2011-08-12T10:32:27-04:00 2010-09-30 BKD LLP 400 E MAIN ST STE 200 PO BOX 1196 BOWLING GREEN KY 421021196 990 2009-10-01 610444716 ASHLAND HOSPITAL CORPORATION ASHL 6064084000 2201 LEXINGTON AVENUE ASHLAND KY 41101 PAUL MCDOWELL 2011-08-11 true KIM SCIFRES 2707810111 2009 2016-02-24 21:20:13Z KING'S DAUGHTERS MEDICAL CENTER FRED L JACKSON 2201 LEXINGTON AVENUE ASHLAND KY 41101 560296404 false X WWW.KDMC.COM X 1941 KY TO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL. 16 5 4196 384 194968 411526 584947 517174304 550203300 733633 1656761 2853014 4459923 521172477 556904931 307216 141508 0 0 210909865 233478751 0 0 0 279240799 300848360 490457880 534468619 30714597 22436312 657523873 778947132 306692555 406709400 350831318 372237732 TO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL. false false 462693438 141508 550174074 SEE SCHEDULE O 462693438 true true false true false false false false false true false true false false false false false false false false true true false true true false false false false false false false true true true false false false false false true true false false true 424 0 true 4196 true true true false false false false false false false false 16 5 false false false false false false false true true false false false true true true true true true true false KY X AUTUMN MCFANN 6064084678 2201 LEXINGTON AVENUE ASHLAND KY 41101 STEPHEN ADDINGTON 0.25 X 0 0 0 JACK BLAIR 0.25 X 0 0 0 KEN BLANTON 0.25 X 0 0 0 TOM BURNETTE 0.25 X 0 0 0 JIM CANTRELL 0.25 X 0 0 0 DONALD HAMMONDS DO 0.25 X 0 0 0 TRACY HILLMAN 0.25 X 0 0 0 MIKE LIGHT 0.25 X 0 0 0 RAYMOND MECCA MD 0.25 X 1000 0 0 LYNN RICE 0.25 X 0 0 0 JOHN STEWART 0.25 X 0 0 0 CHARLIE BORDERS 0.25 X 97102 0 6542 MAYOLA BOYKIN MD 0.25 X 12000 0 0 DAVID JONES 1.0 X X 0 0 0 FRED JACKSON 40.0 X X 914207 0 409462 DAN CASSIDY 0.25 X 0 0 0 PAUL MCDOWELL 40.0 X 473300 0 146320 SHERYL MAHANEY 40.0 X 347722 0 101445 JAMES DETHERAGE MD 40.0 X 364768 0 109145 PHILIP FIORET MD 40.0 X 778664 24000 174948 LARRY HIGGINS 40.0 X 362275 0 111988 ROBERT LUCAS 40.0 X 285198 0 31071 RAMONA THOMPSON 40.0 X 203396 0 77963 KRISTIE WHITLATCH 40.0 X 379843 0 108840 CATHY COOPER-WEIDNER 40.0 X 266831 0 104369 CLARK BERNARD MD 40.0 X 1037370 0 23552 SADASIVA SETTY MD 40.0 X 499757 0 25435 KATRINA BRIGGS MD 40.0 X 497025 0 30470 JERREL BOYER DO 40.0 X 1041284 0 18117 ROBERT BAILIFF MD 40.0 X 510269 0 30232 8072011 24000 1509899 119 false true false ASHLAND ANESTHESIOLOGY ASSOCIATES PO BOX 986 ASHLAND KY 41105 ANESTHESIOLOGISTS 1944716 BLOOD MANAGEMENT GROUP INC DEPT 1614 PO BOX 11407 BIRMINGHAM AL 35246 PERFUSIONISTS 1444791 BROWN PARKER DEMARINIS ADVERTISIN 3333 SOUTH CONGRESS AVE SUITE 305B DELRAY BEACH FL 33445 MARKETING 2078287 STITES HARBISON PLLC 250 W MAIN ST 2300 LEXINGTON FIN CT LEXINGTON KY 40507 LAWYERS 1218584 TRI STATE RADIOLOGY ASSOCIATES PO BOX 2408 ASHLAND KY 41105 RADIOLOGISTS 3267301 49 185058 399889 584947 NET PATIENT SERVICE REVENUE 621110 545809038 545809038 RENT FROM AFFILIATED 501C3 ORG 531120 598861 598861 DME SALES 446199 71263 71263 PHARMACY 446110 3664324 3613093 51231 REFERENCE LAB 621500 27527 27527 32287 32287 550203300 5016974 5016974 0 0 1387762 1387762 1387762 31260 3319687 71786 -3319687 -40526 -3360213 -3360213 0 0 0 CAFETERIA SALES 722210 2698560 3475 2695085 MEDICAL RECORDS 900099 90795 90795 PREMIER PURCHASING PARTNERS 541900 41472 41472 241334 30000 211334 3072161 556904931 550174074 194968 4563180 141508 141508 0 0 0 5833072 5833072 0 170959460 154606343 16353117 8396184 7593509 802675 35784399 32363411 3420988 12505636 11027470 1478166 0 2455815 19000 2436815 84461 84461 0 0 478331 478331 45664415 39605782 6058633 3586285 170 3586115 112002953 107353775 4649178 844542 844542 0 6547462 1629557 4917905 579403 420239 159164 0 40883 27910 12973 8210147 13954 8196193 0 35130596 30547171 4583425 4281354 32363 4248991 REPAIRS & MAINTENANCE 12463351 10837280 1626071 PROVISION FOR BAD DEBTS 50876079 50876079 PROVIDER TAXES 7706738 7628823 77915 MISCELLANEOUS 8550462 7124552 1425910 0 LOSS ON EXTINGUISHMNT - DEBT 1345083 1345083 534468619 462693438 71775181 0 9400 13075 79959074 85534850 71823954 68308397 2662682 3017230 11239813 9517272 6435661 9582091 625372696 298985753 294427674 326386943 144361764 158600089 11902050 9845848 34701801 108141337 657523873 778947132 54009844 62939282 186490301 253307026 4205667 14638476 15000000 15000000 46986743 60824616 306692555 406709400 X 350831318 372237732 350831318 372237732 657523873 778947132 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true 22862 22862 LOBBYING EXPENSES SCH C, PART II-B, LINE 1I A PORTION OF DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION IS ATTRIBUTABLE TO LOBBYING EXPENSES. 27405451 27405451 332018289 140006039 192012250 239465815 154534316 84931499 26483141 4445398 22037743 326386943 DEFERRED FINANCE CHARGES 2974228 ASSET LTD-SELF TRUST AGRMT 9090761 ASSET LTD-BOND INDNTR AGRMT 55206901 OTHER ASSETS 768306 GOODWILL 222372 DUE FROM THIRD PARTY PAYORS 293425 DUE FROM RELATED PARTIES 39585344 108141337 0 ESTIMATED THIRD PARTY PAYABLE 7169908 ESTIMATED MALPRACTICE COSTS 9815393 RETENTION PLAN 3803135 INTEREST RATE SWAP AGREEMENTS 15959180 ACCRUED PENSION OBLIGATION 24077000 60824616 556904931 534468619 22436312 -1029898 -1029898 21406414 555456008 -1029898 -1029898 556485906 419025 419025 556904931 534049594 -419025 -419025 534468619 534468619 FEDERAL INCOME TAXES SCH D, PART X, LINE 2 THE MEDICAL CENTER, KHF, KBNH, CDC, KHI, KDMT, KDMS AND 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. AMP IS A SMALL TAXABLE ENTITY SUBJECT TO FEDERAL AND STATE INCOME TAXATION. THE MEDICAL CENTER IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2007. RECONCILIATION TO AUDIT REPORT - NET ASSETS SCH D, PART XI, LINE 8 MINIMUM PENSION LIABILITY ADJUSTMENT (6,852,602) CHANGE IN FV OF INTEREST RATE SWAP AGRMT (4,423,480) CHANGE IN FV OF SELF INSURANCE TRUST 1,066,958 CHANGE IN FV - FUND DEPR 9,179,226 TOTAL OTHER ADJUSTMENTS (1,029,898) RECONCILIATION TO AUDIT REPORT - REVENUES SCH D, PART XII, LINES 2D & 4B AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990 PART VIII: MINIMUM PENSION LIABILITY ADJUSTMENT (6,852,602) CHANGE IN FV OF INTEREST RATE SWAP AGRMT (4,423,480) CHANGE IN FV OF SELF INSURANCE TRUST 1,066,958 CHANGE IN FV - FUND DEPR 9,179,226 TOTAL (1,029,898) AMOUNTS INCLUDED ON FORM 990 PART XIII BUT NOT ON LINE 1: CONTRIBUTION REVENUE INCLUDED AS EXPENSE PER AUDIT $419,025 RECONCILIATION TO AUDIT REPORT - EXPENSES SCH D, PART XIII, LINE 2D CONTRIBUTION REVENUE INCLUDED AS EXPENSE PER AUDIT $419,025 true true true X true X true true true false true true 16379954 16379954 0.03400 59422509 41237214 18185295 0.03770 75802463 41237214 34565249 0.07170 2937701 2937701 0.00610 399622 399622 0.00080 6351579 4478261 1873318 0.00390 399802 399802 0.00080 129765 129765 0.00030 10218469 4478261 5740208 0.01190 86020932 45715475 40305457 0.08360 251708 251708 0.00050 251708 251708 0.00050 true 17908380 3860987 158669696 170165222 -11495526 X true true ASHLAND HOSPITAL CORPORATION

2201 LEXINGTON AVENUE ASHLAND KY 41101

X X X THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BAD DEBT IS CLASSIFIED AS AN OPERATING EXPENSE WHICH IS CONSISTENT WITH THE HFMA PRINCIPLES AND PRACTICES BOARD STATEMENT NO. 15. LINE 2 - THE COST TO CHARGE RATIO CALCULATED ON SCH H, PART I, WAS USED TO COST BAD DEBT. LINE 3 - THE BUSINESS OFFICE PROVIDED AN ESTIMATION OF THE HOSPITAL'S BAD DEBT EXPENSE THAT WAS ATTRIBUTABLE TO PATIENTS THAT MIGHT QUALIFY FOR CHARITY CARE UNDER THE FINANCIAL ASSISTANCE POLICY, BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE THAT DETERMINATION. THE HOSPITAL HAS A WRITTEN POLICY FOR BAD DEBT AND IT IS ALSO A SYSTEM PROGRESSION WITH THREE PATIENT STATEMENTS, THREE COMPUTER CREDIT INCORPORATED LETTERS, AND IF NO PAYMENT ARRANGEMENTS ARE MADE DURING THE PERIOD THERE IS AUTOMATION TO THE COLLECTION AGENCY. EACH BILL THAT A PATIENT RECEIVES HAS A STATEMENT STATING THAT IF THEY ARE UNABLE TO PAY THEIR BILL TO CONTACT THE HOSPITAL'S FINANCIAL ASSISTANCE TEAM WITH THEIR DIRECT LINE. ALSO, EACH SELF-PAY PATIENT RECEIVES CONTACT BY THE HOSPITAL'S MEDICAID ELIGIBILITY VENDOR AND RECEIVES A FINANCIAL ASSISTANCE APPLICATION. WE USE A VARIETY OF RESOURCES TO HELP US MAKE DECISIONS ON HOW TO BEST TARGET OUR ACTIVITIES. WE'VE CONDUCTED FORMAL AND INFORMAL COMMUNITY HEALTH 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 2010, THE CORPORATE GOAL WAS TO REACH 218,000 ADULTS AND CHILDREN WITH HEALTH SCREENINGS, PREVENTION AND EDUCATIONAL PROGRAMS THROUGH THE PARTICIPATION OF NO LESS THAN 2,577 KDMC TEAM MEMBERS, PHYSICIANS AND ALLIED HEALTH PROFESSIONALS AS VOLUNTEERS. THE KDMC TEAM EXCEEDED THIS GOAL BY REACHING 278,963 PEOPLE WITH 2,684 TEAM MEMBERS AND PROVIDERS VOLUNTEERING NEARLY 30,000 HOURS. THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY PROVIDES DIRECTION FOR FREE OR DISCOUNTED SERVICES TO RESIDENTS OF THE COMMUNITY WHO HAVE INADEQUATE FINANCIAL RESOURCES TO PAY FOR NECESSARY HEALTHCARE SERVICES PROVIDED BY KING'S DAUGHTERS. THE POLICY STATES THAT THE MEDICAL CENTER WILL NOT DENY CARE TO ANY PATIENT REQUIRING CARE DUE TO THEIR INABILITY TO PAY. THE FINANCIAL ASSISTANCE POLICY PROVIDES GUIDANCE TO PROVIDING ASSISTANCE BASED ON SLIDING SCALE METHODOLOGY AND THE FEDERAL POVERTY GUIDELINES ESTABLISHED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. PATIENTS REQUIRING CARE WITH INCOME BELOW 300% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR FREE OR REDUCED COST SERVICES. THE FINANCIAL ASSISTANCE PROGRAM IS ON THE KDMC WEBSITE AND THE PHONE NUMBER TO ACCESS INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM 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 ASSISTANCE IN PAYING FOR THEIR SERVICES. 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. 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 252,000 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 MORE THAN 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 $36,695, WELL BELOW THE LEVELS FOR KENTUCKY, OHIO AND THE NATION. AVERAGE UNEMPLOYMENT IS 10.8% COMPARED TO 9.6% NATIONALLY AND 10.0% 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. 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 AND CHEMICAL PLANTS, CITY OF ASHLAND, LOCAL EMS SERVICES, AMERICAN RED CROSS, SUSAN G. KOMEN FOR THE CURE, 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 CITIZENS 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, CHURCHES, 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 VASCULAR DISEASE. LAST YEAR, HEALTH CONNECTIONS GREATLY EXPANDED SERVICES BY OFFERING FREE COMPREHENSIVE VASCULAR SCREENINGS TO HIGH RISK POPULATIONS. THIS SCREENING INCLUDES A FASTING LIPID PANEL, AN ANKLE BRACHIAL INDEX, 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 PARTICIPANTS KNOW THEIR HEART RISK NUMBERS. OUR HEART SCREENINGS PROVIDED 9,909 BLOOD PRESSURE (41% ABNORMAL), 7,735 BLOOD SUGAR (16% ABNORMAL) AND 6,246 TOTAL CHOLESTEROL (30% ABNORMAL) SCREENINGS IN 2010. THE COMPREHENSIVE VASCULAR SCREENING HAD MORE THAN 1,500 PARTICIPANTS, ABNORMAL RESULTS INCLUDED ABIS - 32% AND LIPID PANEL - 86%. IN THE PAST SEVEN YEARS WE HAVE SEEN A DECLINE IN THE PERCENT OF HIGH TOTAL CHOLESTEROL NUMBERS (36% IN 2002 COMPARED TO 30% IN 2010). THE AGE ADJUSTED CARDIOVASCULAR MORTALITY RATE FOR THE SERVICE AREA HAS IMPROVED 22.7% FROM 1998 TO 2006. WITH THE EXCEPTION OF TWO CITIES WITH A POPULATION AROUND 20,000, KDMC'S MARKET AREA IS VERY RURAL COVERING MORE THAN 2,000 SQUARE MILES WITH A POPULATION DENSITY OF 117 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 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 MADE 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 RECORD 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 797 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, SCHOOLTEACHERS, 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 FOUR FULL-TIME CHAPLAINS AND AN ADMINISTRATIVE ASSISTANT 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. KING'S DAUGHTERS MEDICAL CENTER IS PART OF AN AFFILIATED HEALTH CARE DELIVERY SYSTEM. The sytem 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. true UNITED WAY OF NORTHEAST KENTUCKY 1236 WINCHESTER AVENUE ASHLAND KY 41101 616000060 501(C)(3) 62640 PROGRAM SUPPORT CARES PO BOX 1503 ASHLAND KY 41105 611255918 501(C)(3) 7500 PRESCRIPTION MEDS KENTUCKY HOSPITAL RESEARCH AND EDUCATION FOUNDTION 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 610574577 501(C)(3) 17087 WORKFORCE EXPANSION PARAMOUNT ARTS CENTER PO BOX 1546 ASHLAND KY 41105 611181883 501(C)(3) 7500 SPRING GALA SPONSOR 4 0 MONITORING THE USE OF GRANT FUNDS SCH 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 & 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 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 false true X X X X false true false false false false false false false FRED JACKSON 641829 0 169236 0 103142 0 393692 0 15770 0 1323669 0 0 0 PAUL MCDOWELL 275186 0 80112 0 118002 0 128630 0 17690 0 619620 0 66573 0 SHERYL MAHANEY 228727 0 60880 0 58115 0 85675 0 15770 0 449167 0 44670 0 JAMES DETHERAGE MD 299126 0 60610 0 5032 0 93375 0 15770 0 473913 0 0 0 PHILIP FIORET MD 569344 24000 82475 0 126845 0 157178 0 17770 0 953612 24000 89443 0 LARRY HIGGINS 219122 0 56600 0 86553 0 98583 0 13405 0 474263 0 52688 0 ROBERT LUCAS 168361 0 47240 0 69597 0 13775 0 17296 0 316269 0 40206 0 RAMONA THOMPSON 165994 0 36720 0 682 0 60531 0 17432 0 281359 0 0 0 KRISTIE WHITLATCH 257437 0 60920 0 61486 0 93070 0 15770 0 488683 0 44051 0 CLARK BERNARD MD 1037308 0 0 0 62 0 11025 0 12527 0 1060922 0 0 0 SADASIVA SETTY MD 499346 0 0 0 411 0 13775 0 11660 0 525192 0 0 0 KATRINA BRIGGS MD 496963 0 0 0 62 0 11025 0 19445 0 527495 0 0 0 JERREL BOYER DO 1041222 0 0 0 62 0 7350 0 10767 0 1059401 0 0 0 ROBERT BAILIFF MD 510126 0 0 0 143 0 13775 0 16457 0 540501 0 0 0 CATHY COOPER-WEIDNER 214980 0 49440 0 2411 0 91209 0 13160 0 371200 0 0 0 TAX INDEMNIFICATION AND GROSS UP PAYMENTS SCH J, PART I, LINE 1A & B CERTAIN BONUSES ARE GROSSED UP FOR TAXES. THE GROSS UPS ARE APPROVED BY THE CEO FOR THE VICE-PRESIDENTS. NONQUALIFIED RETIREMENT PLAN SCH J, PART I, LINE 4B THE CEO AND VICE PRESIDENTS BENEFIT IN THE QUALIFIED TAX SHELTERED ANNUITY PLAN IS LIMITED DUE TO IRS COMPENSATION AND BENEFIT LIMITS. THE INDIVIDUALS 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 HIS FINAL AVERAGE PAY COMMENCING AT AGE 62. THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PAYMENTS FOR THE YEAR WERE AS FOLLOWS: FRED JACKSON $29,008 PAUL MCDOWELL $14,938 SHERYL MAHANEY $7,024 JAMES DETHERAGE, MD $4,527 PHILIP FIORET, MD $19,612 LARRY HIGGINS $7,319 ROBERT LUCAS $3,745 KRISTIE WHITLATCH $7,702 KY ECONOMIC DVLPT FINANCE AUTHORITY-SERIES AB&C 610600439 491269CG9 2008-09-24 146580000 REFUND PRIOR BOND ISSUES false false KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY 610600439 491269CX2 2010-04-01 75000000 HEALTHCARE FACILITIES BLDG & EQUIP false false CITY OF ASHLAND KENTUCKY 616001775 044293AA6 2010-04-01 32615000 REFUND SERIES 1998 BONDS false false 145708338 131710005 1423351 12574982 2010 true false true true 73681839 55124187 1170837 17479526 false false false true 33986558 33479012 507546 true false true true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false true true JP MORGAN 22.5 false false false false false false false false false false false false false false false ASHLAND OFFICE SUPPLY TOM BURNETTE OWNS ORG 2709240 PURCHASE SUPPLIES/FURN/EQUIP false FRESENIUS MEDICAL CARE D HAMMONDS IS MED DIR 973869 INPATIENT DIALYSIS TREATMENT false VAN ART PROPERTIES JOHN STEWART IS BOD CHAIR 502010 OFFICE SPACE RENT false SUSAN K SCHNEIDER SISTER OF TRACY HILLMAN 33204 COMPENSATION false TRI-STATE RADIOLOGY M BOYKIN IS EMPLOYEE 3537404 RADIOLOGY SERVICES & SUPPORT false LIGHT'S ENTERPRISES INC MIKE LIGHT IS OWNER 371769 DEMOLITION & PAVING SERVICES false PROCESS TO REVIEW FORM 990 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE AUDIT SUBCOMMITTEE OF THE BOARD OF DIRECTORS AFTER THE FINAL DRAFT IS RECEIVED BY THE CONTROLLER BUT BEFORE IT IS FILED WITH THE IRS. A MEETING IS CALLED OF THIS SUBCOMMITTEE FOR THE PURPOSE OF THIS REVIEW. MONITORING THE CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12B AND 12C KING'S DAUGHTERS MEDICAL CENTER REQUIRES ALL DIRECTORS AND OFFICERS 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. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, SECTION B, LINE 15A AND 15B AT THE DIRECTION OF THE PERSONNEL & COMPENSATION COMMITTEE OF THE BOARD, KDMC ENGAGES HEWITT ASSOCIATES, A LEADING, INDEPENDENT GLOBAL COMPENSATION CONSULTING COMPANY TO ASSIST IN DETERMINING COMPENSATION OF THE CEO, SENIOR VICE PRESIDENTS AND VICE PRESIDENTS. HEWITT'S MOST RECENT EXECUTIVE COMPENSATION REVIEW IS DATED SEPTEMBER 2009. 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 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., $555 MILLION IN ANNUAL REVENUE) WITH AN EMPHASIS ON THE SOUTHEAST REGION OF THE UNITED STATES. THE HEWITT DATA COUPLED WITH THE PERFORMANCE OF THE ORGANIZATION AS WELL AS THE PERSONAL PERFORMANCE OF EACH EXECUTIVE IS THE BASIS FOR KDMC'S PERSONELL & 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. MAKING FORMS AVAILABLE TO THE PUBLIC FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S CONSOLIDATED QUARTERLY FINANCIAL STATEMENTS AND AUDIT REPORT CAN BE ACCESSED AT HTTP://EMMA.MSRB.ORG PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4 KING'S DAUGHTERS MEDICAL CENTER 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 252,000 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 MORE THAN 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 $36,695, WELL BELOW THE LEVELS FOR KENTUCKY, OHIO AND THE NATION. AVERAGE UNEMPLOYMENT IS 10.8% COMPARED TO 9.6% NATIONALLY AND 10.0% FOR KENTUCKY. THE KENTUCKY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM SHOWS THAT IN 2006, IN KDMC'S KENTUCKY MARKET AREA, 19.2% OF THOSE AGED 19-64 YEARS LACKED ANY FORM OF HEALTHCARE COVERAGE, COMPARED TO 17% 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. KDMC PROVIDED APPROXIMATELY $47,944,000 OF CHARITY CARE DURING THE YEAR. Tax Exempt Bonds Schedule K Schedule K, Part I, Line A ---------------------------- The bond issues lised on Schedule K, Part I, Line A consisted of three series. Information pertaining to each series is scheduled below: Series CUSIP Issue Price --------- ------- ----------- Series A 491269CG9 $50,000,000 Variable Rate Issue Series B 491269CH7 $50,000,000 Variable Rate Issue Series C 491269CJ3 $46,580,000 Fixed Rate Issue ASHLAND NURSING HOME CORPORATION 2500 STATE ROUTE 5 ASHLAND KY 41102 611386016 NURSING HOME KY 501(C)(3) 11-I NA KENTUCKY MEDICAL LOGISTICS INC 2518 STATE ROUTE 5 ASHLAND KY 41102 264736971 MED TRANSPORT KY 501(C)(3) 9 NA KENTUCKY HEART INSTITUTE 2201 LEXINGTON AVE ASHLAND KY 41101 611255904 PHYSICIANS KY 501(C)(3) 9 NA KENTUCKY HEART FOUNDATION 2201 LEXINGTON AVE ASHLAND KY 41101 260791997 MED RESEARCH KY 501(C)(3) 7 NA KING'S DAUGHTERS HEALTH FOUNDATION INC 2201 LEXINGTON AVE ASHLAND KY 41101 611035701 FUNDRAISING KY 501(C)(3) 11-III-FI NA KING'S DAUGHTERS MEDICAL SPECIALTIESINC 2201 LEXINGTON AVE ASHLAND KY 41101 264183569 PHYSICIANS KY 501(C)(3) 9 NA CHILD DEVELOPMENT CENTER CORPORATION 2201 LEXINGTON AVE ASHLAND KY 41101 010560598 DAYCARE KY 501(C)(3) 11-I NA ASHLAND MEDICAL PROPERTIES INC 2201 LEXINGTON AVE ASHLAND KY 41101 611079090 RENTALS KY NA C 0 66082 1.00000 true true false false false false false false false false false false false true false false true true ASHLAND NURSING HOME CORPORATION R 1279299 ASHLAND NURSING HOME CORPORATION Q 829328 KENTUCKY HEART FOUNDATION A 32627 KENTUCKY HEART FOUNDATION Q 193872 CHILD DEVELOPMENT CENTER Q 221365 KENTUCKY HEART INSTITUTE B 978888 KENTUCKY HEART INSTITUTE N 843731 KENTUCKY HEART INSTITUTE Q 12214320 KING'S DAUGHTERS MEDICAL SPECIALTIES B 2630156 KING'S DAUGHTERS MEDICAL SPECIALTIES N 150716 KING'S DAUGHTERS MEDICAL SPECIALTIES Q 4968262 KENTUCKY MEDICAL LOGISTICS B 730596 KENTUCKY MEDICAL LOGISTICS Q 1939061 KENTUCKY MEDICAL LOGISTICS R 800000