2026-05-15T13:40:13-05:00 2025-06-30 390859910 BAKER TILLY ADVISORY GROUP LP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2024-07-01 611386016 ASHLAND NURSING HOME CORP ASHL 6063241414 2500 STATE ROUTE 5 ASHLAND KY 41102 SARA MARKS PRESIDENT 6063241414 2026-05-14 1 1 KERRI N BOGDA P00760402 7177404863 2026-05-14 2024 2025-03-06 01:10:19Z KINGSBROOK LIFECARE CENTER SARA MARKS 2201 LEXINGTON AVENUE ASHLAND KY 41101 17956379 0 X WWW.KINGSBROOK-LIFECARE.COM X 2002 KY TO PROVIDE QUALITY CARE TO PATIENTS NEEDING SHORT-TERM REHAB AND/OR LONG-TERM HEALTHCARE. 10 10 288 11 0 0 5155 3202 15255007 17774469 17730 84944 102153 93764 15380045 17956379 0 0 0 0 9207442 10010244 0 0 0 6191797 5850758 15399239 15861002 -19194 2095377 13697296 16009603 1048599 1265529 12648697 14744074 OUR MISSION IS TO MEET THE NEEDS OF RESIDENTS AT VARIOUS LEVELS OF CARE INCLUDING SHORT-TERM REHAB AND LONG-TERM HEALTHCARE. 0 0 13675201 17774469 KINGSBROOK PROVIDES QUALITY CARE TO PATIENTS, MEETING THE NEEDS AND DESIRES OF RESIDENTS AT VARIOUS LEVELS OF CARE, INCLUDING SHORT-TERM AND LONG-TERM CARE. KINGSBROOK IS A 137-BED NURSING FACILITY WHICH PROVIDES SKILLED NURSING SERVICES AND REHABILITATION THERAPY TO RESIDENTS DESIRING TO RETURN HOME FROM AN ACUTE CARE HOSPITAL STAY. KINGSBROOK ALSO PROVIDES NURSING SERVICES AND CARE FOR RESIDENTS ON A LONG-TERM BASIS. 13675201 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 0 288 1 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 CHAIRMAN, BOARD OF DIRECTOR 0.25 4.00 X X 0 0 0 MARK BIRDWHISTELL BOARD OF DIRECTORS 0.25 2.25 X 0 0 0 CRAIG COLLINS BOARD OF DIRECTORS 0.25 2.25 X 0 0 0 ERIC MONDAY BOARD OF DIRECTORS 0.25 2.25 X 0 0 0 STEPHEN ADDINGTON BOARD OF DIRECTORS 0.25 2.25 X 0 0 0 TOM BURNETTE BOARD OF DIRECTORS 0.25 2.25 X 0 0 0 JOHN STEWART BOARD OF DIRECTORS 0.25 2.25 X 0 0 0 ROBERT DIPAOLA BAORD OF DIRECTORS 0.25 2.25 X 0 0 0 GINA DUGAS BOARD OF DIRECTORS 0.25 2.25 X 0 0 0 PENNY COX BOARD OF DIRECTORS 0.25 2.25 X 0 0 0 STEVEN CLIFTON SECRETARY 0.25 4.00 X 0 0 0 AMY SAUNDERS ASSISTANT SECRETARY 0.25 44.00 X 0 262208 27466 SARA MARKS PRESIDENT/CEO 1.25 60.25 X 0 1057903 138206 AUTUMN MCFANN TREASURER 1.25 60.25 X 0 1017721 137762 JANE BLANKENSHIP EXECUTIVE DIRECTOR ANHC 45.00 0.00 X 0 200969 32830 KARI SHEILDS ANHC MEDICAL DIRECTOR, PHYSICIAN 0.75 40.00 X 22500 403609 42923 ARLENE MASSIE ANHC DIRECTOR OF NURSING 40.00 0.00 X 0 109115 16428 LISA QUEEN ANHC DIRECTOR PATIENT CARE SERVICES 40.00 0.00 X 0 111931 16648 22500 3163456 412263 0 0 1 0 0 3202 3202 NET PATIENT SERVICE REVENUE 623000 17774469 17774469 17774469 84944 84944 CAFETERIA/LAUNDRY SERVICES 722513 47625 47625 MEALS ON WHEELS 722513 28405 28405 BEAUTY/BARBER SHOP 812900 14892 14892 2842 2842 93764 17956379 17774469 0 178708 8851821 7701084 1150737 200603 174525 26078 957820 833303 124517 207326 207326 84183 84183 843780 734089 109691 447584 389398 58186 402832 350464 52368 646705 562633 84072 179400 179400 MEDICAL SUPPLIES 1083314 942483 140831 PROVIDER TAX 722416 722416 PHARMACEUTICALS 659655 659655 REPAIRS & MAINTENANCE 202203 175917 26286 371360 345051 26309 15861002 13675201 2185801 0 906265 3307191 949687 1351681 78953 81878 37422 11885 12784764 1585796 11666969 11198968 58000 58000 13697296 16009603 528224 678792 520375 586737 1048599 1265529 X 12648697 14744074 12648697 14744074 13697296 16009603 2095377 0 X 0 1 X 1 0 X 222184 328765 29485 5155 3202 588791 12951594 12688630 10735332 15255007 17774469 69405032 13173778 13017395 10764817 15260162 17777671 69993823 0 0 0 69993823 988 2569 12497 17730 84944 118728 988 2569 12497 17730 84944 118728 55329 89902 76548 102153 93764 417696 13230095 13109866 10853862 15380045 17956379 70530247 0.99240 0.99300 0.00170 0.00060 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: CAFETERIA/LAUNDRY - 2020 AMOUNT: $ 44,246. 2021 AMOUNT: $ 26,322. 2022 AMOUNT: $ 28,670. 2023 AMOUNT: $ 48,539. 2024 AMOUNT: $ 47,625. BEAUTY/BARBER - 2020 AMOUNT: $ 6,515. 2021 AMOUNT: $ 7,511. 2022 AMOUNT: $ 8,860. 2023 AMOUNT: $ 13,817. 2024 AMOUNT: $ 14,892. VENDING COMMISSION/REBATE - 2020 AMOUNT: $ 3,393. OTHER INCOME - 2020 AMOUNT: $ 1,175. 2021 AMOUNT: $ 15,818. 2022 AMOUNT: $ 7,455. 2023 AMOUNT: $ 2,660. 2024 AMOUNT: $ 2,842. MEALS ON WHEELS - 2021 AMOUNT: $ 40,251. 2022 AMOUNT: $ 31,563. 2023 AMOUNT: $ 37,137. 2024 AMOUNT: $ 28,405. SCHEDULE A, PAGE 3, PART III ASHLAND NURSING HOME CORP FILED A SHORT YEAR RETURN FOR FISCAL YEAR END JUNE 30, 2023. 1725000 1725000 9668347 1237792 8430555 1131435 238889 892546 259982 109115 150867 11198968 DUE TO AFFILIATES 586737 586737 0 1 0 0 0 0 0 1 0 SARA MARKS PRESIDENT/CEO 0 602112 0 316250 0 139541 0 115525 0 22681 0 1196109 0 100000 AUTUMN MCFANN TREASURER 0 619374 0 265400 0 132947 0 115525 0 22237 0 1155483 0 100000 KARI SHEILDS ANHC MEDICAL DIRECTOR, PHYSICIAN 22500 369765 0 0 0 33844 0 19275 0 23648 22500 446532 0 0 AMY SAUNDERS ASSISTANT SECRETARY 0 237373 0 23706 0 1129 0 11858 0 15608 0 289674 0 0 JANE BLANKENSHIP EXECUTIVE DIRECTOR ANHC 0 171885 0 27439 0 1645 0 9121 0 23709 0 233799 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. PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: - AUTUMN MCFANN: $31,237 - SARA MARKS: $36,931 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. FORM 990, PART V, LINE 1A: THERE IS NO SEPARATE FORM 1096 FILED BY ASHLAND NURSING HOME CORPORATION. ALL THE PAYMENTS ARE MADE BY ASHLAND HOSPITAL CORPORATION AN AFFILIATE ENTITY, UNDER ITS EIN 61-0444716. FORM 990, PART VI, SECTION A, LINE 6 ASHLAND HOSPITAL CORPORATION (AHC) IS THE SOLE CORPORATE MEMBER OF ASHLAND NURSING HOME CORPORATION (ANHC). 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 ANHC BOARD IS FOLDED INTO THE MAIN BOARD OF TRUSTEES OF AHC'S PARENT CORPORATION. THE BUSINESS OF ANHC IS INCORPORATED INTO THE BUSINESS OF THE FULL BOARD INDEPENDENTLY, OR THROUGH ITS COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WILL BE REVIEWED BY THE CEO 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 ANY EMPLOYEE, MANAGER, OR OFFICER WHO REGULARLY INFLUENCES OR MAKES DECISIONS INVOLVING THE EXPENDITURE OF FACILITY FUNDS SHALL SIGN A CONFLICT OF INTEREST STATEMENT. THE FORM SHALL BE REVIEWED YEARLY AND SHALL BE FILED IN THE HUMAN RESOURCES OFFICE. WHEN AN EMPLOYEE HAS REPORTED A POTENTIAL OR ACTUAL CONFLICT OF INTEREST TO THE IMMEDIATE SUPERVISOR, THE RESPONSIBLE MANAGER AND THE ADMINISTRATOR SHALL BE NOTIFIED OF ALL FACTS PERTAINING TO ANY POTENTIAL TRANSACTIONS. IF IT IS DETERMINED THAT A CONFLICT DOES EXIST, THEN THE EMPLOYEES SHALL BE REMOVED FROM ANY PART OF THE DECISION-MAKING PROCESS, AND SHALL HAVE NO ROLE IN THE INSTANCE WHERE THE CONFLICT OF INTEREST EXISTS. THE EMPLOYEE'S IMMEDIATE SUPERVISOR SHALL ASSUME OR ASSIGN THE AUTHORITY TO ACT ON BEHALF OF THE EMPLOYEE IN ALL ACTIONS INVOLVING THE AREA OF CONFLICT. FAILURE TO REPORT CONFLICTS OF INTEREST IS A DIRECT VIOLATION OF ANHC'S POLICY AND WILL RESULT IN DISCIPLINARY ACTION. WHEN A MANAGER OF THE FACILITY REPORTS A POTENTIAL CONFLICT, THE MANAGER SHALL REMOVE HIMSELF/HERSELF FROM ANY DISCUSSION OR VOTING REGARDING THE POTENTIAL CONFLICT. 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. ASHLAND HOSPITAL CORPORATION 2201 LEXINGTON AVENUE ASHLAND KY 41101 610444716 HEALTHCARE KY 501(C)(3) LINE 3 ROYAL BLUE HEALTH LLC 0 KENTUCKY MEDICAL LOGISTICS INC 201 SOUTHLAND DRIVE ASHLAND KY 41102 264736971 MEDICAL TRANSPORT KY 501(C)(3) LINE 10 ASHLAND HOSPITAL CORPORATION 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 KENTUCKY HEART INSTITUTE INC 2201 LEXINGTON AVENUE ASHLAND KY 41101 611255904 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 ASHLAND MEDICAL PROPERTIES INC 2201 LEXINGTON AVE 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