2013-08-14T15:07:38-05:00 2012-09-30 232932984 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2011-10-01 610444716 ASHLAND HOSPITAL CORPORATION ASHL 6064084000 2201 LEXINGTON AVENUE ASHLAND KY 41101 JEFFREY TREASURE 6064084000 2013-08-13 1 JULIUS C GREEN CPA JD P00350393 2159722352 2011 2016-02-24 21:20:13Z KING'S DAUGHTERS MEDICAL CENTER FRED L JACKSON 2201 LEXINGTON AVENUE ASHLAND KY 41101 556665064 0 X WWW.KDMC.COM X 1941 KY TO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL. 13 7 3941 324 176722 0 203811 291132 534999548 541522680 12986750 8154919 3663228 3480867 551853337 553449598 113452 57393 0 0 217826537 238475540 0 0 0 295821871 278657127 513761860 517190060 38091477 36259538 789113026 835789288 394922121 395652723 394190905 440136565 X TO CARE. TO SERVE. TO HEAL. 0 0 449342447 57393 541444768 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 FIVE COUNTIES IN TWO STATES, BOYD, CARTER, AND GREENUP COUNTIES IN KENTUCKY AND LAWRENCE AND SCIOTO COUNTIES IN OHIO. MORE THAN 253,000 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 2,000 SQUARE MILES WITH A POPULATION DENSITY OF 126 PEOPLE PER SQUARE MILE. MORE THAN 18% OF THE POPULATION LIVES IN POVERTY, WITH CHILDREN IN POVERTY AT MORE THAN 25%. THE POPULATION IS 97% WHITE, 2% BLACK AND ALL OTHER RACES 1%. THE AVERAGE MEDIAN INCOME IS $37,724, WELL BELOW THE LEVELS FOR KENTUCKY, OHIO AND THE NATION. AVERAGE UNEMPLOYMENT IS 10.3% COMPARED TO 7.7% NATIONALLY AND 8.0% FOR KENTUCKY. THE KENTUCKY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM SHOWS THAT IN 2008, IN KDMC'S KENTUCKY MARKET AREA, 18.9% OF THOSE AGED 19-64 YEARS LACKED ANY FORM OF HEALTHCARE COVERAGE, COMPARED TO 14.4% FOR THE STATE AND 14.5% FOR THE NATION. KDMC'S OHIO MARKET AREA SHOWS 17.4% WITHOUT HEALTHCARE COVERAGE COMPARED TO 12.5% IN THE STATE AND 14.5% IN THE NATION.COMMUNITY BUILDING ACTIVITIES:TO REACH OUR COMMUNITIES AND TO PROVIDE THE BEST OUTREACH SERVICES POSSIBLE, WE PARTNERED WITH A DIVERSE GROUP OF BOTH PUBLIC AND PRIVATE ENTITIES. WE HAVE 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. WE SEND OUR HEALTH TEAMS 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. SERVICES PROVIDED INCLUDE MORE THAN 75 SCREENING AND EDUCATIONAL EVENTS PER MONTH, MOBILE HEALTH SERVICES, COORDINATION OF THE 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. HEALTH CONNECTIONS CONTINUES TO EXPAND SERVICES BY OFFERING FREE COMPREHENSIVE HEALTHY HEART SCREENINGS TO HIGH RISK POPULATIONS. THIS SCREENING INCLUDES TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR AND AN EKG. WE ARE RAISING AWARENESS ABOUT THE CARDIOVASCULAR RISKS AND CATCHING 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. OTHER INFORMATION:WITH THE EXCEPTION OF TWO CITIES WITH A POPULATION AROUND 20,000, KDMC'S MARKET AREA IS VERY RURAL COVERING NEARLY 2,000 SQUARE MILES WITH A POPULATION DENSITY OF 126 PEOPLE PER SQUARE MILE. BARRIERS TO HEALTHCARE INCLUDE LACK OF TRANSPORTATION, LOW HEALTH LITERACY AND GEOGRAPHIC ISOLATION. IN ADDITION THERE ARE CULTURAL BARRIERS INCLUDING A DISTRUST OF HEALTHCARE PROVIDERS WHICH IMPACTS HEALTH AND HEALTH-RELATED COMMUNICATION. KING'S DAUGHTERS TAKES AN ACTIVE ROLE IN RECRUITING AND RETAINING PHYSICIANS IN THESE RURAL, UNDERSERVED AREAS. EFFORTS ARE MADE TO INTEGRATE THE PHYSICIAN INTO THE NETWORK OF THE COMMUNITY THROUGH FREE SCREENINGS, SPEAKING PRESENTATIONS AND ATTENDANCE AT COMMUNITY EVENTS THUS BUILDING TRUST AND POSITIVE RELATIONSHIPS. 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. FAMILY CARE CENTERS PROVIDE SAMPLE MEDICATIONS TO INDIGENT PATIENTS. THIS PROGRAM IS PROVIDED AT NO COST TO THE PATIENT. FAMILY CARE CENTER STAFF RECORDS THE MEDICATIONS, LABEL FOR USE AND DOCUMENT THE DISTRIBUTION. THE TOBACCO CESSATION PROGRAM AND LUNG HEALTH PROGRAM OFFER SUPPORT THROUGH TOBACCO CESSATION CLASSES AND ASSISTANCE TO PATIENTS DIAGNOSED WITH LUNG CANCER AT KDMC. THE LUNG HEALTH PROGRAM INCLUDES A CLINICAL NURSE SPECIALIST WHO PROVIDES PATIENT NAVIGATION FOR NEWLY DIAGNOSED LUNG CANCER PATIENTS. THE PROGRAM INCLUDES TWO LUNG HEALTH ADVOCATES THAT PROVIDE TOBACCO CESSATION COUNSELING AND CLASSES. DURING THE FISCAL YEAR, KDMC PROVIDED 2,000 FREE FLU SHOTS THROUGHOUT THE COMMUNITY. WITH THE FLU SHOT PROGRAM, WE STRIVE TO REACH POPULATIONS THAT ARE AT HIGHER RISK OF CONTRACTING THE FLU. TARGETED POPULATIONS INCLUDE THOSE DESIGNATED HIGH RISK BY THE CENTER FOR DISEASE CONTROL, CAREGIVERS OF VULNERABLE POPULATIONS INCLUDING HOMELESS, INDIGENT, SCHOOL TEACHERS, DAY CARE WORKERS, AND CAREGIVERS FOR THE ELDERLY. FLU SHOTS ARE DELIVERED THROUGH A VARIETY OF SETTINGS AND IN MULTIPLE COUNTIES SERVED BY THE MEDICAL CENTER. 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.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. 449342447 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 423 0 1 3941 1 1 1 0 0 0 0 0 0 0 0 0 X 13 7 0 0 1 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X AUTUMN MCFANN CONTROLLER 6064084000 2201 LEXINGTON AVENUE ASHLAND KY 41101 X ADDINGTON STEPHEN 0.30 X 0 0 0 BLAIR JACK 0.30 X 0 0 0 BORDERS CHARLIE 0.30 X 0 0 0 BURNETTE TOM 0.30 X 0 0 0 CANTRELL JIM 0.30 X 0 0 0 CASSIDY DAN 0.30 X 0 0 0 HAMMONDS DONALD DO 0.30 X 0 88763 2779 HILLMAN TRACY 0.30 X 0 0 0 KRIVCHENIA ALEXANDER MD 1.30 X 11000 0 0 MECCA RAYMOND MD 0.50 X 1000 0 0 STEWART JOHN 0.30 X 0 0 0 JONES DAVID 1.00 X X 0 0 0 JACKSON FRED 40.00 X X 1015643 0 514275 MCDOWELL PAUL 40.00 X 509198 0 30654 MAHANEY SHERYL 40.00 X 388920 0 126640 FIORET PHILIP MD 40.00 X 765008 0 210477 HIGGINS LARRY 40.00 X 447689 0 172435 WHITLATCH KRISTIE 40.00 X 483240 0 170743 BELL JULIE MD 40.00 X 467320 0 30007 GOUZD VALERIE MD 40.00 X 480176 0 27624 GUIAB ROBIN MD 40.00 X 500215 0 37409 SHARP WENDY MD 40.00 X 493583 0 20349 WOODRUFF ALEXIS M 40.00 X 505723 0 638 CORBITT PATRICIA 0.00 X 161011 0 10508 BAILIFF ROBERT 0.00 X 334183 0 14527 SMITH PAUL 0.00 X 346630 0 5007 6910539 88763 1374072 150 1 1 0 DELOITTE CONSULTING LLP POBOX 7247-6447 PHILADELPHIA PA 191706447 CONSULTANTS 3026357 STITES & HARBISON PLLC 250 W MAIN ST 2300 LEXINGTON FINAN LEXINGTON KY 405071758 LAWYERS 1758412 TRI-STATE RADIOLOGY ASSOCIATES POBOX 2617 ASHLAND KY 411052617 RADIOLOGISTS 1239646 SPECIALTYCARE CARDIOVASCULAR RESOURCES DEPT 1614 PO BOX 11407 BIRMINGHAM AL 352461614 PERFUSIONISTS 1088916 TOPPING'S COMMERCIAL SERVICES 1605 BELLEFONTE ROAD FLATWOODS KY 41139 JANITORIAL, REMODELING, & MOVING SERVICE 893133 57 8942 282190 10942 291132 NET PATIENT SERVICE RE 621110 530894361 530894361 PHARMACY 446110 6430924 6353012 77912 MEANINGFUL USE REVENUE 621110 4197395 4197395 541522680 8141630 15265 8126365 1992724 3150 964835 5040 1027889 -1890 1025999 -1890 1027889 2165720 93160 2196761 48830 -31041 44330 13289 13289 CAFETERIA 722210 2116189 0 2116189 MEDICAL RECORDS 561499 108948 108948 DME SALES 446199 85435 85435 144296 144296 2454868 553449598 541444768 176722 11536976 57393 57393 9424482 9424482 176649883 163354277 13295606 7506267 6941045 565222 32238005 29810483 2427522 12656903 11206422 1450481 4155225 455848 3699377 120000 120000 37174 37174 756886 756886 33708816 26319096 7389720 3069612 300 3069312 3209149 1975093 1234056 1303588 1303588 6724024 2389054 4334970 752228 593623 158605 58583 58583 9554590 2775 9551815 35110208 33024031 2086177 4345712 208313 4137399 MEDICAL SUPPLIES 94002038 92083619 1918419 BAD DEBT EXPENSE 51385166 51385166 REPAIRS & MAINTENANCE 14780847 13548643 1232204 TAX (INC. PROVIDER TAX) 7529671 7638902 -109231 8053610 6949019 1104591 517190060 449342447 67847613 0 49154674 40423793 27329088 37241519 72959350 70145614 1872493 1102280 10389576 10105924 9769950 9157432 679052355 357080105 318410799 321972250 182075735 210416254 8722251 7528398 108429110 127695824 789113026 835789288 65168270 55338396 248738461 244054896 8212718 4328274 72802672 91931157 394922121 395652723 X 394190905 440136565 394190905 440136565 789113026 835789288 X 36259538 9686122 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 37174 37174 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: $30,450: A PORTION OF THE DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. $3,193: A PORTION OF THE DUES PAID TO THE AMERICAN MEDICAL REHABILITATION PROVIDERS ATTRIBUTABLE TO LOBBYING EXPENSES. $3,531: A PORTION OF THE DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. 28391667 28391667 367321193 168316402 199004791 260827110 183546341 77280769 22512385 5217362 17295023 321972250 SELF INSURANCE FUNDS 12082909 TRUSTEED FUNDS 23391837 DEFERRED FINANCING COSTS 2673747 OTHER ASSETS 494101 DUE FROM RELATED PARTIES 82527841 OTHER RECEIVABLES 6525389 127695824 MALPRACTICE COSTS 16269858 ACCRUED PENSION 28752366 LONG-TERM RETENTION PLAN 2391040 INTEREST RATE SWAP AGGREMENTS 22063563 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 22454330 91931157 553449598 517190060 36259538 14801692 -5115570 9686122 45945660 512390199 14801692 -56539834 -41738142 554128341 -678743 -678743 553449598 466444539 969875 969875 465474664 51715396 51715396 517190060 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE MEDICAL CENTER, KHF, KBNH, CDC, KHI, KDMT, KDMS, AND THE FOUNDATION 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 8 - OTHER ADJUSTMENTS: PENSION LIABILITY ADJUSTMENT -4,128,466. CHANGE IN MARKET VALUE INTEREST RATE SWAP -1,951,438. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS 895,720. OTHER ADJUSTMENTS 79,556. CONTRIBUTIONS OF EQUIPMENT NOT REPORTED ON F/S -10,942. TOTAL TO SCHEDULE D, PART XI, LINE 8: -5,115,570. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN MARKET VALUE INTEREST RATE SWAP -1,951,438. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS 895,720. PENSION LIABILITY ADJUSTMENT -4,128,466. OTHER ADJUSTMENTS 79,556. BAD DEBT EXPENSES (NETTED AGAINST NET PATIENT SERVICE REVENUE ON F/S) -51,385,166. GRANT EXPENSES (NETTED AGAINST OTHER INCOME ON F/S) -50,040. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -969,875. CONTRIBUTIONS NETTED AGAINST EXPENSES ON F/S 280,190. DONATED EQUIPMENT NOT REPORTED ON F/S 10,942. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 969,875. PART XIII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSES (NETTED AGAINST NET PATIENT SERVICE REVENUE ON F/S) 51,385,166. GRANT EXPENSES (NETTED AGAINST OTHER INCOME ON F/S) 50,040. CONTRIBUTIONS NETTED AGAINST EXPENSES ON F/S 280,190. 1 1 1 X 1 X 1 1 1 0 1 1 20301743 20301743 0.04360 74221631 55973914 18247717 0.03920 94523374 55973914 38549460 0.08280 3711590 3711590 0.00800 324019 324019 0.00070 1710391 1651954 58437 0.00010 165694 165694 0.00040 57393 57393 0.00010 5969087 1651954 4317133 0.00930 100492461 57625868 42866593 0.09210 219985 219985 0.00050 219985 219985 0.00050 1 16455429 3588727 137603405 158181436 -20578031 X 1 1 1 1 ASHLAND HOSPITAL CORPORATION

2201 LEXINGTON AVENUE ASHLAND KY 41101

X X X ASHLAND HOSPITAL CORPORATION 1 0 1 1 200.000000000000 1 300.000000000000 1 X X 1 1 X 1 1 X X X X 1 X 0 0 23 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 OCCUPATION MEDICINE

336 29TH STREET ASHLAND KY 41101

OCCUPATION MEDICINE KDMC HOME HEALTH

10730 MIDLAND TRAIL ASHLAND KY 41101

HOME HEALTH SERVICES PART I, LINE 7: KDMC USED WORKSHEET 2 PROVIDED IN THE 2011 SCHEDULE H INSTRUCTIONS (FORM 990) TO CALCULATE A COST OF 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): BAD DEBT EXPENSE INCLUDED ON FORM 990 PART IX, LINE 25, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $51,385,166. 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 CATCHING 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 2011 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 ON PATIENT ACCOUNTS. THE BUSINESS OFFICE ESTIMATED AN AMOUNT BASED ON A NUMBER OF "NO-RESPONSE" APPLICATIONS ANNUALLY. THEY THEN APPLY THIS NUMBER TO A PRO-RATED AVERAGE COST OF IP AND OP CASES TO ESTIMATE THE COST. A PORTION SHOULD BE CONSIDERED COMMUNITY BENEFIT AS THE HOSPITAL PROVIDES CARE TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. 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. 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. ASHLAND HOSPITAL CORPORATION PART V, SECTION B, LINE 13G: THE POLICY IS NOT POSTED IN ITS ENTIRETY, BUT WE HAVE SIGNAGE ADVERTISING WHO TO CONTACT FOR FINANCIAL ASSISTANCE ON THE PATIENT STATEMENT, IN THE HOSPITAL ED AND WAITING ROOMS, ADMISSIONS OFFICES, AND OTHER PATIENT AREAS. ASHLAND HOSPITAL CORPORATION PART V, SECTION B, LINE 19D: 20% SELF PAY DISCOUNT-AVERAGE OVERALL COMMERCIAL RATE PART VI, LINE 2: WE USE A VARIETY OF RESOURCES TO HELP US MAKE DECISIONS ON HOW TO BEST TARGET OUR ACTIVITIES. WE'VE CONDUCTED INFORMAL NEEDS ASSESSMENTS, ANALYZED STATE AND COUNTY MORTALITY DATA AND TALKED WITH SCHOOL OFFICIALS, NON-PROFIT AGENCIES AND ELECTED OFFICIALS ABOUT TRENDS AND ISSUES. ONCE WE KNOW WHAT ISSUES WE WANT TO TARGET, OUR COMMUNITY HEALTH INITIATIVES ARE BUILT INTO THE MEDICAL CENTER'S THREE-YEAR STRATEGIC PLAN. IN 2012, THE CORPORATE GOAL WAS TO PROMOTE WELLNESS THROUGH AT LEAST 325 COMMUNITY HEALTH AND DIABETES SCREENINGS AND EDUCATIONAL PROGRAMS THROUGH THE PARTICIPATION OF NO LESS THAN 2,737 KDMC TEAM MEMBERS, PHYSICIANS, AND ALLIED HEALTH PROFESSIONALS AS VOLUNTEERS. THE KDMC TEAM EXCEEDED THIS GOAL BY PROVIDING 342 SCREENINGS AND EDUCATIONAL PROGRAMS WITH 2,781 TEAM MEMBERS AND PROVIDERS VOLUNTEERING MORE THAN 33,000 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. PATIENTS REQUIRING CARE WITH INCOME BELOW 300% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR FREE OR REDUCED COST SERVICES. THE FINANCIAL ASSISTANCE PROGRAM IS ON THE KDMC WEBSITE AND THE PHONE NUMBER TO ACCESS INFORMATION IS PROVIDED TO PATIENTS THROUGH THE PATIENT INFORMATION GUIDE AT ADMITTANCE TO THE HOSPITAL. KDMC WORKS TO IDENTIFY PATIENTS THAT MAY HAVE LIMITED RESOURCES AND OFFERS FINANCIAL ASSISTANCE WHEN APPROPRIATE. THERE ARE SIGNS POSTED IN VARIOUS REGISTRATION AREAS INFORMING PATIENTS OF THE PHONE NUMBER TO CALL IF THEY NEED FINANCIAL ASSISTANCE. ON EACH PATIENT STATEMENT THE INFORMATION IS ALSO PRINTED WITH THE PHONE NUMBER. WE ALSO HAVE STAFF IN THE OUTPATIENT IMAGING CENTER, HEART AND VASCULAR CENTER, ADMITTING AND PRE ADMISSION TESTING AREAS. ALL SELF-PAY PATIENTS RECEIVE CORRESPONDENCE AND PHONE CALLS AND INPATIENTS RECEIVE VISITS FROM OUR MEDICAID ELIGIBILITY VENDOR IN REFERENCE TO GOVERNMENT PROGRAMS. PART VI, LINE 4: KDMC IS NESTLED IN THE FOOTHILLS OF THE APPALACHIAN MOUNTAINS, WHERE THE KENTUCKY, OHIO, AND WEST VIRGINIA STATE LINES MEET. OUR PRIMARY SERVICE AREA ENCOMPASSES FIVE COUNTIES IN TWO STATES, BOYD, CARTER, AND GREENUP COUNTIES IN KENTUCKY AND LAWRENCE AND SCIOTO COUNTIES IN OHIO. MORE THAN 253,000 PEOPLE (U. S. CENSUS BUREAU) LIVE IN THE FIVE-COUNTY AREA. WITH THE EXCEPTION OF TWO CITIES WITH POPULATIONS AROUND 20,000, THE AREA IS VERY RURAL, COVERING APPROXIMATELY 2,000 SQUARE MILES WITH A POPULATION DENSITY OF 126 PEOPLE PER SQUARE MILE. MORE THAN 18% OF THE POPULATION LIVES IN POVERTY, WITH CHILDREN IN POVERTY AT MORE THAN 25%. THE POPULATION IS 97% WHITE, 2% BLACK AND ALL OTHER RACES 1%. APPROXIMATELY 20% OF THE POPULATION DID NOT GRADUATE FROM HIGH SCHOOL. THE AVERAGE MEDIAN INCOME IS $37,724, WELL BELOW THE LEVELS FOR KENTUCKY, OHIO, AND THE NATION. AVERAGE UNEMPLOYMENT IS 10.3% COMPARED TO 7.7% NATIONALLY AND 8% FOR KENTUCKY. THE KENTUCKY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM SHOWS THAT IN 2008, IN KDMC'S KENTUCKY MARKET AREA, 18.9% OF THOSE AGE 19-64 YEARS LACKED ANY FORM OF HEALTHCARE COVERAGE, COMPARED TO 14.4% IN KENTUCKY AND 14.6% IN THE NATION. PART VI, LINE 5: KING'S DAUGHTERS MEDICAL CENTER ("KDMC") IS A LOCALLY CONTROLLED, NOT-FOR-PROFIT, 465-BED REGIONAL REFERRAL CENTER, COVERING A 150-MILE RADIUS THAT INCLUDES SOUTHERN OHIO, EASTERN KENTUCKY, AND WESTERN WEST VIRGINIA. KDMC OFFERS COMPREHENSIVE CARDIAC, MEDICAL, SURGICAL, PEDIATRIC, REHABILITATIVE, PSYCHIATRIC, CANCER, NEUROLOGICAL, PAIN CARE, WOUND CARE AND, HOME CARE SERVICES IN ONE CONVENIENT LOCATION.THERE ARE 279 PHYSICIANS ON STAFF, AND 1,747 CLINICAL EMPLOYEES, INCLUDING LAB TECHNICIANS, NURSES, NURSING ASSISTANTS, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, RADIOLOGY TECHNICIANS, PHLEBOTOMISTS, AND SUPPORT PERSONNEL. EACH ARE HIGHLY TRAINED TO DELIVER QUALITY AND SAFE CARE TO INPATIENTS AND OUTPATIENTS. THE MEDICAL CENTER HAS:1) AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREAS;2) A BOARD OF DIRECTORS WHO GOVERN THE ORGANIZATION. THE BOARD IS COMPRISED OF COMMUNITY AND BUSINESS LEADERS, AND PHYSICIANS REPRESENTING THE GEOGRAPHIC AREA OF OUR REGION;3) AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES;4) PROVIDES FINANCIAL SUPPORT TO OTHER NONPROFIT ORGANIZATIONS FOR THE PURPOSE OF HEALTH PROMOTION AND COLLABORATING TO MEET UNMET NEEDS IN THE COMMUNITY.5) THE MEDICAL CENTER'S COMMUNITY RELATIONS DEPARTMENT IS FUNDED USING MEDICAL CENTER RESOURCES. THE DEPARTMENT INITIATES AND ORGANIZES HEALTH SCREENINGS AND EDUCATIONAL EVENTS DEVELOPED FOR THE SOLE PURPOSE OF IMPROVING THE HEALTH OF THOSE IN OUR REGION. THE COMMUNITY RELATIONS STAFF OFFERS: HEALTH SCREENINGS, HEALTH EDUCATION TO ADULTS AND CHILDREN, SUPPORT GROUPS, FLU SHOTS, AND SAFETY INSPECTIONS. IN FISCAL YEAR 2012, THE COMMUNITY RELATIONS DEPARTMENT PROVIDED 342 HEALTH SCREENING EVENTS, 2,000 FLU VACCINATIONS AND EDUCATED 19,000 YOUTH ABOUT THE HARMFUL EFFECTS OF TOBACCO USE AND THE IMPORTANCE OF HEALTHY EATING. 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 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. 1 UNITED WAY OF NORTHEAST KENTUCKY 1236 WINCHESTER AVENUE ASHLAND KY 41101 616000060 501(C)(3) 7629 ANNUAL SUPPORT SALVATION ARMY 964 BROADWAY STREET 1 PAINTSVILLE KY 41240 133485289 501(C)(3) 23846 EASTERN KENTUCKY TORNADO RELIEF 2 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: 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. X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 JACKSON FRED 748705 0 231720 0 35218 0 494888 0 19387 0 1529918 0 0 0 MCDOWELL PAUL 261976 0 165224 0 81998 0 11025 0 19629 0 539852 0 72151 0 MAHANEY SHERYL 206666 0 128378 0 53876 0 107154 0 19486 0 515560 0 49096 0 FIORET PHILIP MD 444698 0 196406 0 123904 0 188874 0 21603 0 975485 0 94103 0 HIGGINS LARRY 214773 0 150252 0 82664 0 152395 0 20040 0 620124 0 58089 0 WHITLATCH KRISTIE 286596 0 141110 0 55534 0 151257 0 19486 0 653983 0 47622 0 BELL JULIE MD 437016 0 20000 0 10304 0 11025 0 18982 0 497327 0 0 0 GOUZD VALERIE MD 447908 0 20000 0 12268 0 11025 0 16599 0 507800 0 0 0 GUIAB ROBIN MD 499957 0 0 0 258 0 13766 0 23643 0 537624 0 0 0 SHARP WENDY MD 493583 0 0 0 0 0 0 0 20349 0 513932 0 0 0 WOODRUFF ALEXIS M 505723 0 0 0 0 0 0 0 638 0 506361 0 0 0 CORBITT PATRICIA 44987 0 0 0 116024 0 0 0 10508 0 171519 0 0 0 BAILIFF ROBERT 298600 0 0 0 35583 0 0 0 14527 0 348710 0 0 0 SMITH PAUL 309141 0 0 0 37489 0 0 0 5007 0 351637 0 0 0 PART I, LINE 1A THE HOSPITAL PAYS DUES DIRECTLY TO THE COUNTRY CLUB ON BEHALF OF TWO OF THE HIGHEST COMPENSATED EMPLOYEES, JULIE BELL ($2,304) AND VALERIA GOUZD ($2,268). THESE DUES ARE INCLUDED IN TAXABLE COMPENSATION. PART I, LINE 1B PART I, LINES 4A-B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS: PAUL MCDOWELL $72,151, SHERYL MAHANEY $49,096, PHILIP FIORET $94,103, LARRY HIGGINS $58,089, KRISTIE WHITLATCH $47,622. 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 WILL BE PROVIDED WITH A LUMP SUM SUPPLEMENTAL RETIREMENT BENEFIT IF HE REMAINS EMPLOYED UNTIL AGE 62. THE LUMP SUM PAYMENT, WHEN COMBINED WITH ALL OTHER RETIREMENT BENEFITS, IS ESTIMATED TO PRODUCE A TARGET RETIREMENT INCOME REPLACEMENT EQUAL TO A PERCENTAGE OF FRED JACKSON'S FINAL AVERAGE PAY COMMENCING AT AGE 62. SEVERANCE PAYMENT: ROBERT BAILIFF AND PAUL SMITH RECEIVED SEVERANCE PAYMENTS OF $35,385 EACH. ELAINE CORBITT RECEIVED $115,840. KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA) 610600439 491269CG9 2008-09-24 146580000 REFUND PRIOR BOND ISSUES 0 0 0 KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA) 610600439 491269CX2 2010-04-01 75000000 HEALTHCARE FACILITIES, BUILDING AND EQUIPMENT 0 0 0 CITY OF ASHLAND KENTUCKY 616001775 044293AA6 2010-04-01 32615000 REFUND SERIES 1998 BONDS 0 0 0 325000 145708338 1423351 12574982 131710005 2010 1 0 1 1 4555000 73885205 1170837 49322850 23391518 0 0 0 1 4440000 33986558 507546 33479012 1 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 1 JP MORGAN 22.500000000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 $203,266 INTEREST EARNED THROUGH SEPTEMBER 30, 2012. 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 V CURRENTLY IMPLEMENTING WRITTEN PROCEDURES KING'S DAUGHTERS MEDICAL CENTER IS CURRENTLY IMPLEMENTING WRITTEN PROCEDURES TO ENSURE TIMELY IDENTIFICATION OF VIOLATIONS OF FEDERAL TAX REQUIREMENTS AND TIMELY CORRECTION OF ANY IDENTIFIED VIOLATIONS THROUGH USE OF THE VOLUNTARY CLOSING AGREEMENT PROGRAM WHEN SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS. IN ACCORDANCE WITH THE INSTRUCTIONS, BECAUSE KING'S DAUGHTERS MEDICAL CENTER HAD NOT ESTABLISHED WRITTEN PROCEDURES APPLICABLE TO FISCAL YEAR 2012, THE BOX HAS BEEN CHECKED "NO". ASHLAND AREA YMCA TOM BURNETTE,BOARD DIRECTOR, IS ON THE BOARD OF ASHLAND AREA YMCA 387565 TOM BURNETTE IS 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 1861014 TOM BURNETTE IS OWNER OF ASHLAND OFFICE SUPPLY. THE HOSPITAL PURCHASES OFFICE SUPPLIES & EQUIPMENT FROM ASHLAND OFFICE SUPPLY. 0 SUSAN K SCHNEIDER SISTER OF TRACY HILLMAN, BOARD DIRECTOR 32775 EMPLOYEE PAYROLL COMPENSATION FOR SUSAN SCHNEIDER 0 VAN ART PROPERTIES SON OF JOHN STEWART, BOARD DIRECTOR, IS THE OWNER OF VAN ART PROPERTIES 433915 THE SON OF JOHN STEWART IS THE OWNER OF VAN ART PROPERTIES. THE HOSPITAL RENTS OFFICE SPACE FROM VAN ART PROPERTIES. 0 ANNE SLOAN SISTER IN LAW OF JOHN STEWART, BOARD DIRECTOR 49915 EMPLOYEE PAYROLL COMPENSATION FOR ANNE SLOAN 0 ASHLAND ALLIANCE JOHN STEWART, BOARD DIRECTOR, IS A BOARD MEMBER OF ASHLAND ALLIANCE 25879 JOHN STEWART IS A BOARD MEMBER OF ASHLAND ALLIANCE. THE HOSPITAL PAID CHAMBER OF COMMERCE DUES TO ASHLAND ALLIANCE. 0 FORM 990, PART VI, SECTION A, LINE 4 ASHLAND HOSPITAL CORPORATION (AHC) HAS HISTORICALLY SERVED AS THE PARENT ORGANIZATION OF A HEALTH CARE SYSTEM COMPRISED OF IT AND OTHER TAX-EXEMPT ORGANIZATIONS. IN 2010, KING'S DAUGHTERS HEALTH SYSTEM, INC. WAS FORMED AS A KENTUCKY NONPROFIT CORPORATION (KDHS) IN ANTICIPATION OF A CORPORATE RESTRUCTURING IN WHICH KDHS WOULD BECOME THE NEW PARENT ORGANIZATION FOR THE HEALTH CARE SYSTEM. IN 2011, KDHS APPLIED FOR AND OBTAINED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE CONFIRMING KDHS' STATUS AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE CODE AND AS A NON-PRIVATE FOUNDATION UNDER SECTION 509(A)(3) OF THE CODE. AHC ARTICLES AND BYLAWS WERE AMENDED IN FISCAL YEARS 2011 AND 2012 AS PART OF THIS RESTRUCTURING. THE INITIAL PHASE OF THE RESTRUCTURING BECAME EFFECTIVE ON JUNE 1, 2012 WHEN KDHS ACQUIRED CERTAIN VOTING AND APPROVAL RIGHTS AS THE SOLE CORPORATE MEMBER OF AHC. THE INITIAL KDHS BOARD WAS SUBSTANTIALLY IDENTICAL TO THE THEN BOARD OF DIRECTORS OF AHC, AND KDHS' ARTICLES AND BYLAWS PROVIDE THAT AT LEAST A MAJORITY OF THE ELECTED TRUSTEES OF KDHS ARE TO HAVE BEEN RESIDENTS OF EITHER BOYD COUNTY, KENTUCKY OR GREENUP COUNTY, KENTUCKY FOR AT LEAST TEN YEARS. IN CONNECTION WITH THE RESTRUCTURING, KDHS MAY ALSO REPLACE AHC AS THE SOLE CORPORATE MEMBER OF THE OTHER TAX-EXEMPT ORGANIZATIONS IN THE HEALTH CARE SYSTEM. PRIOR TO 2013, KDHS HAS NOT ENGAGED IN ANY SIGNIFICANT ACTIVITIES. AS THE NEW 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. PRIOR TO JUNE 1, 2012, SUCH ACTIONS WOULD GENERALLY ONLY REQUIRE THE APPROVAL OF AHC'S BOARD OF DIRECTORS, OR, IN SOME LIMITED CASES, THE BOARD OF INCORPORATORS OF AHC. 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. AHC'S AMENDED ARTICLES ALSO ELIMINATED THE BOARD OF INCORPORATORS, A GROUP OF INDIVIDUALS THAT HAD PREVIOUSLY ELECTED AHC'S BOARD OF DIRECTORS AND HAD TO APPROVE CERTAIN REAL ESTATE TRANSACTIONS. AHC'S AMENDED ARTICLES AND BYLAWS ALSO MADE CERTAIN CHANGES WITH RESPECT TO AHC'S BOARD AND BOARD COMMITTEES. FOR EXAMPLE, AHC'S BYLAWS NOW PROVIDE FOR A MINIMUM NUMBER OF 7 DIRECTORS WHILE ELIMINATING A MAXIMUM LIMIT OF 17 DIRECTORS. FURTHER, DIRECTORS NOW SERVE STAGGERED TERMS OF 4 YEARS INSTEAD OF 3 AND TERM AND AGE LIMITS FOR AHC DIRECTORS WERE ELIMINATED. THE ONLY EX-OFFICIO MEMBER OF THE AHC BOARD IS NOW AHC'S PRESIDENT/CEO. WITH RESPECT TO AHC BOARD COMMITTEES, THE CHAIR OF THE BOARD OF TRUSTEES OF KDHS IS TO CHAIR ANY AHC BOARD COMMITTEES, INCLUDING ITS AUDIT COMMITTEE AND PERSONNEL AND COMPENSATION COMMITTEE, UNLESS KDHS DETERMINES OTHERWISE. IN ADDITION, CERTAIN PROVISIONS IN AHC'S BYLAWS WITH RESPECT TO AHC'S PERSONNEL AND COMPENSATION COMMITTEE CONCERNING THE QUALIFICATIONS FOR DIRECTORS OF AHC AND EXECUTIVE COMPENSATION WERE REMOVED THOUGH AHC CONTINUES TO FOLLOW THE PROCEDURES FOR REVIEWING AND APPROVING EXECUTIVE COMPENSATION OUTLINED ELSEWHERE IN THIS FORM 990. WITH RESPECT TO THE OFFICERS OF AHC, A LAUNDRY LIST OF SPECIFIC DUTIES OF THE PRESIDENT/CEO OF AHC WAS ELIMINATED IN FAVOR OF A MORE GENERAL DESCRIPTION OF THE PRESIDENT/CEO'S RESPONSIBILITIES, WHICH INCLUDE OVERALL GENERAL ADMINISTRATIVE MANAGEMENT OF AHC AND SUCH OTHER DUTIES AS ARE INCIDENT TO THE OFFICE OR AS DETERMINED BY AHC'S BOARD. FURTHER, THE SECRETARY OF AHC NO LONGER NEEDS TO BE A MEMBER OF THE EXECUTIVE STAFF OF AHC. LASTLY, AHC'S AMENDED BYLAWS NOW SPECIFICALLY REQUIRE THE AHC BOARD TO ADOPT A CONFLICT OF INTEREST POLICY. THE AHC BOARD ALREADY HAD A CONFLICT OF INTEREST POLICY IN PLACE. THE TAX-EXEMPT, CHARITABLE PURPOSES OF AHC WERE NOT CHANGED IN THE AMENDED AND RESTATED ARTICLES OF AHC. FORM 990, PART VI, SECTION A, LINE 6 AS NOTED IN THE RESPONSE TO PART VI LINE 4, DURING 2012, KDHS ACQUIRED CERTAIN VOTING AND APPROVAL RIGHTS AS THE SOLE CORPORATE MEMBER OF AHC. FORM 990, PART VI, SECTION A, LINE 7B AS NOTED IN THE RESPONSE TO PART VI LINE 4, DURING 2012, KDHS ACQUIRED CERTAIN VOTING AND APPROVAL RIGHTS AS THE SOLE CORPORATE MEMBER OF AHC. AS THE NEW 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. WITH RESPECT TO AHC BOARD COMMITTEES, THE CHAIR OF THE BOARD OF TRUSTEES OF KDHS IS TO CHAIR ANY AHC BOARD COMMITTEES, INCLUDING ITS AUDIT COMMITTEE AND PERSONNEL AND COMPENSATION COMMITTEE, UNLESS KDHS DETERMINES OTHERWISE. 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 OR SENIOR 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 SENIOR 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 OR SENIOR 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 2012. 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, AS AON HEWITT SELECTED OTHER KEY EXECUTIVE MANAGEMENT ROLES. 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 (I.E., $500 MILLION IN ANNUAL REVENUE) 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 PRESIDENT/CEO AND ALL VICE-PRESIDENTS. FORM 990, PART VI, SECTION C, LINE 19 ON A QUARTERLY BASIS, THE FINANCIAL STATEMENTS ARE REPORTED TO EMMA AND MADE AVAILABLE ON THEIR WEBSITE. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART VII AVERAGE HOURS PER WEEK FOR ASHLAND HOSPITAL CORPORATION AND ALL RELATED ORGANIZATIONS IS AS FOLLOWS: STEPHEN ADDINGTON - 0.8 HOURS JACK BLAIR - 0.8 HOURS TOM BURNETTE - 1.0 HOUR JIM CANTRELL - 0.6 HOURS DAN CASSIDY - 1.6 HOURS DONALD HAMMONDS - 40.6 HOURS ALEXANDER KRIVCHENIA - 2.6 HOURS RAYMOND MECCA - 0.8 HOURS JOHN STEWART - 0.8 HOURS DAVID JONES - 6.5 HOURS FRED JACKSON - 49.0 HOURS PAUL MCDOWELL - 48.3 HOURS SHERYL MAHANEY - 48.0 HOURS PHILIP FIORET - 40.3 HOURS LARRY HIGGINS - 41.5 HOURS KRISTIE WHITLATCH - 40.8 HOURS CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 14,801,692. PENSION LIABILITY ADJUSTMENT -4,128,466. CHANGE IN MARKET VALUE INTEREST RATE SWAP -1,951,438. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS 895,720. OTHER ADJUSTMENTS 79,556. CONTRIBUTIONS OF EQUIPMENT NOT REPORTED ON F/S -10,942. TOTAL TO FORM 990, PART XI, LINE 5: 9,686,122. FORM 990, PART VI LINE 1A: 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 JIM CANTRELL, TRUSTEE 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. 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. 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 2518 STATE ROUTE 5 ASHLAND KY 41102 264736971 MEDICAL TRANSPORT KY 501(C)(3) 9 ASHLAND HOSPITAL CORPORATION 1 KING'S DAUGHTERS HEALTH FOUNDATION INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 611035701 FUNDRAISING KY 501(C)(3) 11-III-FI ASHLAND HOSPITAL CORPORATION 1 KING'S DAUGHTERS HEALTH SYSTEM INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 274553836 HEALTHCARE KY 501(C)(3) 11-II N/A 1 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 ASHLAND MEDICAL PROPERTIES INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 611079090 RENTALS KY ASHLAND HOSPITAL CORPORATION C 58416 1.00000 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 ASHLAND NURSING HOME CORP Q 857920 ALL TRANSACTIONS BETWEEN ASHLAND NURSING HOME CORP R 895176 THE FILING ORGANIZATION AND CHILD DEVELOPMEN CENTER CORP Q 185344 RELATED COMPANIES ARE CAPTURED KING'S DAUGHTERS HEALTH FOUNDATION INC R 59121 IN THE DUE TO/FROM KENTUCKY HEART FOUNDATION INC A 28764 ACCOUNTS. THE TYPES OF KENTUCKY HEART INSTITUTE INC A 494856 TRANSACTIONS THAT HIT THIS KENTUCKY HEART INSTITUTE INC B 255537 ACCOUNT ARE TRACKED MONTHLY. KENTUCKY HEART INSTITUTE INC N 463610 KENTUCKY HEART INSTITUTE INC Q 12323241 KENTUCKY MEDICAL LOGISTICS INC Q 1103272 KENTUCKY MEDICAL LOGISTICS INC R 500000 KING'S DAUGHTERS MEDICAL SPECIALTIES INC A 339427 KING'S DAUGHTERS MEDICAL SPECIALTIES INC B 179910 KING'S DAUGHTERS MEDICAL SPECIALTIES INC N 102500 KING'S DAUGHTERS MEDICAL SPECIALTIES INC Q 7997022 KENTUCKY HEART FOUNDATION INC Q 138290 KENTUCKY MEDICAL LOGISTICS INC B 78217 KING'S DAUGHTERS HEALTH SYSTEM O 120000