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      <Desc>PHYSICIAN PRACTICES:CURRENTLY, MORE THAN 360 CREDENTIALED PHYSICIANS ARE MEMBERS OF PIKEVILLE MEDICAL CENTER'S MEDICAL STAFF.DURING FY 2021, PMC WELCOMED 25 PHYSICIANS AND FIVE NURSE PRACTITIONERS TO THE ORGANIZATION.THE PHYSICIANS RECRUITED DURING THIS TIME CONSIST OF ONE ANESTHESIOLOGIST, TWO CARDIOLOGISTS, TWO CRITICAL CARE PHYSICIANS, TWO EMERGENCY MEDICINE PHYSICIANS, FIVE HOSPITALISTS, ONE GENERAL SURGEON, ONE INFECTIOUS DISEASE PHYSICIAN, TWO INTERVENTIONAL RADIOLOGISTS, TWO NEPHROLOGISTS, TWO ONCOLOGISTS, ONE OPHTHALMOLOGIST, TWO ORTHOPEDIC TRAUMA SURGEONS, ONE PEDIATRICIAN AND ONE PODIATRIST.PMC OFFERS MORE THAN 400 SERVICES, INCLUDING MOST MAJOR SPECIALTIES AND MANY SUB-SPECIALTIES. WITH A SUPPORTIVE ADMINISTRATION AND BOARD OF DIRECTORS COMMITTED TO ADVANCING THE HEALTH AND WELL-BEING OF OUR APPALACHIAN REGION, PMC'S DEDICATED PHYSICIANS HAVE THE TOOLS AND TRAINING NECESSARY TO PROVIDE QUALITY COMPREHENSIVE HEALTHCARE. PMC'S 11-STORY CLINIC BUILDING HOUSES THE MAJORITY OF THE ORGANIZATION'S PHYSICIAN PRACTICES INCLUDING TRAUMA SURGERY, GENERAL SURGERY, BARIATRIC AND WEIGHT LOSS SURGERY, ENDOCRINOLOGY, INTERVENTIONAL RADIOLOGY, GASTROENTEROLOGY, UROLOGY, ORTHOPEDIC TRAUMA SURGERY, ORTHOPEDIC SURGERY, HAND SURGERY, PODIATRY, SPORTS MEDICINE, OBSTETRICS/GYNECOLOGY, INFECTIOUS DISEASE, NEPHROLOGY, NEUROLOGY, NEUROSURGERY, PHYSIATRY, PULMONOLOGY, OPHTHALMOLOGY, OPTOMETRY, OTOLARYNGOLOGY, RHEUMATOLOGY, SLEEP MEDICINE, MEDICAL ONCOLOGY, HEMATOLOGY AND SURGICAL ONCOLOGY. A 10-STORY PARKING GARAGE ON THE MAIN CAMPUS, DIRECTLY CONNECTED TO THE CLINIC BUILDING, ALLOWS PATIENTS TO CONVENIENTLY PARK ON THE SAME FLOOR AS THEIR PHYSICIAN'S OFFICE.IN ADDITION TO PHYSICIAN PRACTICES FOUND IN THE CLINIC, PMC OFFERS: PEDIATRICS IN PIKEVILLE AND SOUTH WILLIAMSON (KY); PEDIATRIC PSYCHIATRY IN PIKEVILLE (KY), PLASTIC SURGERY IN PIKEVILLE (KY); CARDIOTHORACIC AND VASCULAR SURGERY IN PIKEVILLE (KY); CARDIOLOGY--GENERAL/INVASIVE/INTERVENTIONAL/ELECTROPHYSIOLOGY IN PIKEVILLE, WHITESBURG, PRESTONSBURG, SOUTH WILLIAMSON (KY) AND GRUNDY (VA); RADIATION ONCOLOGY IN PIKEVILLE (KY); NEUROLOGY IN WHITESBURG, SOUTH WILLIAMSON, AND PRESTONSBURG (KY); FAMILY MEDICINE IN PIKEVILLE, PRESTONSBURG, AND SOUTH WILLIAMSON (KY); OBSTETRICS/GYNECOLOGY IN PIKEVILLE (KY); URGENT CARE SERVICES IN PIKEVILLE AND PRESTONSBURG (KY); SCHOOL TELEHEALTH SERVICES IN PIKE COUNTY (KY); APPLIED BEHAVIOR ANALYSIS SERVICES; PSYCHOLOGY; WOUND CARE; CARDIAC REHABILITATION AND PULMONARY REHABILITATION IN PIKEVILLE (KY).PMC ALSO OFFERS EMERGENCY MEDICINE SERVICES AND UTILIZES AROUND-THE-CLOCK HOSPITALISTS, INTENSIVISTS AND NEONATOLOGISTS WHO DEVOTE THEIR PROFESSIONAL TIME TO THE CARE OF HOSPITALIZED PATIENTS.PMC PHYSICIANS COMPLETED 367,209 PATIENT VISITS DURING FY 2021. PHYSICIAN PRACTICE LOCATIONS WITH NOTABLE GROWTH DURING THE YEAR: AVA CENTER PRACTICE-PIKEVILLE COMPLETED 4,772 LEANER VISITS, ENDOCRINOLOGY PRACTICE-PIKEVILLE COMPLETED 1,528 PATIENT VISITS, GASTROENTEROLOGY PRACTICE-PIKEVILLE COMPLETED 5,772 PATIENT VISITS, NEUROLOGY PRACTICE-PRESTONSBURG COMPLETED 3,629 PATIENT VISITS, OPHTHALMOLOGY PRACTICE-PIKEVILLE COMPLETED 6,734 PATIENT VISITS, AND URGENT CARE PRACTICE-PRESTONSBURG COMPLETED 2,763 PATIENT VISITS. PIKEVILLE MEDICAL CENTER IS PROUD TO BE AT FOREFRONT IN EXPANDING THE RANGE OF PEDIATRIC HEALTHCARE SERVICES OFFERED WITHIN CENTRAL APPALACHIA TO ALLOW OUR PEDIATRIC POPULATION TO RECEIVE SPECIALIZED CARE CLOSE TO HOME. THE PMC APPALACHIAN VALLEY AUTISM (AVA) CENTER IS A CERTIFIED AUTISM CENTER BY THE INTERNATIONAL BOARD OF CREDENTIALING AND CONTINUING EDUCATION STANDARDS SPECTRUM DISORDER (ASD). AS THE FIRST COMPREHENSIVE CENTER OF ITS KIND IN EASTERN KENTUCKY, THE AVA CENTER OFFERS APPLIED BEHAVIOR ANALYSIS (ABA) THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, AND FEEDING THERAPIES FOR CHILDREN ON THE AUTISM SPECTRUM BETWEEN THE AGES OF 2 AND 12. THE PROGRAM STRIVES TO IDENTIFY CHILDREN AT THE EARLIEST SIGNS OF DETECTION, PROVIDE INTEGRATED CARE TO SUPPORT THE BEST POSSIBLE QUALITY OF LIFE FOR CHILDREN WITH ASD AND THEIR FAMILIES, AND HELP CHILDREN WITH ASD REACH THEIR FULL POTENTIAL. THE SPECIALIZED EARLY INTERVENTION AND TREATMENT PROVIDED BY THE SPECIFICALLY TRAINED THERAPISTS AT THE AVA CENTER HAS PROVEN EFFECTIVE IN INCREASING COMMUNICATION SKILLS, IMPROVING ATTENTION, AND DECREASING PROBLEM BEHAVIORS. THE AVA CENTER HAS EXPANDED TO OCCUPY 27,000 SQ FT OF NEWLY RENOVATED SPACE IN THE HEALTH &amp; WELL-BEING LEARNING CENTER THAT HAS BEEN SPECIFICALLY DESIGNED TO ENHANCE THE ENVIRONMENT OF CARE FOR OUR LEARNERS. THE TOTAL INVESTMENT IN RENOVATIONS, LAND IMPROVEMENTS AND EQUIPMENT FOR THE AVA CENTER PROGRAM IS $2.2 MILLION.PIKEVILLE MEDICAL CENTER'S CONSTRUCTION RENOVATION OF 13,400 SQUARE FEET OF SPACE TO HOUSE EASTERN KENTUCKY'S ONLY CHILDREN'S HOSPITAL NEARED COMPLETION DURING FY 21. THE NEW CHILDREN'S HOSPITAL IS SCHEDULE TO OPEN IN DECEMBER 2021 AND WILL OFFER BOTH INPATIENT AND OUTPATIENT PEDIATRIC SERVICES. THE CHILDREN'S HOSPITAL WILL FILL A GAP IN PROVIDING MUCH NEEDED PEDIATRIC HEALTHCARE FOR THE REGION, ALLOWING MORE FAMILIES TO STAY CLOSE TO HOME FOR SPECIALIZED PEDIATRIC CARE, THUS GREATLY REDUCING THE FINANCIAL BURDEN THAT COMES WITH TRAVELING TO HOSPITALS HUNDREDS OF MILES AWAY. THE CHILDREN'S HOSPITAL WILL BE STAFFED BY PEDIATRIC HOSPITALISTS AND PEDIATRIC NURSES SPECIALLY TRAINED IN INPATIENT PEDIATRIC CARE. INPATIENT SERVICES WILL BE LOCATED IN AN 8,130 SQ FT AREA CONSISTING OF A FAMILY-FRIENDLY WAITING ROOM, 10 PRIVATE PATIENT ROOMS (INCLUDING TWO ISOLATION ROOMS), A CONSULTATION ROOM, A TREATMENT ROOM, MEDICATION ROOM, NOURISHMENT ROOM AND MORE. THE OUTPATIENT SERVICE AREA WILL BE LOCATED IN A 5,290 SQ FT AREA CONSISTING OF SEPARATE SICK AND WELL CHILD WAITING ROOMS, CHECK-IN AND REGISTRATION AREAS, 13 EXAM ROOMS, A MEDICATION ROOM, AND NURSE'S STATION. THIS OUTPATIENT SERVICE AREA WILL SERVE AS A SPECIALTY CLINIC FOR COLLABORATING PEDIATRIC SPECIALTY PHYSICIANS TRAVELING FROM LARGER CITIES 2-3 HOURS AWAY TO PROVIDE HEALTHCARE SERVICES NOT OTHERWISE AVAILABLE IN THE REGION, BRIDGING THE GAP TO ENSURE ALL CHILDREN AND FAMILIES HAVE ADEQUATE ACCESS TO SPECIALIZED PEDIATRIC CARE. THE CAPITAL INVESTMENT IN THE CHILDREN'S HOSPITAL AT COMPLETION IS A PROJECTED $6.2 MILLION.PMC IS COMMITTED TO ENSURING ADEQUATE AVAILABILITY AND ACCESS TO SKILLED PRIMARY CARE PHYSICIANS THROUGHOUT THE RURAL REGION IN WHICH IT SERVES AND IS A FOUNDING MEMBER OF THE APPALACHIAN OSTEOPATHIC POST GRADUATE TRAINING CONSORTIUM. TO PROMOTE THE EDUCATION OF PRIMARY CARE PHYSICIANS, PMC OPERATES AN AMERICAN OSTEOPATHIC ASSOCIATION ACCREDITED RESIDENCY PROGRAM. THE PROGRAM OFFERS INTEGRATED OSTEOPATHIC FAMILY MEDICINE AND OSTEOPATHIC MANIPULATIVE TREATMENT/NEUROMUSCULOSKELETAL MEDICINE IN A COLLABORATIVE ENVIRONMENT THAT ATTRACTS SOME OF THE MEDICAL COMMUNITY'S MOST PROMISING PHYSICIANS TO THE REGION TO PROVIDE PATIENT CARE. PMC'S RESIDENCY PROGRAM TRAINED 18 RESIDENTS DURING THE 2020-2021 PROGRAM YEAR. THE FAMILY PRACTICE CLINIC IN CONJUNCTION WITH THE RESIDENCY PROGRAM HAD MORE THAN 8,300 PATIENT VISITS DURING FY 2021. TO IMPROVE ACCESS TO PIKEVILLE MEDICAL CENTER'S PRIMARY CARE TEAM; INCLUDING PEDIATRICS, ADULT PRIMARY CARE, OB/GYN AND URGENT CARE SPECIALISTS, PMC OPENED THE NEW URGENT CARE &amp; FAMILY WELLNESS CENTER DURING FY 2021. THE RENOVATED 14,600 SQUARE FOOT OF SPACE IS IN A CONVENIENT LOCATION AND INCLUDES 14 YOUTH THEMED EXAM ROOMS, 25 ADULT/URGENT CARE EXAM ROOMS, 14 PROVIDER WORKSTATIONS, NURSE STATIONS, AN ON-SITE LABORATORY FOR SPECIMEN COLLECTION, ON-SITE X-RAY SERVICES, AND RECEPTION/WAITING ROOMS. THE URGENT CARE AT PIKEVILLE NORTH IS OPEN 12 HOURS A DAY SEVEN DAYS A WEEK TO TREAT INJURIES, COMMON MEDICAL CONDITIONS, AND ILLNESSES. THE CAPITAL INVESTMENT IN THE URGENT CARE &amp; FAMILY WELLNESS CENTER EQUIPMENT AND RENOVATIONS DURING FY 2021 WAS $3.0 MILLION.THE PMC ORTHOPEDIC CENTER, LOCATED ON THE SIXTH FLOOR OF THE PMC CLINIC BUILDING, IS HOME TO A TEAM OF TEN HIGHLY TRAINED, BOARD-CERTIFIED ORTHOPEDIC SPECIALISTS. THREE ORTHOPEDIC SURGEONS FOCUS ON PROVIDING ADVANCED ORTHOPEDIC SURGERY FOR HIPS, KNEES, AND OTHER ORTHOPEDIC RELATED ISSUES, WHILE BEING DEVOTED TO PREVENTING, DIAGNOSING, AND TREATING DISORDERS OF THE BONES, JOINTS, LIGAMENTS, TENDONS AND MUSCLES. TWO ORTHOPEDIC HAND SPECIALISTS FOCUS ON TREATING PATIENTS WITH HAND INJURIES AND RHEUMATIC DISEASES SUCH AS OSTEOARTHRITIS AND RHEUMATOID ARTHRITIS. TWO ORTHOPEDIC PODIATRISTS PERFORM FOOT AND ANKLE SURGERIES, IN ADDITION TO ADDRESSING UNDERLYING HEALTH ISSUES LIKE DIABETES THAT ARE RELATED TO FOOT AND ANKLE ISSUES. ONE SPORTS MEDICINE PHYSICIAN WORKS CLOSELY WITH PATIENTS WHO HAVE EXPERIENCED SPORTS INJURIES AND PROVIDES COMPREHENSIVE TREATMENT FOR THEIR RELATED CARE. AN ORTHOPEDIC WALK-IN CLINIC PROVIDING CARE TO BOTH ADULTS AND ADOLESCENTS WHO HAVE EXPERIENCED INJURIES SUCH AS SPRAINS, STRAINS, DISLOCATED JOINTS, STRESS</Desc>
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        <Desc>IMAGING SERVICES:PIKEVILLE MEDICAL CENTER'S IMAGING SERVICES DIVISION INCLUDES THE MODALITIES OF DIAGNOSTIC IMAGING, NUCLEAR MEDICINE, MAGNETIC RESONANCE IMAGING (MRI), COMPUTED TOMOGRAPHY (CT), POSITRON EMISSION TOMOGRAPHY (PET), MAMMOGRAPHY, AND ULTRASOUND. PMC'S IMAGING SERVICES HAS RECEIVED ACCREDITATION BY THE AMERICAN COLLEGE OF RADIOLOGY, RECOGNIZED AS THE GOLD STANDARD IN DIAGNOSTIC IMAGING. THIS ACCREDITATION CERTIFIES THE IMAGING SERVICES DIVISION'S COMMITMENT TO IMAGE QUALITY, EQUIPMENT PERFORMANCE, SAFETY STANDARDS FOR STAFF AND PATIENTS, QUALITY ASSURANCE, AS WELL AS STRICT PERSONNEL QUALIFICATIONS FOR BOTH PHYSICIANS AND TECHNOLOGISTS. PMC CONTINUALLY INVESTS IN THE MOST UP TO DATE DIGITAL DIAGNOSTIC AND INTERVENTIONAL IMAGING TECHNOLOGY TO DETECT AND TREAT DISEASES. BOARD CERTIFIED RADIOLOGISTS WORK WITH SKILLED TECHNOLOGISTS AND NURSES TO PROVIDE THE HIGHEST QUALITY IMAGING SERVICES IN A COMPASSIONATE AND EFFICIENT MANNER TO PATIENTS OF ALL AGES. THE INTERVENTIONAL RADIOLOGY (IR) DEPARTMENT AT PMC SPECIALIZES IN MINIMALLY INVASIVE, IMAGE-GUIDED PROCEDURES THAT DIAGNOSE AND TREAT DISEASES IN MOST EVERY ORGAN SYSTEM IN THE BODY. THE ADVANCED IMAGING TECHNOLOGY IN USE WITHIN THE RECENTLY RENOVATED IR SUITES PROVIDES HIGH VISIBILITY TO PMC'S IR PHYSICIANS WHILE PERFORMING PROCEDURES WHICH INCREASES THE ACCURACY OF THE DIAGNOSIS AND IMPROVES PATIENT OUTCOMES. IR PROCEDURES TYPICALLY HAVE FEWER RISKS, LESS PAIN AND SHORTER RECOVERY TIME IN COMPARISON TO OPEN SURGERY. PMC'S INTERVENTIONAL RADIOLOGISTS USE IR PROCEDURES TO DRASTICALLY ALLEVIATE SYMPTOMS OF VASCULAR DISEASE, STROKE, UTERINE FIBROIDS AND CANCER, IN CERTAIN SITUATIONS. PMC'S IR PHYSICIANS ARE NOW EQUIPPED TO TREAT MANY PATIENTS SUFFERING FROM OSTEOPOROSIS WITH KYPHOPLASTY, AN OUTPATIENT PROCEDURE WHERE CEMENT IS USED TO STABILIZE FRACTURED VERTEBRA AND RESTORE SOME OF THE VERTEBRA'S LOST HEIGHT CAUSED BY OSTEOPOROSIS. IN MANY PATIENTS, THE KYPHOPLASTY PROCEDURE DRASTICALLY REDUCES PAIN, WHICH, IN TURN, CAN ELIMINATE OR REDUCE THE NEED TO USE PAIN MEDICATION. PATIENTS FROM ACROSS THE REGION ARE REFERRED TO PMC'S IR DEPARTMENT TO RECEIVE THE MOST ADVANCED TREATMENT AND SPECIALIZED PROCEDURES WITHIN THE RECENTLY RENOVATED SPACE THAT CONTAINS THREE IR SUITES, NINE PRE-OPERATIVE AND POST-OPERATIVE BAYS, TWO OUTPATIENT ROOMS AND A CENTRAL NURSE'S STATION. THE STATE-OF-THE-ART TECHNOLOGY CURRENTLY UTILIZED WITHIN IMAGING SERVICES INCLUDES TWO LINEAR ACCELERATORS, ONE 32-SLICE LARGE BORE CT SCANNER, TWO 64-SLICE CT SCANNERS, TWO DUAL-SOURCE 128-SLICE CT SCANNERS, A PET/CT SCANNER, A SPECT/CT SCANNER, TWO 1.5T OPEN MRIS, A 3.0T OPEN MRI, A D-SPECT CARDIAC IMAGING SYSTEM, TWO 3D MAMMOGRAPHY SYSTEMS AND THREE FULLY EQUIPPED INTERVENTIONAL RADIOLOGY SUITES. PMC PURCHASED A VARIAN TRUE BEAM LINEAR ACCELERATOR SYSTEM DURING FY 2021. THE TRUE BEAM RADIOTHERAPY SYSTEM PROVIDES A VARIETY OF TREATMENT TECHNIQUES TO ADDRESS A BROAD RANGE OF CANCER CASES. ADVANCED IMAGING AND HIGH PRECISION DOSAGE CONTROL ENSURE RADIATION DELIVERY CONFORMALITY WITH BUILT IN PATIENT SAFETY FEATURES THAT ALLOW CLINICIANS TO NAVIGATE THE COMPLEXITIES OF RADIATION THERAPY TREATMENT DELIVERY WITH CONFIDENCE. THE CAPITAL INVESTMENT IN THE VARIAN TRUE BEAM LINEAR ACCELERATOR PURCHASE AND INSTALLATION TOTALED $3.5 MILLION. THE BRAINLAB EXACTRAC X-RAY MONITORING SYSTEM WAS PURCHASED DURING FY 2021 TO USE IN CONJUNCTION WITH THE VARIAN TRUE BEAM LINEAR ACCELERATOR SYSTEM. THE EXACTRAC IS THE LATEST RADIOTHERAPY PATIENT POSITIONING AND MONITORING PLATFORM WITH ADVANCED MOTION MANAGEMENT TECHNOLOGY WHICH RESULTS IN AN IMPROVED TREATMENT DELIVERY PROCESS AND PATIENT OUTCOME. THE INVESTMENT IN THE BRAINLAB EXACTRAC SYSTEM TOTALED $652,085.DURING FY 2021 PMC PURCHASED THE VEREOS DIGITAL PET/CT SYSTEM. THE VEREOS IS THE WORLD'S FIRST AND ONLY TRUE DIGITAL PET/CT SYSTEM, THIS INNOVATIVE SYSTEM PROVIDES IMPROVED DETECTABILITY AND CHARACTERIZATION OF SMALL CANCEROUS LESIONS, REDUCTION IN PET RADIOPHARMACEUTICAL DOSE ADMINISTRATION, ALONG WITH FAST SCANNING CAPABILITY TO SIGNIFICANTLY IMPROVE PATIENT CARE. THE VEREOS DIGITAL PET/CT SYSTEM CAPITAL INVESTMENT TOTALED $1.8 MILLION.</Desc>
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        <Desc>CARDIAC SERVICES:ACCORDING TO THE CDC, KENTUCKY RANKS NINTH IN THE NATION FOR DEATHS CAUSED BY HEART DISEASE, WHICH SERVES TO STRENGTHEN PMC'S COMMITMENT TO PROVIDE THE MOST ADVANCED HEART CARE AVAILABLE IN EASTERN KENTUCKY. THE PMC HEART AND VASCULAR INSTITUTE IS A COMPREHENSIVE HEART AND VASCULAR PROGRAM, PERFORMING A FULL RANGE OF CARDIAC SERVICES AND PROCEDURES LOCALLY TO SERVE OUR PATIENTS THROUGHOUT THE CONTINUUM OF CARE. CARDIAC SERVICES OFFERED BY PMC INCLUDE GENERAL CARDIOLOGY, INVASIVE CARDIOLOGY, INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, CARDIOTHORACIC SURGERY, VASCULAR/ENDOVASCULAR SURGERY, ECHOCARDIOGRAPHY, AND CARDIAC REHABILITATION.PMC'S TEAM OF CARDIAC SPECIALISTS BRING AN EXTENSIVE RANGE OF EXPERTISE TO THE HEART AND VASCULAR PROGRAM. THIS EXPERTISE ALONG WITH CUTTING-EDGE TECHNOLOGY, INCLUDING THE BEST EQUIPMENT AND OPERATING ROOMS AVAILABLE, HAS RESULTED IN PMC'S HEART AND VASCULAR INSTITUTE RECEIVING RECOGNITION BY THE AMERICAN COLLEGE OF CARDIOLOGY (ACC) FOR ITS DEMONSTRATED EXPERTISE AND COMMITMENT TO TREATING PATIENTS WITH CHEST PAIN. BASED ON RIGOROUS ONSITE EVALUATION OF THE STAFF'S ABILITY TO EVALUATE, DIAGNOSE, AND TREAT PATIENTS WHO MAY BE EXPERIENCING A HEART ATTACK, PMC WAS AWARDED CHEST PAIN CENTER ACCREDITATION WITH PRIMARY PERCUTANEOUS CORONARY INTERVENTION (PCI).THE PMC HEART AND VASCULAR INSTITUTE HAS RECENTLY COMPLETED A MONUMENTAL $35.2 MILLION CAPITAL RENOVATION AND EXPANSION. THE FIRST PHASE OF THE PROJECT INCLUDED THE INSTALLATION OF THREE NEW STATE-OF-THE-ART INTERVENTIONAL CARDIAC CATHETERIZATION (CATH) LABS, BRINGING THE HOSPITAL'S CATH LAB COUNT TO MORE THAN ANY OTHER HOSPITAL IN KENTUCKY. THE ORIGINAL 26,000 SQUARE FEET OF SPACE OCCUPIED BY THE HEART AND VASCULAR INSTITUTE WAS FULLY RENOVATED ALLOWING FOR FUNCTIONAL FLOW OF A NEW REGISTRATION AREA FOR IMPROVED PATIENT ACCESS, AN ADDITIONAL 14,000 SQUARE FEET OF SPACE LOCATED ON THE 2ND FLOOR WAS RENOVATED AND A TWO-STORY ADDITION OF SPACE THAT EXCEEDS 9,000 SQUARE FEET WAS ADDED AND OCCUPIED BY CARDIAC SUPPORT SERVICES. THE PROJECT ALSO INCLUDED CONSTRUCTION OF TWO ADDITIONAL ELECTROPHYSIOLOGY CATH LABS, WHICH ARE HYBRID LABS, ALLOWING THE ROOMS TO BE QUICKLY CONVERTED INTO SURGICAL SUITES IF THE PATIENT'S CONDITION REQUIRES. IN ADDITION, THE RENOVATED SPACE CONTAINS SIX PRE/POST-OPERATIVE BAYS ALONG WITH A MULTIPURPOSE ROOM FOR CASE CONFERENCES. PMC PURCHASED TWO CRYOCONSOLES DURING FY 21 FOR USE IN THE NEW ELECTROPHYSIOLOGY (EP) LABS. CRYOCONSOLES ARE USED DURING AFIB CRYOABLATION PROCEDURES TO CONTROL THE DELIVERY, RECOVERY, AND DISPOSAL OF CRYOABLATION REFRIGERANT SAFELY AND EFFICIENTLY, THESE AFIB PROCEDURES PRODUCE POSITIVE PATIENT OUTCOMES BY CONVERTING ATRIAL FABULATION TO NORMAL SINUS RHYTHM. THE CRYOCONSOLE PURCHASE TOTALED $250,000.THE ENSITE PRECISION CARDIAC MAPPING SYSTEM WAS PURCHASED BY PMC DURING FY 21. THE CARDIAC MAPPING SYSTEM IS UTILIZED IN THE EP CATH LABS TO CREATE NON-FLUOROSCOPIC 3D IMAGES OF THE HEART CHAMBER(S), THESE DIAGNOSTIC TOOLS REPRESENT THE ANATOMY OF THE CARDIAC CHAMBER AND TRACK THE REAL-TIME LOCATION OF ELECTROPHYSIOLOGY CATHETERS WITHIN THE CARDIAC STRUCTURE DURING PROCEDURES, AS WELL AS ASSISTS IN RECORDING THE LOCATION OF ABLATION LESIONS AS APPLIED BY AN ABLATION GENERATOR. THE ENSITE PRECISION CARDIAC MAPPING SYSTEM INVESTMENT TOTALED $527,925.THE PMC HEART &amp; VASCULAR INSTITUTE TEAM WORKS CONTINUOUSLY TO BRING THE MOST ADVANCED TREATMENT OPTIONS TO THE REGION. MANY OF THE NEWEST TECHNIQUES IN CARDIAC SURGERIES RESULT IN SMALLER INCISIONS, LESS BLOOD LOSS, LESS PAIN, SHORTER HOSPITAL STAYS, QUICKER RECOVERIES AND SMALLER, LESS NOTICEABLE SCARS. MINIMALLY INVASIVE CARDIAC SURGERIES PERFORMED AT PIKEVILLE MEDICAL CENTER INCLUDE: TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR), SINGLE CORONARY BYPASS SURGERY, MITRAL VALVE REPAIR, AORTIC VALVE REPLACEMENT, HYBRID CORONARY ARTERY BYPASS GRAFT PROCEDURES, AND MAZE PROCEDURES FOR ABNORMAL HEART RHYTHMS. PMC WAS ALSO ONE OF THE FIRST HOSPITALS IN KENTUCKY TO PERFORM THE WATCHMAN DEVICE IMPLANT. THE WATCHMAN DEVICE, A NEW TREATMENT DESIGNED FOR PATIENTS WITH ATRIAL FIBRILLATION (AFIB), IS A ONE-TIME IMPLANT THAT EFFECTIVELY REDUCES THE RISK OF STROKE BY PERMANENTLY CLOSING OFF THE LEFT ATRIAL APPENDAGE TO PREVENT BLOOD CLOTS FROM ESCAPING. ADDITIONALLY, THE WATCHMAN ELIMINATES BLEEDING RISKS, THE NEED FOR REGULAR BLOOD TESTS AND FOOD OR DRINK RESTRICTIONS FOR PATIENTS THAT PREVIOUS AFIB TREATMENT INVOLVED A LONG-TERM WARFARIN REGIMEN.</Desc>
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        <Desc>PIKEVILLE MEDICAL CENTER IS A REGIONAL PROVIDER OF TERTIARY HEALTH CARE SERVICES THROUGH ITS LICENSED 348-BED ACUTE CARE AND INPATIENT REHABILITATION HOSPITAL, LEVEL II TRAUMA CENTER, OUTPATIENT DIAGNOSTIC CENTER, ORTHOPEDIC AND REHABILITATION CENTER, SLEEP LAB, HOME MEDICAL EQUIPMENT, LEVEL II ADVANCED NEONATAL INTENSIVE CARE UNIT, CANCER TREATMENT CENTER, AND MULTI-SPECIALTY PHYSICIAN PRACTICES. PMC OFFERS MORE THAN 400 SERVICES, INCLUDING MOST MAJOR SPECIALTIES AND MANY SUBSPECIALTIES. WITH 3,000+ EMPLOYEES AND MORE THAN 360 CREDENTIALED PHYSICIANS, PMC STRIVES TO BE THE PROVIDER AND EMPLOYER OF CHOICE FOR HEALTHCARE ACROSS THE REGION WE SERVE, WHICH INCLUDES THE EASTERN KENTUCKY COUNTIES OF PIKE, FLOYD, JOHNSON, LETCHER, MAGOFFIN, AND MARTIN; BUCHANAN COUNTY, VIRGINIA; AND MINGO COUNTY, WEST VIRGINIA. PMC'S ROLE IN THE HEALTH CARE DELIVERY SYSTEM THROUGHOUT CENTRAL APPALACHIA HAS TRANSFORMED TO THAT OF A REGIONAL REFERRAL CENTER FOR SMALLER COMMUNITY HOSPITALS THAT HAVE PATIENTS WITH COMPLEX NEEDS WHOM THEY CANNOT SERVE. PMC'S RECORDED TOTAL INPATIENT ADMISSIONS DURING FY 2021 OF 10,996 AND RECEIVED 2,928 TRANSFERS IN FROM SMALLER HOSPITALS THROUGHOUT THE REGION DURING THE YEAR.THE U.S. BUREAU OF LABOR STATISTICS PROJECTS THAT EMPLOYMENT IN HEALTHCARE OCCUPATIONS WILL INCREASE BY A GREATER PERCENT THAN ANY OTHER OCCUPATIONAL GROUP BY 2029. PIKEVILLE MEDICAL CENTER IS AN INTEGRAL DRIVER OF THE ECONOMY WITHIN THE REGION IT SERVES AND HAS SPEARHEADED AN INITIATIVE TITLED "PROJECT HEART" (HEALTHCARE EMPLOYMENT AROUND REGIONAL TRAINING) TO MEET THE GROWING NEED FOR A STRONG HEALTHCARE WORKFORCE. ALONG WITH A TEAM OF COLLABORATIVE PARTNERS, PMC HAS DEVELOPED MULTIPLE STRATEGIES TO INCREASE TRAINING, FURTHER DEVELOP THE HEALTHCARE WORKFORCE AND PROVIDE CAREER OPPORTUNITIES FOR AS MANY AS POSSIBLE ACROSS THE REGION. ONE OF THE INITIAL PROJECT HEART INITIATIVES WAS TO RENOVATE 10,304 SQ FT OF SPACE WITHIN THE HEALTH AND WELL-BEING LEARNING CENTER TO SERVE AS AN EDUCATIONAL TRAINING CENTER FOR NURSING EDUCATION, THE RENOVATED SPACE INCLUDES MOCK EXAM ROOMS, A NURSE STATION, SIMULATION ROOMS, AND COMPUTER LABS. THIS RENOVATION WAS A CAPITAL INVESTMENT OF $717,620.PMC WAS NAMED FORBES 2020 AND 2021 AMERICA'S BEST-IN-STATE EMPLOYER FOR OFFERING COMPETITIVE PAY AND ONE OF THE BEST BENEFITS PACKAGES IN THE REGION. PMC IS HOME TO SOME OF THE MOST SOPHISTICATED, TECHNOLOGICALLY ADVANCED MEDICAL EQUIPMENT IN EASTERN KENTUCKY AND IS CONTINUALLY TURNING IDEAS INTO ACTIONS AND LOOKING FOR NEW WAYS TO PROVIDE THE VERY BEST IN HEALTHCARE TO ITS PATIENTS. THE HOSPITAL'S COMPASSIONATE, DEDICATED EMPLOYEES AND PHYSICIANS ARE FOCUSED ON PROVIDING COMPREHENSIVE PATIENT CARE IN A CHRISTIAN ENVIRONMENT WHILE CONTINUALLY STRIVING FOR EXCELLENCE.PMC IS A CERTIFIED KENTUCKY CABINET OF HEALTH AND FAMILY SERVICES' DEPARTMENT OF PUBLIC HEALTH LEVEL II TRAUMA CENTER AND HAS ALSO RECEIVED LEVEL II TRAUMA VERIFICATION FROM THE AMERICAN COLLEGE OF SURGEONS. PMC IS THE ONLY LEVEL II TRAUMA CENTER IN THE COMMONWEALTH OF KENTUCKY AND IS THE DESIGNATED HOSPITAL FOR ALL TRAUMA CASES IN EASTERN KENTUCKY. AS A VERIFIED TRAUMA CENTER, PMC IS EQUIPPED AND STAFFED TO PROVIDE COMPREHENSIVE EMERGENCY CARE TO PATIENTS SUFFERING TRAUMATIC INJURIES. PMC PROVIDES PATIENTS 24-HOUR IMMEDIATE COVERAGE BY TRAUMA SURGEONS, ORTHOPEDIC SURGEONS, NEUROSURGEONS, ANESTHESIOLOGY, EMERGENCY MEDICINE, CRITICAL CARE AND OTHER SURGEONS SPECIALIZING IN TRAUMATIC INJURIES. THE CONTINUUM OF CARE ENCOMPASSES THE PRE-HOSPITAL PHASE THROUGH THE REHABILITATION PROCESS. PMC'S TRAUMA CENTER SERVICE AREA INCLUDES MORE THAN 400,000 PEOPLE; SIGNIFICANTLY INCREASING THOSE INDIVIDUALS' CHANCE OF SURVIVAL SHOULD THEY BE INJURED. PMC PROVIDED CARE TO 1,241 TRAUMA PATIENTS DURING FY 2021.PMC'S CRITICAL CARE UNITS (CCU) ARE COMPRISED OF 71 TOTAL BEDS AND STAFFED BY BOARD-CERTIFIED PHYSICIAN SPECIALISTS AND DEDICATED STAFF TO PROVIDE 24/7 CARE TO PATIENTS WITH A WIDE VARIETY OF SEVERE ILLNESS OR INJURY. PMC HAS 54 ADULT VENTILATORS AND 31 PEDIATRIC/NICU VENTILATORS IMMEDIATELY AVAILABLE FOR SERVICE AND IS ONE OF THE FEW HOSPITALS IN THE STATE AND THE ONLY HOSPITAL IN THE REGION TO PROVIDE THE EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) LIFE SUPPORT. PATIENTS REQUIRING ECMO HAVE A SEVERE, LIFE-THREATENING ILLNESS THAT PREVENTS THEIR HEART OR LUNGS FROM WORKING PROPERLY. THIS TECHNOLOGICALLY ADVANCED LIFESAVING MACHINE REPLACES THE FUNCTION OF THE HEART AND LUNGS, AND PUMPS BLOOD FROM THE PATIENT'S BODY TO AN OXYGENATOR THAT WORKS AS AN ARTIFICIAL LUNG. PIKEVILLE MEDICAL CENTER'S INPATIENT PHYSICAL REHABILITATION HOSPITAL IS A COMPREHENSIVE PROGRAM DEDICATED TO HELPING PATIENTS WHO ARE DISABLED BY DISEASE OR INJURY. A TEAM OF WELL-TRAINED REHABILITATION SPECIALISTS; INCLUDING PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, REHABILITATION NURSES, CASE MANAGERS, SOCIAL WORKERS AND DIETICIANS, IN ADDITION TO, HIGHLY SKILLED, BOARD-CERTIFIED PHYSICAL MEDICINE PHYSICIANS HELP PATIENTS ACHIEVE THEIR GREATEST LEVEL OF INDEPENDENCE POSSIBLE BASED ON THEIR PHYSICAL AND MENTAL ABILITIES. LOCATED ON THE 10TH FLOOR OF PMC'S MAY TOWER, THE 20-BED INPATIENT REHABILITATION FACILITY OFFERS A FULL RANGE OF INTENSIVE REHABILITATION SERVICES FOR ILL AND INJURED PATIENTS IN CENTRAL APPALACHIA. THE 23,000 SQUARE FOOT FACILITY IS DESIGNATED EXCLUSIVELY FOR REHABILITATION USE, INCLUDING A DINING HALL, FULLY EQUIPPED KITCHEN, LAUNDRY FACILITIES, AN APARTMENT-LIKE ROOM TO PRACTICE DAILY LIVING SKILLS, AND A THERAPEUTIC GYM WITH UNIQUE EQUIPMENT SPECIFICALLY SUITED FOR PATIENTS WORKING TO REGAIN MOTOR FUNCTIONS FROM INJURY OR ILLNESS, SUCH AS STROKE.PMC'S NEONATAL INTENSIVE CARE UNIT (NICU) IS A LEVEL II ADVANCED CARE FACILITY THAT PROVIDES AROUND-THE-CLOCK CARE FOR NEWBORNS WHO REQUIRE INTENSIVE NURSING AND MEDICAL CARE. PMC NEONATOLOGISTS AND STAFF ARE TRAINED AND EQUIPPED TO CARE FOR BABIES BORN AS EARLY AS 28 WEEKS IN THE MOTHER'S PREGNANCY. HAVING THIS SPECIALIZED SERVICE AT PMC ALLOWS MANY FAMILIES TO STAY CLOSE TO HOME AND CLOSE TO THEIR NEWBORNS WHILE RECEIVING COMPASSIONATE CARE FROM THE TEAM OF SPECIALIZED MEDICAL PROVIDERS. THE PMC NICU HAD 130 NEWBORN ADMISSIONS AND 2,779 PATIENT DAYS OF CARE DURING FY 2021.PIKEVILLE MEDICAL CENTER'S OUTPATIENT REHABILITATION CENTER OFFERS EXTENSIVE OUTPATIENT THERAPY SERVICES TO OUR PATIENTS. UP-TO-DATE TECHNOLOGY, EQUIPMENT AND THERAPY SERVICES ARE USED TO HELP PATIENTS REGAIN THEIR INDEPENDENCE THROUGH PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY TREATMENTS. THE OUTPATIENT REHABILITATION CENTER COMPLETED MORE THAN 71,000 OUTPATIENT THERAPIES DURING FY 21. TO BETTER SERVE THE PATIENT DEMAND FOR OUTPATIENT THERAPY SERVICES, 1,024 SQUARE FOOT OF SPACE WAS RENOVATED TO ADD AN ADDITIONAL FIVE EXAM ROOMS TO THE THERAPY DEPARTMENT TREATMENT AREA. THE TOTAL RENOVATION COST FOR THE EXPANSION WAS $320,786. THE PMC LEONARD LAWSON CANCER CENTER (LLCC) PROVIDES ADVANCED CANCER CARE CLOSE TO HOME FOR ITS PATIENTS. AS ONE OF A SELECT FEW CANCER CENTERS IN KENTUCKY TO HAVE ACHIEVED ACCREDITATION FROM THE COMMISSION ON CANCER WITH COMMENDATIONS FOR EXCEPTIONAL QUALITY, PMC LLCC IS STAFFED BY A MULTIDISCIPLINARY TEAM OF EXPERT ONCOLOGISTS, SURGICAL SPECIALISTS, NURSES, PHARMACISTS, PATIENT NAVIGATORS AND MANY OTHER HIGHLY TRAINED HEALTHCARE PROFESSIONALS WHO PROVIDE FULL-SERVICE, LEADING-EDGE CANCER TREATMENT AND FOLLOW-UP CARE TO WIN THE BATTLE AGAINST CANCER ONE PATIENT AT A TIME. IN ADDITION TO PHYSICIANS DEDICATED TO TREATING CANCER, PMC RECENTLY COMPLETED RENOVATION OF 3,160 SQ FEET OF SPACE LOCATED ADJACENT TO THE LEONARD LAWSON CANCER CENTER FOR RELOCATION OF THE REGION'S ONLY SPECIALIZED ONCOLOGY PHARMACY. PHARMACISTS WORK ONE-ON-ONE WITH PMC'S ONCOLOGY PHYSICIANS TO FORMULATE THE CHEMOTHERAPY REGIMENS APPROPRIATE FOR THE NEEDS OF EACH INDIVIDUAL PATIENT. PMC LLCC IS ALSO AMONG A RELATIVELY SMALL PERCENTAGE OF CANCER CENTERS APPROVED TO OFFER SOME OF THE NEWEST TREATMENTS TO QUALIFYING CANCER PATIENTS IN THE FORM OF CLINICAL TRIALS. PATIENTS WHOSE CANCER HAS NOT RESPONDED WELL TO TREATMENT AND WHO MEET CERTAIN QUALIFICATIONS ARE GIVEN THE OPTION TO PARTICIPATE IN A CLINICAL TRIAL, GIVING THEM ACCESS TO NEW, POTENTIALLY LIFE CHANGING MEDICATIONS NOT YET AVAILABLE TO THE MAJORITY OF PATIENTS. PMC IS CURRENTLY OFFERING CLINICAL TRIALS TO ONCOLOGY PATIENTS BATTLING NON-SMALL CELL LUNG, BREAST, BLADDER, AND METASTATIC PANCREATIC CANCER. THE PMC SPECIALTY PHARMACY IS PROUD TO BE THE ONLY SPECIALTY PHARMACY IN THE REGION ACCREDITED BY BOTH ACCREDITATION COMMISSION FOR HEALTH CARE (ACHC) AND THE UTILIZATION REVIEW ACCREDITATION COMMISSION (URAC). SPECIALTY DRUGS GENERALLY REQUIRE SPECIAL ADMINISTRATION AND ARE DEFINED AS EXPENSIVE MEDICATIONS USED TO TREAT CONDITIONS SUCH AS CANCER, RHEUMATOID ARTHRITIS, AND MULTIPLE SCLEROSIS.</Desc>
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        <PersonNm>DAVID COLLINS CPA</PersonNm>
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        <PersonNm>JOHN LABRECHE</PersonNm>
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        <PersonNm>JULIUS CLINTON MARTIN II</PersonNm>
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        <PersonNm>MARY SIMPSON PHD</PersonNm>
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        <PersonNm>JYOTHI METTU MD</PersonNm>
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        <PersonNm>DAVID BAIRD</PersonNm>
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        <PersonNm>AARON CRUM MD</PersonNm>
        <TitleTxt>BOARD MEMBER EX-OFFICIO/CMO/ASST CEO</TitleTxt>
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        <PersonNm>PHILIP LEIPPRANDT JR DO</PersonNm>
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        <PersonNm>ROBERT SHURTLEFF</PersonNm>
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        <PersonNm>LINDA WAGNER-JUSTICE</PersonNm>
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        <PersonNm>PHILLIP D REED</PersonNm>
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        <PersonNm>ERICH BLACKBURN</PersonNm>
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        <PersonNm>JO NELL ROBINSON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE HAGY</PersonNm>
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        <PersonNm>MELISSA THACKER</PersonNm>
        <TitleTxt>COO PHYSICIAN PRACTICE-SENIOR VP</TitleTxt>
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        <PersonNm>KANSAS JUSTICE</PersonNm>
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        <PersonNm>CHERYL HICKMAN</PersonNm>
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        <PersonNm>MICHELLE RAINEY</PersonNm>
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        <PersonNm>TONY DAMRON</PersonNm>
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        <PersonNm>MARCUS CONLEY</PersonNm>
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        <PersonNm>KEITH HALL MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN PUGH MD</PersonNm>
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        <PersonNm>YOUSEF HATTAB MD</PersonNm>
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        <PersonNm>AYORINDE MEDAIYESE MD</PersonNm>
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        <PersonNm>DERMOT HALPIN MD</PersonNm>
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        <PersonNm>JUANITA DESKINS</PersonNm>
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        <PersonNm>DAVID HALCOMB</PersonNm>
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        <PersonNm>PEGGY JUSTICE</PersonNm>
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        <PersonNm>RUSSELL SHANKLIN</PersonNm>
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          <BusinessName>
            <BusinessNameLine1Txt>ROSE BUILDERS LLC</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>7 STACY STREET</AddressLine1Txt>
            <CityNm>HAROLD</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41635</ZIPCd>
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      <ContractorCompensationGrp>
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            <ZIPCd>98041</ZIPCd>
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      <ContractorCompensationGrp>
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          <BusinessName>
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          <BusinessName>
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            <AddressLine1Txt>PO BOX 733492</AddressLine1Txt>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>ELLIOT CONTRACTING INC</BusinessNameLine1Txt>
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            <AddressLine1Txt>PO BOX 3038</AddressLine1Txt>
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        <PersonalAmt>626141</PersonalAmt>
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        <PersonalAmt>626141</PersonalAmt>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
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        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER ACTIVITY COSTS ARE THE CORPORATION'S PORTION OF TRADE DUES (I.E. KENTUCKY HOSPITAL ASSOCIATION).</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL AND PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE, INC. ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PIKEVILLE MEDICAL CENTER DEVELOPMENT CORPORATION AND LANDMARK PROPERTIES OF PIKEVILLE, INC. ARE TAXABLE ENTITIES TO WHICH APPLICABLE CORPORATE INCOME TAXES APPLY. NO INCOME TAXES WERE OWED BY PIKEVILLE MEDICAL CENTER DEVELOPMENT CORPORATION OR LANDMARK PROPERTIES OF PIKEVILLE, INC. FOR THE YEARS ENDED SEPTEMBER 30, 2021 AND 2020. THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2021 AND 2020 THAT WOULD REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANACIAL STATEMENTS. AT SEPTEMBER 30, 2021, TAX RETURNS FILED FOR 2018 THROUGH 2020 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>FORM 990, PART IV LINE 12 HAS BEEN CHECKED NO PER 990 INSTRUCTIONS. PART XI, XII, AND XIII ARE NOT REQUIRED AS THE ORGANIZATION IS PART OF A CONSOLIDATED FINANCIAL STATEMENT. THE CONSOLIDATED FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM AND PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. HOWEVER, THE ORGANIZATION OPTED TO VOLUNTARILY COMPLETE THESE SECTIONS.</ExplanationTxt>
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      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>98090588</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>71521910</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>26568678</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04690</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>109858130</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>71521910</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>38336220</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06770</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <ActivitiesOrProgramsCnt>60</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>448</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>47860</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>47860</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <ActivitiesOrProgramsCnt>91</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>3386</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>2128092</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1458475</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>669617</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00120</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <CashAndInKindContributionsGrp>
        <ActivitiesOrProgramsCnt>17</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>127003</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>7736</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>119267</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00020</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <ActivitiesOrProgramsCnt>168</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>3834</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>2302955</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1466211</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>836744</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00150</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>168</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>3834</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>112161085</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>72988121</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>39172964</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06920</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <CommunitySupportGrp>
        <ActivitiesOrProgramsCnt>34</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>3531</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>29214</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>29214</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </CommunitySupportGrp>
      <HealthImprovementAdvocacyGrp>
        <ActivitiesOrProgramsCnt>9</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>706</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>706</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </HealthImprovementAdvocacyGrp>
      <WorkforceDevelopmentGrp>
        <ActivitiesOrProgramsCnt>12</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>168</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>433571</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>433571</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00080</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>55</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>3699</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>463491</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>463491</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00090</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>5906502</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>115943258</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>99709229</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>16234029</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>PIKEVILLE MEDICAL CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>911 BYPASS ROAD</AddressLine1Txt>
          <CityNm>PIKEVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41501</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.PIKEVILLEHOSPITAL.ORG</WebsiteAddressTxt>
        <StateLicenseNum>100366</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>PIKEVILLE MEDICAL CENTER</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>18</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.PIKEVILLEHOSPITAL.ORG/2019-2022-COMMUNITY-HEALTH-NEEDS-ASSESSMENT</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>18</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.PIKEVILLEHOSPITAL.ORG/2019-2022-COMMUNITY-HEALTH-NEEDS-ASSESSMENT</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>150.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTP://WWW.PIKEVILLEHOSPITAL.ORG/BILLING/FINANCIAL-ASSISTANCE-POLICY/</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTP://WWW.PIKEVILLEHOSPITAL.ORG/BILLING/FINANCIAL-ASSISTANCE-POLICY/</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>HTTP://WWW.PIKEVILLEHOSPITAL.ORG/BILLING/FINANCIAL-ASSISTANCE-POLICY/</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>1</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PIKEVILLE MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: PIKEVILLE MEDICAL CENTER IN COLLABORATION WITH AN ADVISORY COMMITTEE COMPRISED OF COMMUNITY LEADERS FROM PIKE, FLOYD AND LETCHER COUNTIES, WHOM ARE INVOLVED WITH LOCAL HEALTH DEPARTMENTS, SCHOOL SYSTEMS, SENIOR CITIZENS PROGRAMS, POST SECONDARY EDUCATION, RURAL HEALTH PROGRAMS, VOLUNTEER GROUPS, AND LOCAL BUSINESS/INDUSTRY DEVELOPED A SURVEY TO OBTAIN INPUT CONCERNING THE NEEDS OF OUR COMMUNITY. THE SURVEY WAS MADE AVAILABLE ONLINE, IT WAS PUBLISHED TO A LINK WHICH WAS WIDELY PUBLICIZED TO ALL PMC EMPLOYEES AND PROMOTED TO PMC PATIENTS VIA SOCIAL MEDIA, PRINT AND FLYERS WHICH WERE DISTRIBUTED THROUGHOUT PMC FACILITIES INCLUDING CLINICS, INPATIENT ROOMS AND CAFETERIA. MEMBERS OF THE ADVISORY COMMITTEE WERE ALSO GIVEN THE LINK AND ASKED TO DISTRIBUTE IT AMONGST THEIR STAFF, ASSOCIATES, CUSTOMERS AND BUSINESS COMMUNITY AFFILIATES. PMC'S COMMUNITY SURVEY WAS A TREMENDOUS SUCCESS AS MORE THAN 1,100 RESPONSES WERE RECEIVED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PIKEVILLE MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7D: HTTPS://WWW.PIKEVILLEHOSPITAL.ORG/2019-2022-COMMUNITY-HEALTH-NEEDS-ASSESSMENT/PMC MAILED THE BOARD APPROVED CHNA REPORT TO LOCAL BUSINESS/INDUSTRY LEADERS, PUBLIC OFFICIALS, AND CIVIC ORGANIZATION MEMBERS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PIKEVILLE MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: PIKEVILLE MEDICAL CENTER ADDRESSES THE COMMUNITY NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA BY ACTIVELY PROMOTING HEALTHY LIFESTYLES AND GOOD HABITS NECESSARY TO PREVENT OR ALLEVIATE DEVELOPMENT OF DISEASE THROUGH NUMEROUS COMMUNITY INFORMATION EVENTS AND BY CONTINUING INVOLVEMENT IN A WIDE ARRAY OF PUBLIC ACTIVITIES SUCH AS HEALTH FAIRS AND SPONSORED RACE EVENTS AROUND THE REGION. HEALTH SCREENINGS ARE CONDUCTED TO LOOK FOR THE EARLY WARNING SIGNS OF DISEASE INCLUDING, BUT NOT LIMITED TO, CANCER, DIABETES AND HEART DISEASE. PMC IS WORKING TO AGGRESSIVELY GROW PRIMARY AND PEDIATRIC CARE SERVICE AVAILABILITY BY RECRUITING ADDITIONAL PROVIDERS TO THE AREA AND DEVELOPING THE REGION'S ONLY CHILDREN'S HOSPITAL. PMC IS CONTINUING TO EXPAND AND ENHANCE CARDIOLOGY SERVICES THROUGH RENOVATIONS AND EXPANSIONS OF THE EXISTING HEART INSTITUTE TO OFFER NEW LIFE SAVING PROCEDURES AND STATE OF THE ART THERAPIES. CANCER CARE IS THE #1 HEALTH ISSUE IN THE REGION, TO EXPAND ONCOLOGY SERVICE OFFERINGS AND PROVIDE COMPREHENSIVE CARE PMC IS ENABLING PATIENTS TO ENROLL IN CLINICAL TRIALS TO PROVIDE POTENTIALLY LIFE CHANGING MEDICATIONS. IN ADDITION, PMC HAS PURCHASED TWO NEW STATE OF THE ART RAPIDARC LINEAR ACCELERATORS TO IMPROVE RADIATION ONCOLOGY TREATMENT PRECISION AND MINIMIZE RADIATION EXPOSURE. PMC ALSO PROVIDES SUPPORT GROUP SERVICES TO AREA RESIDENTS AND THEIR FAMILIES COPING WITH DIABETES, CANCER, STROKE, AND OBESITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PIKEVILLE MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 24: PIKEVILLE MEDICAL CENTER FOLLOWS THE SAME CHARGING STRUCTURE FOR ALL PATIENTS; HOWEVER, PMC'S IN-HOUSE SLIDING SCALE FINANCIAL ASSISTANCE PROGRAM PROVIDES A RANGE OF DISCOUNTS UP TO FREE CARE FOR THOSE WHO QUALIFY. FOLLOWING A DETERMINATION THAT AN INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE UNINUSRED PATIENT PORTION OF THE PROGRAM, PMC WILL NOT BILL THAT INDIVIDUAL FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IN AN AMOUNT IN EXCESS OF THE AMOUNT GENERALLY BILLED (UTILIZING THE MEDICARE LOOK-BACK METHOD). ADDITIONAL DISCOUNTS OF FREE OR 50% OF AGB ARE ALSO OFFERED BY PMC, DEPENDENT UPON THE PATIENT'S INCOME AND RESOURCE LEVEL AND FAMILY SIZE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>15</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - PMC CLINIC - WALMART PIKEVILLE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>251 CASSIDY BLVD</AddressLine1Txt>
            <CityNm>PIKEVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41501</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - PMC OBGYN PHYSICIAN PRACTICE - HAROLD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>246 KY ROUTE 979</AddressLine1Txt>
            <CityNm>HAROLD</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41635</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - PMC WEIGHT LOSS SURGERY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1098 S MAYO TRAIL STE 103</AddressLine1Txt>
            <CityNm>PIKEVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41501</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - PMC PLASTIC SURGERY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1098 S MAYO TRAIL 2ND FLOOR</AddressLine1Txt>
            <CityNm>PIKEVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41501</ZIPCd>
          </USAddress>
          <FacilityTxt>PLASTIC SURGERY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - PIKEVILLE FAMILY PRACTICE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>184 S MAYO TRAIL</AddressLine1Txt>
            <CityNm>PIKEVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41501</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - PMC SPECIALTY CLINIC-GRUNDY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1520 SLATE CREEK ROAD STE 205</AddressLine1Txt>
            <CityNm>GRUNDY</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>24614</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - PMC CLINIC - SHELBY VALLEY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6800 US HWY 23 S STE 3</AddressLine1Txt>
            <CityNm>PIKEVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41501</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - PMC SPECIALTY CLINIC-PRESTONSBURG</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>311 NORTH ARNOLD AVE</AddressLine1Txt>
            <CityNm>PRESTONSBURG</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41653</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - PMC PRIMARY CARE PRACTICE - HAROLD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>246 KY RT 979</AddressLine1Txt>
            <CityNm>HAROLD</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41635</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - PMC PRIMARY &amp; SPECIALTY CLINIC-S WILLIA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>285 SOUTHSIDE MALL ROAD</AddressLine1Txt>
            <CityNm>SOUTH WILLIAMSON</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41503</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - PMC SPECIALTY CLINIC-WHITESBURG</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>107 MEDICAL PLAZA LANE</AddressLine1Txt>
            <CityNm>WHITESBURG</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41858</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - PMC CLINIC - MARTIN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>265 KY ROUTE 122</AddressLine1Txt>
            <CityNm>MARTIN</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41649</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>13 - PMC PRESTONSBURG PRIMARY CARE &amp; URGENT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>723 SOUTH LAKE DRIVE</AddressLine1Txt>
            <CityNm>PRESTONSBURG</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41653</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>14 - PMC APPALACHIAN VALLEY AUTISM CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>131 SUMMIT DRIVE</AddressLine1Txt>
            <CityNm>PIKEVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41501</ZIPCd>
          </USAddress>
          <FacilityTxt>AUTISM CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>15 - PMC URGENT CARE &amp; FAMILY WELLNESS CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>238 CASSADY BLVD</AddressLine1Txt>
            <CityNm>PIKEVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41501</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>PIKEVILLE MEDICAL CENTER'S MISSION STATEMENT, "TO ADVANCE THE HEALTH AND WELL-BEING OF OUR REGION THROUGH COMPREHENSIVE CARE IN A CHRISTIAN ENVIRONMENT" IS THE FOUNDATION FOR PMC'S EFFORTS TO IMPROVE THE PHYSICAL, MENTAL AND SPIRITUAL WELL BEING OF THOSE WE SERVE. DURING FY 2021, PIKEVILLE MEDICAL CENTER REPORTED TAKING PART IN 55 COMMUNITY BUILDING ACTIVITIES, SERVING MORE THAN 3,500 PEOPLE AND TOTALING MORE THAN $463,000. THESE ACTIVITIES FOCUSED ON PROMOTING THE HEALTH AND WELLNESS OF THOSE WE SERVE THROUGH HEALTH EDUCATION, AWARENESS, PREVENTION AND TREATMENT, AS WELL AS, WORKFORCE DEVELOPMENT. SOME OF THE EVENTS LISTED UNDER THE COMMUNITY BUILDING ACTIVITIES SECTION INCLUDE; NATIONAL DAY OF PRAYER, BLOOD DONATION DRIVES, BEREAVEMENT SUPPORT, BIBLE DISTRIBUTION, BAPTISMS, CANCER SURVIVOR'S ICE CREAM SOCIAL, AND RECRUITMENT OF MORE THAN 150 HEALTHCARE PROFESSIONALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION FOR LINE 2 AND 3 OR RATIONAL FOR INCLUDING OTHER BAD DEBT AMOUNT IN COMMUNITY BENEFIT: THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY AND MAKES EVERY EFFORT TO EDUCATE PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE, IN ADDITION, PMC PATIENT FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST THROUGHOUT THE FINANCIAL ASSISTANCE APPLICATION PROCESS. FOR THIS REASON THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE. THE COST TO CHARGE FACTOR UTILIZED TO CALCULATE NET COMMUNITY BENEFIT EXPENSE IS 0.157616 FROM THE FY21 MEDICARE COST REPORT WS S-10.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.CURRENT OPERATIONS INCLUDE AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ESTIMATED BASED UPON THE AGE OF THE PATIENT ACCOUNTS RECEIVABLE, HISTORICAL WRITEOFFS AND RECOVERIES AND ANY UNUSUAL CIRCUMSTANCES (SUCH AS LOCAL, REGIONAL OR NATIONAL ECONOMIC CONDITIONS) WHICH MAY AFFECT THE COLLECTIBILITY OF RECEIVABLES, INCLUDING MANAGEMENT'S ASSUMPTIONS ABOUT CONDITIONS IT EXPECTS TO EXIST AND COURSES OF ACTION IT EXPECTS TO TAKE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO SHORTFALL EXISTED IN FY 2021. THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED SEPT 30, 2021 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>PMC WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) AGAINST PATIENTS BEFORE MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER PMC'S FINANCIAL ASSISTANCE POLICY. PMC MAKES REASONABLE EFFORTS TO ORALLY NOTIFY THE PATIENT ABOUT PMC'S FINANCIAL ASSISTANCE POLICY AND HOW THEY MAY RECEIVE ASSISTANCE WITH THE APPLICATION PROCESS. EACH PATIENT BILLING STATEMENT AND ALL WRITTEN COMMUNICATIONS CONCERNING THE PATIENTS' BILL INCLUDE A CONSPICUOUS WRITTEN NOTICE THAT INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE, THE NOTICE INCLUDES THE TELEPHONE NUMBER OF PMC'S PATIENT FINANCIAL COUNSELING DEPARTMENT AS WELL AS THE WEB SITE ADDRESS WHERE COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL APPLICATION FORMS, AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY MAY BE OBTAINED. IN ADDITION, BILLING DEPARTMENT PERSONNEL INFORM PATIENTS ABOUT PMC'S FAP IN ORAL COMMUNICATIONS REGARDING AMOUNTS DUE. ONCE A PATIENT HAS BEEN DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE IN-HOUSE SLIDING SCALE PROGRAM, THEIR ELIGIBILITY WILL REMAIN INTACT FOR A TERM OF ONE (1) YEAR FROM THE DATE OF APPROVAL UNLESS PMC BECOMES AWARE OF A MATERIAL CHANGE IN THE PATIENT'S FINANCIAL CIRCUMSTANCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ORDER TO ASSESS OUR COMMUNITY'S HEALTH-RELATED NEEDS, PIKEVILLE MEDICAL CENTER UTILIZES SEVERAL REPORTS LOOKING AT THE SERVICES THEY PROVIDE, IN COMPARISON TO OTHER HOSPITALS, AS WELL AS, REPORTS INDICATING THE SPECIALTIES THAT ARE IMPACTED BY PHYSICIAN REFERRALS. PMC ALSO KEEPS A RECORD OF PREVIOUS COMMUNITY EVENTS HOSTED, TRACKING THEIR SUCCESS. FOR EXAMPLE: WHEN A FREE HEALTH SCREENING EVENT IS HELD, A RECORD IS KEPT OF THE NUMBER OF ATTENDEES INCLUDING THEIR RESULTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>PIKEVILLE MEDICAL CENTER USES SEVERAL DIFFERENT MEANS TO COMMUNICATE AND EDUCATE OUR PATIENTS ON ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER FEDERAL, STATE AND LOCAL GOVERNMENTS, AS WELL AS THE PMC IN-HOUSE SLIDING SCALE PROGRAM. THE FINANCIAL ASSISTANCE PROGRAM POLICY, THE DSH PROGRAM APPLICATION FORM, THE IN-HOUSE SLIDING SCALE PROGRAM APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY OF THIS POLICY IS AVAILABLE FREE OF CHARGE ON PMC'S WEBSITE; PAPER COPIES OF THE POLICY, THE DSH PROGRAM APPLICATION FORM, THE IN-HOUSE SLIDING SCALE PROGRAM APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY OF THE POLICY ARE AVAILABLE FREE OF CHARGE UPON REQUEST IN PMC'S EMERGENCY, REGISTRATION AND BILLING DEPARTMENTS AND BY MAIL; A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY OF THE POLICY IS OFFERED TO PATIENTS AS PART OF THE INTAKE PROCESS UNLESS IT IS NOT FEASIBLE TO DO SO DUE TO AN EMERGENCY OR OTHER CIRCUMSTANCES IN WHICH CASE PMC WILL OFFER A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY AS PART OF THE DISCHARGE PROCESS; VISITORS TO PMC ARE INFORMED AND NOTIFIED ABOUT THE POLICY THROUGH CONSPICUOUS PUBLIC DISPLAYS AT PMC; RESIDENTS OF THE COMMUNITY THAT PMC SERVES ARE INFORMED AND NOTIFIED OF THE POLICY BY STATEMENTS ON PMC'S WEBSITE AND IN MESSAGES PLAYED TO CALLERS TO PMC WHO ARE PLACED ON HOLD THAT PMC OFFERS FINANCIAL ASSISTANCE UNDER A FINANCIAL ASSISTANCE POLICY AND INFORMING THE READER/LISTENER HOW TO OBTAIN MORE INFORMATION; AND BY INCLUDING A CONSPICUOUS WRITTEN NOTICE ON ALL BILLING STATEMENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISATNCE UNDER THIS POLICY AND INCLUDES THE TELEPHONE NUMBER OF PMC'S PATIENT FINANCIAL COUNSELING DEPARTMENT ALONG WITH THE WEB SITE ADDRESS WHERE COPIES OF THIS POLICY, THE APPLICATION FORMS, AND A PLAIN LANGUAGE SUMMARY OF THE POLICY MAY BE OBTAINED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>PIKEVILLE MEDICAL CENTER PROVIDES HEALTHCARE SERVICES TO RESIDENTS OF PIKE, FLOYD, JOHNSON, MAGOFFIN, MARTIN, KNOTT AND LETCHER COUNTIES IN KENTUCKY, MINGO COUNTY IN WEST VIRGINIA AND BUCHANAN COUNTY IN VIRGINIA. PMC STRIVES TO BE THE PROVIDER OF CHOICE FOR HEALTHCARE TO THE RESIDENTS OF THE REGION IT SERVES AND IS COMMITTED TO MEETING THE NEEDS OF ITS PATIENTS BY PROVIDING HIGH QUALITY COMPREHENSIVE HEALTHCARE SERVICES. PMC USES THE MOST RECENT U.S. CENSUS BUREAU DATA AND INFORMATION FROM THE KY STATE DATA CENTER WHEN ASSESSING THE GEOGRAPHIC AREA AND DEMOGRAPHIC POPULATION OF THE REGION. BASED ON 2021 DATA AVAILABLE, PMC'S SERVICE AREA CONTAINS A POPULATION ESTIMATE OF 215,985 INDIVIDUALS. THERE IS A RELATIVELY EVEN DISTRIBUTION OF MALES (49.81%) TO FEMALES (50.19%). THE AVERAGE HOUSEHOLD SIZE IS 2 INDIVIDUALS AND 19.99% OF THE POPULATION IS AGE 65 AND OVER. THE AREA SERVED BY PIKEVILLE MEDICAL CENTER HAS A MEDIAN FAMILY INCOME OF $34,922 WITH 26% OF THE POPULATION LIVING BELOW THE POVERTY LINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>PIKEVILLE MEDICAL CENTER (PMC), A 348-BED TERTIARY CARE CENTER, LOCATED IN THE HEART OF EAST KENTUCKY, IS RECOGNIZED AS A LEADER IN PROVIDING HIGH QUALITY COMPREHENSIVE HEALTHCARE. PMC IS CONTINUALLY EXPANDING SERVICE OFFERINGS AND STRIVES TO BE THE PROVIDER OF CHOICE FOR HEALTHCARE ACROSS THE REGION THROUGH UNPARALLELED SERVICE TO THE COMMUNITY AND A COMMITMENT TO PROVIDE THE MOST ADVANCED HEALTHCARE TREATMENT AND TECHNOLOGY AVAILABLE. THE ORGANIZATION'S FOCUS ON SERVING THE NEEDS OF THE PATIENT, THROUGH A PROGRESSIVE APPROACH TO HEALTHCARE THAT IS COMMITTED TO OFFERING QUALITY SERVICES IN A CHRISTIAN ENVIRONMENT BY DEDICATED PROFESSIONALS WHO ARE CONTINUALLY STRIVING FOR EXCELLENCE, HAS ELEVATED PMC TO THE STATUS OF REGIONAL REFERRAL CENTER WITHIN A MULTI-STATE REGION.THE MISSION OF PIKEVILLE MEDICAL CENTER IS "TO ADVANCE THE HEALTH AND WELL-BEING OF OUR REGION THROUGH COMPREHENSIVE CARE IN A CHRISTIAN ENVIRONMENT." PMC'S MISSION ALONG WITH THE VISION OF THE ORGANIZATION: TO BE THE PROVIDER AND EMPLOYER OF CHOICE FOR HEALTHCARE IN THE REGION WE SERVE IS EMBRACED BY THE ORGANIZATION'S 3,000+ EMPLOYEES AS AN INTEGRAL COMPONENT OF THE CONTINUUM OF CARE THEY PROVIDE EACH DAY.PMC HAS UNDERGONE EXTRAORDINARY GROWTH THROUGHOUT ITS 97-YEAR HISTORY. BEGINNING AS A SMALL, RURAL, 50-BED FACILITY AT ITS INCEPTION IN 1924, THE MEDICAL CENTER IS TODAY A COMPREHENSIVE MEDICAL COMPLEX COMPRISED OF A 348-BED FACILITY ENCOMPASSING OVER 1.5 MILLION SQUARE FEET WITH BOTH THE MAIN FACILITY, SATELLITE CLINICS AND SUPPORTIVE SERVICE AREAS. HEALTHCARE HAS EVOLVED TO BECOME THE LARGEST SECTOR OF THE ECONOMY THROUGHOUT THE EASTERN KENTUCKY, SOUTHWEST VIRGINIA AND SOUTHWEST WEST VIRGINIA REGION SERVED BY PMC. AS THE REGIONAL HEALTHCARE INDUSTRY LEADER, THE HOSPITAL OFFERS MORE THAN 400 SERVICES, INCLUDING MOST MAJOR SPECIALTIES AND MANY SUBSPECIALTIES. THE CONTINUAL PHYSICAL GROWTH AND EXPANSION IN SCOPE OF SPECIALTY SERVICE OFFERINGS, INCLUDING TRAUMA SERVICES, HAS TRANSFORMED PMC INTO A REGIONAL REFERRAL CENTER FOR SMALLER COMMUNITY HOSPITALS THAT HAVE PATIENTS WITH COMPLEX MEDICAL NEEDS WHOM THEY CANNOT SERVE. ADDITIONALLY, PMC SERVES AS A DESTINATION OF CHOICE FOR PATIENTS REQUIRING HIGHLY SPECIALIZED MEDICAL CARE, INCLUDING CANCER MANAGEMENT, NEUROSURGERY, CARDIAC SURGERY, PLASTIC SURGERY, AND ADVANCED NEONATOLOGY SERVICES.CURRENT SERVICES OFFERED AT PMC INCLUDE: A VERIFIED LEVEL II TRAUMA CENTER; AN AWARD-WINNING, FULL-SERVICE CANCER TREATMENT CENTER; CHEST PAIN CENTER WITH PRIMARY PCI; 20-BED INPATIENT PHYSICAL REHABILITATION HOSPITAL; AN ACCREDITED GOLD PLUS STROKE CENTER; NEUROSURGERY; LEVEL II ADVANCED NEONATAL INTENSIVE CARE UNIT; BARIATRIC SURGERY CENTER OF EXCELLENCE; JOINT COMMISSION GOLD SEAL CERTIFIED ORTHOPEDIC PROGRAM; PULMONARY REHABILITATION; SLEEP LAB; A DIAGNOSTIC CENTER; AUTISM CENTER; URGENT CARE CENTERS; INTEGRATED FAMILY AND SPECIALTY PHYSICIAN PRACTICES WITH SATELLITE LOCATIONS IN PRESTONSBURG, SOUTH WILLIAMSON, WHITESBURG, KY AND GRUNDY, VA, ALONG WITH A SCHOOL TELE-HEALTH PROGRAM.PIKEVILLE MEDICAL CENTER IS COMMITTED TO PROVIDING THE MOST ADVANCED HEART CARE AVAILABLE IN THE REGION AND IS RECOGNIZED AS HAVING ONE OF THE TOP HEART PROGRAMS IN KENTUCKY. PMC'S VISION OF BECOMING THE LEADING HEART PROGRAM IN THE STATE RESULTED IN A MONUMENTAL CAPITAL RENOVATION THAT WAS COMPLETED DURING FY 2021 TO FURTHER EXPAND THE PMC HEART &amp; VASCULAR INSTITUTE TO OCCUPY 49,000 SQUARE FEET OF SPACE. THE RENOVATED SPACE INCLUDES A NEW CARDIAC REHABILITATION DEPARTMENT, 29 EXAM ROOMS AND TWO WAITING ROOMS. IN ADDITION, PMC INSTALLED THREE NEW STATE-OF-THE-ART INTERVENTIONAL CARDIAC CATHETERIZATION (CATH) LABS, TWO DEDICATED ELECTROPHYSIOLOGY (EP) CATH LABS, AND THE PHILIPS AZURION CARDIAC IMAGING SYSTEM. THIS ADVANCED TECHNOLOGY ENABLES THE HEART AND VASCULAR INSTITUTE'S TEAM OF CARDIAC SPECIALISTS TO PROVIDE AN ADVANCED LEVEL OF CARE THAT IS SECOND TO NONE. THE EXPANSION ALLOWS FOR THE CONTINUED GROWTH OF PROCEDURAL SERVICES THAT PROVIDE COMPREHENSIVE LIFESAVING CARDIAC DIAGNOSTIC AND PROCEDURAL CARE ALONG WITH NEW CURATIVE PROCEDURES NOT PREVIOUSLY OFFERED WITHIN THE REGION, WHICH INCLUDE: TAVR, WATCHMAN DEVICE, TACTICATH ABLATION AND MICRA LEADLESS PACEMAKERS. THE PMC LEONARD LAWSON CANCER CENTER (LLCC) PROVIDES ADVANCED CANCER CARE CLOSE TO HOME FOR ITS PATIENTS. AS ONE OF A SELECT FEW CANCER CENTERS IN KENTUCKY TO HAVE ACHIEVED ACCREDITATION FROM THE COMMISSION ON CANCER WITH COMMENDATIONS FOR EXCEPTIONAL QUALITY, PMC LLCC IS STAFFED BY A MULTIDISCIPLINARY TEAM OF EXPERT ONCOLOGISTS, SURGICAL SPECIALISTS, NURSES, PHARMACISTS, PATIENT NAVIGATORS AND MANY OTHER HIGHLY TRAINED HEALTHCARE PROFESSIONALS WHO PROVIDE FULL-SERVICE, LEADING-EDGE CANCER TREATMENT AND FOLLOW-UP CARE TO WIN THE BATTLE AGAINST CANCER ONE PATIENT AT A TIME. IN ADDITION TO PHYSICIANS DEDICATED TO TREATING CANCER, PMC RECENTLY COMPLETED RENOVATION OF 3,160 SQ FEET OF SPACE LOCATED ADJACENT TO THE LEONARD LAWSON CANCER CENTER FOR RELOCATION OF THE REGION'S ONLY SPECIALIZED ONCOLOGY PHARMACY. PHARMACISTS WORK ONE-ON-ONE WITH PMC'S ONCOLOGY PHYSICIANS TO FORMULATE THE CHEMOTHERAPY REGIMENS APPROPRIATE FOR THE NEEDS OF EACH INDIVIDUAL PATIENT. PMC LLCC IS ALSO AMONG A RELATIVELY SMALL PERCENTAGE OF CANCER CENTERS APPROVED TO OFFER SOME OF THE NEWEST TREATMENTS TO QUALIFYING CANCER PATIENTS IN THE FORM OF CLINICAL TRIALS. PATIENTS WHOSE CANCER HAS NOT RESPONDED WELL TO TREATMENT AND WHO MEET CERTAIN QUALIFICATIONS ARE GIVEN THE OPTION TO PARTICIPATE IN A CLINICAL TRIAL, GIVING THEM ACCESS TO NEW, POTENTIALLY LIFE CHANGING MEDICATIONS NOT YET AVAILABLE TO THE MAJORITY OF PATIENTS. PMC IS CURRENTLY OFFERING CLINICAL TRIALS TO ONCOLOGY PATIENTS BATTLING NON-SMALL CELL LUNG, BREAST, BLADDER, AND METASTATIC PANCREATIC CANCER. PIKEVILLE MEDICAL CENTER IS AT THE FOREFRONT IN OFFERING ADVANCED PEDIATRIC SPECIALTY HEALTHCARE TO THE REGION. THE PMC APPALACHIAN VALLEY AUTISM (AVA) CENTER OPENED DURING FY 2020 IN AN INITIAL 3,000 SQUARE FOOT FACILITY, DUE TO THE OVERWHELMING DEMAND FOR THE CENTER'S SPECIALTY SERVICES, THE AVA CENTER WAS RELOCATED DURING FY 2021 TO THE NEWLY RENOVATED 27,000 SQUARE FOOT HEALTH &amp; WELL-BEING LEARNING CENTER. THE AVA CENTER IS A CERTIFIED AUTISM CENTER BY THE INTERNATIONAL BOARD OF CREDENTIALING AND CONTINUING EDUCATION STANDARDS. THE AVA CENTER IS THE FIRST COMPREHENSIVE CENTER OF ITS KIND IN EASTERN KENTUCKY, OFFERING APPLIED BEHAVIOR ANALYSIS (ABA), SPEECH, OCCUPATIONAL AND FEEDING THERAPIES FOR CHILDREN ON THE AUTISM SPECTRUM. THE SPECIALIZED EARLY INTERVENTION AND TREATMENT PROVIDED BY SPECIFICALLY TRAINED THERAPISTS AT THE AVA CENTER HAS PROVEN EFFECTIVE IN INCREASING COMMUNICATION SKILLS, IMPROVING ATTENTION, AND DECREASING PROBLEM BEHAVIORS IN CHILDREN AS YOUNG AS TWO YEARS OLD. THE PROGRAM STRIVES TO IDENTIFY CHILDREN AT THE EARLIEST SIGNS OF DETECTION, PROVIDE INTEGRATED CARE TO SUPPORT THE BEST POSSIBLE QUALITY OF LIFE FOR CHILDREN WITH ASD AND THEIR FAMILIES, AND HELP CHILDREN WITH ASD REACH THEIR FULL POTENTIAL.PIKEVILLE MEDICAL CENTER'S PRIMARY CARE TEAM TREATS PATIENTS WHEN THEY ARE SICK BUT ALSO ENCOURAGES PREVENTATIVE CARE AND A HEALTHY LIFESTYLE. TO IMPROVE ACCESS TO FAMILY MEDICINE PROVIDERS INCLUDING PEDIATRICS, ADULT PRIMARY CARE, OB/GYN AND URGENT CARE SPECIALISTS PMC OPENED THE NEW URGENT CARE &amp; FAMILY WELLNESS CENTER DURING FY 2021. THE RENOVATED 14,600 SQUARE FOOT OF SPACE IS IN A CONVENIENT LOCATION AND INCLUDES 14 YOUTH THEMED EXAM ROOMS, 25 ADULT/URGENT CARE EXAM ROOMS, 14 PROVIDER WORKSTATIONS, NURSE STATIONS, AN ON-SITE LABORATORY FOR SPECIMEN COLLECTION, ON-SITE X-RAY SERVICES, AND RECEPTION/WAITING ROOMS. THE URGENT CARE AT PIKEVILLE NORTH IS OPEN 12 HOURS A DAY SEVEN DAYS A WEEK TO TREAT INJURIES, COMMON MEDICAL CONDITIONS, AND ILLNESSES.(PROMOTION OF COMMUNITY HEALTH CONTINUED)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH (CONTINUED) DURING THE CONTINUED COVID-19 PANDEMIC OF 2021, PIKEVILLE MEDICAL CENTER'S UNIQUELY QUALIFIED HEALTHCARE PROFESSIONALS, INCLUDING INFECTIOUS DISEASE SPECIALISTS, PULMONOLOGISTS, AND CRITICAL CARE PHYSICIANS, WORKED IN CONJUNCTION WITH THE UNITED STATES CENTERS FOR DISEASE CONTROL AND THE KENTUCKY DEPARTMENT OF PUBLIC HEALTH TO CONTINUALLY PROVIDE THE COMMUNITY WITH THE MOST UP-TO-DATE COMPREHENSIVE INFORMATION ABOUT THE NOVEL CORONAVIRUS AND HOW TO BEST PROTECT ONE'S SELF, FAMILY AND COMMUNITY DURING THE PANDEMIC. DURING THE HEIGHT OF THE PANDEMIC PMC OFFERED DRIVE-THRU COVID-19 GRAVITY TESTING, DRIVE-THRU LABORATORY TESTING SERVICES, AND MULTIPLE LOCATIONS OF DRIVE-THRU COVID-19 VACCINE CLINICS TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY IN A SAFE AND CONTROLLED ENVIRONMENT. ADDITIONALLY, PMC HAD BOTH THE EQUIPMENT AND CAPACITY TO HANDLE A LARGE NUMBER OF COVID-19 PATIENTS AS THE NEED WOULD ARISE ACROSS THE REGION. PMC ESTABLISHED A HIGHLY INFECTIOUS DISEASE UNIT (HIDU) THAT EXCEEDS ALL APPLICABLE STANDARDS FOR TREATING COVID-19 AND HAD SUFFICIENT AIRBORNE ISOLATION ROOMS TO TREAT 135 INFECTED PATIENTS AT ONCE. FOR SEVERE CASES OF CORONAVIRUS INFECTION, PMC ALSO HAS AVAILABLE ADVANCE RESPIRATORY LIFE SUPPORT, IN ADDITION TO BEING ONE OF THE FEW HOSPITALS IN THE REGION WITH THE CAPACITY TO PROVIDE MULTIPLE PATIENTS WITH EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) TREATMENT. PMC'S ECMO MACHINES REPLACE THE FUNCTION OF THE HEART AND LUNGS DURING LIFE-THREATENING CONDITIONS SUCH AS SEVERE LUNG DAMAGE FROM INFECTION. PMC, ACCREDITED BY THE JOINT COMMISSION, CONTINUED TO EXPERIENCE A DECLINE IN MANY PATIENT VOLUME METRICS DURING FY 2021 DUE TO THE DIRECT IMPACT ON HEALTHCARE SERVICES RELATED TO THE SARS-COV-2, COVID-19 PANDEMIC. TOTAL INPATIENT ADMISSIONS DECREASED TO 10,996 IN FY 2021 FROM 12,514 IN FY 2020; TOTAL OUTPATIENT VISITS INCREASED TO 490,732 IN FY 2021 FROM 469,515 IN FY 2020; OPEN HEART SURGERY CASES DECREASED TO 268 IN FY 2021 FROM 276 IN FY 2020; CARDIAC CATH LAB PROCEDURES INCREASED TO 3,611 IN FY 2021 FROM 3,566 IN FY 2020; AND TOTAL PHYSICIAN PRACTICE VISITS INCREASED TO 367,209 IN FY 2021 FROM 350,954 IN FY 2020.THROUGHOUT THE UNCERTAIN TIMES OF THE COVID-19 PANDEMIC THAT EXTENDED INTO FY 2021, PMC CONTINUED TO ANSWER THE CALL TO PROVIDE THE REGION WITH HIGHLY-QUALIFIED MEDICAL PROFESSIONALS ASPIRING TO PRACTICE IN A PROGRESSIVE, COMPASSIONATE, GROWING MEDICAL COMMUNITY THAT DEMANDS QUALITY AND STRIVES FOR EXCELLENCE. CURRENTLY, PMC EMPLOYS MORE THAN 3,000 TEAM MEMBERS, INCLUDING 141 PHYSICIANS IN ADDITION TO 106 ADVANCED PRACTICE REGISTERED NURSES, CERTIFIED REGISTERED NURSE ANESTHETISTS AND PHYSICIAN ASSISTANTS. MORE THAN 360 PHYSICIANS ARE CREDENTIALED TO PRACTICE AT PMC.PIKEVILLE MEDICAL CENTER'S VISION TO BE THE REGION'S PROVIDER OF CHOICE HAS NOT ONLY RESULTED IN THE EXPANSION OF HEALTH CARE SERVICES PROVIDED TO PATIENTS BUT HAS ALSO BEEN INTEGRAL IN ENHANCING THE HOSPITAL'S ABILITY TO PROVIDE COMMUNITY OUTREACH SERVICES. PMC PROVIDES A VARIETY OF EDUCATIONAL, WELLNESS, AND PREVENTIVE HEALTH SERVICES THAT ARE DERIVED FROM THE CORE OF PMC'S MISSION. CHARITY CARE: THROUGH DEFINED POLICIES AND PROCEDURES, PMC RECORDED UNCOMPENSATED CHARITY OF MORE THAN $8,089,690 DURING FY 2021 (SERVICES AT HOSPITAL'S ESTABLISHED RATES). HEALTH CARE SUPPORT SERVICES:BLOOD DRIVES PMC WAS HOST TO FIVE BLOOD DRIVES DURING FY 2021. PREPARATION FOR BLOOD DRIVES INCLUDES PUBLICITY BEFORE AND AFTER THE EVENT, OBTAINING GIVE-AWAY ITEMS FOR DONORS; RESERVING A LOCATION, HELPING WITH SET-UP AND TAKE-DOWN, AND PRE-REGISTERING DONORS. BLOOD DRIVES ARE CONDUCTED IN CONJUNCTION WITH THE KENTUCKY BLOOD CENTER. IN FY 2021, 119 DONORS PARTICIPATED IN PMC'S BLOOD DRIVES, PROVIDING LIFE-SAVING BLOOD PRODUCTS TO AN ESTIMATED 357 RECIPIENTS.GUEST MEALS: PMC DONATED 2,065 FOOD TRAYS TO GUESTS AT A COST OF $15,488 IN FY 2021.INDIGENT SUPPORT SERVICES - MANY PATIENTS NEED FINANCIAL ASSISTANCE WITH PRESCRIBED MEDICATIONS, IN-HOME MEDICAL EQUIPMENT, TRANSPORTATION, AND OTHER ITEMS OR SERVICES. TO ASSIST IN RELIEVING FINANCIAL BURDEN, PMC'S CHAPLAIN SERVICES, CASE MANAGEMENT, AND LEONARD LAWSON CANCER CENTER DEPARTMENTS PROVIDED ASSISTANCE TO 438 PATIENTS TOTALING $47,398 IN FY 2021. ASSISTANCE WENT TO PATIENTS NEEDING PRESCRIBED MEDICATIONS AND TRANSPORTATION UPON DISCHARGE. TRANSPORTATION SUPPORT WAS ALSO PROVIDED TO PATIENTS NEEDING TO TRAVEL TO AND FROM THE HOSPITAL TO RECEIVE CARE. IN ADDITION, THE HOSPITAL PURCHASED CHILD CAR SEATS, HOME MEDICAL EQUIPMENT, AND MEDICAL SUPPLIES FOR PATIENTS IN NEED.SPIRITUAL: PMC'S CHAPLAINCY DEPARTMENT MAKES EVERY EFFORT TO ENSURE PATIENTS' SPIRITUAL NEEDS ARE MET. THE STAFF ROUNDS DAILY ON PATIENTS, OFFERING WORDS OF ENCOURAGEMENT AND PRAYER. IN FY 2021, 720 BIBLES WERE DISTRIBUTED AND 3 COMMUNITY EVENTS, INCLUDING THE NATIONAL DAY OF PRAYER AND BAPTISMS WERE SERVICED BY PMC CHAPLAINS. IN ADDITION, 383 FOOD BASKETS AND SYMPATHY CARDS WERE PROVIDED AS SUPPORT FOR BEREAVED FAMILIES. THESE SERVICES PROVIDED A COMMUNITY BENEFIT OF MORE THAN $13,500.COMMUNITY FINANCIAL DONATIONS: IN FY 2021, PMC PROUDLY HONORED ITS CORPORATE SOCIAL RESPONSIBILITY THROUGH BOTH FINANCIAL AND IN-KIND DONATIONS TO COMMUNITY ORGANIZATIONS, IN ADDITION TO SUPPORTING EMPLOYEE PARTICIPATION IN COMMUNITY ACTIVITIES AND EVENTS WITH A COMMON GOAL OF SERVING OTHERS. THE HOSPITAL PROVIDED $119,267 IN FINANCIAL AND IN-KIND SUPPORT TO SUCH ENTITIES AS:- KENTUCKY CHAMBER FOUNDATION- OUR DAILY BREAD- UNIVERSITY OF PIKEVILLE- 1 EAST KENTUCKY CORPORATION- EPILEPSY FOUNDATION- PIKE COUNTY BOARD OF EDUCATION- RIVERPLACE ASSISTANCE CORP - SOUTHEAST KENTUCKY CHAMBER OF COMMERCE- TEAM KY COVID MEMORIAL FUNDPMC IS AN AVID SUPPORTER OF SOAR, A NON-PARTISAN APPALACHIAN KENTUCKY NETWORK COMMITTED TO THE COMMON PURPOSE OF EXPANDING JOB CREATION, ENHANCING REGIONAL OPPORTUNITY AND IDENTITY, AND IMPROVING THE QUALITY OF LIFE ALL CITIZENS OF THE REGION THROUGH COLLABORATION AND INNOVATION. PMC EXECUTIVES AND STAFF ACTIVELY PARTICIPATE IN SOAR EVENTS AND CONFERENCES TO ASSIST IN SHAPING A BETTER FUTURE FOR THE REGION.HEALTH PROFESSIONS EDUCATION: DURING FY 2021, PMC INVESTED $669,617 IN HEALTH PROFESSIONS EDUCATION. IN AN EFFORT TO COMBAT THE GROWING SKILLED HEALTHCARE STAFFING SHORTAGES, PMC HAS AFFILIATED WITH THIRTY-SEVEN ACADEMIC INSTITUTIONS TO HOST MORE THAN 568 STUDENTS IN TRAINING DURING 2021, AREAS OF SPECIALTY TRAINED INCLUDE: NURSING, PHLEBOTOMY, PHYSICAL THERAPY, RESPIRATORY THERAPY, PHARMACY, RADIOLOGY AND SPEECH THERAPY. SCHOOLS AFFILIATED WITH PMC INCLUDE:- AMERICAN NATIONAL UNIVERSITY- BELLARMINE UNIVERSITY- BLUEFIELD COLLEGE- BIG SANDY COMMUNITY AND TECHNICAL COLLEGE- CHAMBERLAIN COLLEGE- DUKE UNIVERSITY- EASTERN KENTUCKY PHLEBOTOMY SCIENCES- EASTERN KENTUCKY UNIVERSITY- FRONTIER SCHOOL OF MIDWIFERY AND FAMILY NURSING- GALEN COLLEGE OF NURSING- HAZARD COMMUNITY AND TECHNICAL COLLEGE- INDIANA WESLEYAN UNIVERSITY- KCTCS-WHITESBURG- LINCOLN MEMORIAL UNIVERSITY- LINDSEY WILSON- MARSHALL UNIVERSITY- MEDQUEST COLLEGE- MERIDIAN INSTITUTE OF SURGICAL ASSISTING- MILLIGAN COLLEGE- MOREHEAD STATE UNIVERSITY- MOUNTAIN EMPIRE COMMUNITY COLLEGE- NORTHERN KENTUCKY UNIVERSITY- SOUTH UNIVERSITY- SOUTHEAST COMMUNITY COLLEGE- SOUTHERN WEST VIRGINIA COMMUNITY &amp; TECHNICAL COLLEGE- SPALDING UNIVERSITY- TUG VALLEY PHLEBOTOMY- UNIVERSITY OF APPALACHIA COLLEGE OF PHARMACY- UNIVERSITY OF CHARLESTON- UNIVERSITY OF KENTUCKY- UNIVERSITY OF LOUISVILLE- UNIVERSITY OF PIKEVILLE- UNIVERSITY OF VIRGINIA COLLEGE AT WISE- VIRGINIA COMMONWEALTH UNIVERSITY- WALDEN UNIVERSITY- WALTERS STATE UNIVERSITY- WESTERN KENTUCKY UNIVERSITY (CONTINUED)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH (CONTINUED)RESIDENCY PROGRAM: PMC'S RESIDENCY PROGRAM IS ACCREDITED BY THE AMERICAN OSTEOPATHIC ASSOCIATION AND IS SPONSORED BY THE APPALACHIAN OSTEOPATHIC POSTGRADUATE TRAINING INSTITUTE CONSORTIUM. THE PROGRAM OFFERS A HOLISTIC APPROACH TO MEDICINE UTILIZING INTEGRATED OSTEOPATHIC FAMILY MEDICINE AND OSTEOPATHIC MANIPULATIVE TREATMENT/NEUROMUSCULOSKELETAL MEDICINE. PMC'S HIGHLY SOUGHT-AFTER RESIDENCY PROGRAM BRINGS SOME OF THE MEDICAL COMMUNITY'S MOST PROMISING PHYSICIANS TO THE REGION TO PROVIDE PATIENT CARE IN A COLLABORATIVE ENVIRONMENT. THE HOSPITAL, IN CONJUNCTION WITH THE RESIDENCY PROGRAM, OPERATES A FAMILY PRACTICE CLINIC WHICH PROVIDED CARE TO MORE THAN 8,300 PATIENTS DURING FY 2021. THIS SERVICE ALLOWS PMC TO EDUCATE AND RETAIN COMPETENT, SKILLED PHYSICIANS IN THE REGION. DURING THE RESIDENCY YEAR OF JULY 2020 TO JUNE 2021, PMC TRAINED 18 RESIDENTS.OPTOMETRY PROGRAM: PIKEVILLE MEDICAL CENTER HAS ALSO PARTNERED WITH THE UNIVERSITY OF PIKEVILLE KENTUCKY COLLEGE OF OPTOMETRY, A NOT-FOR-PROFIT OPTOMETRIC EDUCATION INSTITUTION ENGAGED IN EDUCATING OPTOMETRIC STUDENTS AND ADVANCING OPTOMETRIC EDUCATION TO PROVIDE CLINICAL CARE SPACE AND EQUIPMENT AS A CORE SITE TO ACCOMMODATE OPTOMETRY PATIENT CARE FOR THE EDUCATION AND TRAINING OF OPTOMETRIC STUDENTS.CONTINUING HEALTH PROFESSIONALS EDUCATION: PMC'S MEDICAL LIBRARY STAFF COORDINATES AND OVERSEES CONTINUING MEDICAL EDUCATION (CME) HOURS OFFERED AT THE HOSPITAL. MOST CMES ARE OPEN TO NOT ONLY PMC STAFF, BUT TO OTHER MEDICAL PROFESSIONALS THROUGHOUT THE REGION. IN FY 2021, PMC OFFERED 90 CME PRESENTATIONS, REACHING NEARLY 3,371 ATTENDEES. THE EDUCATIONAL OPPORTUNITIES OFFERED BY THE HOSPITAL DURING FY 2021 RELATED TO THE FOLLOWING TOPICS:- ADVANCED CARDIOVASCULAR LIFE SUPPORT RECERTIFICATION (9 EVENTS) - COVID-19: KEEPING UP WITH A MOVING TARGET (2 EVENTS)- COVID-19: UPDATE- HIGH RELIABILITY ORGANIZATION LEADER TRAINING (2 EVENTS)- HIGH RELIABILITY ORGANIZATION UNIVERSAL SKILLS TRAINING- PAIN MANAGEMENT SYMPOSIUM- PEDIATRIC ADVANCED LIFE SUPPORT (9 EVENTS)- STROKE GRAND ROUNDS (37 EVENTS)- TRAUMA GRAND ROUNDS (11 EVENTS)- TRAUMA SYMPOSIUM: VIOLENCE DURING A PANDEMIC- TUMOR BOARD (16 EVENTS)PHYSICIAN, MIDLEVEL AND NURSING PROFESSIONAL RECRUITMENT: PMC'S RECRUITMENT PROGRAM IS FOCUSED ON PROVIDING PATIENTS WITHIN THE SERVICE AREA WITH QUALITY MEDICAL CARE BY RECRUITING AN ADEQUATE NUMBER OF SKILLED PRIMARY CARE PHYSICIANS ALONG WITH A DESIRED MIX OF SPECIALTY PHYSICIANS. AS A REGIONAL REFERRAL CENTER FOR SPECIALTY AND SUB-SPECIALTY SERVICES NOT PROVIDED BY OTHER LOCAL HOSPITALS, PHYSICIAN RECRUITMENT IS A FUNDAMENTAL ELEMENT REQUIRED TO MEET THE HEALTHCARE NEEDS OF THE REGION PMC SERVES. DURING FY 2021, 25 PHYSICIANS, FIVE MIDLEVEL PROFESSIONALS AND 116 REGISTERED NURSES WERE ADDED TO PMC'S TEAM OF HEALTHCARE PROVIDERS. THE TOTAL COMMUNITY BENEFIT ASSOCIATED WITH RECRUITMENT OF THESE PROVIDERS DURING FY 2021 WAS $433,571. THE RECRUITED PHYSICIANS PRACTICE IN THE FOLLOWING SPECIALTIES: - ANESTHESIOLOGY- CRITICAL CARE- CARDIOLOGY- EMERGENCY MEDICINE- GENERAL SURGERY- HEMATOLOGY/ONCOLOGY- HOSPITALIST- INFECTIOUS DISEASE- INTERVENTIONAL RADIOLOGY- ONCOLOGY- NEPHROLOGY- OPHTHALMOLOGY- ORTHOPEDIC TRAUMA SURGERY- PEDIATRICS- PODIATRY- RHEUMATOLOGYSUPPORT GROUPS: IN FY 2021, PMC HOSTED/SPONSORED 6 SUPPORT GROUP MEETINGS, PROVIDING $621 IN COMMUNITY BENEFITS. THE SUPPORT GROUPS PMC HOSTED/SPONSORED: - ART OF HEALING CANCER SUPPORT GROUP- WEIGHT LOSS SURGERY SUPPORT GROUP</ExplanationTxt>
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    </IRS990ScheduleH>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PIKE COUNTY BOARD OF EDUCATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>316 S MAYO TRAIL</AddressLine1Txt>
          <CityNm>PIKEVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41501</ZIPCd>
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        <RecipientEIN>616001345</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>SPONSOR SCOREBOARD</PurposeOfGrantTxt>
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      <RecipientTable>
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          <AddressLine1Txt>513 THIRD STREET SUITE 100</AddressLine1Txt>
          <CityNm>PAINTSVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41240</ZIPCd>
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          <AddressLine1Txt>464 CHENAULT ROAD</AddressLine1Txt>
          <CityNm>FRANKFORT</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40601</ZIPCd>
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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>SPONSOR EVENTS</PurposeOfGrantTxt>
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          <CityNm>PIKEVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>7736</NonCashAssistanceAmt>
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        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
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      <RecipientTable>
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          <CityNm>PIKEVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41501</ZIPCd>
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        <RecipientEIN>610544068</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>SPONSOR EVENTS</PurposeOfGrantTxt>
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      <RecipientTable>
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          <AddressLine1Txt>200 MERO STREET 5TH FLOOR</AddressLine1Txt>
          <CityNm>FRANKFORT</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40622</ZIPCd>
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        <RecipientEIN>610600439</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION TEAM KY COVID-19 MEMORIAL FUND</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>6</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
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        <GrantTypeTxt>ASSISTANCE TO UNINSURED PATIENTS FOR PRESCRIPTIONS, TRANSPORTATION, MEDICAL EQUIPMENT, CANCER TREATMENT TRAVEL ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>438</RecipientCnt>
        <CashGrantAmt>47398</CashGrantAmt>
        <NonCashAssistanceDesc>438 RECIPIENTS OF 187 PRESCRIPTIONS PROVIDED, 329 INSTANCES OF TRAVEL ASSISTANCE AND 8 MEDICAL EQUIPMENT PURCHASES/RENTALS</NonCashAssistanceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GRANTS ARE PROVIDED TO PUBLIC CHARITIES FOR GENERAL SUPPORT. PIKEVILLE MEDICAL CENTER, INC. DOES NOT MONITOR THE USE OF THESE FUNDS BY THESE PUBLIC CHARITIES.</ExplanationTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE RAINEY</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER-SENIOR VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>292652</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7344</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3826</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9750</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21884</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>335456</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TONY DAMRON</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER-SENIOR VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>238098</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>6123</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>485</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6100</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21848</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>272654</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARCUS CONLEY</PersonNm>
        <TitleTxt>VP FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>216571</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>436</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21836</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>244343</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEITH HALL MD</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>1008290</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>352299</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>415</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9750</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21897</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1392651</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN PUGH MD</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>1020919</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>331081</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>415</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9750</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21897</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1384062</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>YOUSEF HATTAB MD</PersonNm>
        <TitleTxt>CRITICAL CARE PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1288584</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>10662</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9503</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21897</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1330646</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AYORINDE MEDAIYESE MD</PersonNm>
        <TitleTxt>CRITICAL CARE PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1144643</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>637</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21897</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1180177</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DERMOT HALPIN MD</PersonNm>
        <TitleTxt>CARDIOTHORACIC SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>1094433</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1191</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21897</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1130521</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JUANITA DESKINS</PersonNm>
        <TitleTxt>FORMER CHIEF OPERATING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>265841</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1608</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21874</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>302323</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID HALCOMB</PersonNm>
        <TitleTxt>FORMER ASST CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>175358</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2742</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3554</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22202</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>203856</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PEGGY JUSTICE</PersonNm>
        <TitleTxt>FORMER - VP PHYSICIAN NETWORK</TitleTxt>
        <BaseCompensationFilingOrgAmt>159494</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>524</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8105</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22657</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>190780</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RUSSELL SHANKLIN</PersonNm>
        <TitleTxt>FORMER-ASSISTANT CIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>170177</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>572</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8629</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22397</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>201775</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SR MANAGEMENT'S QUARTERLY EXECUTIVE BONUS WAS CALCULATED BASED ON A % OF PMC'S ADJUSTED NET PROFIT FOR A QUARTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>DR PUGH'S AND DR HALL'S PRODUCTIVITY BONUS IS BASED ON WRVU'S FOR SERVICES RENDERED IN EXCESS OF THEIR WRVU TARGET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, HIGHLY COMPENSATED EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>REMUNERATION OVER $1 MILLION IS PAYMENT TO PHYSICIANS FOR PROVIDING MEDICAL SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ANDREA ANDERSON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER OF JOE DEAN ANDERSON, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>43790</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS RADIOLOGY COORDINATOR.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ASHLEY JOHNSON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER OF DAVID COLLINS, CPA, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>82291</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-HUMAN RESOURCES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>BART DAVIS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>GRANDSON OF JO NELL ROBINSON, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>81913</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS MANAGER-FURNITURE &amp; SURPLUS</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CAMILLA DAMRON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER OF JO NELL ROBINSON, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>77583</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A SPEECH LANGUAGE PATHOLOGIST.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY TRUST BANK</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY OF WHICH PMC BOARD MEMBER HAS BUSINESS RELATIONSHIP</RelationshipDescriptionTxt>
        <TransactionAmt>1992187</TransactionAmt>
        <TransactionDesc>DAVID COLLINS SERVED AS BOARD MEMBER OF BOTH ENTITIES. SERVICES PROVIDED BY COMMUNITY TRUST BANK TO PIKEVILLE MEDICAL CENTER: -INTEREST INCOME BANKING SERVICES, FUNDS IN TRUST &amp; INVESTMENTS, $1,163,200 -SAFE DEPOSIT BOX FEES/LINE OF CREDIT FEES/TRUSTEE FEES, $150,204 - INSTALLMENT PAYMENTS, $678,783.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>EASTERN TELEPHONE &amp; TECHNOLOGIES INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY OF WHICH PMC BOARD MEMBER'S SPOUSE HAS BUSINESS RELATIONSHIP</RelationshipDescriptionTxt>
        <TransactionAmt>290071</TransactionAmt>
        <TransactionDesc>LINDA WAGNER-JUSTICE'S SPOUSE HAS A FINANCIAL INTEREST IN ENTITY. PIKEVILLE MEDICAL CENTER PURCHASES TELECOMMUNICATION PARTS AND SERVICES FROM EASTERN TELEPHONE.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>ELLIOTT COMPANIES</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY OF WHICH BOARD MEMBER HAS BUSINESS RELATIONSHIP</RelationshipDescriptionTxt>
        <TransactionAmt>5932935</TransactionAmt>
        <TransactionDesc>DAVID BAIRD SERVES AS BOARD MEMBER OF BOTH ENTITIES. PIKEVILLE MEDICAL CENTER PURCHASES CONSTRUCTION SERVICES AND MAINTENANCE MATERIALS FROM ELLIOTT COMPANIES.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>JIGSAW ENTERPRISES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY OF WHICH PMC BOARD MEMBER'S SPOUSE HAS BUSINESS RELATIONSHIP</RelationshipDescriptionTxt>
        <TransactionAmt>42200</TransactionAmt>
        <TransactionDesc>LINDA WAGNER-JUSTICE'S SPOUSE HAS A FINANCIAL INTEREST IN ENTITY. PIKEVILLE MEDICAL CENTER PURCHASES CONSTRUCTION SERVICES FROM JIGSAW ENTERPRISES.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KIERSTEN WOODS SHURTLEFF</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER IN LAW OF ROBERT SHURTLEFF, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>38293</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A CERTIFIED RESPIRATORY THERAPIST</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MICHAEL CRUM MD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BROTHER OF AARON CRUM, M.D., PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>408258</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS PHYSICIAN</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MIRANDA FORSYTH</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SISTER OF WILLIAM D. BLACKBURN, PMC PRESIDENT/CEO &amp; BOARD VICE CHAIRPERSON</RelationshipDescriptionTxt>
        <TransactionAmt>25189</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS STAFF RN</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>RAMANARAO METTU MD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SPOUSE OF JYOTHI METTU, M.D., PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>346154</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS PHYSICIAN</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>RHONDA BLACKBURN</PersonNm>
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        <RelationshipDescriptionTxt>SPOUSE OF ERICH BLACKBURN, PMC EX-OFFICIO BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>194808</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS ASSOCIATE GENERAL COUNSEL</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>RITA CRUM</PersonNm>
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        <RelationshipDescriptionTxt>SISTER IN LAW OF AARON CRUM, M.D., PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>79423</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS CMS SPECIALIST</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ROBERT SHURTLEFF DO</PersonNm>
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        <RelationshipDescriptionTxt>SON OF ROBERT SHURTLEFF, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>192308</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS PHYSICIAN</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SARAH TAYLOR</PersonNm>
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        <RelationshipDescriptionTxt>DAUGHTER OF CHERYL HICKMAN, PMC KEY EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>100993</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS IT PROGRAM MANAGER</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SHELDON THACKER</PersonNm>
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        <RelationshipDescriptionTxt>SPOUSE OF MELISSA THACKER, PMC KEY EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>98660</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS EXECUTIVE DIRECTOR - BUSINESS OPERATIONS</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SHURTLEFF'S DRY CLEANING &amp; LAUNDRY INC</BusinessNameLine1Txt>
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        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY OWNED BY FAMILY OF PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>840740</TransactionAmt>
        <TransactionDesc>ROBERT SHURTLEFF'S PARENT IS OWNER OF ENTITY FROM WHICH PIKEVILLE MEDICAL CENTER PURCHASES LAUNDRY SERVICES.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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      <BusTrInvolveInterestedPrsnGrp>
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          <PersonNm>TRISTAN BLACKBURN</PersonNm>
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        <RelationshipDescriptionTxt>SON OF WILLIAM D. BLACKBURN, PMC PRESIDENT/CEO &amp; BOARD VICE CHAIRPERSON</RelationshipDescriptionTxt>
        <TransactionAmt>121193</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-INFORMATION TECHNOLOGY</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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        <NameOfInterested>
          <PersonNm>CHRISTIAN HAGY</PersonNm>
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        <TransactionAmt>47440</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A PHYSICIAN RECRUITER</TransactionDesc>
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          <PersonNm>DEBORAH BLACKBURN</PersonNm>
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        <TransactionAmt>13859</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS EXECUTIVE DIRECTOR-APPALACHIAN VALLEY AUTISM CENTER</TransactionDesc>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>PIKEVILLE MEDICAL CENTER AMENDED ITS BYLAWS ON NOVEMBER 24, 2020 AND APRIL 24, 2021. THE SIGNIFICANT CHANGES INCLUDED: (I) CHANGING THE MAXIMUM NUMBER OF DIRECTORS ON THE BOARD OF DIRECTORS FROM 15 TO 17; (II) ADDING THE CHIEF OF STAFF, CHIEF EXECUTIVE OFFICER, CHIEF MEDICAL OFFICER, CHIEF FINANCIAL OFFICER AND CHIEF LEGAL OFFICER AS EX-OFFICIO VOTING MEMBERS OF THE BOARD; (III) CHANGING REGULAR SCHEDULED BOARD MEETING DATES FOR NOVEMBER, DECEMBER AND JANUARY; (IV) SET SPECIFIC EX-OFFICIO MEMBERS TO SERVE ON VARIOUS COMMITTEES; (V) CHANGING THE CHIEF EXECUTIVE OFFICER'S TITLE TO PRESIDENT AND CHIEF EXECUTIVE OFFICER; (VI) CHANGING THE BOARD PRESIDENT'S TITLE TO CHAIRPERSON OF THE BOARD AND (VII) CHANGING THE BOARD VICE PRESIDENT'S TITLE TO VICE-CHAIRPERSON OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE CFO PRIOR TO FILING. ADDITIONALLY, THE GOVERNING BODY WILL REVIEW THE FINAL FORM 990 INCLUDING REQUESTED SCHEDULES AT THE NEXT BOARD MEETING. THE FINAL FORM 990 IS PROVIDED ELECTRONICALLY TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AS TO BOARD MEMBERS, UPDATES TO THE CONFLICT OF INTEREST FORMS ARE COMPLETED ANNUALLY WITH VOLUNTARY DISCLOSURE OF CONFLICT ON ANY PARTICULAR ISSUE. THERE IS NO PARTICIPATION, DISCUSSION OR VOTE TAKEN ON THESE; HOWEVER, THE HOSPITAL ATTORNEY IS PROVIDED A COPY OF ALL INTERESTS OF EACH MEMBER TO ENSURE COMPLIANCE WITH THE POLICY. THESE ARE REGULARLY AND CONSISTENTLY MONITORED FOR ANY CHANGES. AS TO EMPLOYEES, THERE IS A WRITTEN CONFLICT OF INTEREST POLICY WHICH TOO IS REGULARLY AND CONSISTENTLY MONITORED AND ENFORCED BY HUMAN RESOURCES AND ADMINISTRATION AS NECESSARY. THIS POLICY IS INTENDED TO IDENTIFY AND RESOLVE CONFLICTS OF INTEREST WHICH MAY OCCUR RELATED TO FINANCIAL, BUSINESS, OR PROFESSIONAL INTERESTS. THE POLICY IS IN PLACE TO IDENTIFY AND RESOLVE A CONFLICT OF INTEREST WHICH MAY OCCUR ANY TIME THERE IS A SITUATION IN WHICH ONE'S ABILITY TO MAKE OBJECTIVE, JOB RELATED BUSINESS DECISIONS MAY BE INFLUENCED BY, OR HAVE THE APPEARANCE OF BEING INFLUENCED BY, OUTSIDE ACTIVITIES OR PERSONAL INTERESTS. POTENTIAL CONFLICTS OF INTEREST MAY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: 1. WORKING A SECOND JOB AT A COMPETING HEALTHCARE ENTITY WHICH MAY ALLOW THE TRANSFER OF CONFIDENTIAL BUSINESS INFORMATION OR INFLUENCE REFERRAL PATTERNS. 2. ALLOWING THE DEMANDS OF OUTSIDE ACTIVITIES TO HINDER OR DISTRACT YOU FROM THE PERFORMANCE OF YOUR JOB OR CAUSE YOU TO USE PIKEVILLE MEDICAL CENTER RESOURCES FOR OTHER THAN PIKEVILLE MEDICAL CENTER PURPOSES. 3. HOLDING AN OWNERSHIP INTEREST, MANAGEMENT, OR BOARD OF DIRECTORS POSITION IN A COMPANY WITH WHOM PIKEVILLE MEDICAL CENTER DOES BUSINESS WHICH MAY LEAD TO THE INDIVIDUAL'S PERSONAL GAIN/BENEFIT. "OWNERSHIP INTEREST" MEANS SERVING AS A BOARD DIRECTOR OR OFFICER OR OWNING MORE THAN 5% OF THE BUSINESS OR CORPORATION. 4. HAVING AN IMMEDIATE FAMILY MEMBER OR SIGNIFICANT OTHER WHO HOLDS AN OWNERSHIP INTEREST IN A COMPANY WITH WHOM PIKEVILLE MEDICAL CENTER DOES BUSINESS WHICH MAY LEAD TO THE INDIVIDUAL'S PERSONAL GAIN/BENEFIT. "OWNERSHIP INTEREST" MEANS SERVING AS A BOARD DIRECTOR OR OFFICER OR OWNING MORE THAN 5% OF THE BUSINESS OR CORPORATION. 5. HAVING AN IMMEDIATE FAMILY MEMBER OR SIGNIFICANT OTHER EMPLOYED BY THE PIKEVILLE MEDICAL CENTER AND WORKING WITHIN THE SAME DIRECT LINE OF AUTHORITY (ABOVE OR BELOW) AS THE FIRST EMPLOYEE. IMMEDIATE FAMILY MEMBERS INCLUDE SPOUSES, ANCESTORS, CHILDREN, GRANDCHILDREN, GREAT GRANDCHILDREN, BROTHERS AND SISTERS AND THE SPOUSES OF THOSE INDIVIDUALS. THE SCOPE OF THIS POLICY INCLUDES: PIKEVILLE MEDICAL CENTER AND ALL ITS DEPARTMENTS AND SERVICES WHEREVER LOCATED. THE COVERED INDIVIDUALS ARE TO FOLLOW THESE PROCEDURES: 1. ALL LICENSED CLINICAL STAFF, SUPERVISORS, AND MANAGEMENT PERSONNEL SHALL COMPLETE A DUALITY AND CONFLICT OF INTEREST FORM AT THE TIME OF INITIAL EMPLOYMENT AND ANNUALLY THEREAFTER. 2. EMPLOYEE CONFLICT OF INTEREST FORMS SHALL BE FILED IN THEIR PERSONNEL FILES. 3. IN THE EVENT THAT AN EMPLOYEE'S JOB DESCRIPTION OR DUTIES REQUIRES A BUSINESS RELATED DECISION TO BE MADE IN AN AREA IN WHICH A PERSONAL CONFLICT OF INTEREST HAS BEEN IDENTIFIED, THE EMPLOYEE SHALL NOTIFY HIS/HER SUPERVISOR TO ARRANGE FOR AN ALTERNATIVE DECISION MAKING PROCESS WHICH WILL MAINTAIN OBJECTIVITY AND ELIMINATE PERSONAL BIAS, I.E. PERSONAL WITHDRAWAL FROM THE DECISION MAKING PROCESS, SOLICITATION OF CLOSED BIDS, OR UTILIZATION OF AN INDEPENDENT SELECTION COMMITTEE. 4. IF AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF ETHICS IS IDENTIFIED INVOLVING PATIENT CARE OR TREATMENT, THE EMPLOYEE SHOULD SEEK ASSISTANCE FROM THEIR SUPERVISOR TO FIND A RESOLUTION WHICH WOULD HAVE MINIMUM IMPACT ON PATIENT CARE, TREATMENT, OR SERVICES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE SALARY OF THE ORGANIZATION'S CEO AND SENIOR VICE PRESIDENTS. THE COMMITTEE USES COMPARATIVE DATA FROM NATIONAL SALARY SURVEYS. MOTION AND APPROVALS FROM THE COMMITTEE ARE KEPT IN THE MINUTES. THE SALARY OF THE ASSISTANT CEO/CMO IS ALSO INDEPENDENTLY REVIEWED WITH AN OPINION RENDERED BY AN EXTERNAL CONSULTING FIRM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES MAKE THE FORM 990 WHICH INCLUDES THE ANNUAL AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC</FormAndLineReferenceDesc>
        <ExplanationTxt>JO NELL ROBINSON - 248 WALTERS ROAD, PIKEVILLE, KY 41501.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C.</FormAndLineReferenceDesc>
        <ExplanationTxt>OVERSIGHT OF AUDIT PROCESS THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>(CONTINUED) FRACTURES AND MORE IS ALSO STAFFED BY PMC'S SPORTS MEDICINE PHYSICIAN 5 DAYS A WEEK 1 HOUR PER DAY TO ATTEND TO THOSE PATIENTS IN NEED FOR IMMEDIATE CARE WHO CANNOT WAIT DAYS OR WEEKS FOR AN APPOINTMENT. TWO ORTHOPEDIC TRAUMA SURGEONS ARE ALSO ON STAFF AND PROVIDE THE HIGHEST LEVEL OF CARE TO PATIENTS WHO HAVE SUFFERED A TRAUMATIC ORTHOPEDIC INJURY. THE PMC ORTHOPEDIC CENTER TEAM UTILIZED STATE OF THE ART TECHNOLOGY AND THEIR ADVANCED SKILLS TO EARN THE JOINT COMMISSION'S GOLD SEAL FOR APPROVAL IN TOTAL HIP REPLACEMENT, TOTAL KNEE REPLACEMENT, AND HIP FRACTURE. PMC IS THE ONLY HOSPITAL IN KENTUCKY TO HAVE ATTAINED ALL THREE OF THESE CERTIFICATIONS. RENOVATION OF 250 SF OF SPACE ON CLINIC 6 WAS COMPLETED DURING FY 21 TO ADD AN ADDITIONAL X-RAY ROOM TO BETTER SERVE THE VOLUME OF PATIENTS RECEIVING ORTHOPEDIC CARE WITHIN THE CLINIC. THE TOTAL CAPITAL INVESTMENT FOR THE RENOVATION AND PURCHASE OF THE DEL MEDICAL X-RAY UNIT WAS $247,652. THE CONTINUED GROWTH AND EXPANSION OF PIKEVILLE MEDICAL CENTER'S TERTIARY CARE SPECIALTY CAPABILITIES, INCLUDING TRAUMA SERVICES, CARDIAC SERVICES, INTERVENTIONAL RADIOLOGY SERVICES, ONCOLOGY SERVICES, ORTHOPEDIC SERVICES AND NEUROSURGERY SERVICES HAS RESULTED IN FEWER PATIENTS BEING TRANSFERRED OUT OF PMC TO LARGER HOSPITALS LOCATED OUTSIDE THE REGION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>(CONTINUED) SPECIALTY PRESCRIPTIONS ARE SOMETIMES DIFFICULT TO NAVIGATE FOR THOSE WHO NEED THEM THE MOST AND PMC IS COMMITTED TO ASSISTING PATIENTS THROUGH THIS PROCESS. PRIOR TO PMC OPENING THE SPECIALTY PHARMACY IN SEPTEMBER 2020, PATIENTS OFTEN HAD TO SEARCH FOR WAYS TO RECEIVE THEIR SPECIALTY MEDICATION. NOW, A TEAM OF DEDICATED PROFESSIONALS AT PMC ASSISTS PATIENTS WITH PRIOR AUTHORIZATIONS AND INSURANCE QUESTIONS IN ADDITION TO DISPENSING THE SPECIALIZED MEDICATION. PMC UTILIZES EFFICIENT PROCEDURES, OVERNIGHT SHIPPING, AND MEDICINE DELIVERY TO EXPEDITE THE PROCESS, ALLOWING PATIENTS TO RECEIVE NEEDED SPECIALTY MEDICATION MORE QUICKLY. NATIONAL RECOGNITION PIKEVILLE MEDICAL CENTER (PMC) STRIVES TO BE THE PROVIDER OF CHOICE FOR HEALTHCARE THROUGHOUT THE REGION WE SERVE. THE DEDICATION OF PMC'S LEADERSHIP TEAM, PHYSICIANS, AND STAFF TO FULFILL THE HOSPITAL'S MISSION "TO ADVANCE THE HEALTH AND WELL-BEING OF OUR REGION THROUGH COMPREHENSIVE CARE IN A CHRISTIAN ENVIRONMENT" HAS BEEN INSTRUMENTAL IN THE ORGANIZATION RECEIVING THE FOLLOWING RECOGNITION AND AWARDS DURING FY 2021: SEPTEMBER '21 PMC RECOGNIZED AS CO-BUSINESS OF THE YEAR BY SOUTHEAST KENTUCKY CHAMBER OF COMMERCE. AUGUST '21 PMC RECEIVED JOINT COMMISSION RE-ACCREDITATION. AUGUST '21 PMC LAB RECEIVED COLLEGE OF AMERICAN PATHOLOGISTS ACCREDITATION. JULY '21 PMC RECEIVED GERIATRIC EMERGENCY DEPARTMENT ACCREDITATION, LEVEL 3 BRONZE BY AMERICAN COLLEGE OF EMERGENCY PHYSICIANS. MAY '21 PMC RECEIVED CHEST PAIN MI REGISTRY PLATINUM PERFORMANCE ACHIEVEMENT AWARD FROM NATIONAL COLLEGE OF CARDIOLOGY. MARCH '21 PMC RECEIVED JOINT COMMISSION HIP FRACTURE, HIP AND KNEE REPLACEMENT RE-CERTIFICATION. FEBRUARY '21 PMC FAMILY MEDICINE RESIDENCY PROGRAM RE-ACCREDITED BY ACGME. FEBRUARY '21 PMC ADVANCED PRIMARY STROKE CENTER RE-CERTIFIED BY JOINT COMMISSION. FEBRUARY '21 PMC OUTPATIENT PHARMACY ACCREDITED BY UTILIZATION REVIEW ACCREDITATION COMMISSION. NOVEMBER '20 PMC RANKED BY FORBES AS THE #1 (BEST-IN-STATE) HOSPITAL EMPLOYER IN KENTUCKY. OCTOBER '20 PMC RANKED AS THE #1 HOSPITAL IN KENTUCKY AND IN THE TOP 100 IN THE NATION FOR HEART AND VASCULAR CARE BY CARECHEX. OCTOBER '20 PMC RECEIVED THE GOLD PERFORMANCE AWARD (CHEST PAIN/MI REGISTRY) BY THE AMERICAN COMMISSION FOR HEALTH CARE.</ExplanationTxt>
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