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      <PrincipalOfficerNm>WALTER E MAY</PrincipalOfficerNm>
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      <ActivityOrMissionDesc>THE CENTER'S MISSION IS TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT</ActivityOrMissionDesc>
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      <MissionDesc>PIKEVILLE MEDICAL CENTER'S MISSION IS TO PROVIDE QUALITY REGIONAL HEALTHCARE IN A CHRISTIAN ENVIRONMENT.</MissionDesc>
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      <Desc>PHYSICIAN PRACTICES:CURRENTLY, OVER 350 HEALTHCARE PROVIDERS ARE CREDENTIALED TO PRACTICE MEDICINE AT PIKEVILLE MEDICAL CENTER (PMC).IN FY 2014, PMC WELCOMED 31 PHYSICIANS AND TWO PHYSICIAN ASSISTANTS. THE PHYSICIANS RECRUITED DURING THAT TIME PERIOD CONSIST OF FOUR ANESTHESIOLOGISTS, TWO CARDIOLOGISTS, ONE CARDIOLOGIST/ELECTROPHYSIOLOGIST, ONE FAMILY MEDICINE PHYSICIAN, TWO GENERAL SURGEONS, ONE HEMATOLOGIST/ONCOLOGIST, ONE HOSPITALIST, ONE INFECTIOUS DISEASE SPECIALIST, ONE NEPHROLOGIST, ONE NEUROLOGIST, FOUR OSTEOPATHIC MANIPULATIVE THERAPY PHYSICIANS, ONE OPHTHALMOLOGIST, ONE OTOLARYNGOLOGIST, ONE PAIN MANAGEMENT SPECIALIST, TWO PEDIATRICIANS, ONE PLASTIC/RECONSTRUCTIVE AND HAND SURGEON, TWO RADIATION ONCOLOGISTS, TWO TRAUMA SURGEONS, ONE UROLOGIST AND ONE VASCULAR SURGEON. ONE PSYCHOLOGIST ALSO BEGAN PRACTICING AT PMC DURING THE YEAR. WITH THE ADDITION OF THESE NEW PHYSICIANS, PMC OFFERS MORE THAN 400 SERVICES, INCLUDING EVERY SPECIALTY AND MANY SUBSPECIALTIES. PMC IS A PROUD MEMBER OF THE MAYO CLINIC CARE NETWORK. THIS PARTNERSHIP - THE FIRST OF ITS KIND TO BE FORMED IN THE AREA - IS A POWERFUL TOOL THAT ALLOWS PMC PHYSICIANS TO CONSULT WITH MAYO CLINIC PHYSICIANS ON COMPLEX MEDICAL CASES. AS A MEMBER OF THE MAYO CLINIC CARE NETWORK, PMC HAS ACCESS TO THE LATEST INFORMATION, TOOLS AND TECHNOLOGIES TO PROVIDE QUALITY CARE AS WELL AS IMPROVE SYSTEMS AND THE OVERALL HEALTH OF THE COMMUNITY.UNTIL RECENTLY, MOST OF PMC'S PHYSICIAN PRACTICES WERE SPREAD THROUGHOUT THE COMMUNITY AND OUTLYING AREAS. TO MAKE HEALTH CARE MORE ACCESSIBLE AND EFFICIENT, PMC OPENED AN 11-STORY CLINIC AND A 10-STORY PARKING GARAGE ON THE HOSPITAL'S MAIN CAMPUS IN APRIL 2014. THE PMC CLINIC HOUSES EIGHT ADDITIONAL OPERATING ROOMS, SIX ENDOSCOPY SUITES, 23 PRE-OP ROOMS, 27 POST-OP ROOMS AND MOST OF PMC'S PHYSICIAN PRACTICES INCLUDING CARDIOTHORACIC SURGERY, VASCULAR SURGERY, TRAUMA SURGERY, GENERAL SURGERY, INTERVENTIONAL RADIOLOGY, GASTROENTEROLOGY, UROLOGY, ORTHOPEDIC TRAUMA SURGERY, ORTHOPEDIC SURGERY, HAND SURGERY, PODIATRY, SPORTS MEDICINE, OBSTETRICS/GYNECOLOGY, PEDIATRICS, FAMILY MEDICINE, ENDOCRINOLOGY, PEDIATRIC ENDOCRINOLOGY, INFECTIOUS DISEASE, NEPHROLOGY, NEUROLOGY, NEUROSURGERY, PHYSIATRY, PULMONOLOGY, RHEUMATOLOGY, OPHTHALMOLOGY, OTOLARYNGOLOGY, AND PLASTIC SURGERY. THE 1,162-SPACE PARKING GARAGE CONNECTS TO THE PMC CLINIC ON EACH FLOOR, ALLOWING PATIENTS TO CONVENIENTLY PARK ON THE SAME FLOOR AS THEIR PHYSICIAN'S OFFICE.IN ADDITION TO PHYSICIAN PRACTICES FOUND IN THE CLINIC, PMC OFFERS: BARIATRIC SURGERY IN PIKEVILLE (KENTUCKY); CARDIOLOGY - GENERAL/INVASIVE/INTERVENTIONAL/ELECTROPHYSIOLOGY - IN WHITESBURG, PRESTONSBURG, SOUTH WILLIAMSON AND LEXINGTON (KENTUCKY) AND GRUNDY (VIRGINIA); CARDIOTHORACIC SURGERY IN WHITESBURG (KENTUCKY); ONCOLOGY - MEDICAL/HEMATOLOGY/RADIATION/GYNECOLOGIC - IN PIKEVILLE, WHITESBURG AND PRESTONSBURG (KENTUCKY) AND GRUNDY (VIRGINIA); NEUROLOGY IN WHITESBURG, MCDOWELL, SOUTH WILLIAMSON AND PAINTSVILLE (KENTUCKY); FAMILY MEDICINE IN HAROLD AND SHELBY VALLEY (KENTUCKY); OBSTETRICS/GYNECOLOGY IN HAROLD (KENTUCKY); PAIN MANAGEMENT; DERMATOPATHOLOGY; PSYCHOLOGY; CARDIAC REHABILITATION AND PULMONARY REHABILITATION IN PIKEVILLE (KENTUCKY).PMC ALSO EMPLOYS ANESTHESIOLOGISTS, HOSPITALISTS, INTENSIVISTS AND NEONATOLOGISTS.PMC PHYSICIANS COMPLETED 215,193 PATIENT VISITS DURING FY 2014, AN INCREASE OF FIVE PERCENT FROM THE PREVIOUS YEAR. PHYSICIAN PRACTICES THAT GREW SIGNIFICANTLY DURING THE YEAR INCLUDED TRAUMA SURGERY (314% VOLUME INCREASE), RADIATION ONCOLOGY (101% VOLUME INCREASE) AND GASTROENTEROLOGY (86% VOLUME INCREASE). A PEDIATRIC PHYSICIAN PRACTICE AND WHITESBURG (KENTUCKY) SPECIALTY SATELLITE CLINIC WERE ALSO INTRODUCED IN FY 2014.</Desc>
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        <Desc>SURGICAL SERVICES:PMC MAINTAINS A STATE OF THE ART SURGICAL SERVICES DIVISION. THE RECRUITMENT OF NEW SURGEONS FROM VARIED SPECIALTIES NOT PREVIOUSLY OFFERED IN THE REGION HAS LED TO RAPID GROWTH IN SERVICE OFFERINGS. AS A RESULT, THE SURGICAL SERVICES DIVISION HAS EXPANDED INTO THE PMC CLINIC BUILDING WHICH HAS MADE AVAILABLE A TOTAL OF 20 OPERATING SUITES, EIGHT LOCATED IN THE PMC CLINIC AND 12 LOCATED IN THE HOSPITAL TOWER. ENDOSCOPY AT PMC ALSO RELOCATED TO THE PMC CLINIC AND INCREASED FROM FOUR TO SIX SUITES.THE NUMBER OF SURGICAL SERVICES CASES INCREASED BY SIX PERCENT IN FY 2014 FROM FY 2013. CASES INCLUDED INPATIENT AND OUTPATIENT ENDOSCOPY PROCEDURES, INPATIENT AND OUTPATIENT SURGICAL PROCEDURES, AND C-SECTIONS.NEW SURGICAL STERILIZATION EQUIPMENT AND SURGICAL INTEGRATION HARDWARE/SOFTWARE WAS PURCHASED FOR THE PMC CLINIC DURING FY 2014. IN ADDITION, PMC REPLACED AN EXISTING BRAINLAB WITH A BRAINLAB CURVE SYSTEM WITH MONITOR AND C-ARM. THIS SYSTEM ENABLES NEUROSURGEONS, TRAUMA SURGEONS AND ORTHOPEDIC SURGEONS TO PERFORM MORE COMPLEX PROCEDURES THAT REQUIRE THE USE OF A 3D CAMERA, WHICH PROVIDES MORE SPECIFIC AND CLEAR IMAGES. THE CAPITAL INVESTMENT FOR SURGICAL SERVICES IN FY 2014 TOTALED $1,485,714.30.</Desc>
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        <Desc>CARDIAC SERVICES:HEART DISEASE IS ONE OF THE MOST PREVALENT HEALTH PROBLEMS AFFECTING THE REGION THAT PIKEVILLE MEDICAL CENTER (PMC) SERVES. THE HOSPITAL CONTINUES ITS MISSION TO OFFER A WORLD-CLASS CARDIAC PROGRAM SO THAT PATIENTS DO NOT HAVE TO TRAVEL OUTSIDE OF THE AREA FOR CARE. PMC IS AN ACCREDITED CHEST PAIN CENTER WITH PCI AND IS A CYCLE IV CHEST PAIN CENTER. THE HOSPITAL IS CURRENTLY WORKING TOWARD A CYCLE V CHEST PAIN CENTER DESIGNATION. DURING FY 2014, PMC WAS ACCREDITED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION AND RECEIVED ATRIAL FIBRILLATION CERTIFICATION FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE.CARDIAC SERVICES OFFERED BY PMC INCLUDE GENERAL CARDIOLOGY, INVASIVE CARDIOLOGY, INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, CARDIOTHORACIC SURGERY, VASCULAR SURGERY, INTERVENTIONAL RADIOLOGY, ECHOCARDIOGRAPHY AND CARDIAC REHABILITATION.PMC IS DEDICATED TO RECRUITING HIGHLY-SKILLED, HIGHLY-TRAINED PHYSICIANS TO PROVIDE CARDIAC SERVICES AND CURRENTLY EMPLOYS FIVE GENERAL CARDIOLOGISTS, ONE INVASIVE CARDIOLOGIST, TWO INTERVENTIONAL CARDIOLOGISTS, TWO ELECTROPHYSIOLOGISTS, THREE CARDIOTHORACIC SURGEONS AND ONE VASCULAR SURGEON, AS WELL AS SEVERAL PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS. THE INCREASE IN PHYSICIANS AND THE OPENING OF CARDIOLOGY SATELLITE CLINICS HAVE CONTRIBUTED TO A LARGE VOLUME INCREASE IN THE CARDIAC CATHETERIZATION (CATH) LAB. CATH LAB VOLUMES GREW TO 4,907 IN FY 2014 FROM 3,374 IN FY 2013, A 45% INCREASE.THE HOSPITAL COMPLETED 52,304 CARDIAC PROCEDURES DURING FY 2014, AN OVERALL INCREASE OF EIGHT PERCENT FROM THE PREVIOUS YEAR.</Desc>
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        <Desc>PMC IS A 261-BED FACILITY OFFERING MORE THAN 400 SERVICES, INCLUDING EVERY MAJOR SPECIALTY AND MANY SUBSPECIALTIES, AND EMPLOYING MORE THAN 2,400 PEOPLE. THE NATION'S ONLY THREE-TIME WINNER OF NATIONAL HOSPITAL OF THE YEAR, PMC WAS NAMED ONE OF THE BEST PLACES TO WORK IN KENTUCKY FOR SEVEN YEARS AND RANKED IN THE TOP 10 BEST PLACES TO WORK IN THE NATION BY MODERN HEALTHCARE FOR FOUR YEARS. PMC IS AMONG THE TOP FIVE PERCENT OF HOSPITALS IN AMERICA TO ACHIEVE THE HIGHEST PATIENT SATISFACTION RATING POSSIBLE - FIVE-STARS - FROM THE CENTERS FOR MEDICARE &amp; MEDICAID SERVICES. THE HOSPITAL'S COMPASSIONATE, DEDICATED EMPLOYEES AND PHYSICIANS ARE COMMITTED TO PROVIDING QUALITY, REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT. KNOWN AS THE PREMIER HOSPITAL IN A MULTI-STATE REGION, PMC PROVIDES UNMATCHED GENEROSITY TO THE COMMUNITY AND IS CONTINUALLY GROWING AND LOOKING FOR NEW WAYS TO PROVIDE THE MOST ADVANCED HEALTH CARE AVAILABLE.MAY TOWER REFRESHNURSING UNITS THROUGHOUT PMC'S MAY TOWER WERE REFRESHED DURING FY 2014. THE PROJECT INVOLVED PURCHASING NEW CABINETRY, BASEBOARDS, FURNITURE, BLINDS, WALLPAPER AND ICE MACHINES. A NEW HARDWARE-VIDEO HD CABLE BROADCASTING SYSTEM WAS ALSO PURCHASED FOR THE MAY TOWER. THE TOTAL CAPITAL INVESTMENT WAS $715,730. SECURITY OFFICE RELOCATION RENOVATIONIN FY 2014, AN INTERIOR RENOVATION OF 400 SQUARE FEET OF THE FIRST FLOOR OF THE HOSPITAL'S MAY TOWER TOOK PLACE FOR A NEW SECURITY OFFICE, WHICH HOUSES A CAMERA WALL SYSTEM FOR SECURITY VIEWING. SECURITY CAMERAS THROUGHOUT THE HOSPITAL WERE UPGRADED FROM ANALOG TO DIGITAL. IN ADDITION, THE RENOVATION INVOLVED INSTALLING A NEW HVAC UNIT AND REROUTING ALL CAMERA AND ALARM SYSTEMS. THE TOTAL CAPITAL INVESTMENT WAS $522,537.OTHER EQUIPMENTPMC PURCHASED NEW RADIOLOGY EQUIPMENT FOR THE ORTHOPEDIC PHYSICIAN PRACTICE IN THE PMC CLINIC AND ALSO PURCHASED A MOBILE X-RAY UNIT FOR THE PMC CLINIC. THE DIGITAL MOBILE UNIT IMPROVES EFFICIENCY AND THROUGHPUT. THE TOTAL CAPITAL INVESTMENT FOR IMAGING EQUIPMENT WAS $343,466.INFORMATION TECHNOLOGY (IT) EQUIPMENT WAS PURCHASED DURING FY 2014 TO UPGRADE THE WIRED NETWORK INFRASTRUCTURE IN THE HOSPITAL AS WELL AS UPGRADE THE HOSPITAL'S WIRELESS NETWORK. A FIRE PROTECTION SYSTEM WAS ALSO PURCHASED FOR THE COMPUTER SERVER ROOM IN FY 2014. IN ADDITION, SOFTWARE WAS PURCHASED FOR PMC'S MEANINGFUL USE TACKING SYSTEM. THE TOTAL CAPITAL INVESTMENT FOR IT RELATED EQUIPMENT WAS $975,067.WORK ALSO BEGAN ON A NEW INTERVENTIONAL RADIOLOGY SUITE AND CAFETERIA DURING FY 2014, BOTH OF WHICH ARE MAJOR CAPITAL PROJECTS WITH EXPECTED COMPLETION DURING FY 2015.NATIONAL RECOGNITIONPIKEVILLE MEDICAL CENTER (PMC) HAS ACHIEVED NATIONAL RECOGNITION MANY WOULD THINK UNATTAINABLE. THE COMMITMENT FROM THE LEADERSHIP TEAM, PHYSICIANS AND STAFF TO CARRY OUT THE HOSPITAL'S MISSION "TO PROVIDE QUALITY, REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT" LED TO SIGNIFICANT RECOGNITION AND AWARDS IN FY 2014 INCLUDING: AUGUST '14 - AMERICA'S 100 BEST HOSPITALS FOR PATIENT EXPERIENCE BY WOMENCERTIFIEDMAY '14 - ATRIAL FIBRILLATION CERTIFICATION FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CAREAPRIL '14 - BEST PLACES TO WORK IN KENTUCKY BY THE KENTUCKY SOCIETY FOR HUMAN RESOURCE MANAGEMENT AND THE KENTUCKY CHAMBER OF COMMERCEAPRIL '14 - AMERICA'S BEST HOSPITALS FOR PATIENT EXPERIENCE IN ORTHOPEDICS BY WOMENCERTIFIEDAPRIL '14 - OUTSTANDING PATIENT EXPERIENCE AWARD BY HEALTHGRADESAPRIL '14 - GET WITH THE GUIDELINES - GOLD-PLUS STROKE AWARD BY THE AMERICAN HEART ASSOCIATION (AHA)/AMERICAN STROKE ASSOCIATION (ASA) AND THE AHA/ASA TARGET HONOR ROLLJANUARY '14 - BEST HOSPITALS FOR PATIENT EXPERIENCE IN OBSTETRICS BY WOMENCERTIFIEDOCTOBER '13 - BEST PLACES TO WORK IN HEALTHCARE BY MODERN HEALTHCARE MAGAZINE BY STRIVING TO PROVIDE QUALITY CARE AND PLACING PATIENTS' NEEDS FIRST, PMC WILL CONTINUE TO GROW AND REDEFINE THE HEALTH CARE MODEL.</Desc>
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          <BusinessNameLine1>MICHELLE HAGY CFO</BusinessNameLine1>
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        <PersonNm>NAVEED AHMED MD</PersonNm>
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        <PersonNm>DAVID COLLINS CPA</PersonNm>
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        <PersonNm>HOBERT CLAY JOHNSON</PersonNm>
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        <PersonNm>SUE SMALLWOOD</PersonNm>
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        <PersonNm>WALTER BLANKENSHIP</PersonNm>
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        <PersonNm>DEBRA PARSONS</PersonNm>
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        <PersonNm>AMY JOHNSON MD</PersonNm>
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          <BusinessName>
            <BusinessNameLine1>MESSER CONTRUCTION CO INC</BusinessNameLine1>
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            <AddressLine1>5158 FISHWICK DR</AddressLine1>
            <City>CINCINNATI</City>
            <State>OH</State>
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            <AddressLine1>1275 DRUMMERS LANE</AddressLine1>
            <City>WAYNE</City>
            <State>PA</State>
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      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATION</Desc>
        <Amt>2001347</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>12868575</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>377498025</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>162046</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>10133779</OtherRevenueAmt>
      <RevenueNotReportedAmt>10295825</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>367202200</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>367202200</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>368476806</TotExpnsEtcAuditedFinclStmtAmt>
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      <ExpensesNotReportedAmt>10147513</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>358329293</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>358329293</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT OF $206,000 IS A PERMANENT RESTRICTED ENDOWMENT-HERBERT FABER ENDOWMENT FUND. THE JEAN H. JOHNSON CHARITABLE REMAINDER UNITRUST IS A TEMPORARILY RESTRICTED ENDOWMENT IN THE AMOUNT OF $499,176.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE, INC. HAS REQUESTED AN EXEMPTION FROM INCOME TAXES, WHICH IS PENDING APPROVAL BY THE INTERNAL REVENUE SERVICE (IRS). 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, 2014 AND 2013. THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2014 AND 2013. AT SEPTEMBER 30, 2014, TAX RETURNS FOR 2011 THROUGH 2013 ARE SUBJECT TO EXAMINATION BY THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES RECLASSED TO REVENUE SECTION 9,974,073. FUNDRAISING EXPENSES 159,706.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES RECLASSED TO REVENUE SECTION 9,974,073. FUNDRAISING EXPENSES 159,706.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IV LINE 12</FormAndLineReferenceDesc>
        <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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      <SupplementalInformationGrp>
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      <SupplementalInformationGrp>
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      <SupplementalInformationGrp>
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            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
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          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>WOMENS CARE CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
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            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
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          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>GENERAL SURGERY PRACTICE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>255 CHURCH ST STE 201</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>ORTHOPEDIC DIAGNOSTIC RADIOLOGY CTR</BusinessNameLine1>
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          <USAddress>
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            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
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          <FacilityTxt>IMAGING CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>OPHTHALMOLOGY PHYS PRACTICE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1098 S MAYO TRAIL STE 305</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>UROLOGY PHYSICIAN PRACTICE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
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            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>BARIATRIC SURGERY PHYSICIAN PRACTICE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1098 S MAYO TRAIL STE 103</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
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          <USAddress>
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            <City>HAROLD</City>
            <State>KY</State>
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          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>OPHTHALMOLOGY PHYSICIAN PRACTICE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1098 S MAYO TRAIL STE 203</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>PMC - LEONARD LAWSON CANCER CENTER</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>172 SOUTH MAYO TRAIL</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>HOME MEDICAL EQUIPMENT</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1370 S MAYO TRAIL</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>MEDICAL EQUIPMENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>GASTROENTEROLOGIST PHYS PRACTICE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>387 TOWN MTN RD STE 206</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>HOME HEALTH SERVICES</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1370 S MAYO TRAIL</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>HOME HEALTH SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>GENERAL SURGERY PHYSICIAN PRACTICE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>387 TOWN MTN RD STE 207</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>PMC SPECIALTY CLINIC - WHITESBURG</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>255 MAIN ST</AddressLine1>
            <City>WHITESBURG</City>
            <State>KY</State>
            <ZIPCode>41858</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>ENDOCRINOLOGY PRACTICE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>140 ADAMS LANE STE 600-700</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>SPORTS MEDICINE PHYSICIAN PRACTICE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>184 S MAYO TRAIL</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>NEPHROLOGY PHYSICIAN PRACTICE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1098 S MAYO TRAIL SUITE 202</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>PRIMARY CARE PRACTICE - PIKEVILLE WALMAR</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>251 CASSIDY BLVD</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>PMC SPECIALTY CLINIC - PRESTONBURG</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>311 NORTH ARNOLD AVE</AddressLine1>
            <City>PRESTONBURG</City>
            <State>KY</State>
            <ZIPCode>41653</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>PMC SPECIALTY CLINIC- GRUNDY</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1535 SLATE CREEK ROAD</AddressLine1>
            <City>GRUNDY</City>
            <State>VA</State>
            <ZIPCode>24614</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>SLEEP LAB - WHITESBURG</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>60 MAIN STREET</AddressLine1>
            <City>WHITESBURG</City>
            <State>KY</State>
            <ZIPCode>41858</ZIPCode>
          </USAddress>
          <FacilityTxt>SLEEP LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>PLASTICRECONSTRUCTIVE SURGERY</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>387 TOWN MOUNTAIN RD - SUITE 104</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>PIKEVILLE FAMILY PRACTICE CLINIC</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>184 S MAYO TRAIL</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>ENT PHYSICIAN PRACTICE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1098 S MAYO TRAIL STE 304</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>RHEUMATOLOGY PHYSICIAN PRACTICE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1370 S MAYO TRAIL</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>PMC SPECIALTY CLINIC - SOUTH WILLIAMSON</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>411 CENTRAL AVE SUITE 7</AddressLine1>
            <City>SOUTH WILLIAMSON</City>
            <State>KY</State>
            <ZIPCode>41503</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>PRIMARY CARE PRACTICE-PIKEVILLE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1098 S MAYO TRAIL STE 104</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>PRIMARY CARE PRACTICE - SHELBY VALLEY</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>6800 US HWY 23 S STE 3</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>PRIMARY CARE PRACTICE - HAROLD</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>246 KY RT 979</AddressLine1>
            <City>HAROLD</City>
            <State>KY</State>
            <ZIPCode>41635</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>CARDIOLOGY PRACTICE - LEXINGTON</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>989 GOVERNORS LANE</AddressLine1>
            <City>LEXINGTON</City>
            <State>KY</State>
            <ZIPCode>40513</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>PMC SPECIALTY CLINIC - PAINTSVILLE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>826 SOUTH MAYO TRAIL</AddressLine1>
            <City>PAINTSVILLE</City>
            <State>KY</State>
            <ZIPCode>41240</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>PEDIATRIC ENDOCRINOLOGY PRACTICE</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>140 ADAMS LANE STE 300</AddressLine1>
            <City>PIKEVILLE</City>
            <State>KY</State>
            <ZIPCode>41501</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>PMC SPECIALTY CLINIC - MCDOWELL</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>ARH MCDOWELL BUILDING</AddressLine1>
            <City>MCDOWELL</City>
            <State>KY</State>
            <ZIPCode>41647</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>CARDIOLOGY PRACTICE-HAZARD</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>474 VILLAGE LANE</AddressLine1>
            <City>HAZARD</City>
            <State>KY</State>
            <ZIPCode>41701</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>ENDOCRINOLOGY PRACTICE - HAZARD</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>145 CITIZENS LANE</AddressLine1>
            <City>HAZARD</City>
            <State>KY</State>
            <ZIPCode>41701</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>OPHTHALMOLOGY - HAZARD</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>474 VILLAGE LANE</AddressLine1>
            <City>HAZARD</City>
            <State>KY</State>
            <ZIPCode>41701</ZIPCode>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S MISSION STATEMENT, "TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT" DRIVES PMC'S EFFORTS TO IMPROVE THE PHYSICAL, MENTAL AND SPIRITUAL WELL BEING OF THE PUBLIC. DURING FY 2014, PIKEVILLE MEDICAL CENTER REPORTED TAKING PART IN 145 COMMUNITY BUILDING ACTIVITIES, AFFECTING OVER 30,271 PEOPLE AND TOTALING NEARLY $1,014,400. THESE ACTIVITIES FOCUSED ON PROMOTING THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE THROUGH HEALTH EDUCATION, AWARENESS, PREVENTION AND TREATMENT, AS WELL AS, WORKFORCE DEVELOPMENT, ECONOMIC DEVELOPMENT AND FUTURE PLANNING. SOME OF THESE EVENTS LISTED UNDER THE COMMUNITY BUILDING ACTIVITIES SECTION INCLUDED: FIRST-AID BOOTH AT HILLBILLY DAYS, SUPPORT OF LIGHT THE NIGHT AND RELAY FOR LIFE PIKE COUNTY, DRIVE UP FLU SHOT CLINIC, COLORS OF COURAGE 5K RUN/WALK, SMOKING CESSATION CLASSES, A CHRISTMAS LIVE NATIVITY AND OVER 335 MEALS PER MONTH PROVIDED TO MEALS ON WHEELS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN CHARITY CARE CANDIDATES MUST COOPERATE FULLY. IN ADDITION THE HOSPITAL EDUCATES PATIENTS WITH A LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO SHORTFALL EXISTED IN FY 2014. 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, 2014 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>IF DETERMINED THAT A PATIENT MIGHT QUALIFY FOR AN INDIGENT PROGRAM, THE PATIENT IS SENT THE REQUIRED FORMS (FINANCIAL ASSISTANCE APPLICATION) TO APPLY FOR CHARITY ASSISTANCE. WHEN THE PAPERWORK IS RETURNED BY THE PATIENT, THE APPLICATION IS SENT THROUGH THE ELIGIBILITY DETERMINATION REVIEW PROCESS. IF THE APPLICATION IS APPROVED, THE ACCOUNT BALANCE IS THEN ADJUSTED BY THE AMOUNT ALLOWED BY THE CHARITY ELIGIBILITY GUIDELINES.</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>
      </SupplementalInformationDetail>
      <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. FIRST, A HANDOUT LABELED, "FINANCIAL SERVICES AND CONSULTATIONS" IS AVAILABLE TO EVERY PATIENT UPON REGISTRATION. SECOND, THE MANDATORY CONSENT FORM HAS THE PATIENT'S ACKNOWLEDGEMENT STATEMENT, "I ACKNOWLEDGE RECEIPT OF INFORMATION ON DSH, KCHIP, BILLING AND INSURANCE PROCEDURES AND AIDS QUESTIONS / ANSWERS." THIRD, THE FIRST BILL A PATIENT RECEIVES INCLUDES A STATEMENT REGARDING HOW ONE CAN CONTACT A COUNSELOR, IF THE FINANCIAL ASSISTANCE IS NEEDED. LASTLY, THE PATIENT ACCOUNTS STAFF AND PATIENT FINANCIAL COUNSELORS REGULARLY MAIL OUT DSH/PMC CHARITY APPLICATIONS. THESE APPLICATIONS, ALONG WITH DIRECTIONS, ARE ALSO AUTOMATICALLY PRINTED OFF WHEN REGISTERING A SELF-PAY PATIENT. THE PATIENT IS THEN DIRECTED TO OUR FINANCIAL COUNSELORS FOR FURTHER ASSISTANCE. IN THE EVENT A PATIENT IS ADMITTED TO THE FACILITY, FINANCIAL COUNSELORS MEET WITH EACH TO DISCUSS POSSIBLE FINANCIAL ASSISTANCE OPPORTUNITIES. ASSISTANCE FROM THE COUNSELORS BEGINS WITH THE APPLICATION AND CONTINUES THROUGH THE VERIFICATION PROCESS TO ALLOW EACH PATIENT TO TAKE ADVANTAGE OF THE AVAILABLE PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>PIKEVILLE MEDICAL CENTER IS COMMITTED TO MAKING HIGH QUALITY SPECIALTY SERVICES AVAILABLE TO MEET ITS PATIENTS' NEEDS SO THEY CAN RECEIVE THEIR HEALTH CARE LOCALLY. PMC USES THE MOST RECENT U.S. CENSUS BUREAU DATA AND INFORMATION FROM THE KY STATE DATA CENTER WHEN TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES. INFORMATION IS PULLED FROM OUR IMMEDIATE SERVICE AREA ENCOMPASSING A SEVEN COUNTY REGION - PIKE, FLOYD, LETCHER, JOHNSON, MAGOFFIN AND MARTIN COUNTIES IN KENTUCKY AND WEST VIRGINIA'S MINGO COUNTY. BASED ON 2013 DATA AVAILABLE, THE SEVEN COUNTY AREA CONTAINS A TOTAL POPULATION OF APPROXIMATELY 200,673 INDIVIDUALS WITH A RELATIVELY EVEN DISTRIBUTION OF MALES (99,309) TO FEMALES (101,364). THE MEDIAN POPULATION AGE IS 37 YEARS OLD AND THE AVERAGE HOUSEHOLD SIZE IS 2.52 INDIVIDUALS. THE MEDICALLY UNDERSERVED AND IMPOVERISHED AREA IN WHICH PIKEVILLE MEDICAL CENTER RESIDES HAS A MEDIAN FAMILY INCOME OF $32,961 WITH 23.4% OF THE POPULATION LIVING UNDER THE POVERTY LINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>PIKEVILLE MEDICAL CENTER (PMC), THE PREMIER HOSPITAL IN A MULTI-STATE REGION, IS KNOWN FOR PROVIDING QUALITY, COMPASSIONATE CARE AS WELL AS STATE-OF-THE-ART TECHNOLOGY, EXCELLENT SERVICE AND UNMATCHED GENEROSITY TO THE COMMUNITY. DURING ITS 90-YEAR HISTORY, PMC HAS GROWN FROM A RURAL 50-BED HOSPITAL INTO A COMPREHENSIVE 261-BED MEDICAL CENTER ENCOMPASSING MORE THAN ONE MILLION SQUARE FEET.IN APRIL 2014, A BRAND NEW 11-STORY CLINIC AND 10-STORY PARKING GARAGE OPENED ON THE HOSPITAL'S MAIN CAMPUS. THE FACILITIES HAVE INCREASED EFFICIENCY IN OPERATIONS AND ENHANCED PATIENT CONVENIENCE. A ONE-OF-A-KIND FACILITY IN THE AREA, THE PMC CLINIC HOUSES MOST OF PMC'S PHYSICIAN PRACTICES UNDER ONE ROOF AS WELL AS ADDITIONAL SURGICAL AND ENDOSCOPY SUITES. THE NEW SURGICAL AREA ALLOWS FOR MORE PROCEDURES TO BE PERFORMED DAILY. THE 10-STORY PARKING GARAGE ADDED 1,162 PARKING SPACES TO THE MAIN CAMPUS AND ENABLES PATIENTS TO CONVENIENTLY PARK ON THE SAME FLOOR AS THEIR PHYSICIAN'S OFFICE.IN ADDITION TO PHYSICAL EXPANSION, PMC, ACCREDITED BY THE JOINT COMMISSION, HAS EXPERIENCED SIGNIFICANT GROWTH IN PATIENT VOLUMES. ADMISSIONS INCREASED TO 12,588 IN FY 2014 FROM 11,971 IN FY 2013; EMERGENCY DEPARTMENT VISITS INCREASED TO 48,217 IN FY 2014 FROM 46,257 IN FY 2013; INPATIENT SURGICAL PROCEDURES INCREASED TO 5,102 IN FY 2014 FROM 4,467 IN FY 2013; AND OUTPATIENT VISITS INCREASED TO 433,672 IN FY 2014 FROM 416,140 IN FY 2013.PMC CONTINUES TO RECRUIT HIGHLY-QUALIFIED PROFESSIONALS AT A TIME WHEN MANY HOSPITALS ARE REDUCING THE WORKFORCE OR CLOSING. CURRENTLY, PMC EMPLOYS NEARLY 2,500 PEOPLE, HAVING HIRED 572 EMPLOYEES IN FY 2014. OVER 260 PHYSICIANS ARE CREDENTIALED TO PRACTICE AT PMC. IN THE PAST THREE YEARS, THE HOSPITAL HAS RECRUITED MORE THAN 100 PHYSICIANS AND CONTRACTED MORE THAN 22 WITH START DATES RANGING FROM JULY 2015 TO AUGUST 2020.THE HOSPITAL OFFERS OVER 400 SERVICES, INCLUDING EVERY MAJOR SPECIALTY AND MANY SUBSPECIALTIES, AND IS A PROUD MEMBER OF THE MAYO CLINIC CARE NETWORK. THIS TREMENDOUS GROWTH, ALONG WITH A STRONG FINANCIAL POSITION, HAS ALLOWED PMC TO SIGNIFICANTLY EXPAND ITS SERVICE LINES. SERVICES INCLUDE AN AWARD-WINNING, FULL-SERVICE CANCER CENTER; VERIFIED LEVEL II TRAUMA CENTER; ACCREDITED CYCLE IV CHEST PAIN CENTER; 40-BED INPATIENT PHYSICAL REHABILITATION HOSPITAL; ACCREDITED GOLD PLUS STROKE CENTER; STATE-OF-THE-ART EMERGENCY DEPARTMENT; NEUROSCIENCE CENTER; LEVEL II NEONATAL INTENSIVE CARE UNIT; WOUND CARE CENTER; WEIGHT LOSS SURGERY CENTER; SLEEP CENTERS; DIAGNOSTIC CENTER; AND PRIMARY AND SPECIALTY PHYSICIAN PRACTICES, JUST TO NAME A FEW.PMC TAKES PRIDE IN MAINTAINING STATE-OF-THE-ART TECHNOLOGY WHICH INCLUDES TWO LINEAR ACCELERATORS, ONE 32-SLICE LARGE BORE CT SCANNER, TWO 320-SLICE CT SCANNERS, TWO 64-SLICE CT SCANNERS, TWO 1.5T OPEN MRI SCANNERS, A 3.0T OPEN MRI SCANNER, AND A STATIONARY PET/CT SCANNER, ALL OF WHICH PROVIDE HIGH-QUALITY IMAGES FOR ADVANCED DETECTION. RECOGNITION HAS BEEN GIVEN TO PMC AT MANY LEVELS FOR PROVIDING QUALITY CARE AND BEING AN EMPLOYER OF CHOICE. THE NATION'S ONLY THREE-TIME WINNER OF NATIONAL HOSPITAL OF THE YEAR, PMC WAS NAMED ONE OF THE BEST PLACES TO WORK IN KENTUCKY FOR SEVEN YEARS AND RANKED IN THE TOP 10 BEST PLACES TO WORK IN THE NATION BY MODERN HEALTHCARE FOR FOUR YEARS. PMC IS AMONG THE TOP FIVE PERCENT OF HOSPITALS IN AMERICA TO ACHIEVE THE HIGHEST PATIENT SATISFACTION RATING POSSIBLE - FIVE-STARS - FROM THE CENTERS FOR MEDICARE &amp; MEDICAID SERVICES.PMC'S CONTINUOUS GROWTH HAS MADE IT POSSIBLE TO ENHANCE COMMUNITY OUTREACH EFFORTS. THE HOSPITAL PROVIDES A VARIETY OF EDUCATIONAL, WELLNESS AND PREVENTIVE HEALTH SERVICES THAT IT CONSIDERS ESSENTIAL TO ITS MISSION "TO PROVIDE QUALITY, REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT."CHARITY CARE: THROUGH DEFINED POLICIES AND PROCEDURES, PMC RECORDED UNCOMPENSATED CHARITY OF MORE THAN $29,447,000 DURING FY 2014 (SERVICES AT HOSPITAL'S ESTABLISHED RATES). HEALTH CARE SUPPORT SERVICES:BLOOD DRIVES - PMC HOSTS BLOOD DRIVES ON A REGULAR BASIS. 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 ACCORDANCE WITH THE KENTUCKY BLOOD CENTER. IN FY 2014, 121 DONORS PARTICIPATED IN PMC'S SIX BLOOD DRIVES AND DONATED 155 UNITS OF BLOOD, WHICH HELPED SAVE UP TO 465 LIVES. THESE EVENTS COST PMC $869.MEALS ON WHEELS - IN FY 2014, PMC PROVIDED 4,031 MEALS AT A COST OF $23,831.GUEST MEALS - PMC DONATED 12,120 FOOD TRAYS TO GUESTS AT A COST OF $78,780 IN FY 2014.NEWBORN PARENT MEALS - NEW MOTHERS AND A GUEST RECEIVE A COMPLIMENTARY MEAL WITH THEIR CHOICE OF ENTREE DURING THE MOTHER'S HOSPITAL STAY. IN FY 2014, 788 MEALS WERE SERVED FOR A TOTAL CONTRIBUTION OF $10,499.INDIGENT SUPPORT SERVICES - MANY PATIENTS NEED FINANCIAL ASSISTANCE WITH PRESCRIBED MEDICATIONS, MEALS, TRANSPORTATION, AND OTHER ITEMS OR SERVICES. TO HELP RELIEVE FINANCIAL BURDEN, PMC'S CHAPLAIN SERVICES, CASE MANAGEMENT AND LEONARD LAWSON CANCER CENTER DEPARTMENTS PROVIDED ASSISTANCE TO 634 PATIENTS TOTALING $23,269 IN FY 2014. ASSISTANCE WENT TO PATIENTS NEEDING PRESCRIBED MEDICATIONS AND TRANSPORTATION UPON DISCHARGE. TRANSPORTATION SUPPORT WAS ALSO PROVIDED TO PATIENTS NEEDING TO GET TO AND FROM THE HOSPITAL TO RECEIVE CARE, AND FOOD VOUCHERS WERE GIVEN TO PATIENTS AND THEIR FAMILIES. IN ADDITION, THE HOSPITAL PURCHASED CHILD CAR SEATS, MEDICAL EQUIPMENT AND MEDICAL SUPPLIES FOR PATIENTS IN NEED.SPIRITUAL - PMC'S CHAPLAINCY DEPARTMENT WORKS 24/7 TO ENSURE THAT PATIENTS' SPIRITUAL NEEDS ARE MET. THE STAFF ROUNDS DAILY ON EACH PATIENT, OFFERING WORDS OF ENCOURAGEMENT AND PRAYER. IN FY 2014, 2,000 HEALING WORD DEVOTIONALS AND 973 BIBLES FOR NEWBORNS WERE DISTRIBUTED. THIS SERVICE PROVIDED A COMMUNITY BENEFIT OF MORE THAN $4,300.COMMUNITY FINANCIAL DONATIONS: IN FY 2014, PMC ONCE AGAIN PROVED TO BE A STRONG CORPORATE CITIZEN. IN ADDITION TO ENCOURAGING EMPLOYEE PARTICIPATION IN COMMUNITY ACTIVITIES AND EVENTS, THE HOSPITAL GAVE $90,600 IN FINANCIAL SUPPORT TO SUCH ENTITIES AS:ST. JUDE CHILDREN'S RESEARCH HOSPITALJOHNS CREEK DISABLED AMERICAN VETERANSUNIVERSITY OF PIKEVILLEUNIVERSITY OF PIKEVILLE CONCERT CHOIRKENTUCKY CHAMBER OF COMMERCETHE INDEPENDENCE FUNDMYLIFESPEAKSJENNY WILEY THEATREKENTUCKY ASSOCIATION FOR GERONTOLOGYAMERICAN CANCER SOCIETYWILLIAMSON CVBOPERATION UNITEMARCH OF DIMESKENNETH HUFFMAN MEMORIAL TENNIS FOUNDATIONJUVENILE DIABETES RESEARCH FOUNDATIONMOUNTAIN HERITAGE FESTIVAL LOCAL TALENTSOUTHEAST KENTUCKY CHAMBER OF COMMERCEPAINT PIKEVILLE PINK 5K RUN/WALKAFTER BREAST CANCER SUPPORT GROUPFUNDRAISING: ON AUGUST 16, 2014, PMC HOSTED ITS FIRST "COLORS OF COURAGE" 5K FUNDRAISER IN PIKEVILLE TO BENEFIT UNDERINSURED CANCER PATIENTS OF THE HOSPITAL'S LEONARD LAWSON CANCER CENTER. AN ESTIMATED 1,000 PEOPLE PARTICIPATED IN THE EVENT. HOSPITAL EMPLOYEES ORGANIZED, PUBLICIZED AND WORKED THE EVENT. THE TOTAL COMMUNITY BENEFIT WAS $21,543. THE COST OF FUNDRAISING WAS $7,512.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH (CONTINUED)HEALTH SCREENINGS AND IMMUNIZATION: PMC HELD TWO FREE COMMUNITY HEALTH SCREENINGS DURING FY 2014 INCLUDING A DIABETES SCREENING AND A PROSTATE AND COLORECTAL CANCER SCREENING. HEALTH EDUCATION MATERIALS WERE DISTRIBUTED AT THE EVENTS, WHICH WERE ATTENDED BY MORE THAN 100 PEOPLE. ALL SCREENINGS WERE HOSTED BY PMC PHYSICIANS, NURSES AND/OR SUPPORT STAFF. THE EVENTS PROVIDED A COMMUNITY BENEFIT IN OF $2,896. OTHER EVENTS DURING WHICH PMC HOSTED FREE HEALTH SCREENINGS INCLUDED- FIRST-AID BOOTH AT HILLBILLY DAYS- STROKE AWARENESS DAY- SEKY CHAMBER LEADERSHIP SOUTHEAST KENTUCKYIN ADDITION, PMC OFFERED DRIVE-UP FLU SHOTS ON OCTOBER 5, 2013, REACHING 32 INDIVIDUALS AT A COST OF $721.COMMUNITY HEALTH EDUCATION: PMC'S STAFF REMAINS ACTIVE IN EDUCATING THE COMMUNITY ON IMPORTANT HEALTH CARE TOPICS. THROUGHOUT FY 2014, HOSPITAL REPRESENTATIVES FROM VARIOUS DEPARTMENTS SPOKE TO LOCAL CIVIC CLUBS, SCHOOLS, MEDICAL PROFESSIONALS AND THE PUBLIC AT LARGE. THROUGH ITS 170 COMMUNITY EDUCATION EFFORTS IN FY 2014, PMC CONTRIBUTED $415,789.PMC EMPLOYEES PARTICIPATED IN THE FOLLOWING LECTURES/PRESENTATIONS/PUBLICATIONS DURING FY 2014:- BLS TRAINING CLASS- CANCER AND GENERAL HEALTH EDUCATION AT UNITED PARCEL SERVICES- CHILDBIRTH CLASSES (48) - CPR TRAINING CLASS- ELKHORN SENIOR CITIZENS CENTER HEALTH FAIR- HEALTH TALK PROGRAMS (12)- HELP OVERCOME TOBACCO &amp; DRUGS YOUTH CONFERENCE- MARROWBONE SENIOR CITIZENS HEALTH FAIR- MAYO MINUTE PROGRAMS (4)- MEDICAL LEADER COMMUNITY PUBLICATION AND WEBSITE- PIKEVILLE SENIOR CITIZENS CENTER HEALTH FAIR- PIKEVILLE YMCA HEALTHY MONDAY- PIKEVILLE YMCA WELLNESS WEDNESDAY- STROKE AWARENESS DAY- WEIGHT LOSS SURGERY EDUCATION SEMINARS (44)CHILDBIRTH CLASSES - PMC'S EDUCATION DEPARTMENT HOSTS FOUR CHILDBIRTH CLASSES A MONTH TO EDUCATE PARENTS-TO-BE ON WHAT TO EXPECT DURING LABOR AND AFTER BRINGING THEIR BABY HOME. INFORMATION DISCUSSED INCLUDES WHAT TO BRING TO THE HOSPITAL, HOSPITAL SERVICES, AVAILABLE PEDIATRICIANS, KANGAROO CARE, MANAGING LABOR PAIN AND EPIDURALS, BASIC NEWBORN CARE, CIRCUMCISION, CORD CARE, INFANT CPR, IMMUNIZATIONS AND BREASTFEEDING. ATTENDEES ALSO RECEIVE A TOUR OF THE LABOR AND DELIVERY FLOOR. THIS SERVICE COST $4,981 IN FY 2014. HEALTH TALK - EACH WEEK, PMC'S PUBLIC RELATIONS DEPARTMENT RECORDS A 30-MINUTE RADIO SHOW THAT IS AIRED ON NINE LOCAL RADIO STATIONS COVERING PIKE, FLOYD, LETCHER, JOHNSON, KNOTT, MAGOFFIN AND MARTIN COUNTIES IN KENTUCKY AND MINGO COUNTY, WEST VIRGINIA. THROUGH THIS SHOW, PMC INFORMS LISTENERS OF NEW HEALTH SERVICES, PHYSICIANS AND TECHNOLOGY AT THE HOSPITAL. THIS PROGRAM EDUCATES THE PUBLIC ON HEALTH TOPICS OF INTEREST WHICH HAVE INCLUDED FAMILY MEDICINE; FLU; PULMONARY REHABILITATION; CANCER SYMPTOMS, PREVENTION AND TREATMENT; AND DIABETES. IN FY 2014, THE TOTAL COST FOR THIS PROGRAM WAS NEARLY $78,901.MAYO MINUTE - PMC REGULARLY SPONSORS MAYO MINUTE RADIO SPOTS FROM MAYO CLINIC AS A MAYO CLINIC CARE NETWORK MEMBER. THE 60-SECOND RADIO SPOTS ARE AIRED ON NINE LOCAL RADIO STATIONS COVERING PIKE, FLOYD, LETCHER, JOHNSON, KNOTT, MAGOFFIN AND MARTIN COUNTIES IN KENTUCKY AND MINGO COUNTY, WEST VIRGINIA. MAYO MINUTE COVERS A WIDE RANGE OF HEALTH TOPICS. IN FY 2014, THE TOTAL COST FOR THIS PROGRAM WAS $31,645.MEDICAL LEADER - PMC PUBLISHES A WEEKLY NEWSPAPER, MEDICAL LEADER, IN WHICH HEALTH INFORMATION IS PRINTED ALONG WITH CONTENT ABOUT PMC SERVICES, PHYSICIANS AND TECHNOLOGY. THE HOSPITAL PRINTS 8,500 COPIES OF MEDICAL LEADER WEEKLY AND DISTRIBUTES THEM, FREE OF CHARGE, TO NUMEROUS LOCATIONS IN PIKE, FLOYD AND LETCHER COUNTIES IN KENTUCKY, AND MINGO COUNTY, WEST VIRGINIA. MEDICAL LEADER, WHICH HAS ITS OWN WEBSITE, HAS NEARLY 4,500 EMAIL SUBSCRIBERS AND MORE THAN 3,000 SOCIAL MEDIA FOLLOWERS. THIS COMMUNITY BENEFIT EXCEEDED $190,400 IN FY 2014.WEIGHT LOSS SURGERY EDUCATION SEMINARS - PMC'S WEIGHT LOSS SURGERY CENTER STAFF TRAVELS WEEKLY ACROSS THE REGION, EDUCATING THE PUBLIC ON VARIOUS BARIATRIC SURGERY, WEIGHT MANAGEMENT AND NUTRITION TOPICS. SEMINARS ARE ADVERTISED PRIOR TO THE EVENTS TO INCREASE PUBLIC AWARENESS. DURING FY 2014, THIS COMMUNITY BENEFIT TOTALED $13,569.COMMUNITY SELF-HELP EDUCATION: TWENTY SMOKING CESSATION CLASSES WERE OFFERED BY PMC DURING FY 2014, REACHING 31 PARTICIPANTS AT A COST OF $2,674.HEALTH PROFESSIONS EDUCATION: DURING FY 2014, PMC INVESTED $715,879 IN HEALTH PROFESSIONS EDUCATION. PMC SERVES AS A CLINICAL TRAINING SITE FOR RESIDENTS, HEALTHCARE STUDENTS FROM REGIONAL UNIVERSITIES AND COLLEGES, AND OTHER HEALTHCARE PROFESSIONALS. PMC TRAINED APPROXIMATELY 316 STUDENTS AFFILIATED WITH 80 INSTITUTIONS IN FY 2014. SCHOOLS AFFILIATED WITH PMC INCLUDE: AMERICAN OSTEOPATHIC ASSOCIATIONAUERBACH SCHOOL OF OCCUPATIONAL THERAPY AT SPALDING UNIVERSITYA.T. STILL UNIVERSITY OF HEALTH SCIENCES SCHOOL OF OSTEOPATHIC MEDICINEA.T. STILL UNIVERSITY/KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINEBECKFIELD COLLEGEBELFRY AREA TECHNOLOGY CENTERBELLARMINE UNIVERSITYBLUEFIELD COLLEGECAMPBELLSVILLE UNIVERSITY CARVER SCHOOL OF SOCIAL WORK &amp; COUNSELINGCHATHAM UNIVERSITYDES MOINES UNIVERSITYDEVRY UNIVERSITYDUKE UNIVERSITYEASTERN KENTUCKY UNIVERSITYEDWARD VIA VIRGINIA COLLEGE OF OSTEOPATHIC MEDICINEEMERGENCY MEDICAL EDUCATORSFRONTIER SCHOOL OF MIDWIFERY AND FAMILY NURSINGHUNTINGTON JUNIOR COLLEGEHUTCHINSON COMMUNITY COLLEGEIOWA COLLEGE ACQUISITION CORP. D/B/A KAPLAN UNIVERSITYJEFFERSON COLLEGE OF HEALTH SCIENCESJOHNS HOPKINS UNIVERSITYKENTUCKY COMMUNITY TECHNICAL COLLEGE SYSTEMLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE-BRADENTON LETCHER COUNTY AREA TECHNOLOGY CENTERLIBERTY UNIVERSITYLINCOLN MEMORIAL UNIVERSITY - DEBUSK COLLEGE OF OSTEOPATHIC MEDICINELINDSEY WILSON COLLEGEMARIETTA COLLEGEMARSHALL UNIVERSITYMARYVILLE UNIVERSITYMEDICAL UNIVERSITY OF SOUTH CAROLINA, COLLEGE OF HEALTH PROFESSIONSMERIDIAN INSTITUTE OF SURGICAL ASSISTINGMILLIGAN COLLEGEMOREHEAD STATE UNIVERSITYNATIONAL COLLEGE OF BUSINESS - LEXINGTON CAMPUSNATIONAL COLLEGE OF BUSINESS - PIKEVILLE CAMPUSNATIONAL COLLEGE OF BUSINESS - FLORENCE CAMPUSNORTHERN KENTUCKY UNIVERSITYNORTON COMMUNITY HOSPITAL NOVA SOUTHEASTERN UNIVERSITYPARKVIEW NURSING &amp; REHAB CENTER PHELPS VOCATIONAL SCHOOLPIKE COUNTY HEALTH DEPARTMENTROSS UNIVERSITY SCHOOL OF MEDICINESHAWNEE STATE UNIVERSITYSOUTH UNIVERSITY SCHOOL OF PHARMACYSOUTHERN WEST VIRGINIA COMMUNITY &amp; TECHNICAL COLLEGESOUTHWEST VIRGINIA COMMUNITY COLLEGESPENCERIAN COLLEGEST. CLAIRE FAMILY MEDICINE RESIDENCYST. JAMES SCHOOL OF MEDICINESULLIVAN UNIVERSITY COLLEGE OF PHARMACYTENNESSEE BOARD OF REGENTSTENNESSEE TECHNOLOGY CENTER AT ELIZABETHTONTRANS STAR TRAINING ACADEMYUNION UNIVERSITYUNIVERSITY OF APPALACHIA COLLEGE OF PHARMACYUNIVERSITY OF CHARLESTONUNIVERSITY OF CINCINNATIUNIVERSITY OF THE CUMBERLANDSUNIVERSITY OF KENTUCKYUNIVERSITY OF LOUISVILLEUNIVERSITY OF NORTH CAROLINAUNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTHUNIVERSITY OF PIKEVILLEUNIVERSITY OF PIKEVILLE KENTUCKY COLLEGE OF OSTEOPATHIC MEDICINEUNIVERSITY OF SOUTH ALABAMAUNIVERSITY OF WISCONSIN - OSHKOSH VIRGINIA APPALACHIAN TRICOLLEGE NURSING PROGRAMVIRGINIA COMMONWEALTH UNIVERSITYWALDEN UNIVERSITYWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINEWEST VIRGINIA UNIVERSITY BOARD OF GOVERNORSWESTERN KENTUCKY UNIVERSITYWHEELING JESUIT UNIVERSITY WILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINEWINDSOR UNIVERSITY SCHOOL OF MEDICINE</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. PMC OPERATES THE ONLY INTEGRATED OSTEOPATHIC FAMILY MEDICINE AND MANIPULATIVE TREATMENT/NEUROMUSCULOSKELETAL MEDICINE RESIDENCY PROGRAM IN KENTUCKY, THE ONLY PLUS-ONE NEUROMUSCULOSKELETAL AND OSTEOPATHIC MANIPULATIVE MEDICINE RESIDENCY PROGRAM IN KENTUCKY, AND ONE OF ONLY SIX OSTEOPATHIC FAMILY MEDICINE AND MANIPULATIVE TREATMENT MEDICINE RESIDENCY PROGRAMS IN KENTUCKY. THE HOSPITAL, IN CONJUNCTION WITH THE RESIDENCY PROGRAM, OPERATES A FAMILY PRACTICE CLINIC WHICH TREATS APPROXIMATELY 12,000 PATIENTS ANNUALLY. THIS SERVICE ALLOWS PMC TO EDUCATE AND RETAIN COMPETENT, SKILLED PHYSICIANS IN THE REGION. DURING THE RESIDENCY YEAR OF JULY 2013 TO JUNE 2014, PMC TRAINED 13 RESIDENTS. THIS PROGRAM PROVIDED A COMMUNITY BENEFIT OF $685,723.MEDICAL STUDENTS - PMC STAFF HELD TWO LECTURES AND THREE CLASSES FOR 57 MEDICAL STUDENTS COVERING SUCH TOPICS AS:- HIPPA: THE FEDERAL HEALTH INSURANCE PORTABILITY &amp; ACCESSIBILITY ACT OF 1996/2003- EKG CLASS (3)- YOUR BONES &amp; OSTEOPOROSISCONTINUING HEALTH PROFESSIONALS EDUCATION - PMC HAS AN ACTIVE MEDICAL LIBRARY STAFF THAT 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 2014, PMC OFFERED 59 CME PRESENTATIONS, REACHING MORE THAN 1,600 ATTENDEES. THIS SERVICE PROVIDED A COMMUNITY BENEFIT OF $30,156. THE EDUCATIONAL OPPORTUNITIES OFFERED BY THE HOSPITAL DURING FY 2014 COVERED THE FOLLOWING TOPICS:- ADVANCED CARDIOVASCULAR LIFE SUPPORT (2 EVENTS)- CANCER CASE CONFERENCE (12 EVENTS)- DOT MEDICAL EXAMINER CERTIFICATION TRAINING- HEART SYMPOSIUM- HEPATITIS C SYMPOSIUM- INFECTIOUS DISEASE CONFERENCE (11 EVENTS)- NEUROSCIENCE SYMPOSIUM: FOCUSING ON STROKE- PAIN MANAGEMENT SYMPOSIUM- PEDIATRIC ADVANCED LIFE SUPPORT (2 EVENTS)- SEPSIS/SEPSIS SHOCK - CURRENT TRENDS AT PMC- STROKE CASE CONFERENCE (11 EVENTS)- TRAUMATIC BRAIN INJURY: TREATMENT THROUGHOUT THE TRAUMA CONTINUUM- TRAUMA GRAND ROUNDS (12 EVENTS)- TRAUMA SYMPOSIUM- VTE PROPHYLAXIS: BETTER SAFE THAN SORRYPHYSICIAN AND MIDLEVEL PROFESSIONALS RECRUITMENT: THE PRIMARY GOAL OF PMC'S PHYSICIAN RECRUITMENT PROGRAM IS TO ENSURE THAT THE COMMUNITY HAS ACCESS TO THE HIGHEST QUALITY OF MEDICAL CARE AVAILABLE. PHYSICIAN RECRUITMENT IS ESSENTIAL TO ENHANCING THE HEALTH AND WELL BEING OF THE REGION. LOCAL HOSPITALS REFER PATIENTS TO PMC FOR SPECIALTY AND SUB-SPECIALTY SERVICES THEY ARE UNABLE TO PROVIDE. DURING FY 2014, PMC PHYSICIAN RECRUITERS ATTENDED 22 RECRUITMENT CONFERENCES AND RECRUITED 31 PHYSICIANS. TWO MIDLEVEL PROFESSIONALS WERE ALSO ADDED. THE TOTAL COMMUNITY BENEFIT ASSOCIATED WITH RECRUITMENT DURING THIS TIME PERIOD WAS $914,116. THE RECRUITED PHYSICIANS PRACTICE IN THE FOLLOWING SPECIALTIES: - ANESTHESIOLOGY- CARDIOLOGY- CARDIOLOGY/ELECTROPHYSIOLOGY- FAMILY MEDICINE- GENERAL SURGERY- HEMATOLOGY/ONCOLOGY- HOSPITALIST MEDICINE- INFECTIOUS DISEASE- NEPHROLOGY- NEUROLOGY- OSTEOPATHIC MANIPULATIVE THERAPY- OPHTHALMOLOGY- OTOLARYNGOLOGY- PAIN MANAGEMENT- PEDIATRICS- PLASTIC/RECONSTRUCTIVE &amp; HAND SURGERY- RADIATION ONCOLOGY- TRAUMA SURGERY- UROLOGY- VASCULAR SURGERYSUPPORT GROUPS: IN FY 2014, PMC HOSTED/SPONSORED 53 SUPPORT GROUP MEETINGS, REACHING 350 PEOPLE AND PROVIDING $13,569 IN COMMUNITY BENEFITS. BELOW IS A LIST OF THE SUPPORT GROUPS PMC HOSTED/SPONSORED: - GENERAL CANCER SUPPORT GROUP- CELEBRATION OF HOPE- AFTER BREAST CANCER (ABC) SUPPORT GROUP- MAN TO MAN PROSTATE CANCER SUPPORT GROUP- DIABETES SUPPORT GROUP- WEIGHT LOSS SURGERY SUPPORT GROUPOTHER COMMUNITY SUPPORT: THROUGHOUT FY 2014, PMC HOSTED, SPONSORED OR PARTICIPATED IN SEVERAL EVENTS TO SUPPORT THE COMMUNITY INCLUDING: - BIG SANDY WALK TO CURE DIABETES- BLOOD PRESSURE SCREENINGS FOR AMERICAN HEART MONTH- DIGITAL PICTURES WITH SANTA- EAST KENTUCKY MOTORCYCLE SAFETY TRAINING- FIRST-AID BOOTH AT HILLBILLY DAYS FESTIVAL- HOLY WEEK SERVICES- LIGHT THE NIGHT- LIVE NATIVITY- PMC BOOTH AT NIGHTMARE ON MAIN- PMC PHYSICAL REHAB REUNION &amp; SENIOR DAY- RELAY FOR LIFE- SCHOOL BOOK SPONSOR- YMCA 16TH ANNUAL KIDS BENEFIT GOLF TOURNAMENT - YMCA HEALTHY KIDS DAY &amp; EASTER EGG HUNTTHE TOTAL COMMUNITY BENEFIT FOR THESE EVENTS WAS $55,897.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>UNITE FOUNDATION INC</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>2292 SOUTH HWY 27</AddressLine1>
          <City>SOMERSET</City>
          <State>KY</State>
          <ZIPCode>42501</ZIPCode>
        </USAddress>
        <RecipientEIN>562338443</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP FOR NATIONAL RX DRUGE ABUSE SUMMIT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>JENNY WILEY DRAMA ASSOCIATION INC</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>PO BOX 22</AddressLine1>
          <City>PRESTONSBURG</City>
          <State>KY</State>
          <ZIPCode>41653</ZIPCode>
        </USAddress>
        <RecipientEIN>610667976</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP FOR "WHITE CHRISTMAS" AND "A SECOND HELPING: THE CHURCH BASEMENT</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1>SOUTHEAST KENTUCKY CHAMBER OF COMMERCE</BusinessNameLine1>
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          <AddressLine1>178 COLLEGE STREET</AddressLine1>
          <City>PIKEVILLE</City>
          <State>KY</State>
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        <PurposeOfGrantTxt>SPONSORSHIP FOR ANNUAL AWARDS CEREMONY &amp; BANQUET</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1>AMERICAN CANCER SOCIETY INC</BusinessNameLine1>
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          <AddressLine1>PO BOX 1517</AddressLine1>
          <City>PIKEVILLE</City>
          <State>KY</State>
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        <RecipientEIN>131788491</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP FOR RELAY FOR LIFE PIKE COUNTY</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1>THE INDEPENDENCE FUND</BusinessNameLine1>
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          <AddressLine1>290 CALLAWAY AVENUE</AddressLine1>
          <City>PENSACOLA</City>
          <State>FL</State>
          <ZIPCode>32505</ZIPCode>
        </USAddress>
        <RecipientEIN>260322088</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION FOR VETERAN'S TRACK CHAIR FUND</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>5</Total501c3OrgCnt>
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        <GrantTypeTxt>ASSISTANCE FOR UNINSURED PATIENTS FOR PRESCRIPTIONS, CAFE VOUCHERS, TRANSPORTATION, MEDICAL EQUIPMENT AND CANCER TREATMENT TRAVEL ASSISTANCE. THERE WERE 387 PRESCRIPTIONS PROVIDED, 462 CAFE VOUCHERS PROVIDED, AND 118 RECIPIENTS OF TRAVEL ASSISTANCE.</GrantTypeTxt>
        <RecipientCnt>751</RecipientCnt>
        <CashGrantAmt>24877</CashGrantAmt>
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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>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JUANITA DESKINS</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBRA PARSONS</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHERYL HICKMAN</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RUSSELL SHANKLIN</PersonNm>
        <TitleTxt>ASSISTANT CHIEF INFORMATION OFFICER</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>21774</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>201272</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PEGGY JUSTICE</PersonNm>
        <TitleTxt>VP PHYSICIAN NETWORK</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBORAH PUCKETT</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CATHERINE JORGENSEN</PersonNm>
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        <TotalCompensationFilingOrgAmt>189973</TotalCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEITH HALL MD</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1075086</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENZIL HARRIS MD</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <NontaxableBenefitsFilingOrgAmt>22557</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>1022775</TotalCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMY JOHNSON MD</PersonNm>
        <TitleTxt>BARIATRIC SURGEON</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>377542</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>450</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsFilingOrgAmt>22557</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>876463</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>DR. HALL, DR. PUGH, AND DR. BROWN EARN QUARTERLY BONUSES BASED ON A PERCENTAGE OF THE NET COLLECTIONS OF THE PHYSICIANS PRACTICES OVER 150% OF THEIR BASE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>CITY OF PIKEVILLE KY</BusinessNameLine1>
        </IssuerName>
        <BondIssuerEIN>616001897</BondIssuerEIN>
        <CUSIPNum>72134PAR3</CUSIPNum>
        <BondIssuedDt>2011-04-27</BondIssuedDt>
        <IssuePriceAmt>90370651</IssuePriceAmt>
        <PurposeDesc>SEE BELOW</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>CITY OF PIKEVILLE KY</BusinessNameLine1>
        </IssuerName>
        <BondIssuerEIN>616001897</BondIssuerEIN>
        <CUSIPNum>72134PAU6</CUSIPNum>
        <BondIssuedDt>2014-02-20</BondIssuedDt>
        <IssuePriceAmt>45323550</IssuePriceAmt>
        <PurposeDesc>SEE BELOW</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>90370651</TotalProceedsAmt>
        <InReserveFundAmt>3563671</InReserveFundAmt>
        <IssuanceCostsFromProceedsAmt>1328586</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>41241831</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>44236511</OtherSpentProceedsAmt>
        <UnspentAmt>52</UnspentAmt>
        <SubstantialCompletionYr>2014</SubstantialCompletionYr>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceedsAmt>45323550</TotalProceedsAmt>
        <CapitalizedInterestAmt>238750</CapitalizedInterestAmt>
        <IssuanceCostsFromProceedsAmt>327500</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>30540768</CapitalExpendituresAmt>
        <UnspentAmt>14216532</UnspentAmt>
        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>1</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.01100</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.01100</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCH K</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BONDS AND NOTES WERE ISSUED FOR THE PURPOSES OF PROVIDING FUNDS TO BE USED TO 1)FINANCE A PORTION OF THE COSTS OF CERTAIN ADDITIONS, RENOVATIONS, IMPROVEMENTS AND EQUIPMENT FOR PIKEVILLE MEDICAL CENTER 2)REFUND KY ECONOMIC DEVELOPMENT FINANCE AUTHORITY HOSPITAL REVENUE AND REFUND REVENUE BONDS, SERIES 1997 3)RETIRE CERTAIN OUTSTANDING TAXABLE DEBT 4)FUND A DEBT SERVICE RESERVE FUND 5)FUND CAPITALIZED INTEREST DURING CONSTRUCTION OF THE PROJECT AND 6)PAY COST OF ISSUANCE OF THE BONDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <GrntAsstBnftInterestedPrsnGrp>
        <PersonNm>BRANDI MAY</PersonNm>
        <RelationshipWithOrgTxt>DAUGHTER IN LAW OF WALTER E. MAY</RelationshipWithOrgTxt>
        <CashGrantAmt>7988</CashGrantAmt>
        <TypeOfAssistanceTxt>EMPLOYEE EDUCATIONAL ASSISTANCE</TypeOfAssistanceTxt>
        <AssistancePurposeTxt>EMPLOYEE EDUCATIONAL ASSISTANCE</AssistancePurposeTxt>
      </GrntAsstBnftInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>COMMUNITY TRUST BANK</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY OF WHICH BOARD MEMBER HAS BUSINESS RELATIONSHIP</RelationshipDescriptionTxt>
        <TransactionAmt>8484794</TransactionAmt>
        <TransactionDesc>DAVID COLLINS SERVES AS BOARD MEMBER OF BOTH ENTITIES. SERVICES PROVIDED BY COMMUNITY TRUST BANK TO PIKEVILLE MEDICAL CENTER: -INTEREST INCOME BANKING SERVICES &amp; FUNDS IN TRUST, $518,333.40 -SAFE DEPOSIT BOX FEES/LINE OF CREDIT FEES/BOND ACCT MGMT FEES, $8,065.00 -INSTALLMENT LOAN PAYMENTS, $7,941,687.52 -ADVERTISING INCOME MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $16,708.20</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>EAST KY BROADCASTING AND EAST KY RADIO NETWORK (TOTAL OF NINE RADIO STATION</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITIES MORE THAN 35% OWNED BY WALTER E. MAY, PMC PRESIDENT/CEO</RelationshipDescriptionTxt>
        <TransactionAmt>1005101</TransactionAmt>
        <TransactionDesc>ENTITIES PROVIDE ADVERTISING SERVICES TO PMC, $953,721.84 -ENTITIES PROVIDE ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $51,378.73</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>MESA-ER PHYSICIAN GROUP</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY OF WHICH SUE SMALLWOOD'S STEP GRANDSON IS THE MEDICAL DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>280000</TransactionAmt>
        <TransactionDesc>THE STEP GRANDSON OF PMC BOARD MEMBER SUE SMALLWOOD WAS PIKEVILLE MEDICAL CENTER EMERGENCY DEAPARTMENT MEDICAL DIRECTOR AND AN EMPLOYEE FOR MESA. MESA PROVIDED EMERGENCY DEPARTMENT PHYSICIAN SERVICES FOR PIKEVILLE MEDICAL CENTER.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>PAM MAY LAW FIRM PSC</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY MORE THAN 35% OWNED BY WIFE OF WALTER E. MAY, PMC PRESIDENT/CEO</RelationshipDescriptionTxt>
        <TransactionAmt>1803298</TransactionAmt>
        <TransactionDesc>FIRM PROVIDES LEGAL SERVICES TO PIKEVILLE MEDICAL CENTER.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>PIKEVILLE RADIOLOGY</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY MORE THAN 35% OWNED BY TWO PMC BOARD MEMBERS</RelationshipDescriptionTxt>
        <TransactionAmt>36769</TransactionAmt>
        <TransactionDesc>ALEX POULOS, M.D. &amp; DENNIS HALBERT, M.D. ARE PARTNERS OF PIKEVILLE RADIOLOGY WITH WHOM PIKEVILLE MEDICAL CENTER CONTRACTS WITH FOR RADIOLOGY SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>US BANK</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY OF WHICH FAMILY MEMBER OF PEGGY JUSTICE HAS BUSINESS RELATIONSHIP</RelationshipDescriptionTxt>
        <TransactionAmt>1310639</TransactionAmt>
        <TransactionDesc>BROTHER OF KEY EMPLOYEE, PEGGY JUSTICE, SERVES AS BOARD MEMBER OF ENTITY. SERVICES PROVIDED BY US BANK TO PIKEVILLE MEDICAL CENTER: INSTALLMENT LOAN PAYMENTS, $1,196,833.92 - RENT, $110,405.90 -ADVERTISING INCOME MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $3,399.00</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>CREATIVE PROMOTIONSCREATIVE SIGNS</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY OWNED BY SON IN LAW OF WALTER E. MAY, PMC PRESIDENT/CEO</RelationshipDescriptionTxt>
        <TransactionAmt>61845</TransactionAmt>
        <TransactionDesc>PIKEVILLE MEDICAL CENTER PURCHASES PROMOTIONAL PRODUCTS AND SIGNAGE FROM THIS ENTITY.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ANDREA ALLARA</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER OF JOE DEAN ANDERSON, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>41966</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS RADIOLOGY COORDINATOR.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ROBERT BELL</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>STEP SON OF HOBART JOHNSON, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>98342</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS NUTRITIONAL SERVICES HEAD CHEF.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CAMILLA DAMRON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER OF JO NELL ROBINSON, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>73872</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A SPEECH LANGUAGE PATHOLOGIST.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>BART DAVIS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>GRANDSON OF JO NELL ROBINSON, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>51018</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR OF FLEET.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SARAH HARRIS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER OF CHERYL HICKMAN, PMC KEY EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>70823</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS IT- PRACTICE PROJECT MANAGER.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>RANDY L JOHNSON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SON IN LAW OF WALTER E. MAY, PMC PRESIDENT/CEO</RelationshipDescriptionTxt>
        <TransactionAmt>59148</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS ASSISTANT DIRECTOR-CHAPLAIN SERVICE</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>BRANDI MAY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER IN LAW OF WALTER E. MAY, PMC PRESIDENT/CEO</RelationshipDescriptionTxt>
        <TransactionAmt>90000</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A NURSE PRACTITIONER.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KAMINSKI ROBINSON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>HUSBAND OF JO NELL ROBINSON, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>64971</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-CHAPLAIN SERVICES.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ANDREA ROBINETTE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>STEP DAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO</RelationshipDescriptionTxt>
        <TransactionAmt>101921</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-PHYSICIAN SERVICES.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>COLLEY STEVENS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>GRANDSON OF T.T. COLLEY, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>50958</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS ASSISTANT DIRECTOR - VALET SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CORDELL WEATHERFORD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>GRANDSON IN LAW OF WALTER E MAY, PMC PRESIDENT/CEO</RelationshipDescriptionTxt>
        <TransactionAmt>90754</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS ASSISTANT VICE PRESIDENT-ADMINISTRATION.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CAROLINA WEATHERFORD DBA CLW EDITIN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>GRANDDAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO</RelationshipDescriptionTxt>
        <TransactionAmt>17250</TransactionAmt>
        <TransactionDesc>ENTITY PROVIDES PROOFREADING SERVICES FOR PIKEVILLE MEDICAL CENTER'S MEDICAL LEADER PUBLICATION.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>SUMMIT ENGINEERING</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY OF WHICH PMC KEY EMPLOYEE PEGGY JUSTICE'S BROTHER IS A PARTNER</RelationshipDescriptionTxt>
        <TransactionAmt>21526</TransactionAmt>
        <TransactionDesc>ENTITY PROVIDES ENGINEERING SERVICES TO PIKEVILLE MEDICAL CENTER.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ADRIENNE ADKINS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>STEP GRANDDAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO</RelationshipDescriptionTxt>
        <TransactionAmt>54285</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS STAFF REGISTERED NURSE</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>TRISTAN BLACKBURN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SON OF DEBRA BLACKBURN, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>45626</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS COMPUTER SYSTEMS ANALYST</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>DWIGHT BUCKLEY JR</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BROTHER IN LAW OF DEBRA BLACKBURN, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>47647</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL AS MANAGER RESPIRATORY THERAPY AND SLEEP LAB</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>RHONDA COLEMAN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SISTER IN LAW OF DEBRA BLACKBURN, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>25782</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS PRE-CERTIFICATION CLERK</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>RITA CRUM</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SISTER IN LAW OF AARON CRUM, M.D., PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>53782</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS STAFF DEVELOPMENT SPECIALIST</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MIRANDA FORSYTH</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SISTER IN LAW OF DEBRA BLACKBURN, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>20426</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS STAFF REGISTERED NURSE</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>REGINALD HICKMAN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SPOUSE OF CHERYL HICKMAN, PMC KEY EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>30731</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS ASSISTANT VICE PRESIDENT-MATERIALS</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>CITY OF PIKEVILLE</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY OF WHICH SPOUSE OF DEBRA BLACKBURN HAS BUSINESS RELATIONSHIP</RelationshipDescriptionTxt>
        <TransactionAmt>766515</TransactionAmt>
        <TransactionDesc>SPOUSE OF PMC BOARD MEMBER, DEBRA BLACKBURN, EMPLOYED AS CITY MANAGER OF CITY OF PIKEVILLE. SERVICES PROVIDED BY CITY OF PIKEVILLE TO PIKEVILLE MEDICAL CENTER: GAS, TRASH, WATER, AND SEWER UTILITY PAYMENTS, $763,510.51 -ADVERTISING INCOME MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $3,004.00</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DR ALEX POULOS &amp; DR DENNIS HALBERT PARTNERS IN PIKEVILLE RADIOLOGY. DAVID COLLINS, CPA MEMBER OF COMMUNITY TRUST BANK BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE CFO AND HOSPITAL ATTORNEY PRIOR TO FILING. ADDITIONALLY, THE GOVERNING BODY REVIEWS AND APPROVES THE FINAL FORM 990 INCLUDING REQUESTED SCHEDULES. COPIES ARE PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY UPON REQUEST.</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 BOARD 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, CHILDREN, 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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE SALARY OF THE ORGANIZATION'S CEO. THE COMMITTEE USES COMPARATIVE DATA FROM NATIONAL SALARY SURVEYS. MOTION AND APPROVALS FROM THE COMMITTEE ARE KEPT IN THE MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES MAKE THE FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEREST IN CHARITABLE REMAINDER TRUST 499,176.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII</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>
      </SupplementalInformationDetail>
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        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
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      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>1577601</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>LANDMARK PROPERTIES</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>1048017</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>LANDMARK PROPERTIES</BusinessNameLine1>
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</Return>