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        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CPSI</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 850309</AddressLine1>
            <City>MOBILE</City>
            <State>AL</State>
            <ZIPCode>36685</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MIS VENDOR</DescriptionOfServices>
        <Compensation>367643</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>GE</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>BOX 641419</AddressLine1>
            <City>PITTSBURGH</City>
            <State>PA</State>
            <ZIPCode>64419</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>BIO-MEDICAL</DescriptionOfServices>
        <Compensation>287932</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <ProgramServiceRevenue>
        <Description>NET PATIENT SERVICE REVENUE</Description>
        <BusinessCode>623990</BusinessCode>
        <TotalRevenueColumn>25800925</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>25800925</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>25800925</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>262450</TotalRevenueColumn>
        <ExclusionAmount>262450</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>129032</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>0</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>129032</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>129032</TotalRevenueColumn>
        <ExclusionAmount>129032</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>PHARMACY SALES</Description>
        <BusinessCode>446110</BusinessCode>
        <TotalRevenueColumn>1287391</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1017039</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>270352</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>70640</TotalRevenueColumn>
        <ExclusionAmount>70640</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MEDICAL TRANSCRIPT</Description>
        <BusinessCode>623990</BusinessCode>
        <TotalRevenueColumn>4269</TotalRevenueColumn>
        <ExclusionAmount>4269</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>1362300</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>27554707</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>26817964</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>270352</UnrelatedBusinessRevenue>
        <ExclusionAmount>466391</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>336662</Total>
        <ManagementAndGeneral>336662</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>12349227</Total>
        <ProgramServices>11745670</ProgramServices>
        <ManagementAndGeneral>603557</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>128906</Total>
        <ManagementAndGeneral>128906</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>3195896</Total>
        <ManagementAndGeneral>3195896</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>888438</Total>
        <ManagementAndGeneral>888438</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>29907</Total>
        <ManagementAndGeneral>29907</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>83600</Total>
        <ManagementAndGeneral>83600</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>1671433</Total>
        <ProgramServices>1608447</ProgramServices>
        <ManagementAndGeneral>62986</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>67984</Total>
        <ManagementAndGeneral>67984</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>6834070</Total>
        <ProgramServices>5895737</ProgramServices>
        <ManagementAndGeneral>938333</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>902316</Total>
        <ManagementAndGeneral>902316</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>34462</Total>
        <ProgramServices>5452</ProgramServices>
        <ManagementAndGeneral>29010</ManagementAndGeneral>
      </Travel>
      <Interest>
        <Total>143190</Total>
        <ManagementAndGeneral>143190</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>1120289</Total>
        <ManagementAndGeneral>1120289</ManagementAndGeneral>
      </DepreciationDepletion>
      <OtherExpenses>
        <Description>BAD DEBTS</Description>
        <Total>2099536</Total>
        <ManagementAndGeneral>2099536</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>FOOD SERVICE</Description>
        <Total>961558</Total>
        <ProgramServices>961558</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROVIDER TAX</Description>
        <Total>571072</Total>
        <ManagementAndGeneral>571072</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>269562</Total>
        <ProgramServices>138075</ProgramServices>
        <ManagementAndGeneral>131487</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>253252</Total>
        <ProgramServices>31916</ProgramServices>
        <ManagementAndGeneral>221336</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>31941360</Total>
        <ProgramServices>20386855</ProgramServices>
        <ManagementAndGeneral>11554505</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>71073</BOY>
        <EOY>47938</EOY>
      </CashNonInterestBearing>
      <AccountsReceivable>
        <BOY>5402407</BOY>
        <EOY>5500596</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>626169</BOY>
        <EOY>689684</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>247158</BOY>
        <EOY>269849</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>23754227</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>18181738</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>5907583</BOY>
        <EOY>5572489</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsOtherSecurities>
        <BOY>8210287</BOY>
        <EOY>6010479</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>242304</BOY>
        <EOY>817670</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>20706981</BOY>
        <EOY>18908705</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>3309730</BOY>
        <EOY>3985051</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
        <BOY>2060563</BOY>
        <EOY>3659796</EOY>
      </MortNotesPyblSecuredInvestProp>
      <TotalLiabilities>
        <BOY>5370293</BOY>
        <EOY>7644847</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>15336688</BOY>
        <EOY>11263858</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>15336688</BOY>
        <EOY>11263858</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>20706981</BOY>
        <EOY>18908705</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-4386653</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>625334</ReconciliationUnrealizedInvest>
      <ReconcilationPriorAdjustment>-311511</ReconcilationPriorAdjustment>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>448352</OtherCostOrOtherBasis>
        <BookValue>448352</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>10995630</OtherCostOrOtherBasis>
        <Depreciation>8847892</Depreciation>
        <BookValue>2147738</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>12164189</OtherCostOrOtherBasis>
        <Depreciation>9199713</Depreciation>
        <BookValue>2964476</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>146056</OtherCostOrOtherBasis>
        <Depreciation>134133</Depreciation>
        <BookValue>11923</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>5572489</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>CASH &amp; CD'S</Description>
        <BookValue>261997</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>EQUITY MUTUAL FUNDS</Description>
        <BookValue>5748482</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>6010479</TotalOfBookValueSecurities>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>27554707</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>27554707</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>27554707</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>31941360</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>31941360</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>31941360</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>NO PROVISION HAS BEEN MADE FOR FEDERAL AND STATE INCOME TAXES AS THE HOSPITAL QUALIFIES AS A TAX EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL'S ACCOUNTING POLICY PROVIDES THAT A TAX EXPENSE/BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THE HOSPITAL HAS NO UNCERTAIN TAX POSITIONS RESULTING IN AN ACCRUAL OF TAX EXPENSE OR BENEFIT. THE HOSPITAL'S FEDERAL RETURN OF ORGANIZATION EXEMPT FOR INCOME TAX RETURN IS SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES UNTIL THE EXPIRATION OF THE REALATED STATUTE OF LIMITATIONS ON THE RETURN, WHICH IS GENERALLY THREE YEARS.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <DiscountedOther>
        <Other>X</Other>
        <DiscountedOtherPercentage>100.000000000000</DiscountedOtherPercentage>
      </DiscountedOther>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>1</ExpensesExceededBudget>
      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>2497780</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>511938</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1985842</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06220</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>9397717</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>6861339</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2536378</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07940</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>11895497</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7373277</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4522220</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.14160</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>15101</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>15101</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>31848</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>31848</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00100</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>1514288</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1514288</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04740</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>13500</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>13500</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>1574737</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1574737</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04930</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>13470234</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7373277</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>6096957</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.19090</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>1213532</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>12005731</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>14851976</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-2846245</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>PINEVILLE COMMUNITY HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>850 RIVERVIEW AVE</AddressLine1>
          <City>PINEVILLE</City>
          <State>KY</State>
          <ZIPCode>40977</ZIPCode>
        </Address>
        <WebsiteAddress>120 BEDS LICENSE NUMBER 100020</WebsiteAddress>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>PINEVILLE COMMUNITY HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>1</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>1</TakeIntoAccount>
        <OtherFacilities>0</OtherFacilities>
        <CHNAWidelyAvailable>1</CHNAWidelyAvailable>
        <OnRequest>X</OnRequest>
        <OtherMethod>X</OtherMethod>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <IncludeOperationalPlans>X</IncludeOperationalPlans>
        <AdoptBudget>X</AdoptBudget>
        <AllNeedsAddressed>1</AllNeedsAddressed>
        <OrganizationIncurExciseTax>0</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>100.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>1</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <Lawsuit>X</Lawsuit>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <MedicareRate>X</MedicareRate>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>5</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PINEVILLE COMMUNITY HOSPITAL - SNF</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>850 RIVERVIEW AVE</AddressLine1>
            <City>PINEVILLE</City>
            <State>KY</State>
            <ZIPCode>40977</ZIPCode>
          </Address>
          <FacilityType>SKILLED NURSING FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PINEVILLE COMMUNITY HOSPITAL - HHA</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>121 VIRGINIA AVE</AddressLine1>
            <City>PINEVILLE</City>
            <State>KY</State>
            <ZIPCode>40977</ZIPCode>
          </Address>
          <FacilityType>HOME HEALTH AGENCY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PCH MEDICAL CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>121 VIRGINIA AVE</AddressLine1>
            <City>PINEVILLE</City>
            <State>KY</State>
            <ZIPCode>40977</ZIPCode>
          </Address>
          <FacilityType>MEDICAL CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PCH MEDICAL CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>850 RIVERVIEW AVE</AddressLine1>
            <City>PINEVILLE</City>
            <State>KY</State>
            <ZIPCode>40977</ZIPCode>
          </Address>
          <FacilityType>MEDICAL CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PCH MEDICAL CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>HWY 25E</AddressLine1>
            <City>FLATLICK</City>
            <State>KY</State>
            <ZIPCode>40972</ZIPCode>
          </Address>
          <FacilityType>MEDICAL CLINIC</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7: E- AMOUNT OF FUNDS THAT PINEVILLE COMMUNITY HOSPITAL EXPENDED AS COMMUNITY AWARENESS. EXAMPLES ARE LOCAL STUDENT SCHOLARSHIPS, LOCAL SCHOOL BOOSTERS ASSSOCATION, STUDENT LEADERSHIP CONFERENCE, LOCAL LITTLE LEAGUE SPORTS, PHYSICAL FITNESS, HEALTH, DIET, AGING, AND BODY SEMINAR.F- COSTS ARE ACTUAL EXPENDITURES.I- COSTS ARE ACTUAL EXPENDITURES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A DISCLOSURE FOR BAD DEBTS EXPENSE. BAD DEBTS EXPENSE IS RECORDED AS AN OPERATING EXPENSE. CHARITY CARE IS NOT REPORTED AS REVENUE ON THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS AND THE NOTES TO THE FINANCIAL STATEMENTS INCLUDE THE AMOUNT OF CHARGES EXCLUDED FROM REVENUE. THE COST TO CHARGE RATIO (PERCENTAGE) UTILIZED FOR CALCULATING THE COST OF BAD DEBTS IS FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE PERCENTAGE WAS CALCULATED BY DIVIDING THE ADJUSTED PATIENT CARE COST BY THE ADJUSTED PATIENT CARE CHARGES. THE HOSPITAL'S BAD DEBT EXPENSE IS REPORTED BASED ON HFMA STATEMENT #15.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 8: PINEVILLE COMMUNITY HOSPITAL CONSIDERS ALL PATIENTS THE SAME AND TREATS PATIENTS IN THEIR COMMUNITY BASED ON MEDICAL NEED. MEDICARE AS A PERCENTAGE OF PATIENTS SERVED REPRESENTS THE HIGHEST PERCENTAGE. BASED ON THE NEED FOR MEDICARE SERVICES PCH WILL CONTINUE TO REACH OUT TO MEDICARE PATIENTS REGARDLESS OF THE GAIN OR LOSS ON THE SERVICE SINCE THIS IS SUCH A SIGNIFICANT PORTION OF OUR COMMUNITY. THE HOSPITAL WOULD PREFER THAT THE RETURN FROM TREATING MEDICARE PATIENTS BE A GAIN, WHICH WOULD ALLOW PCH TO DO MORE FOR THEIR COMMUNITY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 9B: PATIENTS WHO HAVE PREVIOUSLY QUAILIFIED FOR CHARITY CARE PRIOR TO HAVING TREATMENT ARE PRESCREENED TO SEE IF THEY STILL MEET THE CHARITY GUIDELINES. THIS CAN BE DONE PRIOR TO A TEST BEING SCHEDULED. THE PATIENT'S INCOME LEVEL, DEPENDENT STATUS AND ASSET LEVELS ARE IDENTIFIED TO INSURE THAT THE PATIENT STILL QUAILIFIES FOR CHARITY CARE. IF THE PATIENT DOES NOT QUAILIFY FOR CHARITY CARE THEN THE HOSPITAL FOLLOWS ITS NORMAL COLLECTION POLICY JUST LIKE IT WOULD FOR ANY OTHER NON-CHARITY CARE PATIENT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 2: THE HOSPITAL DOES AN ANNUAL COMMUNITY BENEFIT REVIEW. WHILE THIS IS CONSIDERED A FULL COMMUNITY BENEFIT ASSESSMENT. THE HOSPITAL FOCUS ON ALL AREAS THAT ARE IN THE SERVICE AREA OF THE FACILITY. THIS ASSESSMENT TAKES IN TO CONSIDERATION THE POPULATION AGE, MORBIDITY, POVERTY LEVELS, EDUCATION STATUS, AND GENERAL ECONOMIC STATUS, THE PRIMARY GEOGRAPHIC AREA SERVED IS BELL CO, HARLAN CO, AND KNOX CO. THE SECONDARY MARKET AREA IS CLAY CO AND THE TWO CONTIGUOUS STATE'S THAT BORDER KENTUCKY IN THIS REGION, TENNESSEE AND VIRGINIA. THERE ARE SIGNIFICANT HEALTH EXPOSURE ISSUES FOR RESIDENTS IN THIS AREA BASED ON OCCUPATIONS CATEGORIES AS FOLLOWS:COAL MINING- BLACK LUNG DISEASE IN EARLY STAGES AND COPD IN OLDER POPULATIONTIMER INDUSTRY- LOGGING LEADS TO HEAVY INJURY AND DISABILITIY GROUP IN THE POPULATION.THE GENERAL POPULATION AS A GROUP HAS A VERY HIGH HEALTH RISK EXPOSURE FROM THE PREVALENCE OF SMOKING IN THE GENERAL POPULATION AND THE OBESITY RATE OF THE POPULATION IS SIGNIFICANTLY HIGH; PLUS,THE GENERAL INCREASE IN OVERALL POPULATION FROM AGING IS A FACTOR.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: THE HOSPITAL INFORMS THE GENERAL POPULATION CONCERNING THE CHARITY CARE POLICY THROUGH THE GENERAL ADMISSION SCREENING PROCESS AND A SUMMARY OF THE CHARITY CARE FUNCTION IS IN ALL AREA'S OF THE HOSPITAL THAT HAVE PATIENT CARE REGISTRATION FUNCTION OR CONTACT. HOSPITAL EMPLOYEES ARE EDUCATED TO MAKE PATIENTS AWARE OF THE HOSPITAL'S CHARITY CARE POLICY AND HOW IT APPLIES TO EACH PATIENT AND WHERE PATIENTS CAN GO FOR ADDITIONAL INFORMATION OR EDUCATION ON THE HOSPITAL'S CHARITY CARE POLICY. ALL PHYSICIAN OFFICES IN THE GENERAL AREA OF THE HOSPITAL ARE FULLY AWARE OF THE HOSPITAL'S CHARITY CARE POLICY AND DIRECT PATIENTS TO THE HOSPITAL.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 4: PINEVILLE HOSPITAL'S PRIMARY MARKET AREA IS IN THE HEART OF EASTERN APPALACHIA COMPRISED OF BELL CO., HARLAN CO. AND KNOX CO. THE HOSPITAL'S SECONDARY MARKET AREA IS COMPRISED OF CLAY CO. AND THE TWO CONTINUOUS STATE'S THAT BORDER KENTUCKY, TENNESSEE AND VIRGINIA.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 5: PINEVILLE COMMUNITY HOSPITAL IS QUITE INVOLVED IN THE COMMUNITY THAT IT SERVES. THE HOSPITAL HAS AN OPEN MEDICAL STAFF THAT IS OPEN TO ALL QUALIFIED PHYSICIANS. THE MEDICAL STAFF OF THE HOSPITAL DOES NOT SOLELY LIVE IN ONE COMMUNITY BUT RESIDES IN OUTLAYING COMMUNITIES AS WELL. THE HOSPITAL'S MANAGING BOARD ARE ALL RESIDENTS OF THE HOSPITAL'S PRIMARY MARKET AREA. THEY LIVE, WORK, AND WORSHIP WITH THE COMMUNITY THAT THE HOSPITAL SERVICES. AS SUCH, THEY SEE AND HEAR THE NEEDS OF THE HOSPITAL'S MARKET AREA.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>1</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>J MILTON BROOKS</NamePerson>
        <Title>CEO/DIRECTOR</Title>
        <BaseCompensationFilingOrg>214707</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4230</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9495</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>228432</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>UYI-OGHOSA IDEMUDIA</NamePerson>
        <Title>DOCTOR</Title>
        <BaseCompensationFilingOrg>226456</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4524</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9495</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>240475</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LINDA SCEARSE</NamePerson>
        <Title>CRNA</Title>
        <BaseCompensationFilingOrg>180604</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>3332</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>183936</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM GAUNT</NamePerson>
        <Title>DOCTOR</Title>
        <BaseCompensationFilingOrg>163942</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>2500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5542</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>171984</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL PETERSON</NamePerson>
        <Title>DOCTOR</Title>
        <BaseCompensationFilingOrg>174170</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9495</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>183665</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RHONDA KECK</NamePerson>
        <Title>CRNA</Title>
        <BaseCompensationFilingOrg>173745</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9495</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>183240</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>MR. BROOKS PARTICIPATES IN A NONQUALIFIED RETIREMENT PLAN PAID FOR BY THE HOSPITAL. FOR FYE JUNE 30, 2013 THE HOSPITAL CONTRIBUTED $25,000 TO THE PLAN.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 6</ReturnReference>
        <Explanation>TO BETTER SERVE THE NEEDS OF THE TRI-COUNTY AREA, IN 2008, THE HOSPITAL BEGAN HIRING PHYSICIAN EMPLOYEES. IN FULFILLMENT OF THE TERMS OF THEIR EMPLOYMENT CONTRACTS, DOCTORS CAN RECEIVE INCENTIVE PAY CALCULATED AS A PERCENTAGE OF THE NET PROFITS OF THE MEDICAL PRACTICE SERVICES THEY PROVIDE.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FORMS 990 AND 990-T ARE REVIWED BY THE OFFICERS OF THE COMPANY FOR COMPLETENESS AND ACCURACY. PRIOR TO FILING THE FORMS 990 AND 990-T THEY ARE PRESENTED TO THE BOARD FOR REVIEW AND DISCUSSION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>AT A BOARD MEETING JUST AFTER THE START OF EACH FISCAL YEAR, THE CHAIRMAN OF THE BOARD MAKES EACH BOARD MEMBER AWARE OF THEIR RESPONSIBILIES AS IT REALTES TO THE COMPLETION OF THE CONFLICT OF INTEREST STATEMENT. EACH BOARD MEMBER IS GIVEN A PACKET CONTAINING THE CONFLICT OF INTEREST STATEMENT TO BE COMPLETED, SIGNED AND RETURNED AT THE NEXT BOARD MEETING. THE CHAIRMAN OF THE BOARD IS RESPONSIBLE FOR ENSURING THAT ALL OF THE CONFLICT OF INTEREST STATEMENTS ARE COMPLETED, SIGNED AND RETURNED FOR EACH FISCAL YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A</ReturnReference>
        <Explanation>THE CEO ON AN ANNUAL BASIS IS REVIEWED BY THE ENTIRE BOARD OF DIRECTORS. THIS IS A WRITTEN EVALUATION. ALL BOARD MEMBERS DO AN EVALUATION ON THE CEO. THEY THEN COMPILE ALL COMMENTS INTO ONE PACKAGE PRIOR TO MEETING WITH THE CEO TO DISCUSS THE EVALUATION. GOALS ARE ESTABLISHED FROM THIS EVALUATION PROCESS FOR THE NEXT FISCAL YEAR. COMPENSATION IS SET EACH YEAR AND THERE ARE NO OTHER COMPENSATION BESIDES SALARY, I.E. BONUS. THE BOARD HAS AVAILABLE THE FOLLOWING OUTSIDE RESOURCE ENTITIES THAT CAN BE UTILIZED TO DETERMINE IF THE COMPENSATION PACKAGE IS ADEQUATE/INADEQUATE. PRIMARILY INCREASES OR LIMITED TO INCREASES DUE TO COST OF LIVING. SOME OF THE AGENCIES THAT MAYBE/HAVE BEEN USED ARE: KENTUCKY HOSPITAL ASSOCIATION (KHA) HOSPITAL BASED SALARY BY POSITION BY HOSPITAL SIZE; QUORUM HEALTHCARE MANAGEMENT HOSPITAL BASE SALARY GUIDELINES; SESCO MANAGEMENT CONSULTANTS- BRISTOL, TN</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 18</ReturnReference>
        <Explanation>THE 990 AND 990-T ARE AVAILABLE THROUGH WWW.GUIDESTAR.ORG AND BY REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE GOVERNING DOCUMENTS, CONFLICT OF INTERTEST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. THE HOSPITAL DOES PUBLISH THEIR YEARLY FINANCIAL OUTCOMES IN THE HOSPITAL NEWSLETTER WHICH IS MAILED TO MOST OF THE MARKET AREA SERVED BY THE HOSPITAL. PLUS, COPIES ARE DISTRIBUTED TO PATIENTS, FAMILIES AND VISITORS TO THE HOSPITAL. ALSO, FINANCIAL STATEMENTS ARE POSTED WITH THE CREDIT AGENCY DUNN &amp; BRADSTREET FOR COMMERCIAL USERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC</Identifier>
        <ReturnReference>FORM 990, PART VII</ReturnReference>
        <Explanation>JOHN G. HOWARD - 155 ANDREW COURT, HARROGATE, TN 37752. AUBREY BAILEY - 103 KINGSBURY HEIGHTS, MIDDLESBORO, KY 40965. JOHN JONES - 145 HORSESHOE DR, PINEVILLE, KY 40977. CHARLES BISHOP - 133 WOODLAND TR, PINEVILLE, KY 40977. MANSFIELD DIXON, DMD - 121 VIRGINIA AVE, PINEVILLE, KY 40977. DAVID GRAMBREL - 113 RIDGEWOOD CIRCLE, PINEVILLE, KY 40977. JERRY WOOLUM, MD - 121 VIRGINIA AVENUE, PINEVILLE, KY 40977. TALMADGE HAYS, MD - 121 VIRGINIA AVENUE, PINEVILLE, KY 40977. EMANUEL RADER, MD - P.O. BOX 70, PINEVILLE, KY 40977. JOHN COMBS - PO BOX 573, PINEVILLE, KY 40977. ALBEN BROCK - PO BOX 339, PINEVILLE, KY 40977.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XI, 2C, SELECTION AND OVERSIGHT OF INDEPENDENT ACCOUNTANT:</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE SELECTION AND OVERSIGHT OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>SCH H, PART V, NUMBER AND TYPES OF OTHER HEALTH CARE FACILITIES:</ReturnReference>
        <Explanation>3 MEDICAL CLINICS</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>