UK King's Daughters

Nonprofit profile at a glance

EIN
610444716
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Ashland, KY, United States
Phone
606.408.4000
Rating
78
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$1,006,610,598
Expenses
$873,226,520
Assets
$1,411,623,047
Liabilities
$388,655,838

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

24 people listed

Executive titles in this filing

  • SARA MARKS (PRESIDENT/CEO)

Highest reported compensation

  • OMRAN ABUL-KHOUDOUD (INTERIM VP, CMO INPATIENT/PROC SERVICES, PHYSICIAN): $1,314,975 total reported compensation
  • SARA MARKS (PRESIDENT/CEO): $1,196,109 total reported compensation
  • AUTUMN MCFANN (TEASURER, SENIOR VP/CHIEF FIN. & ADMIN OFFICER): $1,155,483 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Mission, Vision & Core Values Our Mission:** To Care. To Serve. To Heal. Our Vision:** World-Class Care In Our Communities. Our Mission:** To Care. Our Vision:** World-Class Care In Our Communities Our Core Values:. Graphic of core values spelling iCARE iCARE - Innovation • Compassion • Accountability • Respect • Excellence About Us. To Care. Our Core Values:.

What it reported doing in 2024

Located in ashland, ky., king's daughters medical center has been serving the people of northeastern Kentucky, southern Ohio, and western West Virginia since 1899. Our mission is centered on healing the sick, improving quality and length of life, building healthy communities, and meeting the evolving healthcare needs of the region.as one of the area's largest employers, king's daughters plays a vital role in the region's infrastructure by ensuring access to high-quality healthcare services; providing stable employment; supporting economic development; and investing in education from pre-school through senior citizens.king's daughters provides comprehensive healthcare services across a broad range of specialties, including heart and vascular care; orthopedics and sports medicine; digestive health; surgical services and bariatrics; behavioral medicine and psychiatric care; oncology; maternity, women's care and pediatrics; pulmonology; and primary care. King's daughters is comprised of one acute-care hospital totaling 465 licensed beds; an integrated network of more than 500 physicians and advanced practitioners; and more than 80 ambulatory centers and practice locations offering both primary and specialty care throughout eastern Kentucky and southern Ohio. This geographically distributed network of providers and diagnostic centers helps ensure accessible, convenient healthcare services for individuals where they live and work.king's daughters and its team members are deeply engaged in programs that support the health, well-being, and economic vitality of the communities we serve, including:- providing free in-person health screenings addressing conditions such as diabetes, colon cancer, heart disease, joint health, sleep disorders, and skin cancer.- offering free online health risk assessments and follow up.- conducting extensive community education and outreach efforts to increase awareness of and compliance with screening recommendations for breast, skin, lung, and colorectal cancers; stroke; heart disease; diabetes; and mental health and substance use disorders.- partnering with community organizations to promote education, physical activity, social engagement, and economic development.- sponsoring or participating in community events such as strike-out stroke, community baby showers, and free flu vaccination clinics.- sponsoring in-person support groups for individuals, their families, and caregivers.- providing free sports physicals to student athletes throughout the region; placing certified athletic trainers in local schools; and offering weekday walk-in orthopedic clinics in ashland, ky., and portsmouth, Ohio.- placing advanced practice nurses in local elementary, middle, and high schools to provide health education, immunizations, screenings, and care for acute illness to students, faculty, and staff.- providing 3d mammography services at two permanent imaging locations and two mobile mammography units that bring this potentially life-saving testing to underserved and remote areas.- raising funds to assist uninsured and underinsured patients receive diagnostic mammograms, breast biopsies and advanced care related to breast cancer diagnosis and treatment. - expanding access to care through two mobile health units offering occupational medicine, hearing screenings, general health screenings, ekgs, and other services as requested by local providers.- increasing access to fresh, healthy food through sponsorship of farmers markets serving five counties in Kentucky and Ohio.- donating food and supporting local food banks to address food insecurity in the region.- managing meals on wheels programs in boyd and greenup counties, providing free and low-cost meals to eligible residents.- partnering with the american red cross to sponsor monthly blood drives on the ashland campus and ukkd pavilion in greenup, ky.- providing free transportation to medical appointments for individuals without dependable transportation through the van

Operating model

Revenue model
Earned-program. 97% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 71
  • Transparency & Controls: 78
  • Accountability: 90
  • Sustainability: 70
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 75.4%; rating input score 75
  • Program expense ratio: 87.9%; rating input score 88
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.9%; rating input score 93; 17th percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Missing
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 62.8%; rating input score 63; 13th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 90%; rating input score 90; 38th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 13.3%; rating input score 79; 79th percentile among comparable filings
  • Total-asset coverage ratio: 1.62; rating input score 56; 56th percentile among comparable filings
  • Liabilities to assets ratio: 0.28; rating input score 59; 59th percentile among comparable filings
  • Officer compensation ratio: 0.9%; rating input score 77; 77th percentile among comparable filings

Growth

  • Program expense growth: 8.1% per year; rating input score 100; 64th percentile among comparable filings
  • Revenue growth: 5.1% per year; rating input score 100; 44th percentile among comparable filings
  • Asset growth: 3.8% per year; rating input score 100; 26th percentile among comparable filings

Details

  • What they do: 7 programs and campaigns described on the official site
  • Where the money goes: 75.4% of revenue deployed · 87.9% of spending went to programs
  • Governance: 9 of 10 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $767.2M in reported program spending
  • Leadership: top reported pay $1.3M · 24 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $75.2M reported
  • Consistency: 35 of 36 current checks pass · 1 finding to review
  • Schedules: 11 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 32 filed money-flow records
  • Related organizations: 26 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Accountability: Governance controls: Form 990 shared with the board not reported.
  • Review — Sustainability: Total-asset coverage ratio scored 56/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Review — Sustainability: Liabilities to assets ratio scored 59/100.