TY 2018 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) DAVID JONES...................................................................... CHAIRMAN	2.00 ................. 4.00	X	X			0	0	0
(2) KRISTIE WHITLATCH...................................................................... PRESIDENT/CEO	51.25 ................. 11.25	X	X			842,313	0	22,947
(3) SHERYL MAHANEY NON-VOTING...................................................................... SECRETARY, VP/CHIEF LEGAL & REG. OFF.	51.25 ................. 11.25	X	X			423,069	0	23,048
(4) AUTUMN MCFANN NON-VOTING...................................................................... TREASURER, VP/CFO	51.25 ................. 11.25	X	X			350,905	0	23,048
(5) STEPHEN ADDINGTON...................................................................... DIRECTOR	0.25 ................. 1.00	X				0	0	0
(6) WILLIAM BOYKIN MD...................................................................... DIRECTOR/MEDICAL STAFF PRESIDENT	0.25 ................. 40.25	X				23,000	423,680	7,477
(7) TOM BURNETTE...................................................................... DIRECTOR	0.25 ................. 1.25	X				0	0	0
(8) DONALD HAMMONDS DO...................................................................... DIRECTOR/PHYSICIAN	0.25 ................. 30.25	X				0	31,393	14,595
(9) BRADLEY LEVI...................................................................... DIRECTOR	0.25 ................. 0.25	X				0	0	0
(10) KIM MCCANN...................................................................... DIRECTOR	0.25 ................. 2.25	X				0	0	0
(11) JOHN STEWART...................................................................... DIRECTOR	0.25 ................. 1.25	X				0	0	0
(12) JOHN VINCENT...................................................................... DIRECTOR	0.25 ................. 1.50	X				0	0	0
(13) RAMONA THOMPSON...................................................................... VP/CHIEF COMPLIANCE OFFICER	45.00 ................. 1.25			X		251,306	0	17,978
(14) SARA MARKS...................................................................... VP/EXECUTIVE DIRECTOR KDIP	51.25 ................. 6.25			X		370,702	0	33,305
(15) RICHARD FORD MD...................................................................... VP/CMO OF INPATIENT/PROC.	0.25 ................. 40.25			X		0	622,027	23,048
(16) JAMES DETHERAGE MD...................................................................... VP/CMO OF OUTPATIENT/KDIP/PHYSICIAN	0.25 ................. 40.25			X		2,000	545,313	33,139
(17) EVAN CONDEE DO...................................................................... PHYSICIAN	40.00 .................				X	376,345	0	16,024

(A) Name and business address	(B) Description of services	(C) Compensation
OBHG KENTUCKY PSC 777 LOWNDES HILL ROAD-BUILDING 1 GREENVILLE,SC296072131	HOSPITALISTS	1,773,655
CLEVELAND CLINIC FOUNDATION PO BOX 931760 CLEVELAND,OH441931861	CONSULTANTS	1,250,000
DULEY ENTERPRISES LLC 24203 JACKS FORK ROAD RUSH,KY41168	CONSULTANTS	1,238,465
BIO-MEDICAL APPS OF OHIO 16343 COLLECTIONS CENTER DR CHICAGO,IL60693	DIALYSIS SERVICES	1,017,363
STITES & HARBISON PLLC 250 WEST MAIN STREET LEXINGTON,KY405071758	LAWYERS	993,563
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 39

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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—2017. 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

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

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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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) 2018

Page 6

Part V

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

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). 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

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) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 other 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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization ASHLAND HOSPITAL CORPORATION		Employer identification number 61-0444716

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

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.) $ 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) (2018)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

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) 2015	(b) 2016	(c) 2017	(d) 2018	(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) 2018

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 on 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

53,630

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

53,630

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:	- $22,623: A PORTION OF THE DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. - $27,110: A PORTION OF DUES PAID TO THE COLLEGE OF AMERICAN PATHOLOGISTS ATTRIBUTABLE TO LOBBYING. - $3,201: A PORTION OF THE DUES PAID TO THE AMERICAN COLLEGE OF CARDIOLOGY ATTRIBUTABLE TO LOBBYING EXPENSES. - $696: A PORTION OF DUES PAID TO THE AMERICAN COLLEGE OF SURGEONS ATTRIBUTABLE TO LOBBYING.

Return Reference

Explanation

PART II-B, LINE 1:

- $22,623: A PORTION OF THE DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING EXPENSES. - $27,110: A PORTION OF DUES PAID TO THE COLLEGE OF AMERICAN PATHOLOGISTS ATTRIBUTABLE TO LOBBYING. - $3,201: A PORTION OF THE DUES PAID TO THE AMERICAN COLLEGE OF CARDIOLOGY ATTRIBUTABLE TO LOBBYING EXPENSES. - $696: A PORTION OF DUES PAID TO THE AMERICAN COLLEGE OF SURGEONS ATTRIBUTABLE TO LOBBYING.

Schedule C (Form 990 or 990EZ) 2018

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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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" on 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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 on 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 on 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) 2018

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(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 on 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" on 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" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	28,415,203		28,415,203
b	Buildings ....	363,271,386	205,974,200	157,297,186
c	Leasehold improvements
d	Equipment ....	235,567,489	186,174,978	49,392,511
e	Other .....	6,283,530	4,929,249	1,354,281
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				236,459,181

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on 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........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) SELF INSURANCE FUNDS				185,200
(2) TRUSTEED FUNDS				1,317
(3) DUE FROM RELATED PARTIES				179,476,237
(4) OTHER RECEIVABLES				1,201,063
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				180,863,817

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
MALPRACTICE COSTS	20,462,876
ACCRUED PENSION	17,002,000
LONG-TERM RETENTION PLAN	262,621
INTEREST RATE SWAP AGREEMENTS	15,516,071
EST. THIRD PARTY PAYOR SETTLEMENTS	5,961,000
LEASES PAYABLE	6,238,787
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	65,443,355
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) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
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
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
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
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
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
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

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.

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

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) . . .	2,034,619		2,034,619	0.500 %
b	Medicaid (from Worksheet 3, column a) . . . . .	97,270,690	70,866,997	26,403,693	6.530 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	99,305,309	70,866,997	28,438,312	7.030 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	2,439,839		2,439,839	0.600 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	321,931		321,931	0.080 %
j	Total. Other Benefits . .	2,761,770		2,761,770	0.680 %
k	Total. Add lines 7d and 7j .	102,067,079	70,866,997	31,200,082	7.710 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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	499,846	499,846	0.120 %
9	Other
10	Total	499,846	499,846	0.120 %

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. ......

8,043,484

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).....

120,306,322

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

127,395,624

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

-7,089,302

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) 2018

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?1Name, 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.KINGSDAUGHTERSHEALTH.COM 100958	X	X	X

Schedule H (Form 990) 2018

Page 4

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

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

6 a

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): KINGSDAUGHTERSHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

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 18

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

Yes

If "Yes" (list url): KINGSDAUGHTERSHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

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

12b

If "Yes" on 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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 200.000000000000% 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)

Was widely publicized 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):

KINGSDAUGHTERSHEALTH.COM/PATIENT-VISITORS/FINANCIAL-SERVICES-RESOURCES

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

KINGSDAUGHTERSHEALTH.COM/PATIENT-VISITORS/FINANCIAL-SERVICES-RESOURCES

A plain language summary of the FAP was widely available on a website (list url):
KINGSDAUGHTERSHEALTH.COM/PATIENT-VISITORS/FINANCIAL-SERVICES-RESOURCES

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

Did the hospital facility or other authorized 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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

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)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

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, 16j, 18e, 19e, 20e, 21c, 21d, 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: IN ORDER TO ASSURE THAT THERE WAS A BROAD INVOLVEMENT FROM ALL FOUR COUNTIES IN THE ASSESSMENT PROCESS, FOCUS GROUPS AND A SURVEY WERE SELECTED TO GAIN INPUT. EACH COUNTY FOCUS GROUP CONSISTED OF INDIVIDUALS FROM PUBLIC HEALTH, BUSINESS, NON-PROFITS, HEALTHCARE AND OTHERS INTERESTED IN THE HEALTH OF THEIR COMMUNITY. THERE WERE INDIVIDUALS FROM EACH COUNTY PUBLIC HEALTH DEPARTMENT, WHICH REPRESENTED THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. IN ADDITION, MULTIPLE OTHER NON-PROFITS ALSO REPRESENTED THOSE WHO ARE UNDERSERVED, LOW INCOME OR PART OF THE MINORITY COMMUNITY. THESE COVERED PROGRAMS FOR THE AGED TO THOSE FOR YOUNG CHILDREN/INFANTS.
ASHLAND HOSPITAL CORPORATION	PART V, SECTION B, LINE 6A: BON SECOURS KENTUCKY A.K.A. OUR LADY OF BELLEFONTE HOSPITAL & PORTSMOUTH HOSPITAL CORPORATION.
ASHLAND HOSPITAL CORPORATION	PART V, SECTION B, LINE 11: THE SIGNIFICANT NEEDS IDENTIFIED BY THE 2019 CHNA AND RATIFIED BY THE KDMC LEADERSHIP TEAM ARE: SUBSTANCE ABUSE, OBESITY/DIABETES, CANCER PREVENTION, HEART DISEASE/HYPERTENSION, AND COPD/LUNG DISEASE. THE 2019 CHNA IDENTIFIED NEW NEEDS TO BE ADDRESSED INCLUDING SUBSTANCE ABUSE/MISUSE, OBESITY/DIABETES, HEART DISEASE, COPD AND OTHER BREATHING ISSUES, AND CANCER PREVENTION. THESE NEEDS ARE BEING ADDRESSED THROUGH THE IMPLEMENTATION PLAN IN THE FOLLOWING WAYS:- SUBSTANCE ABUSE/MISUSE: KDMC IS PARTNERING WITH LOCAL COURT SYSTEMS TO WORK WITH JUSTICE INVOLVED INDIVIDUALS WHO ARE PARTICIPATING IN DRUG COURT. A GRANT HAS ENABLED KDMC TO EXPAND THEIR OUTPATIENT BEHAVIORAL SERVICES TO INCLUDE A LICENSED CLINICAL SOCIAL WORKER AND NURSE PRACTITIONERS WHO HAVE SPECIALTY IN WORKING WITH SUBSTANCE ABUSE PATIENTS. THE PRIMARY FOCUS IS ON JUSTICE INVOLVED INDIVIDUALS WITH OPIOID ADDICTION. THE PROGRAM ADDRESSES NOT ONLY THE ISSUE OF ADDICTION BUT ALSO PRIMARY CARE AND REMOVAL OF SOCIAL/ECONOMIC ISSUES THAT LIMIT THE PATIENT'S ABILITY TO OVERCOME THEIR ADDICTION. KDMC IS ALSO WORKING THROUGH THE FAITH COMMUNITY TO REMOVE THE STIGMA OF ADDICTION TO HELP IMPROVE RECOVERY RATES. KDMC WILL CONTINUE TO PROVIDE EDUCATION ABOUT SAFE MEDICATION PRACTICE IN SCHOOLS AND THROUGHOUT THE COMMUNITY TO REDUCE ACCIDENTAL POISONING. - OBESITY/DIABETES: KDMC WILL CONTINUE TO MEET THE FOOD NEEDS OF THE COMMUNITY THROUGH FARMER'S MARKETS, FOOD BANK DONATIONS AND THE MEALS-ON-WHEELS PROGRAM, WHILE LOOKING FOR ADDITIONAL WAYS TO ASSURE THE AVAILABILITY OF HEALTHY FOODS FOR THOSE IN NEED. TO ADDRESS OBESITY, KDMC WILL SUPPORT PHYSICAL ACTIVITY PROGRAMS IN THE AREA AND SPONSOR YOUNG PEOPLE WHO CANNOT AFFORD ENTRY INTO RUNS/WALKS. IN ADDITION, SCHOOL-BASED PROGRAMS FOR PHYSICAL ACTIVITY WILL BE IMPLEMENTED. TO ADDRESS DIABETES, KDMC WILL CONTINUE TO PROVIDE FREE NON-FASTING BLOOD SUGAR SCREENINGS THROUGHOUT THE AREA TO IDENTIFY THOSE WITH PREDIABETES OR DIABETES. THE LOW-COST BLOOD PROFILES, INCLUDING A1C WILL CONTINUE TO BE PROVIDED. - CANCER PREVENTION: KDMC WILL ADDRESS PREVENTION OF THREE CANCERS: LUNG, BREAST AND COLON/RECTAL. LUNG CANCER WILL BE TACKLED THROUGH LOW-DOSE CT SCREENING, PATIENT EDUCATION AND THE HEALTHAWARE RISK ASSESSMENT; COLON/RECTAL CANCERS WILL BE ADDRESSED THROUGH VARIOUS SCREENING OPTIONS, INCLUDING COLONOSCOPY, SIGMOIDOSCOPY AND FIT TESTING. THE HEALTHAWARE RISK ASSESSMENT WILL ALSO ADDRESS COLON/RECTAL CANCER. BREAST CANCER WILL FOCUS ON CARTER COUNTY, WHERE SCREENING IS LOW AND BREAST CANCER DEATHS ARE HIGH. THE MOBILE MAMMOGRAPHY UNIT WILL INCREASE THE NUMBER OF VISITS TO CARTER COUNTY FOR SCREENING. OTHER RESOURCES, SUCH AS GRANT FUNDS TO PAY FOR MAMMOGRAMS AND DIAGNOSTIC TESTING, WILL BE PROVIDED FOR WOMEN IN THE COUNTY. GENETIC TESTING FOR CANCER IS ALSO BEING OFFERED. - COPD AND OTHER BREATHING ISSUES: THESE LUNG ISSUES ARE BEING ADDRESSED THROUGH INCREASING EFFORTS TO EDUCATE INDIVIDUALS IN THE COMMUNITY ABOUT THE ILL EFFECTS OF TOBACCO USE AND E-CIGARETTES (VAPING). THIS EDUCATION IS PROVIDED THROUGH SCHOOLS AND COMMUNITY EVENTS. IN ADDITION, AN INCREASED EFFORT TO ASSIST INDIVIDUALS TO QUIT TOBACCO USE IS BEING MADE THROUGH REFERRALS AND SMOKING CESSATION CLASSES. FURTHER INCREASED EFFORT IS BEING MADE TO HELP IDENTIFY INDIVIDUALS WITH LUNG ISSUES THROUGH TAKING BREATHING SCREENINGS (PFT TESTING) TO RURAL AREAS THROUGH THE MOBILE HEALTH UNIT. - HEART DISEASE: THE EARLY DETECTION OF HEART DISEASE AIDS IN PREVENTING FUTURE CATASTROPHIC EVENTS. THROUGH SCREENING AND PREVENTION EDUCATION, KDMC ADDRESSES THE NEED TO LOWER CHOLESTEROL AND HIGH BLOOD PRESSURE. THOSE SCREENED RECEIVE EDUCATION AND BASED ON THEIR NUMBERS, MAY BE ADVISED TO FURTHER SEE A PHYSICIAN. MENTAL HEALTH AND DEPRESSION WERE PART OF THE SIGNIFICANT NEEDS IDENTIFIED. WHILE KING'S DAUGHTERS RECOGNIZES THAT MENTAL HEALTH AND DEPRESSION ARE ISSUES FOR OUR SERVICE AREA, KING'S DAUGHTERS NEITHER HAS THE EXPERTISE OR RESOURCES TO SIGNIFICANTLY IMPACT THESE ISSUES. KING'S DAUGHTERS DOES RECOGNIZE THAT THESE ISSUES MAY BE SOMEWHAT IMPACTED THROUGH TARGETING OTHER ISSUES LIKE SUBSTANCE ABUSE. IN ADDITION, KDMC DOES HAVE A NETWORK OF OUTSIDE AGENCIES, INCLUDING PATHWAYS, THAT INDIVIDUALS SUFFERING FROM MENTAL HEALTH AND DEPRESSION ARE REFERRED TO AS NEEDED.
ASHLAND HOSPITAL CORPORATION	PART V, SECTION B, LINE 13H: DOES NOT COVER SERVICES DEEMED NOT MEDICALLY NECESSARY.
ASHLAND HOSPITAL CORPORATION	PART V, SECTION B, LINE 24: ONLY FOR SERVICES EXCLUDED FROM ELIGIBILITY AS DEFINED WITHIN THE FAP, WHICH ARE DEFINED AS ELECTIVE SERVICES AND THEREFORE NOT MEDICALLY NECESSARY.

Schedule H (Form 990) 2018

Page 9

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?25
Name and address		Type of Facility (describe)
1	1 - CENTER FOR ADVANCED IMAGING 2225 CENTRAL AVENUE ASHLAND,KY41101	OUTPATIENT IMAGING CENTER
2	2 - ASHLAND URGENT CARE 2245 WINCHESTER AVENUE ASHLAND,KY41101	URGENT CARE
3	3 - GRAYSON URGENT CARE I-64 INTERCHANGE GRAYSON,KY41143	URGENT CARE
4	4 - IRONTON URGENT CARE 912 PARK AVENUE IRONTON,OH45638	URGENT CARE
5	5 - OUTPATIENT SERVICES CENTER 480 23RD STREET ASHLAND,KY41101	PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY
6	6 - CATLETTSBURG FAMILY CARE CENTER 4004 LOUIS RD CATLETTSBURG,KY41129	FAMILY CARE CENTER
7	7 - CEDAR KNOLL FAMILY CARE CENTERPEDIATRIC 10650 US ROUTE 60 ASHLAND,KY41102	FAMILY CARE CENTER/PEDIATRICS
8	8 - FLATWOODS FAMILY CARE 1107 BELLEFONTE RD FLATWOODS,KY41139	FAMILY CARE CENTER
9	9 - GRAYSON MEDICAL SPECIALTIES 609 N CAROL MALONE BLVD GRAYSON,KY41143	FAMILY CARE CENTER
10	10 - FLATWOODS MEDICAL SPECIALTIES 1109 BELLEFONTE RD FLATWOODS,KY41139	FAMILY CARE CENTER
11	11 - OLIVE HILL FAMILY CARE CENTER 391 WEST TOM T HALL BOULEVARD OLIVE HILL,KY41164	FAMILY CARE CENTER
12	12 - BURLINGTON FAMILY CARE CENTER 384 COUNTRY ROAD 120 SOUTH SOUTH POINT,OH45680	FAMILY CARE CENTER
13	13 - IRONTON FAMILY CARE CENTER 912 PARK AVENUE IRONTON,OH45638	FAMILY CARE CENTER
14	14 - JACKSON MEDICAL SPECIALTIES 14395 STATE ROUTE 93 JACKSON,OH45640	FAMILY CARE CENTER
15	15 - PORTSMOUTH MEDICAL SPECIALTIES 2001 SCIOTO TRAIL PORTSMOUTH,OH45662	FAMILY CARE CENTER
16	16 - WHEELERSBURG FAMILY CARE 8750 OHIO RIVER ROAD WHEELERSBURG,OH45694	FAMILY CARE CENTER
17	17 - SANDY HOOK FAMILY CARE CENTER STATE ROUTES 7 AND 32 SANDY HOOK,KY41171	FAMILY CARE CENTER
18	18 - KDMC OCCUPATIONAL MEDICINE 2301 LEXINGTON AVE STE 215 ASHLAND,KY41101	OCCUPATIONAL MEDICINE
19	19 - KDMC HOME HEALTH 2301 LEXINGTON AVE STE 305 ASHLAND,KY41101	HOME HEALTH SERVICES
20	20 - PRESTONSBURG FAMILY CARE 1279 OLD ABBOT MOUNTAIN RD PRESTONBURG,KY41653	FAMILY CARE CENTER
21	21 - RUSSELL WALK-IN CAREHALL FAMILY CARE 399 DIEDERICH BLVD RUSSELL,KY41169	WALK-IN CLINIC AND FAMILY CARE CENTER
22	22 - BURLINGTON URGENT CARE 384 COUNTRY ROAD 120 SOUTH SOUTH POINT,OH45680	URGENT CARE
23	23 - KDMC SKILLED NURSING FACILITY 2201 LEXINGTON AVENUE ASHLAND,KY41101	SKILLED NURSING
24	24 - PORTSMOUTH INTERNAL MEDICINE 1729 KINNEYS LANE PORTSMOUTH,OH45662	FAMILY CARE CENTER
25	25 - ASHLAND PEDIATRICS 2301 LEXINGTON AVE STE 135 ASHLAND,KY41101	PEDIATRICS CENTER

Schedule H (Form 990) 2018

Page 10

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 UNPAID COSTS OF MEDICAID, THE HOSPITAL'S COST ACCOUNTING SYSTEM WAS USED, ALONG WITH DATA FROM THE KY MEDICAID COST REPORT. ALL OTHER ITEMS WERE REPORTED AS 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 $23,994,308.
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 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, THE BUSINESS OFFICE DOES NOT KEEP TRACK OF "NO-RESPONSE" APPLICATIONS 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 STATISTICAL AND REIMBURSEMENT REPORT WAS USED TO COMPUTE THE INFORMATION.
PART III, LINE 9B:	THE HOSPITAL HAS A WRITTEN POLICY FOR BAD DEBT. UNINSURED PATIENTS ARE SCREENED FOR ELIGIBILITY FOR MEDICARE, MEDICAID AND OTHER SUCH PROGRAMS BY A CONTRACTED VENDOR. ALL PATIENTS, INSURED AND UNINSURED, WITH VALID MAILING ADDRESSES RECEIVE POST-DISCHARGE BILLING STATEMENTS OVER THE COURSE OF A 120 DAY PERIOD. IF THERE ARE NO ACTIVE DISPUTES OR OTHER PAYMENT SOURCES AVAILABLE, AND THE BALANCE IS UNPAID AT THE END OF THE STATEMENT PERIOD, THE ACCOUNT WILL BE PLACED WITH A COLLECTION AGENCY TO REPORT AS A BAD DEBT. EACH STATEMENT INCLUDES INFORMATION REGARDING THE AVAILABILITY OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM ALONG WITH A NUMBER WHERE REPRESENTATIVES CAN BE REACHED FOR ASSISTANCE.
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 AND HOSPITAL DATA. WE HAVE AN ACTIVE PATIENT ADVISORY COUNCIL THAT GIVES INPUT ON NEEDS, ACTIVITIES, AND PROCESSES FOR THE MEDICAL CENTER. WE HAVE CHAPLAINS, PATIENT REPRESENTATIVES AND SOCIAL WORKERS WHO ALSO HELP IDENTIFY AND MEET NEEDS. WE ARE ACTIVELY INVOLVED IN THE COMMUNITY PARTICIPATING ON A HEALTH COALITION, NON-PROFIT BOARDS, ATTENDING COMMUNITY PROGRAMS/MEETINGS AND OTHER ACTIVITIES TO HELP KEEP US INFORMED OF NEEDS, CONCERNS AND ISSUES. ONCE WE KNOW ISSUES WE WANT TO TARGET, OUR COMMUNITY HEALTH ISSUES ARE BUILT INTO THE MEDICAL CENTER'S STRATEGIC PLAN. IN ADDITION TO THE TRI-ANNUAL CHNA, KDMC'S ONCOLOGY SERVICE LINE CONDUCTS A CANCER SPECIFIC ASSESSMENT EVERY THREE YEARS. THIS ASSESSMENT IS PART OF THE PART OF THE STANDARD OF ACCREDITATION SET BY THE COMMISSION ON CANCER (COC) OF THE AMERICAN COLLEGE OF SURGEONS (ACOS) TO ADDRESS HEALTH CARE DISPARITIES AND BARRIERS TO CANCER CARE. THE ASSESSMENT COVERS THE PRIMARY COUNTIES SERVED BY KDMC AND KDOH. THE LATEST NEED ASSESSMENT WAS CONDUCTED AUGUST 2018.
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 KING'S DAUGHTERS. THE POLICY STATES THAT THE MEDICAL CENTER WILL NOT DENY CARE TO ANY PATIENT REQUIRING CARE DUE TO THEIR INABILITY TO PAY. THE FINANCIAL ASSISTANCE POLICY PROVIDES GUIDANCE TO PROVIDING ASSISTANCE BASED ON SLIDING SCALE METHODOLOGY AND THE FEDERAL POVERTY GUIDELINES ESTABLISHED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. PATIENTS REQUIRING CARE WITH INCOME BELOW 300% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR FREE OR REDUCED COST SERVICES. KING'S DAUGHTERS ALSO CONTRACTS WITH CARDON OUTREACH TO ASSIST PATIENTS IN GOVERNMENT ENROLLMENT PROGRAMS. THERE ARE VARIOUS WAYS THE FINANCIAL ASSISTANCE PROGRAM IS CONVEYED TO THE COMMUNITY: KDMC WEBSITE, SIGNS IN VARIOUS PATIENT REGISTRATION AREAS, OUTBOUND/INBOUND CUSTOMER SERVICES CALLS, STATEMENT LANGUAGE, AND CERTAIN COMMUNITY EVENTS ("IN THE KNOW" NIGHT FOR BOYD CO. SCHOOLS).
PART VI, LINE 4:	KING'S DAUGHTERS MEDICAL CENTER IS LOCATED IN EASTERN KENTUCKY, WHERE THE KENTUCKY, OHIO AND WEST VIRGINIA LINES MEET. KDMC'S PRIMARY SERVICE AREA ENCOMPASSES SIX COUNTIES IN TWO STATES: BOYD, CARTER, GREENUP AND LAWRENCE IN KY AND LAWRENCE AND SCIOTO IN OHIO. ABOUT 260,000 PEOPLE LIVE IN THE SIX-COUNTY SERVICE REGION. THE REGION COVERS 12,392 SQUARE MILES. THE POPULATION DENSITY IS APPROXIMATELY 108 PERSON PER SQUARE MILE. THE AREA IS PREDOMINANTLY RURAL (47.19%), WITH AN URBAN POPULATION AT 35.3% AND SUBURBAN (17.5%). OF THE POPULATION, 96.1% ARE WHITE, 1.6% ARE BLACK, 1.4% ARE HISPANIC/LATINO AND 0.9% MAKE UP ALL OTHER RACES. THERE ARE MORE FEMALES (50.8%) THAN MALES (49.2%) IN THE AREA. PER CAPITA INCOME IS $22,482, COMPARED TO KENTUCKY ($26,948) AND OHIO ($30,304). APPROXIMATELY 22.2% OF THE POPULATION LIVES IN POVERTY. ALMOST SEVEN PERCENT OF THE POPULATION UNDER THE AGE OF 65 IS WITHOUT ANY FORM OF HEALTHCARE COVERAGE.
PART VI, LINE 5:	THE MEDICAL CENTER PROVIDES FREE EDUCATIONAL AND SCREENING SERVICES IN AN AREA BROADER THAN THE PRIMARY MARKET. THIS AREA INCLUDES MULTIPLE COUNTIES IN EASTERN KENTUCKY, SOUTHERN OHIO AND WESTERN WEST VIRGINIA. KDMC WORKS WITH CHURCHES, SCHOOLS, BUSINESSES AND COMMUNITY GROUPS TO HELP IMPROVE HEALTH THROUGHOUT THE TRI-STATE AREA. AS A LEADER IN HEALTHCARE IN THE AREA, KDMC IS OFTEN CALLED UPON TO PROVIDE SCREENINGS AND HEALTH EDUCATION IN MORE REMOTE REGIONS WHERE THERE ARE NO PROVIDERS TO OFFER THESE SERVICES. THE FOLLOWING ACTIVITIES, WHICH CONTRIBUTE TO COMMUNITY HEALTH, BUT ARE NOT SPECIFIC TO THE IMPLEMENTATION PLAN GOALS AND OBJECTIVES WERE PROVIDED (COVERED AREAS INCLUDE PRIMARY, SECONDARY AND TERTIARY COUNTIES UNLESS OTHERWISE STATED):1) SCREENINGS, IMMUNIZATIONS AND PHYSICALS:- CARPAL TUNNEL SCREENING 84 ADULTS SCREENED- COLON CANCER SCREENING 30 ADULTS SCREENED- DIABETIC FOOT SCREENING 29 ADULTS SCREENED- GENERAL HEALTH SCREENING (TOTAL CHOLESTEROL, BLOOD PRESSURE AND BLOOD SUGAR TESTS) 137 ADULTS SCREENED, TOTAL TESTS PROVIDED 95 (SECONDARY, TERTIARY COUNTIES)- HEALTHY HEART SCREENING (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR AND EKG) 95 ADULTS SCREENED, TOTAL TESTS PROVIDED 475 SCREENED (SECONDARY, TERTIARY COUNTIES)- PROSTATE CANCER 8 ADULTS SCREENED- SHOULDER SCREENING 38 ADULTS SERVED- SKIN CANCER 37 ADULTS- SPORTS PHYSICALS- 120 ADULTS (COLLEGE), 1,608 YOUTH- SURGICAL WEIGHT LOSS SCREENING 40 ADULTS SERVED- FLU SHOTS 1,2962) HEALTH EDUCATION:- AUTOMATED EXTERNAL DEFIBRILLATOR 230 ADULTS SERVED- BLOOD DONATIONS 562 SERVED- BRAIN HEALTH- 4 ADULTS, 200 CHILDREN SERVED- BREAST CANCER 2,960 ADULTS, 105 CHILDREN/YOUTH SERVED- CONCUSSION 12 ADULTS SERVED- CONGESTIVE HEART FAILURE 194 ADULTS- COLON CANCER 412 ADULTS, 50 CHILDREN- DIABETES 113 ADULTS, 50 CHILDREN SERVED (SECONDARY, TERTIARY COUNTIES)- FIRE SAFETY 85 ADULTS, 400 CHILDREN- FIRST AID- 10 ADULTS, 115 CHILDREN SERVED- FLU PREVENTION 227 ADULTS AND 131 CHILDREN SERVED- HAND WASHING- 427 ADULTS, 132 CHILDREN SERVED- HEALTHY HEART EDUCATION 245 ADULTS AND 50 CHILDREN/YOUTH (SECONDARY/TERTIARY COUNTIES)- HEART CHALLENGE 4 ADULTS, 200 CHILDREN- HYDRATION 78 ADULTS, 226 CHILDREN SERVED- IMMUNIZATIONS- 15 ADULTS SERVED- LUNG CANCER 200 ADULTS SERVED- MISSION HEART 74 ADULTS- NUTRITION EDUCATION 50 ADULTS, 250 CHILDREN/YOUTH SERVED (SECONDARY/TERTIARY COUNTIES)- PREGNANCY/PARENTING EDUCATION 150 ADULTS AND 73 CHILDREN SERVED- PROSTATE CANCER 357 ADULTS, 105 YOUTH/CHILDREN SERVED- SCHOOL BUS SAFETY- 165 ADULTS, 300 CHILDREN SERVED- SIGNS AND SYMPTOMS OF HEART ATTACK 271 SERVED- SKIN CANCER 342 ADULTS, 60 CHILDREN SERVED- STROKE 163 SERVED (SECONDARY/TERTIARY COUNTIES)- STOP THE BLEED 20 SERVED- SUMMER SAFETY- 180 ADULTS, 160 CHILDREN/YOUTH SERVED- TOBACCO - 163 ADULTS, 100 CHILDREN/YOUTH (SECONDARY AND TERTIARY COUNTIES) - WHEEL OF HEALTH (ASSORTED HEALTH TOPICS) 20 ADULTS SERVEDAED DONATIONS WERE MADE IN ALL FOUR COUNTIES IN THE PRIMARY SERVICE AREA. THESE INCLUDE DONATIONS TO GREENUP COUNTY SHERRIFF'S DEPARTMENT 2 AED'S, WESTWOOD FIRE PROTECTION DISTRICT 1 AED, ASHLAND-BOYD COUNTY-CATLETTSBURG OFFICE OF EMERGENCY MANAGEMENT 1 AED, CITY OF ASHLAND DEPARTMENT OF POLICE 2 AED'S, BOYD COUNTY PUBLIC SCHOOLS 2 AED'S, ASHLAND INDEPENDENT SCHOOL DISTRICT 4 AED'S, SAFE HARBOR 1 AED, IRONTON POLICE DEPARTMENT 2 AED'S, BOYD COUNTY SHERRIFF'S DEPARTMENT 2 AED'S, CARTER COUNTY SHERRIFF'S OFFICE 2 AED'S, GREENUP COUNTY SCHOOL DISTRICT 2 AED'S, WURTLAND VOLUNTEER FIRE DISTRICT, INC. -1 AED, LITTLE SANDY FIRE DEPARTMENT 1 AED. AN ADDITIONAL AED WAS DONATED TO THE FLOYD COUNTY SHERIFF'S OFFICE, WHICH IS IN KDMC'S SECONDARY MARKET.IN ADDITION, KDMC DID AN AED ROUND-UP WHERE LOCAL AGENCIES WITH EXISTING AEDS COULD BRING THEIR AEDS IN FOR SERVICING THROUGH KDMC'S BIO-MEDICAL ENGINEERING DEPARTMENT. THE AEDS WERE CHECKED AND THOSE NEEDING REPAIRS WERE DONE AT NO CHARGE TO THE OWNER. KDMC ALSO REPLACED BATTERIES, PROVIDED PADS AND TRAINING WHERE NEEDED. THIS WAS AN APPROXIMATE INVESTMENT ON KDMC'S PART OF $3,500-$5,000. SUPPORT GROUPS: KDMC PROVIDES VARIOUS SUPPORT GROUPS FOR INDIVIDUALS WITH DISEASE AND/OR THEIR CAREGIVERS. DURING FY19, THE FOLLOWING GROUPS WERE OFFERED: - ADULT DIABETES MELLITUS 44 ATTENDED- LOOK GOOD, FEEL BETTER 2 ATTENDED- PARKINSON'S DISEASE 75 ATTENDED- BREAST CANCER 35 ATTENDEDCLINICAL RESEARCH: KDMC SUPPORTS CLINICAL RESEARCH IN BOTH CARDIAC AND ONCOLOGY. OTHER COMMUNITY ACTIVITIES:- BLOOD DRIVES: KDMC HOSTED 17 BLOOD DRIVES ON KDMC CAMPUSES. A TOTAL OF 562 COMMUNITY AND TEAM MEMBERS DONATED BLOOD.- FIRST AID STATION: KDMC OFFERS FIRST AID STATION SUPPORT FOR AREA EVENTS. DURING THE FISCAL YEAR, 10 ADULTS AND 25 CHILDREN WERE SERVED.- FOOD FEUD: THE FOOD FEUD IS A FOOD DRIVE COMPETITION BETWEEN KDMC AND OUR LADY OF BELLEFONTE HOSPITAL TO SEE WHICH HOSPITAL CAN COLLECT THE MOST NON-PERISHABLE FOOD FOR DONATION TO RIVER CITIES HARVEST. A TOTAL OF 25,747 POUNDS OF FOOD WERE COLLECTED. KDMC'S CONTRIBUTION WAS 16,487 POUNDS.- BACKPACK PROGRAM: THIS IS A PARTNERSHIP WITH THE ASHLAND ALLIANCE. TEAM MEMBERS FILLED BACKPACKS WITH SCHOOL SUPPLIES FOR 110 ELEMENTARY, MIDDLE AND HIGH SCHOOL AGED CHILDREN TO ENSURE STUDENTS START THE SCHOOL YEAR WITH THE NECESSARY SCHOOL SUPPLIES AND AT LEAST ONE NEW OUTFIT OF CLOTHES.- ADOPT-A-FAMILY: TEAM MEMBERS ADOPTED 27 FAMILIES (INCLUDES 84 INDIVIDUALS) AND 86 INDIVIDUAL CHILDREN, PROVIDING GIFTS AND FOOD TO THOSE IN NEED AT CHRISTMAS TIME. - BUILD-A-BED: BUILD-A-BED IS AN EFFORT OF MOREHEAD STATE UNIVERSITY THAT PUTS TOGETHER BEDS FOR UNDERPRIVILEGED CHILDREN IN THE REGION. THESE BEDS COME INTO KDMC'S PRIMARY SERVICE AREA THROUGH AN APPLICATION PROCESS WHERE PARENTS/GUARDIANS CAN APPLY FOR BEDS FOR THEIR CHILDREN. THE APPLICANTS MUST MEET INCOME ELIGIBILITY GUIDELINES. KDMC'S AMBASSADOR TEAM HELPED BUILD, WRAP AND DISTRIBUTE 100 BEDS. KDMC SUPPLIED 35 BED KITS (COMFORTER, SHEETS, AND PILLOW) FOR THE BEDS. IN ADDITION, 12 HYGIENE KITS (INCLUDING SHAMPOO, CONDITIONER, SOAP, TOOTH BRUSH AND TOOTHPASTE) AND 15 STUFFED TOYS WERE DONATED.- CHILDBIRTH CLASSES: CHILDBIRTH CLASSES HELP MOTHERS-TO-BE AND THEIR PARTNERS BECOME MORE COMFORTABLE WITH THE BIRTH EXPERIENCE, LEARN BIRTHING OPTIONS, NUTRITION, THE LABOR PROCESS, AND PAIN MANAGEMENT, TO HELP THEM MAKE THE BEST DECISIONS ABOUT HOW THEY WISH TO GIVE BIRTH. PARENTS-TO-BE ALSO LEARN ABOUT THE BENEFITS OF BREAST FEEDING. DURING FY19, THE WOMEN'S HEALTH TEAM CONTINUED TO PARTNER WITH LOCAL OB/GYN PHYSICIANS, OFFERING A CHILDBIRTH CLASSROOM IN THE DOCTOR'S PRACTICE AND PROVIDED A NURSE CHILDBIRTH EDUCATOR/LACTATION CONSULTANT ON MONDAY AND WEDNESDAY DURING THE OFFICE'S BUSIEST APPOINTMENT DAYS. BY ABANDONING THE TRADITIONAL ALL-DAY CHILDBIRTH CLASS AND PROVIDING MORE ONE-ON-ONE OR SMALL GROUP EDUCATION SESSIONS IN THE DOCTOR'S OFFICE, KDMC HAS BEEN ABLE TO REACH MORE MOTHERS-TO-BE, SERVING 262 MOTHERS AND 315 (WHEN INCLUDING SIGNIFICANT OTHERS) TOTAL IN THESE SESSIONS.CPR TRAINING CENTER 3,591 PEOPLE TRAINED. KDMC PROVIDED FREE TRAINING (VALUE $18,190) AND ISSUED 414 CARDS FOR THE FOLLOWING:- FIRST RESPONDERS INCLUDES POLICE, FIRE DEPARTMENTS AND EMS PROVIDERS (ASHLAND POLICE, BOYD CO., CARTER CO., GREENUP CO., AIR EVAC., PORTSMOUTH, LAWRENCE CO. OH, WEST LIBERTY POLICE, UPPER TOWNSHIP VFD, MAGOFFIN CO. FD, JACKSON CO. OH EMS, BOYD CO. 911, US ARMY, ROWAN CO. EMS, LOGAN CO. EMS, PAINTSVILLE FD, MORGAN CO. EMS, MTS, CABELL CO. WV EMS, MEDCARE EMS AND COAL GROVE FD) 311 CARDS ISSUED (BLS, PALS AND ACLS INCLUDED)- COLLEGE STUDENTS (INCLUDES ACTC, OUS, SHAWNEE STATE, MARSHALL UNIVERSITY, BIG SANDY CTC, NORTHERN KY UNIVERSITY, KENTUCKY CHRISTIAN UNIVERSITY, MOREHEAD STATE, WALDEN UNIVERSITY) 103 CARDS ISSUED (BLS, PALS AND ACLS INCLUDED)BRIDGES OUT OF ADDICTION: THIS ALL-DAY SEMINAR OFFERED EDUCATION AND SUPPORT TO ADDRESS SUBSTANCE USE DISORDER (SUD) IN OUR COMMUNITY. THE SEMINAR WAS AT ASHLAND COMMUNITY AND TECHNICAL COLLEGE IN ASHLAND, KY. THE ENTIRE COMMUNITY WAS INVITED. THE SEMINAR OFFERED MAIN EDUCATIONAL SESSIONS AND BREAKOUT SESSIONS SPECIFIC TO SUCH TOPICS AS FAMILY SUPPORT, TREATMENT AND RECOVERY, SUBSTANCE USE DISORDER, AND A COMMUNITY LEADERSHIP SESSION. MULTIPLE EXPERTS WERE GUEST SPEAKERS AND THOSE OVERCOMING ADDICTION ALSO PROVIDED THEIR INSPIRATIONAL STORIES. IN ADDITION, COMMUNITY ORGANIZATIONS OFFERING SUPPORT RELATED TO SUD ALSO SET UP TABLES TO OFFER SUPPORT AND ANSWER QUESTIONS. MORE THAN 300 ATTENDED.
OTHER ACTIVITIES:	PARTNERSHIP WITH DRUG COURT: KDMC RECEIVED NOTIFICATION OF FUNDING TO IMPLEMENT A PARTNERSHIP WITH THE GREENUP COUNTY DRUG COURT TO ASSIST JUDICIAL INVOLVED INDIVIDUALS TO OVERCOME THE OBSTACLE TO LIVING A DRUG FREE LIFE. THE NEW PROGRAM THROUGH KORE, KICKED OFF IN OCTOBER 2019.RIVER CITIES HARVEST KDMC DONATED 20,665 POUNDS OF FOOD FROM THE HOSPITAL CAFETERIA, VALUED AT $34,510. THE FOOD IS COLLECTED WEEKLY AND DELIVERED TO RCH BY VOLUNTEERS. KDMC ALSO PURCHASED $3,375 WORTH OF LIVESTOCK FROM THE BOYD COUNTY FAIR, WHICH WAS DONATED TO RCH FOR PROCESSING AND DISTRIBUTION TO THOSE IN NEED. YOUTH LEADERSHIP: KDMC SPONSORS AND PROVIDES STAFF FOR PLANNING AND EXECUTION OF THE YOUNG WOMEN LEAD AND YOUNG MEN LEAD CONFERENCES. THE CONFERENCES ARE A TWO-DAY EVENTS WHERE HIGH SCHOOL AGE GIRLS AND BOYS LEARN ABOUT LEADERSHIP. THE PURPOSE OF THE EVENT IS TO EMPOWER HIGH SCHOOL STUDENTS TO EMBRACE THEIR STRENGTHS AND TO REACH THEIR FULL POTENTIAL. NATIONALLY RECOGNIZED LEADERS SHARE THEIR INSIGHTS ON REAL LIFE ISSUES AND HOW TO OVERCOME THEM IN ORDER TO ACHIEVE SUCCESSFUL AND FULFILLING CAREERS. IN ADDITION, TEENS CONNECT WITH LOCAL LEADERS TO LEARN FROM THEM. NEARLY 600 YOUNG WOMEN AND 315 YOUNG MEN ATTENDED THE CONFERENCE.

Schedule H (Form 990) 2018

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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" on 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 noncash assistance	(h) Purpose of grant or assistance
(1) ASHLAND ALLIANCE 1730 WINCHESTER AVENUE ASHLAND,KY41101	61-1347516	501(C)(6)	7,165	3,416	INVOICES, PAYROLL INFORMATION	FOOD, BANQUET SUPPLIES, SHUTTLE SERVICE	SPONSORSHIP OF ANNUAL AWARDS CEREMONY, YOUTH LEADERSHIP BANQUET, AND 2 FUNDRAISING EVENTS
(2) ASHLAND AREA MINISTERIAL ASSOCIATION 1320 BATH AVENUE ASHLAND,KY41101	61-1383510	501(C)(3)	5,000	936	INVOICES	FOOD	SUPPORT OF VETERANS EMERGENCY FUND AND NATIONAL DAY OF PRAYER SERVICE FOR COMMUNITY
(3) ASHLAND COMMUNITY KITCHEN PO BOX 1743 ASHLAND,KY411051743	61-1100724	501(C)(3)	17,727	10,386	INVOICES	FOOD AND MISC SUPPLIES	PROVIDE FOOD TO SENIOR CITIZENS IN OUR COMMUNITY THROUGH MEALS ON WHEELS AND SPONSORSHIP OF FUNDRAISING EVENT
(4) ASHLAND INDEPENDENT SCHOOLS 1820 HICKMAN STREET ASHLAND,KY41101	61-6001384	501(C)(3)	1,000	11,824	INVOICES	MEDICAL SUPPLIES AND EQUIPMENT	SUPPORT OF FOOD SERVICE SUMMER FOOD PROGRAM; DONATION OF 4 DEFIBRILLATORS; DONATION OF MEDICAL SUPPLIES AND EQUIPMENT FOR VOCATIONAL CLASSES
(5) ASPIRE CONSERVATORY OF FINE AND PERFORMING ARTS INC PO BOX 1162 ASHLAND,KY41105	84-1978257	501(C)(3)		11,450	FMV	PIANO	DONATION OF PIANO
(6) CITY OF ASHLAND DEPARTMENT OF POLICE PO BOX 1864 ASHLAND,KY41105	61-6001775			5,415	INVOICES	MEDICAL EQUIPMENT AND MISCELLANEOUS SUPPLIES	FREE BLS CERTIFICATON AND DONATION OF 2 DEFIBRILLATORS
(7) COLLINS CAREER TECHNICAL CENTER 11627 STATE ROUTE 243 CHESAPEAKE,OH45619	31-0749724	501(C)(3)		9,035	INVOICES	MEDICAL SUPPLIES	DONATION OF MEDICAL SUPPLIES FOR MEDICAL-RELATED VOCATIONAL CLASSES
(8) HIGHLANDS MUSEUM AND DISCOVERY CENTER 1620 WINCHESTER AVENUE ASHLAND,KY41101	31-1061542	501(C)(3)	5,500				SPONSORHIP OF FUNDRAISING EVENT
(9) JINGLE BELL CHARITY BALL 1627 GREENUP AVENUE ASHLAND,KY41101	37-1479051	501(C)(3)	1,200	4,231	INVOICES	INVITATIONS AND TUMBLERS	SPONSORHIP OF FUNDRAISING EVENT
(10) NEIGHBORS HELPING NEIGHBORS 2516 CARTER AVENUE ASHLAND,KY41101	61-1450110	501(C)(3)	7,000				SPONSORHIP OF 3 FUNDRAISING EVENTS
(11) PARAMOUNT ARTS CENTER 1300 WINCHESTER AVENUE ASHLAND,KY41101	61-1181883	501(C)(3)	19,216	810	INVOICES, PAYROLL INFORMATION	MISCELLANEOUS SUPPLIES AND SHUTTLE SERVICE	SPONSORSHIP OF ANNUAL SPRING GALA FUNDRAISER AND ARTS & MUSIC EVENTS
(12) PATHWAYS INC 1212 BATH AVENUE ASHLAND,KY41101	61-0661987	501(C)(3)	3,200	9,100	INVOICES	MEDICAL SUPPLIES AND EQUIPMENT	SPONSORHIP OF 2 FUNDRAISING EVENTS AND DONATED ITEMS TO BE USED IN PROVIDING LOW-COST MENTAL HEALTH SERVICES TO COMMUNITY
(13) RIVER CITIES HARVEST PO BOX 2136 ASHLAND,KY411052136	61-1208113	501(C)(3)	5,865	2,793	INVOICES	FOOD	FOODBANK SUPPORT & SPONSORSHIP OF FUNDRAISING EVENT
(14) SAFE HARBOR OF NORTHEAST KENTUCKY PO BOX 2163 ASHLAND,KY411052163	61-1155742	501(C)(3)	7,750	760	INVOICES	MEDICAL EQUIPMENT	SPONSORSHIP OF ANNUAL LOBSTER FEST FUNDRAISER AND AWARDS CEREMONY; DONATION OF DEFIBRILLATOR
(15) SHAWNEE STATE UNIVERSITY 940 SECOND STREET PORTSMOUTH,OH45662	31-0864917	501(C)(3)		30,380	INVOICES	MEDICAL EQUIPMENT AND SUPPLIES; MISCELLANEOUS SUPPLIES	REDUCED-COST BLS CERTIFICATION AND DONATION OF MEDICAL EQUIPMENT AND SUPPLIES FOR MEDICAL-RELATED CLASSES
(16) SUMMER MOTION PO BOX 1643 ASHLAND,KY41105	31-1695435	501(C)(4)	5,000	1,020	INVOICES	FOOD	SUPPORT OF ANNUAL COMMUNITY FESTIVAL & VOLUNTEERS
(17) THE COMMUNITY & TECHNICAL COLLEGE FOUNDATION OF ASHLAND INC 1400 COLLEGE DRIVE ASHLAND,KY411013683	61-1274401	501(C)(3)	89,400	21,674	INVOICES	MEDICAL SUPPLIES AND EQUIPMENT;JEWELRY	SPONSORSHIP OF 2 YOUTH LEADERSHIP EVENTS AND A SCHOLARSHIP FUNDRAISING EVENT; SUPPORT OF 2 NURSING FACULTY POSITIONS; DONATION OF MEDICAL SUPPLIES AND EQUIPMENT FOR MEDICAL-RELATED CLASSES.
(18) UNITED WAY OF NORTHEAST KENTUCKY 2000 CARTER AVENUE SUITE D ASHLAND,KY41101	61-6000060	501(C)(3)	5,381	12,249	INVOICES	MARKETING MATERIALS	CONTRIBUTION TO ANNUAL FUNDRAISING CAMPAIGN

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) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

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) 2018

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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 on 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 on 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? .............

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 on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on 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" on 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) 2018

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 on 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 on 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)
1KRISTIE WHITLATCH PRESIDENT/CEO	(i) (ii)	602,826 ------------- 0	108,665 ------------- 0	130,822 ------------- 0	6,875 ------------- 0	16,072 ------------- 0	865,260 ------------- 0	79,985 ------------- 0
2SHERYL MAHANEY NON-VOTING SECRETARY, VP/CHIEF LEGAL & REG. OFF	(i) (ii)	283,686 ------------- 0	50,814 ------------- 0	88,569 ------------- 0	6,875 ------------- 0	16,173 ------------- 0	446,117 ------------- 0	60,398 ------------- 0
3AUTUMN MCFANN NON-VOTING TREASURER, VP/CFO	(i) (ii)	295,939 ------------- 0	52,212 ------------- 0	2,754 ------------- 0	6,875 ------------- 0	16,173 ------------- 0	373,953 ------------- 0	0 ------------- 0
4WILLIAM BOYKIN MD DIRECTOR/MEDICAL STAFF PRESIDENT	(i) (ii)	23,000 ------------- 419,156	0 ------------- 0	0 ------------- 4,524	0 ------------- 6,875	0 ------------- 602	23,000 ------------- 431,157	0 ------------- 0
5RAMONA THOMPSON VP/CHIEF COMPLIANCE OFFICER	(i) (ii)	196,821 ------------- 0	35,550 ------------- 0	18,935 ------------- 0	6,287 ------------- 0	11,691 ------------- 0	269,284 ------------- 0	16,133 ------------- 0
6SARA MARKS VP/EXECUTIVE DIRECTOR KDIP	(i) (ii)	232,470 ------------- 0	41,022 ------------- 0	97,210 ------------- 0	6,875 ------------- 0	26,430 ------------- 0	404,007 ------------- 0	96,450 ------------- 0
7RICHARD FORD MD VP/CMO OF INPATIENT/PROC.	(i) (ii)	0 ------------- 613,815	0 ------------- 0	0 ------------- 8,212	0 ------------- 6,875	0 ------------- 16,173	0 ------------- 645,075	0 ------------- 0
8JAMES DETHERAGE MD VP/CMO OF OUTPATIENT/KDIP/PHYSICIAN	(i) (ii)	2,000 ------------- 510,010	0 ------------- 0	0 ------------- 35,303	0 ------------- 6,875	0 ------------- 26,264	2,000 ------------- 578,452	0 ------------- 29,669
9EVAN CONDEE DO PHYSICIAN	(i) (ii)	375,834 ------------- 0	0 ------------- 0	511 ------------- 0	6,875 ------------- 0	9,149 ------------- 0	392,369 ------------- 0	0 ------------- 0
10CHARLES CONLEY DO PHYSICIAN	(i) (ii)	399,269 ------------- 103,078	0 ------------- 0	30,802 ------------- 0	6,875 ------------- 0	26,301 ------------- 0	463,247 ------------- 103,078	0 ------------- 0
11PATRICK BALL DO PHYSICIAN	(i) (ii)	379,796 ------------- 0	0 ------------- 0	9,548 ------------- 0	6,875 ------------- 0	16,089 ------------- 0	412,308 ------------- 0	0 ------------- 0
12JANE STRADER MD PHYSICIAN	(i) (ii)	236,902 ------------- 0	0 ------------- 0	20,349 ------------- 0	6,476 ------------- 0	14,702 ------------- 0	278,429 ------------- 0	0 ------------- 0
13JONATHAN MAYNARD MD PHYSICIAN	(i) (ii)	249,461 ------------- 0	0 ------------- 0	15,324 ------------- 0	6,616 ------------- 0	26,109 ------------- 0	297,510 ------------- 0	0 ------------- 0
14PHILIP FIORET MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 0	0 ------------- 0	224,194 ------------- 0	0 ------------- 0	0 ------------- 0	224,194 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 4B

FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: - KRISTIE WHITLATCH $79,985; - SHERYL MAHANEY $60,398; - RAMONA THOMPSON $16,133; - SARA MARKS $96,450; - JAMES DETHERAGE, M.D. $29,669; - PHILIP FIORET, M.D. $224,194. THERE WERE NO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS/DEFERRALS IN 2018. 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.

PART I, LINE 7

NONFIXED PAYMENTS ARE MADE AS A PART OF THE MEDICAL CENTER'S TEAM INCENTIVE AWARD (TIA) PLAN. ALL TEAM MEMBERS ARE ELIGIBLE FOR THE TIA. THE TIA IS PAID OUT BASED UPON SUCCESSFUL COMPLETION OF BOTH QUANTITATIVE AND QUALITATIVE STRATEGIC GOALS, SET ANNUALLY BY THE MEDICAL CENTER LEADERSHIP TEAM AND APPROVED BY THE BOARD OF DIRECTORS.

Schedule J (Form 990) 2018

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 BOND		X		X		X
D	CITY OF ASHLAND KENTUCKY	61-6001775	044293AN8	09-23-2016	73,445,000	REFUND PRIOR BOND ISSUES		X		X		X
	CITY OF ASHLAND KENTUCKY	61-6001775		09-23-2016	50,000,000	REFUND PRIOR BOND ISSUES		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	119,125,000		18,290,000		16,365,000		5,990,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	145,708,338		73,889,274		33,986,558		81,984,559
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		1,200,341
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		80,784,218
12 Other unspent proceeds .............			17
13 Year of substantial completion .............	2010		2015		2010		2016
	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) 2018

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 ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

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: 10/21/2018 ISSUER NAME: KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA) DATE THE REBATE COMPUTATION WAS PERFORMED: 03/24/2015 ISSUER NAME: CITY OF ASHLAND, KENTUCKY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/24/2015
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 DIFFERENCE FROM PART I DUE TO BOND DISCOUNT $1,318,161, OFFSET BY $207,435 INTEREST EARNED.
PART II, LINE 3, ISSUE C:	SERIES 2010B - DIFFERENCE FROM PART I DUE TO BOND PREMIUM $1,371,558.
PART II, LINE 3, ISSUE D:	SERIES 2016A - DIFFERENCE FROM PART I DUE TO BOND PREMIUM OF $8,539,559.

Schedule K (Form 990) 2018

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 BOND		X		X		X
D	CITY OF ASHLAND KENTUCKY	61-6001775	044293AN8	09-23-2016	73,445,000	REFUND PRIOR BOND ISSUES		X		X		X
	CITY OF ASHLAND KENTUCKY	61-6001775		09-23-2016	50,000,000	REFUND PRIOR BOND ISSUES		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	119,125,000		18,290,000		16,365,000		5,990,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	145,708,338		73,889,274		33,986,558		81,984,559
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		1,200,341
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		80,784,218
12 Other unspent proceeds .............			17
13 Year of substantial completion .............	2010		2015		2010		2016
	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) 2018

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 ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

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: 10/21/2018 ISSUER NAME: KENTUCKY ECONOMIC DEVELOPMENT AUTHORITY (KEDFA) DATE THE REBATE COMPUTATION WAS PERFORMED: 03/24/2015 ISSUER NAME: CITY OF ASHLAND, KENTUCKY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/24/2015
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 DIFFERENCE FROM PART I DUE TO BOND DISCOUNT $1,318,161, OFFSET BY $207,435 INTEREST EARNED.
PART II, LINE 3, ISSUE C:	SERIES 2010B - DIFFERENCE FROM PART I DUE TO BOND PREMIUM $1,371,558.
PART II, LINE 3, ISSUE D:	SERIES 2016A - DIFFERENCE FROM PART I DUE TO BOND PREMIUM OF $8,539,559.

Schedule K (Form 990) 2018

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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) 2018

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) ASHLAND OFFICE SUPPLY	SEE PART V	751,393	SEE PART V		No
(2) ASHLAND RADIOLOGY ASSOCIATES PSC	SEE PART V	330,411	SEE PART V		No
(3) CINDY GILLUM	SEE PART V	29,493	SEE PART V		No
(4) FRESENIUS MEDICAL CARE	SEE PART V	1,262,066	SEE PART V		No
(5) OFFICE FUNITURE USA	SEE PART V	375,697	SEE PART V		No
(6) VAN ART PROPERTIES	SEE PART V	371,235	SEE PART V		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:

(A) NAME OF PERSON: ASHLAND OFFICE SUPPLY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TOM BURNETTE (BOARD MEMBER) IS THE OWNER OF ASHLAND OFFICE SUPPLY(D) DESCRIPTION OF TRANSACTION: PURCHASE OF OFFICE SUPPLIES & EQUIPMENT. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: ASHLAND RADIOLOGY ASSOCIATES, PSC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: WIFE OF WILLIAM BOYKIN (BOARD MEMBER) IS A PHYSICIAN OF THIS PRACTICE(D) DESCRIPTION OF TRANSACTION: PAYMENTS FOR RADIOLOGY SERVICES. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: CINDY GILLUM(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SISTER OF KRISTIE WHITLATCH (PRESIDENT/CEO)(D) DESCRIPTION OF TRANSACTION: EMPLOYEE PAYROLL COMPENSATION. THERE IS NO MANAGEMENT RELATIONSHIP OR CONTROL OVER COMPENSATION BY KRISTIE WHITLATCH.(A) NAME OF PERSON: FRESENIUS MEDICAL CARE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DON HAMMONDS (BOARD MEMBER) IS AN INDEPENDENT CONTRACTOR/CONSULTANT FOR FRESENIUS(D) DESCRIPTION OF TRANSACTION: INPATIENT DIALYSIS TREATMENT. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: OFFICE FUNITURE USA(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TOM BURNETTE (BOARD MEMBER) IS THE OWNER(D) DESCRIPTION OF TRANSACTION: PURCHASE OF OFFICE FURNITURE. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.(A) NAME OF PERSON: VAN ART PROPERTIES(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SON OF JOHN STEWART (BOARD MEMBER) IS THE OWNER(D) DESCRIPTION OF TRANSACTION: OFFICE SPACE RENT. ALL TRANSACTIONS ARE DONE AT ARM'S LENGTH.

Schedule L (Form 990 or 990-EZ) 2018

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

ASHLAND HOSPITAL CORPORATION

Employer identification number

61-0444716

Return Reference	Explanation
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; AND TOM BURNETTE, TRUSTEE. ELECTION AND COMPOSITION: THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE BOARD OF TRUSTEES CHAIR, ANY VICE-CHAIRS, THE CHIEF EXECUTIVE OFFICER, AND ANY OTHER TRUSTEE RECOMMENDED BY THE CHAIR AND APPROVED BY THE BOARD OF 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 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 11B	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	ASHLAND HOSPITAL CORPORATION DBA KING'S DAUGHTERS MEDICAL CENTER REQUIRES ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO COMPLY WITH ITS CONFLICTS OF INTEREST POLICY, WHICH TRACKS THE IRS' 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. ALL EMPLOYEES PROVIDE ANNUAL CONFLICT CHECKS. IF A CONFLICT OF INTEREST IS REPORTED, THE VICE PRESIDENT TO WHOM THE REPORTING EMPLOYEE DIRECTLY OR INDIRECTLY REPORTS, TOGETHER WITH THE CEO, CHIEF 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. ANNUALLY, BOARD MEMBERS DISCLOSE PERSONAL AND PROFESSIONAL RELATIONSHIPS TO THE SECRETARY OF THE BOARD. IF A POTENTIAL CONFLICT EXISTS, THE BOARD SECRETARY OR A BOARD MEMBER WILL IDENTIFY THE CONFLICT, OR POTENTIAL CONFLICT, AND THE BOARD MEMBER WILL BE 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, REVIEW THE INSTANCE IN WHICH THE CONFLICT OCCURRED. THOSE LEADERS DETERMINE WHETHER THE CONFLICTED INDIVIDUAL INFLUENCED THE DECISION-MAKING OR PROFITED 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. MEDICAL STAFF MEMBERS ARE REQUIRED BY THE MEDICAL STAFF BYLAWS TO DISCLOSE CONFLICTS OF INTEREST. ONCE DISCLOSED, THE MEDICAL STAFF MEMBER IS REMOVED FROM ANY DISCUSSION, DECISION-MAKING, AND/OR VOTE ON ANY RELATED ISSUE.
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), 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. SULLIVAN COTTER'S LAST EXECUTIVE COMPENSATION REVIEW WAS PERFORMED IN 2016 DUE TO FINANCIAL CONSTRAINTS OF THE MEDICAL CENTER. 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 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, PEOPLE SERVICES - VP, PATIENT SERVICES/CHIEF NURSING OFFICER - VP, CHIEF OPERATING 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 -5,075,996. CHANGE IN MARKET VALUE SELF INSURANCE FUNDS 3. PENSION LIABILITY ADJUSTMENT -8,552,000. 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) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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 CORPORATION 2500 STATE ROUTE 5 ASHLAND,KY41102 61-1386016	NURSING HOME	KY	501(C)(3)	LINE 10	ASHLAND HOSPITAL CORPORATION	Yes
(2)CHILD DEVELOPMENT CENTER CORPORATION 2201 LEXINGTON AVENUE ASHLAND,KY41101 01-0560598	DAYCARE	KY	501(C)(3)	LINE 10	ASHLAND HOSPITAL CORPORATION	Yes
(3)KENTUCKY HEART INSTITUTE INC 2201 LEXINGTON AVENUE ASHLAND,KY41101 61-1255904	PHYSICIANS	KY	501(C)(3)	LINE 10	ASHLAND HOSPITAL CORPORATION	Yes
(4)KENTUCKY HEART FOUNDATION INC 2201 LEXINGTON AVENUE ASHLAND,KY41101 26-0791997	MEDICAL RESEARCH	KY	501(C)(3)	LINE 7	ASHLAND HOSPITAL CORPORATION	Yes
(5)KENTUCKY MEDICAL LOGISTICS INC 425 22ND STREET ASHLAND,KY41101 26-4736971	MEDICAL TRANSPORT	KY	501(C)(3)	LINE 10	ASHLAND HOSPITAL CORPORATION	Yes
(6)KING'S DAUGHTERS HEALTH FOUNDATION INC 2201 LEXINGTON AVENUE ASHLAND,KY41101 61-1035701	FUNDRAISING	KY	501(C)(3)	LINE 12B, II	ASHLAND HOSPITAL CORPORATION	Yes
(7)KING'S DAUGHTERS HEALTH SYSTEM 2201 LEXINGTON AVENUE ASHLAND,KY41101 27-4553836	HEALTHCARE	KY	501(C)(3)	LINE 12B, II	N/A		No
(8)KING'S DAUGHTERS MEDICAL SPECIALTIES INC 2201 LEXINGTON AVENUE ASHLAND,KY41101 26-4183569	PHYSICIANS	KY	501(C)(3)	LINE 10	ASHLAND HOSPITAL CORPORATION	Yes
(9)PORTSMOUTH HOSPITAL CORPORATION 1901 ARGONNE AVENUE PORTSMOUTH,OH45662 45-3215312	HEALTHCARE	OH	501(C)(3)	LINE 3	KING'S DAUGHTERS HEALTH SYSTEM		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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	-4,137	31,265	100.000 %	Yes

Schedule R (Form 990) 2018

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) ............................

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) .................

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	2,413,001	ALL TRANSACTIONS BETWEEN
(2) ASHLAND NURSING HOME CORP	S	2,436,364	COMPANIES ARE CAPTURED AT COST
(3) CHILD DEVELOPMENT CENTER CORP	R	103,670	IN THE DUE TO/FROM
(4) KENTUCKY HEART FOUNDATION INC	O	67,415	ACCOUNTS. THE TYPES OF
(5) KENTUCKY MEDICAL LOGISTICS INC	A	55,086	TRANSACTIONS THAT HIT THIS
(6) KENTUCKY MEDICAL LOGISTICS INC	O	1,129,996	ACCOUNT ARE TRACKED MONTHLY.
(7) KENTUCKY MEDICAL LOGISTICS INC	R	1,738,247
(8) KENTUCKY MEDICAL LOGISTICS INC	S	2,725,800
(9) KING'S DAUGHTERS MEDICAL SPECIALTIES INC	O	391,287
(10) KING'S DAUGHTERS MEDICAL SPECIALTIES INC	R	34,232,183
(11) KING'S DAUGHTERS MEDICAL SPECIALTIES INC	S	20,670,965

Schedule R (Form 990) 2018

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) 2018

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) 2018

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	10
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 2018 (Part V, line 2a) ......	5	3,491
6	Total number of volunteers (estimate if necessary) .............	6	157
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	14,759
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) .........	1,210,887	311,238
9	Program service revenue (Part VIII, line 2g) .........	417,843,604	438,711,069
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	11,178,446	5,969,898
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,261,391	4,340,051
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	434,494,328	449,332,256
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	169,186	325,686
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)	185,803,624	194,212,755
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)....	232,096,346	234,000,924
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	418,069,156	428,539,365
19	Revenue less expenses. Subtract line 18 from line 12.......	16,425,172	20,792,891
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	676,221,177	692,505,967
21	Total liabilities (Part X, line 26).............	310,679,220	319,401,817
22	Net assets or fund balances. Subtract line 21 from line 20.....	365,541,957	373,104,150

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 358,908,376 including grants of $ 325,686 ) (Revenue $ 438,711,069 )
	KING'S DAUGHTERS MEDICAL CENTER IS A LOCALLY CONTROLLED, NOT-FOR-PROFIT, 465-BED REGIONAL REFERRAL CENTER, COVERING A 150-MILE RADIUS THAT INCLUDES EASTERN KENTUCKY, WESTERN WEST VIRGINIA, AND SOUTHERN OHIO. KDMC OFFERS COMPREHENSIVE CARDIAC, MEDICAL, SURGICAL, MATERNITY, PEDIATRIC, REHABILITATIVE, BARIATRIC, PSYCHIATRIC, CANCER, NEUROLOGICAL, PAIN AND WOUND CARE AS WELL AS HOME-BASED SERVICES. KDMC OPERATES MORE THAN 25 OFFICES IN EASTERN KENTUCKY AND SOUTHERN OHIO. KING'S DAUGHTERS MEDICAL CENTER IS THE LARGEST EMPLOYER BETWEEN CHARLESTON, WV, AND LEXINGTON, KY. OUR VISION: WORLD CLASS CARE IN OUR COMMUNITIES.CONTINUED ON SCHEDULE "O".KING'S DAUGHTERS MEDICAL CENTER IS LOCATED IN ASHLAND, KY., AT THE INTERSECTION OF KENTUCKY, OHIO AND WEST VIRGINIA. THE PRIMARY SERVICE AREA ENCOMPASSES SIX COUNTIES IN TWO STATES: BOYD, CARTER, GREENUP AND LAWRENCE COUNTIES IN KENTUCKY AND LAWRENCE AND SCIOTO COUNTIES IN OHIO. 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, 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.

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 expenses358,908,376

(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) CHARLES CONLEY DO........................................................................ PHYSICIAN	40.00 .......................15.00	X		430,071	103,078	33,176
(19) PATRICK BALL DO........................................................................ PHYSICIAN	40.00 .......................	X		389,344	0	22,964
(20) JANE STRADER MD........................................................................ PHYSICIAN	40.00 .......................	X		257,251	0	21,178
(21) JONATHAN MAYNARD MD........................................................................ PHYSICIAN	40.00 .......................	X		264,785	0	32,725
(22) PHILIP FIORET MD........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00		X	224,194	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	4,205,285	1,725,491	324,652

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	176,009

f	All other contributions, gifts, grants, and similar amounts not included above		1f	135,229

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		311,238

		Business Code
2a	NET PATIENT SVC REV	621110	414,637,202	414,637,202
b	PHARMACY	446110	24,009,007	24,008,151	856
c	MEANINGFUL USE REVENUES	621110	64,860	64,860
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		438,711,069

3 Investment income (including dividends, interest, and othersimilar amounts) ......			5,900,529		14,479	5,886,050
4 Income from investment of tax-exempt bond proceeds			771			771
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents	3,150	910,299
b	Less: rental expenses	3,726	482,434
c	Rental income or (loss)	-576	427,865
d	Net rental income or (loss)......			427,289		-576	427,865
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	87,665
b	Less: cost or other basis and sales expenses	19,067
c	Gain or (loss)	68,598
d	Net gain or (loss).....			68,598			68,598
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..
Business Code			Miscellaneous Revenue
11a	CAFETERIA		722210	2,327,183			2,327,183
b	QUALITY INCENTIVE		900099	961,359			961,359
c	MANAGEMENT FEES		900099	271,740			271,740
d	All other revenue ....			352,480			352,480
e	Total. Add lines 11a–11d ......			3,912,762
12	Total revenue. See Instructions......			449,332,256	438,710,213	14,759	10,296,046

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	325,686	325,686
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, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	2,507,668		2,507,668
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	150,769,395	131,660,881	19,108,514
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	2,955,152	2,580,734	374,418
9	Other employee benefits .......	27,146,690	23,707,204	3,439,486
10	Payroll taxes ...........	10,833,850	9,306,277	1,527,573
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	2,344,443		2,344,443
c	Accounting ...........	180,000		180,000
d	Lobbying ...........	53,630	53,630
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	463,119		463,119
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	29,557,744	23,892,813	5,664,931
12	Advertising and promotion ....	1,783,027	12,101	1,770,926
13	Office expenses .......	2,232,872	1,091,219	1,141,653
14	Information technology ......	2,883,477	2,872,987	10,490
15	Royalties ..
16	Occupancy ...........	6,916,418	1,610,439	5,305,979
17	Travel ............	265,572	150,680	114,892
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	62,887	31,117	31,770
20	Interest ...........	12,315,897	44,509	12,271,388
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	21,468,354	19,934,845	1,533,509
23	Insurance ...	5,154,416		5,154,416
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	93,542,350	89,905,111	3,637,239
b	BAD DEBT EXPENSE	23,994,308	23,994,308
c	REPAIRS & MAINTENANCE	16,459,814	15,147,980	1,311,834
d	TAX (INC. PROVIDER TAX)	7,675,993	7,633,965	42,028
e	All other expenses	6,646,603	4,951,890	1,694,713
25	Total functional expenses. Add lines 1 through 24e	428,539,365	358,908,376	69,630,989	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).

1	Cash–non-interest-bearing ........			10,045,692	1	5,233,090
2	Savings and temporary cash investments .........			12,380,469	2	13,408,922
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			56,582,731	4	59,854,147
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 ....			1,195,231	7	1,046,131
8	Inventories for sale or use ........			7,577,837	8	7,443,119
9	Prepaid expenses and deferred charges ......			4,627,275	9	5,582,597
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	633,537,608
b	Less: accumulated depreciation	10b	397,078,427	239,387,205	10c	236,459,181
11	Investments—publicly traded securities .			165,156,607	11	176,820,552
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			5,575,663	13	5,005,696
14	Intangible assets ...............			788,715	14	788,715
15	Other assets. See Part IV, line 11 ...........			172,903,752	15	180,863,817
16	Total assets. Add lines 1 through 15 (must equal line 34)...			676,221,177	16	692,505,967

17	Accounts payable and accrued expenses .....	36,716,167	17	35,441,337
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	224,864,944	20	218,517,125
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 ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		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	49,098,109	25	65,443,355
26	Total liabilities. Add lines 17 through 25..	310,679,220	26	319,401,817

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	365,541,957	27	373,104,150
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 ...........	365,541,957	33	373,104,150
34	Total liabilities and net assets/fund balances ........	676,221,177	34	692,505,967