758	LAWYERS	2367954
TGC LLC
POBOX 130	HIGHLAND	MD	20777	CONSULTANTS	1532446
SPECIALTYCARE CARDIOVASCULAR RESOURCES
DEPT 1614 PO BOX 11407	BIRMINGHAM	AL	352461614	PERFUSIONISTS	1527178
BROWN PARKER & DEMARINIS ADVERTISING
3333 SOUTH CONGRESS AVE SUITE 305-	DELRAY BEACH	FL	33445	MARKETING	1231790
BLANK ROME LLP
PO BOX 8500	PHILADELPHIA	PA	19178	LAWYERS	1178840

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	41	NumberOfContractorsGT100K
Related Organizations	4625	RelatedOrganizations
Government Grants	186235	GovernmentGrants
All Other Contributions	183335	AllOtherContributions
Noncash Contributions	4625	NoncashContributions
Total Contributions	374195	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SVC REV	621110	439217723	439034813	182910
PHARMACY	446110	10587271	10533948	53323
MEANINGFUL USE REVENUES	621110	2491168	2491168

Field	Value	IRS element (for citing)
Total Program Service Revenue	452296162	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	10266978	TotalRevenueColumn
Unrelated Business Revenue	32448	UnrelatedBusinessRevenue
Exclusion	$10,234,530	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1486711	Real
Personal	3818	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	877574	Real
Personal	5040	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	609137	Real
Personal	-1222	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	607915	TotalRevenueColumn
Unrelated Business Revenue	-1222	UnrelatedBusinessRevenue
Exclusion	$609,137	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	55583401	Securities
Other	44193	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	55035244	Securities
Other	1080618	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	548157	Securities
Other	-1036425	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-488268	TotalRevenueColumn
Exclusion	-$488,268	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA	722210	1669608	$1,669,608
QUALITY INCENTIVE	900099	276979	$276,979
MEDICAL RECORDS	561499	113783	$113,783

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	107541	TotalRevenueColumn
Exclusion	$107,541	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	2167911	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	465224893	TotalRevenueColumn
Related Or Exempt Function Income	452059929	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	267459	UnrelatedBusinessRevenue
Exclusion	$12,523,310	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	160047	Total
Program Services	160047	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4778599	Total
Management And General	4778599	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	155469444	Total
Program Services	139615542	ProgramServices
Management And General	15853902	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4319702	Total
Program Services	3879092	ProgramServices
Management And General	440610	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	25376294	Total
Program Services	22787912	ProgramServices
Management And General	2588382	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11024221	Total
Program Services	9684778	ProgramServices
Management And General	1339443	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	4776381	Total
Program Services	1154286	ProgramServices
Management And General	3622095	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	120000	Total
Management And General	120000	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	28712	Total
Program Services	28712	ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	628047	Total
Management And General	628047	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	27338282	Total
Program Services	17993639	ProgramServices
Management And General	9344643	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2597769	Total
Program Services	17891	ProgramServices
Management And General	2579878	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2625723	Total
Program Services	682662	ProgramServices
Management And General	1943061	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1652198	Total
Program Services	1652198	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7322632	Total
Program Services	2169494	ProgramServices
Management And General	5153138	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	605229	Total
Program Services	442652	ProgramServices
Management And General	162577	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	26750	Total
Program Services	22553	ProgramServices
Management And General	4197	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	10198828	Total
Management And General	10198828	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	36070883	Total
Program Services	33871451	ProgramServices
Management And General	2199432	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	8171355	Total
Program Services	61907	ProgramServices
Management And General	8109448	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	86381604	83076465	3305139
BAD DEBT EXPENSE	45081869	45081869
REPAIRS & MAINTENANCE	15323134	14062270	1260864
TAX (INC. PROVIDER TAX)	7622559	6960301	662258

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	8090912	Total
Program Services	6341986	ProgramServices
Management And General	1748926	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	465791174	Total
Program Services	389747707	ProgramServices
Management And General	76043467	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	40423793	BOY
EOY	10367512	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	37241519	BOY
EOY	13218373	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	70145614	BOY
EOY	66616975	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1102280	BOY
EOY	889786	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10105924	BOY
EOY	10012046	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	9157432	BOY
EOY	8047601	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	683042766	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	391034455	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	321972250	BOY
EOY	292008311	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	210416254	BOY
EOY	225954740	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	7528398	BOY
EOY	6259393	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	587059	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	127695824	BOY
EOY	188281349	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	835789288	BOY
EOY	822243145	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	55338396	BOY
EOY	50048707	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	244054896	BOY
EOY	239206332	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	4328274	BOY
EOY	2517625	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	91931157	BOY
EOY	113045188	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	395652723	BOY
EOY	404817852	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	440136565	BOY
EOY	417425293	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	440136565	BOY
EOY	417425293	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	835789288	BOY
EOY	822243145	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-566281	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	6319806	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-28464797	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$28,712	OtherActivitiesAmount
Total Lobbying Expenditures IIB	28712	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	$18,601: A PORTION OF THE DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. $3,255: A PORTION OF THE DUES PAID TO THE AMERICAN MEDICAL REHABILITATION PROVIDERS ATTRIBUTABLE TO LOBBYING EXPENSES. $5,714: A PORTION OF THE DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. $1,142: A PORTION OF DUES PAID TO THE KENTUCKY MEDICAL ASSOCIATION ATTRIBUTABLE TO LOBBYING.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	29356866	OtherCostOrOtherBasis
Book Value	29356866	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	369542005	OtherCostOrOtherBasis
Depreciation	182528356	Depreciation
Book Value	187013649	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	274431603	OtherCostOrOtherBasis
Depreciation	202957267	Depreciation
Book Value	71474336	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9712292	OtherCostOrOtherBasis
Depreciation	5548832	Depreciation
Book Value	4163460	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	292008311	TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
SELF INSURANCE FUNDS	182394
TRUSTEED FUNDS	10373519
DEFERRED FINANCING COSTS	2556018
DUE FROM RELATED PARTIES	145699218
OTHER RECEIVABLES	29461827
ACCRUED INTEREST RECEIVABLE	8373

Field	Value	IRS element (for citing)
Total Book Value Other Assets	188281349	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
MALPRACTICE COSTS	$21,638,349
ACCRUED PENSION	$10,444,000
LONG-TERM RETENTION PLAN	$2,139,429
INTEREST RATE SWAP AGREEMENTS	$12,804,081
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS	$16,822,926
LEASE PAYABLE	$296,403
ACCRUED GOVERNMENTAL SETTLEMENT	$48,900,000

Field	Value	IRS element (for citing)
Total Of Amounts	113045188	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	447448592	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	6319806	NetUnrealizedGainsInvestments
Other Revenues	-24646666	OtherRevenues
Revenue Not Rptd F990	-18326860	RevenueNotRptdF990
Revenue Subtotal	465775452	RevenueSubtotal
Other Revenues Not Included	-550559	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-550559	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	465224893	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	421259864	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	550559	OtherExpensesIncluded
Expenses Not Rptd F990	550559	ExpensesNotRptdF990
Expenses Subtotal	420709305	ExpensesSubtotal
Other Expenses Not Included	45081869	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	45081869	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	465791174	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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:		CHANGE IN MARKET VALUE INTEREST RATE SWAP 9,259,482. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS -998,566. BAD DEBT EXPENSES (NETTED AGAINST NET PATIENT SERVICE REVENUE ON F/S) -45,081,869. PENSION LIABILITY ADJUSTMENT 12,094,731. OTHER ADJUSTMENTS 79,556.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		RENTAL EXPENSES -882,614. CONTRIBUTIONS NETTED AGAINST EXPENSES ON F/S 332,055.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSES 882,614. CONTRIBUTIONS NETTED AGAINST EXPENSES ON F/S -332,055.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		BAD DEBT EXPENSES (NETTED AGAINST NET PATIENT SERVICE REVENUE ON F/S) 45,081,869.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13420149	TotalCommunityBenefitExpense
Net Community Benefit Expense	13420149	NetCommunityBenefitExpense
Percent Of Total Expense	0.03190	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	71015498	TotalCommunityBenefitExpense
Direct Offsetting Revenue	47457493	DirectOffsettingRevenue
Net Community Benefit Expense	23558005	NetCommunityBenefitExpense
Percent Of Total Expense	0.05600	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	84435647	TotalCommunityBenefitExpense
Direct Offsetting Revenue	47457493	DirectOffsettingRevenue
Net Community Benefit Expense	36978154	NetCommunityBenefitExpense
Percent Of Total Expense	0.08790	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3653025	TotalCommunityBenefitExpense
Net Community Benefit Expense	3653025	NetCommunityBenefitExpense
Percent Of Total Expense	0.00870	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	200207	TotalCommunityBenefitExpense
Net Community Benefit Expense	200207	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2321799	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1946089	DirectOffsettingRevenue
Net Community Benefit Expense	375710	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16210	TotalCommunityBenefitExpense
Net Community Benefit Expense	16210	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6191241	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1946089	DirectOffsettingRevenue
Net Community Benefit Expense	4245152	NetCommunityBenefitExpense
Percent Of Total Expense	0.01010	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	90626888	TotalCommunityBenefitExpense
Direct Offsetting Revenue	49403582	DirectOffsettingRevenue
Net Community Benefit Expense	41223306	NetCommunityBenefitExpense
Percent Of Total Expense	0.09800	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	82602	TotalCommunityBuildingExpense
Net Community Building Expense	82602	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	82602	TotalCommunityBuildingExpense
Net Community Building Expense	82602	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$14,473,194	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	116309597	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	134623888	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-18314291	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND HOSPITAL CORPORATION	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	2201 LEXINGTON AVENUE	AddressLine1
City	ASHLAND	City
State	KY	State
ZIP Code	41101	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND HOSPITAL CORPORATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Execute Implement Strategy	X	ExecuteImplementStrategy
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	300.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	24	NumberOfOtherFacilities

Other Facilities OtherFacilities (24 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
CENTER FOR ADVANCED IMAGING
2225 CENTRAL AVENUE	ASHLAND	KY	41101	OUTPATIENT IMAGING CENTER
ASHLAND URGENT CARE
2245 WINCHESTER AVENUE	ASHLAND	KY	41101	URGENT CARE
GRAYSON URGENT CARE
I-64 INTERCHANGE	GRAYSON	KY	41143	URGENT CARE
IRONTON URGENT CARE
912 PARK AVENUE	IRONTON	OH	45638	URGENT CARE
PORTSMOUTH URGENT CARE
2001 SCIOTO TRAIL	PORTSMOUTH	OH	45662	URGENT CARE
OUTPATIENT SERVICES CENTER
480 23RD STREET	ASHLAND	KY	41101	PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY
CATLETTSBURG FAMILY CARE CENTER
4004 LOUIS RD	CATLETTSBURG	KY	41129	FAMILY CARE CENTER
CEDAR KNOLL FAMILY CARE CENTERPEDIATRIC
10650 US ROUTE 60	ASHLAND	KY	41102	FAMILY CARE CENTER/PEDIATRICS
FLATWOODS FAMILY CAREMED SPECIALTIES
1107 BELLEFONTE RD	FLATWOODS	KY	41139	FAMILY CARE CENTER
GRAYSON MEDICAL SPECIALTIES
609 N CAROL MALONE BLVD	GRAYSON	KY	41143	FAMILY CARE CENTER
PIKEVILLE MEDICAL SPECIALTIES
5425 N MAYO TRAIL SUITE 202	PIKEVILLE	KY	41501	FAMILY CARE CENTER
OLIVE HILL FAMILY CARE CENTER
391 WEST TOM T HALL BOULEVARD	OLIVE HILL	KY	41164	FAMILY CARE CENTER
BURLINGTON FAMILY CARE CENTER
384 COUNTRY ROAD 120 SOUTH	SOUTH POINT	OH	45680	FAMILY CARE CENTER
IRONTON FAMILY CARE CENTER
912 PARK AVENUE	IRONTON	OH	45638	FAMILY CARE CENTER
JACKSON MEDICAL SPECIALTIES
14395 STATE ROUTE 93	JACKSON	OH	45640	FAMILY CARE CENTER
PORTSMOUTH MEDICAL SPECIALTIES
2001 SCIOTO TRAIL	PORTSMOUTH	OH	45662	FAMILY CARE CENTER
PROCTORVILLE MEDICAL SPECIALTIES
6276 COUNTY ROAD 107	PROCTORVILLE	OH	45669	FAMILY CARE CENTER
WHEELERSBURG FAMILY CARE
8750 OHIO RIVER ROAD	WHEELERSBURG	OH	45694	FAMILY CARE CENTER
SANDY HOOK FAMILY CARE CENTER
STATE ROUTES 7 AND 32	SANDY HOOK	KY	41171	FAMILY CARE CENTER
KDMC SKILLED NURSING FACILITY
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	SKILLED NURSING
KDMC INPATIENT REHABILITATION
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	INPATIENT REHABILITATION
KDMC OCCUPATIONAL MEDICINE
336 29TH STREET	ASHLAND	KY	41101	OCCUPATIONAL MEDICINE
KDMC HOME HEALTH
10730 MIDLAND TRAIL	ASHLAND	KY	41101	HOME HEALTH SERVICES
KDMC HOME MEDICAL EQUIPMENT
1700 WINCHESTER AVE	ASHLAND	KY	41101	DURABLE MEDICAL EQUIPMENT

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

ExplanationExplanation	IdentifierIdentifier
PART I, LINE 7: KDMC USED WORKSHEET 2 PROVIDED IN THE 2012 SCHEDULE H INSTRUCTIONS (FORM 990) TO CALCULATE A COST TO CHARGE RATIO. THIS RATIO WAS USED TO CALCULATE CHARITY CARE AT COST. ALL OTHER ITEMS WERE REPORTED AT NET EXPENSE.
PART I, LINE 7G: THERE ARE NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS INCLUDED AS SUBSIDIZED HEALTH SERVICES.
PART I, L7 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 $45,081,869.
PART II: 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 FOR THE CURE, 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 75 SCREENING AND EDUCATIONAL EVENTS EACH MONTH, MOBILE HEALTH SERVICES, COORDINATION OF A REGIONAL CPR TRAINING CENTER AND A MEALS ON WHEELS PROGRAM. PATIENTS WITH ABNORMAL RESULTS FROM OUR HEALTH SCREENINGS RECEIVE A FOLLOW-UP LETTER REMINDING THEM OF THE IMPORTANCE OF SHARING THE RESULTS WITH THEIR HEALTHCARE PROVIDER.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 THREE IMPORTANT AREAS OF FOCUS. OUR REGION HAS A HIGH INCIDENCE OF UNDIAGNOSED OR UNTREATED HEART AND VASCULAR DISEASE. OUR "HEALTH CONNECTIONS" PROGRAM CONTINUES TO EXPAND SERVICES BY OFFERING FREE COMPREHENSIVE HEALTHY HEART AND VASCULAR SCREENINGS TO HIGH RISK POPULATIONS. THIS SCREENING MAY INCLUDE A FASTING LIPID PANEL, TOTAL CHOLESTEROL, AN ANKLE BRACHIAL INDEX, BLOOD PRESSURE, BLOOD SUGAR, OR AN EKG. WE ARE RAISING AWARENESS ABOUT THE CARDIOVASCULAR RISKS AND IDENTIFYING DISEASE THAT HAD NOT BEEN DIAGNOSED SO IT CAN BE TREATED. WE ARE MAKING SURE THE PARTICIPANTS KNOW THEIR HEART RISK NUMBERS. OUR HEART SCREENINGS PROVIDED 6,769 BLOOD PRESSURE (41% ABNORMAL), 6,304 BLOOD SUGAR (10% ABNORMAL) AND 6,275 TOTAL CHOLESTEROL (44% ABNORMAL) SCREENINGS IN 2012. THESE SCREENINGS HAD MORE THAN 3,500 PARTICIPANTS.
PART III, LINE 4: MANAGEMENT MAINTAINS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS TO RESERVE FOR ESTIMATED LOSSES BASED ON THE LENGTH OF TIME THE ACCOUNT HAS BEEN PAST DUE, THIRD PARTY PAYER CLASSIFICATION, AND HISTORICAL EXPERIENCE. BAD DEBT IS CLASSIFIED AS A DEDUCTION FROM REVENUE WHICH IS CONSISTENT WITH THE HFMA PRINCIPLES AND PRACTICES BOARD STATEMENT NO. 15.KDMC USED WORKSHEET 2 PROVIDED IN THE 2012 SCHEDULE H INSTRUCTIONS (FORM 990) TO CALCULATE A COST TO CHARGE RATIO. THIS RATIO WAS USED TO CALCULATE BAD DEBT EXPENSE AT COST. BAD DEBT EXPENSE IS RECORDED AFTER ANY DISCOUNTS AND PAYMENTS ARE MADE ONPATIENT ACCOUNTS. HOWEVER, SINCE THE RECENT CHANGE IN THE FINANCIALASSISTANCE POLICY, THE BUSINESS OFFICE NO LONGER KEEPS TRACK OF"NO-RESPONSE" APPLICATIONS ANNUALLY AND DOES NOT FEEL THAT THE PORTIONCONSIDERED TO BE A COMMUNITY BENEFIT IS MATERIAL.
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 2013 COST REPORT DATA AND PROVIDER SUMMARY REPORT (PSR) WAS USED TO COMPUTE THE INFORMATION.
PART III, LINE 9B: THE HOSPITAL DOES HAVE A WRITTEN POLICY FOR BAD DEBT. IT IS A SYSTEM PROGRESSION WITH THREE PATIENT STATEMENTS, THREE LETTERS FROM CREDIT COLLECTIONS, INC., AND IF NO PAYMENT ARRANGEMENTS ARE MADE DURING THIS TIME, THERE IS AUTOMATION TO THE COLLECTION AGENCY. EACH BILL THAT A PATIENT RECEIVES HAS A STATEMENT STATING IF THEY ARE UNABLE TO PAY THEIR BILL TO CONTACT THE HOSPITAL'S FINANCIAL ASSISTANCE TEAM WITH A DIRECT LINE NUMBER. ALSO, EACH SELF-PAY PATIENT IS CONTACTED BY THE HOSPITAL'S MEDICAID ELIGIBILITY VENDOR AS WELL AS RECEIVING A FINANCIAL ASSISTANCE APPLICATION.
PART V, SECTION B, LINE 3: A WIDE RANGE OF COMMUNITY PARTNERS ACTIVELY PARTICIPATED IN THE CHNA THROUGH EIGHT FOCUS GROUPS CONDUCTED TO BETTER ASSESS THE HEALTH NEEDS OF THE REGION. A TOTAL OF 39 SCHOOLS, SOCIAL SERVICE AGENCIES AND/OR BUSINESSES WERE REPRESENTED. PARTICIPANTS INCLUDED LIBRARIES, LOCAL HEALTH DEPARTMENTS, SENIOR CITIZENS CENTERS, YOUTH SERVICES, MENTAL HEALTH AGENCIES, CITY ADMINISTRATORS, MEDIA, HOSPICE, AMERICAN RED CROSS, STATE GOVERNMENT REPRESENTATIVES AND A VARIETY OF BUSINESSES.	ASHLAND HOSPITAL CORPORATION
PART V, SECTION B, LINE 4: PORTSMOUTH HOSPITAL CORPORATION	ASHLAND HOSPITAL CORPORATION
PART V, SECTION B, LINE 5C: WWW.KDMC.COM/NEEDS	ASHLAND HOSPITAL CORPORATION
PART V, SECTION B, LINE 7: SOME NEEDS IDENTIFIED BY KING'S DAUGHTERS' COMMUNITY HEALTH NEEDS ASSESSMENT ARE NOT ADDRESSED IN THIS PLAN. THESE INCLUDE: MENTAL HEALTH, SUBSTANCE ABUSE, ENVIRONMENTAL CONCERNS, LOW BIRTH WEIGHTS, UNEMPLOYMENT, POOR PARENTING, ETC. THESE NEEDS EITHER A) ARE BEING ADDRESSED THROUGH OTHER AGENCIES/SERVICES, OR B) EXCEED THE SCOPE OF RESOURCES OR EXPERTISE FOR KING'S DAUGHTERS FEASIBLY TO ADDRESS.	ASHLAND HOSPITAL CORPORATION
PART V, SECTION B, LINE 20D: EVERY PATIENT IS CHARGED THE SAME AMOUNT WHETHER OR NOT THEY HAVE INSURANCE. THE DIFFERENCE IS THE ADJUSTMENT THAT IS MADE TO THOSE CHARGES FOR THESE TYPES OF PATIENTS. OUR SELF-PAY PATIENTS ARE AUTOMATICALLY ADJUSTED BY 50% WHICH IS IN LINE WITH OUR LOWEST NEGOTIATED COMMERCIAL INSURANCE RATE.	ASHLAND HOSPITAL CORPORATION
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. WE ARE ACTIVELY INVOLVED IN THE COMMUNITY PARTICIPATING ON 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. IN FY 2013, THE HIGH INCIDENCE OF HEART DISEASE AND DIABETES WAS A TARGETED HEALTH CONCERN. OVER THE COURSE OF THE YEAR, 181 COMMUNITY HEART HEALTH AND DIABETES SCREENINGS WERE HELD REACHING MORE THAN 15,000 ADULTS. WE ALSO OFFERED A VARIETY OF SCREENINGS AND EDUCATIONAL PROGRAMS ON DOZENS OF TOPICS INCLUDING PHYSICAL ACTIVITY, FIRE SAFETY, FIRST AID, HAND WASHING AND CAR SEAT SAFETY REACHING MORE THAN 83,400 INDIVIDUALS. IN FY 13, A TOTAL OF 2,762 TEAM MEMBERS, PHYSICIANS AND ALLIED HEALTH PROFESSIONALS VOLUNTEERED THEIR TIME TO SUPPORT THESE ACTIVITIES GIVING MORE THAN 33,600 VOLUNTEER HOURS.
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 PROVIDING ASSISTANCE BASED ON SLIDING SCALE METHODOLOGY AND THE FEDERAL POVERTY GUIDELINES ESTABLISHED BY THE DEPARTMENT OF HEALTH AND HUMAN 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 STAFF IN THE OUTPATIENT IMAGING CENTER, HEART AND VASCULAR CENTER, ADMITTING AND PRE-ADMISSION TESTING AREAS. ALL SELF-PAY PATIENTS RECEIVE CORRESPONDENCE AND PHONES 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, LAWRENCE AND GREENUP COUNTIES IN KENTUCKY AND LAWRENCE AND SCIOTO COUNTIES IN OHIO. MORE THAN 269,000 PEOPLE (U.S. CENSUS BUREAU) LIVE IN THE FIVE-COUNTY PRIMARY SERVICE AREA. WITH THE EXCEPTION OF TWO CITIES WITH POPULATIONS AROUND 20,000 THE AREA IS VERY RURAL, COVERING NEARLY 2,400 SQUARE MILES WITH A POPULATION DENSITY OF 112 PEOPLE PER SQUARE MILE. NEARLY 20.3% OF THE POPULATION LIVES IN POVERTY, COMPARED WITH 18.6% FOR KENTUCKY, 15.4% FOR OHIO AND 14.9% FOR THE NATION. MORE THAN 25% OF CHILDREN LIVE IN POVERTY. THE POPULATION IS 97% WHITE, 2% BLACK AND ALL OTHER RACES 1%. THE AVERAGE PER CAPITA INCOME IS $19,795, WELL BELOW THE LEVELS FOR KENTUCKY ($23,051), OHIO ($25,857) AND THE NATION ($28,051). IN KDMC'S PRIMARY MARKET AREA, 17% OF THOSE AGED 19-64 YEARS LACKED ANY FORM OF HEALTHCARE COVERAGE, COMPARED TO KENTUCKY-18%, OHIO-14% AND THE NATION-11%.
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 FOR THE CURE, 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. PATIENTS WITH ABNORMAL RESULTS FROM OUR HEALTH SCREENINGS RECEIVE A FOLLOW-UP LETTER REMINDING THEM OF THE IMPORTANCE OF SHARING THE RESULTS WITH THEIR HEALTHCARE PROVIDER.THE BOARD OF DIRECTORS IS MADE UP OF UNCOMPENSATED COMMUNITY MEMBERS WHO ARE VOLUNTARILY PROVIDING GUIDANCE TO THE HOSPITAL. ANY SURPLUS FUNDS ARE REINVESTED IN THE CAPITAL AND OPERATIONS OF THE HOSPITAL.
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 TWO AFFILIATES, KENTUCKY HEART INSTITUTE AND KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. BOTH AFFILIATES PROVIDE CHARITY CARE AND PARTICIPATE 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	UNITED WAY OF NORTHEAST KENTUCKY	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1236 WINCHESTER AVENUE	AddressLine1
City	ASHLAND	City
State	KY	State
ZIP Code	41101	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	616000060	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	140000	AmountOfCashGrant
Purpose Of Grant	ANNUAL SUPPORT	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: ANY REQUEST FOR A GRANT MUST BE SUBMITTED IN WRITING TO THE COMMUNITY SERVICES DEPARTMENT AT KDMC. THIS REQUEST MUST BE SPECIFIC AS TO THE USE OF THE GRANT BY THE REQUESTING ORGANIZATION. ONCE THE GRANT CHECK IS ISSUED, A REPRESENTATIVE FROM THE GRANTEE ORGANIZATION MUST SIGN FOR THE CHECK AND SUBMIT A REPORT ON THE USE OF THE FUNDS AS WELL AS THE NUMBER OF PEOPLE SERVED BY THE GRANT. SINCE THIS IS A SMALL COMMUNITY, KDMC ALSO USUALLY KNOWS SOMEONE WITH CLOSE ASSOCIATION TO THE ORGANIZATION OR WHO REPRESENTS THE MEDICAL CENTER ON THEIR BOARD SO THAT USE OF THE GRANT CAN BE INDIRECTLY MONITORED.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	0	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JACKSON FRED
PRESIDENT/CEO	831137	0	216673	0	4190315	0	14000	0	18860	0	5270985	0	3355889	0
MCDOWELL PAUL
VP/CFO, TREASURER (UNTIL 12/31/12)	285691	0	170293	0	88210	0	11250	0	21107	0	576551	0	69899	0
MAHANEY SHERYL
SECRETARY, VP/CHIEF LEGAL/	219538	0	136622	0	63650	0	110337	0	24977	0	555124	0	48202	0
FIORET PHILIP MD
VP/CMO	451682	0	187905	0	124897	0	116679	0	23859	0	905022	0	86441	0
HIGGINS LARRY
VP/CAO	244767	0	143097	0	84294	0	108947	0	15744	0	596849	0	53515	0
WHITLATCH KRISTIE
VP/COO	350327	0	154240	0	59290	0	149850	0	20977	0	734684	0	45374	0
BOYKIN MAYOLA MD
PHYSICIAN	751664	0	0	0	0	0	14000	0	20119	0	785783	0	0	0
FRALEY ERIK MD
PHYSICIAN	652344	0	0	0	0	0	11250	0	5991	0	669585	0	0	0
HOWARD-CLAUDIO CANDACE MD
PHYSICIAN	828819	0	0	0	0	0	11250	0	24977	0	865046	0	0	0
MOTIMAYA ASH MD
PHYSICIAN	701467	0	0	0	0	0	14000	0	22121	0	737588	0	0	0
POWELL STELLA MD
PHYSICIAN	659659	0	0	0	0	0	11250	0	20119	0	691028	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 1A	THE HOSPITAL PAID GROSS UP PAYMENTS TO PAUL MCDOWELL ($3,084 - 100% TAXABLE)AND SHERYL MAHANEY ($6,434 - 100% TAXABLE).
PART I, LINE 1B	THE GROSS UPS ARE APPROVED BY THE CEO FOR THE VICE PRESIDENTS.
PART I, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS: PAUL MCDOWELL $69,899, SHERYL MAHANEY $48,202, PHILIP FIORET $86,441, LARRY HIGGINS $53,515, 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 K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA)
A	610600439	491269CG9	2008-09-24	146580000	REFUND PRIOR BOND ISSUES	0	0	0
KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA)
B	610600439	491269CY0	2010-04-01	75000000	HEALTHCARE FACILITIES, BUILDING AND EQUIPMENT	0	0	0
CITY OF ASHLAND KENTUCKY
C	616001775	044293AA6	2010-04-01	32615000	REFUND SERIES 1998 BONDS	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount UnspentAmountUnspent
A	2780000	145708338	1423351	12574982	131710005	2010	1	1	1
B	6930000	73888381	1170837	62344160			0	0	1	10373384
C	4440000	33986558	507546		33479012	2010	1	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
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

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
JP MORGAN
A	0	0	0	1	1	1	22.500000000000	0	0	0	0	0
(no name)
B	0	1	0	0	0	0				0	0	0
(no name)
C	0	0	1	0	0	0				0	0	0

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	0
B	0
C	0

Form990 Schedule K Part VI Form990ScheduleKPartVI (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE K PART IV, ARBITRAGE, LINE 2C	DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA) DATE THE REBATE COMPUTATION WAS PERFORMED: 11/06/2013
PART II, LINE 3, ISSUE A	TOTAL PROCEEDS LISTED ON LINE 3 ARE NOT THE SAME AS THE ISSUE PRICE.	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	TOTAL PROCEEDS LISTED ON LINE 3 ARE NOT THE SAME AS THE ISSUE PRICE.	SERIES 2010A BOND DISCOUNT $1,318,161.05, OFFSET BY $206,541 INTEREST EARNED THROUGH SEPTEMBER 30, 2013.
PART II, LINE 3, ISSUE C	TOTAL PROCEEDS LISTED ON LINE 3 ARE NOT THE SAME AS THE ISSUE PRICE.	SERIES 2010B BOND PREMIUM $1,371,558.05
PART III LINE 9, PART IV LINE 7, AND PART V		WRITTEN PROCEDURES TO MONITOR COMPLIANCE WITH BOND REQUIREMENTS HAVE BEEN DRAFTED, BUT HAVE NOT BEEN FINALIZED AS OF 9/30/13.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
ANNE SLOAN
SISTER IN LAW OF JOHN STEWART, BOARD DIRECTOR	44631	EMPLOYEE PAYROLL COMPENSATION FOR ANNE SLOAN	0
ASHLAND AREA YMCA
TOM BURNETTE & KIM MCCANN,BOARD DIRECTORS, ON BOARD OF ASHLAND AREA YMCA	361433	TOM BURNETTE AND KIM MCCANN ARE ON THE ASHLAND AREA YMCA BOARD. ASHLAND HOSPITAL CORPORATION PAID THE YMCA VIA PAYROLL DEDUCTIONS FOR DUES FOR EMPLOYEES.	0
ASHLAND OFFICE SUPPLY
TOM BURNETTE, BOARD DIRECTOR, IS THE OWNER OF ASHLAND OFFICE SUPPLY	1448246	TOM BURNETTE IS OWNER OF ASHLAND OFFICE SUPPLY. THE HOSPITAL PURCHASES OFFICE SUPPLIES & EQUIPMENT FROM ASHLAND OFFICE SUPPLY.	0
FRESENIUS MEDICAL CARE
DON HAMMONDS IS MEDICAL DIRECTOR	1305390	FRESENIUS MEDICAL PROVIDES INPATIENT DIALYSIS TREATMENT FOR THE HOSPITAL	0
VAN ART PROPERTIES
SON OF JOHN STEWART, BOARD DIRECTOR, IS THE OWNER OF VAN ART PROPERTIES	510256	THE SON OF JOHN STEWART IS THE OWNER OF VAN ART PROPERTIES. THE HOSPITAL RENTS OFFICE SPACE FROM VAN ART PROPERTIES.	0
VANANTWERP MONGE JONES EDWARDS & MCCANN
KIM MCCANN IS A PARTNER IN THE LAW FIRM	1498974	PAYMENTS FOR LEGAL SERVICES	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
CHANGES IN PROGRAM SERVICES	FORM 990, PART III, LINE 3	KDMC CLOSED TWO UNITS DURING FISCAL YEAR 2013 - THE SKILLED NURSING AND INPATIENT REHABILITATION UNITS.
	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; FRED JACKSON, CHIEF EXECUTIVE OFFICER; JOHN STEWART, TRUSTEE; TOM BURNETTE, TRUSTEE; DR. RAYMOND MECCA, TRUSTEE AND JIM CANTRELL, 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 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 IN DETAIL 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 NO CONFLICTS OF INTEREST EXIST. IN ADDITION, EMPLOYEES OF THE MEDICAL CENTER MUST CERTIFY THAT NO CONFLICTS OF INTEREST EXIST OR OBTAIN AN ADVANCE WAIVER OF ANY CONFLICTS. THE MEDICAL CENTER'S GENERAL COUNSEL OBTAINS 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, 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 REPORTS A POTENTIAL OR ACTUAL 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, KDMC ENGAGES AON HEWITT, A LEADING INDEPENDENT GLOBAL HUMAN CAPITAL AND COMPENSATION CONSULTING COMPANY TO ASSIST IN DETERMINING COMPENSATION OF THE CEO AND VICE PRESIDENTS. THIS IS AN ANNUAL PROCESS AND AON HEWITT'S MOST RECENT EXECUTIVE COMPENSATION REVIEW WAS PERFORMED IN 2013. THE CEO COMPENSATION ONLY WAS REVIEWED AGAIN IN 2014. AON HEWITT IS NOT ENGAGED IN ANY OTHER WORK WITH KDMC. 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 KDMC 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 AON HEWITT DATA COUPLED WITH THE PERFORMANCE OF THE ORGANIZATION AS WELL AS THE PERSONAL PERFORMANCE OF EACH EXECUTIVE IS THE BASIS FOR KDMC'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 ADMINISTRATIVE OFFICER VP, CHIEF LEGAL & REGULATORY OFFICER/GENERAL COUNSEL VP, CHIEF OPERATING OFFICER VP, CHIEF FINANCIAL OFFICER VP, CHIEF MEDICAL OFFICER VP, CHIEF INFORMATION OFFICER/INFORMATION SERVICES & TECHNOLOGY VP, EXECUTIVE DIRECTOR KING'S DAUGHTERS INTEGRATED PHYSICIANS VP, FACILITIES VP, PATIENT SERVICES/CHIEF NURSING OFFICER VP, QUALITY
	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.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 9:	CHANGE IN MARKET VALUE INTEREST RATE SWAP 9,259,482. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS -998,566. PENSION LIABILITY ADJUSTMENT 12,094,731. OTHER ADJUSTMENTS 79,556. GOVERNMENT SETTLEMENT ADJUSTMENT -48,900,000.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
ASHLAND NURSING HOME CORP
2500 STATE ROUTE 5	ASHLAND	KY	41102	611386016	NURSING HOME	KY	501(C)(3)	11-I	ASHLAND HOSPITAL CORPORATION	1
CHILD DEVELOPMENT CENTER CORP
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	010560598	CHILD CARE	KY	501(C)(3)	11-I	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		1	N/A
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
2201 LEXINGTON AVENUE	ASHLAND	KY	41101	453215312	HEALTHCARE	KY	501(C)(3)	3	ASHLAND HOSPITAL CORPORATION	1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND MEDICAL PROPERTIES INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2201 LEXINGTON AVENUE	AddressLine1
City	ASHLAND	City
State	KY	State
ZIP Code	41101	ZIPCode

Field	Value	IRS element (for citing)
EIN	611079090	EIN
Primary Activity	RENTALS	PrimaryActivity
Legal Domicile State	KY	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND HOSPITAL CORPORATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity
Share Of EOY Assets	54400	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership
Controlled Org	1	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (19 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
ASHLAND NURSING HOME CORP
R	886385	ALL TRANSACTIONS
ASHLAND NURSING HOME CORP
S	914624	BETWEEN COMPANIES
CHILD DEVELOPMEN CENTER CORP
R	53447	ARE CAPTURED
KENTUCKY HEART FOUNDATION INC
A	28764	IN THE DUE TO/FROM
KENTUCKY HEART FOUNDATION INC
R	90531	ACCOUNTS. THE TYPES OF
KENTUCKY HEART INSTITUTE INC
A	186635	TRANSACTIONS THAT HIT THIS
KENTUCKY HEART INSTITUTE INC
O	230261	ACCOUNT ARE TRACKED MONTHLY.
KENTUCKY HEART INSTITUTE INC
R	8286800
KENTUCKY MEDICAL LOGISTICS INC
R	747639
KENTUCKY MEDICAL LOGISTICS INC
S	1500000
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
A	245884
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
B	586052
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
O	2634726
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
R	11881517
KING'S DAUGHTERS MEDICAL SPECIALTIES INC
S	4000000
PORTSMOUTH HOSPITAL CORPORATION
B	30362234
PORTSMOUTH HOSPITAL CORPORATION
R	13772248
PORTSMOUTH HOSPITAL CORPORATION
S	516242
KENTUCKY HEART FOUNDATION INC
O	407061