Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 10-01-2013 , 2013, and ending 09-30-2014
BCheck if applicable:
CName of organization
ASHLAND HOSPITAL CORPORATION
 
Doing Business As
KING'S DAUGHTERS MEDICAL CENTER
 
Number and street (or P.O. box if mail is not delivered to street address)
2201 LEXINGTON AVENUE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ASHLAND, KY41101
D Employer identification number

61-0444716
E Telephone number

G Gross receipts $ 485,860,347
F Name and address of principal officer:
KRISTIE WHITLATCH
2201 LEXINGTON AVENUE
ASHLAND,KY41101
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.KDMC.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1941
M State of legal domicile: KY
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE COMMUNITY HEALTHCARE SERVICES. TO CARE. TO SERVE. TO HEAL.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 7
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 3,580
6 Total number of volunteers (estimate if necessary) ............. 6 285
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 485,042
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 374,195 1,235,076
9 Program service revenue (Part VIII, line 2g) ......... 452,296,162 407,319,972
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 9,778,710 14,272,339
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,775,826 4,422,217
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 465,224,893 427,249,604
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 160,047 56,509
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 200,968,260 193,166,395
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 264,662,867 241,125,122
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 465,791,174 434,348,026
19 Revenue less expenses. Subtract line 18 from line 12....... -566,281 -7,098,422
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 822,243,145 713,114,773
21 Total liabilities (Part X, line 26)............. 404,817,852 366,850,295
22 Net assets or fund balances. Subtract line 21 from line 20..... 417,425,293 346,264,478
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: TO CARE. TO SERVE. TO HEAL.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 356,111,055 including grants of $ 56,509 ) (Revenue $ 406,820,883 )
ORGANIZATIONAL INFORMATION:KING'S DAUGHTERS MEDICAL CENTER (KDMC) IS A LOCALLY CONTROLLED, NOT-FOR-PROFIT, 465 LICENSED-BED REGIONAL REFERRAL CENTER, COVERING A 150-MILE RADIUS THAT INCLUDES SOUTHERN OHIO, EASTERN KENTUCKY AND WESTERN WEST VIRGINIA. KDMC OFFERS CARDIAC, MEDICAL, SURGICAL, MATERNITY, PEDIATRIC, REHABILITATIVE, BARIATRIC, PSYCHIATRIC, CANCER, NEUROLOGICAL, PAIN CARE, WOUND CARE, AND HOME CARE SERVICES. KDMC OPERATES MORE THAN 25 OFFICES IN EASTERN KENTUCKY AND SOUTHERN OHIO. KDMC IS THE LARGEST EMPLOYER BETWEEN CHARLESTON, WEST VIRGINIA AND LEXINGTON, KENTUCKY. OUR MISSION: TO CARE. TO SERVE. TO HEAL.OUR VISION: WORLD CLASS CARE IN OUR COMMUNITIESCOMMUNITY DEMOGRAPHICS:KDMC IS LOCATED IN EASTERN KENTUCKY, WHERE THE KENTUCKY, OHIO AND WEST VIRGINIA STATE LINES MEET. KDMC'S PRIMARY SERVICE AREA ENCOMPASSES SIX COUNTIES IN TWO STATES, BOYD, CARTER, GREENUP, AND LAWRENCE COUNTIES IN KENTUCKY AND LAWRENCE AND SCIOTO COUNTIES IN OHIO. MORE THAN 267,000 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 2,000 SQUARE MILES WITH A POPULATION DENSITY OF 126 PEOPLE PER SQUARE MILE. NEARLY 21% OF THE POPULATION LIVES IN POVERTY, COMPARED WITH 18.8% FOR KENTUCKY, 15.8% FOR OHIO AND 15.4% 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 $20,755, WELL BELOW THE LEVELS FOR KENTUCKY ($23,462), OHIO ($26,046) AND THE NATION ($28,155). IN KDMC'S PRIMARY MARKET AREA, 16% OF THOSE AGED 19-64 YEARS LACKED ANY FORM OF HEALTHCARE COVERAGE, COMPARED TO KENTUCKY-16.8%, OHIO-13% AND THE NATION-15.4%.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet356,111,055
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
382
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
3,580
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
14
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
7
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
KY
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletGREG WHITLOCK CONTROLLER2201 LEXINGTON AVENUEASHLANDKY41101 (606) 408-0160
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) ADDINGTON STEPHEN........................................................................
DIRECTOR
 .30
........................30 		X           0 0 0
(2) BURNETTE TOM........................................................................
DIRECTOR
 .30
.......................1.00 		X           0 0 0
(3) CANTRELL JIM........................................................................
DIRECTOR
 .30
........................30 		X           0 0 0
(4) CASSIDY DAN........................................................................
DIRECTOR
 .30
.......................1.30 		X           0 0 0
(5) FORD RICHARD MD........................................................................
DIRECTOR
 1.30
........................30 		X           14,000 0 0
(6) HAMMONDS DONALD DO........................................................................
DIRECTOR
 .30
.......................40.30 		X           0 66,774 16,590
(7) HERNANDEZ RICH........................................................................
DIRECTOR
 .30
........................30 		X           0 0 0
(8) KRIVCHENIA ALEXANDER MD........................................................................
DIRECTOR
 1.30
........................30 		X           26,688 0 0
(9) MCCANN KIM........................................................................
DIRECTOR
 .30
.......................1.30 		X           0 0 0
(10) MECCA RAYMOND MD........................................................................
DIRECTOR
 .50
........................30 		X           1,000 0 0
(11) STEWART JOHN........................................................................
DIRECTOR
 .30
........................50 		X           0 0 0
(12) VINCENT JOHN........................................................................
DIRECTOR
 .30
.......................1.30 		X           0 0 0
(13) JONES DAVID........................................................................
CHAIRMAN
 1.00
.......................5.80 		X   X       0 0 0
(14) JACKSON FRED........................................................................
PRESIDENT/CEO (UNTIL DEC 2013)
 41.00
.......................9.00 		X   X       1,209,166 0 30,383
(15) WHITLATCH KRISTIE........................................................................
PRESIDENT/CEO (AS OF DEC 2013)
 41.00
.......................9.00 		X   X       538,465 0 156,840
(16) TREASURE JEFF........................................................................
TREASURER, VP/CFO (UNTIL FEB 2014)
 41.00
.......................9.00 		    X       298,543 0 11,243
(17) MCFANN AUTUMN........................................................................
TREASURER, VP/CFO (AS OF FEB 2014)
 41.00
.......................9.00 		    X       160,504 0 27,384
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) MAHANEY SHERYL........................................................................
SECRETARY, VP/CHIEF LEGAL
 41.00
.......................9.00 		    X       340,647 0 119,245
(19) FIORET PHILIP MD........................................................................
VP/CMO
 40.00
........................50 		      X     666,089 0 178,022
(20) HIGGINS LARRY........................................................................
VP/CAO
 40.00
.......................1.30 		      X     401,015 0 135,772
(21) BOYKIN MAYOLA MD........................................................................
PHYSICIAN
 40.00
.......................   		        X   768,676 0 31,148
(22) FRALEY ERIK MD........................................................................
PHYSICIAN
 40.00
.......................   		        X   695,268 0 14,049
(23) HOWARD-CLAUDIO CANDACE MD........................................................................
PHYSICIAN
 40.00
.......................   		        X   905,399 0 32,820
(24) MOTIMAYA ASH MD........................................................................
PHYSICIAN
 40.00
.......................   		        X   852,370 0 31,204
(25) POWELL STELLA MD........................................................................
PHYSICIAN
 40.00
.......................   		        X   768,076 0 29,254










1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 7,645,906 66,774 813,954
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet158
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
BLANK ROME LLPONE LOGAN SQUARE 130 NORTH 18TH STPHILADELPHIAPA19178 LEGAL 4,407,531
HOGAN LOVELLS US LLPCOLUMBIA SQUARE 555 THIRTEENTH STWASHINGTONDC20004 LEGAL 3,338,225
DLA PIPER LLP (US)500 8TH ST NWWASHINGTONDC20004 LEGAL 2,332,310
STITES & HARBISON PLLC250 W MAIN ST 2300 LEXINGTON FINANLEXINGTONKY405071758 LEGAL 2,113,323
FIRSTSOURCE SOLUTIONS USA LLC6455 RELIABLE PARKWAYCHICAGOIL60686 ELIGIBILITY SERVICES 1,558,764
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet48
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 1,048,277
e Government grants (contributions)1e 18,121
f All other contributions, gifts, grants, and
similar amounts not included above1f 		168,678
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 1,235,076
Program Service RevenueAmt Business Code
2a NET PATIENT SVC REV 621110 393,593,853 393,453,216 140,637  
b PHARMACY 446110 12,905,636 12,853,196 52,440  
c MEANINGFUL USE REVENUES 621110 820,483 820,483    
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 407,319,972
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 10,181,143   -14,939 10,196,082
4 Income from investment of tax-exempt bond proceeds..MediumBullet 3,106     3,106
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents 874,119  
b Less: rental expenses 535,701  
c Rental income or (loss) 338,418  
d Net rental income or (loss).......MediumBullet 338,418   892 337,526
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 60,215,623 1,947,509
b Less: cost or other basis and sales expenses 53,446,160 4,628,882
c Gain or (loss) 6,769,463 -2,681,373
d Net gain or (loss)..........MediumBullet 4,088,090     4,088,090
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a CAFETERIA 722210 1,713,430     1,713,430
b INSURANCE SETTLEMENT 900099 1,500,000     1,500,000
c MANAGEMENT FEES 900099 271,750     271,750
d All other revenue .... 598,619   306,012 292,607
e Total. Add lines 11a–11d ...... MediumBullet 4,083,799
12 Total revenue. See Instructions......MediumBullet 427,249,604 407,126,895 485,042 18,402,591
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 56,509 56,509
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 4,019,074   4,019,074  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 149,005,873 130,650,856 18,355,017  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 3,881,155 3,403,385 477,770  
9 Other employee benefits ....... 26,160,089 22,939,782 3,220,307  
10 Payroll taxes ........... 10,100,204 8,664,965 1,435,239  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 4,049,834 367,844 3,681,990  
c Accounting ........... 120,000   120,000  
d Lobbying ........... 43,249 43,249    
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 644,487   644,487  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 33,576,031 23,030,628 10,545,403  
12 Advertising and promotion .... 2,812,989   2,812,989  
13 Office expenses ....... 2,730,162 1,492,669 1,237,493  
14 Information technology ...... 5,588,903 5,573,347 15,556  
15 Royalties ..        
16 Occupancy ........... 7,371,375 2,088,132 5,283,243  
17 Travel ............ 381,183 281,832 99,351  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 595   595  
20 Interest ........... 11,262,156   11,262,156  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 31,721,826 29,311,725 2,410,101  
23 Insurance .............. 5,865,283 673,665 5,191,618  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 83,846,786 79,825,395 4,021,391  
b BAD DEBT EXPENSE 25,084,742 25,084,742    
c REPAIRS & MAINTENANCE 14,213,709 12,930,290 1,283,419  
d TAX (INC. PROVIDER TAX) 7,655,721 7,605,732 49,989  
e All other expenses 4,156,091 2,086,308 2,069,783  
25 Total functional expenses. Add lines 1 through 24e 434,348,026 356,111,055 78,236,971 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 10,367,512 1 6,624,593
2 Savings and temporary cash investments ......... 13,218,373 2 6,499,950
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 66,616,975 4 67,625,033
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net ............. 889,786 7 1,070,397
8 Inventories for sale or use .............. 10,012,046 8 9,792,796
9 Prepaid expenses and deferred charges .......... 8,047,601 9 9,865,542
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 687,220,855
b Less: accumulated depreciation ..... 10b 417,803,167 292,008,311 10c 269,417,688
11 Investments—publicly traded securities .......... 225,954,740 11 191,770,871
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 ..... 6,259,393 13 5,732,621
14 Intangible assets ............... 587,059 14 747,691
15 Other assets. See Part IV, line 11 ........... 188,281,349 15 143,967,591
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 822,243,145 16 713,114,773
Liabilities 17 Accounts payable and accrued expenses ......... 50,048,707 17 50,952,255
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities ............. 239,206,332 20 238,624,371
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 2,517,625 23 99,770
24 Unsecured notes and loans payable to unrelated third parties ....   24 15,000,000
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 113,045,188 25 62,173,899
26 Total liabilities. Add lines 17 through 25......... 404,817,852 26 366,850,295
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 417,425,293 27 346,264,478
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 417,425,293 33 346,264,478
34 Total liabilities and net assets/fund balances ........ 822,243,145 34 713,114,773
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
427,249,604
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
434,348,026
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-7,098,422
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
417,425,293
5
Net unrealized gains (losses) on investments ...............
5
1,791,542
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-65,853,935
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
346,264,478
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
ASHLAND HOSPITAL CORPORATION
 
Employer identification number

61-0444716
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
ASHLAND HOSPITAL CORPORATION
 
Employer identification number

61-0444716
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
ASHLAND HOSPITAL CORPORATION
  		Employer identification number

61-0444716
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
ASHLAND HOSPITAL CORPORATION
  		Employer identification number

61-0444716
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
ASHLAND HOSPITAL CORPORATION
  		Employer identification number

61-0444716
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
ASHLAND HOSPITAL CORPORATION
 
Employer identification number

61-0444716
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
43,249
j
Total. Add lines 1c through 1i ...............................
43,249
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: $31,356: A PORTION OF THE DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. $675: A PORTION OF THE DUES PAID TO THE AMERICAN MEDICAL REHABILITATION PROVIDERS ATTRIBUTABLE TO LOBBYING EXPENSES. $5,458: A PORTION OF THE DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. $4,342: A PORTION OF THE DUES PAID TO THE AMERICAN COLLEGE OF CARDIOLOGY ATTRIBUTABLE TO LOBBYING EXPENSES. $1,418: A PORTION OF DUES PAID TO THE KENTUCKY MEDICAL ASSOCIATION ATTRIBUTABLE TO LOBBYING.
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ASHLAND HOSPITAL CORPORATION
 
Employer identification number

61-0444716
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   28,381,879 28,381,879
b Buildings ................   370,169,039 194,672,210 175,496,829
c Leasehold improvements ............        
d Equipment ................   279,583,255 217,307,233 62,276,022
e Other .................   9,086,682 5,823,724 3,262,958
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 269,417,688
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) SELF INSURANCE FUNDS 182,049
(2) TRUSTEED FUNDS 7,699,103
(3) DEFERRED FINANCING COSTS 3,018,866
(4) DUE FROM RELATED PARTIES 115,734,974
(5) OTHER RECEIVABLES 2,152,599
(6) SWAP COLLATERAL FUNDS 15,180,000



Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 143,967,591
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
MALPRACTICE COSTS 17,141,155
ACCRUED PENSION 12,529,000
LONG-TERM RETENTION PLAN 1,983,624
INTEREST RATE SWAP AGREEMENTS 15,650,432
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 14,571,270
LEASES PAYABLE 298,418



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 62,173,899
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 394,244,884
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 1,791,542
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d -35,148,164
e Add lines 2a through 2d ..................... 2e -33,356,622
3 Subtract line 2e from line 1..................... 3 427,601,506
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b -351,902
c Add lines 4a and 4b....................... 4c -351,902
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 427,249,604
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 405,739,873
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d 351,902
e Add lines 2a through 2d...................... 2e 351,902
3 Subtract line 2e from line 1..................... 3 405,387,971
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b 28,960,055
c Add lines 4a and 4b....................... 4c 28,960,055
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 434,348,026
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
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 -2,846,352. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS -78. BAD DEBT EXPENSES (NETTED AGAINST NET PATIENT SERVICE REVENUE ON F/S) -25,084,742. LOSS ON EARLY EXTINGUISHMENT OF DEBT (NETTED AGAINST OTHER REVENUE ON F/S) -3,875,313. PENSION LIABILITY ADJUSTMENT -3,421,235. ACCUMULATED LOSS ON SWAP 79,556.
PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -535,701. CONTRIBUTIONS NETTED AGAINST EXPENSES ON F/S 183,799.
PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 535,701. CONTRIBUTIONS NETTED AGAINST EXPENSES ON F/S -183,799.
PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSES (NETTED AGAINST NET PATIENT SERVICE REVENUE ON F/S) 25,084,742. LOSS ON EARLY EXTINGUISHMENT OF DEBT (NETTED AGAINST OTHER REVENUE ON F/S) 3,875,313.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ASHLAND HOSPITAL CORPORATION
 
Employer identification number

61-0444716
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    7,809,534   7,809,534 1.910 %
b Medicaid (from Worksheet 3,
column a) .... 		    77,397,483 51,346,535 26,050,948 6.370 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    85,207,017 51,346,535 33,860,482 8.280 %
Other Benefits
     3,314,241   3,314,241 0.810 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    32,246   32,246 0.010 %
g Subsidized health services
(from Worksheet 6) .. 		    276,264 203,997 72,267 0.020 %
h Research (from Worksheet 7)            
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    53,232   53,232 0.010 %
j Total. Other Benefits ..     3,675,983 203,997 3,471,986 0.850 %
k Total. Add lines 7d and 7j .     88,883,000 51,550,532 37,332,468 9.130 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development     218,407   218,407 0.050 %
9 Other            
10 Total     218,407   218,407 0.050 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
15,238,505
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
117,847,452
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
126,437,325
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-8,589,873
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, primary website address, and state license number 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 ASHLAND HOSPITAL CORPORATION
2201 LEXINGTON AVENUE
ASHLAND,KY41101
WWW.KDMC.COM
100958 		X X         X      
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
ASHLAND HOSPITAL CORPORATION
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 100.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 300.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
ASHLAND HOSPITAL CORPORATION 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 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 14G: THE POLICY ITSELF WAS NOT POSTED, HOWEVER WE DO POST IN ALL REGISTRATION AREAS THAT WE HAVE A FINANCIAL ASSISTANCE POLICY AVAILABLE, LIST SOME OF THE GUIDELINES AND THE PHONE NUMBERS TO CONTACT FOR AN APPLICATION. WE ALSO POST THE APPLICATION ON OUR WEBSITE AND INFORMATION ABOUT THE POLICY.
ASHLAND HOSPITAL CORPORATION PART V, SECTION B, LINE 20D: EVERY PATIENT IS CHARGED THE SAME AMOUNT REGARDLESS OF INSURANCE COVERAGE. PATIENT OUT-OF-POCKET BALANCES FOR THOSE PATIENTS WITHOUT INSURANCE COVERAGE ARE INITIALLY DISCOUNTED BY 50%. THE REMAINING SELF-PAY BALANCE, AFTER INSURANCE PAYMENTS AND ADJUSTMENTS OR SELF-PAY DISCOUNT IS APPLIED, IS THEN ELIGIBLE FOR ADDITIONAL REDUCTION BASED ON A SLIDING SCALE WHICH CONSIDERS THE PATIENT'S/GUARANTOR'S GROSS ANNUAL HOUSEHOLD INCOME, HOUSEHOLD SIZE, AND THE AMOUNT OF DEBT OWED.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?21
Name and address Type of Facility (describe)
1 CENTER FOR ADVANCED IMAGING
2225 CENTRAL AVENUE
ASHLAND,KY41101 		OUTPATIENT IMAGING CENTER
2 ASHLAND URGENT CARE
2245 WINCHESTER AVENUE
ASHLAND,KY41101 		URGENT CARE
3 GRAYSON URGENT CARE
I-64 INTERCHANGE
GRAYSON,KY41143 		URGENT CARE
4 IRONTON URGENT CARE
912 PARK AVENUE
IRONTON,OH45638 		URGENT CARE
5 OUTPATIENT SERVICES CENTER
480 23RD STREET
ASHLAND,KY41101 		PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY
6 CATLETTSBURG FAMILY CARE CENTER
4004 LOUIS RD
CATLETTSBURG,KY41129 		FAMILY CARE CENTER
7 CEDAR KNOLL FAMILY CARE CENTERPEDIATRIC
10650 US ROUTE 60
ASHLAND,KY41102 		FAMILY CARE CENTER/PEDIATRICS
8 FLATWOODS FAMILY CARE
1107 BELLEFONTE RD
FLATWOODS,KY41139 		FAMILY CARE CENTER
9 GRAYSON MEDICAL SPECIALTIES
609 N CAROL MALONE BLVD
GRAYSON,KY41143 		FAMILY CARE CENTER
10 FLATWOODS MEDICAL SPECIALTIES
1109 BELLEFONTE RD
FLATWOODS,KY41139 		FAMILY CARE CENTER
11 OLIVE HILL FAMILY CARE CENTER
391 WEST TOM T HALL BOULEVARD
OLIVE HILL,KY41164 		FAMILY CARE CENTER
12 BURLINGTON FAMILY CARE CENTER
384 COUNTRY ROAD 120 SOUTH
SOUTH POINT,OH45680 		FAMILY CARE CENTER
13 IRONTON FAMILY CARE CENTER
912 PARK AVENUE
IRONTON,OH45638 		FAMILY CARE CENTER
14 JACKSON MEDICAL SPECIALTIES
14395 STATE ROUTE 93
JACKSON,OH45640 		FAMILY CARE CENTER
15 PORTSMOUTH MEDICAL SPECIALTIES
2001 SCIOTO TRAIL
PORTSMOUTH,OH45662 		FAMILY CARE CENTER
16 WHEELERSBURG FAMILY CARE
8750 OHIO RIVER ROAD
WHEELERSBURG,OH45694 		FAMILY CARE CENTER
17 SANDY HOOK FAMILY CARE CENTER
STATE ROUTES 7 AND 32
SANDY HOOK,KY41171 		FAMILY CARE CENTER
18 KDMC INPATIENT REHABILITATION
2201 LEXINGTON AVENUE
ASHLAND,KY41101 		INPATIENT REHABILITATION
19 KDMC OCCUPATIONAL MEDICINE
2025 CARTER AVE
ASHLAND,KY41101 		OCCUPATIONAL MEDICINE
20 KDMC HOME HEALTH
399 DIEDERICH BLVD
RUSSELL,KY41169 		HOME HEALTH SERVICES
21 KDMC HOME MEDICAL EQUIPMENT
1700 WINCHESTER AVE
ASHLAND,KY41101 		DURABLE MEDICAL EQUIPMENT
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
ASHLAND HOSPITAL CORPORATION 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 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 14G: THE POLICY ITSELF WAS NOT POSTED, HOWEVER WE DO POST IN ALL REGISTRATION AREAS THAT WE HAVE A FINANCIAL ASSISTANCE POLICY AVAILABLE, LIST SOME OF THE GUIDELINES AND THE PHONE NUMBERS TO CONTACT FOR AN APPLICATION. WE ALSO POST THE APPLICATION ON OUR WEBSITE AND INFORMATION ABOUT THE POLICY.
ASHLAND HOSPITAL CORPORATION PART V, SECTION B, LINE 20D: EVERY PATIENT IS CHARGED THE SAME AMOUNT REGARDLESS OF INSURANCE COVERAGE. PATIENT OUT-OF-POCKET BALANCES FOR THOSE PATIENTS WITHOUT INSURANCE COVERAGE ARE INITIALLY DISCOUNTED BY 50%. THE REMAINING SELF-PAY BALANCE, AFTER INSURANCE PAYMENTS AND ADJUSTMENTS OR SELF-PAY DISCOUNT IS APPLIED, IS THEN ELIGIBLE FOR ADDITIONAL REDUCTION BASED ON A SLIDING SCALE WHICH CONSIDERS THE PATIENT'S/GUARANTOR'S GROSS ANNUAL HOUSEHOLD INCOME, HOUSEHOLD SIZE, AND THE AMOUNT OF DEBT OWED.
Schedule H (Form 990) 2013
Additional Data


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
ASHLAND HOSPITAL CORPORATION
 
Employer identification number
61-0444716
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) PARAMOUNT ARTS CENTER
1300 WINCHESTER AVENUE
ASHLAND,KY41101 		61-1181883 501(C)(3) 6,900       CONTRIBUTION TO SPRING FUNDRAISING GALA
(2) ASHLAND ALLIANCE
1730 WINCHESTER AVENUE
ASHLAND,KY41101 		61-1347516 501(C)(6) 5,800       ECONOMIC DEVELOPMENT INVESTMENT AND AWARDS SPONSORSHIP




















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
2
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: KING'S DAUGHTERS MEDICAL CENTER MAKES GRANTS/CONTRIBUTIONS TO ORGANIZATIONS BASED ON THE NEED OF THE ORGANIZATION AND THE TYPE OF EVENT IT SUPPORTS. MOST CONTRIBUTIONS ARE TO NON-PROFIT ORGANIZATIONS THAT FULFILL A NEED IN THE COMMUNITY, PROMOTE HEALTHY LIVING AND/OR ARE ECONOMIC-DEVELOPMENT BASED. ALL REQUESTS MUST BE MADE IN WRITING TO KDMC OUTLINING WHAT IS NEEDED AND HOW IT WILL BE USED. CONTRIBUTIONS ARE TRACKED AND DOCUMENTED.
Schedule I (Form 990) 2013


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ASHLAND HOSPITAL CORPORATION
 
Employer identification number

61-0444716
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)JACKSON FREDPRESIDENT/CEO (UNTIL DEC 2013) (i)
(ii)		 839,570
0 		294,107
0 		75,489
0 		7,650
0 		22,733
0 		1,239,549
0 		0
0
(2)WHITLATCH KRISTIEPRESIDENT/CEO (AS OF DEC 2013) (i)
(ii)		 399,389
0 		70,000
0 		69,076
0 		133,650
0 		23,190
0 		695,305
0 		51,727
0
(3)TREASURE JEFFTREASURER, VP/CFO (UNTIL FEB 2014) (i)
(ii)		 197,709
0 		100,000
0 		834
0 		0
0 		11,243
0 		309,786
0 		0
0
(4)MCFANN AUTUMNTREASURER, VP/CFO (AS OF FEB 2014) (i)
(ii)		 151,051
0 		9,399
0 		54
0 		4,932
0 		22,452
0 		187,888
0 		0
0
(5)MAHANEY SHERYLSECRETARY, VP/CHIEF LEGAL (i)
(ii)		 277,340
0 		0
0 		63,307
0 		96,575
0 		22,670
0 		459,892
0 		53,091
0
(6)FIORET PHILIP MDVP/CMO (i)
(ii)		 539,936
0 		0
0 		126,153
0 		154,314
0 		23,708
0 		844,111
0 		87,982
0
(7)HIGGINS LARRYVP/CAO (i)
(ii)		 320,109
0 		0
0 		80,906
0 		118,395
0 		17,377
0 		536,787
0 		57,076
0
(8)BOYKIN MAYOLA MDPHYSICIAN (i)
(ii)		 768,616
0 		0
0 		60
0 		7,650
0 		23,498
0 		799,824
0 		0
0
(9)FRALEY ERIK MDPHYSICIAN (i)
(ii)		 695,256
0 		0
0 		12
0 		7,650
0 		6,399
0 		709,317
0 		0
0
(10)HOWARD-CLAUDIO CANDACE MDPHYSICIAN (i)
(ii)		 905,385
0 		0
0 		14
0 		7,650
0 		25,170
0 		938,219
0 		0
0
(11)MOTIMAYA ASH MDPHYSICIAN (i)
(ii)		 852,338
0 		0
0 		32
0 		7,650
0 		23,554
0 		883,574
0 		0
0
(12)POWELL STELLA MDPHYSICIAN (i)
(ii)		 768,055
0 		0
0 		21
0 		7,650
0 		21,604
0 		797,330
0 		0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS: SHERYL MAHANEY - $53,091 PHILIP FIORET - $87,982 LARRY HIGGINS - $57,076 KRISTIE WHITLATCH - $51,727 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS/DEFERRALS: SHERYL MAHANEY - $88,925 PHILIP FIORET - $146,664 LARRY HIGGINS - $110,745 KRISTIE WHITLATCH - $126,000 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.
PART I, LINE 7 EMPLOYEES RECEIVED BONUSES BASED ON THE MEETING OF CERTAIN CUSTOMER SERVICE AND QUALITY MEASURES BY KDMC AS A WHOLE (SUCH AS A SPECIFIED LENGTH OF STAY, INPATIENT/OUTPATIENT SATISFACTION SCORES, AND OTHER QUALITY MEASURES). THE BONUS IS CALCULATED AS BASED ON A PERCENTAGE OF THE EMPLOYEE'S BASE ANNUAL COMPENSATION FOR EACH GOAL THAT IS MET AS DETERMINED BY THE BOARD OF DIRECTORS.
Schedule J (Form 990) 2013

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
ASHLAND HOSPITAL CORPORATION
 
Employer identification number
61-0444716
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA)
  		61-0600439 491269CG9 09-24-2008 146,580,000 REFUND PRIOR BOND ISSUES   X   X   X
B KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA)
  		61-0600439 491269CY0 04-01-2010 75,000,000 HEALTHCARE FACILITIES, BUILDING AND EQUIPMENT   X   X   X
C CITY OF ASHLAND KENTUCKY
  		61-6001775 044293AA6 04-01-2010 32,615,000 REFUND SERIES 1998 BONDS   X   X   X
D CITY OF ASHLAND KENTUCKY
  		61-6001775 044293AM0 08-14-2014 125,085,000 REFUND PRIOR BOND ISSUES; PAY ISSUANCE COSTS   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 119,125,000 14,120,000 6,925,000  
2 Amount of bonds legally defeased . . . . . . . . . . .        
3 Total proceeds of issue . . . . . . . . . . . . . . 145,708,338 73,888,959 33,986,558 125,085,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .        
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . .        
7 Issuance costs from proceeds . . . . . . . . . . . . 1,423,351 1,170,837 507,546 1,588,800
8 Credit enhancement from proceeds . . . . . . . . . . .        
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 12,574,982 65,039,141    
11 Other spent proceeds . . . . . . . . . . . . . . 131,710,005   33,479,012 123,496,200
12 Other unspent proceeds . . . . . . . . . . . . . . 7,678,981 7,678,981    
13 Year of substantial completion . . . . . . . . . . . . 2010 2010 2014
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X     X X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X     X X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		  X   X   X   X
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X X     X   X
b Exception to rebate? . . . . . . . .   X   X X   X  
c No rebate due? . . . . . . . . X     X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X     X   X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X X  
b Name of provider . . . . . . . . . JP MORGAN
  		 
  		 
  		 
 
c Term of hedge . . . . . . . . . . 22.500000000000     22.500000000000
d Was the hedge superintegrated? . . . .   X           X
e Was the hedge terminated? . . . . . .   X           X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X   X   X   X
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X   X   X   X
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
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 SERIES 2008C BOND DISCOUNT $871,662. ALSO, THE BOND ISSUES LISTED ON SCHEDULE K, PART I, LINE A CONSISTED OF THREE SERIES: SERIES 2008A, CUSIP 49126CG9, ISSUE PRICE 50,000,000 VARIABLE RATE ISSUE; SERIES 2008B, CUSIP 401269CH7, ISSUE PRICE 50,000,000, VARIABLE RATE ISSUE; SERIES 2008C, CUSIP 491269CJ3, ISSUE PRICE $46,580,000, FIXED RATE ISSUE.
PART II, LINE 3, ISSUE B SERIES 2010A BOND DISCOUNT $1,318,161.05, OFFSET BY $207,120 INTEREST EARNED THROUGH SEPTEMBER 30, 2014.
PART II, LINE 3, ISSUE C 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 9/30/14.
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ASHLAND HOSPITAL CORPORATION
 
Employer identification number

61-0444716
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) ANNE SLOAN SISTER IN LAW OF JOHN STEWART, BOARD DIRECTOR 51,059 EMPLOYEE PAYROLL COMPENSATION FOR ANNE SLOAN   No
(2) ASHLAND AREA YMCA
  		TOM BURNETTE & KIM MCCANN,BOARD DIRECTORS, ON BOARD OF ASHLAND AREA YMCA 293,128 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.   No
(3) ASHLAND OFFICE SUPPLY
  		TOM BURNETTE, BOARD DIRECTOR, IS THE OWNER OF ASHLAND OFFICE SUPPLY 928,011 TOM BURNETTE IS OWNER OF ASHLAND OFFICE SUPPLY. THE HOSPITAL PURCHASES OFFICE SUPPLIES & EQUIPMENT FROM ASHLAND OFFICE SUPPLY.   No
(4) FRESENIUS MEDICAL CARE
  		DON HAMMONDS IS MEDICAL DIRECTOR 1,044,524 FRESENIUS MEDICAL PROVIDES INPATIENT DIALYSIS TREATMENT FOR THE HOSPITAL   No
(5) VAN ART PROPERTIES
  		SON OF JOHN STEWART, BOARD DIRECTOR, IS THE OWNER OF VAN ART PROPERTIES 472,001 THE SON OF JOHN STEWART IS THE OWNER OF VAN ART PROPERTIES. THE HOSPITAL RENTS OFFICE SPACE FROM VAN ART PROPERTIES.   No
(6) VANANTWERP MONGE JONES EDWARDS & MCCANN
  		KIM MCCANN IS A PARTNER IN THE LAW FIRM 245,191 PAYMENTS FOR LEGAL SERVICES   No
(7) CINDY GILLUM SISTER OF KRISTIE WHITLATCH, CEO 23,061 EMPLOYEE PAYROLL COMPENSATION FOR CINDY GILLUM   No
(8) BROOKE VASS SISTER OF AUTUMN MCFANN, CFO 59,365 EMPLOYEE PAYROLL COMPENSATION FOR BROOKE VASS   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
ASHLAND HOSPITAL CORPORATION
 
Employer identification number

61-0444716
Return Reference Explanation
FORM 990, PART III, LINE 4A COMMUNITY HEALTH NEEDS ASSESSMENT: DURING FISCAL YEAR 2013, KDMC CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THE ASSESSMENT WAS CONDUCTED FOR KDMC'S PRIMARY MARKET (BOYD, CARTER, GREENUP & LAWRENCE COUNTIES, KENTUCKY AND LAWRENCE AND SCIOTO, COUNTIES, OHIO) AND SECONDARY MARKET COUNTIES OF 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. UNINTENTIONAL INJURY IS ALSO A SIGNIFICANT CAUSE OF DEATH. THESE RATES ARE HIGHER IN THE PRIMARY AND SECONDARY MARKET COUNTIES, THAN THE NATION. -RESIDENTS LIVE UNHEALTHY LIFESTYLES WITH 30% OF ADULTS SMOKING, 37% OBESE, AND 37% PHYSICALLY INACTIVE. THESE RATES ARE ALL WELL ABOVE THE NATIONAL AVERAGE. -THE SERVICE AREA HAS A HIGH NUMBER OF VULNERABLE POPULATIONS, WITH SIX OF SEVEN COUNTIES SHOWING A HIGH LOW-BIRTH WEIGHT RATE OF 10.5% (8.6% NATIONALLY), 17% OF THE POPULATION UNINSURED AND 32% OF CHILDREN LIVING IN POVERTY. -ENVIRONMENTAL FACTORS OFTEN CONTRIBUTE TO THE HEALTH OF THE COMMUNITY. IN THE AREA THERE ARE BARRIERS TO LIVING HEALTHY, INCLUDING LOW ACCESS TO RECREATIONAL FACILITIES, LIMITED ACCESS TO HEALTHY FOODS AND A HIGHER THAN AVERAGE NUMBER OF FAST FOOD RESTAURANTS. COMMUNITY INPUT WAS SOUGHT THROUGH FOCUS GROUPS AND SURVEYS, WITH THE FOLLOWING FINDINGS: -FOCUS GROUP PARTICIPANTS CITED AS BARRIERS TO GOOD HEALTH IN SCIOTO COUNTY THE FOLLOWING: UNHEALTHY LIFESTYLES (POOR NUTRITION AND PHYSICAL INACTIVITY) OBESITY DRUGS AND CRIME RELATED TO DRUGS TRANSPORTATION -RESPONDENTS TO THE HEALTH SURVEY CITED THE FOLLOWING TOP ISSUES IN THE COUNTY: SUBSTANCE ABUSE OBESITY CHRONIC DISEASES - CANCER, HEART DISEASE, AND DIABETES AN IMPLEMENTATION PLAN WAS DEVELOPED AND APPROVED BY THE BOARD OF DIRECTORS, AND IMPLEMENTATION BEGAN IN 2014. THE FOLLOWING COMMUNITY ACTIVITIES WERE PLANNED AND EXECUTED WHILE KEEPING IN MIND THE ASSESSMENTS TOP PRIORITIES.
FORM 990, PART III, LINE 4A COMMUNITY BUILDING ACTIVITIES: COLLABORATION WITH COMMUNITY: DURING 2014, KDMC IN COLLABORATION WITH THE KENTUCKY HEART FOUNDATION, WORKED WITH THE 75-MEMBER HEALTHY KIDS, HEALTHY COMMUNITIES COALITION TO WORK ON REDUCING CHILDHOOD OBESITY THROUGH POLICY, SYSTEMS, AND ENVIRONMENTAL CHANGE. KDMC WORKED WITH MEMBERS OF THE COALITION ON IMPLEMENTATION OF INCREASED PHYSICAL ACTIVITY AND IMPROVED NUTRITION AMONG RESIDENTS IN THE TRI-STATE AREA. AN EMPLOYEE OF KDMC HAS CHAIRED THE COALITION FOR MORE THAN FOUR YEARS. AS CHAIR, THIS EMPLOYEE SPENT A GREAT DEAL OF TIME IN 2014 COORDINATING AND OVERSEEING THE WORK OF THE ENTIRE GROUP. THIS EMPLOYEE'S WORK INCLUDED ATTENDING ALL COALITION MEETINGS, HELPING TO SET MEETING AGENDAS, TAKING AND DISTRIBUTING MINUTES, COMMUNICATING WITH PARTNERS, ASSISTING WITH FINDING AND WRITING GRANTS, PLUS MORE. COALITION ACCOMPLISHMENTS INCLUDE THE FOLLOWING: 1.HELD FOUR (4) HEALTHY KIDS, HEALTHY COMMUNITIES COALITION MEETINGS; 2.ATTENDED MEETINGS FOR THE GREENUP COUNTY HEALTH DEPARTMENT'S MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS; 3.ASSISTED THE GREENUP COUNTY HEALTH DEPARTMENT WITH THEIR WALKABILITY ASSESSMENT OF THE CITY OF RACELAND; 4.PARTICIPATED IN NATIONAL WALK TO SCHOOL DAY WITH ASHLAND INDEPENDENT SCHOOLS; 5.ATTENDED HEALTHY CHOICES KY COALITION MEETINGS; 6.BEGAN DISCUSSIONS OF POTENTIAL MERGER WITH HEALTHY CHOICES KY. AS MANY GRANT PROGRAMS ENDED IN 2013, THE COALITION USED 2014 TO PLAN THE FUTURE AND DISCUSS A POTENTIAL MERGER WITH ANOTHER LOCAL COALITION. OVER THE PAST SEVERAL YEARS, BOYD AND GREENUP COUNTIES HAD TWO SEPARATE COALITIONS, ONE LED BY THE KENTUCKY HEART FOUNDATION AND THE OTHER BY OUR LADY OF BELLEFONTE HOSPITAL. RECOGNIZING THE POWER OF PARTNERSHIPS, THE COALITION DECIDED TO JOIN EFFORTS AND MAXIMIZE RESOURCES. THE NEW COALITION, HEALTHY CHOICES, HEALTHY COMMUNITIES (HCHC), COMBINES THE EFFORTS OF BOTH COALITIONS. MOVING FORWARD AS ONE ENTITY IN 2015, HEALTHY CHOICES, HEALTHY COMMUNITIES WILL SEEK TO CREATE A HEALTHIER PLACE TO LIVE, LEARN, WORK, AND PLAY BY EMBRACING A NEW WAY OF THINKING SO THAT HEALTHY CHOICES BECOME EASIER CHOICES FOR RESIDENTS. COALITION PARTNERS INCLUDE GOVERNMENT AGENCIES, COUNTY EXTENSION OFFICES, SCHOOLS, HEALTH DEPARTMENTS, HOSPITALS, COLLEGES, AND OTHER LIKE-MINDED ORGANIZATIONS. KDMC ALSO PARTNERS WITH AREA RETAILERS, FACTORIES AND CHEMICAL PLANTS, CITY OF ASHLAND, LOCAL EMS SERVICES, AMERICAN RED CROSS, AMERICAN HEART ASSOCIATION, SUSAN G. KOMEN FOR THE CURE, CARES (LOCAL REFERRAL AGENCY), COMMUNITY KITCHEN, SAFE HARBOR, 16 SCHOOL DISTRICTS AND NEARBY COLLEGES AND UNIVERSITIES, SHELTER OF HOPE, ASHLAND AREA YMCA, KENTUCKY STATE POLICE, OHIO HIGHWAY PATROL, AREA SENIOR CENTERS, AND MORE THAN 100 CHURCHES TO DELIVER HEALTH SERVICES AND EDUCATION TO RESIDENTS. KDMC'S COMMUNITY HEALTH TEAM GOES OUT INTO THE COMMUNITY TO MEET PEOPLE ON THEIR TIME AND IN THE PLACES THAT ARE COMFORTABLE FOR THEM - SCHOOLS, MALLS, LIBRARIES, WORKSITES, GROCERY STORES, AND MORE. KDMC SUPPORTS THE HEALTH OF THE COMMUNITY BY PROVIDING FREE AND REDUCED COST SERVICES, INCLUDING HEALTH SCREENINGS AND HEALTH EDUCATION. THESE SERVICES HELP INDIVIDUALS IDENTIFY THEIR PERSONAL HEALTH RISKS AND LEARN HOW TO IMPROVE THEIR HEALTH THROUGH LIFESTYLE CHANGE OR WHEN NEEDED MEDICAL INTERVENTION. DURING FISCAL YEAR 2014, KDMC PROVIDED THE FOLLOWING: HEALTH SCREENINGS: -CARPAL TUNNEL - 75 ADULTS SERVED -ABI - 59 ADULTS SERVED -BMI - 14 ADULTS SERVED -DERMA SCAN - 86 ADULTS SERVED -GENERAL HEALTH (TOTAL CHOLESTEROL, BLOOD PRESSURE, AND BLOOD SUGAR) - 4,068 ADULTS SERVED -HEALTHY HEART - (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR & EKG) - 6,638 ADULTS SERVED -HEARING - 22 ADULTS SERVED -HEIGHTS AND WEIGHTS - 108 ADULTS SERVED -JOINT PAIN - 57 ADULTS SERVED -LOW-DOSE CT - 4 ADULTS SERVED -LUNG FUNCTION - 89 ADULTS SERVED -MOBILE MAMMOGRAPHY - 988 WOMEN SERVED -OSTEOPOROSIS - 61 ADULTS SERVED -PROSTATE CANCER - 28 MEN SERVED -SLEEP APNEA - 6 ADULTS SERVED -SPORTS PHYSICALS - 101 ADULTS SERVED; 799 CHILDREN/YOUTH SERVED -SKIN CANCER - 205 ADULTS SERVED -VARICOSE VEIN - 79 ADULTS SERVED 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 AREAS OF FOCUS. OUR REGION HAS A HIGH INCIDENCE OF UNDIAGNOSED OR UNTREATED HEART AND VASCULAR DISEASE. HEALTH EDUCATION -BREAST CANCER - 2,314 ADULTS, 189 CHILDREN/YOUTH SERVED -CHF (HEART FAILURE) - 198 ADULTS -COLON CANCER - 693 ADULTS, 925 CHILDREN/YOUTH SERVED -DENTAL - 1,100 ADULTS, 410 CHILDREN/YOUTH SERVED -DIABETES - 2,209 ADULTS, 128 CHILDREN/YOUTH SERVED -EXERCISE - 183 ADULTS, 652 CHILDREN/YOUTH SERVED -FIRST AID - 16 ADULTS, 18 CHILDREN/YOUTH SERVED -HAND WASHING - 1,330 ADULTS, 341 CHILDREN/YOUTH SERVED -HEALTH - 3,739 ADULTS, 842 CHILDREN/YOUTH SERVED -HEART - 3,511 ADULTS, 424 CHILDREN/YOUTH SERVED -IMMUNIZATION - 1,080 ADULTS, 400 CHILDREN/YOUTH SERVED -LUNG CANCER - 99 ADULTS -NUTRITION - 2,646 ADULTS, 5,309 CHILDREN/YOUTH SERVED -POISON PREVENTION - 255 ADULTS, 58 CHILDREN/YOUTH SERVED -PROSTATE CANCER - 432 ADULTS, 30 CHILDREN/YOUTH SERVED -SAFETY, OTHER - 3,197 ADULTS, 390 CHILDREN/YOUTH SERVED -SCHOOL BUS SAFETY - 1,166 ADULTS, 517 CHILDREN/YOUTH SERVED -SKIN CANCER - 1,018 ADULTS, 19 CHILDREN/YOUTH SERVED -STROKE - 2,268 ADULTS, 103 CHILDREN/YOUTH SERVED -SUMMER SAFETY - 1,253 ADULTS, 148 CHILDREN/YOUTH SERVED -TOBACCO - 1,549 ADULTS, 8,687 CHILDREN/YOUTH SERVED -WHEEL OF HEALTH - 7 ADULTS, 26 CHILDREN/YOUTH SERVED -ALL OTHERS - 525 ADULTS, 346 CHILDREN/YOUTH SERVED THIS INCLUDES BICYCLE SAFETY, BONE HEALTH, BREASTFEEDING, FIRE SAFETY, FLU, STUFFEE, AND VEHICLE SAFETY.
FORM 990, PART III, LINE 4A OTHER SERVICES: FLU SHOTS: DURING THE FISCAL YEAR, KDMC PROVIDED 1,305 FREE FLU SHOTS THROUGHOUT THE COMMUNITY. FLU SHOTS ARE DELIVERED THROUGH A VARIETY OF SETTINGS AND IN MULTIPLE COUNTIES SERVED BY THE MEDICAL CENTER. CARDON OUTREACH: IN 2014, KDMC PARTNERED WITH CARDON OUTREACH TO HELP ENSURE THAT PATIENTS WHO ARE ELIGIBLE FOR HEALTH COVERAGE UNDER MEDICAID OR THE AFFORDABLE CARE ACT GET PROPERLY ENROLLED. ENROLLMENT FOR MEDICAID AND OTHER MEDICAL ASSISTANCE PROGRAMS IS AVAILABLE THROUGH KINGS DAUGHTERS AT NO COST. MEALS ON WHEELS: THE KDMC MEALS ON WHEELS PROGRAM IS A COLLABORATIVE EFFORT BETWEEN THE MEDICAL CENTER, ASHLAND COMMUNITY KITCHEN AND CARES. KDMC PROVIDES COORDINATION FOR THE PROGRAM WHICH SERVES RESIDENTS WITHIN THE CITY OF ASHLAND. IN ADDITION TO A COORDINATOR, KDMC SUPPORTS THE PROGRAM BY SUPPLEMENTING THE AMOUNT PAID BY THE CLIENTS IN ORDER TO PROVIDE HEALTHY NUTRITIOUS MEALS. KDMC TEAM MEMBERS, LOCAL CHURCHES, AND COMMUNITY RESIDENTS VOLUNTEER TO DELIVER THE MEALS TO 50 RECIPIENTS EACH DAY, MANY OF WHOM ARE ELDERLY AND CONFINED TO THEIR HOMES. DELIVERIES INCLUDE A HOT MEAL, COLD MEAL, BREAKFAST, SNACK, AND TWO MILKS. KDMCS MEALS-ON-WHEELS PROGRAM IS MUCH MORE THAN A FOOD DELIVERY SERVICE. VISITING WITH RECIPIENTS DURING MEAL DELIVERY IS AN OPPORTUNITY TO CARE FOR THEM IN OTHER WAYS. VOLUNTEERS OFTEN SHOVEL SNOW, TAKE OUT TRASH, OR GET THE MAIL FOR THE RECIPIENT. IN 2014, THERE WERE A TOTAL OF 3,038 VOLUNTEERED HOURS BY BOTH KDMC TEAM MEMBERS AND COMMUNITY MEMBERS AND 7,520 MEALS WERE SERVED TO APPROXIMATELY 610 PEOPLE. PINK LADIES DAY: KDMC, THROUGH FUNDING FROM SUSAN G. KOMEN LEXINGTON, PROVIDED BREAST CANCER EDUCATION, FREE SCREENING MAMMOGRAMS, AND FOLLOW-UP TESTING FOR WOMEN AGE 40-64 YEARS OLD THAT WERE UNDERINSURED OR UNINSURED IN EIGHT COUNTIES IN KENTUCKY. APPROXIMATELY 60 WOMEN WERE PROVIDED WITH FREE SCREENING MAMMOGRAMS AND MORE THAN 50 WERE PROVIDED WITH FINANCIAL ASSISTANCE FOR DIAGNOSTIC TESTING, ULTRASOUND AND BIOPSIES. SUPPORT GROUPS: KDMC PROVIDED A VARIETY OF SUPPORT GROUPS IN 2014 THAT WERE FREE TO ALL INTERESTED COMMUNITY MEMBERS. SUPPORT GROUPS OFFERED WERE ADULT DIABETES, YOUTH DIABETES, SURGICAL WEIGHT LOSS, BREAST CANCER, AND PREGNANCY AND INFANT LOSS. TEAM MEMBERS VOLUNTEERED 54.5 HOURS AND SERVED 147 ADULTS AND 18 CHILDREN. FAITHWORKS: FAITHWORKS IS A HEALTH MINISTRY PROGRAM THAT WAS OFFERED TO MORE THAN 100 CHURCHES IN 2014 AS PART OF KDMC'S COMMITMENT TO THE FAITH COMMUNITY. THE GOAL IS TO PROMOTE WELLNESS BY ENABLING CHURCHES TO ENCOURAGE AND EMPOWER PEOPLE TO TAKE BETTER CARE OF THEMSELVES. EDUCATION AND SCREENING MATERIALS ARE PROVIDED FREE OF CHARGE TO OVER 100 PARTICIPATING CHURCHES. GO RED FOR GIRL SCOUTS: GO RED FOR GIRL SCOUTS IS A PROGRAM THAT TOOK PLACE IN FEBRUARY 2014 IN HONOR OF AMERICAN HEART MONTH. FUNDED BY KING'S DAUGHTERS, GIRLS HAD THE OPPORTUNITY TO EXPLORE EXERCISE TECHNIQUES SUCH AS ZUMBA, SAVOR EXOTIC FRUITS SUCH AS PASSION FRUIT AND STAR FRUIT, AND LEARN HOW EVERYDAY ACTIVITIES SUCH AS BRUSHING THEIR TEETH CAN HELP THEIR HEARTS. KING'S DAUGHTERS, ITS COMMUNITY RELATIONS TEAM, AND THE GIRL SCOUTS ALL AIM TO TEACH GIRLS HEALTHY CHOICES AT AN EARLIER AGE. GIRLS WHO PARTICIPATED IN THE PROGRAM RECEIVED MATERIALS TO SHARE WHAT THEY HAD LEARNED WITH THEIR FAMILIES. CANCER REGISTRIES: KDMC ENTERED CANCER DATA FOR 2014 INTO THE CANCER PATIENT DATA MANAGEMENT SYSTEM FOR BENEFIT OF THE KENTUCKY STATE CANCER REGISTRY. THE REGISTRY TRACKS PATIENT DEMOGRAPHICS, TYPE OF TUMOR FOUND, TREATMENT FOR CANCER DIAGNOSIS PLUS MORE AND FOLLOWS PATIENTS UNTIL DEATH. OVER THE YEARS, THIS PROCESS HAS HELPED IN PREPARING HUNDREDS OF CANCER RESEARCH PROJECTS AND PROPOSALS. IN ADDITION, IT HAS ALSO HELPED SUB-GEOGRAPHIC AREAS OF THE STATE TO IDENTIFY CANCER CONTROL ISSUES THAT COULD NOT HAVE BEEN SEEN WITHOUT A POPULATION-BASED CANCER REGISTRY AND TO TARGET THEIR LIMITED RESOURCES. THE PROCESS HAS RESULTED IN THE IMPLEMENTATION OF MANY CANCER CONTROL INTERVENTIONS. LIFELINE SCREENING DEVICES: KING'S DAUGHTERS OFFERS PHILLIP'S LIFELINE MEDICAL ALERT SYSTEM AT A NOMINAL COST TO COMMUNITY MEMBERS THAT LIVE ALONE AND ARE AT HIGH RISK FOR FALLS OR MEDICAL EMERGENCIES. THIS DEVICE IS ACCESSIBLE TO COMMUNITY RESIDENTS WITHIN THE LOCAL DIALING AREA. IN 2014, KDMC HAD 3,636 PARTICIPANTS. MEGA HEART XL: KDMC BROUGHT MEGA HEART XL, A SCIENTIFICALLY ACCURATE 25-FOOT INFLATABLE REPLICA OF THE HUMAN HEART, TO THE ASHLAND TOWN CENTER MALL IN 2014. THE MEGA HEART PROVIDED VISITORS OF THE MALL WITH A HIGHLY INTERACTIVE, EDUCATIONAL EXPERIENCE FEATURING THE HEART'S MOST CRITICAL COMPONENTS, NORMAL HEART FUNCTIONS, AND EXAMPLES OF HEART TRAUMA AND DISEASE. CANCER SURVIVOR'S DAY: KDMC HOSTED A CANCER SURVIVOR'S DAY CELEBRATION IN FY2014 FOR APPROXIMATELY 275 CANCER SURVIVORS. SURVIVORS RECEIVED A MEAL PLUS AN ABUNDANCE OF CANCER EDUCATION FREE OF COST. PARTICIPANTS RECEIVED A PAMPHLET ON RECOMMENDED EXAMS FOR MEN AND WOMEN AND APPROPRIATE AGES FOR THOSE EXAMS. IN ADDITION, EDUCATION ON MAMMOGRAMS, BREAST CANCER, SKIN CANCER, LUNG CANCER, PROSTATE CANCER, AND COLON CANCER WERE ALSO PROVIDED. PARTICIPANTS ALSO HAD THE OPPORTUNITY TO SPEAK WITH SEVERAL ONCOLOGY NURSES DURING THE CELEBRATION. CANCER SURVIVOR'S DAY IS OPEN TO ALL CANCER SURVIVORS, NOT JUST THOSE FROM KDMC. ADDITIONAL INFORMATION THAT SHOWS HOW MUCH KDMC AND ITS TEAM MEMBERS CARE ABOUT THE COMMUNITY: 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. THERE IS ALSO A VARIETY OF FREE FOOD AND SNACKS AVAILABLE TO FAMILIES STAYING AT THE HOUSE. MORE THAN 929 FAMILY MEMBERS WERE SERVED BY THE HOSPITALITY HOUSE DURING THE YEAR. IF FAMILIES DON'T QUALIFY FOR THE HOSPITALITY HOUSE, KDMC WORKS WITH SOCIAL SERVICES TO PURCHASE A HOTEL ROOM FOR QUALIFYING FAMILIES AT NO COST TO THE FAMILIES. FAMILIES IN NEED: KDMC SEES MANY FAMILIES THAT CAN'T AFFORD FOOD WHILE STAYING WITH THEIR LOVED ONE IN THE HOSPITAL. IN RESPONSE, KDMC WORKS WITH SOCIAL WORKERS TO PROVIDE MEAL TICKETS, FREE OF CHARGE, TO THOSE FAMILIES IN NEED. IN ADDITION, KDMC WILL ALSO PROVIDE PERSONAL HYGIENE ITEMS, IF NEEDED, AND GAS CARDS TO FAMILIES IF THEIR LOVED ONE IS TRANSFERRED TO ANOTHER FACILITY. IN 2014, KDMC SPENT APPROXIMATELY $10,000 TO PROVIDE FOR FAMILIES IN NEED. SPIRITUAL SERVICES: THE PASTORAL CARE SERVICE DEPARTMENT EMPLOYS 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, ARE OFFERED BY THE DEPARTMENT. RESEARCH: KDMC THROUGH ITS 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. NORTHEAST KENTUCKY CARE CENTER: KDMC TEAM MEMBERS PROVIDED 123 VOLUNTEER HOURS FOR THE NORTHEAST KENTUCKY CARE CENTER, A LOCAL NOT-FOR-PROFIT FREE CLINIC FOR THE UNINSURED. A TOTAL OF 139 PEOPLE WERE SEEN AT THIS CLINIC IN 2014. MY CHART: KDMC PROVIDES A FREE TOOL TO PATIENTS TO HELP THEM MANAGE THEIR OWN HEALTH. MY CHART GIVES PATIENTS PERSONALIZED ACCESS TO PARTS OF THEIR MEDICAL RECORD. PATIENTS CAN VIEW THEIR HEALTH SUMMARY, TRACK HEALTH OVER TIME, AND SCHEDULE APPOINTMENTS AS NEEDED. CONTINUING NURSING EDUCATION: KING'S DAUGHTERS PROVIDES CONTINUING NURSING EDUCATION TO NURSES INSIDE AND OUTSIDE OF KDMC. SELECT CONFERENCES AND OTHER LEARNING OPPORTUNITIES ARE AVAILABLE TO THE PUBLIC FREE OF CHARGE. BLOOD DRIVES: KDMC PARTNERED WITH THE AMERICAN RED CROSS TO HOST MONTHLY BLOOD DRIVES. A TOTAL OF 110.75 HOURS WERE VOLUNTEERED BY KDMC TEAM MEMBERS TO WORK THE DRIVES. A TOTAL OF 298 COMMUNITY MEMBERS AND TEAM MEMBERS DONATED BLOOD. KDMC ALSO PROVIDED SNACKS FOR EACH DRIVE. HOPE'S PLACE CHOCOLATE EXTRAVAGANZA: EACH YEAR KDMC TEAM MEMBERS CREATE AND DONATE BASKETS FOR AUCTION TO RAISE MONEY FOR HOPE'S PLACE CHILDREN ADVOCACY CENTER. KDMC TEAM MEMBERS DONATED MORE THAN 60 BASKETS IN 2014.
FORM 990, PART III, LINE 4A BUILD-A-BED: KDMC TEAM MEMBERS MADE GENEROUS DONATIONS OF BLANKETS, COMFORTERS, PILLOWS, BOOKS, HYGIENE ITEMS, AND STUFFED ANIMALS FOR BUILD-A-BED MOREHEAD, AN AGENCY THAT MAKES A DIFFERENCE IN CHILDREN'S LIVES. MANY KENTUCKY CHILDREN GO TO BED EACH NIGHT IN MAKESHIFT CIRCUMSTANCES - SLEEPING ON THE FLOOR, COUCH, WITH PARENTS, OR SIBLINGS. BACKPACK PROGRAM: KDMC TEAM MEMBERS MADE BACKPACKS FOR 140 ELEMENTARY AGED CHILDREN TO ENSURE STUDENTS START THE YEAR WITH THE NECESSARY SCHOOL SUPPLIES AND AT LEAST ONE NEW OUTFIT. ADOPT-A-FAMILY: KDMC TEAM MEMBERS ADOPTED 200 FAMILIES AT CHRISTMAS TIME. THEY PROVIDED GIFTS AND FOOD TO THOSE IN NEED. RIVER CITIES HARVEST: KDMC TEAM MEMBERS DONATED MORE THAN 14,000 POUNDS OF FOOD TO RIVER CITIES HARVEST IN 2014. JOE STEVENS COAT DRIVE: ON A COLD DAY, EMERGENCY DEPARTMENT NURSE JOE STEVENS GAVE HIS OWN COAT TO A PATIENT WHO DIDN'T HAVE ONE. IT WAS A SIMPLE ACT OF KINDNESS, BUT NOT OUT OF CHARACTER FOR JOE, WHO COULD ALWAYS BE COUNTED ON TO PRACTICE RANDOM ACTS OF KINDNESS. IN 2012, JOE PASSED AWAY AFTER A LONG BATTLE WITH CANCER. INSPIRED BY JOE'S GIVING SPIRIT, HIS FRIENDS AND CO-WORKERS DETERMINED TO HONOR HIS LIFE THROUGH AN ANNUAL COAT DRIVE TO BENEFIT THE HOMELESS AND THOSE IN NEED. IN 2014, THE KDMC TEAM DONATED OVER 1,000 COATS, HATS, AND GLOVES TO LOCAL ORGANIZATIONS THAT DISTRIBUTE CLOTHES TO THE NEEDY. HABITAT FOR HUMANITY: IN THE WINTER OF 2014, KING'S DAUGHTERS DONATED TWO TRUCKLOADS OF USED OFFICE FURNITURE TO THE HUNTINGTON, WEST VIRGINIA AREA HABITAT FOR HUMANITY RESTORE. RESTORE PROCEEDS FUND HABITAT FOR HUMANITY PROJECTS IN THE AREA. IN ADDITION TO RESTORE, KING'S DAUGHTERS DONATED ITEMS TO MANY OTHER COMMUNITY ORGANIZATIONS AND SCHOOLS. AFFILIATED HEALTH CARE SYSTEM ROLES: KDMC IS PART OF AN AFFILIATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM ALSO PROVIDES PHYSICIAN SERVICES THROUGH KING'S DAUGHTERS MEDICAL SPECIALTIES (KDMS). BOTH KDMC AND KDMS PROVIDE CHARITY CARE AND PARTICIPATE IN GOVERNMENT PROGRAMS.
FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE OF THE AHC BOARD IS MADE UP OF THE FOLLOWING MEMBERS: DAVID JONES, CHAIR; STEPHEN ADDINGTON, VICE CHAIR; KRISTIE WHITLATCH, CHIEF EXECUTIVE OFFICER; JOHN STEWART, TRUSTEE; TOM BURNETTE, TRUSTEE; 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 7A AS THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM, KDHS HAS CERTAIN GOVERNANCE RIGHTS WITH RESPECT TO AHC. THOSE RIGHTS INCLUDE ELECTING OR REMOVING AHC'S DIRECTORS AND OFFICERS.
FORM 990, PART VI, SECTION A, LINE 7B AS THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM, KDHS HAS CERTAIN GOVERNANCE RIGHTS WITH RESPECT TO AHC. THOSE RIGHTS REQUIRE CERTAIN SIGNIFICANT AHC ACTIONS TO NOW ALSO BE APPROVED BY KDHS, INCLUDING, AMONG OTHERS, A CHANGE OF MEMBERSHIP OR SALE OF AHC, ELECTING OR REMOVING AHC'S DIRECTORS AND OFFICERS, AMENDING AHC'S ARTICLES AND BYLAWS, OR ANY BANKRUPTCY, LIQUIDATION OR DISSOLUTION OF AHC, INCLUDING THE TAX-EXEMPT ORGANIZATION TO WHOM AHC'S ASSETS ARE DISTRIBUTED UPON ITS DISSOLUTION. KDHS' BOARD OF TRUSTEES MAY IDENTIFY ADDITIONAL AHC ACTIONS THAT MUST BE APPROVED BY KDHS IN ADDITION TO THOSE SPECIFICALLY LISTED IN AHC'S ARTICLES AND BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11 THE 990 WILL BE REVIEWED BY THE CFO AND CONTROLLER. AFTER THIS REVIEW, BUT BEFORE IT IS FILED WITH THE IRS, THE FINAL 990 WILL BE PROVIDED TO THE FULL BOARD OF DIRECTORS USING BOARD EFFECTS SOFTWARE. AN E-MAIL WITH A LINK TO THE POSTING WILL BE SENT TO EACH BOARD MEMBER ONCE THE REPORT HAS BEEN POSTED.
FORM 990, PART VI, SECTION B, LINE 12C KING'S DAUGHTERS MEDICAL CENTER REQUIRES ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO COMPLY WITH ITS CONFLICTS OF INTEREST POLICY, WHICH TRACKS THE IRS'S RECOMMENDED POLICY WITH RESPECT TO SUCH OFFICERS AND DIRECTORS. MEMBERS OF THE MEDICAL CENTER'S BOARD OF DIRECTORS MUST ANNUALLY IDENTIFY, IN WRITING, ANY INTEREST THAT COULD GIVE RISE TO A CONFLICT, SUCH AS A LEADERSHIP POSITION IN A CONFLICTING ORGANIZATION; DISCLOSURE IS NOT LIMITED TO FINANCIAL CONFLICTS. LEADERSHIP EMPLOYEES MUST ANNUALLY CERTIFY, IN WRITING, THAT THEY KNOW OUR CONFLICTS OF INTEREST POLICY AND PROCEDURE AND HAVE NO CONFLICTS OF INTEREST. IN ADDITION, EMPLOYEES OF THE MEDICAL CENTER CERTIFY THAT NO CONFLICTS OF INTEREST EXIST OR OBTAIN AN ADVANCE WAIVER OF ANY CONFLICTS. THE MEDICAL CENTER'S HUMAN RESOURCES DEPARTMENT MAINTAINS ALL RELEVANT DISCLOSURES AND SIGNATURES. IF A CONFLICT OF INTEREST IS REPORTED, THE VICE PRESIDENT TO WHOM THE REPORTING EMPLOYEE DIRECTLY OR INDIRECTLY REPORTS, TOGETHER WITH THE CEO, CORPORATE COMPLIANCE OFFICER AND GENERAL COUNSEL, DETERMINES IF A CONFLICT EXISTS. IF THE REPORTING EMPLOYEE IS A VICE PRESIDENT, THE CEO, IN CONSULTATION WITH THE GENERAL COUNSEL, DETERMINES IF A CONFLICT EXISTS. A MEMBER OF THE MEDICAL CENTER'S BOARD OF DIRECTORS REPORTS ANY CONFLICT OR POTENTIAL CONFLICT TO THE CHAIRMAN OF THE BOARD, THE CEO AND/OR THE GENERAL COUNSEL OF THE MEDICAL CENTER, AS APPROPRIATE. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE EMPLOYEE OR BOARD MEMBER IS REMOVED FROM ANY PART OF THE DECISION-MAKING PROCESS, AND HAS NO ROLE IN THE INSTANCE IN WHICH THE CONFLICT EXISTS. A BOARD MEMBER WHO HAS A CONFLICT OF INTEREST MUST ABSTAIN FROM ANY RELEVANT DISCUSSION OR VOTE. IF A CONFLICT OF INTEREST IS DISCOVERED AFTER THE FACT, THE CEO AND VICE PRESIDENT, TOGETHER WITH THE GENERAL COUNSEL, IF APPROPRIATE, REVIEWS THE INSTANCE IN WHICH THE CONFLICT OCCURRED. THOSE LEADERS ENSURE THAT THE CONFLICTED INDIVIDUAL DID NOT INFLUENCE DECISION-MAKING OR PROFIT FROM THE CONFLICT. THE CONFLICTED INDIVIDUAL IS REMOVED FROM ANY FURTHER INVOLVEMENT. IN ADDITION, ANY FAILURE TO REPORT CONFLICTS OF INTEREST VIOLATES THE MEDICAL CENTER'S POLICY AND COULD RESULT IN DISCIPLINARY ACTION, UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR REMOVAL FROM THE MEDICAL CENTER'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15 AT THE DIRECTION OF THE HUMAN RESOURCES & COMPENSATION COMMITTEE OF THE BOARD, 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 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 KDHS EXECUTIVE TEAM. MOREOVER, THE OBJECTIVE WAS TO COMPILE MARKET DATA FOR EACH POSITION THAT WAS REFLECTIVE OF THE PAY LEVELS OFFERED BY INDEPENDENT, NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS OF COMPARABLE SIZE (I.E., $470 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 KDHS'S HUMAN RESOURCE & COMPENSATION COMMITTEE'S REVIEW AND RECOMMENDATIONS, AND THE BOARD'S REVIEW AND APPROVAL OF ANNUAL COMPENSATION INCREASES. THE PROCESS INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THIS PROCESS WAS USED TO DETERMINE COMPENSATION FOR THE FOLLOWING POSITIONS: PRESIDENT/CEO VP, CHIEF ADMINISTRATIVE OFFICER VP, CHIEF COMPLIANCE OFFICER VP, CHIEF FINANCIAL OFFICER VP, CHIEF LEGAL & REGULATORY OFFICER/GENERAL COUNSEL VP, CHIEF MEDICAL OFFICER VP, CHIEF STRATEGY/INFORMATION SERVICES & TECHNOLOGY OFFICER VP, EXECUTIVE DIRECTOR KING'S DAUGHTERS INTEGRATED PHYSICIANS VP, FACILITIES VP, PATIENT SERVICES/CHIEF NURSING OFFICER
FORM 990, PART VI, SECTION C, LINE 19 ON A QUARTERLY BASIS, THE FINANCIAL STATEMENTS ARE REPORTED TO EMMA (ELECTRONIC MUNICIPAL MARKET ACCESS) AND MADE AVAILABLE ON THEIR WEBSITE. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9: CHANGE IN MARKET VALUE INTEREST RATE SWAP -2,846,352. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS -78. PENSION LIABILITY ADJUSTMENT -3,421,235. WRITE OFF OF DUE FROM AFFILIATE -59,665,826. ADJUSTMENT FOR ACCUMULATED LOSS ON SWAP 79,556.
FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: KENTUCKY HEART INSTITUTE (KHI), A RELATED ENTITY OF KDMC, CEASED OPERATIONS ON MARCH 31, 2014 AND SUBSTANTIALLY ALL ASSETS WERE TRANSFERRED TO KING'S DAUGHTERS MEDICAL SPECIALTIES, A RELATED ENTITY OF BOTH KHI AND KDMC. AS A RESULT, ALL KHI AFFILIATED BALANCES WERE WRITTEN OFF THROUGH THE FUND BALANCE OF KDMC.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ASHLAND HOSPITAL CORPORATION
 
Employer identification number

61-0444716
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) ASHLAND NURSING HOME CORP

2500 STATE ROUTE 5

ASHLAND,KY41102
61-1386016 		NURSING HOME KY 501(C)(3) 9 ASHLAND HOSPITAL CORPORATION
 
Yes
 
(2) CHILD DEVELOPMENT CENTER CORP

2201 LEXINGTON AVENUE

ASHLAND,KY41101
01-0560598 		CHILD CARE KY 501(C)(3) 9 ASHLAND HOSPITAL CORPORATION
 
Yes
 
(3) KENTUCKY HEART INSTITUTE

2201 LEXINGTON AVENUE

ASHLAND,KY41101
61-1255904 		PHYSICIANS KY 501(C)(3) 9 ASHLAND HOSPITAL CORPORATION
 
Yes
 
(4) KENTUCKY HEART FOUNDATION

2201 LEXINGTON AVENUE

ASHLAND,KY41101
26-0791997 		MEDICAL RESEARCH KY 501(C)(3) 7 ASHLAND HOSPITAL CORPORATION
 
Yes
 
(5) KENTUCKY MEDICAL LOGISTICS INC

425 22ND STREET

ASHLAND,KY41101
26-4736971 		MEDICAL TRANSPORT KY 501(C)(3) 9 ASHLAND HOSPITAL CORPORATION
 
Yes
 
(6) KING'S DAUGHTERS HEALTH FOUNDATION INC

2201 LEXINGTON AVENUE

ASHLAND,KY41101
61-1035701 		FUNDRAISING KY 501(C)(3) 11-III-FI ASHLAND HOSPITAL CORPORATION
 
Yes
 
(7) KING'S DAUGHTERS HEALTH SYSTEM INC

2201 LEXINGTON AVENUE

ASHLAND,KY41101
27-4553836 		HEALTHCARE KY 501(C)(3) 11-II N/A
 
No
(8) KING'S DAUGHTERS MEDICAL SPECIALTIES INC

2201 LEXINGTON AVENUE

ASHLAND,KY41101
26-4183569 		PHYSICIANS KY 501(C)(3) 9 ASHLAND HOSPITAL CORPORATION
 
Yes
 
(9) PORTSMOUTH HOSPITAL CORP

1901 ARGONNE AVENUE

PORTSMOUTH,OH45662
45-3215312 		HEALTHCARE OH 501(C)(3) 3 ASHLAND HOSPITAL CORPORATION
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ASHLAND MEDICAL PROPERTIES INC

2201 LEXINGTON AVENUE
ASHLAND,KY41101
61-1079090 		RENTALS KY ASHLAND HOSPITAL CORPORATION
  		C   50,661 100.000 % Yes  












Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) ASHLAND NURSING HOME CORP

 R 1,002,729 ALL TRANSACTIONS
(2) ASHLAND NURSING HOME CORP

 S 1,044,660 BETWEEN COMPANIES
(3) CHILD DEVELOPMENT CENTER CORP

 R 115,818 ARE CAPTURED
(4) KENTUCKY HEART FOUNDATION INC

 A 28,764 IN THE DUE TO/FROM
(5) KENTUCKY HEART FOUNDATION INC

 O 325,359 ACCOUNTS. THE TYPES OF
(6) KENTUCKY HEART FOUNDATION INC

 R 363,813 TRANSACTIONS THAT HIT THIS
(7) KENTUCKY HEART INSTITUTE INC

 R 2,024,483 ACCOUNT ARE TRACKED MONTHLY.
(8) KENTUCKY MEDICAL LOGISTICS INC

 R 993,563  
(9) KENTUCKY MEDICAL LOGISTICS INC

 S 1,000,000  
(10) KING'S DAUGHTERS MEDICAL SPECIALTIES INC

 O 3,615,761  
(11) KING'S DAUGHTERS MEDICAL SPECIALTIES INC

 R 10,229,737  
(12) KING'S DAUGHTERS MEDICAL SPECIALTIES INC

 S 55,268  
(13) PORTSMOUTH HOSPITAL CORPORATION

 B 454,286  
(14) PORTSMOUTH HOSPITAL CORPORATION

 R 7,466,510  
(15) PORTSMOUTH HOSPITAL CORPORATION

 S 6,915,603  
(16) KING'S DAUGHTERS HEALTH FOUNDATION INC

 S 1,048,277  
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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