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          <AddressLine1Txt>3600 W CUMBERLAND AVENUE</AddressLine1Txt>
          <CityNm>MIDDLESBORO</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40965</ZIPCd>
        </USAddress>
        <RecipientEIN>520795508</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>18564</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19 SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MORGAN COUNTY ARH HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>476 LIBERTY ROAD</AddressLine1Txt>
          <CityNm>LIBERTY</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41472</ZIPCd>
        </USAddress>
        <RecipientEIN>520795508</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20031</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19 SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MURRAY-CALLOWAY COUNTY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>803 POPLAR STREET</AddressLine1Txt>
          <CityNm>MURRAY</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42071</ZIPCd>
        </USAddress>
        <RecipientEIN>610620567</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>26249</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19 SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PAINTSVILLE ARH HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>625 JAMES S TRIMBLE BLVD</AddressLine1Txt>
          <CityNm>PAINTSVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41240</ZIPCd>
        </USAddress>
        <RecipientEIN>520795508</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20150</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19 SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RIDGE BEHAVIORAL HEALTH SYSTEM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3050 RIO DOSA DRIVE</AddressLine1Txt>
          <CityNm>LEXINGTON</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40509</ZIPCd>
        </USAddress>
        <RecipientEIN>233044431</RecipientEIN>
        <CashGrantAmt>22593</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19 SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPRING VIEW HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>320 LORETTO ROAD</AddressLine1Txt>
          <CityNm>LEBANON</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40033</ZIPCd>
        </USAddress>
        <RecipientEIN>200155414</RecipientEIN>
        <CashGrantAmt>24393</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19 SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TUG VALLEY ARH REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>260 HOSPITAL DRIVE</AddressLine1Txt>
          <CityNm>SOUTH WILLIAMSON</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41503</ZIPCd>
        </USAddress>
        <RecipientEIN>520795508</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25821</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19 SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WHITESBURG ARH HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>240 HOSPITAL ROAD</AddressLine1Txt>
          <CityNm>WHITESBURG</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41858</ZIPCd>
        </USAddress>
        <RecipientEIN>520795508</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25164</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVID-19 SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>17</Total501c3OrgCnt>
      <TotalOtherOrgCnt>5</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAINTAINS RECORDS OF THE AMOUNT OF GRANTS THEY AWARD. THESE GRANTS/CONTRIBUTIONS ARE DISTRIBUTED TO HOSPITALS THROUGH THE FEDERAL COVID-19 SUPPORT GRANT (PASS THROUGH) FOLLOWING THE GUIDELINES DICTATED BY THE PROVISION OF THAT GRANT. HOSPITALS RECEIVING THE COVID-19 SUPPORT GRANT HAVE SUBMITTED DOCUMENTATION TO WARRANT REIMBURSEMENT UNDER THE GRANT GUIDELINES.</ExplanationTxt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <PersonNm>MELANIE LANDRUM</PersonNm>
        <TitleTxt>SENIOR VICE PRESIDENT</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>190899</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>20224</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>APRIL SMITH</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>178567</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>30208</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>379</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>14065</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <FormAndLineReferenceDesc>PART I, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED THE METHODS DESCRIBED BELOW TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: - INDEPENDENT COMPENSATION CONSULTANT - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTROL OVER MANAGEMENT DUTIES WERE DELEGATED TO KENTUCKY HOSPITAL ASSOCIATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BOARD OF DIRECTORS ARE APPOINTED BY THE KENTUCKY HOSPITAL ASSOCIATION'S BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>KHREF DOES NOT HAVE COMMITTEES; THEREFORE, THERE ARE NO COMMITTEE MEETINGS TO DOCUMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF THE RETURN IS REVIEWED FIRST BY INTERNAL MANAGEMENT. AFTER INTERNAL MANAGEMENT HAS REVIEWED THE RETURN AND ANY CHANGES ARE MADE, A COPY IS MADE AVAILABLE TO THE BOARD FOR REVIEW AND APPROVAL OF FORM 990 PRIOR TO ITS FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>STATEMENTS ARE REVIEWED BY THE COMPLIANCE OFFICER AND A STATEMENT IS INCLUDED ON THE AGENDA FOR BOARD MEETINGS REMINDING MEMBERS OF THE CONFLICT OF INTEREST POLICY AND THE NEED TO DISCLOSE CONFLICTS AT THE TIME CONFLICTS ARISE. IF THE DISCLOSURE FORM REVEALS A SIGNIFICANT FINANCIAL INTEREST, IT WILL BE REVIEWED PROMPTLY BY THE INSTITUTIONAL OFFICIAL OR DESIGNEE FOR A DETERMINATION OF WHETHER IT CONSTITUTES A FINANCIAL CONFLICT OF INTEREST. IF A FINANCIAL CONFLICT OF INTEREST EXISTS, THE INSTITUTIONAL OFFICIAL WILL TAKE ACTION TO MANAGE THE FINANCIAL CONFLICT OF INTEREST INCLUDING THE REDUCTION OR ELIMINATION OF THE CONFLICT, AS APPROPRIATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>KHREF DOES NOT HAVE EMPLOYEES. TIME OF KHA EMPLOYEES IS ALLOCATED AS NEEDED TO KHREF. KHA DOES HAVE A DEFINED PROCESS FOR REVIEW AND APPROVAL OF COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,720,219. MANAGEMENT AND GENERAL EXPENSES 289,611. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,009,830. CONTRACT PERSONNEL: PROGRAM SERVICE EXPENSES 1,250,455. MANAGEMENT AND GENERAL EXPENSES 239,209. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,489,664.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 12, PART XII LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WAS NO CHANGE IN THE OVERSIGHT PROCESS OR SELECTION PROCESS OF THE INDEPENDENT AUDITOR FROM PRIOR YEAR. KENTUCKY HOSPITAL RESEARCH &amp; EDUCATION FOUNDATION CONTINUES TO BE AUDITED AS PART OF KENTUCKY HOSPITAL ASSOCIATION CONSOLIDATED GROUP. KENTUCKY HOSPITAL RESEARCH &amp; EDUCATION FOUNDATION IS STILL INCLUDED IN THE KENTUCKY HOSPITAL ASSOCIATION AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION STILL HAS AN AUDIT/FINANCE COMMITTEE THAT OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUDITOR.</ExplanationTxt>
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          <AddressLine1Txt>2501 NELSON MILLER PARKWAY</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40223</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>KENTUCKY INSTITUTE FOR PATIENT SAFETY AND QUALITY INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>2501 NELSON MILLER PARKWAY</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40223</ZIPCd>
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        <EIN>264657040</EIN>
        <PrimaryActivitiesTxt>EDUCATING ORGANIZATIONS ON PATIENT SAFETY</PrimaryActivitiesTxt>
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          <AddressLine1Txt>2501 NELSON MILLER PARKWAY</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>402232221</ZIPCd>
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        <MethodOfAmountDeterminationTxt>GRANT</MethodOfAmountDeterminationTxt>
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