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      <Desc>THE KENTUCKY HEART FOUNDATION (KHF) WAS FOUNDED IN MAY 2007. THE KHF IS A NONPROFIT ORGANIZATION THAT WORKS WITH OTHER HEALTHCARE PROVIDERS TO ADDRESS HEART AND VASCULAR DISEASE IN THIS REGION. IN CONJUNCTION WITH THESE OTHER PROVIDERS THE KHF WORKS ON THE FOLLOWING:- IMPROVING THE QUALITY OF LIFE IN THE TRI-STATE COMMUNITY AND SURROUNDING APPALACHIAN REGION- REDUCING THE DEVASTATING IMPACT OF CARDIOVASCULAR DISEASE- ADVANCING MEDICAL SCIENCE THROUGH INTEGRATED, INNOVATIVE AND PROGRESSIVE PROGRAMS IN RESEARCH, EDUCATION, PREVENTION, EARLY DETECTION, AND IMPROVED PATIENT CARE- CREATING ACCESS TO CUTTING-EDGE TECHNOLOGY CONTINUED ON SCHEDULE O.- DEVELOPING A FORUM FOR RESEARCH THAT WILL BENEFIT PATIENTS THROUGHOUT THE NATIONKHF'S VISION IS TO IMPROVE THE QUALITY OF LIFE BY REDUCING THE DEVASTATING IMPACT OF CARDIOVASCULAR DISEASE. OUR MISSION IS TO REDUCE THE IMPACT OF HEART AND VASCULAR DISEASE THROUGH RESEARCH, PREVENTION AND EDUCATION. PRIORITIES INCLUDE: RESEARCH, EDUCATION, PREVENTION, FINANCE, AND CULTURE.THE KHF SERVES APPALACHIAN COUNTIES COVERING PARTS OF EASTERN KENTUCKY, SOUTHEASTERN OHIO AND WESTERN WEST VIRGINIA. THESE COUNTIES ARE SOME OF THE MOST IMPOVERISHED IN THE AREA. ALSO KNOWN AS THE CORONARY VALLEY, THE AREA GOT THIS NAME BECAUSE OF THE HIGH MORTALITY RATES FROM CARDIOVASCULAR DISEASE AND THE POOR HEALTH HABITS OF ITS RESIDENTS. HEART DISEASE IS THE NUMBER ONE KILLER OF ADULTS, WITH MORTALITY RATES VERY HIGH COMPARED TO STATE AND NATIONAL DATA. RESIDENTS OF THE AREA HAVE LOW ACADEMIC ACHIEVEMENT; HIGH SMOKING RATES; LACK OF PHYSICAL EXERCISE; AND ONE OF THE HIGHEST OBESITY RATES IN THE NATION. ALL COMBINED, IT IS NO WONDER THAT CARDIOVASCULAR DISEASE IS THE NUMBER ONE HEALTH THREAT FOR ADULTS IN THE AREA. WITH A FOCUS ON IMPROVING THE CARDIOVASCULAR OUTCOMES FOR THE AREA'S RESIDENTS, THE KHF WORKS TO BRING THE LATEST DEVICE AND DRUG THERAPIES TO THE AREA. PARTNERING WITH PROGRESSIVE CARDIOLOGISTS, CARDIOTHORACIC SURGEONS, VASCULAR SURGEONS, AND INTERVENTIONAL RADIOLOGISTS AT KING'S DAUGHTERS PROVIDES THE KHF THE OPPORTUNITY TO ANSWER IMPORTANT CLINICAL RESEARCH QUESTIONS IN ORDER TO IMPROVE CARE FOR OUR PATIENTS FOR NOW AND GENERATIONS TO COME.THE KHF WORKS WITH DEVICE AND DRUG MANUFACTURERS TO BRING NEW RESEARCH PROGRAMS TO THE REGION. KHF IS CURRENTLY FOCUSED ON RESEARCH TO IMPROVE THE ASSESSMENT, PREVENTION, AND TREATMENT OF ACUTE CORONARY SYNDROME, MYOCARDIAL INFARCTION, DUAL ANTIPLATELET THERAPY, ATRIAL FIBRILLATION, HEART FAILURE, STROKE AND VASCULAR DISEASE, CHILDHOOD AND ADULT OBESITY, AND LUNG HEALTH. THE KHF HAS THREE PRIMARY PROGRAM-RELATED FOCUSED AREAS - RESEARCH, EDUCATION, AND PREVENTION. 1) RESEARCH: DURING FY2021, THE KHF CONTINUED TO FOCUS ON RESEARCH WITH OVER APPROXIMATELY 50 PATIENTS ENROLLED IN ACTIVE CLINICAL TRIALS, INCLUDING:-CONNECT HF: CARE OPTIMIZATION THROUGH PATIENT AND HOSPITAL ENGAGEMENT CLINICAL TRIAL FOR HEART FAILURE-IN.PACT AV ACCESS STUDY: RANDOMIZED STUDY OF IN. PACT AV ACCESS PACLITAXEL-COATED PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY (PTA) BALLOON VS. STANDARD PTA FOR THE TREATMENT OF OBSTRUCTIVE LESIONS IN THE NATIVE ARTERIOVENOUS DIALYSIS FISTULAE (AVF)- RANGER II SFA: A 3:1 RANDOMIZED TRIAL COMPARING THE BOSTON SCIENTIFIC RANGER PACLITAXEL COATED BALLOON VS. STANDARD BALLOON ANGIOPLASTY FOR THE TREATMENT OF SUPERFICIAL FEMORAL ARTERIES (SFA) AND PROXIMAL POPLITEAL ARTERIES (PPA).- WRAPSODY WAVE: A PROSPECTIVE, RANDOMIZED , CONTROLLED, MULTICENTER STUDY COMPARING THE MERIT WRAPSODY ENDOVASCULAR STENT GRAFT TO PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY FOR TREATMENT OF VENOUS OUT FLOW CIRCUIT STENOSIS OR OCCLUSION IN HEMODIALYSIS PATIENTS. THE FOUNDATION CONTINUALLY LOOKS FOR TRIALS AND STUDIES THAT WILL BE OF BENEFIT TO OUR PATIENTS AND OUR PHYSICIANS. 2) EDUCATION: THE KHF OFFERS BOTH HEALTHCARE PROVIDER AND COMMUNITY EDUCATION AS PART OF ITS SCOPE OF WORK. DURING FY2021, THE KHF HOSTED:- CONTINUING MEDICAL EDUCATION: THE KHF IS ACCREDITED BY THE KENTUCKY MEDICAL ASSOCIATION TO PROVIDE CONTINUING MEDICAL EDUCATION, PROVIDING EDUCATIONAL PROGRAMMING FOR PHYSICIANS AFFILIATED WITH KING'S DAUGHTERS MEDICAL CENTER. KHF CONTINUED TO PROVIDE, CONTINUING MEDICAL EDUCATION PROGRAMS AND REGULAR SCHEDULED SERIES WERE HOSTED WHILE NUMEROUS OTHER DISCIPLINES, (NURSE PRACTITIONERS, NURSES, PHYSICAL THERAPISTS, PHYSICIAN ASSISTANTS, ETC.) ALSO TOOK ADVANTAGE OF CME PROGRAMS.3) PREVENTION: EARLY DETECTION OF CARDIOVASCULAR RISK FACTORS AND PROPER TREATMENT ARE CRITICAL TO REDUCING THE DEVASTATING IMPACT OF CARDIOVASCULAR DISEASE. TO AID IN EARLY DETECTION, THE KHF WORKED WITH KING'S DAUGHTERS MEDICAL CENTER'S (KDMC) COMMUNITY SERVICES AND ACCESS DEPARTMENTS TO OFFER FREE HEALTHY HEART SCREENINGS, LOW COST HEART AND VASCULAR SCREENINGS AND LOW COST BLOOD PROFILES THROUGHOUT THE REGION. THIS OUTREACH EFFORT HELPED COMMUNITY MEMBERS UNDERSTAND THEIR PERSONAL RISKS OF HEART DISEASE AND PROVIDED LOW-COST, EASY ACCESS TO REGULAR BLOOD WORK TO MONITOR BLOOD SUGAR, CHOLESTEROL AND OTHER KEY METABOLIC MEASURES. DURING 2021, THE KHF ALSO COLLABORATED WITH HEALTHY CHOICES, HEALTHY COMMUNITIES COALITION TO WORK ON IMPROVING THE HEALTH OF THE COMMUNITY. HEALTHY CHOICES, HEALTHY COMMUNITIES WAS CREATED IN 2015 BY KDMC, OUR LADY OF BELLEFONTE HOSPITAL (OLBH) AND OTHER COMMUNITY ORGANIZATIONS. THE ORGANIZATIONS INVOLVED ALL KNEW THAT TO MAKE AN IMPACT AND IMPROVE COMMUNITY HEALTH, EVERYONE HAD TO COME TOGETHER AND UTILIZE EXISTING RESOURCES. THE COALITION HAS A MISSION AND VISION, ALONG WITH A LOGO AND FACEBOOK PAGE. THE PAST YEAR HAD MANY CHALLENGES WITH THE COVID PANDEMIC RESTRICTING IN PERSON MEETINGS AND MANY EVENTS BEING CANCELED ACROSS THE NATION. EVEN WITH THESE OBSTACLES THE COALITION WAS ABLE TO HOLD IN PERSON AND VIRTUAL MEETINGS AND ALSO HOSTED 3 LARGE EVENTS. KING'S DAUGHTERS TAKES AN ACTIVE LEAD IN THE FACILITATION OF THE FULL COALITION AND THE SUB GROUPS. HEALTHY CHOICES HEALTHY COMMUNITIES MEETINGS AND EVENTS FY2021:HEALTHY CHOICES HEALTH COMMUNITIES MEETINGS: 2 FULL COALITION MEMBERSHIP MEETINGS, BRIDGES OUT OF ADDICTION SYMPOSIUM WITH OVER 200 ATTENDING OCT 12, 2021. SUB GROUP MEETINGS; SUBSTANCE USE DISORDER WORKGROUP 5 MEETINGS, SOCIOECONOMIC CHALLENGES, 2 MEETINGS. - KDMC AND THE LOCAL HEALTH DEPARTMENTS CONTINUED TO WORK WITH HEALTHY CHOICES HEALTHY COMMUNITIES COALITION ON THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN IN FY2021.</Desc>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CRAIG COLLINS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC MONDAY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN STEWART</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHARBEL SALEM MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SARA MARKS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA CORBITT</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <ProgramServicesAmt>205</ProgramServicesAmt>
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        <ProgramServicesAmt>6060</ProgramServicesAmt>
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        <ProgramServicesAmt>134</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DIETARY CHARGES</Desc>
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        <EOYAmt>569027</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedInd>1</FSAuditedInd>
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        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus3YearsAmt>70859</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>78058</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14486</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4418</CurrentTaxYearAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>A PORTION OF THE DUES PAID TO THE KENTUCKY MEDICAL ASSOCIATION ARE ATTRIBUTABLE TO LOBBYING. FOR THE YEAR ENDED 9/30/2021, THE AMOUNT WAS $449.</ExplanationTxt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICAL CENTER, KHF, KBNH, CDC, KHI, KDMT, KDMS, KDHF AND KDOH HAVE BEEN RECOGNIZED BY THE IRS AS SECTION 501(C)(3) CHARITABLE ORGANIZATIONS. SECTION 501(C)(3) ORGANIZATIONS ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME. THESE ORGANIZATIONS DO NOT ENGAGE IN SIGNIFICANT UNRELATED ACTIVITIES AND THEREFORE NO TAX IS RECORDED.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>709172</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AUTUMN MCFANN NON-VOTING</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <NontaxableBenefitsRltdOrgsAmt>18634</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>525398</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>27204</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARA MARKS</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>318464</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>99059</BonusRelatedOrganizationsAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>21375</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>25968</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>469068</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICIA CORBITT</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>15725</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>14390</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>9856</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>26722</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>165242</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: - KRISTIE WHITLATCH $26,376 - AUTUMN MCFANN $14,333 - SHERYL MAHANEY $6,828 - SARA MARKS $3,362 FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM 457(F) EXECUTIVE RETENTION PLAN PAYOUTS: - KRISTIE WHITLATCH $33,599 - SHERYL MAHANEY $27,204 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO EMPLOYEES OF KENTUCKY HEART FOUNDATION, INC. ("KHF"). SALARIES REPORTED ON PART IX LINE 7 REPRESENT THE ALLOCATED PAYROLL EXPENSE FOR THE TIME SPENT ON KHF BY ASHLAND HOSPITAL CORPORATION ("AHC") EMPLOYEES. KHF REIMBURSES AHC FOR THIS APPORTIONED TIME. ALL PAYROLL FILINGS ARE COMPLETED BY AHC UNDER EIN 61-0444716. AHC IS THE PARENT ORGANIZATION OF KHF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ASHLAND HOSPITAL CORPORATION (AHC) IS THE SOLE CORPORATE MEMBER OF KENTUCKY HEART FOUNDATION, INC. (KHF). AHC, A 501(C)(3) ENTITY, IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE KHF BOARD IS FOLDED INTO THE MAIN BOARD OF TRUSTEES OF THE HEALTH SYSTEM. THE BUSINESS OF KHF IS AS AN AGENDA ITEM OF THE FULL BOARD INDEPENDENTLY OR THROUGH ITS COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ASHLAND HOSPITAL CORPORATION DBA KING'S DAUGHTERS MEDICAL CENTER, PARENT ORGANIZATION OF KENTUCKY HEART FOUNDATION (KHF), 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, CHIEF 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE DIRECTION OF THE BOARD OF DIRECTORS, KDMC SET COMPENSATION FOR THE TEAM MEMBERS AND LEADERS USING SEDONA PARTNERS AS WELL AS REVIEW OF LOCAL AND REGIONAL SALARY INFORMATION PROVIDED THROUGH A MARSHALL UNIVERSITY SURVEY. IN JANUARY 2021, MERCER PERFORMED A REVIEW OF EXECUTIVE COMPENSATION AND BENEFITS. 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. SULLIVAN COTTER, AN INDEPENDENT COMPENSATION EXPERT, REVIEWS ALL PHYSICIAN COMPENSATION AND BENEFITS FOR DETERMINATION OF FAIR MARKET VALUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>FORGIVENESS OF INTERCOMPANY PAYABLES DUE TO RESTRUCTURING 3,427,226.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASHLAND HOSPITAL CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2201 LEXINGTON AVE</AddressLine1Txt>
          <CityNm>ASHLAND</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41101</ZIPCd>
        </USAddress>
        <EIN>610444716</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROYAL BLUE HEALTH LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASHLAND NURSING HOME CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2500 STATE ROUTE 5</AddressLine1Txt>
          <CityNm>ASHLAND</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41102</ZIPCd>
        </USAddress>
        <EIN>611386016</EIN>
        <PrimaryActivitiesTxt>NURSING HOME</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASHLAND HOSPITAL CORPORATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KENTUCKY MEDICAL LOGISTICS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>425 22ND STREET</AddressLine1Txt>
          <CityNm>ASHLAND</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41101</ZIPCd>
        </USAddress>
        <EIN>264736971</EIN>
        <PrimaryActivitiesTxt>MEDICAL TRANSPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASHLAND HOSPITAL CORPORATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KING'S DAUGHTERS HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2201 LEXINGTON AVE</AddressLine1Txt>
          <CityNm>ASHLAND</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41101</ZIPCd>
        </USAddress>
        <EIN>274553836</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KING'S DAUGHTERS HEALTH FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2201 LEXINGTON AVE</AddressLine1Txt>
          <CityNm>ASHLAND</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41101</ZIPCd>
        </USAddress>
        <EIN>611035701</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASHLAND HOSPITAL CORPORATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHILD DEVELOPMENT CENTER CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2201 LEXINGTON AVE</AddressLine1Txt>
          <CityNm>ASHLAND</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41101</ZIPCd>
        </USAddress>
        <EIN>010560598</EIN>
        <PrimaryActivitiesTxt>DAYCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASHLAND HOSPITAL CORPORATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KING'S DAUGHTERS MEDICAL SPECIALTIES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2201 LEXINGTON AVE</AddressLine1Txt>
          <CityNm>ASHLAND</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41101</ZIPCd>
        </USAddress>
        <EIN>264183569</EIN>
        <PrimaryActivitiesTxt>PHYSICIANS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASHLAND HOSPITAL CORPORATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KENTUCKY HEART INSTITUTE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2201 LEXINGTON AVE</AddressLine1Txt>
          <CityNm>ASHLAND</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41101</ZIPCd>
        </USAddress>
        <EIN>611255904</EIN>
        <PrimaryActivitiesTxt>PHYSICIANS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASHLAND HOSPITAL CORPORATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PORTSMOUTH HOSPITAL CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1901 ARGONNE AVE</AddressLine1Txt>
          <CityNm>PORTSMOUTH</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45662</ZIPCd>
        </USAddress>
        <EIN>453215312</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROYAL BLUE HEALTH LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ROYAL BLUE HEALTH LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2201 LEXINGTON AVE</AddressLine1Txt>
          <CityNm>ASHLAND</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41101</ZIPCd>
        </USAddress>
        <EIN>862993817</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KING'S DAUGHTERS HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ASHLAND MEDICAL PROPERTIES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2201 LEXINGTON AVE</AddressLine1Txt>
          <CityNm>ASHLAND</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41101</ZIPCd>
        </USAddress>
        <EIN>611079090</EIN>
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        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
