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      <MissionDesc>PIKEVILLE MEDICAL CENTER'S MISSION IS TO PROVIDE WORLD CLASS QUALITY HEALTH CARE IN A CHRISTIAN ENVIRONMENT.</MissionDesc>
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      <Desc>PHYSICIAN PRACTICES:CURRENTLY, MORE THAN 450 CREDENTIALED PROVIDERS ARE MEMBERS OF PIKEVILLE MEDICAL CENTER'S MEDICAL STAFF.DURING FY 2018, PMC WELCOMED 25 PHYSICIANS, FOUR PHYSICIAN ASSISTANTS, TWO CERTIFIED REGISTERED NURSE ANESTHETISTS, AND 10 NURSE PRACTITIONERS TO THE ORGANIZATION.THE PHYSICIANS RECRUITED DURING THIS TIME PERIOD CONSIST OF ONE ANESTHESIOLOGIST, FIVE CARDIOLOGISTS, ONE CARDIOTHORACIC SURGEON, TWO PRIMARY CARE PHYSICIANS, TWO EMERGENCY MEDICINE PHYSICIANS, ONE ENDOCRINOLOGIST, FOUR HEMATOLOGISTS/ONCOLOGISTS, THREE HOSPITALISTS, ONE ORTHOPEDIC SURGEON, ONE ORTHOPEDIC TRAUMA SURGEON, ONE PODIATRIST, ONE PULMONOLOGIST/CRITICAL CARE PHYSICIAN, ONE RHEUMATOLOGIST AND ONE SURGICAL ONCOLOGIST.PMC OFFERS MORE THAN 400 SERVICES, INCLUDING EVERY MAJOR SPECIALTY AND MOST SUB-SPECIALTIES. WITH A PROGRESSIVE, SUPPORTIVE ADMINISTRATION AND BOARD OF DIRECTORS, PMC'S PHYSICIANS HAVE THE TOOLS AND TRAINING NECESSARY TO PROVIDE WORLD-CLASS QUALITY HEALTH CARE TO THE REGION. PMC'S 11-STORY CLINIC BUILDING HOUSES THE MAJORITY OF THE ORGANIZATION'S PHYSICIAN PRACTICES INCLUDING CARDIOTHORACIC SURGERY, VASCULAR SURGERY, TRAUMA SURGERY, GENERAL SURGERY, ENDOCRINOLOGY, INTERVENTIONAL RADIOLOGY, GASTROENTEROLOGY, UROLOGY, ORTHOPEDIC TRAUMA SURGERY, ORTHOPEDIC SURGERY, HAND SURGERY, PODIATRY, SPORTS MEDICINE, OBSTETRICS/GYNECOLOGY, PEDIATRICS, INFECTIOUS DISEASE, NEPHROLOGY, NEUROLOGY, NEUROSURGERY, PHYSIATRY, PULMONOLOGY, OPHTHALMOLOGY, OPTOMETRY, OTOLARYNGOLOGY, RHEUMATOLOGY, AND SURGICAL ONCOLOGY. A 10-STORY PARKING GARAGE ON THE MAIN CAMPUS WITH 1,162 PARKING SPACES, DIRECTLY CONNECTED TO THE CLINIC BUILDING, DELIVERS IMPROVED ACCESS TO HEALTH CARE AS THE PATIENTS CONVENIENTLY PARK ON THE SAME FLOOR AS THEIR PHYSICIAN'S OFFICE.IN ADDITION TO PHYSICIAN PRACTICES FOUND IN THE CLINIC, PMC OFFERS: BARIATRIC AND WEIGHT LOSS SURGERY SERVICES IN PIKEVILLE (KENTUCKY); PLASTIC SURGERY IN PIKEVILLE (KENTUCKY); CARDIOLOGY --GENERAL/INVASIVE/INTERVENTIONAL/ELECTROPHYSIOLOGY IN PIKEVILLE, WHITESBURG, PRESTONSBURG, SOUTH WILLIAMSON (KENTUCKY) AND GRUNDY (VIRGINIA); ONCOLOGY MEDICAL/HEMATOLOGY/RADIATION IN PIKEVILLE (KENTUCKY); NEUROLOGY IN WHITESBURG, SOUTH WILLIAMSON, AND PRESTONSBURG (KENTUCKY); FAMILY MEDICINE IN HAROLD, MARTIN AND SHELBY VALLEY (KENTUCKY); OBSTETRICS/GYNECOLOGY IN HAROLD (KENTUCKY); PAIN MANAGEMENT; PATHOLOGY; PSYCHOLOGY; CARDIAC REHABILITATION AND PULMONARY REHABILITATION IN PIKEVILLE (KENTUCKY).PMC ALSO OFFERS EMERGENCY MEDICINE SERVICES AND UTILIZES AROUND-THE-CLOCK HOSPITALISTS, INTENSIVISTS AND NEONATOLOGISTS WHO DEVOTE THEIR PROFESSIONAL TIME TO THE CARE OF HOSPITALIZED PATIENTS.PMC PHYSICIANS COMPLETED 392,324 PATIENT VISITS DURING FY 2018, AN INCREASE OF 7 PERCENT FROM THE PREVIOUS YEAR. MANY EXISTING PHYSICIAN PRACTICES EXPERIENCED SIGNIFICANT GROWTH DURING THE YEAR: NEPHROLOGY (55% VOLUME INCREASE), RHEUMATOLOGY (47% VOLUME INCREASE), INTERVENTIONAL RADIOLOGY (41% VOLUME INCREASE), UROLOGY (22% VOLUME INCREASE), AND ORTHOPEDICS (12% VOLUME INCREASE). THE NEW SURGICAL ONCOLOGY SPECIALTY PRACTICE RECORDED 1,055 PATIENT VISITS DURING THE FISCAL YEAR.PMC STRIVES TO ENSURE THERE IS AN ADEQUATE SUPPLY OF PRIMARY CARE PHYSICIANS FOR THE RURAL REGION IN WHICH IT SERVES AND IS A FOUNDING MEMBER OF THE APPALACHIAN OSTEOPATHIC POST GRADUATE TRAINING CONSORTIUM. TO FACILITATE THE EDUCATION OF PRIMARY CARE PHYSICIANS, 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 FAMILY MEDICINE AND OSTEOPATHIC MANIPULATIVE TREATMENT MEDICINE RESIDENCY PROGRAMS IN KENTUCKY. PMC'S RESIDENCY PROGRAM TRAINED 13 RESIDENTS DURING THE 2017-2018 PROGRAM YEAR. THE FAMILY PRACTICE CLINIC IN CONJUNCTION WITH THE RESIDENCY PROGRAM HAD MORE THAN 13,500 PATIENT VISITS DURING FY 2018. TO FURTHER MEET THE GROWING NEED FOR PRIMARY CARE PHYSICIANS WITHIN UNDERSERVED COMMUNITIES ACROSS THE REGION, PMC OPENED A NEW PRIMARY CARE CLINIC IN MARTIN, KENTUCKY DURING FY 2018. PATIENTS OF ALL AGES WHO ARE IN NEED OF URGENT CARE, HAVE MINOR CUTS AND ABRASIONS, ACUTE BRONCHITIS, HYPERLIPIDEMIA, HYPERTENSION, HYPOTHYROIDISM, OSTEOARTHRITIS, REFLUX ESOPHAGITIS, URINARY TRACT INFECTIONS, ETC ARE SERVED AT THIS NEW CLINIC LOCATION. THE CLINIC RECORDED 633 PATIENT VISITS DURING THE YEAR. THE INVESTMENT IN PMC CLINIC MARTIN TOTALED MORE THAN $30,000. PMC PURCHASED PROPERTY IN WHITESBURG, KENTUCKY AND COMPLETED RENOVATIONS DURING FY 2018 TO RELOCATE THE PMC SPECIALTY CLINIC AT WHITESBURG TO A NEW, MORE CONVENIENT LOCATION. THE CLINIC NOW HAS THE AVAILABLE SQUARE FOOTAGE TO PROVIDE COMMUNITY MEMBERS WITH ACCESS TO A TEAM OF HIGHLY ADVANCED SPECIALISTS WHO ARE EQUIPPED WITH DIAGNOSTIC AND ON-SITE TESTING CAPABILITIES. THE INVESTMENT IN THE PMC SPECIALTY CLINIC AT WHITESBURG DURING FY 2018 WAS MORE THAN $1,250,000.THE CONTINUED EXPANSION OF PIKEVILLE MEDICAL CENTER'S TERTIARY CARE SPECIALTY CAPABILITIES, INCLUDING TRAUMA SERVICES, CARDIAC SERVICES, ONCOLOGY SERVICES, AND NEUROSURGERY SERVICES HAS RESULTED IN FEWER PATIENTS BEING TRANSFERRED OUT OF PMC TO LARGER HOSPITALS LOCATED OUTSIDE THE REGION. PMC RECEIVED 5,645 TRANSFERS IN FROM SMALLER HOSPITALS ACROSS THE REGION DURING FY 2018.</Desc>
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        <Desc>SURGICAL SERVICES:THE SURGICAL SERVICES DIVISION OF PIKEVILLE MEDICAL CENTER PERFORMS A COMPREHENSIVE ARRAY OF SURGICAL AND ENDOSCOPIC PROCEDURES WITH SOME OF THE MOST SOPHISTICATED, TECHNOLOGICALLY ADVANCED MEDICAL EQUIPMENT AVAILABLE. SURGICAL AND ENDOSCOPIC PROCEDURES OFFERED AT PMC INCLUDE OPEN-HEART AND MINIMALLY-INVASIVE CARDIAC BYPASS PROCEDURES, LUNG SURGERIES, MASTECTOMIES, ORTHOPEDIC SURGERIES, EYE SURGERIES, ROBOTIC ASSISTED UROLOGICAL SURGERIES, AND GYNECOLOGICAL SURGERIES, TO NAME A FEW. THE RECRUITMENT OF NEW SURGEONS FROM VARIED SPECIALTIES, INCLUDING TRAUMA, CARDIOTHORACIC, AND SURGICAL ONCOLOGY HAS NOT ONLY RESULTED IN SUBSTANTIAL EXPANSION OF SERVICE OFFERINGS BUT HAS ALSO LED TO THE INCREASE IN THE NUMBER OF OR SUITES AVAILABLE TO MEET PATIENT DEMAND. PMC HAS 20 OPERATING ROOMS, INCLUDING 2 DEDICATED OPEN HEART SURGERY OPERATING ROOMS, AND SIX ENDOSCOPY ROOMS CURRENTLY IN OPERATION. DURING FY 2018 THERE WERE 357 OPEN HEART SURGERY CASES, IN ADDITION TO 20,148 SURGICAL SERVICES CASES, WHICH INCLUDED INPATIENT AND OUTPATIENT ENDOSCOPY PROCEDURES, INPATIENT AND OUTPATIENT SURGICAL PROCEDURES, AND C-SECTIONS.PIKEVILLE MEDICAL CENTER'S WELLNESS AND WEIGHT LOSS SURGERY CENTER IS A COMPREHENSIVE PROGRAM, MBSAQIP ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY. THIS DESIGNATION HIGHLIGHTS PMC'S COMMITMENT TO PROVIDING SAFE, HIGH-QUALITY BARIATRIC SURGICAL CARE, IN-DEPTH EDUCATION, AND SUPPORT FOR BARIATRIC PATIENTS. SERVICES PROVIDED BY THE MULTI-DISCIPLINARY TEAM WITHIN THE WEIGHT LOSS SURGERY CENTER INCLUDE LAPAROSCOPIC GASTRIC BYPASS, LAPAROSCOPIC SLEEVE GASTRECTOMY, LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING AND REVISIONAL SURGERY, ALONG WITH PRE-OPERATIVE AND POST-OPERATIVE PROCESSES TO ENSURE THE LONG TERM SUCCESS OF THE PATIENT. PMC'S HEART &amp; VASCULAR INSTITUTE CONTINUES TO PROVIDE THE MOST ADVANCED HEART CARE FOR PATIENTS BY OFFERING MINIMALLY INVASIVE CORONARY ARTERY BYPASS GRAFTING (CABG) OR KEYHOLE HEART SURGERY THAT USES A SMALL INCISION BETWEEN THE RIBS, UNDERNEATH THE BREAST BONE, TO PERFORM THE BYPASS SURGERY, RATHER THAN THE TRADITIONAL APPROACH OF GOING THROUGH THE BREAST BONE. THIS CUTTING-EDGE PROCEDURE BRINGS A MORE RAPID RECOVERY WITH A SHORTER HOSPITAL STAY AND POTENTIAL FOR LESS COMPLICATIONS TO THE PATIENT.PIKEVILLE MEDICAL CENTER IS ONE OF THE FEW HOSPITALS IN KENTUCKY OFFERING PATIENTS TOTAL HIP REPLACEMENT SURGERY USING AN ANTERIOR APPROACH. THIS IS AN APPROACH TO THE FRONT OF THE HIP JOINT AS OPPOSED TO A LATERAL APPROACH TO THE HIP OR POSTERIOR APPROACH. THE ANTERIOR APPROACH RESULTS IN A SHORTER RECOVERY TIME, SMALLER INCISIONS, AND A SHORTER HOSPITAL STAY. PMC'S ORTHOPEDIC SURGERY TEAM HAS RECEIVED SPECIALIZED TRAINING TO PROVIDE THIS ADVANCED CARE FOR PATIENTS AND UTILIZES A STATE-OF-THE-ART FRACTURE TABLE TO OPTIMIZE THE ANTERIOR APPROACH FOR A TOTAL HIP REPLACEMENT.DURING FY 2018 PMC INVESTED MORE THAN $502,000 IN CAPITAL EQUIPMENT FOR SURGICAL SERVICES TO ENSURE PATIENTS RECEIVE THE LATEST IN ADVANCED HEALTH CARE. THE MOST NOTABLE PURCHASES DURING THE FISCAL YEAR INCLUDED A SORIN S5 HEART/LUNG MACHINE, AN XTRA AUTOTRANSFUSION SYSTEM, FOUR DEFIBRILLATORS, FOUR DUAL CHAMBER EXTERNAL PACEMAKERS, A BIOM 5 BIONOCULAR INDIRECT OPHTHALMOMICROSCOPE, AND A RULTRACT MAMMORY RETRACTOR SET.</Desc>
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        <Desc>IMAGING SERVICES:PIKEVILLE MEDICAL CENTER'S IMAGING SERVICES DIVISION TAKES PRIDE IN PROVIDING HIGH QUALITY DIAGNOSTIC AND INTERVENTIONAL SERVICES IN A CARING AND EFFICIENT MANNER. PMC'S IMAGING MODALITIES OF NUCLEAR MEDICINE, MAGNETIC RESONANCE IMAGING (MRI), COMPUTED TOMOGRAPHY (CT), POSITRON EMISSION TOMOGRAPHY (PET), AND MAMMOGRAPHY HAVE RECEIVED THREE-YEAR ACCREDITATION FROM THE AMERICAN COLLEGE OF RADIOLOGY, RECOGNIZED AS THE GOLD STANDARD IN DIAGNOSTIC IMAGING.PMC'S RADIOLOGY DEPARTMENT IS DIGITALLY ACCREDITED BY THE NATIONAL INSTITUTE FOR OCCUPATION SAFETY AND HEALTH (NIOSH) AND CONTINUALLY WORKS TO PROVIDE THE BEST POSSIBLE CARE TO THE MINING POPULATION OF EASTERN KENTUCKY. TWO DEDICATED BLACK LUNG EXAM ROOMS ARE LOCATED ON THE MAIN CAMPUS OF PMC ALLOWING FOR EIGHT TO TEN PATIENTS TO BE SCHEDULED PER EXAM DAY. WITH ONE OF ONLY ELEVEN PHYSICIANS CERTIFIED BY NIOSH IN THE STATE OF KENTUCKY PROVIDING BLACK LUNG SCREEN READING SERVICES TO PMC PATIENTS, THE TURNAROUND TIME ON TEST RESULTS IS LESS THAN 16 HOURS FOR FINAL REPORT RESULTS. THE STATE-OF-THE-ART TECHNOLOGY CURRENTLY UTILIZED WITHIN IMAGING SERVICES INCLUDES TWO LINEAR ACCELERATORS, ONE 32-SLICE LARGE BORE CT SCANNER, TWO 64-SLICE CT SCANNERS, TWO DUAL-SOURCE 128-SLICE CT SCANNERS, A PET/CT SCANNER, A SPECT/CT SCANNER, TWO 1.5T OPEN MRIS, A 3.0T OPEN MRI, AND THREE FULLY EQUIPPED INTERVENTIONAL RADIOLOGY SUITES.PMC COMPLETED INSTALLATION OF TWO SIEMENS RS SOMATOM DUAL-SOURCE 128-SLICE CT SCANNERS DURING FY 2018. THE SOMATOM REDEFINES IMAGING STANDARDS IN CARDIOLOGY, PEDIATRICS, AND ONCOLOGY WHILE ALLOWING SCANNING WITHOUT BETA-BLOCKERS AND WITHOUT HAZARDOUS SEDATION, TO CHARACTERIZING LESIONS WHILE MAINTAINING DOSE NEUTRALITY WITH DUAL SOURCE DUAL ENERGY, PRODUCING IMPROVED PATIENT OUTCOMES. THE INVESTMENT IN SOMATOM CT SCANNERS AND RELATED RENOVATION TOTALED $1,770,880.</Desc>
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        <Desc>OTHER PROGRAM SERVICES:PIKEVILLE MEDICAL CENTER IS A REGIONAL PROVIDER OF TERTIARY HEALTH CARE SERVICES THROUGH ITS LICENSED 340-BED ACUTE CARE AND INPATIENT REHABILITATION HOSPITAL, LEVEL II TRAUMA CENTER, OUTPATIENT DIAGNOSTIC CENTER, ORTHOPEDIC AND REHABILITATION CENTER, SLEEP LABS, HOME MEDICAL EQUIPMENT, FAMILY PRACTICE RESIDENCY PROGRAM, LEVEL II NEONATAL INTENSIVE CARE UNIT, CANCER TREATMENT CENTER, PAIN MANAGEMENT CLINIC, AND MULTI-SPECIALTY PHYSICIAN PRACTICES. PMC OFFERS MORE THAN 400 SERVICES, INCLUDING EVERY MAJOR SPECIALTY AND MANY SUBSPECIALTIES. WITH NEARLY 3,000 EMPLOYEES AND OVER 450 CREDENTIALED PROVIDERS, PMC STANDS AS THE LARGEST HOSPITAL PROVIDING WORLD-CLASS QUALITY PATIENT CARE IN THE EASTERN KENTUCKY COUNTIES OF PIKE, FLOYD, JOHNSON, LETCHER, MAGOFFIN, AND MARTIN. IN ADDITION, PMC ALSO SERVES A SIGNIFICANT NUMBER OF PATIENTS FROM MINGO COUNTY, WEST VIRGINIA. PMC'S ROLE IN THE HEALTH CARE DELIVERY SYSTEM IN EASTERN KENTUCKY HAS TRANSFORMED TO THAT OF A REGIONAL REFERRAL CENTER FOR SMALLER COMMUNITY HOSPITALS THAT HAVE PATIENTS WITH COMPLEX NEEDS WHOM THEY CANNOT SERVE. PMC RECORDED TOTAL INPATIENT ADMISSIONS DURING FY 2018 OF 14,944 AND RECEIVED 5,645 TRANSFERS IN FROM SMALLER HOSPITALS THROUGHOUT THE REGION DURING THE YEAR.AS THE PREMIER HOSPITAL IN A MULTI-STATE REGION, PMC IS HOME TO SOME OF THE MOST SOPHISTICATED, TECHNOLOGICALLY ADVANCED MEDICAL EQUIPMENT IN EASTERN KENTUCKY AND IS CONTINUALLY GROWING AND LOOKING FOR NEW WAYS TO PROVIDE THE VERY BEST IN HEALTH CARE TO ITS PATIENTS AND THE BROADER POPULATION. THE HOSPITAL'S COMPASSIONATE, DEDICATED EMPLOYEES AND PHYSICIANS ARE FOCUSED ON PROVIDING WORLD CLASS PATIENT CARE IN A CHRISTIAN ENVIRONMENT WHILE CONTINUALLY STRIVING FOR PERFECTION.PMC IS A CERTIFIED KENTUCKY CABINET OF HEALTH AND FAMILY SERVICES' DEPARTMENT OF PUBLIC HEALTH LEVEL II TRAUMA CENTER AND HAS ALSO RECEIVED LEVEL II TRAUMA VERIFICATION FROM THE AMERICAN COLLEGE OF SURGEONS. PMC IS THE ONLY LEVEL II TRAUMA CENTER IN THE COMMONWEALTH OF KENTUCKY AND IS THE DESIGNATED HOSPITAL FOR ALL TRAUMA CASES IN EASTERN KENTUCKY. AS A VERIFIED TRAUMA CENTER, PMC IS EQUIPPED AND STAFFED TO PROVIDE COMPREHENSIVE EMERGENCY CARE TO PATIENTS SUFFERING TRAUMATIC INJURIES. THE SPECTRUM OF CARE ENCOMPASSES THE PRE-HOSPITAL PHASE THROUGH THE REHABILITATION PROCESS. PMC'S TRAUMA CENTER SERVES MORE THAN 400,000 PEOPLE; SIGNIFICANTLY INCREASING THOSE INDIVIDUALS' CHANCE OF SURVIVAL SHOULD THEY BE INJURED. THE NUMBER OF TRAUMA PATIENTS PMC SERVED DURING FY 2018 EXCEEDED 1,550.HEART DISEASE IS ONE OF THE MOST WIDESPREAD HEALTH ISSUES AFFECTING THE REGION SERVED BY PIKEVILLE MEDICAL CENTER (PMC). PMC'S HEART AND VASCULAR INSTITUTE OFFERS COMPREHENSIVE CARDIAC CARE THROUGH SERVICES INCLUDING GENERAL CARDIOLOGY, INTERVENTIONAL CARDIOLOGY, INVASIVE CARDIOLOGY, ELECTROPHYSIOLOGY, CARDIOTHORACIC SURGERY, VASCULAR SURGERY, ECHOCARDIOGRAPHY, AND A TWO STAGE CARDIAC REHAB PROGRAM, ALLOWING PATIENTS TO RECEIVE THE FULL SPECTRUM OF CARDIAC CARE CLOSE TO HOME. PMC IS AN ACCREDITED CHEST PAIN CENTER WITH PRIMARY PCI AND IS A LEVEL IV CYCLE V CHEST PAIN CENTER. PMC IS ALSO ACCREDITED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION FOR MEETING STRICT STANDARDS OF PRACTICE. PMC IS A MEMBER OF THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE. THE AMERICAN HEART ASSOCIATION DEVELOPED MISSION: LIFELINE TO TRANSFORM HEART ATTACK PATIENT OUTCOMES BY CONNECTING HEALTHCARE PROVIDERS, PRE-HOSPITAL PROVIDERS, AND COMMUNITY STAKEHOLDERS IN A PROACTIVE SYSTEM OF CARE THAT SAVES AND IMPROVES LIVES FROM SYMPTOM ONSET THROUGH CARDIAC REHABILITATION. ALL MISSION: LIFELINE PARTICIPANTS SHARE A COMMON COMMITMENT TO AMERICAN HEART ASSOCIATION GUIDELINES AND DATA-BASED QUALITY MEASURES. SINCE PMC BEGAN IMPLEMENTING THE AHA BEST-PRACTICE STRATEGIES, PIKE COUNTY, KY HAS GONE FROM BEING RANKED AS ONE OF THE WORST PLACES IN THE NATION TO HAVE A HEART ATTACK, TO ONE OF THE SAFEST.PMC HAS RECENTLY EMBARKED ON A MONUMENTAL CAPITAL IMPROVEMENT PROJECT THAT WILL FOREVER CHANGE CARDIAC CARE FOR FUTURE GENERATIONS ACROSS THE REGION. THE NEW HEART AND VASCULAR INSTITUTE WILL INCLUDE A NEW CARDIAC REHAB DEPARTMENT, 29 EXAM ROOMS, TWO WAITING ROOMS, ONE NEW ELECTROPHYSIOLOGY CATH LAB, ONE NEW CATH LAB, ONE EXISTING ELECTROPHYSIOLOGY CATH LAB, SIX PRE/POST-OPERATIVE BAYS, REGISTRATION AREA, AND MULTIPURPOSE ROOM. THE NEW EXPANSION HAS AN ESTIMATED COST OF $32 MILLION WITH CONSTRUCTION COMPLETION EXPECTED IN AUGUST 2020. IN PREPARATION FOR THE CONSTRUCTION AND EXPANSION WITHIN THE FORMER CATH LAB AREA, RENOVATION OF 10,170 SQUARE FOOT OF SPACE, LOCATED ACROSS FROM THE EMERGENCY DEPARTMENT, AND INSTALLATION OF THREE NEW STATE-OF-THE-ART PHILIPS AZURION 7 CATH LABS WAS COMPLETED DURING AUGUST 2018. THE PHILIPS AZURION IMAGING SYSTEM HAS 58 INCH MONITORS WITH MULTIPLE TILES TO PROVIDE AN ADVANCED LEVEL OF CARE TO THE PATIENT THROUGH A WIDER RANGE OF MINIMALLY INVASIVE DIAGNOSTIC AND INTERVENTIONAL CARDIOVASCULAR PROCEDURES IN A PATIENT FOCUSED ENVIRONMENT. THE INVESTMENT IN THE NEW CARDIAC CATH LAB RELOCATION AND RENOVATION WAS $8.9 MILLION. A TOTAL OF 3,620 CARDIAC CATH LAB PROCEDURES WERE COMPLETED DURING THE FISCAL YEAR, AN INCREASE OF FOUR PERCENT OVER THE PRIOR YEAR. PIKEVILLE MEDICAL CENTER LEONARD LAWSON CANCER CENTER (LLCC) PROVIDES ADVANCED CANCER CARE CLOSE TO HOME AND IS ONE OF A SELECT FEW ACCREDITED FULL-SERVICE CANCER CENTERS IN KENTUCKY. LLCC PROVIDES CUTTING EDGE CANCER TREATMENT AND FOLLOW-UP CARE AND IS THE REGION'S ONLY CANCER CENTER TO HAVE ACHIEVED THE COMMISSION ON CANCER'S 2018 OUTSTANDING ACHIEVEMENT AWARD FOR EXCEPTIONAL QUALITY. ONCOLOGY SERVICES OFFERED BY PMC INCLUDE MEDICAL ONCOLOGY, HEMATOLOGY, RADIATION THERAPY, INFUSION SERVICE, GENETIC COUNSELING, PALLIATIVE CARE, BIOPSIES, AND SURGICAL ONCOLOGY.DURING FY 2018 PMC PURCHASED THE XOFT AXXENT ELECTRONIC BRACHYTHERAPY SYSTEM. THIS ADVANCED TECHNOLOGY DELIVERS A TARGETED DOSE OF RADIATION DIRECTLY TO THE SURFACE OF NON -MELANOMA SKIN CANCER LESIONS. THE XOFT SYSTEM IS FDA APPROVED FOR THE TREATMENT OF CANCER ANYWHERE IN THE BODY. THE INVESTMENT IN ADVANCED RADIATION ONCOLOGY EQUIPMENT DURING THE YEAR TOTALED $248,932.CENTRAL LAB PHASE 1 RENOVATIONDURING FY 2018, THE PHASE 1 CENTRAL LABORATORY INTERIOR RENOVATION OF 9,656 SQUARE FOOT OF SPACE ON THE 2ND FLOOR OF THE ELLIOTT BUILDING WAS COMPLETED. THE PROJECT MORE THAN DOUBLED THE SIZE OF THE LABORATORY. PMC INSTALLED A NEW AUTOMATED LINE TO DELIVER AND TEST PATIENTS' BLOOD SAMPLES. THE AUTOMATED LINE IS SEAMLESS IN ITS APPROACH TO DELIVERING SPECIMENS AND HAS INCREASED THE TESTING MENU PROVIDED IN HOUSE BY PMC'S LABORATORY BY MORE THAN 200. PMC IS THE FIRST IN THE STATE OF KENTUCKY TO DEPLOY THIS ADVANCED LABORATORY AUTOMATION LINE. THE ADDITIONAL ADVANCEMENTS INCLUDED IN THE PHASE 1 RENOVATION INCLUDED NEW HEMATOLOGY EQUIPMENT FEATURING A CELLAVISION, A NEW BLOOD BANK, AND A NEW PATHOLOGY DEPARTMENT WITH AN IMMUNOSTAINER. THE CENTRAL LAB PHASE 1 INVESTMENT TOTALED $4.2 MILLION. DATA CENTER BUILDTHE CONSTRUCTION OF A NEW 13,500 SQUARE FOOT, TWO-STORY BUILDING ON PMC'S MAIN CAMPUS TO HOUSE ALL PMC'S TECHNICAL OPERATIONS, INCLUDING SERVERS AND VARIOUS INFORMATION TECHNOLOGY EQUIPMENT, WAS COMPLETED DURING FY 2018. THE DATA CENTER WAS DESIGNED WITH MANY SPECIAL FEATURES, SUCH AS UPGRADED WIRING, LEAK DETECTION, AND ENVIRONMENTAL CONTROLS TO MAINTAIN PROPER TEMPERATURES FOR ALL THE EQUIPMENT. THE DATA CENTER IS HAILED AS A TECHNICAL MARVEL AND IS EQUIPPED WITH MANY BACKUP SYSTEMS AND FAIL-SAFES TO MAINTAIN OPERATION AND KEEP ALL EMPLOYEE AND PATIENT DATA SECURE. THE PROJECT INVESTMENT TOTALED $11 MILLION.OTHER CAPITAL INVESTMENTSPMC DEPLOYED THE IMPRIVATA SINGLE SIGN ON SOLUTION DURING FY 2018. THIS SOLUTION OFFERS COMPREHENSIVE POSITIVE IDENTITY, UBIQUITOUS ACCESS, AND MULTIFACTOR AUTHENTICATION ACROSS THE HEALTHCARE DELIVERY NETWORK. THE CAPITAL INVESTMENT IN THE IMPRIVATA SOLUTION TOTALED $348,900.DURING FY 2018 THE CITRIX FARM REBUILD WAS COMPLETED. 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        <PersonNm>FADI AL AKHRASS MD</PersonNm>
        <TitleTxt>BOARD MEMBER/CHIEF OF STAFF</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>438981</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29578</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WALTER E MAY</PersonNm>
        <TitleTxt>BOARD PRESIDENT/CEO (ENDING 1/18)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>572531</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27695</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE HAGY</PersonNm>
        <TitleTxt>CFO - SENIOR VP FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>294542</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31565</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JUANITA DESKINS</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>315206</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36110</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM D BLACKBURN</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>147699</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4878</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHERYL HICKMAN</PersonNm>
        <TitleTxt>CHIEF REGULATORY OFFICER - SENIOR VP</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>178175</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32523</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE RAINEY</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER - SENIOR VP</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29796</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TONY DAMRON</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER -SENIOR VP</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>160457</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27824</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CATHERINE JORGENSEN</PersonNm>
        <TitleTxt>VP CORPORATE COMPLIANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>184874</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33170</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID HALCOMB</PersonNm>
        <TitleTxt>ASSISTANT CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>156379</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23735</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEBRA PARSONS</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>245790</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2046</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARCUS CONLEY</PersonNm>
        <TitleTxt>ASSISTANT CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>179509</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26601</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RALPH LOMMA</PersonNm>
        <TitleTxt>VP FACILITIES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>195586</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANITA WILSON</PersonNm>
        <TitleTxt>VP SURGICAL SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>266200</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DERMOT HALPIN MD</PersonNm>
        <TitleTxt>CARDIOTHORACIC SURGEON</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>948841</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24118</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AMY JOHNSON MD</PersonNm>
        <TitleTxt>BARIATRIC &amp; GENERAL SURGEON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>986939</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36118</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN PUGH MD</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1022999</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33118</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEITH HALL MD</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM B WEBB DO</PersonNm>
        <TitleTxt>EMERGENCY DEPARTMENT PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RUSSELL SHANKLIN</PersonNm>
        <TitleTxt>FORMER-ASSISTANT CIO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>171007</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32407</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PEGGY JUSTICE</PersonNm>
        <TitleTxt>FORMER - VP PHYSICIAN NETWORK</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>157840</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31742</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>9401869</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>679650</TotalOtherCompensationAmt>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MAYNARD C SMITH CONSTRUCTION COMPANY I</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 11888</AddressLine1Txt>
            <CityNm>CHARLESTON</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25339</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ROSE BUILDERS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7 STACY STREET</AddressLine1Txt>
            <CityNm>HAROLD</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41635</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>4425056</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NTHRIVE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 733492</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75373</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HIM SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PHILIPS HEALTHCARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>22100 BOTHELL EVERETT HIGHWAY</AddressLine1Txt>
            <CityNm>BOTHELL</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98041</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICES</ServicesDesc>
        <CompensationAmt>3008695</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JACKSON &amp; COKER LOCUMTENENS LLC</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 277638</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30384</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICES</ServicesDesc>
        <CompensationAmt>2934895</CompensationAmt>
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      <FundraisingAmt>25228</FundraisingAmt>
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      <TotalContributionsAmt>3411549</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>494378829</TotalRevenueColumnAmt>
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      <TotalProgramServiceRevenueAmt>494378829</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>1982706</TotalRevenueColumnAmt>
        <ExclusionAmt>1982706</ExclusionAmt>
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        <TotalRevenueColumnAmt>98319</TotalRevenueColumnAmt>
        <ExclusionAmt>98319</ExclusionAmt>
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        <RealAmt>344727</RealAmt>
        <PersonalAmt>678772</PersonalAmt>
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        <RealAmt>226948</RealAmt>
        <PersonalAmt>0</PersonalAmt>
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        <PersonalAmt>678772</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>796551</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14558</RelatedOrExemptFuncIncomeAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>806463</TotalRevenueColumnAmt>
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        <ExclusionAmt>9716451</ExclusionAmt>
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        <Desc>CAFETERIA</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>3704847</ExclusionAmt>
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        <Desc>REBATE INCOME</Desc>
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      <OtherRevenueMiscGrp>
        <Desc>EHR REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>85000</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>1244167</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>6208060</OtherRevenueTotalAmt>
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        <RelatedOrExemptFuncIncomeAmt>496776762</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>16312267</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>21411</TotalAmt>
        <ProgramServicesAmt>21411</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>43297</TotalAmt>
        <ProgramServicesAmt>43297</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>4521361</TotalAmt>
        <ProgramServicesAmt>891177</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3630184</ManagementAndGeneralAmt>
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        <TotalAmt>219606962</TotalAmt>
        <ProgramServicesAmt>198885632</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20721330</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2882959</ProgramServicesAmt>
        <ManagementAndGeneralAmt>257087</ManagementAndGeneralAmt>
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        <TotalAmt>75939250</TotalAmt>
        <ProgramServicesAmt>68164512</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7774738</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>13601610</TotalAmt>
        <ProgramServicesAmt>11774677</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1826933</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
        <TotalAmt>146810</TotalAmt>
        <ProgramServicesAmt>146810</ProgramServicesAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>870096</TotalAmt>
        <ManagementAndGeneralAmt>870096</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>95687</TotalAmt>
        <ManagementAndGeneralAmt>95687</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>134753</TotalAmt>
        <ManagementAndGeneralAmt>134753</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>809757</ProgramServicesAmt>
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        <ProgramServicesAmt>126080</ProgramServicesAmt>
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        <EOYAmt>266013122</EOYAmt>
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        <EOYAmt>206000</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>541581678</BOYAmt>
        <EOYAmt>542977796</EOYAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
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    <IRS990ScheduleB documentId="RetDoc1234500001" />
    <IRS990ScheduleC documentId="RetDoc1039700001">
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      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
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      <TotalLobbyingExpendituresAmt>22550</TotalLobbyingExpendituresAmt>
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        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER ACTIVITY COSTS ARE THE CORPORATION'S PORTION OF TRADE DUES (I.E. KENTUCKY HOSPITAL ASSOCIATION).</ExplanationTxt>
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        <InvestmentEarningsOrLossesAmt>20061</InvestmentEarningsOrLossesAmt>
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        <BookValueAmt>12235014</BookValueAmt>
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        <BookValueAmt>792173</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>GRANT RECEIVABLE</Desc>
        <BookValueAmt>1813055</BookValueAmt>
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        <Desc>RESERVES FOR WORKERS COMPENSATION CLAIMS</Desc>
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      <OtherLiabilitiesOrgGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT OF $206,000 IS A PERMANENT RESTRICTED ENDOWMENT-HERBERT FABER ENDOWMENT FUND. THE ENDOWMENT FUND IS UTILIZED TO SUPPORT THE CHARITABLE AND HEALTH ACTIVITES OF PIKEVILLE MEDICAL CENTER, INC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL AND PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE, INC. ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PIKEVILLE MEDICAL CENTER DEVELOPMENT CORPORATION AND LANDMARK PROPERTIES OF PIKEVILLE, INC. ARE TAXABLE ENTITIES TO WHICH APPLICABLE CORPORATE INCOME TAXES APPLY. NO INCOME TAXES WERE OWED BY PIKEVILLE MEDICAL CENTER DEVELOPMENT CORPORATION OR LANDMARK PROPERTIES OF PIKEVILLE, INC. FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017. THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2018 AND 2017. AT SEPTEMBER 30, 2018, TAX RETURNS FOR 2015 THROUGH 2017 ARE SUBJECT TO EXAMINATION BY THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <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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        <DirectOffsettingRevenueAmt>900597</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>836135</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00160</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>477</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>3197</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>107867241</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>92404630</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>15462611</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02910</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <CommunitySupportGrp>
        <ActivitiesOrProgramsCnt>175</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>18926</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>152345</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1835</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>150510</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </CommunitySupportGrp>
      <HealthImprovementAdvocacyGrp>
        <ActivitiesOrProgramsCnt>45</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>3109</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>105189</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>42713</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>62476</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </HealthImprovementAdvocacyGrp>
      <WorkforceDevelopmentGrp>
        <ActivitiesOrProgramsCnt>12</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>324325</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>324325</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00060</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>232</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>22035</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>581859</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>44548</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>537311</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00100</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>42739212</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>0</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>145804572</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>132262521</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>13542051</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>PIKEVILLE MEDICAL CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>911 BYPASS ROAD</AddressLine1Txt>
          <CityNm>PIKEVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41501</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.PIKEVILLEHOSPITAL.ORG</WebsiteAddressTxt>
        <StateLicenseNum>100366</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>PIKEVILLE MEDICAL CENTER</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>15</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.PIKEVILLEHOSPITAL.ORG/2016-2019-COMMUNITY-HEALTH-NEEDS-ASSESSMENT/</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>15</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.PIKEVILLEHOSPITAL.ORG/2016-2019-COMMUNITY-HEALTH-NEEDS-ASSESSMENT/</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>150.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTP://WWW.PIKEVILLEHOSPITAL.ORG/BILLING/FINANCIAL-ASSISTANCE-POLICY/</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTP://WWW.PIKEVILLEHOSPITAL.ORG/BILLING/FINANCIAL-ASSISTANCE-POLICY/</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>HTTP://WWW.PIKEVILLEHOSPITAL.ORG/BILLING/FINANCIAL-ASSISTANCE-POLICY/</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>1</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PIKEVILLE MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: PIKEVILLE MEDICAL CENTER IN COLLABORATION WITH AN ADVISORY COMMITTEE COMPRISED OF COMMUNITY LEADERS FROM PIKE AND FLOYD COUNTIES, WHOM ARE INVOLVED WITH LOCAL HEALTH DEPARTMENTS, SCHOOL SYSTEMS, SENIOR CITIZENS PROGRAMS, SOCIAL WORK, POST-SECONDARY EDUCATION, VOLUNTEER GROUPS, AND LOCAL BUSINESS/INDUSTRY DEVELOPED A SURVEY TO OBTAIN INPUT CONCERNING THE NEEDS OF OUR COMMUNITY. THE SURVEY WAS MADE AVAILABLE ONLINE, PUBLISHED IN PIKEVILLE MEDICAL CENTER'S NEWSPAPER, THE MEDICAL LEADER, AND DISTRIBUTED AT LOCAL HEALTH DEPARTMENTS, SENIOR CITIZENS CENTERS, APARTMENT COMPLEXES, BANKS AND CHURCHES. THE SURVEY WAS ALSO DISTRIBUTED ELECTRONICALLY TO ALL STUDENTS AND FACULTY AT THE UNIVERSITY OF PIKEVILLE AND TO ALL PATIENTS AT VARIOUS PMC CLINICS. PMC'S COMMUNITY SURVEY WAS AN OVERWHELMING SUCCESS AS THE HOSPITAL RECEIVED OVER 1,000 RESPONSES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PIKEVILLE MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7D: HTTPS://WWW.PIKEVILLEHOSPITAL.ORG/2016-2019-COMMUNITY-HEALTH-NEEDS-ASSESSMENT/PMC MAILED THE CHNA REPORT TO THE CHAMBER OF COMMERCE, CIVIC ORGANIZATION MEMBERS, AND LOCAL BUSINESS PEOPLE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PIKEVILLE MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 24: PIKEVILLE MEDICAL CENTER FOLLOWS THE SAME CHARGING STRUCTURE FOR ALL PATIENTS; HOWEVER, PMC'S IN-HOUSE SLIDING SCALE FINANCIAL ASSISTANCE PROGRAM PROVIDES A RANGE OF DISCOUNTS UP TO FREE CARE FOR THOSE WHO QUALIFY. FOLLOWING A DETERMINATION THAT AN INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE UNINSURED PATIENT PORTION OF THE PROGRAM, PMC WILL NOT BILL THAT INDIVIDUAL FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IN AN AMOUNT IN EXCESS OF THE AMOUNT GENERALLY BILLED (UTILIZING THE MEDICARE LOOK-BACK METHOD). ADDITIONAL DISCOUNTS OF FREE OR 50% OF AGB ARE ALSO OFFERED BY PMC, DEPENDENT UPON THE PATIENT'S INCOME AND RESOURCE LEVEL AND FAMILY SIZE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>22</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - OBGYN PHYSICIAN PRACTICE - HAROLD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>246 KY ROUTE 979</AddressLine1Txt>
            <CityNm>HAROLD</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41635</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - PMC-LEONARD LAWSON CANCER CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>172 SOUTH MAYO TRAIL</AddressLine1Txt>
            <CityNm>PIKEVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41501</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - HOME HEALTH SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1370 S MAYO TRAIL</AddressLine1Txt>
            <CityNm>PIKEVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41501</ZIPCd>
          </USAddress>
          <FacilityTxt>HOME HEALTH SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - PMC SPECIALTY CLINIC-WHITESBURG</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>255 MAIN ST</AddressLine1Txt>
            <CityNm>WHITESBURG</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41858</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - PMC WEIGHT LOSS SURGERY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1098 S MAYO TRAIL STE 103</AddressLine1Txt>
            <CityNm>PIKEVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41501</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - PMC SPECIALTY CLINIC-PRESTONSBURG</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>311 NORTH ARNOLD AVE</AddressLine1Txt>
            <CityNm>PRESTONSBURG</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41653</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - PMC CLINIC - WALMART PIKEVILLE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>251 CASSIDY BLVD</AddressLine1Txt>
            <CityNm>PIKEVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41501</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - PMC SPECIALTY CLINIC-GRUNDY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1520 SLATE CREEK ROAD STE 205</AddressLine1Txt>
            <CityNm>GRUNDY</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>24614</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - SLEEP LAB - WHITESBURG</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>60 MAIN STREET</AddressLine1Txt>
            <CityNm>WHITESBURG</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41858</ZIPCd>
          </USAddress>
          <FacilityTxt>SLEEP LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - PRIMARY CARE PRACTICE - SHELBY VALLEY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6800 US HWY 23 S STE 3</AddressLine1Txt>
            <CityNm>PIKEVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41501</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - PRIMARY CARE PRACTICE - HAROLD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>246 KY RT 979</AddressLine1Txt>
            <CityNm>HAROLD</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41635</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - PIKEVILLE FAMILY PRACTICE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>184 S MAYO TRAIL</AddressLine1Txt>
            <CityNm>PIKEVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41501</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>13 - PMC SPECIALTY CLINIC-SOUTH WILLIAMSON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>411 CENTRAL AVE STE 7</AddressLine1Txt>
            <CityNm>SOUTH WILLIAMSON</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41503</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>14 - OPTHALMOLOGY - HAZARD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>101 TOWN COUNTRY DRIVE STE 100</AddressLine1Txt>
            <CityNm>HAZARD</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41701</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>15 - SLEEP LAB - PIKEVILLE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>190 S MAYO TRAIL</AddressLine1Txt>
            <CityNm>PIKEVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41501</ZIPCd>
          </USAddress>
          <FacilityTxt>SLEEP LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>16 - PMC CLINIC-PIKE CO SCHOOLS BELFRY ELEMEN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>170 KY-319</AddressLine1Txt>
            <CityNm>BELFRY</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41514</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>17 - PMC CLINIC-PIKE CO SCHOOLS ELKHORN ELEM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>180 COUGAR DRIVE</AddressLine1Txt>
            <CityNm>ELKHORN CITY</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41522</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>18 - PMC CLINIC-PIKE CO SCHOOLS MILLARD ELEM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5492 E SHELBIANA ROAD</AddressLine1Txt>
            <CityNm>PIKEVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41501</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>19 - PMC CLINIC-PIKE CO SCHOOLS MULLINS ELEM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>101 TIGER WAY</AddressLine1Txt>
            <CityNm>PIKEVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41501</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>20 - PMC CLINIC-PIKE CO SCHOOLS PIKE CENTRAL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 WINNERS CIRCLE DRIVE</AddressLine1Txt>
            <CityNm>PIKEVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41501</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>21 - PMC CLINIC-PIKE CO SCHOOLS SHELBY VALLEY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>125 DOUGLAS PARKWAY</AddressLine1Txt>
            <CityNm>PIKEVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41501</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>22 - PRIMARY CARE PRACTICE - MARTIN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>265 KY ROUTE 122</AddressLine1Txt>
            <CityNm>MARTIN</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41649</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>PIKEVILLE MEDICAL CENTER'S MISSION STATEMENT, "TO PROVIDE WORLD CLASS QUALITY HEALTH CARE IN A CHRISTIAN ENVIRONMENT" IS THE DRIVING FORCE BEHIND PMC'S EFFORTS TO IMPROVE THE PHYSICAL, MENTAL AND SPIRITUAL WELL BEING OF THE REGION'S RESIDENTS. DURING FY 2018, PIKEVILLE MEDICAL CENTER REPORTED TAKING PART IN 232 COMMUNITY BUILDING ACTIVITIES, SERVING MORE THAN 22,000 PEOPLE AND TOTALING MORE THAN $530,000. 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: RECLAIM YOUR LIFE 5K RUN/WALK, FIRST-AID BOOTH AT HILLBILLY DAYS, COLORS OF COURAGE 5K RUN/WALK, SMOKING CESSATION CLASSES, A COMMUNITY CHILDREN'S CHRISTMAS EVENT, VETERAN'S DAY CEREMONY SUPPORT, OVER 500 MEALS PER MONTH PROVIDED TO MEALS ON WHEELS, AND RECRUITMENT OF MORE THAN 100 HEALTHCARE PROFESSIONALS.</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 AND MAKES EVERY EFFORT TO EDUCATE PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE, IN ADDITION, PMC PATIENT FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST THOSE IN NEED THROUGHOUT THE FINANCIAL ASSISTANCE APPLICATION PROCESS. FOR THIS REASON THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES 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 2018. 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, 2018 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>PMC WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) AGAINST PATIENTS BEFORE MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER PMC'S FINANCIAL ASSISTANCE POLICY. PMC MAKES REASONABLE EFFORTS TO ORALLY NOTIFY THE PATIENT ABOUT PMC'S FINANCIAL ASSISTANCE POLICY AND HOW THEY MAY RECEIVE ASSISTANCE WITH THE APPLICATION PROCESS. EACH PATIENT BILLING STATEMENT AND ALL WRITTEN COMMUNICATIONS CONCERNING THE PATIENTS' BILL INCLUDE A CONSPICUOUS WRITTEN NOTICE THAT INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE, THE NOTICE INCLUDES THE TELEPHONE NUMBER OF PMC'S PATIENT FINANCIAL COUNSELING DEPARTMENT AS WELL AS THE WEB SITE ADDRESS WHERE COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL APPLICATION FORMS, AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY MAY BE OBTAINED. IN ADDITION, BILLING DEPARTMENT PERSONNEL INFORM PATIENTS ABOUT PMC'S FAP IN ORAL COMMUNICATIONS REGARDING AMOUNTS DUE. ONCE A PATIENT HAS BEEN DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE IN-HOUSE SLIDING SCALE PROGRAM, THEIR ELIGIBILITY WILL REMAIN INTACT FOR A TERM OF ONE (1) YEAR FROM THE DATE OF APPROVAL UNLESS PMC BECOMES AWARE OF A MATERIAL CHANGE IN THE PATIENT'S FINANCIAL CIRCUMSTANCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ORDER TO ASSESS OUR COMMUNITY'S HEALTH-RELATED NEEDS, PIKEVILLE MEDICAL CENTER UTILIZES SEVERAL REPORTS LOOKING AT THE SERVICES THEY PROVIDE, IN COMPARISON TO OTHER HOSPITALS, AS WELL AS, REPORTS INDICATING THE SPECIALTIES THAT ARE IMPACTED BY PHYSICIAN REFERRALS. PMC ALSO KEEPS A RECORD OF PREVIOUS COMMUNITY EVENTS HOSTED, TRACKING THEIR SUCCESS. FOR EXAMPLE: WHEN A FREE HEALTH SCREENING EVENT IS HELD, A RECORD IS KEPT OF THE NUMBER OF ATTENDEES INCLUDING THEIR RESULTS.</ExplanationTxt>
      </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, AS WELL AS THE PMC IN-HOUSE SLIDING SCALE PROGRAM. THE FINANCIAL ASSISTANCE PROGRAM POLICY, THE DSH PROGRAM APPLICATION FORM, THE IN-HOUSE SLIDING SCALE PROGRAM APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY OF THIS POLICY IS AVAILABLE FREE OF CHARGE ON PMC'S WEBSITE; PAPER COPIES OF THE POLICY, THE DSH PROGRAM APPLICATION FORM, THE IN-HOUSE SLIDING SCALE PROGRAM APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY OF THE POLICY ARE AVAILABLE FREE OF CHARGE UPON REQUEST IN PMC'S EMERGENCY, REGISTRATION AND BILLING DEPARTMENTS AND BY MAIL; A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY OF THE POLICY IS OFFERED TO PATIENTS AS PART OF THE INTAKE PROCESS UNLESS IT IS NOT FEASIBLE TO DO SO DUE TO AN EMERGENCY OR OTHER CIRCUMSTANCES IN WHICH CASE PMC WILL OFFER A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY AS PART OF THE DISCHARGE PROCESS; VISITORS TO PMC ARE INFORMED AND NOTIFIED ABOUT THE POLICY THROUGH CONSPICUOUS PUBLIC DISPLAYS AT PMC; RESIDENTS OF THE COMMUNITY THAT PMC SERVES ARE INFORMED AND NOTIFIED OF THE POLICY BY STATEMENTS ON PMC'S WEBSITE AND IN MESSAGES PLAYED TO CALLERS TO PMC WHO ARE PLACED ON HOLD THAT PMC OFFERS FINANCIAL ASSISTANCE UNDER A FINANCIAL ASSISTANCE POLICY AND INFORMING THE READER/LISTENER HOW TO OBTAIN MORE INFORMATION; AND BY INCLUDING A CONSPICUOUS WRITTEN NOTICE ON ALL BILLING STATEMENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISATNCE UNDER THIS POLICY AND INCLUDES THE TELEPHONE NUMBER OF PMC'S PATIENT FINANCIAL COUNSELING DEPARTMENT ALONG WITH THE WEB SITE ADDRESS WHERE COPIES OF THIS POLICY, THE APPLICATION FORMS, AND A PLAIN LANGUAGE SUMMARY OF THE POLICY MAY BE OBTAINED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>PIKEVILLE MEDICAL CENTER PROVIDES HEALTHCARE SERVICES TO RESIDENTS OF PIKE, FLOYD, JOHNSON, MAGOFFIN, MARTIN, KNOTT AND LETCHER COUNTIES IN KENTUCKY, MINGO COUNTY IN WEST VIRGINIA AND BUCHANAN COUNTY IN VIRGINIA. PMC IS COMMITTED TO MEETING THE NEEDS OF ITS PATIENTS BY PROVIDING HIGH QUALITY SPECIALTY SERVICES WITHIN THE REGION. 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 POPULATION IT SERVES. BASED ON 2018 DATA AVAILABLE, PMC'S SERVICE AREA CONTAINS A POPULATION OF APPROXIMATELY 222,349 INDIVIDUALS. THERE IS A RELATIVELY EVEN DISTRIBUTION OF MALES (49.49%) TO FEMALES (50.51%). THE AVERAGE HOUSEHOLD SIZE IS 2 INDIVIDUALS AND 18.9% OF THE POPULATION IS AGE 65 AND OVER. THE IMPOVERISHED AREA SERVED BY PIKEVILLE MEDICAL CENTER HAS A MEDIAN FAMILY INCOME OF $31,274 WITH 30% OF THE POPULATION LIVING BELOW THE POVERTY LINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>PIKEVILLE MEDICAL CENTER (PMC), A 340 BED TERTIARY CARE CENTER, NESTLED IN THE PICTURESQUE MOUNTAINS OF APPALACHIA, IS RECOGNIZED AS THE REGION'S LEADER IN HEALTHCARE. PMC PROVIDES UNPARALLELED SERVICE, ADVANCED TECHNOLOGY, AND UNMATCHED GENEROSITY TO THE COMMUNITY. PMC IS CONTINUALLY EXPANDING SERVICE OFFERINGS AND DEVELOPING INNOVATIVE PROCESSES TO OFFER THE BEST IN HEALTH CARE TO ITS PATIENTS AND THE BROADER POPULATION. THIS VISIONARY APPROACH TO HEALTHCARE, WHICH IS FOCUSED ON SERVING THE NEEDS OF THE PATIENT FIRST, HAS ELEVATED THE FACILITY TO THE STATUS OF REGIONAL REFERRAL CENTER WITHIN A MULTI-STATE REGION.THE MISSION OF PIKEVILLE MEDICAL CENTER IS "TO PROVIDE WORLD-CLASS QUALITY HEALTHCARE IN A CHRISTIAN ENVIRONMENT." THIS MISSION IS FULFILLED DAILY, AS THE DEDICATED STAFF EMBRACES THE VISION AND CORE VALUES OF THE ORGANIZATION: CHRISTIAN-TREAT OTHERS AS YOU WOULD LIKE TO BE TREATED; QUALITY-WHATEVER YOU DO, DO IT WELL AND STRIVE FOR PERFECTION; SERVICE-CONTINUALLY LOOK FOR WAYS TO IMPROVE AND GO ABOVE AND BEYOND.PMC HAS UNDERGONE SUBSTANTIAL GROWTH THROUGHOUT ITS 94-YEAR HISTORY. BEGINNING AS A SMALL, RURAL, 50-BED FACILITY AT ITS INCEPTION IN 1924, THE MEDICAL CENTER IS TODAY A COMPREHENSIVE MEDICAL COMPLEX COMPRISED OF A 340-BED FACILITY ENCOMPASSING OVER ONE MILLION SQUARE FEET WITH BOTH THE MAIN FACILITY AND SURROUNDING SUPPORTIVE SERVICES. THE HOSPITAL OFFERS OVER 400 SERVICES, INCLUDING EVERY MAJOR SPECIALTY AND MANY SUBSPECIALTIES. THE TREMENDOUS PHYSICAL GROWTH AND EXPANSION IN SCOPE OF SPECIALTY SERVICE CAPABILITIES, INCLUDING TRAUMA SERVICES, HAS TRANSFORMED PMC IN TO A REGIONAL REFERRAL CENTER FOR SMALLER COMMUNITY HOSPITALS THAT HAVE PATIENTS WITH COMPLEX MEDICAL NEEDS WHOM THEY CANNOT SERVE. ADDITIONALLY, PMC SERVES AS A DESTINATION OF CHOICE FOR PATIENTS REQUIRING ADVANCED TERTIARY CARE SERVICES INCLUDING CANCER MANAGEMENT, NEUROSURGERY, CARDIAC SURGERY, PLASTIC SURGERY AND ADVANCED NEONATOLOGY SERVICES.CURRENT SERVICES OFFERED AT PMC INCLUDE: A VERIFIED LEVEL II TRAUMA CENTER; AN AWARD-WINNING, FULL-SERVICE CANCER TREATMENT CENTER; CHEST PAIN CENTER WITH PRIMARY PCI; 20-BED INPATIENT PHYSICAL REHABILITATION HOSPITAL; AN ACCREDITED GOLD PLUS STROKE CENTER: NEUROSURGERY; LEVEL II NEONATAL INTENSIVE CARE UNIT; BARIATRIC SURGERY CENTER OF EXCELLENCE, JOINT COMMISSION GOLD SEAL CERTIFIED ORTHOPEDIC PROGRAM, PAIN MANAGEMENT, PULMONARY REHABILITATION, SLEEP LAB, A DIAGNOSTIC CENTER; INTEGRATED FAMILY AND SPECIALTY PHYSICIAN PRACTICES, ALONG WITH A RETAIL CLINIC AT WAL-MART.PIKEVILLE MEDICAL CENTER IS DEDICATED TO PROVIDING PATIENTS WITH STATE-OF-THE-ART TREATMENT TECHNOLOGY. PMC'S DIAGNOSTIC AND THERAPEUTIC RADIOLOGY SERVICES CONSISTS OF TWO LINEAR ACCELERATORS, ONE 32-SLICE LARGE BORE CT SCANNER, TWO 64-SLICE CT SCANNERS, TWO DUAL-SOURCE 128-SLICE CT SCANNERS, A PET/CT SCANNER, A SPECT/CT SCANNER, TWO 1.5T OPEN MRI'S, A 3.0T OPEN MRI, AS WELL AS THREE FULLY EQUIPPED INTERVENTIONAL RADIOLOGY SUITES. THE HOSPITAL RECENTLY COMPLETED ONE OF THE LATEST ADVANCEMENTS FOR HEALTH CARE IN EASTERN KENTUCKY WITH AN EXTENSIVE EXPANSION OF CRITICAL CARE UNIT SERVICES. THE ADDITION OF 36,849 SQUARE FEET TO THE CCU INCREASED THE AVAILABLE BED COUNT TO 72 AND WAS NECESSARY DUE IN PART TO PMC SERVING AS KENTUCKY'S ONLY LEVEL II TRAUMA CENTER, COVERING A POPULATION OF MORE THAN 400,000, IN ADDITION TO AN INCREASE OF PATIENT TRANSFERS TO PMC FROM NEIGHBORING COMMUNITY HOSPITALS. THE CCU FEATURES THE LATEST STATE-OF-THE-ART EQUIPMENT AND A HIGHLY SKILLED BOARD CERTIFIED TEAM OF PHYSICIANS TO PROVIDE COMPREHENSIVE CARE AND CONSTANT MONITORING TO THOSE WITH LIFE-THREATENING CONDITIONS.THE PMC LABORATORY PHASE ONE EXPANSION WAS COMPLETED DURING FY 2018. THE EXPANSION INCLUDES A NEW AUTOMATION LINE, EXTENDED BLOOD BANK, HEMATOLOGY, AND CHEMISTRY AREA. PMC IS THE ONLY FACILITY IN THE REGION TO IMPLEMENT THIS NEW CUTTING EDGE AUTOMATED LAB TECHNOLOGY WHICH INCREASES PRODUCTIVITY, ALLOWING FOR THE EXPANSION OF THE IN HOUSE TESTING MENU, IN ADDITION TO DECREASING THE TURNAROUND TIME FOR PATIENT TEST RESULT DELIVERY TO THE ORDERING PHYSICIAN. THE PIKEVILLE MEDICAL CENTER DATA CENTER CONSTRUCTION WAS ALSO RECENTLY FINALIZED. THE NEW DATA CENTER IS A TECHNICAL MARVEL, BUILT WITH UPGRADED WIRING, LEAK DETECTION AND ENVIRONMENTAL CONTROLS TO MAINTAIN A PROPER ENVIRONMENT FOR THE TECHNOLOGICALLY ADVANCED EQUIPMENT. ADDITIONALLY, THE CENTER WAS CONSTRUCTED WITH THE CAPABILITY TO PROVIDE CONTINUAL MONITORING OF THE EQUIPMENT AND POWER STATISTICS NECESSARY TO ENSURE UNINTERRUPTED NETWORK SERVICES VITAL TO PMC'S DAILY OPERATIONS. IN ADDITION TO PHYSICAL EXPANSION, PMC, ACCREDITED BY THE JOINT COMMISSION, HAS EXPERIENCED SIGNIFICANT GROWTH IN OUTPATIENT VOLUMES. TOTAL OUTPATIENT VISITS INCREASED TO 478,817 IN FY 2018 FROM 468,703 IN FY 2017; EMERGENCY DEPARTMENT VISITS INCREASED TO 54,677 IN FY 2018 FROM 53,029 IN FY 2017; CARDIAC SERVICE PROCEDURES INCREASED TO 69,104 IN FY 2018 FROM 66,914 IN FY 2017; AND PHYSICIAN OUTPATIENT VISITS INCREASED TO 216,478 IN FY 2018 FROM 202,115 IN FY 2017.PMC CONTINUES TO RECRUIT HIGHLY-QUALIFIED PROFESSIONALS ASPIRING TO PRACTICE IN A PROGRESSIVE, SUPPORTIVE, GROWING MEDICAL COMMUNITY THAT DEMANDS QUALITY AND STRIVES FOR EXCELLENCE. CURRENTLY, PMC EMPLOYS NEARLY 3,000 PEOPLE. MORE THAN 450 PROVIDERS ARE CREDENTIALED TO PRACTICE AT PMC. DURING FY 2018 THE HOSPITAL WELCOMED 25 NEW EMPLOYED PHYSICIANS AND CONTRACTED 6 ADDITIONAL WITH START DATES RANGING FROM NOVEMBER 2018 TO AUGUST 2019.PIKEVILLE MEDICAL CENTER'S GROWTH HAS NOT ONLY FACILITATED THE EXPANSION OF THE RANGE AND SCOPE OF HEALTH CARE SERVICES PROVIDED TO PATIENTS IN THE REGION, BUT HAS ALSO PLAYED AN ESSENTIAL ROLE IN ENHANCING THE HOSPITAL'S ABILITY TO PROVIDE COMMUNITY OUTREACH SERVICES. PMC PROVIDES A VARIETY OF EDUCATIONAL, WELLNESS, AND PREVENTIVE HEALTH SERVICES THAT ARE FUNDAMENTAL TO PMC'S MISSION "TO PROVIDE WORLD-CLASS QUALITY HEALTHCARE IN A CHRISTIAN ENVIRONMENT." CHARITY CARE: THROUGH DEFINED POLICIES AND PROCEDURES, PMC RECORDED UNCOMPENSATED CHARITY OF MORE THAN $18,349,000 DURING FY 2018 (SERVICES AT HOSPITAL'S ESTABLISHED RATES). HEALTH CARE SUPPORT SERVICES:BLOOD DRIVES - PMC WAS HOST TO FOUR BLOOD DRIVES DURING FY 2018. 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 2018, 252 DONORS PARTICIPATED IN PMC'S FOUR BLOOD DRIVES, PROVIDING LIFE-SAVING BLOOD PRODUCTS TO AN ESTIMATED 756 RECIPIENTS. THESE EVENTS COST PMC $959.MEALS ON WHEELS - IN FY 2018, PMC PROVIDED 6,013 MEALS AT A COST OF $43,263.GUEST MEALS - PMC DONATED 4,415 FOOD TRAYS TO GUESTS AT A COST OF $33,113 IN FY 2018.INDIGENT SUPPORT SERVICES - MANY PATIENTS NEED FINANCIAL ASSISTANCE WITH PRESCRIBED MEDICATIONS, IN-HOME MEDICAL EQUIPMENT, TRANSPORTATION, AND OTHER ITEMS OR SERVICES. TO ASSIST IN RELIEVING FINANCIAL BURDEN, PMC'S CHAPLAIN SERVICES, CASE MANAGEMENT, AND LEONARD LAWSON CANCER CENTER DEPARTMENTS PROVIDED ASSISTANCE TO 429 PATIENTS TOTALING $33,290 IN FY 2018. ASSISTANCE WENT TO PATIENTS NEEDING PRESCRIBED MEDICATIONS AND TRANSPORTATION UPON DISCHARGE. TRANSPORTATION SUPPORT WAS ALSO PROVIDED TO PATIENTS NEEDING TO TRAVEL TO AND FROM THE HOSPITAL TO RECEIVE CARE. IN ADDITION, THE HOSPITAL PURCHASED CHILD CAR SEATS, HOME MEDICAL EQUIPMENT, AND MEDICAL SUPPLIES FOR PATIENTS IN NEED.SPIRITUAL - PMC'S CHAPLAINCY DEPARTMENT MAKES AN ARDUOUS EFFORT TO ENSURE PATIENTS' SPIRITUAL NEEDS ARE MET. THE STAFF ROUNDS DAILY WITH PATIENTS, OFFERING WORDS OF ENCOURAGEMENT AND PRAYER. IN FY 2018, 768 BIBLES FOR NEWBORNS WERE DISTRIBUTED AND 61 COMMUNITY EVENTS, INCLUDING FUNERALS, WEDDINGS AND MINISTERIAL ASSOCIATION MEETINGS WERE SERVICED BY PMC CHAPLAINS. EASTER SUNRISE AND HOLY WEEK SERVICES, WHICH INCLUDED FIVE EVENTS WITH NEARLY 500 PARTICIPANTS, WERE ALSO CONDUCTED DURING FY 2018. THESE SERVICES PROVIDED A COMMUNITY BENEFIT OF MORE THAN $21,180.COMMUNITY FINANCIAL DONATIONS: IN FY 2018, PMC CONTINUED TO EMBRACE ITS CORPORATE SOCIAL RESPONSIBILITY THROUGH BOTH FINANCIAL AND IN-KIND DONATIONS TO COMMUNITY ORGANIZATIONS, IN ADDITION TO SUPPORTING EMPLOYEE PARTICIPATION IN COMMUNITY ACTIVITIES AND EVENTS WITH A COMMON GOAL OF SERVING OTHERS. THE HOSPITAL PROVIDED $31,412 IN FINANCIAL AND IN-KIND SUPPORT TO SUCH ENTITIES AS:APPALACHIAN PREGNANCY CARE CENTERBRYNLEE E. HAMILTON SCHOLARSHIP FUNDSHAPING OUR APPALACHIAN REGION, INC. (SOAR)PHELPS HIGH SCHOOLUNIVERSITY OF PIKEVILLEPIKEVILLE MAIN STREET PROGRAMEASTERN KENTUCKY STRONGPIKE COUNTY FIREFIGHTERS ASSOCIATIONPIKEVILLE UNITED METHODIST CHURCHPANTHER EXCELLENCE FOUNDATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH (CONTINUED)PMC IS AN AVID SUPPORTER OF SOAR, A NON-PARTISAN APPALACHIAN KENTUCKY NETWORK COMMITTED TO THE COMMON PURPOSE OF IMPROVING EDUCATION, HEALTH, AND THE ECONOMY FOR ALL CITIZENS OF THE REGION THROUGH INNOVATION AND COLLABORATION. PMC EXECUTIVES AND STAFF PARTICIPATE IN ANNUAL CONFERENCES TO ASSIST IN SHAPING A BETTER FUTURE FOR THE REGION.FUNDRAISING: DURING AUGUST 2018, PMC HOSTED ITS FIFTH ANNUAL "COLORS OF COURAGE" 5K FUNDRAISER IN PIKEVILLE TO BENEFIT UNDERINSURED CANCER PATIENTS OF THE HOSPITAL'S LEONARD LAWSON CANCER CENTER AND BRING AWARENESS TO ALL TYPES OF CANCER. MORE THAN 500 RUNNERS AND WALKERS CAME TOGETHER FOR THIS COMMON CAUSE. HOSPITAL EMPLOYEES ORGANIZED, PUBLICIZED, AND WORKED THE EVENT. THE TOTAL COMMUNITY BENEFIT WAS $11,390. THE COST OF FUNDRAISING WAS $13,580.PIKEVILLE MEDICAL WELLNESS AND WEIGHT LOSS SURGERY CENTER'S THIRD ANNUAL "RECLAIM YOUR LIFE" 5K RUN/1-MILE WALK WAS HELD IN APRIL 2018. OBESITY IS AN EPIDEMIC IN APPALACHIA; PMC STRIVES TO EDUCATE THE COMMUNITY AND PROMOTE PHYSICAL ACTIVITY TO COMBAT THE DISEASE. PROCEEDS FROM THE EVENT, WHICH HAD MORE THAN 250 PARTICIPANTS, ASSIST WEIGHT LOSS SURGERY PATIENTS IN THEIR JOURNEY TO BETTER HEALTH. HOSPITAL EMPLOYEES VOLUNTEERED TO MAKE THE EVENT A SUCCESS. THE EVENT GENERATED OVER $12,234 IN COMMUNITY BENEFIT. HEALTH SCREENINGS: PMC PARTICIPATED IN 10 FREE COMMUNITY HEALTH FAIRS/SCREENINGS DURING FY 2018 INCLUDING TWO DIABETES SCREENING EVENTS, A WORLD HEPATITIS DAY HEALTH SCREENING EVENT AND STROKE AWARENESS DAY EVENT. HEALTH EDUCATION MATERIALS WERE DISTRIBUTED AT THE EVENTS, WHICH WERE ATTENDED BY MORE THAN 1,100 PEOPLE. ALL SCREENINGS WERE HOSTED BY PMC PHYSICIANS, NURSES AND/OR SUPPORT STAFF. THE EVENTS PROVIDED A COMMUNITY BENEFIT OF $17,124.OTHER EVENTS DURING WHICH PMC HOSTED FREE HEALTH SCREENINGS INCLUDED: - FIRST-AID BOOTH HILLBILLY DAYS FESTIVAL- BIG SANDY SENIOR GAMES BANQUET- PIKEVILLE FARMER'S MARKET ANNUAL PIG ROAST- MOUNTAIN HERITAGE FESTIVAL- MARROWBONE SENIOR CITIZENS CENTER HEALTH FAIRCOMMUNITY HEALTH EDUCATION: PMC'S STAFF IS ACTIVELY INVOLVED IN EDUCATING THE COMMUNITY ON IMPORTANT HEALTH CARE TOPICS. THROUGHOUT FY 2018, HOSPITAL REPRESENTATIVES FROM VARIOUS DEPARTMENTS PRESENTED TO LOCAL CIVIC CLUBS, SCHOOLS, MEDICAL PROFESSIONALS, AND THE PUBLIC AT LARGE. THROUGH ITS 113 COMMUNITY EDUCATION EFFORTS IN FY 2018, PMC CONTRIBUTED $301,186.PMC EMPLOYEES PARTICIPATED IN THE FOLLOWING LECTURES/PRESENTATIONS/PUBLICATIONS DURING FY 2018:- WORLD OBESITY DAY EVENT- NATIONAL MAMMOGRAPHY DAY- TRAUMA OUTREACH EMS WEEK EVENTS- WOUND HEALING RECOGNITION- WILDWOOD GARDEN CLUB MEETING- STOP THE BLEED TRAUMA DEMONSTRATION (6)- INFLUENZA EDUCATION PROGRAM- HEART MONTH EDUCATION PROGRAM- HEALTH MINUTE/MEDICAL JOURNAL- HEALTH TALK PROGRAMS (9)- MAYO MINUTE PROGRAMS (9)- MEDICAL LEADER COMMUNITY PUBLICATION AND WEBSITE- STROKE AWARENESS DAY- WEIGHT LOSS SURGERY EDUCATION SEMINARS (9)- WORLD HEPATITIS DAY EVENTHEALTH TALK - PMC'S PUBLIC RELATIONS DEPARTMENT RELEASED A 30-MINUTE RADIO SHOW THAT WAS AIRED ON LOCAL RADIO STATIONS COVERING PIKE, FLOYD, LETCHER, JOHNSON, KNOTT, MAGOFFIN, AND MARTIN COUNTIES IN KENTUCKY AND MINGO COUNTY, WEST VIRGINIA DURING FY 2018. THROUGH THIS SHOW, PMC INFORMED LISTENERS OF NEW HEALTH SERVICES, PHYSICIANS, AND TECHNOLOGY AT THE HOSPITAL. THE PROGRAM EDUCATED THE PUBLIC ON HEALTH TOPICS OF INTEREST WHICH HAVE INCLUDED FAMILY MEDICINE; FLU; PULMONARY REHABILITATION; CANCER SYMPTOMS, PREVENTION AND TREATMENT; AND DIABETES. IN FY 2018, THE TOTAL COST FOR THIS PROGRAM WAS MORE THAN $48,100.MAYO MINUTE - PMC SPONSORED MAYO MINUTE RADIO SPOTS FROM MAYO CLINIC DURING FY 2018. THE 60-SECOND RADIO SPOTS WERE AIRED ON LOCAL RADIO STATIONS COVERING PIKE, FLOYD, LETCHER, JOHNSON, KNOTT, MAGOFFIN AND MARTIN COUNTIES IN KENTUCKY AND MINGO COUNTY, WEST VIRGINIA. THE MAYO MINUTE INFORMATIONAL SPOTS COVERED A VARIETY OF HEALTH TOPICS. IN FY 2018, THE TOTAL COST FOR THIS PROGRAM WAS $45,800.MEDICAL LEADER - PMC PUBLISHED A WEEKLY NEWSPAPER, MEDICAL LEADER, IN WHICH HEALTH INFORMATION WAS PRINTED ALONG WITH CONTENT ABOUT PMC SERVICES, PHYSICIANS, AND TECHNOLOGY. DURING FY 2018 THE HOSPITAL RELEASED 26 WEEKLY ISSUES OF MEDICAL LEADER AND DISTRIBUTED THEM, FREE OF CHARGE, THROUGHOUT THE SERVICE AREA. THIS COMMUNITY BENEFIT EXCEEDED $112,350 IN FY 2018.WEIGHT LOSS SURGERY EDUCATION SEMINARS - PMC'S WEIGHT LOSS SURGERY CENTER STAFF EDUCATES THE PUBLIC ON VARIOUS BARIATRIC SURGERY, WEIGHT MANAGEMENT, AND NUTRITION TOPICS. DURING FY 2018, THIS COMMUNITY BENEFIT TOTALED $3,796.COMMUNITY SELF-HELP EDUCATION: SMOKING CESSATION CLASSES WERE OFFERED BY PMC DURING FY 2018, REACHING 30 PARTICIPANTS AT A COST OF $390.HEALTH PROFESSIONS EDUCATION: DURING FY 2018, PMC INVESTED $554,390 IN HEALTH PROFESSIONS EDUCATION. IN AFFILIATION WITH MORE THAN 30 ACADEMIC INSTITUTIONS, PMC TRAINED MORE THAN 400 STUDENTS DURING 2018, IN NEARLY 20 DIFFERENT SPECIALTIES INCLUDING: NURSING, PHYSICAL THERAPY, RESPIRATORY THERAPY, PHARMACY, PHLEBOTOMY, RADIOLOGY AND SPEECH THERAPY. SCHOOLS AFFILIATED WITH PMC INCLUDE:AMERICAN NATIONAL UNIVERSITYBELLARMINE UNIVERSITYBIG SANDY COMMUNITY AND TECHNICAL COLLEGECHAMBERLAIN COLLEGEEASTERN KENTUCKY UNIVERSITYEAST TENNESSEE STATE UNIVERSITYFRONTIER SCHOOL OF MIDWIFERY AND FAMILY NURSINGHAZARD COMMUNITY AND TECHNICAL COLLEGEINDIANA WESLEYAN UNIVERSITYKENTUCKY CHRISTIAN UNIVERSITYKENTUCKY COMMUNITY TECHNICAL COLLEGE SYSTEMLINCOLN MEMORIAL UNIVERSITYMARYVILLE UNIVERSITYMERIDIAN INSTITUTE OF SURGICAL ASSISTINGMOREHEAD STATE UNIVERSITYNOVA SOUTH EASTERN UNIVERSITYSOUTH UNIVERSITYSOUTHEAST COMMUNITY COLLEGESOUTHERN WEST VIRGINIA COMMUNITY &amp; TECHNICAL COLLEGESOUTHWEST VIRGINIA COMMUNITY COLLEGESPALDING UNIVERSITYUNION UNIVERSITYUNIVERSITY OF APPALACHIA COLLEGE OF PHARMACYUNIVERSITY OF CHARLESTONUNIVERSITY OF CINCINNATIUNIVERSITY OF KENTUCKYUNIVERSITY OF LOUISVILLEUNIVERSITY OF PIKEVILLEVIRGINIA COMMONWEALTH UNIVERSITYWALDEN UNIVERSITYWESTERN KENTUCKY UNIVERSITYRESIDENCY PROGRAM - PMC'S RESIDENCY PROGRAM IS ACCREDITED BY THE AMERICAN OSTEOPATHIC ASSOCIATION AND IS SPONSORED BY THE APPALACHIAN OSTEOPATHIC POSTGRADUATE TRAINING INSTITUTE CONSORTIUM. AS THE REGION'S MOST SOUGHT AFTER RESIDENCY PROGRAM, IT IS 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 FAMILY MEDICINE AND OSTEOPATHIC MANIPULATIVE TREATMENT MEDICINE RESIDENCY PROGRAMS IN KENTUCKY. THE HOSPITAL, IN CONJUNCTION WITH THE RESIDENCY PROGRAM, OPERATES A FAMILY PRACTICE CLINIC WHICH TREATS MORE THAN 13,500 PATIENTS ANNUALLY. THIS SERVICE ALLOWS PMC TO EDUCATE AND RETAIN COMPETENT, SKILLED PHYSICIANS IN THE REGION. DURING THE RESIDENCY YEAR OF JULY 2017 TO JUNE 2018, PMC TRAINED 13 RESIDENTS. THIS PROGRAM PROVIDED A COMMUNITY BENEFIT OF $526,690.PIKEVILLE MEDICAL CENTER HAS ALSO PARTNERED WITH THE UNIVERSITY OF PIKEVILLE - KENTUCKY COLLEGE OF OPTOMETRY, A NOT-FOR-PROFIT OPTOMETRIC EDUCATION INSTITUTION ENGAGED IN EDUCATING OPTOMETRIC STUDENTS AND ADVANCING OPTOMETRIC EDUCATION TO PROVIDE CLINICAL CARE SPACE AND EQUIPMENT AS A CORE SITE TO ACCOMMODATE OPTOMETRY PATIENT CARE FOR THE EDUCATION AND TRAINING OF OPTOMETRIC STUDENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH (CONTINUED)CONTINUING HEALTH PROFESSIONALS EDUCATION - PMC'S MEDICAL LIBRARY STAFF COORDINATES AND OVERSEES CONTINUING MEDICAL EDUCATION (CME) HOURS OFFERED AT THE HOSPITAL. MOST CMES ARE OPEN TO NOT ONLY PMC STAFF, BUT TO OTHER MEDICAL PROFESSIONALS THROUGHOUT THE REGION. IN FY 2018, PMC OFFERED 89 CME PRESENTATIONS, REACHING NEARLY 2,000 ATTENDEES. THIS SERVICE PROVIDED A COMMUNITY BENEFIT OF $27,700. THE EDUCATIONAL OPPORTUNITIES OFFERED BY THE HOSPITAL DURING FY 2018 RELATED TO THE FOLLOWING TOPICS:- ADVANCED CARDIOVASCULAR LIFE SUPPORT (15 EVENTS) - BLADDER CANCER: DIAGNOSIS AND TREATMENT CONFERENCE- CARDIOLOGY GRAND ROUNDS (12 EVENTS) - CANCER CASE CONFERENCE (12 EVENTS)- DIABETES SYMPOSIUM- HEART AND VASCULAR SYMPOSIUM- INFECTIOUS DISEASE CONFERENCE (3 EVENTS)- PEDIATRIC ADVANCED LIFE SUPPORT (15 EVENTS)- STROKE CASE CONFERENCE (3 EVENTS)- STROKE GRAND ROUNDS (9 EVENTS)- STROKE SYMPOSIUM- TRAUMA SYMPOSIUM- TRAUMA GRAND ROUNDS (12 EVENTS)- ULTRASOUND IN THE EMERGENCY SETTING (2 EVENTS)- WOUND CARE SYMPOSIUMPHYSICIAN, MIDLEVEL AND NURSING PROFESSIONAL RECRUITMENT: PMC'S RECRUITMENT PROGRAM IS FOCUSED ON PROVIDING PATIENTS WITHIN THE SERVICE AREA WITH QUALITY MEDICAL CARE BY RECRUITING AN ADEQUATE NUMBER OF PRIMARY CARE PHYSICIANS ALONG WITH A DESIRED MIX OF SPECIALTY PHYSICIANS. PHYSICIAN RECRUITMENT IS A FUNDAMENTAL ELEMENT REQUIRED TO MEET THE HEALTHCARE NEEDS OF THE SERVICE AREA. PMC IS A REGIONAL REFERRAL CENTER FOR SPECIALTY AND SUB-SPECIALTY SERVICES NOT PROVIDED BY OTHER LOCAL HOSPITALS. DURING FY 2018, TWENTY-FIVE PHYSICIANS, SIXTEEN MIDLEVEL PROFESSIONALS AND SIXTY-SEVEN REGISTERED NURSES WERE ADDED TO PMC'S TEAM OF HEALTHCARE PROVIDERS. THE TOTAL COMMUNITY BENEFIT ASSOCIATED WITH RECRUITMENT OF THESE PROVIDERS DURING FY 2018 WAS $324,325. THE RECRUITED PHYSICIANS PRACTICE IN THE FOLLOWING SPECIALTIES: - ANESTHESIOLOGY- CARDIOLOGY- CARDIOTHORACIC SURGERY- ENDOCRINOLOGY- EMERGENCY MEDICINE- HEMATOLOGY/ONCOLOGY- HOSPITALIST MEDICINE- ORTHOPEDIC SURGERY- ORTHOPEDIC TRAUMA SURGERY- PODIATRY- PRIMARY CARE MEDICINE- RHEUMATOLOGY- SURGICAL ONCOLOGYSUPPORT GROUPS: IN FY 2018, PMC HOSTED/SPONSORED 22 SUPPORT GROUP MEETINGS, REACHING MORE THAN 150 PEOPLE AND PROVIDING $5,495 IN COMMUNITY BENEFITS. BELOW IS A LIST OF THE SUPPORT GROUPS PMC HOSTED/SPONSORED: - AFTER BREAST CANCER (ABC) SUPPORT GROUP- CURE BLOOD CANCER SUPPORT GROUP- MAN TO MAN PROSTATE CANCER SUPPORT GROUP- THYROID CANCER SUPPORT GROUP- DIABETES SUPPORT GROUP- WEIGHT LOSS SURGERY SUPPORT GROUPOTHER COMMUNITY SUPPORT: THROUGHOUT FY 2018, PMC HOSTED, SPONSORED, OR PARTICIPATED IN SEVERAL EVENTS TO SUPPORT THE COMMUNITY INCLUDING: - FIRST-AID BOOTH HILLBILLY DAYS FESTIVAL--A NATIONALLY KNOWN ANNUAL EVENT HELD IN DOWNTOWN PIKEVILLE TO BENEFIT THE SHRINERS' CHILDREN'S HOSPITAL- MILLARD ELEMENTARY SAFE TRICK OR TREAT- PIKEVILLE AREA VETERAN'S DAY CEREMONY- PMC BOOTH AT NIGHTMARE ON MAIN- PRAY FOR VEGAS COMMUNITY EVENT- CHILDREN'S COMMUNITY CHRISTMAS PARTY WITH SANTA- COMMUNITY CHRISTMAS PARADE - REASON FOR THE SEASON COMMUNITY SERVICE- VIRTUAL BRIDAL SHOW EVENT- YMCA HEALTHY KIDS DAY &amp; EASTER EGG HUNT- YMCA HEALTHY MONDAYTHE TOTAL COMMUNITY BENEFIT FOR THE OTHER COMMUNITY SUPPORT EVENTS WAS $52,900.</ExplanationTxt>
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          <BusinessNameLine1Txt>PIKEVILLE UNITED METHODIST CHURCH</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 311</AddressLine1Txt>
          <CityNm>PIKEVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
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        <GrantTypeTxt>ASSISTANCE FOR UNINSURED PATIENTS FOR PRESCRIPTIONS, CAFE VOUCHERS, TRANSPORTATION, MEDICAL EQUIPMENT AND CANCER TREATMENT TRAVEL ASSISTANCE.</GrantTypeTxt>
        <RecipientCnt>410</RecipientCnt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GRANTS ARE PROVIDED TO PUBLIC CHARITIES FOR GENERAL SUPPORT. PIKEVILLE MEDICAL CENTER, INC. DOES NOT MONITOR THE USE OF THESE FUNDS BY THESE PUBLIC CHARITIES.</ExplanationTxt>
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        <TitleTxt>VP CORPORATE COMPLIANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>183808</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1066</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9285</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23885</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>218044</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID HALCOMB</PersonNm>
        <TitleTxt>ASSISTANT CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>153246</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3133</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23735</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>180114</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBRA PARSONS</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>242429</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3361</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1222</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>824</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>247836</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARCUS CONLEY</PersonNm>
        <TitleTxt>ASSISTANT CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>179291</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>218</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2716</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23885</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>206110</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RALPH LOMMA</PersonNm>
        <TitleTxt>VP FACILITIES</TitleTxt>
        <BaseCompensationFilingOrgAmt>181419</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>14167</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9128</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9560</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>214274</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANITA WILSON</PersonNm>
        <TitleTxt>VP SURGICAL SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>266200</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>266200</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DERMOT HALPIN MD</PersonNm>
        <TitleTxt>CARDIOTHORACIC SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>948204</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>637</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24118</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>972959</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMY JOHNSON MD</PersonNm>
        <TitleTxt>BARIATRIC &amp; GENERAL SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>473744</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>512558</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>637</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24118</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1023057</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN PUGH MD</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>1022722</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>277</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24118</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1056117</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEITH HALL MD</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>1027921</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>277</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24118</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1061316</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM B WEBB DO</PersonNm>
        <TitleTxt>EMERGENCY DEPARTMENT PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>898165</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>30000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>239</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4680</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8956</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>942040</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RUSSELL SHANKLIN</PersonNm>
        <TitleTxt>FORMER-ASSISTANT CIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>170356</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>651</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8596</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23811</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>203414</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PEGGY JUSTICE</PersonNm>
        <TitleTxt>FORMER - VP PHYSICIAN NETWORK</TitleTxt>
        <BaseCompensationFilingOrgAmt>157560</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>280</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7982</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23760</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>189582</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>DEBRA PARSONS RECEIVED SEVERANCE PAYMENTS TOTALING $77,885.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>DR. JOHNSON EARNS QUARTERLY BONUSES BASED ON THE WORK RELATIVE VALUE UNIT PRODUCTION WITHIN HER PRACTICE. DR. WEBB EARNED A PHYSICIAN RECRUITMENT BONUS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CITY OF PIKEVILLE KY</BusinessNameLine1Txt>
        </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>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <BondDefeasedAmt>6945000</BondDefeasedAmt>
        <TotalProceedsAmt>90370651</TotalProceedsAmt>
        <InReserveFundAmt>3563671</InReserveFundAmt>
        <IssuanceCostsFromProceedsAmt>1328586</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>41241831</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>44236563</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2014</SubstantialCompletionYr>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>1</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>1</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>1</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.00920</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00100</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.01020</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>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCH K</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BONDS 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">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ADRIENNE ADKINS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>STEP GRANDDAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO</RelationshipDescriptionTxt>
        <TransactionAmt>64174</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS STAFF REGISTERED NURSE.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ANDREA ALLARA</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER OF JOE DEAN ANDERSON, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>43458</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS RADIOLOGY COORDINATOR.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ASHLEY JOHNSON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER OF DAVID COLLINS, CPA, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>67541</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS MANAGER RECRUITING</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>BART DAVIS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>GRANDSON OF JO NELL ROBINSON, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>78322</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR OF FLEET &amp; SURPLUS MAINTENANCE</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CAMILLA DAMRON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER OF JO NELL ROBINSON, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>76378</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A SPEECH LANGUAGE PATHOLOGIST.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY TRUST BANK</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY OF WHICH BOARD MEMBER HAS BUSINESS RELATIONSHIP</RelationshipDescriptionTxt>
        <TransactionAmt>8919100</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, $1,385,442 -SAFE DEPOSIT BOX FEES/LINE OF CREDIT FEES/BOND ACCT MGMT FEES, $13,234 - INSTALLMENT PAYMENTS, $7,507,940 -ADVERTISING INCOME MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $12,484</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CORDELL WEATHERFORD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF WALTER E. MAY, PMC PRES/CEO &amp; CINDY JOHNSON, PMC BOARD MEM</RelationshipDescriptionTxt>
        <TransactionAmt>111789</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS VICE PRESIDENT SUPPORT SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>EAST KY BROADCASTING &amp; EAST KY RADIO NETWORK (TOTAL OF NINE RADIO STATIONS)</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITIES &gt; 35% OWNED BY WALTER MAY, PMC PRES/CEO &amp; CINDY JOHNSON BOARD MEM</RelationshipDescriptionTxt>
        <TransactionAmt>762871</TransactionAmt>
        <TransactionDesc>ENTITIES PROVIDE ADVERTISING SERVICES TO PMC, $700,501 -ENTITIES PROVIDE ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $62,370</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KAMINSKI ROBINSON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SPOUSE OF JO NELL ROBINSON, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>55411</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-CHAPLAIN SERVICES.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MIRANDA FORSYTH</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF DEBRA BLACKBURN, PMC BOARD MEM &amp; WILLIAM BLACKBURN PMC CEO</RelationshipDescriptionTxt>
        <TransactionAmt>57797</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS EMPLOYEE HEALTH NURSE</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>RANDY L JOHNSON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF WALTER E. MAY, PMC PRES/CEO &amp; CINDY JOHNSON, PMC BOARD MEM</RelationshipDescriptionTxt>
        <TransactionAmt>64896</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-CHAPLAIN SERVICES.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>RHONDA COLEMAN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF DEBRA BLACKBURN, PMC BOARD MEM &amp; WILLIAM BLACKBURN PMC CEO</RelationshipDescriptionTxt>
        <TransactionAmt>67095</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS MANAGER PHYSICIAN CODING &amp; REVENUE CYCLE</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ROBERT BELL</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>STEP SON OF HOBART JOHNSON, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>102908</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS NUTRITIONAL SERVICES HEAD CHEF.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SARAH TAYLOR</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER OF CHERYL HICKMAN, PMC KEY EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>80968</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS IT- PROJECT MANAGER.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>TRISTAN BLACKBURN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF DEBRA BLACKBURN, PMC BOARD MEM &amp; WILLIAM BLACKBURN PMC CEO</RelationshipDescriptionTxt>
        <TransactionAmt>72800</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS NETWORK ADMINISTRATOR.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>WILLIAM B LOWE</PersonNm>
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        <RelationshipDescriptionTxt>STEP SON IN LAW OF WALTER E MAY, PMC PRESIDENT/CEO</RelationshipDescriptionTxt>
        <TransactionAmt>32027</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS EXECUTIVE DIRECTOR PHYSICIAN REFERRAL</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JORDAN ELIZABETH PUGH</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>GRANDDAUGHTER OF SUE SMALLWOOD, PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>39931</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS RECRUITER</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>ELLIOTT COMPANIES</BusinessNameLine1Txt>
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        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY OF WHICH BOARD MEMBER HAS BUSINESS RELATIONSHIP</RelationshipDescriptionTxt>
        <TransactionAmt>575477</TransactionAmt>
        <TransactionDesc>DAVID BAIRD SERVES AS BOARD MEMBER OF BOTH ENTITIES. PIKEVILLE MEDICAL CENTER PURCHASES CONSTRUCTION AND MAINTENANCE MATERIALS FROM ELLIOTT COMPANIES.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LINA ABDALLAH</PersonNm>
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        <RelationshipDescriptionTxt>SPOUSE OF FADI AL AKHRASS M.D., PMC BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>59486</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS PHARMACIST</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>DWIGHT BUCKLEY</PersonNm>
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        <RelationshipDescriptionTxt>FAMILY MEMBER OF DEBRA BLACKBURN, PMC BOARD MEM &amp; WILLIAM BLACKBURN PMC CEO</RelationshipDescriptionTxt>
        <TransactionAmt>53654</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR RESPIRATORY/SLEEP LAB</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ANDREA ROBINETTE LOWE</PersonNm>
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        <RelationshipDescriptionTxt>STEP DAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO</RelationshipDescriptionTxt>
        <TransactionAmt>100918</TransactionAmt>
        <TransactionDesc>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS VICE PRESIDENT HUMAN RESOURCES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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    </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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE CFO PRIOR TO FILING. ADDITIONALLY, THE GOVERNING BODY WILL REVIEW THE FINAL FORM 990 INCLUDING REQUESTED SCHEDULES AT THE NEXT BOARD MEETING. 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 HOSPITAL ATTORNEY IS PROVIDED A COPY OF ALL INTERESTS OF EACH MEMBER TO ENSURE COMPLIANCE WITH THE POLICY. THESE ARE REGULARLY AND CONSISTENTLY MONITORED FOR ANY CHANGES. AS TO EMPLOYEES, THERE IS A WRITTEN CONFLICT OF INTEREST POLICY WHICH TOO IS REGULARLY AND CONSISTENTLY MONITORED AND ENFORCED BY HUMAN RESOURCES AND ADMINISTRATION AS NECESSARY. THIS POLICY IS INTENDED TO IDENTIFY AND RESOLVE CONFLICTS OF INTEREST WHICH MAY OCCUR RELATED TO FINANCIAL, BUSINESS, OR PROFESSIONAL INTERESTS. THE POLICY IS IN PLACE TO IDENTIFY AND RESOLVE A CONFLICT OF INTEREST WHICH MAY OCCUR ANY TIME THERE IS A SITUATION IN WHICH ONE'S ABILITY TO MAKE OBJECTIVE, JOB RELATED BUSINESS DECISIONS MAY BE INFLUENCED BY, OR HAVE THE APPEARANCE OF BEING INFLUENCED BY, OUTSIDE ACTIVITIES OR PERSONAL INTERESTS. POTENTIAL CONFLICTS OF INTEREST MAY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: 1. WORKING A SECOND JOB AT A COMPETING HEALTHCARE ENTITY WHICH MAY ALLOW THE TRANSFER OF CONFIDENTIAL BUSINESS INFORMATION OR INFLUENCE REFERRAL PATTERNS. 2. ALLOWING THE DEMANDS OF OUTSIDE ACTIVITIES TO HINDER OR DISTRACT YOU FROM THE PERFORMANCE OF YOUR JOB OR CAUSE YOU TO USE PIKEVILLE MEDICAL CENTER RESOURCES FOR OTHER THAN PIKEVILLE MEDICAL CENTER PURPOSES. 3. HOLDING AN OWNERSHIP INTEREST, MANAGEMENT, OR BOARD OF DIRECTORS POSITION IN A COMPANY WITH WHOM PIKEVILLE MEDICAL CENTER DOES BUSINESS WHICH MAY LEAD TO THE INDIVIDUAL'S PERSONAL GAIN/BENEFIT. "OWNERSHIP INTEREST" MEANS SERVING AS A BOARD DIRECTOR OR OFFICER OR OWNING MORE THAN 5% OF THE BUSINESS OR CORPORATION. 4. HAVING AN IMMEDIATE FAMILY MEMBER OR SIGNIFICANT OTHER WHO HOLDS AN OWNERSHIP INTEREST IN A COMPANY WITH WHOM PIKEVILLE MEDICAL CENTER DOES BUSINESS WHICH MAY LEAD TO THE INDIVIDUAL'S PERSONAL GAIN/BENEFIT. "OWNERSHIP INTEREST" MEANS SERVING AS A BOARD DIRECTOR OR OFFICER OR OWNING MORE THAN 5% OF THE BUSINESS OR CORPORATION. 5. HAVING AN IMMEDIATE FAMILY MEMBER OR SIGNIFICANT OTHER EMPLOYED BY THE PIKEVILLE MEDICAL CENTER AND WORKING WITHIN THE SAME DIRECT LINE OF AUTHORITY (ABOVE OR BELOW) AS THE FIRST EMPLOYEE. IMMEDIATE FAMILY MEMBERS INCLUDE SPOUSES, 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>
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      <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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEREST IN CHARITABLE REMAINDER TRUST 10,234. ROUNDING -1. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -490,173.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C.</FormAndLineReferenceDesc>
        <ExplanationTxt>OVERSIGHT OF AUDIT PROCESS THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4D, OTHER PROGRAM SERVICES:</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTINUED FROM PART III, LINE 4D, OTHER PROGRAM SERVICES: NATIONAL RECOGNITION PIKEVILLE MEDICAL CENTER (PMC) STRIVES TO BE NATIONALLY RECOGNIZED AS A LEADER IN HEALTHCARE. THE DEDICATION OF PMC'S LEADERSHIP TEAM, PHYSICIANS, AND STAFF TO FULFILL THE HOSPITAL'S MISSION "TO PROVIDE WORLD-CLASS QUALITY HEALTH CARE IN A CHRISTIAN ENVIRONMENT" LED TO NOTABLE RECOGNITION AND AWARDS DURING FY 2018 INCLUDING: OCTOBER '18 PMC RECEIVED THE GOLD SEAL OF DISTINCTION FOR HIP FRACTURE, JOINT REPLACEMENT HIP AND JOINT REPLACEMENT KNEE BY THE JOINT COMMISSION; PMC IS THE ONLY HOSPITAL IN KENTUCKY TO RECEIVE ALL THREE CERTIFICATIONS. SEPTEMBER '18 THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S HEART-CHECK MARK FOR ADVANCED CERTIFICATION FOR PRIMARY STROKE CENTER. THE GOLD SEAL OF APPROVAL AND THE HEART-CHECK MARK REPRESENT SYMBOLS OF QUALITY FROM THEIR RESPECTIVE ORGANIZATIONS. AUGUST '18 PMC RECEIVED THE PLATINUM AWARD FROM THE KENTUCKY ORGAN DONOR ASSOCIATION. JUNE '18 THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD WITH TARGET: STROKE HONOR ROLL ELITE. MARCH '18 LEVEL II TRAUMA CERTIFICATION &amp; DESIGNATION FROM THE AMERICAN COLLEGE OF SURGEONS. OCTOBER '17 THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD WITH TARGET: STROKE HONOR ROLL ELITE. PMC'S COMMITMENT TO PROVIDE WORLD-CLASS QUALITY HEALTHCARE IN A PASSIONATE, INNOVATIVE, AND VISIONARY ENVIRONMENT, WHERE PATIENTS' NEEDS ARE PLACED FIRST, WILL DRIVE THE ORGANIZATION FORWARD TO CONTINUED GROWTH AND EXPANSION, FOREVER MEETING THE EVOLVING HEALTHCARE NEEDS OF THE REGION.</ExplanationTxt>
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        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>12</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LANDMARK PROPERTIES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>612081</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LANDMARK PROPERTIES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>84000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>293391</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>