Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1e · Government grants (contributions)

  $2,410,878

• 1f · All other contributions, gifts and grants

  $789,953

• 2a · Program service revenue: NET PATIENT SVC REV

  total $873,311,181 · related or exempt $873,311,181

• 2b · Program service revenue: PHARMACY

  total $73,070,010 · related or exempt $72,894,307 · unrelated business $175,703

• 2c · Program service revenue: MEANINGFUL USE REVENUE

  total $15 · related or exempt $15

• 3 · Investment income

  total $20,922,567 · excluded $20,922,567

• 4 · Income from investment of tax-exempt bond proceeds

  total $137,573 · excluded $137,573

• 6a · Gross rents

  real property $706,070 · personal property $3,150

• 6b · Less rental expenses

  real property $405,932 · personal property $2,700

• 6c · Rental income or loss

  real property $300,138 · personal property $450

• 6d · Net rental income or loss

  total $300,588 · unrelated business $450 · excluded $300,138

• 7a · Gross sales of assets other than inventory

  securities $54,527,217 · other assets $33,497

• 7b · Less cost or other basis and sales expenses

  securities $55,763,250 · other assets $0

• 7c · Gain or loss

  securities -$1,236,033 · other assets $33,497

• 7d · Net gain or loss

  total -$1,202,536 · excluded -$1,202,536

• 11a · Other revenue: CAFETERIA

  total $3,723,342 · excluded $3,723,342

• 11b · Other revenue: QUALITY INCENTIVE

  total $2,781,847 · excluded $2,781,847

• 11c · Other revenue: MANAGEMENT FEES

  total $423,851 · excluded $423,851

• 11d · All other revenue

  total $143,614 · excluded $143,614

• 11e · Other revenue, total

  $7,072,654

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $581,113 · program services $581,113

• 5 · Compensation of officers, directors and key employees

  total $3,386,693 · management and general $3,386,693

• 6 · Compensation of disqualified persons

  total $226,212 · program services $130,047 · management and general $96,165

• 7 · Other salaries and wages

  total $296,019,707 · program services $260,146,326 · management and general $35,873,381

• 8 · Pension plan contributions

  total $13,144,828 · program services $11,551,675 · management and general $1,593,153

• 9 · Other employee benefits

  total $57,671,964 · program services $50,682,122 · management and general $6,989,842

• 10 · Payroll taxes

  total $21,721,457 · program services $18,873,774 · management and general $2,847,683

• 11b · Fees: legal

  total $2,104,980 · program services $75,177 · management and general $2,029,803

• 11c · Fees: accounting

  total $200,400 · management and general $200,400

• 11d · Fees: lobbying

  total $27,387 · program services $27,387

• 11f · Fees: investment management

  total $730,203 · management and general $730,203

• 11g · Fees: other

  total $51,457,935 · program services $43,806,046 · management and general $7,651,889

• 12 · Advertising and promotion

  total $2,386,751 · management and general $2,386,751

• 13 · Office expenses

  total $3,959,096 · program services $2,161,949 · management and general $1,797,147

• 14 · Information technology

  total $3,353,460 · program services $3,349,814 · management and general $3,646

• 16 · Occupancy

  total $10,633,235 · program services $3,289,167 · management and general $7,344,068

• 17 · Travel

  total $347,738 · management and general $347,738

• 19 · Conferences, conventions and meetings

  total $195,579 · program services $195,579

• 20 · Interest

  total $10,791,808 · program services $799,150 · management and general $9,992,658

• 22 · Depreciation, depletion and amortization

  total $43,913,244 · program services $36,708,854 · management and general $7,204,390

• 23 · Insurance

  total $3,570,601 · program services $21,170 · management and general $3,549,431

• 24a · Other expenses: MEDICAL SUPPLIES

  total $191,521,180 · program services $187,062,190 · management and general $4,458,990

• 24b · Other expenses: BAD DEBT EXPENSE

  total $42,170,449 · program services $42,170,449

• 24c · Other expenses: REPAIRS & MAINTENANCE

  total $25,053,663 · program services $20,782,831 · management and general $4,270,832

• 24d · Other expenses: TAX (INC. PROVIDER TAX)

  total $8,050,201 · program services $7,089,490 · management and general $960,711

• 24e · All other expenses

  total $12,456,190 · program services $8,960,989 · management and general $3,495,201

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $2,487,180 · end of year $3,516,892

• 2 · Savings and temporary cash investments

  beginning of year $85,964,637 · end of year $98,337,340

• 4 · Accounts receivable

  beginning of year $69,317,084 · end of year $72,357,438

• 5 · Loans and receivables from officers and key people

  end of year $34,927

• 7 · Other notes and loans receivable

  beginning of year $1,382,347 · end of year $2,320,163

• 8 · Inventories for sale or use

  beginning of year $13,471,915 · end of year $13,715,902

• 9 · Prepaid expenses and deferred charges

  beginning of year $4,499,819 · end of year $5,373,075

• 10a · Land, buildings and equipment: cost or other basis

  $494,474,233

• 10b · Land, buildings and equipment: accumulated depreciation

  $51,141,609

• 10c · Land, buildings and equipment, net

  beginning of year $370,176,655 · end of year $443,332,624

• 11 · Investments: publicly traded securities

  beginning of year $365,993,028 · end of year $423,754,687

• 13 · Investments: program-related

  beginning of year $5,013,605 · end of year $3,821,341

• 15 · Other assets

  beginning of year $266,257,560 · end of year $274,471,677

• 17 · Accounts payable and accrued expenses

  beginning of year $71,024,318 · end of year $84,889,156

• 19 · Deferred revenue

  beginning of year $1,118,514 · end of year $5,132,966

• 20 · Tax-exempt bond liabilities

  beginning of year $230,314,717 · end of year $221,870,466

• 23 · Secured mortgages and notes payable

  beginning of year $1,063,708 · end of year $99,948

• 25 · Other liabilities

  beginning of year $104,041,270 · end of year $97,741,825

• 27 · Net assets without donor restrictions

  beginning of year $777,001,303 · end of year $931,301,705

The filer's explanations (Part III)

PART I, LINE 4B

7 EMPLOYEES RECEIVED SUPPLEMENTAL RETIREMENT PLAN (SERP) PAYMENTS: - RICHARD FORD M.D. $20,631 - AUTUMN MCFANN $23,848 - SARA MARKS $22,381 - JAMES DETHERAGE M.D. $18,494 - RYAN ISON $3,863 - CHARBEL SALEM M.D. $30,611 - STACY CAUDILL M.D. $8,814 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 TAXABLE DISTRIBUTION TO THE PARTICIPANT ANNUALLY. 4 EMPLOYEES PARTICIPATED IN A CAPITAL ACCUMULATION PLAN: - CHARBEL SALEM M.D. PREMIUM PAYMENT $207,692 - SARA MARKS PREMIUM PAYMENT $34,615 - RICHARD FORD M.D. PREMIUM PAYMENT $7,692 - STACY CAUDILL M.D. PREMIUM PAYMENT $3,846 THE ORGANIZATION SPONSORS SPECIFIC WELFARE BENEFIT PLANS FOR EACH OF THE INTERESTED PERSONS LISTED ABOVE, THAT AUTHORIZE THE PURCHASE OF LIFE INSURANCE POLICIES AS A MEANS OF PROVIDING POST-EMPLOYMENT BENEFITS. EACH PREMIUM CONTRIBUTION PAID ON BEHALF OF THE INTERESTED PERSON IS TREATED FOR TAX, LEGAL AND FINANCIAL PURPOSES AS A LONG-TERM LOAN RECEIVABLE. AS SUCH THE ORGANIZATION RETAINS A PERMANENT AND PRIMARY IRREVOCABLE INTEREST IN THE DEATH BENEFIT OF THE LIFE INSURANCE POLICIES THAT WILL PROVIDE FULL REPAYMENT OF THE ACCUMULATED LOAN RECEIVABLE AT THE DEATH OF THE INTERESTED PERSON.

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.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• ASHLAND MEDICAL PROPERTIES INC

  C · RENTALS · KY · 100% owned · share of income -$175 · controlled entity

  Directly controlled by ASHLAND HOSPITAL CORPORATION