2024-05-15T10:02:50-05:00 2023-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-10-01 264736971 KENTUCKY MEDICAL LOGISTICS INC KENT 8774075368 425 22ND STREET ASHLAND KY 41101 AUTUMN MCFANN TREASURER, SR VP/CFO/CAO 8774075368 2024-05-13 1 AUTUMN MCFANN 999009999 1 KERRI N BOGDA CPA P00760402 7177404863 2024-05-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KING'S DAUGHTERS MEDICAL TRANSPORT SARA MARKS 2201 LEXINGTON AVENUE ASHLAND KY 41101 3427840 0 X KINGSDAUGHTERSHEALTH.COM/SERVICES/MEDICAL-TRANSPO X 2009 KY TO PROVIDE COMMUNITY HEALTHCARE SERVICES AND ENSURE THAT EMERGENCY AND NON-EMERGENCY AMBULANCE SERVICE WILL BE AVAILABLE TO ALL THOSE IN NEED. 10 10 0 13 0 0 0 0 4569724 3424840 -1778 3000 0 0 4567946 3427840 0 0 0 0 2934506 2472018 0 0 0 1989387 1620887 4923893 4092905 -355947 -665065 3061663 2959673 405368 1842432 2656295 1117241 X TO PROVIDE COMMUNITY HEALTHCARE SERVICES AND ENSURE THAT EMERGENCY AND NON-EMERGENCY AMBULANCE SERVICES WILL BE AVAILABLE TO ALL THOSE IN NEED. 0 0 3992815 0 3421678 KING'S DAUGHTERS MEDICAL TRANSPORT (KDMT) SEEKS TO CONTINUOUSLY IMPROVE THE PRE- AND POST-HOSPITAL HEALTHCARE PROVIDED IN ALL OF ITS SERVICE AREAS WHILE ENSURING THAT EMERGENCY AND NON-EMERGENCY AMBULANCE SERVICE WILL BE AVAILABLE TO ALL THOSE IN NEED. THE EQUIPMENT IS MODERN, STATE OF THE ART, SATISFACTORILY MAINTAINED, AND ADEQUATELY OPERATED. RESPONSE TIMES ARE MONITORED AND KEPT WITHIN INDUSTRY ACCEPTED PARAMETERS. KDMT ALSO ADHERES TO CURRENT AND LOCAL MEDICAL PROTOCOLS AND UTILIZATION STANDARDS.KDMT STRIVES TO PROVIDE AMPLE TRAINING FOR EMS PERSONNEL, ON-GOING TRAINING FOR THE COMMUNITY, AND HIGH COMMITMENTS TO COMMUNITY HEALTH SERVICES. IN DEMONSTRATION OF THESE COMMITMENTS, KDMT RESPONDED TO 9,866 REQUESTS FOR AMBULANCE SERVICE IN 2023 AND TRANSPORTED 3,796 PATIENTS. KDMT ALSO RESPONDED TO 10,694 REQUESTS FOR WHEELCHAIR TRANSPORT AND COMPLETED 9,013 OF THESE TRANSPORTS. KDMT PROVIDES EMERGENCY AND NON-EMERGENCY AMBULANCE SERVICE TO THE COMMUNITIES OF GREENUP COUNTY, KENTUCKY; BOYD COUNTY, KENTUCKY; AND THE COUNTIES OF LAWRENCE AND SCIOTO IN OHIO. KDMT PROVIDES MUTUAL AID SERVICES TO OTHER ORGANIZATIONS THROUGHOUT THE PRIMARY SERVICE AREAS. DURING THE YEAR, KDMT HAS TAKEN AN ACTIVE ROLE IN THE PUBLIC HEALTH AND EDUCATION OF THE COMMUNITY. KDMT WAS INVOLVED IN MULTIPLE CAREER DAYS FOR LOCAL SCHOOLS AND LOCAL COMMUNITY EVENTS THAT TAUGHT CHILDREN OF ALL AGES WHAT EMS INVOLVES AND THE EQUIPMENT USED. KDMT PROVIDED DEDICATED MEDICAL STAND-BY COVERAGE INCLUDING PARAMEDICS AT MULTIPLE COMMUNITY EVENTS INCLUDING CONCERTS FOR THE PARAMOUNT ARTS CENTER, GREENUP COUNTY HIGH SCHOOL FOOTBALL GAMES, AS WELL AS MASS CASUALTY RESPONSE DRILLS AND TABLE TOP DRILLS WITH THE AREA'S EMERGENCY MANAGEMENT OFFICE. THESE SERVICES WERE ALL PROVIDED AT NO CHARGE AND DELIVERED AS PART OF THE COMMUNITY BENEFIT MISSION OF KDMT. 3992815 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 KY X LAURIE STEWART CONTROLLER 6064089640 2201 LEXINGTON AVENUE ASHLAND KY 41101 DAVID JONES BOARD CHAIRMAN 0.25 6.25 X X 0 0 0 DR MARK NEWMAN BOARD VICE-CHAIRMAN (UNTIL 12/31/22) 0.25 5.75 X X 0 0 0 PENNY COX DIRECTOR 0.25 2.25 X 0 0 0 GINA DUGAS DIRECTOR 0.25 2.25 X 0 0 0 ROBERT DIPAOLA DIRECTOR 0.25 2.25 X 0 0 0 JOHN STEWART DIRECTOR 0.25 2.75 X 0 0 0 TOM BURNETTE DIRECTOR 0.25 2.75 X 0 0 0 STEPHEN ADDINGTON DIRECTOR 0.25 2.50 X 0 0 0 ERIC MONDAY DIRECTOR 0.25 2.25 X 0 0 0 CRAIG COLLINS DIRECTOR 0.25 2.25 X 0 0 0 MARK BIRDWHISTELL DIRECTOR 0.25 2.25 X 0 0 0 SARA MARKS PRESIDENT/CEO (BEG. 1/1/23) 1.25 60.25 X 0 1844834 142949 AUTUMN MCFANN TREASURER, SR VP/CFO/CAO 1.25 60.25 X 0 1897128 131808 SHERYL MAHANEY UNTIL 113022 SECRETARY, VP/CHIEF LEGAL OFFICER 1.25 60.75 X 0 1518132 8395 AMY SAUNDERS ASSISTANT SECRETARY (STARTING 12/1/22) 0.25 45.75 X 0 227968 12371 KRISTIE WHITLATCH PRESIDENT/CEO (10/1/22-12/31/22) 1.25 60.75 X 0 0 0 STEVEN CLIFTON SECRETARY (STARTING 12/1/22) 0.25 5.75 X 0 0 0 CHARLES CONLEY KML MEDICAL DIRECTOR 1.50 49.50 X 10750 579676 38366 10750 6067738 333889 0 0 1 0 0 NET PATIENT SERV REV 621910 3424840 3424840 3424840 3000 0 3000 3000 3000 3427840 3424840 0 3000 9000 9000 2146820 2068186 78634 213576 205759 7817 102622 98866 3756 197471 193857 3614 19429 18718 711 104216 102309 1907 17336 17019 317 356048 356048 163187 163187 BAD DEBT EXPENSE 338812 338812 FUEL EXPENSE 179356 179356 REPAIRS & MAINTENANCE 141576 141576 SUPPLIES 78738 75856 2882 24718 24266 452 4092905 3992815 100090 0 228648 196639 407338 492405 13657 12059 4110 41370 2344017 248111 1275195 2095906 1132715 121294 3061663 2959673 283443 1080839 711875 121925 49718 405368 1842432 X 2656295 1117241 2656295 1117241 3061663 2959673 X -665065 -873989 X 0 1 X 1 1 1 X 58918 58918 2316949 2438734 3175612 4569724 3421678 15922697 2316949 2497652 3175612 4569724 3421678 15981615 0 0 0 15981615 2316949 2497652 3175612 4569724 3421678 15981615 1.00000 1.00000 0.00000 X SCHEDULE A, PAGE 3, PART III KENTUCKY MEDICAL LOGISTICS, INC. FILED A SHORT YEAR RETURN FOR FISCAL YEAR END JUNE 30, 2023. 4400 1278 3122 2336456 246833 2089623 3161 3161 2095906 LEASES PAYABLE 49718 49718 1 1 0 0 0 0 0 1 0 AUTUMN MCFANN TREASURER, SR VP/CFO/CAO 0 480101 0 138000 0 1279027 0 113725 0 18083 0 2028936 0 50000 SARA MARKS PRESIDENT/CEO (BEG. 1/1/23) 0 464919 0 133500 0 1246415 0 113725 0 29224 0 1987783 0 50000 SHERYL MAHANEY UNTIL 113022 SECRETARY, VP/CHIEF LEGAL OFFICER 0 307303 0 0 0 1210829 0 0 0 8395 0 1526527 0 0 CHARLES CONLEY KML MEDICAL DIRECTOR 10750 577626 0 0 0 2050 0 9150 0 29216 10750 618042 0 0 AMY SAUNDERS ASSISTANT SECRETARY (STARTING 12/1/2 0 190304 0 37219 0 445 0 10268 0 2103 0 240339 0 0 PART I, LINE 3 COMPENSATION FOR THE CEO IS DETERMINED BY ASHLAND HOSPITAL CORPORATION (RELATED ORGANIZATION) USING THE FOLLOWING METHODS: INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY/STUDY, AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE. PART I, LINES 4A-B THE FOLLOWING EMPLOYEES RECEIVED CHANGE IN CONTROL PAYMENTS: - SHERYL MAHANEY: $1,209,162 - SARA MARKS: $1,175,614 - AUTUMN MCFANN: $1,208,771 THESE WERE PAID AS A RESULT OF THE 12/1/22 MEMBER SUBSTITUTION WITH THE UNIVERSITY OF KENTUCKY. THE FOLLOWING EMPLOYEES RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: - AUTUMN MCFANN: $18,996 - SARA MARKS: $19,541 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. THE FOLLOWING EMPLOYEES RECEIVED 457(F) EXECUTIVE RETENTION PLAN PAYOUTS: - AUTUMN MCFANN $50,000 - SARA MARKS $50,000 ALL OF THESE PAYMENTS WERE MADE BY AHC. 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. FORM 990, PART V, LINE 2: THERE ARE NO EMPLOYEES OF KENTUCKY MEDICAL LOGISTICS, INC. ("KML"). SALARIES REPORTED ON PART IX, LINE 7 REPRESENT THE ALLOCATED PAYROLL EXPENSE FOR THE TIME SPENT ON KML BY ASHLAND HOSPITAL CORPORATION ("AHC") EMPLOYEES. KML REIMBURSES KDMC FOR THIS APPORTIONED TIME. ALL PAYROLL FILINGS ARE COMPLETED BY AHC UNDER EIN 61-0444716. AHC IS THE PARENT ORGANIZATION OF KML. FORM 990, PART VI, SECTION A, LINE 6 ASHLAND HOSPITAL CORPORATION (AHC) IS THE SOLE CORPORATE MEMBER OF KENTUCKY MEDICAL LOGISTICS INC. (KML). AHC, A 501(C)(3) ENTITY, IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A THE KML BOARD IS FOLDED INTO THE MAIN BOARD OF TRUSTEES OF AHC'S PARENT CORPORATION. THE BUSINESS OF KML IS AN AGENDA ITEM OF THE FULL BOARD INDEPENDENTLY OR THROUGH ITS COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WILL BE REVIEWED BY THE CFO AND CONTROLLER BEFORE IT IS FILED WITH THE IRS. THE 990 WILL BE KEPT ON FILE AND AVAILABLE FOR REVIEW BY BOARD MEMBERS UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 12C KING'S DAUGHTERS MEDICAL CENTER REQUIRES ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO COMPLY WITH ITS CONFLICTS OF INTEREST POLICY, WHICH TRACKS THE IRS' 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 AND CORPORATE COMPLIANCE DEPARTMENTS MAINTAIN 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, 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 BOARD OF DIRECTORS, KDMC SET COMPENSATION FOR THE TEAM MEMBERS AND LEADERS USING LOCAL, REGIONAL AND NATIONAL SALARY INFORMATION PROVIDED THROUGH SURVEY DATA. THE PRIMARY OBJECTIVE OF KING'S DAUGHTERS COMPENSATION PHILOSOPHY IS TO HAVE COMPENSATION AND BENEFITS SET THAT REFLECT OTHER SIMILAR INDEPENDENT NOT FOR PROFIT HEALTHCARE SERVICES AS WELL AS THE WORK PERFORMANCE OF THE ORGANIZATION. MERCER, AN INDEPENDENT COMPENSATION EXPERT, PERIODICALLY PERFORMS A REVIEW OF EXECUTIVE COMPENSATION AND BENEFITS. SULLIVAN COTTER, AN INDEPENDENT COMPENSATION EXPERT, PROVIDES ANNUAL MARKET SURVEY DATA FOR PHYSICIAN COMPENSATION AND BENEFITS WHICH IS USED FOR DETERMINATION OF FAIR MARKET VALUE. FORM 990, PART VI, SECTION C, LINE 19 ON A QUARTERLY BASIS, THE FINANCIAL STATEMENTS ARE REPORTED TO THE MUNICIPAL SECURITIES RULEMAKING BOARD AND MADE AVAILABLE ON THEIR WEBSITE. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: FASB TO GASB CONVERSION -873,989. ASHLAND HOSPITAL CORPORATION 2201 LEXINGTON AVENUE ASHLAND KY 41101 610444716 HEALTHCARE KY 501(C)(3) LINE 3 ROYAL BLUE HEALTH LLC 0 ASHLAND NURSING HOME CORPORATION 2500 STATE ROUTE 5 ASHLAND KY 41102 611386016 NURSING HOME KY 501(C)(3) LINE 10 ASHLAND HOSPITAL CORPORATION 0 KENTUCKY HEART INSTITUTE INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 611255904 PHYSICIANS KY 501(C)(3) LINE 10 ASHLAND HOSPITAL CORPORATION 0 KING'S DAUGHTERS HEALTH SYSTEM 2201 LEXINGTON AVENUE ASHLAND KY 41101 274553836 HEALTHCARE KY 501(C)(3) LINE 12B, II N/A 0 PORTSMOUTH HOSPITAL CORPORATION 1901 ARGONNE AVENUE PORTSMOUTH OH 45662 453215312 HEALTHCARE OH 501(C)(3) LINE 3 ROYAL BLUE HEALTH LLC 0 KENTUCKY HEART FOUNDATION INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 260791997 MEDICAL RESEARCH KY 501(C)(3) LINE 7 ASHLAND HOSPITAL CORPORATION 0 CHILD DEVELOPMENT CENTER CORPORATION 2201 LEXINGTON AVENUE ASHLAND KY 41101 010560598 DAYCARE KY 501(C)(3) LINE 10 ASHLAND HOSPITAL CORPORATION 0 KING'S DAUGHTERS MEDICAL SPECIALTIES INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 264183569 PHYSICIANS KY 501(C)(3) LINE 10 ASHLAND HOSPITAL CORPORATION 0 ROYAL BLUE HEALTH LLC 2201 LEXINGTON AVENUE ASHLAND KY 41101 862993817 HEALTHCARE KY 501(C)(3) LINE 12B, II N/A 0 KING'S DAUGHTERS HEALTH FOUNDATION INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 611035701 FUNDRAISING KY 501(C)(3) LINE 12B, II N/A 0 ASHLAND MEDICAL PROPERTIES INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 611079090 RENTALS KY N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1