TY 2014 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) JONES DAVID........................................................................ CHAIRMAN	2.00 .......................4.20	X	X			0	0	0
(2) ADDINGTON STEPHEN........................................................................ DIRECTOR	0.30 .......................0.30	X				0	0	0
(3) BURNETTE TOM........................................................................ DIRECTOR	0.30 .......................1.50	X				0	0	0
(4) FORD RICHARD MD........................................................................ DIRECTOR	40.30 .......................0.30	X				127,223	0	4,169
(5) HAMMONDS DONALD DO........................................................................ DIRECTOR	0.30 .......................40.30	X				0	67,922	18,460
(6) HERNANDEZ RICH........................................................................ DIRECTOR	0.30 .......................0.30	X				0	0	0
(7) MCCANN KIM........................................................................ DIRECTOR	0.30 .......................2.30	X				0	0	0
(8) MECCA RAYMOND MD........................................................................ DIRECTOR	0.30 .......................0.30	X				0	0	0
(9) STEWART JOHN........................................................................ DIRECTOR	0.30 .......................1.50	X				0	0	0
(10) VINCENT JOHN........................................................................ DIRECTOR	0.30 .......................0.50	X				0	0	0
(11) WHITLATCH KRISTIE........................................................................ PRESIDENT/CEO	51.30 .......................10.00	X	X			538,322	0	23,500
(12) MAHANEY SHERYL........................................................................ SECRETARY, VP/CHIEF LEGAL	51.30 .......................10.00		X			356,877	0	22,330
(13) MCFANN AUTUMN........................................................................ TREASURER, VP/CFO	51.30 .......................10.00		X			197,929	0	40,747
(14) EBAUGH MATTHEW........................................................................ CHIEF STRATEGY OFFICER/CIO	45.00 .......................0.00			X		278,632	0	28,051
(15) FIORET PHILIP MD........................................................................ VP/CMO	45.00 .......................0.30			X		737,497	0	32,408
(16) HIGGINS LARRY........................................................................ VP/CAO	45.00 .......................0.00			X		424,837	0	18,117
(17) BALL PATRICK DO........................................................................ PHYSICIAN	40.00 .......................				X	344,168	0	22,138

(A) Name and business address	(B) Description of services	(C) Compensation
SAGACIOUS CONSULTANTS 26528 NETWORK PLACE CHICAGO,IL606731265	CONSULTANTS	2,312,864
BAKER BOTTS LLP PO BOX 301251 DALLAS,TX753031251	LAWYERS	1,935,425
DLA PIPER LLP (US) 500 8TH STREET NW WASHINGTON,DC20004	LAWYERS	1,914,473
MAYO COLLABORATIVE SERVICES INC PO BOX 9146 MINNEAPOLIS,MN554809146	REFERENCE LAB	1,805,345
STITES & HARBISON PLLC 250 W MAIN STREET 2300 LEXINGTON F LEXINGTON,KY405071758	LAWYERS	1,776,017
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 42

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 domestic organizations and domestic governments. See Part IV, line 21 ....	57,564	57,564
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	3,568,675		3,568,675
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 ....	131,925,283	118,918,528	13,006,755
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	468,469	422,231	46,238
9	Other employee benefits .......	24,267,721	21,878,805	2,388,916
10	Payroll taxes ...........	9,422,631	8,269,301	1,153,330
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	3,105,685	45,761	3,059,924
c	Accounting ...........	120,000		120,000
d	Lobbying ...........	35,976	35,976
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	485,592		485,592
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	36,436,981	22,391,839	14,045,142
12	Advertising and promotion ....	2,366,838		2,366,838
13	Office expenses .......	2,307,109	1,317,045	990,064
14	Information technology ......	4,564,069	4,559,065	5,004
15	Royalties ..
16	Occupancy ...........	7,242,031	2,067,596	5,174,435
17	Travel ............	395,044	326,630	68,414
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	800		800
20	Interest ...........	11,155,652	68,172	11,087,480
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	29,625,279	27,351,114	2,274,165
23	Insurance ..............	2,118,422		2,118,422
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	74,206,875	70,876,863	3,330,012
b	BAD DEBT EXPENSE	22,832,242	22,832,242
c	REPAIRS & MAINTENANCE	15,444,899	14,023,027	1,421,872
d	TAX (INC. PROVIDER TAX)	7,597,529	7,597,529
e	All other expenses	6,453,902	4,261,935	2,191,967
25	Total functional expenses. Add lines 1 through 24e	396,205,268	327,301,223	68,904,045	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 if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	6,624,593	1	9,015,627
2	Savings and temporary cash investments .........	6,499,950	2	5,466,036
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	67,625,033	4	50,933,767
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 .............	1,070,397	7	2,262,641
8	Inventories for sale or use ..............	9,792,796	8	10,846,645
9	Prepaid expenses and deferred charges ..........	9,865,542	9	9,061,475
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	693,955,335
b	Less: accumulated depreciation .....	10b	434,957,394	269,417,688	10c	258,997,941
11	Investments—publicly traded securities ..........	191,770,871	11	173,423,042
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....	5,732,621	13	6,444,436
14	Intangible assets ...............	747,691	14	757,523
15	Other assets. See Part IV, line 11 ...........	143,967,591	15	145,966,458
16	Total assets. Add lines 1 through 15 (must equal line 34)......	713,114,773	16	673,175,591
	17	Accounts payable and accrued expenses .........	50,952,255	17	44,346,147
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............	238,624,371	20	233,545,281
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 ..	99,770	23	75,701
24	Unsecured notes and loans payable to unrelated third parties ....	15,000,000	24
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....................	62,173,899	25	66,411,839
26	Total liabilities. Add lines 17 through 25.........	366,850,295	26	344,378,968
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	346,264,478	27	328,796,623
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	346,264,478	33	328,796,623
34	Total liabilities and net assets/fund balances ........	713,114,773	34	673,175,591

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2014

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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the organization

ASHLAND HOSPITAL CORPORATION

Employer identification number

61-0444716

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization ASHLAND HOSPITAL CORPORATION

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization ASHLAND HOSPITAL CORPORATION

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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
ASHLAND HOSPITAL CORPORATION

Employer identification number

61-0444716

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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

(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

(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

(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

(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) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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) 2014

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ......................................	Yes No

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(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) 2014

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)

Yes

(b)

Amount

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:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

35,976

Total. Add lines 1c through 1i ...............................

35,976

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

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."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	$22,884: A PORTION OF THE DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. $7,575: A PORTION OF THE DUES PAID TO THE AMERICAN MEDICAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. $2,511: A PORTION OF THE DUES PAID TO THE AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. $2,231: A PORTION OF THE DUES PAID TO THE AMERICAN COLLEGE OF CARDIOLOGY ATTRIBUTABLE TO LOBBYING EXPENSES. $469: A PORTION OF DUES PAID TO THE KENTUCKY MEDICAL ASSOCIATION ATTRIBUTABLE TO LOBBYING. $306: A PORTION OF DUES PAID TO THE SAFETY NET HOSPITALS FOR PHARMACEUTICALS ACCESS ATTRIBUTABLE TO LOBBYING.

Return Reference

Explanation

PART II-B, LINE 1:

$22,884: A PORTION OF THE DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. $7,575: A PORTION OF THE DUES PAID TO THE AMERICAN MEDICAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. $2,511: A PORTION OF THE DUES PAID TO THE AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. $2,231: A PORTION OF THE DUES PAID TO THE AMERICAN COLLEGE OF CARDIOLOGY ATTRIBUTABLE TO LOBBYING EXPENSES. $469: A PORTION OF DUES PAID TO THE KENTUCKY MEDICAL ASSOCIATION ATTRIBUTABLE TO LOBBYING. $306: A PORTION OF DUES PAID TO THE SAFETY NET HOSPITALS FOR PHARMACEUTICALS ACCESS ATTRIBUTABLE TO LOBBYING.

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

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)? .......................................

Yes No

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.

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.

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)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

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:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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 ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

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		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	28,415,203		28,415,203
b	Buildings ................	373,384,871	206,302,501	167,082,370
c	Leasehold improvements ............
d	Equipment ................	277,915,982	222,834,461	55,081,521
e	Other .................	14,239,279	5,820,432	8,418,847
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				258,997,941

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther 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.)

Part VIII

InvestmentsProgram 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.)

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				181,766
(2) TRUSTEED FUNDS				20,099
(3) DEFERRED FINANCING COSTS				2,881,354
(4) DUE FROM RELATED PARTIES				128,290,092
(5) OTHER RECEIVABLES				1,023,147
(6) SWAP COLLATERAL FUNDS				13,570,000



Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				145,966,458

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		16,129,509
ACCRUED PENSION		19,431,000
LONG-TERM RETENTION PLAN		1,329,436
INTEREST RATE SWAP AGREEMENTS		22,773,813
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS		4,940,102
LEASES PAYABLE		1,807,979



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		66,411,839
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) 2014

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	363,318,690
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-14,117,805
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-31,327,503
e	Add lines 2a through 2d .....................			2e	-45,445,308
3	Subtract line 2e from line 1.....................			3	408,763,998
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	-458,823
c	Add lines 4a and 4b.......................			4c	-458,823
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	408,305,175

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	372,992,871
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	458,823
e	Add lines 2a through 2d......................			2e	458,823
3	Subtract line 2e from line 1.....................			3	372,534,048
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	23,671,220
c	Add lines 4a and 4b.......................			4c	23,671,220
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	396,205,268

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 -7,656,216. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS -67. BAD DEBT EXPENSES (NETTED AGAINST NET PATIENT SERVICE REVENUE ON F/S) -22,832,242. INVESTMENT EXPENSES NETTED AGAINST INCOME ON F/S -485,078. SWAP FEES/EXPENSES NETTED AGAINST INCOME ON F/S -353,900.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES -613,611. CONTRIBUTIONS NETTED AGAINST EXPENSES ON F/S 154,788.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 613,611. CONTRIBUTIONS NETTED AGAINST EXPENSES ON F/S -154,788.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSES (NETTED AGAINST NET PATIENT SERVICE REVENUE ON F/S) 22,832,242. INVESTMENT EXPENSES NETTED AGAINST INCOME ON F/S 485,078. SWAP FEES/EXPENSES NETTED AGAINST INCOME ON F/S 353,900.

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.

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"? ..............

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

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? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) ..	1,472,800		1,472,800	0.390 %
b	Medicaid (from Worksheet 3, column a) ....	94,004,751	61,612,165	32,392,586	8.680 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	95,477,551	61,612,165	33,865,386	9.070 %
Other Benefits		1,621,628		1,621,628	0.430 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	1,621,628		1,621,628	0.430 %
f	Health professions education (from Worksheet 5) ..	1,000		1,000	0 %
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)	48,294		48,294	0.010 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	271,798		271,798	0.070 %
j	Total. Other Benefits ..	1,942,720		1,942,720	0.510 %
k	Total. Add lines 7d and 7j .	97,420,271	61,612,165	35,808,106	9.580 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

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.

		(c) Total community building expense	(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	217,924	217,924	0.060 %
9	Other
10	Total	217,924	217,924	0.060 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

9,629,972

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. ......

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

Enter total revenue received from Medicare (including DSH and IME).....

108,477,950

Enter Medicare allowable costs of care relating to payments on line 5.....

118,902,483

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-10,424,533

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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.......................

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) 2014

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 (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	ASHLAND HOSPITAL CORPORATION 2201 LEXINGTON AVENUE ASHLAND,KY41101 WWW.KDMC.COM 100958	X	X	X

Schedule H (Form 990) 2014

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

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 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.KDMC.COM/NEEDS

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): WWW.KDMC.COM/NEEDS

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, 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) 2014

Page

Part VFacility Information (continued)

	ASHLAND HOSPITAL CORPORATION
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): HTTP://WWW.KDMC.COM/BUSINESSMATTERS

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	ASHLAND HOSPITAL CORPORATION
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other 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?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

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? ................................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
ASHLAND HOSPITAL CORPORATION	PART V, SECTION B, LINE 5: 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 REPRESENTATIVES FROM 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 6A: PORTSMOUTH HOSPITAL CORPORATION
ASHLAND HOSPITAL CORPORATION	PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY KING'S DAUGHTERS IN FISCAL YEAR 2013, COMBINED WITH THE SUPPLEMENTAL DATA THAT WAS ANALYZED, REVEALED THE PRIMARY HEALTH CONCERNS OF THE COMMUNITY THAT THE HOSPITAL CAN CONTINUE TO REASONABLY AND REALISTICALLY ADDRESS.THESE HEALTH NEEDS WERE PRIORITIZED BASED ON FIVE FACTORS:1.THE ABILITY OF KING'S DAUGHTERS TO MEASURE OUTCOMES2.THE PREVALENCE OF THE ISSUE THROUGHOUT KING'S DAUGHTERS SERVICE AREAS3.EXISTING PROGRAMS AND PARTNERSHIPS THAT ADDRESS THE SPECIFIC NEEDS4.THE DEGREE TO WHICH KING'S DAUGHTERS CAN INFLUENCE LONG-TERM CHANGE5.ALIGNMENT WITH KING'S DAUGHTERS STRATEGIC PLANTHE TOP IDENTIFIED NEEDS THAT COULD BE ADDRESSED BY KING'S DAUGHTERS WERE OBESITY/DIABETES, CARDIOVASCULAR DISEASE, CANCER AND FINANCIAL ASSISTANCE/CHARITY CARE. KING'S DAUGHTERS PROVIDED REGULAR HEALTH SCREENINGS FOR SKIN CANCER, HEIGHTS AND WEIGHTS, PROSTATE CANCER, GENERAL HEALTH, HEALTHY HEART (INCLUDING CHOLESTEROL, BLOOD PRESSURE, GLUCOSE & EKG) PLUS OTHERS. HEALTH EDUCATION WAS ALSO PROVIDED FOCUSING ON THE FOLLOWING: BREAST CANCER, HEART, COLON CANCER, DIABETES, EXERCISE PLUS MORE. THERE ARE THREE MOBILE HEALTH UNITS TAKEN INTO THE COMMUNITY TO MAKE HEALTHCARE ACCESS EASIER. WE HOSTED A LARGE WELLNESS BACK TO SCHOOL EVENT FOR FAMILIES, PARTNERED WITH THE AMERICAN CANCER SOCIETY ON EVENTS AS WELL AS THE AMERICAN HEART ASSOCIATION. KING'S DAUGHTERS SCREENED MORE THAN 7,900 ADULTS/CHILDREN AND EDUCATED MORE THAN 29,000 PEOPLE.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 22D: 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.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
ASHLAND HOSPITAL CORPORATION PART V, SECTION B, LINE 16A WEBSITE:	HTTP://WWW.KDMC.COM/BUSINESSMATTERS
ASHLAND HOSPITAL CORPORATION PART V, SECTION B, LINE 16C WEBSITE:	HTTP://WWW.KDMC.COM/BUSINESSMATTERS/MAKINGCAREAFFORDABLE

Schedule H (Form 990) 2014

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?26
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	PORTSMOUTH URGENT CARE 2001 SCIOTO TRAIL PORTSMOUTH,OH45662	URGENT CARE
6	OUTPATIENT SERVICES CENTER 480 23RD STREET ASHLAND,KY41101	PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY
7	CATLETTSBURG FAMILY CARE CENTER 4004 LOUIS RD CATLETTSBURG,KY41129	FAMILY CARE CENTER
8	CEDAR KNOLL FAMILY CARE CENTERPEDIATRIC 10650 US ROUTE 60 ASHLAND,KY41102	FAMILY CARE CENTER/PEDIATRICS
9	FLATWOODS FAMILY CARE 1107 BELLEFONTE RD FLATWOODS,KY41139	FAMILY CARE CENTER
10	GRAYSON MEDICAL SPECIALTIES 609 N CAROL MALONE BLVD GRAYSON,KY41143	FAMILY CARE CENTER
11	FLATWOODS MEDICAL SPECIALTIES 1109 BELLEFONTE RD FLATWOODS,KY41139	FAMILY CARE CENTER
12	OLIVE HILL FAMILY CARE CENTER 391 WEST TOM T HALL BOULEVARD OLIVE HILL,KY41164	FAMILY CARE CENTER
13	BURLINGTON FAMILY CARE CENTER 384 COUNTRY ROAD 120 SOUTH SOUTH POINT,OH45680	FAMILY CARE CENTER
14	IRONTON FAMILY CARE CENTER 912 PARK AVENUE IRONTON,OH45638	FAMILY CARE CENTER
15	JACKSON MEDICAL SPECIALTIES 14395 STATE ROUTE 93 JACKSON,OH45640	FAMILY CARE CENTER
16	PORTSMOUTH MEDICAL SPECIALTIES 2001 SCIOTO TRAIL PORTSMOUTH,OH45662	FAMILY CARE CENTER
17	PRESTONSBURG FAMILY CARE 1279 OLD ABBOT MOUNTAIN RD PRESTONBURG,KY41653	FAMILY CARE CENTER
18	WHEELERSBURG FAMILY CARE 8750 OHIO RIVER ROAD WHEELERSBURG,OH45694	FAMILY CARE CENTER
19	SANDY HOOK FAMILY CARE CENTER STATE ROUTES 7 AND 32 SANDY HOOK,KY41171	FAMILY CARE CENTER
20	KDMC INPATIENT REHABILITATION 2201 LEXINGTON AVENUE ASHLAND,KY41101	INPATIENT REHABILITATION
21	KDMC OCCUPATIONAL MEDICINE 2025 CARTER AVE ASHLAND,KY41101	OCCUPATIONAL MEDICINE
22	KDMC HOME HEALTH 399 DIEDERICH BLVD RUSSELL,KY41169	HOME HEALTH SERVICES
23	KDMC HOME MEDICAL EQUIPMENT 1700 WINCHESTER AVE ASHLAND,KY41101	DURABLE MEDICAL EQUIPMENT
24	RUSSELL WALK-IN CARE 399 DIEDERICH BLVD RUSSELL,KY41169	WALK-IN CLINIC
25	BURLINGTON URGENT CARE 384 COUNTRY ROAD 120 SOUTH SOUTH POINT,OH45680	URGENT CARE
26	KDMC SKILLED NURSING FACILITY 2201 LEXINGTON AVENUE ASHLAND,KY41101	SKILLED NURSING

Schedule H (Form 990) 2014

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
PART I, LINE 7:	KDMC USED WORKSHEET 2 PROVIDED IN THE SCHEDULE H INSTRUCTIONS (FORM 990) TO CALCULATE A COST TO CHARGE RATIO. THIS RATIO WAS USED TO CALCULATE CHARITY CARE AT COST. TO CALCULATE THE UNPAID COSTS OF MEDICAID, THE HOSPITAL'S COST ACCOUNTING SYSTEM WAS USED, ALONG WITH DATA FROM THE MEDICAID COST REPORT. ALL OTHER ITEMS WERE REPORTED AT NET EXPENSE.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $22,832,242.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE EXPENSES REPORTED IN PART II FOR COMMUNITY BUILDING ACTIVITIES ARE THE EXPENSES ASSOCIATED WITH RECRUITING PHYSICIANS TO MEDICALLY UNDER-SERVED AREAS (MURS). THESE EXPENSES ARE NECESSARY TO ENSURE OUR COMMUNITY IS STAFFED WITH THE PHYSICIANS TO MEET THE NEEDS OF THE PEOPLE LIVING HERE.
PART III, LINE 2:	KDMC USED WORKSHEET 2 PROVIDED IN THE SCHEDULE H INSTRUCTIONS (FORM 990) TO CALCULATE A COST TO CHARGE RATIO. THIS RATIO WAS USED TO CALCULATE BAD DEBT EXPENSE AT COST.
PART III, LINE 3:	BAD DEBT EXPENSE IS RECORDED AFTER ANY DISCOUNTS AND PAYMENTS ARE MADE ON PATIENT ACCOUNTS. HOWEVER, SINCE THE RECENT CHANGE IN THE FINANCIAL ASSISTANCE POLICY, THE BUSINESS OFFICE NO LONGER KEEPS TRACK OF "NO-RESPONSE" APPLICATIONS ANNUALLY AND DOES NOT FEEL THAT THE PORTION CONSIDERED TO BE A COMMUNITY BENEFIT IS MATERIAL.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUAL AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND INSURED PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES), THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:	THE HOSPITAL CONTINUES TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY TO PAY. NOTWITHSTANDING THE COSTS TO PROVIDE CARE, RECEIVING "LESS" THAN WHAT IT COSTS TO PROVIDE ADEQUATE CARE TO MEDICARE COVERED LIVES DOES THE HOSPITAL A DISSERVICE. THIS SHORTFALL SHOULD COUNT AS A COMMUNITY BENEFIT. THE HOSPITAL USES THE ALLOWABLE COSTS PER THE MEDICARE COST REPORT. THE MOST RECENT COST REPORT DATA AND PROVIDER SUMMARY REPORT (PSR) WAS USED TO COMPUTE THE INFORMATION.
PART III, LINE 9B:	THE HOSPITAL DOES HAVE A WRITTEN POLICY FOR BAD DEBT. IT IS A SYSTEM PROGRESSION WITH FOUR PATIENT STATEMENTS, ALONG WITH AN OUTBOUND CALLING PROCESS, AND IF NO PAYMENT ARRANGEMENTS ARE MADE DURING THIS TIME, THERE IS AUTOMATION TO THE COLLECTION AGENCY. EACH BILL THAT A PATIENT RECEIVES HAS A STATEMENT STATING IF THEY ARE UNABLE TO PAY THEIR BILL TO CONTACT THE HOSPITAL'S FINANCIAL ASSISTANCE TEAM WITH A DIRECT LINE NUMBER. ALSO, EACH SELF-PAY PATIENT IS CONTACTED BY THE HOSPITAL'S MEDICAID ELIGIBILITY VENDOR AS WELL AS RECEIVING A FINANCIAL ASSISTANCE APPLICATION.
PART VI, LINE 2:	WE USE A VARIETY OF RESOURCES TO HELP MAKE DECISIONS ON HOW TO BEST TARGET OUR ACTIVITIES, INCLUDING INFORMATION FROM OUR COMMUNITY HEALTH NEEDS ASSESSMENT, STATE AND COUNTY MORTALITY DATA. WE ARE ACTIVELY INVOLVED IN THE COMMUNITY PARTICIPATING ON NON-PROFITS BOARDS, ATTENDING COMMUNITY PROGRAMS/MEETINGS AND OTHER ACTIVITIES TO HELP KEEP US INFORMED OF NEEDS, CONCERNS AND ISSUES. ONCE WE KNOW WHAT ISSUES WE WANT TO TARGET, OUR COMMUNITY HEALTH INITIATIVES ARE BUILT INTO THE MEDICAL CENTER'S STRATEGIC PLAN. OVER THE COURSE OF THE YEAR, MORE THAN 7,900 ADULTS AND CHILDREN WERE SCREENED AND MORE THAN 29,000 EDUCATED ON HEALTH ISSUES. IN FY 15, A TOTAL OF 5,733.5 VOLUNTEER HOURS WERE COMPLETED BY TEAM MEMBERS.
PART VI, LINE 3:	THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY PROVIDES DIRECTION FOR FREE OR DISCOUNTED SERVICES TO RESIDENTS OF THE COMMUNITY WHO HAVE INADEQUATE FINANCIAL RESOURCES TO PAY FOR NECESSARY HEALTHCARE SERVICES PROVIDED BY KDMC. THE POLICY STATES THAT THE MEDICAL CENTER WILL NOT DENY CARE TO ANY PATIENT REQUIRING CARE DUE TO THEIR INABILITY TO PAY. THE FINANCIAL ASSISTANCE POLICY PROVIDES GUIDANCE TO ACCESSING ASSISTANCE BASED ON SLIDING SCALE METHODOLOGY AND THE FEDERAL POVERTY GUIDELINES ESTABLISHED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. PATIENTS REQUIRING CARE WITH INCOME BELOW 300% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR FREE OR REDUCED COST SERVICES. THE FINANCIAL ASSISTANCE PROGRAM IS ON THE KDMC WEBSITE AND THE PHONE NUMBER TO ACCESS INFORMATION IS PROVIDED TO PATIENTS THROUGH THE PATIENT INFORMATION GUIDE AT ADMITTANCE TO THE HOSPITAL. KDMC WORKS TO IDENTIFY PATIENTS THAT MAY HAVE LIMITED RESOURCES AND OFFERS FINANCIAL ASSISTANCE WHEN APPROPRIATE. THERE ARE SIGNS POSTED IN VARIOUS REGISTRATION AREAS INFORMING PATIENTS OF THE PHONE NUMBER TO CALL IF THEY NEED FINANCIAL ASSISTANCE. ON EACH PATIENT STATEMENT THE INFORMATION IS ALSO PRINTED WITH THE PHONE NUMBER. WE ALSO HAVE FINANCIAL RESOURCE STAFF IN THE OUTPATIENT IMAGING CENTER, HEART & VASCULAR CENTER, ADMITTING AND PRE-ADMISSION TESTING AREAS. ALL SELF-PAY PATIENTS RECEIVE CORRESPONDENCE AND PHONE CALLS AND INPATIENTS RECEIVE VISITS FROM OUR MEDICAID ELIGIBILITY VENDOR IN REFERENCE TO GOVERNMENT PROGRAMS.
PART VI, LINE 4:	KING'S DAUGHTERS MEDICAL CENTER IS LOCATED IN EASTERN KENTUCKY, WHERE THE KENTUCKY, OHIO AND WEST VIRGINIA STATE LINES MEET. KDMC'S PRIMARY SERVICE AREA ENCOMPASSES SIX COUNTIES IN TWO STATES: BOYD, CARTER, GREENUP AND LAWRENCE IN KENTUCKY AND LAWRENCE AND SCIOTO IN OHIO. MORE THAN 236,000 PEOPLE LIVE IN THE SIX-COUNTY PRIMARY SERVICE AREA. WITH THE EXCEPTION OF ONE CITY WITH A POPULATION 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 22% OF THE POPULATION LIVES IN POVERTY, COMPARED WITH 19.1% FOR KENTUCKY. MORE THAN 25% OF CHILDREN LIVE IN POVERTY. THE POPULATION IS 97% WHITE, 2% BLACK AND OTHER RACES 1%. THE AVERAGE PER CAPITA INCOME IS $20,945, WELL BELOW THE LEVELS FOR KENTUCKY ($23,741). IN KDMC'S PRIMARY MARKET AREA, 10% OF PERSONS UNDER 64 YEARS LACKED ANY FORM OF HEALTHCARE COVERAGE.
PART VI, LINE 5:	TO REACH OUR COMMUNITIES AND TO PROVIDE THE BEST OUTREACH SERVICES POSSIBLE, WE PARTNER WITH A DIVERSE GROUP OF BOTH PUBLIC AND PRIVATE ENTITIES. WE HAVE ESTABLISHED PARTNERSHIPS WITH HEALTH DEPARTMENTS, CITY OF ASHLAND, LOCAL EMS SERVICES, AMERICAN RED CROSS, AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, LOCAL CIVIC CLUBS, SUSAN G. KOMEN FOR THE CURE, CARES, COMMUNITY KITCHEN, YMCA, OTHER NON-PROFITS, SCHOOL DISTRICTS, MORE THAN 100 CHURCHES, GIRL SCOUTS AND OTHERS. WE SEND OUR OUTREACH TEAMS OUT INTO THE COMMUNITY TO MEET PEOPLE ON THEIR TIME AND IN THE PLACES THAT ARE COMFORTABLE FOR THEM - SCHOOLS, MALLS, CHURCHES, LIBRARIES, WORKSITES, GROCERY STORES AND MORE. SERVICES PROVIDED INCLUDE SCREENING AND EDUCATIONAL EVENTS EACH MONTH, MOBILE HEALTH SERVICES, COORDINATION OF A REGIONAL CPR TRAINING CENTER AND A MEALS ON WHEELS PROGRAM. THE BOARD OF DIRECTORS IS MADE UP OF UNCOMPENSATED COMMUNITY MEMBERS WHO ARE VOLUNTARILY PROVIDING GUIDANCE TO THE HOSPITAL. ANY SURPLUS FUNDS ARE REINVESTED IN THE CAPITAL AND OPERATIONS OF THE HOSPITAL.
PART VI, LINE 6:	KING'S DAUGHTERS MEDICAL CENTER IS PART OF AN AFFILIATED HEALTH CARE DELIVERY SYSTEM.THE SYSTEM OPERATES ANOTHER HOSPITAL, KING'S DAUGHTERS MEDICAL CENTER OHIO ("KDOH") IN PORTSMOUTH, OH. KDOH HAS BEEN SPECIFICALLY DESIGNED TO MEET THE HEALTHCARE NEEDS OF PORTSMOUTH AND ITS SURROUNDING AREAS. KDOH OFFERS SERVICES RANGING FROM SURGERY, CARDIAC CARE AND URGENT CARE. KDOH PROVIDES CHARITY CARE AND PARTICIPATES IN GOVERNMENT PROGRAMS.THE SYSTEM PROVIDES PHYSICIAN SERVICES THROUGH KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. ("KDMS"). KDMS PROVIDES CHARITY CARE AND PARTICIPATES IN GOVERNMENT PROGRAMS. KING'S DAUGHTERS ALSO INCLUDES TWO OTHER AFFILIATES - KING'S DAUGHTERS MEDICAL TRANSPORT, WHICH SEEKS TO CONTINUOUSLY IMPROVE THE PRE- AND POST-HOSPITAL HEALTHCARE PROVIDED IN ALL OF ITS SERVICE AREAS WHILE ENSURING THAT EMERGENCY AND NON-EMERGENCY AMBULANCE SERVICE WILL BE AVAILABLE TO ALL THOSE IN NEED; AND KINGSBROOK NURSING HOME, WHICH PROVIDES QUALITY CARE TO PATIENTS, MEETING THE NEEDS AND DESIRES OF RESIDENTS AT VARIOUS LEVELS OF CARE, INCLUDING SHORT-TERM AND LONG-TERM CARE.PART VI LINE 7: THE COMMUNITY BENEFIT REPORT IS NOT REPORTED WITH ANY STATE BUT IT IS AVAILABLE TO THE PUBLIC.

Schedule H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

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

2014

Open to Public
Inspection

Name of the organization
ASHLAND HOSPITAL CORPORATION

Employer identification number
61-0444716

Part I

General Information on Grants and Assistance

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? ....................................

Yes No

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 Domestic Organizations and Domestic Governments. 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 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)	6,450				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
(3) UNITED WAY OF NORTHEAST KENTUCKY 2000 CARTER AVE SUITE D ASHLAND,KY41101	61-6000060	501(C)(3)	5,303	300	INVOICES	5 CHARGING STATIONS	CONTRIBUTION TO ANNUAL FUNDRAISING CAMPAIGN, SPONSORSHIP OF 2 FUNDRAISING EVENTS, & DONATION TO SUPPORT THEIR 'SPREAD THE LOVE-A-THON"

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. 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) 2014

Additional Data

Software ID:
Software Version:

- TIN:

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

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

ASHLAND HOSPITAL CORPORATION

Employer identification number

61-0444716

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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....

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? ..

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

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 .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

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 in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1WHITLATCH KRISTIEPRESIDENT/CEO	(i) (ii)	450,644 ............................... 0	0 ............................... 0	87,678 ............................... 0	7,800 ............................... 0	15,700 ............................... 0	561,822 ............................... 0	76,717 ............................... 0
2MAHANEY SHERYLSECRETARY, VP/CHIEF LEGAL	(i) (ii)	280,712 ............................... 0	0 ............................... 0	76,165 ............................... 0	7,800 ............................... 0	14,530 ............................... 0	379,207 ............................... 0	72,093 ............................... 0
3MCFANN AUTUMNTREASURER, VP/CFO	(i) (ii)	196,685 ............................... 0	0 ............................... 0	1,244 ............................... 0	27,087 ............................... 0	13,660 ............................... 0	238,676 ............................... 0	0 ............................... 0
4EBAUGH MATTHEWCHIEF STRATEGY OFFICER/CIO	(i) (ii)	277,372 ............................... 0	0 ............................... 0	1,260 ............................... 0	4,200 ............................... 0	23,851 ............................... 0	306,683 ............................... 0	0 ............................... 0
5FIORET PHILIP MDVP/CMO	(i) (ii)	567,016 ............................... 0	0 ............................... 0	170,481 ............................... 0	7,800 ............................... 0	24,608 ............................... 0	769,905 ............................... 0	141,524 ............................... 0
6HIGGINS LARRYVP/CAO	(i) (ii)	332,665 ............................... 0	0 ............................... 0	92,172 ............................... 0	7,800 ............................... 0	10,317 ............................... 0	442,954 ............................... 0	83,996 ............................... 0
7BALL PATRICK DOPHYSICIAN	(i) (ii)	343,772 ............................... 0	0 ............................... 0	396 ............................... 0	7,800 ............................... 0	14,338 ............................... 0	366,306 ............................... 0	0 ............................... 0
8BOYKIN MAYOLA MDPHYSICIAN	(i) (ii)	735,407 ............................... 0	0 ............................... 0	258 ............................... 0	7,800 ............................... 0	24,286 ............................... 0	767,751 ............................... 0	0 ............................... 0
9ESHAM GEORGE MDPHYSICIAN	(i) (ii)	442,899 ............................... 0	0 ............................... 0	762 ............................... 0	7,800 ............................... 0	14,488 ............................... 0	465,949 ............................... 0	0 ............................... 0
10FRALEY ERIK MDPHYSICIAN	(i) (ii)	557,965 ............................... 0	0 ............................... 0	54 ............................... 0	7,800 ............................... 0	13,165 ............................... 0	578,984 ............................... 0	0 ............................... 0
11MOTIMAYA ASH MDPHYSICIAN	(i) (ii)	731,825 ............................... 0	0 ............................... 0	138 ............................... 0	7,800 ............................... 0	24,051 ............................... 0	763,814 ............................... 0	0 ............................... 0
12JACKSON FREDFORMER PRESIDENT/CEO	(i) (ii)	23,221 ............................... 0	0 ............................... 0	840,735 ............................... 0	0 ............................... 0	6,606 ............................... 0	870,562 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

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, LINES 4A-B

FRED JACKSON RECEIVED A SEVERANCE PAYMENT OF $833,252. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS: SHERYL MAHANEY - $72,093 PHILIP FIORET - $141,524 LARRY HIGGINS - $83,996 KRISTIE WHITLATCH - $76,717 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS/DEFERRALS: AUTUMN MCFANN - $21,090 THE CEO AND VICE PRESIDENTS ARE ELIGIBLE TO RECEIVE DISCRETIONARY INCENTIVES BASED ON CERTAIN METRICS (QUALITY MEASURES, INDIVIDUAL GOALS, ETC.). THESE AWARDS ARE DETERMINED BY THE BOARD AND VESTED OVER 5-10 YEAR PERIOD IF THE INDIVIDUAL REMAINS WITH THE ORGANIZATION. THE CEO AND CERTAIN 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.

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	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		9,420,000		2,550,000
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		72,718,420
11 Other spent proceeds . . . . . . . . . . . . . .	131,710,005				33,479,012		123,496,200
12 Other unspent proceeds . . . . . . . . . . . . . .	17		17
13 Year of substantial completion . . . . . . . . . . . .	2010		2015		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) 2014

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 . .	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 . . . . . . .	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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		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 "Yes" to 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) 2014

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, 2015.
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 9/30/15.

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefiting 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) 2014

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) ANNE SLOAN	SISTER IN LAW OF JOHN STEWART, BOARD DIRECTOR	48,494	EMPLOYEE PAYROLL COMPENSATION FOR ANNE SLOAN		No
(2) ASHLAND OFFICE SUPPLY	TOM BURNETTE, BOARD DIRECTOR, IS THE OWNER OF ASHLAND OFFICE SUPPLY	882,338	TOM BURNETTE IS OWNER OF ASHLAND OFFICE SUPPLY. THE HOSPITAL PURCHASES OFFICE SUPPLIES & EQUIPMENT FROM ASHLAND OFFICE SUPPLY.		No
(3) FRESENIUS MEDICAL CARE	DON HAMMONDS, BOARD DIRECTOR, IS MEDICAL DIRECTOR	1,054,484	FRESENIUS MEDICAL PROVIDES INPATIENT DIALYSIS TREATMENT FOR THE HOSPITAL		No
(4) VAN ART PROPERTIES	SON OF JOHN STEWART, BOARD DIRECTOR, IS THE OWNER OF VAN ART PROPERTIES	384,116	THE SON OF JOHN STEWART IS THE OWNER OF VAN ART PROPERTIES. THE HOSPITAL RENTS OFFICE SPACE FROM VAN ART PROPERTIES.		No
(5) VANANTWERP MONGE JONES EDWARDS & MCCANN	KIM MCCANN, BOARD DIRECTOR, IS A PARTNER IN THE LAW FIRM	369,400	PAYMENTS FOR LEGAL SERVICES		No
(6) CINDY GILLUM	SISTER OF KRISTIE WHITLATCH, CEO	22,526	EMPLOYEE PAYROLL COMPENSATION FOR CINDY GILLUM		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) 2014

Additional Data

Software ID:
Software Version:

- TIN:

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 990-EZ 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

2014

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 AREA AT THE TIME (BOYD, CARTER, GREENUP, & LAWRENCE COUNTIES, KENTUCKY AND LAWRENCE AND SCIOTO, COUNTIES, OHIO) AND SECONDARY MARKET COUNTIES FLOYD AND JOHNSON WHERE KDMC HAS A SIGNIFICANT PRESENCE. THE 2013 ASSESSMENT SHOWED: -LEADING CAUSES OF DEATH (AGE ADJUSTED) ARE PRIMARILY FROM CHRONIC DISEASES INCLUDING HEART DISEASE, CANCER, COPD AND DIABETES. IN ADDITION, UNINTENTIONAL INJURY IS A LEADING CAUSE. THESE RATES ARE HIGHER IN THE PRIMARY AND SECONDARY MARKET COUNTIES, THAN THE NATION. -RESIDENTS LIVE UNHEALTHY LIFESTYLES WITH 30% OF ADULTS SMOKING, 37% OBESE AND 37% PHYSICALLY INACTIVE. THESE RATES ARE ALL WELL ABOVE THE NATIONAL AVERAGE. -THE SERVICE AREA HAS A HIGH NUMBER OF VULNERABLE POPULATIONS, WITH SIX OF SEVEN COUNTIES SHOWING A HIGH LOW BIRTH WEIGHT RATE OF 10.5% (8.6% NATIONALLY), 17% OF THE POPULATION UNINSURED AND 32% OF CHILDREN LIVING IN POVERTY. -ENVIRONMENTAL FACTORS OFTEN CONTRIBUTE TO THE HEALTH OF THE COMMUNITY. IN THE AREA THERE ARE BARRIERS TO LIVING HEALTHY, INCLUDING LOW ACCESS TO RECREATIONAL FACILITIES, LIMITED ACCESS TO HEALTHY FOODS AND A HIGHER THAN AVERAGE NUMBER OF FAST FOOD RESTAURANTS. COMMUNITY INPUT WAS SOUGHT THROUGH FOCUS GROUPS AND SURVEYS, WITH THE FOLLOWING FINDINGS: -FOCUS GROUP PARTICIPANTS CITED, AS BARRIERS TO GOOD HEALTH, IN SCIOTO COUNTY THE FOLLOWING: --UNHEALTHY LIFESTYLES (POOR NUTRITION AND PHYSICAL INACTIVITY) --OBESITY --DRUGS AND CRIME RELATED TO DRUGS --TRANSPORTATION -RESPONDENTS TO THE HEALTH SURVEY CITED THE FOLLOWING TOP ISSUES IN THE COUNTY: --SUBSTANCE ABUSE --OBESITY --CHRONIC DISEASES - CANCER, HEART DISEASE AND DIABETES KING'S DAUGHTERS RECENTLY COMPLETED THEIR COMMUNITY HEALTH NEEDS ASSESSMENT FOR FISCAL YEAR 2016 AND WILL BE APPROVING THE NEW IMPLEMENTATION PLAN IN SUMMER 2016. A STRATEGIC 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 ASSESSMENT'S TOP PRIORITIES. COMMUNITY BUILDING ACTIVITIES: COLLABORATION WITH COMMUNITY: DURING 2015, KING'S DAUGHTERS, IN COLLABORATION WITH OUR LADY OF BELLEFONTE HOSPITAL (OLBH), MERGED TWO COMMUNITY COALITIONS INTO ONE AND CALLED IT HEALTHY CHOICES, HEALTHY COMMUNITIES. BEFORE 2015, BOTH HOSPITALS WERE OPERATING COALITIONS SEPARATELY. OLBH AND KDMC KNEW THAT TO REALLY MAKE CHANGE AND IMPROVE COMMUNITY HEALTH BOTH HOSPITALS AND THEIR PARTNERS NEEDED TO MERGE, WORK TOGETHER AND UTILIZE EXISTING RESOURCES. IN EARLY 2015, THE COALITION REVISED ITS MISSION AND VISION, CREATED A NEW LOGO AND MADE THE NECESSARY UPDATES TO FACEBOOK AND THE COALITION WEBSITE. OTHER ACTIVITIES OF 2015 INCLUDE: -HELD 9 COALITION MEETINGS; -KDMC, OLBH, ASHLAND-BOYD COUNTY HEALTH DEPARTMENT AND THE GREENUP COUNTY HEALTH DEPARTMENT CO-SPONSORED THE NETWORK OF CARE WEBSITE THAT HOUSES HEALTH DATA FOR THE COALITION AND COMMUNITY TO USE; $6,000 A YEAR/$1,500 EACH -ASSISTED THE ASHLAND-BOYD COUNTY HEALTH DEPARTMENT WITH THEIR ACCREDITATION; -APPLIED FOR THE ROBERT WOOD JOHNSON SCALE HEALTHY COMMUNITIES GRANT; GRANT WAS NOT AWARDED; -PARTICIPATED IN THE FIRST ANNUAL FESTIVAL OF FITNESS IN DOWNTOWN ASHLAND; -DISCUSSED AND AGREED TO PARTNER WITH KDMC AND OLBH ON THEIR NEXT COMMUNITY HEALTH NEEDS ASSESSMENT FOR 2016; -PARTICIPATED IN NATIONAL WALK TO SCHOOL DAY WITH ASHLAND INDEPENDENT SCHOOLS; THE COALITION USED 2015 AS A BUILDING YEAR TO COMBINE, REORGANIZE AND PLAN FOR THE FUTURE. AN EMPLOYEE OF KING'S DAUGHTERS HAS CHAIRED THE COALITION FOR MORE THAN FOUR YEARS AND IN 2015 BECAME CO-CHAIR WITH A REPRESENTATIVE FROM OLBH. AS CO-CHAIR, THIS EMPLOYEE SPENDS A GREAT DEAL OF TIME COORDINATING AND OVERSEEING THE WORK OF THE ENTIRE GROUP. THIS EMPLOYEE'S WORK INCLUDES ATTENDING ALL COALITION MEETINGS, MAINTAINING AND UPDATING THE COALITION LIST AND EMAIL LISTSERV, HELPING TO SET MEETING AGENDAS, TAKING AND DISTRIBUTING MINUTES, COMMUNICATING WITH PARTNERS, PLUS MORE. MOVING FORWARD AS ONE ENTITY , HEALTHY CHOICES, HEALTHY COMMUNITIES SEEKS 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. OTHER KDMC PARTNERSHIPS: KDMC KNOWS THE POWER OF PARTNERSHIPS. IN 2015, KDMC PARTNERED WITH THE FOLLOWING: -CITY OF ASHLAND AND OTHER LOCAL GOVERNMENTS -LOCAL CHAMBER OF COMMERCE -LOCAL EMS SERVICES -NON-PROFITS- AMERICAN RED CROSS, AMERICAN HEART ASSOCIATION, SUSAN G. KOMEN LEXINGTON AND COLUMBUS, THE NEIGHBORHOOD, ASHLAND AREA YMCA; HIGHLANDS MUSEUM, PARAMOUNT ARTS CENTER, AMERICAN CANCER SOCIETY, MARCH OF DIMES, UNITED WAY, SALVATION ARMY, PATHWAYS, SAFE HARBOR, PLUS MORE -CIVIC ORGANIZATIONS- ASHLAND LIONS CLUB, ROTARY & KIWANIS -16 SCHOOL DISTRICTS AND NEARBY COLLEGES AND UNIVERSITIES, -OHIO LAW ENFORCEMENT -AREA SENIOR CENTERS -GIRL SCOUTS -ASHLAND TOWN CENTER MALL -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 2015, KDMC PROVIDED THE FOLLOWING: HEALTH SCREENINGS: -CARPAL TUNNEL -57 ADULTS SERVED -DERMA SCAN- 42 ADULTS SERVED; 127 CHILDREN SERVED -GENERAL HEALTH (TOTAL CHOLESTEROL, BLOOD PRESSURE AND BLOOD SUGAR) - 2,026 ADULTS SERVED -HEALTHY HEART - (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR & EKG) - 3,005 ADULTS SERVED -HEARING - 10 ADULTS SERVED -HEIGHTS AND WEIGHTS- 240 CHILDREN SERVED -LOW-DOSE CT- 22 ADULTS SERVED -PROSTATE CANCER - 92 MEN SERVED -SPORTS PHYSICALS- 448 ADULTS SERVED; 1,728 CHILDREN/YOUTH SERVED -SKIN CANCER - 158 ADULTS SERVED -VARICOSE VEIN- 17 ADULTS SERVED 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 - 1,912 ADULTS, 236 CHILDREN/YOUTH SERVED -CHF (HEART FAILURE)- 485 ADULTS -COLON CANCER - 328 ADULTS -DENTAL - 72 ADULTS, 47 CHILDREN/YOUTH SERVED -DIABETES - 2,416 ADULTS, 262 CHILDREN/YOUTH SERVED -EXERCISE - 1,423 ADULTS, 300 CHILDREN/YOUTH SERVED -FIRST AID- 27 ADULTS, 8 CHILDREN/YOUTH SERVED -HAND WASHING - 1,097 ADULTS, 439 CHILDREN/YOUTH SERVED -HEALTH - 2,240 ADULTS, 976 CHILDREN/YOUTH SERVED -HEART - 1,541 ADULTS, 1,454 CHILDREN/YOUTH SERVED -HYPERTENSION - 980 ADULTS -LUNG CANCER- 77 ADULTS, 24 CHILDREN -NUTRITION - 722 ADULTS, 2,824 CHILDREN/YOUTH SERVED -POISON PREVENTION- 49 ADULTS, 21 CHILDREN/YOUTH SERVED -PROSTATE CANCER - 328 ADULTS -SAFETY, OTHER- 478 ADULTS, 81 CHILDREN/YOUTH SERVED -SCHOOL BUS SAFETY - 186 ADULTS, 66 CHILDREN/YOUTH SERVED -SKIN CANCER - 562 ADULTS, 432 CHILDREN/YOUTH SERVED -STROKE - 1,803 ADULTS, 60 CHILDREN/YOUTH SERVED -SUMMER SAFETY- 92 ADULTS, 40 CHILDREN/YOUTH SERVED -TESTICULAR CANCER - 87 ADULTS -TOBACCO - 1,651 ADULTS, 1,399 CHILDREN/YOUTH SERVED -ALL OTHERS- 2,530 ADULTS, 143 CHILDREN/YOUTH SERVED INCLUDES BICYCLE SAFETY, BONE HEALTH, HYDRATION, FIRE SAFETY, FLU AND VEHICLE SAFETY. OTHER SERVICES: FLU SHOTS: DURING THE FISCAL YEAR, KDMC PROVIDED 2,278 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 2015, KDMC CONTINUED A PARTNERSHIP 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 KING'S DAUGHTERS AT NO COST.
FORM 990, PART III, LINE 4A	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. KDMC'S 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 2015, THERE WERE A TOTAL OF 2,381 VOLUNTEERED HOURS BY BOTH KDMC TEAM MEMBERS AND COMMUNITY MEMBERS AND 6,102 MEALS WERE SERVED TO APPROXIMATELY 574 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 SEVEN 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. IN FY2015, MORE THAN 1800 WERE SEEN ON KDMC'S MOBILE MAMMOGRAPHY UNIT. SUPPORT GROUPS- KDMC PROVIDED A VARIETY OF SUPPORT GROUPS IN 2015 THAT WERE FREE TO ALL INTERESTED COMMUNITY MEMBERS. SUPPORT GROUPS OFFERED WERE ADULT DIABETES, YOUTH DIABETES, SURGICAL WEIGHT LOSS, PARKINSON'S DISEASE, LOOK GOOD & FEEL BETTER, PREGNANCY AND INFANT LOSS. TEAM MEMBERS VOLUNTEERED 71.5 HOURS. FAITHWORKS: FAITHWORKS IS A HEALTH MINISTRY PROGRAM THAT WAS OFFERED TO MORE THAN 100 CHURCHES IN 2015 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 2015 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. THERE WERE 72 GIRLS IN ATTENDANCE. CANCER REGISTRIES -KDMC ENTERED CANCER DATA FOR 2015 INTO THE CANCER PATIENT DATA MANAGEMENT SYSTEM FOR BENEFIT OF THE KENTUCKY STATE CANCER REGISTRY. REGISTRARS TRACKED PATIENT DEMOGRAPHICS, TYPE OF TUMOR FOUND, TREATMENT FOR CANCER DIAGNOSIS PLUS MORE AND FOLLOWS PATIENT 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 2015, KDMC AVERAGED 270 PARTICIPANTS MONTHLY. 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 2015. 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. KDMC ALSO PARTNERED WITH AREA SCHOOL DISTRICTS TO BRING STUDENTS IN DURING THE SCHOOL DAY. SEVERAL DAYS WERE CANCELED DUE TO WEATHER, BUT OVERALL FOUR SCHOOL GROUPS WERE ABLE TO ATTEND AND PARTICIPATE. STUDENTS VISITED FOUR STATIONS- 1) MEGA HEART, 2) HEALTHCARE CAREER INFORMATION 3) MY PLATE EDUCATION ON HEALTHY EATING AND PHYSICAL ACTIVITY AND 4) A.P.P.L.E. (OBESITY CASE MANAGEMENT) PROGRAM INFORMATION FROM THE ASHLAND-BOYD CO. HEALTH DEPARTMENT. MEGA COLON: KDMC, IN PARTNERSHIP WITH OUR LADY OF BELLEFONTE HOSPITAL, BROUGHT MEGA COLON TO THE ASHLAND TOWN CENTER MALL. MEGAN COLON IS A SCIENTIFICALLY ACCURATE INFLATABLE REPLICA OF THE HUMAN COLON. THIS DISPLAY PROVIDED VISITORS OF THE MALL WITH A HIGHLY INTERACTIVE, EDUCATIONAL EXPERIENCE FEATURING COLORECTAL POLYPS, VARIOUS STAGES OF COLON CANCER AND CHRON'S AND COLITIS. CANCER SURVIVOR'S DAY- KDMC HOSTED A CANCER SURVIVOR'S DAY CELEBRATION IN FY2015 FOR APPROXIMATELY 250 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. CANCER SURVIVOR'S DAY IS OPEN TO ALL CANCER SURVIVORS, NOT JUST THOSE FROM KDMC. PARTICIPANTS ALSO HAD THE OPPORTUNITY TO SPEAK WITH SEVERAL ONCOLOGY NURSES DURING THE CELEBRATION. FIT FOR A CURE- A PARTNERSHIP WITH SUSAN G. KOMEN LEXINGTON AND BELK DEPARTMENT STORE. KDMC PROVIDES BREAST HEALTH EDUCATION AND VOLUNTEERS WHO ARE ON HAND DURING THE WACOAL BRA FITTINGS. WACOAL DONATES MONEY TO KOMEN WITH EVERY FITTING AND/OR PURCHASE MADE. BELK ALSO PROVIDES PARTICIPANTS WITH A FREE GIFT. BACK TO SCHOOL HEALTH AND WELLNESS EVENT-THE CENTER FOR HEALTHY LIVING HOSTED A BACK TO SCHOOL WELLNESS EVENT IN FY2015. THE GOAL WAS TO PROMOTE HEALTHY EATING AND PHYSICAL ACTIVITY TO FAMILIES. ACTIVITIES INCLUDED YOGA, SUGARY DRINKS AND FOODS LAB, FOODUCATE APP (GROCERY STORE SETTING), OBSTACLE COURSE, ZUMBA, HEALTHY SNACKS, COOKING DEMO BY CHEF ROB AND THEN A SPECIAL PRESENTATION FOR THE PARENTS "PREPARING HEALTHY MEALS ON A BUDGET". PRIZES GIVEN WERE A BIKE, FIT BIT, IPOD AND OTHERS. THERE WERE 28 CHILDREN AND 25 ADULTS IN ATTENDANCE. AMERICAN CANCER SOCIETY- KDMC IS ACTIVELY INVOLVED WITH THE AMERICAN CANCER SOCIETY EVENTS. WE PROVIDE VOLUNTEERS AND SPONSORSHIPS FOR RELAY FOR LIFE, MAKING STRIDES WALK AND CHILI FEST. IN FY2015, KDMC SPONSORED THE MAKING STRIDES BREAKFAST SPENDING $523 ON FOOD FOR COMMUNITY MEMBERS TO ATTEND AND LEARN MORE ABOUT THE AMERICAN CANCER SOCIETY. DONATIONS- KDMC'S HOME HEALTH TEAM DONATED $33,675.88 WORTH OF EQUIPMENT AND CLOTHING TO FEDERATED CHARITIES AND THE DRESSING ROOM FOR THOSE STRUGGLING FINANCIALLY IN OUR AREA. KDMC ALSO DONATED SCALES, IV POLES, BLOOD PRESSURE MACHINES, OTOSCOPES, BEDS, WHEELCHAIRS AND OTHER MEDICAL SUPPLIES TO ASHLAND INDEPENDENT SCHOOLS AND BOYD COUNTY SCHOOLS. HEART CHASE- A PARTNERSHIP TOOK PLACE BETWEEN KDMC, OLBH AND THE AMERICAN HEART ASSOCIATION. KDMC PROVIDED TWO TEAM MEMBERS FOR THEIR COMMUNITY PLANNING COMMITTEE THAT ASSISTED IN SPONSORSHIPS, PLANNING AND DAY-OF-EVENT ACTIVITIES. COLOR SPLASH 5K- A KDMC SPORTS MEDICINE EVENT TO RAISE MONEY FOR FREE BASELINE COMMUNITY CONCUSSION TESTING FOR 15 LOCAL HIGH SCHOOLS; 1100+ RACE PARTICIPANTS AND OVER 40 VOLUNTEER. YOUNG WOMEN LEAD- YOUNG WOMEN LEAD IS A TWO DAY LEADERSHIP CONFERENCE FOR HIGH SCHOOL GIRLS FOCUSING ON LEADERSHIP, EDUCATION AND DEVELOPMENT. THE PURPOSE OF THE CONFERENCE IS TO EMPOWER HIGH SCHOOL GIRLS TO EMBRACE THEIR STRENGTHS AND TO REACH THEIR FULL POTENTIAL. THE ALL-DAY SESSION FEATURES NATIONALLY RECOGNIZED WOMEN WHO SHARE THEIR OWN INSIGHTS ON REAL LIFE ISSUES AND HOW TO OVERCOME THEM TO ACHIEVE SUCCESSFUL AND MEANINGFUL CAREERS. THE CONFERENCE ALSO PROVIDES AN OPPORTUNITY FOR THE TEENS TO CONNECT TO AND LEARN FROM LOCAL FEMALE BUSINESS LEADERS. KDMC HAS ONE PERSON ON THEIR PLANNING COMMITTEE WHICH INVOLVES MORE THAN 32 HOURS EACH YEAR. KDMC ALSO SENDS FEMALE SPEAKERS TO PARTICIPATE EACH DAY. THE CHIEF FINANCIAL OFFICER AND THE CHIEF EXECUTIVE OFFICER PARTICIPATED IN FY2015. NATIONAL DAY OF PRAYER- KDMC PARTNERS WITH OUR LADY OF BELLEFONTE HOSPITAL TO HOST A NATIONAL DAY OF PRAYER BREAKFAST FOR COMMUNITY MEMBERS FREE OF CHARGE. THERE ARE NORMALLY 100 IN ATTENDANCE.
FORM 990, PART III, LINE 4A	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 482 FAMILIES 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, MEDICINE, MEDICAL EQUIPMENT OR TRANSPORTATION WHILE STAYING WITH THEIR LOVED ONE IN THE HOSPITAL. IN RESPONSE, KDMC SOCIAL WORKERS AND PATIENT REPRESENTATIVES PROVIDE MEAL TICKETS, CLOTHING AND PERSONAL HYGIENE ITEMS, FREE OF CHARGE, TO THOSE IN NEED. IN ADDITION, KDMC ALSO PROVIDES GENERAL EMERGENCY MEDICAL ASSISTANCE TO HELP WITH DURABLE MEDICAL EQUIPMENT, HOME HEALTH AND MEDICATION ASSISTANCE. TRANSPORTATION IS ALSO A BIG NEED IN OUR COMMUNITY SO THE HOSPITAL ALSO ASSISTS IN PROVIDING GAS CARDS TO FAMILIES. IN 2015, KDMC SPENT APPROXIMATELY $47,656 TO PROVIDE FOR FAMILIES IN NEED. SPIRITUAL SERVICES: THE PASTORAL CARE SERVICE DEPARTMENT EMPLOYS TWO FULL-TIME CHAPLAINS AND TWO PART-TIME TO PROVIDE SPIRITUAL AND EMOTIONAL SUPPORT FOR OUR PATIENTS, THEIR FAMILIES AND FRIENDS AND FOR THE STAFF OF KING'S DAUGHTERS MEDICAL CENTER. RESEARCH: KDMC THROUGH THE ONCOLOGY SERVICES AND THE KENTUCKY HEART FOUNDATION OFFER CUTTING EDGE RESEARCH OPPORTUNITIES TO PATIENTS AT KDMC. THERE WERE 249 PATIENTS THAT PARTICIPATED IN RESEARCH STUDIES IN FY2015. 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 96 HOURS WERE VOLUNTEERED BY KDMC TEAM MEMBERS TO WORK THE DRIVE. A TOTAL OF 312 COMMUNITY MEMBERS AND TEAM MEMBERS DONATED BLOOD. KDMC ALSO PROVIDED FOOD AND DRINKS FOR EACH DRIVE. HALLOWEEN IN THE PARK- KING'S DAUGHTERS COMMUNITY SERVICE TEAM PROVIDES FUN GIVEAWAYS AND GAMES FOR CHILDREN ON HALLOWEEN. THERE ARE GENERALLY AROUND 400 CHILDREN THAT ATTEND AND KDMC PROVIDES 20+ VOLUNTEERS. JOHNSON COUNTY FLOOD DRIVE- MORE THAN 200 TEAM MEMBERS FROM 50 DEPARTMENTS DONATED ITEMS FOR THE JOHNSON COUNTY FLOOD DRIVE. SPORTS PHYSICALS- MORE THAN 1,536 SPORTS PHYSICALS WERE COMPLETED FOR HIGH SCHOOLS IN KY, OH AND FOR KENTUCKY CHRISTIAN UNIVERSITY. 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 114 BASKETS IN 2015. 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 142 ELEMENTARY AGED CHILDREN TO ENSURE STUDENTS START THE YEAR WITH THE NECESSARY SCHOOL SUPPLIES AND AT LEAST ONE NEW OUTFIT. ADOPT-A-FAMILY-60 DEPARTMENTS ADOPTED 207 FAMILIES AND SPENT $33,485 ON CHRISTMAS GIFTS FOR FAMILIES IN NEED. RIVER CITIES HARVEST-KDMC TEAM MEMBERS DONATED MORE THAN 9,500 POUNDS OF FOOD TO RIVER CITIES HARVEST IN 2015. 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. JOE WORKED IN THE KDMC EMERGENCY DEPARTMENT. 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 2015, TEAM KDMC DONATED 1875 COATS, 300 PAIRS OF SOCKS, 100 TOBOGGANS & GLOVES, 250 SNACK BAGS AND 250 HYGIENE BAGS. KDMC AUXILLARY- THE KING'S DAUGHTERS AUXILLARY SUPPORTS THE HEALTH OF OUR COMMUNITY GREATLY. IN FY2015, THE GROUP PROVIDED $30,234.30 TO DEPARTMENTS WITHIN THE HOSPITAL WORKING ON IMPROVING PATIENT EXPERIENCE AND PATIENT HEALTH. OF THE $36,234.30, $34,894.95 WAS DEDICATED TO COMMUNITY BENEFIT PROGRAMS LIKE MEDICATION ASSISTANCE AND CAR SEATS FOR CHILDREN. UNITED WAY CAMPAIGN-KDMC HAS A STRONG PARTNERSHIP WITH THE UNITED WAY OF NORTHEAST KY. THE HOSPITAL EMPLOYEES DONATE MORE THAN $70,000 OF THEIR OWN MONEY TO SUPPORT THIS WONDERFUL AGENCY. IN ADDITION, THE KDMC MARKETING DEPARTMENT DONATES STAFF TIME AND MATERIALS TO ENCOURAGE EMPLOYEES TO PARTICIPATE AND DONATE. FROM OCTOBER THROUGH DECEMBER, THE MARKETING TEAM SPENT 600+ HOURS PLANNING AND ORGANIZING UNITED WAY ACTIVITIES. NARCAN- EASTERN KY HAS A TERRIBLE DRUG PROBLEM AND KDMC CONTINUALLY SEES PATIENTS AND FAMILIES SUFFERING. POLICE DEPARTMENTS AND FIRST RESPONDERS IN OHIO REQUESTED ASSISTANCE FROM KDMC FOR NARCAN NASAL SPRAY. NARCAN IS THE DRUG THAT CAN REVERSE AN OPIATE OVERDOSE IN A MATTER OF MINUTES. KDMC HAS PARTNERED WITH THREE POLICE DEPARTMENTS, A SHERIFF'S OFFICE AND A PROSECUTOR'S OFFICE TO PROVIDE 42 DOSES. CBISA TRAINING- KDMC KNOWS THE IMPORTANCE OF COMMUNITY BENEFIT AND THEREFORE PROVIDED A ONE DAY TRAINING WITH LYON'S SOFTWARE IN FY2015 FOR COMMUNITY AND ACCOUNTING STAFF MEMBERS TO LEARN MORE ABOUT THE COMMUNITY BENEFIT REPORTING TOOL, CBISA. THE TRAINING LASTED 8 HOURS. COMMUNITY LEADERSHIP DEVELOPMENT- KDMC PARTNERS MEET WITH THE LOCAL CHAMBER OF COMMERCE EVERY YEAR TO PLAN AND HOST THE COMMUNITY LEADERSHIP DEVELOPMENT PROGRAM. KDMC PROVIDES ONE STAFF MEMBER TO SERVE ON THE PLANNING COMMITTEE AND ALSO HOSTS/SPONSORS THE GROUP DURING THE HEALTHCARE SESSION. THE GROUP STARTS THE DAY AT A VARIETY OF NON-PROFITS IN THE AREA (HOSPICE, DRESSING ROOM, COMMUNITY KITCHEN) AND THEN IS PROVIDED WITH A TOUR AND LUNCH FROM KDMC. THE PURPOSE OF THIS PROGRAM IS TO BUILD FUTURE LEADERS FOR OUR AREA. PROGRAM PARTICIPANTS VISIT DIFFERENT LOCATIONS EACH WEEK. KDMC ALSO SENDS TEAM MEMBERS THROUGH THE PROGRAM YEARLY. NON-PROFIT BOARDS AND ACTIVITIES-KDMC'S LEADERSHIP TEAM GIVES BACK TO THE COMMUNITY BY SERVING ON BOARDS AND PARTICIPATING IN ACTIVITIES FOR LOCAL NON-PROFITS. KDMC HAS TEAM MEMBERS SERVING FOR COMMUNITY HOSPICE, THE NEIGHBORHOOD, ASHLAND YMCA, RIVER CITIES HARVEST, BIG BROTHER'S, BIG SISTERS AND MANY MORE. THE LEADERSHIP TEAM AND EMPLOYEES PUT IN MORE THAN 700 COMMUNITY HOURS IN FY2015. THE HEALTH AND WELL-BEING OF THE COMMUNITY IS VITALLY IMPORTANT TO US AT KING'S DAUGHTERS. WE OWE OUR VERY EXISTENCE TO FORWARD-THINKING COMMUNITY MEMBERS, TO VOLUNTEERS WHO HELPED SHAPE KING'S DAUGHTERS, AND TO THE PATIENTS AND FAMILIES WHO CHOOSE US FOR THEIR CARE. OUR COMMITMENT TO COMMUNITY DRIVES US TO GIVE BACK. OUR TEAM MEMBERS, PHYSICIANS AND HEALTH PROFESSIONALS PROVIDE FREE SCREENINGS AND EDUCATION, AND PARTICIPATE IN HEALTH FAIRS AND OTHER SPECIAL EVENTS DESIGNED TO HELP PEOPLE AND THE COMMUNITY BE HEALTHIER.
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 RICH HERNANDEZ, 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 OF KING'S DAUGHTERS HEALTH SYSTEM, KDHS ENGAGED SULLIVAN COTTER AND ASSOCIATES, INC., A LEADING INDEPENDENT COMPENSATION CONSULTING COMPANY SPECIALIZING IN EXECUTIVE, EMPLOYEE AND PHYSICIAN COMPENSATION AND BENEFITS FOR THE HEALTH CARE AND NOT-FOR-PROFIT INDUSTRY, TO ASSIST IN DETERMINING COMPENSATION OF THE CEO, VICE PRESIDENTS, AND CHIEF MEDICAL OFFICERS. THIS IS AN ANNUAL PROCESS AND SULLIVAN COTTER'S MOST RECENT EXECUTIVE COMPENSATION REVIEW WAS PERFORMED IN 2015 AND REMAINS IN PROCESS. 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 WITH OPERATIONS IN THE UNITED STATES. THE SULLIVAN COTTER 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 COMPLIANCE OFFICER VP, CHIEF FINANCIAL OFFICER VP, CHIEF LEGAL & REGULATORY OFFICER/GENERAL COUNSEL CHIEF MEDICAL OFFICERS VP, CHIEF STRATEGY/INFORMATION SERVICES & TECHNOLOGY OFFICER VP, EXECUTIVE DIRECTOR KING'S DAUGHTERS INTEGRATED PHYSICIANS 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 -7,656,216. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS -67. PENSION LIABILITY ADJUSTMENT -7,859,244. WRITE OFF OF DUE FROM AFFILIATE -13,987. ADJUSTMENT FOR ACCUMULATED LOSS ON SWAP 79,556.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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?
(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	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) 2014

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	(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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	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?
(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		Yes	No
(1) ASHLAND MEDICAL PROPERTIES INC 2201 LEXINGTON AVENUE ASHLAND,KY41101 61-1079090	RENTALS	KY	ASHLAND HOSPITAL CORPORATION	C	-4,015	46,921	100.000 %	Yes

Schedule R (Form 990) 2014

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

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 . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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	1,811,438	ALL TRANSACTIONS BETWEEN
(2) ASHLAND NURSING HOME CORP	S	1,730,435	COMPANIES ARE CAPTURED AT COST
(3) KENTUCKY HEART FOUNDATION INC	A	28,764	IN THE DUE TO/FROM
(4) KENTUCKY HEART FOUNDATION INC	O	318,526	ACCOUNTS. THE TYPES OF
(5) KENTUCKY HEART FOUNDATION INC	R	298,141	TRANSACTIONS THAT HIT THIS
(6) KENTUCKY MEDICAL LOGISTICS INC	R	940,520	ACCOUNT ARE TRACKED MONTHLY.
(7) KENTUCKY MEDICAL LOGISTICS INC	S	883,421
(8) KING'S DAUGHTERS MEDICAL SPECIALTIES INC	B	54,711
(9) KING'S DAUGHTERS MEDICAL SPECIALTIES INC	O	2,602,438
(10) KING'S DAUGHTERS MEDICAL SPECIALTIES INC	R	8,952,036
(11) KING'S DAUGHTERS MEDICAL SPECIALTIES INC	S	484,774
(12) PORTSMOUTH HOSPITAL CORPORATION	B	99,882
(13) PORTSMOUTH HOSPITAL CORPORATION	R	9,554,747
(14) PORTSMOUTH HOSPITAL CORPORATION	S	10,701,590

Schedule R (Form 990) 2014

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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

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) 2014

Additional Data

Software ID:
Software Version:

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
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	5
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	4,233
6	Total number of volunteers (estimate if necessary) .............	6	192
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	591,026
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,235,076	161,788
9	Program service revenue (Part VIII, line 2g) .........	407,319,972	390,182,619
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	14,272,339	14,331,870
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,422,217	3,628,898
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	427,249,604	408,305,175
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	56,509	57,564
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)	193,166,395	169,652,779
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	241,125,122	226,494,925
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	434,348,026	396,205,268
19	Revenue less expenses. Subtract line 18 from line 12.......	-7,098,422	12,099,907
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	713,114,773	673,175,591
21	Total liabilities (Part X, line 26).............	366,850,295	344,378,968
22	Net assets or fund balances. Subtract line 21 from line 20.....	346,264,478	328,796,623

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 327,301,223 including grants of $ 57,564 ) (Revenue $ 390,182,619 )
	ORGANIZATIONAL INFORMATION:KING'S DAUGHTERS MEDICAL CENTER IS A LOCALLY CONTROLLED, NOT-FOR-PROFIT, 465-BED REGIONAL REFERRAL CENTER, COVERING A 150-MILE RADIUS THAT INCLUDES SOUTHERN OHIO AND EASTERN KENTUCKY. 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. KING'S DAUGHTERS MEDICAL CENTER 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:KING'S DAUGHTERS MEDICAL CENTER IS LOCATED IN EASTERN KENTUCKY, WHERE THE KENTUCKY, OHIO AND WEST VIRGINIA STATE LINES MEET. KDMC'S PRIMARY SERVICE AREA ENCOMPASSES SIX COUNTIES IN TWO STATES, BOYD, CARTER, GREENUP & LAWRENCE COUNTIES IN KENTUCKY AND LAWRENCE & SCIOTO COUNTIES IN OHIO. MORE THAN 236,000 PEOPLE LIVE IN THE SIX-COUNTY PRIMARY SERVICE AREA. WITH THE EXCEPTION OF ONE CITY WITH A POPULATION 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 19.1% FOR KENTUCKY, 15.8% FOR OHIO AND 15% FOR THE NATION. MORE THAN 25% OF CHILDREN LIVE IN POVERTY. THE POPULATION IS 96.35% WHITE, 1.75% BLACK AND ALL OTHER RACES 1.9%. THE AVERAGE PER CAPITA INCOME IS $20,045, WELL BELOW THE LEVELS FOR KENTUCKY ($23,741), OHIO ($26,520) AND THE NATION ($28,555). IN KDMC'S PRIMARY MARKET AREA, 10% OF PERSONS UNDER 64 YEARS OF AGE LACKED ANY FORM OF HEALTHCARE COVERAGE, COMPARED TO KENTUCKY-9.8%, OHIO-9.8% AND THE NATION-12%. (DATA FROM US CENSUS BUREAU 2014, SMALL AREA INCOME AND POVERTY ESTIMATES 2013)

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 expenses327,301,223

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(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
(A) Name and Title
(18) BOYKIN MAYOLA MD........................................................................ PHYSICIAN	40.00 .......................	X		735,665	0	32,086
(19) ESHAM GEORGE MD........................................................................ PHYSICIAN	40.00 .......................	X		443,661	0	22,288
(20) FRALEY ERIK MD........................................................................ PHYSICIAN	40.00 .......................	X		558,019	0	20,965
(21) MOTIMAYA ASH MD........................................................................ PHYSICIAN	40.00 .......................	X		731,963	0	31,851
(22) JACKSON FRED........................................................................ FORMER PRESIDENT/CEO	0.00 .......................		X	863,956	0	6,606

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	6,338,749	67,922	323,716

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e		17,972

f	All other contributions, gifts, grants, and similar amounts not included above1f		143,816

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			161,788
			Business Code
2a	NET PATIENT SVC REV		621110	383,122,446	382,962,945	159,501
b	PHARMACY		446110	5,938,449	5,883,322	55,127
c	MEANINGFUL USE REVENUES		621110	1,121,724	1,121,724
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			390,182,619
3	Investment income (including dividends, interest, and other similar amounts).......			7,909,744		11,905	7,897,839
4	Income from investment of tax-exempt bond proceeds..			4,709			4,709
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	795,709	3,675
b	Less: rental expenses	609,888	3,726
c	Rental income or (loss)	185,821	-51
d	Net rental income or (loss).......			185,770		-51	185,821
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	110,035,984	595,335
b	Less: cost or other basis and sales expenses	103,681,043	532,859
c	Gain or (loss)	6,354,941	62,476
d	Net gain or (loss)..........			6,417,417			6,417,417
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..
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...
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..
Miscellaneous Revenue			Business Code
11a	CAFETERIA		722210	1,924,665			1,924,665
b	LAWSUIT SETTLEMENT		900099	627,255			627,255
c	HOME MEDICAL EQUIPMENT		621610	364,544		364,544
d	All other revenue ....			526,664			526,664
e	Total. Add lines 11a–11d ......			3,443,128
12	Total revenue. See Instructions......			408,305,175	389,967,991	591,026	17,584,370


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			6,624,593	1	9,015,627
2	Savings and temporary cash investments .........			6,499,950	2	5,466,036
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			67,625,033	4	50,933,767
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 .............			1,070,397	7	2,262,641
8	Inventories for sale or use ..............			9,792,796	8	10,846,645
9	Prepaid expenses and deferred charges ..........			9,865,542	9	9,061,475
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	693,955,335
b	Less: accumulated depreciation .....	10b	434,957,394	269,417,688	10c	258,997,941
11	Investments—publicly traded securities ..........			191,770,871	11	173,423,042
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....			5,732,621	13	6,444,436
14	Intangible assets ...............			747,691	14	757,523
15	Other assets. See Part IV, line 11 ...........			143,967,591	15	145,966,458
16	Total assets. Add lines 1 through 15 (must equal line 34)......			713,114,773	16	673,175,591
17	Accounts payable and accrued expenses .........			50,952,255	17	44,346,147
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............			238,624,371	20	233,545,281
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 ..			99,770	23	75,701
24	Unsecured notes and loans payable to unrelated third parties ....			15,000,000	24
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....................			62,173,899	25	66,411,839
26	Total liabilities. Add lines 17 through 25.........			366,850,295	26	344,378,968
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			346,264,478	27	328,796,623
28	Temporarily restricted net assets ...........				28
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			346,264,478	33	328,796,623
34	Total liabilities and net assets/fund balances ........			713,114,773	34	673,175,591