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    <Timestamp>2011-08-15T13:40:18-05:00</Timestamp>
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        <BusinessNameLine1>Pikeville Medical Center Inc</BusinessNameLine1>
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      <NameControl>PIKE</NameControl>
      <Phone>6062183501</Phone>
      <USAddress>
        <AddressLine1>911 Bypass Road</AddressLine1>
        <City>Pikeville</City>
        <State>KY</State>
        <ZIPCode>41501</ZIPCode>
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    <Officer>
      <Name>Michelle Hagy</Name>
      <Title>CFO</Title>
      <Phone>6062183974</Phone>
      <DateSigned>2011-08-15</DateSigned>
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    <TaxYear>2009</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
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      <NameOfPrincipalOfficerPerson>Walter E May</NameOfPrincipalOfficerPerson>
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        <AddressLine1>911 Bypass Road</AddressLine1>
        <City>Pikeville</City>
        <State>KY</State>
        <ZIPCode>41501</ZIPCode>
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      <WebSite>www.pikevillehospital.org</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1923</YearFormation>
      <StateLegalDomicile>KY</StateLegalDomicile>
      <ActivityOrMissionDescription>The Center's Mission is TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT</ActivityOrMissionDescription>
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      <MissionDescription>PIKEVILLE MEDICAL CENTER's Mission IS TO PROVIde quality regional healthcare in A CHRISTIAN ENVIRONMENT.</MissionDescription>
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      <Description>EMERGENCY DEPARTMENT:IN PREPARATION FOR ACHIEVING LEVEL II TRAUMA CENTER CERTIFICATION, PIKEVILLE MEDICAL CENTER HAS COMPLETED A $10 MILLION EMERGENCY DEPARTMENT EXPANSION AND RENOVATION. THIS NEW FACILITY ENCOMPASSES NEARLY 23,000 SQUARE FEET, INCLUDES TWO TRAUMA BAYS, THREE TRIAGE BAYS, PROVIDES PHYSIOLOGICAL MONITORING AND A 32" FLAT SCREEN TV IN EVERY ROOM AND HAS CT SCANNING AND DIGITAL X-RAY ON-SITE.OVER THE PAST YEAR, PMC'S EMERGENCY DEPARTMENT TREATED 38,484 PATIENTS WITH SATISFACTION SCORES NEARLY REACHING 100%.</Description>
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        <Description>PHYSICIAN PRACTICES:IN 2010 PIKEVILLE MEDICAL CENTER (PMC) WELCOMED 22 NEW PHYSICIANS TO IT'S PHYSICIAN PRACTICE TEAM; FOUR ANESTHESIOLOGISTS; ONE ENDOCRINOLOGIST; THREE HOSPITALISTS; ONE INTENSIVIST; FOUR INTERVENTIONAL CARDIOLOGISTS; THREE ONCOLOGISTS; TWO PRIMARY CARE PHYSICIANS: ONE GYNECOLOGIST: ONE INFECTIOUS DISEASE PHYSICIAN: ONE NEONATOLOGIST AND ONE REHABILITATION-PHYSIATRIST. THESE NEW ADDITIONS, ALONG WITH OUR PREVIOUSLY EMPLOYED PHYSICIANS, TREATED 284,992 PATIENTS 2010. THE PMC PHYSICIAN PRACTICE NETWORK INCLUDES, GENERAL AND BARIATRIC SURGERY, RHEUMATOLOGY, UROLOGY, ENDOCRINOLOGY, INFECTIOUS DISEASE, ANESTHESIOLOGY, ONCOLOGY, PHYSICAL REHABILITATION, HOSPITAL AND INTENSIVE CARE STAYS, AND CARDIOLOGY IN ADDITION TO TRADITIONAL PRIMARY CARE. THROUGH AN ADVANCED NETWORK OF CUTTING-EDGE ELECTRONIC MEDICAL RECORDS, PMC PHYSICIANS ARE ABLE TO VIEW A PATIENT MEDICAL RECORD INCLUDING LAB RESULTS, X-RAY, CT SCAN AND OTHER DIAGNOSTIC IMAGING REPORTS INSTANTLY WITHIN THE HOSPITAL'S NETWORK OF COMPUTERS. PATIENTS RECEIVE CONTINUUM OF CARE FROM THEIR PRIMARY PHYSICIAN VISIT TO ADVANCED TESTS PERFORMED ON THE HOSPITAL'S MAIN CAMPUS, AND IF NEEDED TO SPECIALTY PHYSICIANS WORKING WITHIN THE HOSPITAL. The ability for doctors and nurses to be able to access critical medical information saves patients' lives.AS A TRUE LEADER AND INNOVATOR IN THE HEALTH CARE INDUSTRY, PIKEVILLE MEDICAL CENTER CONTINUES TO RAISE THE BAR OF EXCELLENCE. A $100 MILLION DOLLAR MEDiCAL OFFICE BUILDING AND PARKING GARAGE CONSTRUCTION PROJECT IS UNDER WAY, PRODUCING 1,500 TEMPORARY JOBS AND 100 PERMANENT JOBS. THE NEW MEDICAL OFFICE BUILDING WILL HOUSE NINE FLOORS OF OFFICE AND CLINICAL SPACE FOR OUTPATIENT SURGERY, EXAM ROOMS AND PRIMARY AND SPECIALTY CARE PHYSICIANS, AND THE ENCLOSED PARKING GARAGE WILL HAVE SPACE FOR MORE THAN 1,000 CARS.</Description>
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        <Description>ONCOLOGY:PIKEVILLE MEDICAL CENTER'S (PMC) LEONARD LAWSON CANCER CENTER (LLCC) OPENED IN 1996 TO PROVIDE CANCER CARE THAT CATERS TO CANCER PATIENTS' SPECIAL NEEDS. THE LLCC PROVIDES THE EASTERN KY AREA WITH SOPHISTICATED TREATMENT METHODS AND A FULL LINE OF SUPPORT SERVICES IN ONE LOCATION. THE LEONARD LAWSON CANCER CENTER OFFERS EACH PATIENT AN INDIVIDUALIZED, AGGRESSIVE TREATMENT PROGRAM THROUGH RADIATION THERAPY, HEMOTHERAPY, PAIN MANAGEMENT AND OTHER SUPPORT THERAPIES. PMC RECENTLY INVESTED MORE THAN $7 MILLION DOLLARS TO PURCHASE TWO RAPID ARC LINEAR ACCELERATORS TO TREAT CANCER PATIENTS. THE TREATMENT IN CONJUNCTION WITH ADVANCED CT SCANNING HELPS TO PROVIDE ONCOLOGISTS THE OPPORTUNITY TO PLAN RADIATION TREATMENTS AND ELIMINATE TUMORS WITH PINPOINT PRECISION AND ACCURACY. PMC'S MEDICAL STAFF WHICH INCLUDES six MEDICAL ONCOLOGISTS AND ONE RADIATION ONCOLOGIST, ALONG WITH STATE OF THE ART EQUIPMENT, ALLOWS PATIENTS TO RECEIVE THEIR CONSULTATIONS AND CANCER TREATMENTS WITHIN THE SAME FACILITY THUS INCREASING POSITIVE PATIENT OUTCOMES.ONCE AGAIN, PIKEVILLE MEDICAL CENTER'S LEONARD LAWSON CANCER CENTER RECEIVED THE "OUTSTANDING ACHIEVEMENT AWARD" FROM THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. PMC IS ONE OF ONLY THREE HOSPITALS IN THE STATE OF KENTUCKY TO EVER ACHIEVE THIS AWARD, AND IS THE ONLY HOSPITAL IN KENTUCKY TO BE HONORED TWICE AND CONSECUTIVELY.PMC HAS BEEN RECOGNIZED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS FOR OFFERING:-THE FULL SCOPE OF MULTI-DISCIPLINARY SERVICES REQUIRED TO SCREEN, DIAGNOSE, TREAT, REHABILITATE AND SUPPORT PATIENTS WITH CANCER AND THEIR FAMILIES-A HIGH QUALITY, COMPREHENSIVE TEAM APPROACH BY CANCER CARE PROFESSIONALS-COMPLETE RANGE OF STATE-OF-THE ART SERVICES AND EQUIPMENT-ACCESS TO INFORMATION ABOUT NEW TREATMENT OPTIONS AND ONGOING CANCER TRIALS-ACCESS TO PREVENTION AND EARLY DETECTION PROGRAMS, CANCER EDUCATION AND SUPPORTIVE SERVICES</Description>
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        <Expense>156919706</Expense>
        <Grants>215250</Grants>
        <Revenue>226937623</Revenue>
        <Description>THE MEDICAL COMPLEX OF PIKEVILLE MEDICAL CENTER IS LICENSED FOR 261 PATIENT BEDS AND PROVIDES MORE THAN 300 SERVICES IN MULTIPLE COUNTIES. INCLUDED IN THESE SERVICES IS THE REGION'S ONLY LEVEL III CHEST PAIN ACCREDITED HEART INSTITUTE. PIKEVILLE MEDICAL CENTER WAS RECOGNIZED IN 2009 AS THE 2009-2010 NATIONAL HOSPITAL OF THE YEAR BY THE AMERICAN ALLIANCE OF HEALTHCARE PROVIDERS. PMC'S COMPASSIONATE EMPLOYEES AND DEDICATED DOCTORS PROVIDE UNSURPASSED SERVICE WITH STATE-OF-THE-ART TECHNOLOGY AND UNMATCHED GENEROSITY TO THE COMMUNITY. KNOWN AS THE PREMIER HOSPITAL IN A MULTI-STATE REGION, PMC IS CONTINUALLY GROWING AND LOOKING FOR NEW WAYS TO PROVIDE EASTERN KENTUCKY AND THE SURROUNDING AREAS WITH THE MOST ADVANCED HEALTH CARE AVAILABLE. MORE THAN 200 PHYSICIANS AND 2,000 EMPLOYEES OF PMC BELIEVE IN THE MISSION OF THE HOSPITAL TO PROVIDE QUALITY REGIONAL HEALTHCARE IN A CHRISTIAN ENVIRONMENT."PMC'S BOARD CERTIFIED RADIOLOGISTS ARE EXPERTS WHO CONSULT WITH SPECIALISTS IN OTHER DEPARTMENTS TO PROVIDE CARE TO EVERY PATIENT EVERY DAY. RADIOLOGISTS WORK WITH STATE-OF-THE-ART EQUIPMENT, SKILLED TECHNOLOGISTS AND NURSES, TO PERFORM TESTS AND INTERPRET RESULTS IN THE IMAGING AND TREATMENT OF DISEASE AFFECTING PATIENTS OF ALL AGES. WITHNEW DIGITAL IMAGING TECHNOLOGIES SUCH AS DIGITAL X-RAYS AND THE PACS IMAGE ARCHIVING SYSTEM, TURN-AROUND TIMES HAVE BEEN GREATLY REDUCED, AND, IN MANY CASES, ALMOST TOTALLY ELIMINATED. Other Equipment INCLUDEs THE PACS SYSTEM, DIGITAL MAMMOGRAPHY, DIGITAL X-RAYS, 2 64 SLICE CT SCANNERS, A 128 SLICE CT SCANNER AND PET SCANNER. PET (POSITRON EMISSION TOMOGRAPHY) SCAN IS RAPIDLY BECOMING A MAJOR DIAGNOSTIC IMAGING TOOL USED PREDOMINANTLY IN DETERMINING THE PRESENCE AND SEVERITY OF CANCERS, NEUROLOGICAL CONDITIONS, AND CARDIOVASCULAR DISEASE. PET IMAGES DEMONSTRATE THE CHEMISTRY OR ORGANS AND OTHER ISSUES SUCH AS TUMORS. IT IS CURRENTLY THE MOST EFFECTIVE WAY TO CHECK FOR CANCER RECURRENCES. IN ADDITION, THE DIAGNOSTIC CENTER,CONVENIENTLY LOCATED JUST STEPS FROM THE HOSPITAL NEAR THE CORNER OF BYPASS ROAD AND BAIRD AVENUE, FEATURES STAND-UP MRI, AND IS A CONVENIENT LAB STATION FOR PATIENTS JUST NEEDING TO STOP BY FOR LAB WORK.PIKEVILLE MEDICAL CENTER'S INPATIENT PHYSICAL REHABILITATION (IPR) HOSPITAL is A STATE OF THE ART FACILITY CONSISTING OF 40 BEDS AND COVERING 23,000 SQUARE FEET OF SPACE WHICH INCLUDES A DINING HALL, FULLY EQUIPPED KITCHEN AND LAUNDRY FACILITIES. THE PMC IPR HOSPITAL IS DEDICATED TO HELPING PATIENTS WHO ARE DISABLED BY DISEASE OR INJURY. FOR PATIENTS NEEDING INTENSIVE REHABILITATION, PMC'S INPATIENT REHABILITATION'S PHYSICIAN LED TEAM OFFERS A FULL RANGE OF SERVICES FROM PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS, REHABILITATION NURSES, CASE MANAGERS, SOCIAL WORKERS, DIETITIANS, AND OTHER PROFESSIONALS. THE TEAM WORKS WITH THE PATIENTS AND THEIR FAMILIES TO DESIGN AND EXECUTE A CAREFULLY MONITORED TREATMENT PLAN THAT MEETS EACH INDIVIDUAL PATIENT'S NEEDS. THE GOAL OF PMC'S INPATIENT REHABILITATION HOSPITAL IS TO RETURN THE PATIENT HOME OR BACK TO WORK AS SOON AS POSSIBLE FOLLOWING AN ILLNESS OR ACCIDENT ALLOWING THEM TO REGAIN THE HIGHEST LEVEL OF INDEPENDENCE POSSIBLE.IT IS PMC'S VISION TO BE THE PREFERRED REGIONAL PROVIDER OF COMPREHENSIVE HEALTH SERVICES THROUGHOUT THE CONTINUUM OF CARE. TO ACHIEVE THIS VISION PMC STRIVES TO PROVIDE CUSTOMER ORIENTED SERVICE WITH QUALITY CARE, PROVIDE SERVICES TO RESPOND TO PATIENTS' NEEDS IN THE REGION, AND ENSURE FISCALLY SOUND, COST-EFFECTIVE OPERATIONS RESULTING IN AFFORDABLE CARE AND ACCESS TO A FULL RANGE OF HEALTH SERVICES. THE HOSPITAL EMBRACES THE CORE VALUES OF A CHRISTIAN ATMOSPHERE, QUALITY CARE, PROGRESSIVE LEADERSHIP, SERVICE TO OTHERS AND TEAMWORK WITHIN THE ORGANIZATION.PIKEVILLE MEDICAL CENTER, NOW AFFILIATED WITH CLEVELAND CLINIC HEART SURGERY, IS THE NATION'S ONLY REPEAT WINNER OF THE NATIONAL HOSPITAL OF THE YEAR. THE CLEVELAND CLINIC HEART PROGRAM HAS BEEN RANKED #1 IN THE NATION FOR THE LAST 16 YEARS BY U.S. NEWS AND REPORT. THE AFFILIATION HAS ENHANCED PMC'S OPPORTUNITIES TO PROVIDE NEW TREATMENTS AND THERAPIES TO PATIENTS AND HAS ACCELERATED PIKEVILLE MEDICAL AND CLEVELAND CLINIC'S MUTUAL ACCOMPLISHMENTS IN LEADING CARDIAC SURGERY CARE. CURRENTLY, PMC STAFF IS ATTENDING TRAINING AT CLEVELAND CLINIC AND ENHANCING THEIR ABILITIES TO DEAL WITH COMPLEX MEDICAL SITUATIONS, WHILE UTILIZING NEW TECHNOLOGIES AND INNOVATIONS. THE TWO FACILITIES ARE ALSO SHARING SURGICAL OUTCOME DATA AND RESEARCH. IN ADDITION TO THE AFFILIATION WITH CLEVELAND CLINIC'S HEART SURGERY PROGRAM, PMC CONTINUES TO MAKE GREAT STRIDES IN HEART CARE: - ONE OF THE FIRST 10 HOSPITALS IN THE NATION AND THE FIRST HOSPITAL IN KENTUCKY TO BE DESIGNATED A LEVEL III ACCREDITED CHEST PAIN CENTER, THE HIGHEST DISTINCTION GIVEN BY THE SOCIETY OF CHEST PAIN CENTERS-THE CATH LAB HAS CELEBRATED THE 10TH ANNIVERSARY OF THE FIRST CATH PROCEDURE PERFORMED AT PMC-MEDIAN "DOOR-TO-BALLOON" TIME AVERAGES AROUND 65 MINUTES (WELL BELOW THE STANDARD OF 90 MINUTES SET BY THE AMERICAN HEART ASSOCIATION AND THE JOINT COMMISSION)THE HEART TEAM IS COMPRISED OF CARDIOLOGISTS, INTERVENTIONAL CARDIOLOGISTS, CARDIOTHORACIC AND VASCULAR SURGEONS AND AN ELECTROPHYSIOLOGIST. PMC'S HEART INSTITUTE OPERATES OFFICES THROUGHOUT THE REGION IN PIKE, BUCHANAN AND JOHNSON COUNTIES.STROKE CENTER:PIKEVILLE MEDICAL CENTER HAS RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S "GET WITH THE GUIDELINES"-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD. ONLY 10 HOSPITALS IN KY HAVE EARNED THIS ACCREDITATION, AND NO OTHER KY HOSPITAL EAST OF LEXINGTON HAS EARNED THIS PRESTIGIOUS DISTINCTION. THE AWARD RECOGNIZES PMC'S COMMITMENT AND SUCCESS IN IMPLEMENTING EXCELLENT CARE FOR STROKE PATIENTS, ACCORDING TO EVIDENCE-BASED GUIDELINES. TO RECEIVE THE AWARD, PMC ACHIEVED 85 PERCENT OR HIGHER ADHERENCE TO ALL "GET WITH THE GUIDELINES" -STROKE QUALITY ACHIEVEMENT INDICATORS FOR TWO OR MORE CONSECUTIVE 12-MONTH INTERVALS AND ACHIEVED 75 PERCENT OR HIGHER COMPLIANCE WITH SIX OF 10 "GET WITH THE GUIDELINES" -STROKE QUALITY MEASURES, WHICH ARE REPORTING INITIATIVES TO MEASURE QUALITY OF CARE. WITH A STROKE, TIME LOST IS BRAIN LOST, AND THE "GET WITH THE GUIDELINES" -STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD DEMONSTRATES PMC'S COMMITMENT TO BEING ONE OF THE TOP HOSPITALS IN THE COUNTRY FOR PROVIDING AGGRESSIVE, PROVEN STROKE CARE.THE JOURNEY OF EXCELLENCE CONTINUES:Pikeville Medical Center has received other RECOGNITION AND AWARDS SUCH AS: - 12TH IN THE NATION OF THE TOP 100 BEST PLACES TO WORK BY MODERN HEALTHCARE MAGAZINE (THE SECOND YEAR IN A ROW PMC MADE THE TOP 100 LIST) - THE NUMBER ONE HOSPITAL IN THE STATE ON THE BEST PLACES TO WORK IN KENTUCKY LIST, COMPILED BY THE KY CHAMBER OF COMMERCE - THREE EMPLOYED PHYSICIANS LISTED AMONG THE NATION'S BEST DOCTORS- FOR THE THIRD CONSECUTIVE YEAR, PMC HAS BEEN SELECTED AS A HOSPITAL OF CHOICE- PATIENT SATISFACTION AWARD FROM THE PIKE COUNTY SCHOOL DISTRICT SUPERINTENDENT- THE PRESTIGIOUS EXCELLENCE AWARD FROM THE KENTUCKY CENTER FOR PERFORMANCE EXCELLENCE, FOLLOWING THE STRICT CRITERIA SET FORTH BY THE NATIONALLY-ACCLAIMED MALCOLM BALDRIGE AWARD- THE INSIGHT AWARD FOR OUTSTANDING SERVICE IN INPATIENT ONCOLOGY AND INPATIENT REHABILITATION - THE GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION FOR PRIMARY STROKE CENTERSPIKEVILLE MEDICAL CENTER WILL CONTINUE TO IMPROVE AND GROW, AND WILL ALWAYS PURSUE EXCELLENCE. TECHNOLOGY WILL EVOLVE AND WE WILL CONTINUE TO RECRUIT THE COUNTRY'S BEST DOCTORS AND ADD SPECIALTY SERVICES TO ASSURE THE BEST HEALTH CARE POSSIBLE FOR OUR PATIENTS.</Description>
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        <ProgramServices>1946467</ProgramServices>
        <ManagementAndGeneral>402991</ManagementAndGeneral>
        <Fundraising>2583</Fundraising>
      </Interest>
      <DepreciationDepletion>
        <Total>15907190</Total>
        <ProgramServices>13164236</ProgramServices>
        <ManagementAndGeneral>2725488</ManagementAndGeneral>
        <Fundraising>17466</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>4015527</Total>
        <ProgramServices>3970553</ProgramServices>
        <ManagementAndGeneral>40565</ManagementAndGeneral>
        <Fundraising>4409</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>bad debt expense</Description>
        <Total>29718133</Total>
        <ProgramServices>29718133</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>equipment rental &amp; main</Description>
        <Total>5294189</Total>
        <ProgramServices>5015110</ProgramServices>
        <ManagementAndGeneral>279079</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Provider tax expense</Description>
        <Total>3272879</Total>
        <ProgramServices>3272879</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DME - Rental Exp</Description>
        <Total>657487</Total>
        <ManagementAndGeneral>657487</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Pharmacy - Exp</Description>
        <Total>434615</Total>
        <ManagementAndGeneral>434615</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>7107761</Total>
        <ProgramServices>4898604</ProgramServices>
        <ManagementAndGeneral>2207254</ManagementAndGeneral>
        <Fundraising>1903</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>273799751</Total>
        <ProgramServices>235863076</ProgramServices>
        <ManagementAndGeneral>37751635</ManagementAndGeneral>
        <Fundraising>185040</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>9905</BOY>
        <EOY>10554</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>78849793</BOY>
        <EOY>83406653</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>35119057</BOY>
        <EOY>31348306</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>130995</EOY>
      </ReceivablesFromOfficersEtc>
      <InventoriesForSaleOrUse>
        <BOY>8920419</BOY>
        <EOY>10156400</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>3224185</BOY>
        <EOY>2676369</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>224391182</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>97821982</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>114580056</BOY>
        <EOY>126569200</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsOtherSecurities>
        <BOY>1252548</BOY>
        <EOY>1448001</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>7708401</BOY>
        <EOY>7779122</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>249664364</BOY>
        <EOY>263525600</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>32107901</BOY>
        <EOY>29484308</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>36010000</BOY>
        <EOY>34920000</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>16937193</BOY>
        <EOY>13238252</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>10285129</BOY>
        <EOY>6585899</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>95340223</BOY>
        <EOY>84228459</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>154097795</BOY>
        <EOY>179070296</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>20346</BOY>
        <EOY>20845</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>206000</BOY>
        <EOY>206000</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>154324141</BOY>
        <EOY>179297141</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>249664364</BOY>
        <EOY>263525600</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>1</RalliesDemonstrations>
      <RalliesDemonstrationsAmount>110914</RalliesDemonstrationsAmount>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>12071</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>122985</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>Part II-B, Line 1i:</Identifier>
        <ReturnReference>Explanation of Other Lobbying Activities:</ReturnReference>
        <Explanation>Other Activity costs are the corporation's portion of trade dues (i.e. Kentucky Hospital Association)</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>226346</BeginningOfYearBalance>
        <Contributions>25000</Contributions>
        <OtherExpenditures>24501</OtherExpenditures>
        <EndOfYearBalance>226845</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>331000</BeginningOfYearBalance>
        <Contributions>479000</Contributions>
        <OtherExpenditures>583654</OtherExpenditures>
        <EndOfYearBalance>226346</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <PermanentEndowmentEOYBalance>0.91000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.09000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>5495937</OtherCostOrOtherBasis>
        <BookValue>5495937</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>4942458</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>103085337</OtherCostOrOtherBasis>
        <Depreciation>34230688</Depreciation>
        <BookValue>73797107</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>1278141</OtherCostOrOtherBasis>
        <Depreciation>712279</Depreciation>
        <BookValue>565862</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>103262935</OtherCostOrOtherBasis>
        <Depreciation>62879015</Depreciation>
        <BookValue>40383920</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>6326374</OtherCostOrOtherBasis>
        <BookValue>6326374</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>126569200</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>reserve for reciprocal of amer claims</Description>
        <Amount>4076227</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Estimated Cost Report Settlements</Description>
        <Amount>1247077</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>purchase of Physician practice</Description>
        <Amount>200000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>deferred compensation liability</Description>
        <Amount>607123</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>capital lease obligation</Description>
        <Amount>33515</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>reserves for workers compensation claims</Description>
        <Amount>421957</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>6585899</TotalOfAmounts>
      <TotalRevenue>298385366</TotalRevenue>
      <TotalExpenses>273799751</TotalExpenses>
      <ExcessOrDeficitForYear>24585615</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>387387</NetUnrealizedGLOnInvestments>
      <OtherAmount>-2</OtherAmount>
      <TotalAdjustments>387385</TotalAdjustments>
      <ExcessOrDeficitPerFS>24973000</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>306816353</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>387387</NetUnrealizedGainsInvestments>
      <DonatedSrvcAndUseOfFacilities>25137</DonatedSrvcAndUseOfFacilities>
      <OtherRevenues>8018466</OtherRevenues>
      <RevenueNotRptdF990>8430990</RevenueNotRptdF990>
      <RevenueSubtotal>298385363</RevenueSubtotal>
      <OtherRevenuesNotIncluded>3</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>3</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>298385366</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>281843354</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>25137</DonatedServicesUseOfFacilities>
      <OtherExpensesIncluded>8018466</OtherExpensesIncluded>
      <ExpensesNotRptdF990>8043603</ExpensesNotRptdF990>
      <ExpensesSubtotal>273799751</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>273799751</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part V, Line 4:</Identifier>
        <ReturnReference>Description of Intended Use of Endowment Funds:</ReturnReference>
        <Explanation>THe balance of the US DEPT OF ENERGY grant in the amount of $20,346 was used to purchase equipment for the cancer center during 2010. The amount of $206,000 is a permanent restricted endowment - Herbert Faber Endowment Fund. The Ray of Hope Foundation donated $25,000 during fiscal year 2010 to provide indigent patients with financial assistance for travel and medication related expenses.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>Expenses reclassed to revenue section: 7911913. Fundraising Expenses: 106553.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>Rounding: 3.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>Expenses reclassed to Revenue Section: 7911913. Fundraising Expenses: 106553.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <EventsInformation>
        <NameOfEvent1>New Years Eve Gala</NameOfEvent1>
        <GrossReceiptsEvent1>337250</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>279155</CharitableContributionsEvent1>
        <GrossRevenueEvent1>58095</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>19648</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>40502</FoodAndBeverageEvent1>
        <EntertainmentEvent1>24684</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>21719</OtherDirectExpensesEvent1>
        <GrossReceiptsTotal>337250</GrossReceiptsTotal>
        <CharitableContributionsTotal>279155</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>58095</GrossRevenueTotalEvents>
        <RentFacilityCostsTotalEvents>19648</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>40502</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>24684</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>21719</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>106553</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-48458</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent150>X</Pcent150>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>1</ExpensesExceededBudget>
      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>11752420</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>3511837</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>8240583</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03380</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>35618746</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>27335321</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>8283425</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03390</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>47371166</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>30847158</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>16524008</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06770</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>300</NumberOfActivitiesOrPrograms>
        <PersonsServed>3740</PersonsServed>
        <TotalCommunityBenefitExpense>228090</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>228090</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00090</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>6</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>737135</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>413751</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>323384</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00130</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>51</NumberOfActivitiesOrPrograms>
        <PersonsServed>1340</PersonsServed>
        <TotalCommunityBenefitExpense>187681</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4750</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>182931</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00070</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>357</NumberOfActivitiesOrPrograms>
        <PersonsServed>5080</PersonsServed>
        <TotalCommunityBenefitExpense>1152906</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>418501</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>734405</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00290</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>357</NumberOfActivitiesOrPrograms>
        <PersonsServed>5080</PersonsServed>
        <TotalCommunityBenefitExpense>48524072</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>31265659</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>17258413</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07060</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>51</NumberOfActivitiesOrPrograms>
        <PersonsServed>741</PersonsServed>
        <TotalCommunityBuildingExpense>17702</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>17702</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CommunitySupport>
      <LeadershipDevelopment>
        <NumberOfActivitiesOrPrograms>9</NumberOfActivitiesOrPrograms>
        <PersonsServed>235</PersonsServed>
        <TotalCommunityBuildingExpense>1088</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>1088</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </LeadershipDevelopment>
      <HealthImprovementAdvocacy>
        <NumberOfActivitiesOrPrograms>5</NumberOfActivitiesOrPrograms>
        <PersonsServed>527</PersonsServed>
        <TotalCommunityBuildingExpense>2595</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>2595</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <WorkforceDevelopment>
        <NumberOfActivitiesOrPrograms>37</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>767940</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>767940</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00310</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Total>
        <NumberOfActivitiesOrPrograms>102</NumberOfActivitiesOrPrograms>
        <PersonsServed>1503</PersonsServed>
        <TotalCommunityBuildingExpense>789325</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>789325</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00320</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>7340016</BadDebtExpenseAmount>
      <AmountAttributableTo>367001</AmountAttributableTo>
      <AmountReimbursedByMedicare>90211184</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>79977621</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>10233563</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Pikeville medical center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>911 bypass road</AddressLine1>
          <City>pikeville</City>
          <State>KY</State>
          <ZIPCode>41501</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <BadDebtFootnote>Part III, Line 4: The Hospital has a policy of providing charity care to patients who are unable to pay. Such patients are identified based on financial information obtained from the patient and subsequent analysis. Since the Hospital does not expect payment, estimated charges for charity are not reported in revenue. The cost to charge factor used is 0.247 from Worksheet 2.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>Part III, Line 8: No shortfall existed in FY 2010.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>Part III, Line 9b: If determined that a patient might qualify for an indigent program, the patient is sent the required forms (Financial Assistance Application) to apply for charity assistance. When the paperwork is returned by the patient, the application is sent through the eligibility determination review process. If the application is approved, the account balance is then adjusted by the amount allowed by the charity eligibility guidelines.</DebtCollectionPolicy>
        <NeedsAssessment>Part VI, Line 2: 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.</NeedsAssessment>
        <PatientEducationAssistance>Part VI, Line 3: PIKEVILLE MEDICAL CENTER USES SEVERAL DIFFERENT MEANS TO COMMUNICATE AND EDUCATE OUR PATIENTS ON ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER FEDERAL, STATE AND LOCAL GOVERNMENTS. FIRST, A HANDOUT LABELED, "FINANCIAL SERVICES AND CONSULTATIONS" IS AVAILABLE TO EVERY PATIENT UPON REGISTRATION. SECOND, THE MANDATORY CONSENT FORM HAS THE PATIENT'S ACKNOWLEDGEMENT STATEMENT, "I ACKNOWLEDGE RECEIPT OF INFORMATION ON DSH, KCHIP, BILLING AND INSURANCE PROCEDURES AND AIDS QUESTIONS / ANSWERS." THIRD, THE FIRST BILL A PATIENT RECEIVES INCLUDES A STATEMENT REGARDING HOW ONE CAN CONTACT A COUNSELOR, IF THE FINANCIAL ASSISTANCE IS NEEDED. LASTLY, THE PATIENT ACCOUNTS STAFF AND PATIENT FINANCIAL COUNSELORS REGULARLY MAIL OUT DSH/PMC CHARITY APPLICATIONS. THESE APPLICATIONS, ALONG WITH DIRECTIONS, ARE aLSO AUTOMATICALLY PRINTED OFF WHEN REGISTERING A SELF-PAY PATIENT. THE PATIENT IS THEN DIRECTED TO OUR FINANCIAL COUNSELORS FOR FURTHER ASSISTANCE. IN THE EVENT A PATIENT IS ADMITTED TO THE FACILITY, FINANCIAL COUNSELORS MEET WITH EACH TO DISCUSS POSSIBLE FINANCIAL ASSISTANCE OPPORTUNITIES. ASSISTANCE FROM THE COUNSELORS BEGINS WITH THE APPLICATION AND CONTINUES THROUGH THE VERIFICATION PROCESS TO ALLOW EACH PATIENT TO TAKE ADVANTANGE OF THE AVAILABLE PROGRAMS.</PatientEducationAssistance>
        <CommunityInformation>Part VI, Line 4: PIKEVILLE MEDICAL CENTER USES THE MOST RECENT U.S. CENSUS BUREAU DATA AND INFORMATION FROM THE KY STATE DATA CENTER WHEN TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES. INFORMATION IS PULLED FROM OUR IMMEDIATE SERVICE AREA ENCOMPASSING A SEVEN COUNTY REGION - PIKE, FLOYD, LETCHER, JOHNSON, MAGOFFIN AND MARTIN COUNTIES IN KENTUCKY AND WEST VIRGINIA'S MINGO COUNTY. ALL DATA PRESENTED HERE IS CURRENT AS OF THE 2010 U.S. CENSUSTHE SEVEN COUNTY AREA CONTAINS A TOTAL POPULATION OF 205,451 INDIVIDUALSWITH A RELATIVELY EVEN DISTRIBUTION OF MALES (101,543) TO FEMALES (103,908). THE MEDIAN POPULATION AGE IS 39.8 YEARS OLD AND THE AVERAGE HOUSEHOLD SIZE IS 2.4 INDIVIDUALS.PIKEVILLE MEDICAL CENTER RESIDES IN A MEDICALLY UNDERSERVED AND IMPOVERISHED AREA. THE MEDIAN FAMILY INCOME FOR OUR REGION WAS $30,212 IN 2009 WITH 16,695 OF THE 43,202 CHILDREN UNDER AGE 18 LIVING UNDER THE POVERTY LINE. THE NUMBER OF HOUSEHOLDS WITH AN INCOME LOWER THAN $25,000 WAS 37,820.PIKEVILLE MEDICAL CENTER SERVES AS A BEACON OF HOPE AND AN ECONOMIC BOOST TO THE MOUNTAIN COMMUNITY IN WHICH IT RESIDES. THE CITY OF PIKEVILLE, KY WHERE THE HOSPITAL IS CENTERED IS HOME TO 6,361 INDIVIDUALS. OVER 35% OF THE CITY'S RESIDENTS POSSESS A BACHELORS DEGREE OR HIGHER. 32.9% OF THE CITY'S POPULATION WORKS IN EDUCATION, HEALTH CARE OR SOCIAL SERVICES.</CommunityInformation>
        <CommunityBuildingActivities>Part VI, Line 5: THE HOSPITAL'S MISSION STATEMENT, "TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT" DRIVES PMC'S EFFORTS AS WE CONCENTRATE ON THE PHYSICAL, MENTAL AND SPIRITUAL WELL BEING OF THE PUBLIC. DURING FY 2010, PIKEVILLE MEDICAL CENTER REPORTED TAKING PART IN 89 DIFFERENT COMMUNITY BUILDING ACTIVITIES, AFFECTING OVER 1,500 PEOPLE AND TOTALING MORE THAN $760,000. 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: PIKE COUNTY DIABETES PARTNERSHIP MEETINGS, PARTNERSHIP FOR A FIT PIKE COUNTY MEETINGS, RELAY FOR LIFE, EASTER SUNRISE SERVICE AND HOLY WEEK SERVICES, HELPING HANDS MEETINGS AND A CHRISTMAS LIVE NATIVITY.</CommunityBuildingActivities>
        <OtherInformation>Part VI, Line 6: A SPARKLING DIAMOND AMONG THE COALFIELDS OF EASTERN KY, PIKEVILLE MEDICAL CENTER (PMC) IS KNOWN FOR ITS COMPASSIONATE EMPLOYEES, UNSURPASSABLE SERVICE, STATE-OF-THE-ART TECHNOLOGY AND UNMATCHED GENEROSITY TO THE COMMUNITY. KNOWN AS THE PREMIERE HOSPITAL IN A MULTI-STATE REGION, PMC IS CONTINUALLY GROWING AND LOOKING FOR NEW WAYS TO OFFER THE VERY BEST IN HEALTH CARE TO THEIR PATIENTS AND THE BROADER POPULATION. PMC's MISSION IS FULFILLED ON A DAILY BASIS, AS THE STAFF PORTRAYS A SENSE OF TEAMWORK WITH A SINCERE PASSION TO HELP OTHERS. THROUGHOUT PIKEVILLE MEDICAL CENTER'S 85 YEAR HISTORY, THE HOSPITAL HAS EXHIBITED A SUBSTANTIAL CHANGE. STARTING AS A SMALL, RURAL, 50-BED FACILITY AT ITS INCEPTION IN 1924, THE MEDICAL CENTER HAS UNDERGONE MANY CHANGES IN ITS PHYSICAL LAYOUT. TODAY, THE HOSPITAL IS A COMPREHENSIVE MEDICAL COMPLEX COMPRISED OF A 261-BED FACILITY ENCOMPASSING 926,000 SQUARE-FEET WITH BOTH THE MAIN FACILITY AND SURROUNDING SUPPORTIVE SERVICES. THIS TREMENDOUS PHYSICAL GROWTH, ALONG WITH SOUND FINANCIAL LEADERSHIP, HAS ALLOWED PMC TO SIGNIFICANTLY EXPAND THE HEALTH CARE SERVICES OFFERED TO OUR REGION. CURRENT SERVICES NOW INCLUDE: AN AWARD-WINNING, FULL-SERVICE CANCER TREATMENT CENTER; LEVEL III CHEST PAIN ACCREDITED HEART INSTITUTE; 40-BED INPATIENT PHYSICAL REHABILITATION HOSPITAL; AN ACCREDITED STROKE CENTER; NEUROSURGERY; LEVEL II NEONATAL INTENSIVE CARE UNIT; TWO SATELLITE SLEEP LAB FACILITIES; AN OUTPATIENT DIAGNOSTIC CENTER AND SEVERAL HOSPITAL RUN FAMILY PHYSICIAN PRACTICES AS WELL AS AUGMENTING THE RANGE AND COMPLEXITY OF HEALTH CARE SERVICES PROVIDED TO PATIENTS IN THE AREA, PIKEVILLE MEDICAL CENTER'S GROWTH HAS PLAYED AN INTEGRAL PART IN ENHANCING THE HOSPITAL'S OUTREACH TO THE LOCAL COMMUNITY. PMC TAKES PRIDE IN KEEPING THE REGION INFORMED ABOUT INNOVATIVE MEDICAL ADVANCEMENTS OFFERED AT THE FACILITY, PRIMARILY THROUGH THE PUBLICATION OF A WEEKLY NEWSPAPER CALLED THE MEDICAL LEADER, WHICH IS DISTRIBUTED FREE TO OVER 11,000 INDIVIDUALS. THIS DISTRIBUTION INCLUDES 6,500 PAPERS PLACED IN LOCAL PAPER BOXES IN PIKE, FLOYD, LETCHER AND MINGO COUNTIES AND OVER 4,500 MEDICAL LEADER E-SUBSCRIBERS. THIS FREE FULL-SERVICE NEWSPAPER ALLOWED PMC TO GIVE OVER $710,000 TO THE COMMUNITY DURING FY 2010. PMC ALSO PROVIDES A VARIETY OF EDUCATIONAL, WELLNESS AND PREVENTIVE HEALTH ACTIVITIES. SUCH ACTIVITIES AND EVENTS INCLUDE: INDIGENT CARE ASSISTANCE, EDUCATIONAL/TRAINING SESSIONS, SUPPORT GROUPS, HEALTH FAIRS, FREE HEALTH SCREENINGS AND OTHER COMMUNITY EVENTS. PIKEVILLE MEDICAL CENTER CONSIDERSITS OUTREACH EFFORTS TO THE PUBLIC AN ESSENTIAL PART OF ITS CHRISTIAN MISSION, AS IT SEEKS NOT ONLY TO TREAT THE SICK AND INJURED DURING THEIR TIME OF NEED, BUT ALSO TO IMPROVE THE REGION'S HEALTH CARE. CHARITY CARE: PIKEVILLE MEDICAL CENTER SET A NEW RECORD FOR CHARITY CARE IN FY 2010. THROUGH DEFINED POLICIES AND PROCEDURES, PMC RECORDED UNCOMPENSATED CHARITY OF $32,898,639 (SERVICES AT HOSPITAL'S ESTABLISHED RATES). HEALTH CARE SUPPORT SERVICES:BLOOD DRIVES- PMC HAS A GROUP OF DEDICATED EMPLOYEES WHO ARE A PART OF THE HOSPITAL'S BLOOD DRIVE COMMITTEE. THE COMMITTEE MEETS BEFORE EVERY BLOOD DRIVE TO DISCUSS NEW WAYS TO PROMOTE THE EVENT INTERNALLY AND THROUGHOUT THE COMMUNITY AND PLAN THE UPCOMING DRIVE. PREPARATION FOR BLOOD DRIVES INCLUDE: RESERVING A LOCATION, PLACING SET-UP AND TAKE-DOWN WORK ORDERS, REGISTERING DONORS AND ASSURING THE EVENT IS A SUCCESS WITH TEAM. BLOOD DRIVES ARE HELD QUARTERLY AND ARE CONDUCTED IN ACCORDANCE WITH THE KENTUCKY BLOOD CENTER (KBC). IN FY 2010, PMC HELD FOUR BLOOD DRIVES AND DONATED OVER 206 UNITS OF BLOOD. THESE GENEROUS DONATIONS ALLOWED PMC DONORS TO SAVE NEARLY 700 LIVES. COMMUNITY FINANCIAL DONATIONS:IN 2010 PIKEVILLE MEDICAL CENTER ONCE AGAIN PROVED TO BE AN ESTABLISHED LEADER IN THE COMMUNITY. EARTHQUAKE VICTIMS IN HAITI received OVER $80,000 IN AID GENERATED BY THE "HEARTS FOR HAITI" TELETHON HELD ON VALENTINE'S DAY. EMPLOYEES FROM PIKEVILLE MEDICAL CENTER DONATED TIME AND MONEY TO MAKE THIS EFFORT A SUCCESS. Committed to helping others, Pikeville Medical center match 100% of all employee donations. IN JULY 2010, DISASTER STRUCK CLOSER TO HOME WHEN FLASH FLOODING DISTROYED LOCAL COMMUNITIES IN PIKE COUNTY. PIKEVILLE MEDICAL CENTER JOINED WITH THE PIKE MINISTERIAL ASSOCIATION AND EAST KENTUCKY BROADCASTING IN "FLOOD AID 2010" TO RAISE OVER $200,000 IN RELIEF AID FOR VICTIMS AFFECTED BY THIS DISATER. PIKEVILLE MEDICAL CENTER EMPLOYEES AGAIN STEPPED UP TO THE CHALLENGE, VOLUNTEERING TO HELP ORGANIZE, DELIVER AND DISTRIBUTE AID TO THOSE IN NEED. Once again, Pikeville Medical Center matched 100% of all employee donations made to this cause.NOT ONLY DOES PMC ENCOURAGE PARTICIPATION IN LOCAL ACTIVITIES AND EVENTS, BUT IT IS ALSO GENEROUS WHEN IT COMES TO FINANCIAL SUPPORT FOR AREA ORGANIZATIONS AND IMPORTANT CAUSES. GIVING NEARLY $180,000 IN CASH DONATIONS TO THE COMMUNITY, PMC WAS PROUD TO HELP THE FOLLOWING ORGANIZATIONS DURING FY 2010:AFTER BREAST CANCER SUPPORT GROUPAMERICAN CANCER SOCIETYAMERICAN RED CROSSALZHEIMER'S ASSOCIATION BCTC NURSING SCHOOL BIG SANDY AREA DEVELOPMENT DISTRICTBIG SANDY AREA CHILD ADVOCACY CENTERCOATS FOR KIDSFLOYD COUNTY RESCUE SQUADHEARTS FOR HAITIKENTUCKY CANCER PROGRAMKENTUCKY CHAMBER OF COMMERCEMARCH OF DIMESMOUNTAIN MISSION SCHOOLOPERATION UNITEOUR LADY OF THE MOUNTAIN SCHOOLPIKE COUNTY FLOOD AID PIKE COUNTY CHAMBER OF COMMERCEPIKEVILLE ROTARY CLUBST. FRANCIS SCHOOLTUG VALLEY FRIENDSHIP FOUNDATIONHEALTH SCREENINGS:PMC HELD SEVERAL DIFFERENT TYPES OF HEALTH SCREENINGS FOR THE COMMUNITY IN 2010. AMONG THESE HEALTH SCREENINGS WERE PMC'S FOUR ANNUAL CANCER SCREENINGS HELD AT THE LEONARD LAWSON CANCER CENTER. CANCER SCREENINGS INCLUDE: ORAL, COLORECTAL, SKIN AND PROSTATE. ALL CANCER SCREENINGS ARE STAFFED BY PMC PHYSICIANS AND NURSES. IN FY 2010 OVER 165 PEOPLE PARTICIPATED IN THESE SCREENINGS, COSTING THE HOSPITAL NEARLY $3,000. PMC ALSO PARTICIPATED IN THE LOCAL 2-DAY REMOTE AREA MEDICAL (RAM) SCREENING. THIS EVENT ALLOWED 990 PATIENTS TO RECEIVE FREE HEALTH CARE SERVICES. THESE SERVICES INCLUDED: BLOOD PRESSURE, BLOOD SUGAR, OXYGEN SATURATION AND CHOLESTEROL CHECKS. SOME OF THE LARGER SCREENINGS ALSO INCLUDED EKG AND PERIPHERAL VASCULAR DISEASE (PVD) TESTS. DIABETES EDUCATORS WERE PRESENT AT ALL SCREENINGS AND BENEFICIAL HEALTH INFORMATION WAS HANDED OUT. HEALTH CARE SUPPORT SERVICES:MEALS ON WHEELS - PIKEVILLE MEDICAL CENTER PROVIDED 2,400 MEALS FOR THIS PROGRAM DURING FISCAL YEAR 2010. THE HOSPITAL INCURS OVER $12,500 INEXPENSES RELATED TO THIS PROGRAM ANNUALLY.INDIGENT SUPPORT PROGRAMS - AT THE TIME OF THEIR DISCHARGE, SEVERAL PATIENTS NEED FINANCIAL ASSISTANCE WITH PRESCRIBED MEDICATIONS OR HEALTHCARE EQUIPMENT. NOT WANTING TO MAKE THESE HEALTHCARE NEEDS AN EXTRA BURDEN, PMC PROVIDED OVER $22,000 IN FINANCIAL ASSISTANCE LAST YEAR. GENERAL/SELF-HELP EDUCATION CLASSES:LECTURES - THE STAFF AT PMC REMAINS ACTIVE IN LECTURING ON MANY TOPICS THROUGHOUT THE COMMUNITY. REPRESENTATIVES FROM A VARIETY OF DEPARTMENTSSPEAK, ON REQUEST, TO LOCAL CIVIC CLUBS, SCHOOLS AND MEDICAL PROFESSIONALS. AMONG THE DIFFERENT LECTURES/PRESENTATIONS PMC STAFF CONDUCTED IN FY 2010 WERE:-BREAST CANCER LECTURES DURING BREAST CANCER AWARENESS MONTH-DIABETES LECTURE TO THE PIKE COUNTY BOARD OF EDUCATION-FAMILY MEDICINE/OMT LECTURES TO THE PIKEVILLE COLLEGE SCHOOL Of OSTEOPATHIC MEDICINE (PCSOM)-LEONARD LAWSON CANCER CENTER REPRESENTATIVE PRESENTS TO A VARIETY OF LOCAL ORGANIZATIONS ABOUT THE IMPORTANCE OF GETTING SCREENED AND THE AFFECTS OF CANCER-HEALTH TALKS by SELECTED PMC HEALTH CARE REPRESENTATIVES speaking ON LOCAL RADIO AND TELEVISION SHOWS ABOUT HEALTH CARE CONCERNS AND SERVICES PROVIDED BY PMC.OTHER EDUCATIONAL PROGRAMS:OTHER PMC DEPARTMENTS ALSO HOLD HEALTH EDUCATION AS A TOP PRIORITY AND OFFER VARIOUS PROGRAMS FOR COMMUNITY PARTICIPATION. AMONG THESE PROGRAMS ARE:BREAST CANCER AWARENESS EDUCATIONNUTRITION EDUCATION &amp; COUNSELING FOR CARDIAC REHAB PATIENTSCHILD BIRTH/FAMILY PLANNING CLASSESContinued on Sch O.</OtherInformation>
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          <BusinessNameLine1>tamara musgrave MD</BusinessNameLine1>
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          <BusinessNameLine1>DANNY HARRIS</BusinessNameLine1>
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          <BusinessNameLine1>SHEILA BELCHER</BusinessNameLine1>
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        <ReturnReference>Part I, Line 5</ReturnReference>
        <Explanation>Dr. Hall and Dr. Pugh earn quarterly bonuses based on a percentage of the net COLLECTIONS OF THE Physicians Practices OVER 150% OF THEIR BASE COMPENSATION.</Explanation>
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    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <LoanTable>
        <NamePerson>NORMAN MAYER MD</NamePerson>
        <PurposeOfLoan>LOAN TO DR MAYER FROM PMC FOR REPAYMENT OF FINANCIAL OBLIGATION</PurposeOfLoan>
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        <OriginalPrincipalAmount>331995</OriginalPrincipalAmount>
        <BalanceDue>130995</BalanceDue>
        <Default>0</Default>
        <ApprovedByBoard>1</ApprovedByBoard>
        <WrittenAgreement>1</WrittenAgreement>
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        <NameOfInterestedPerson>CAMILLA DAMRON</NameOfInterestedPerson>
        <RelationshipWithOrganization>RECIPIENT IS DAUGHTER OF BOARD MEMBER, JO NELL ROBINSON</RelationshipWithOrganization>
        <TypeOfAssistance>PMC EMPLOYEE EDUCATION ASSISTANCE Amount $ 35580.</TypeOfAssistance>
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        <NameOfInterestedPerson>BRANDI MAY</NameOfInterestedPerson>
        <RelationshipWithOrganization>RECIPIENT IS DAUGHTER-IN-LAW OF PMC CEO, WALTER E. MAY</RelationshipWithOrganization>
        <TypeOfAssistance>PMC EMPLOYEE EDUCATION ASSISTANCE Amount $ 14470.</TypeOfAssistance>
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            <BusinessNameLine1>A&amp;M DISTRIBUTING</BusinessNameLine1>
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        <AmountOfTransaction>2117</AmountOfTransaction>
        <DescriptionOfTransaction>PIKEVILLE MEDICAL CENTER PURCHASES BEVERAGE PRODUCTS FROM ENTITY FOR RESALE IN ITS GRILL</DescriptionOfTransaction>
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        <NameOfInterestedPerson>
          <NamePerson>VICKI BELL</NamePerson>
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        <DescriptionOfTransaction>PIKEVILLE MEDICAL CENTER PURCHASES CATERING SERVICES FOR HOSPITAL FUNCTIONS FROM THIS VENDOR.</DescriptionOfTransaction>
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        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>COMMUNITY TRUST BANK</BusinessNameLine1>
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        <AmountOfTransaction>4908440</AmountOfTransaction>
        <DescriptionOfTransaction>HOBART JOHNSON AND DAVID COLLINS SERVE AS BOARD MEMBERS OF BOTH ENTITIES. SERVICES PROVIDED BY COMMUNITY TRUST BANK TO PIKEVILLE MEDICAL CENTER: -INTEREST INCOME BANKING SERVICES &amp; FUNDS IN TRUST, $1,343,852.51 -SAVINGS BONDS PURCHASED FOR EMPLOYEES, $5,150.00 -SAFE DEPOSIT BOX FEES/LINE OF CREDIT FEES/BOND ACCT MGMT FEES, $6,625.00 -INSTALLMENT LOAN PAYMENTS, $3,535,157.69 -ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $17,655.20</DescriptionOfTransaction>
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        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>EAST KY BROADCASTING AND EAST KY RADIO NETWORK (TOTAL OF NINE RADIO STATION</BusinessNameLine1>
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        <Relationship>ENTITIES MORE THAN 35% OWNED BY WALTER E. MAY, PMC PRESIDENT/CEO</Relationship>
        <AmountOfTransaction>592150</AmountOfTransaction>
        <DescriptionOfTransaction>ENTITIES PROVIDE ADVERTISING SERVICES TO PMC, $578,753.60 -ENTITIES PROVIDE ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $13,396.00</DescriptionOfTransaction>
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        <NameOfInterestedPerson>
          <NamePerson>TINA GAUNT MD</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>WIFE OF WILLIAM GAUNT, M.D., PMC BOARD MEMBER</Relationship>
        <AmountOfTransaction>16767</AmountOfTransaction>
        <DescriptionOfTransaction>TINA GAUNT, M.D. RENTS PHYSICIAN OFFICE SPACE FROM PIKEVILLE MEDICAL CENTER</DescriptionOfTransaction>
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        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>KVWV TRAFFIC CONTROL</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
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        <AmountOfTransaction>20329</AmountOfTransaction>
        <DescriptionOfTransaction>ENTITY PROVIDES PARKING LOT STRIPING SERVICES TO PIKEVILLE MEDICAL CENTER</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
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        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>MESA-ER PHYSICIAN GROUP</BusinessNameLine1>
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        </NameOfInterestedPerson>
        <Relationship>ENTITY OF WHICH SUE SMALLWOOD'S STEP GRANDSON IS THE MEDICAL DIRECTOR.</Relationship>
        <AmountOfTransaction>550897</AmountOfTransaction>
        <DescriptionOfTransaction>THE STEP GRANDSON OF PMC BOARD MEMBER SUE SMALLWOOD IS PIKEVILLE MEDICAL CENTER EMERGENCY DEAPARTMENT MEDICAL DIRECTOR AND AN EMPLOYEE FOR MESA. MESA PROVIDES EMERGENCY DEPARTMENT PHYSICIAN SERVICES FOR PIKEVILLE MEDICAL CENTER.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>PAM MAY LAW FIRM PSC</BusinessNameLine1>
          </NameBusiness>
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        <AmountOfTransaction>997820</AmountOfTransaction>
        <DescriptionOfTransaction>FIRM PROVIDES LEGAL SERVICES TO PIKEVILLE MEDICAL CENTER.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>PIKEVILLE COLLEGE</BusinessNameLine1>
          </NameBusiness>
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        <Relationship>ENTITY OF WHICH MARY R. SIMPSON IS CHAIR OF THE DIVISION OF NURSING</Relationship>
        <AmountOfTransaction>1623</AmountOfTransaction>
        <DescriptionOfTransaction>PMC BOARD MEMBER MARY R. SIMPSON PHD IS CHAIR OF THE PIKEVILLE COLLEGE DIVISION OF NURSING. SERVICES PROVIDED BY PIKEVILLE COLLEGE TO PIKEVILLE MEDICAL CENTER: -ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PMC.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
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        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>PIKEVILLE RADIOLOGY</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>ENTITY MORE THAN 35% OWNED BY TWO PMC BOARD MEMBERS</Relationship>
        <AmountOfTransaction>30260</AmountOfTransaction>
        <DescriptionOfTransaction>ALEX POULOS, M.D. &amp; DENNIS HALBERT, M.D. ARE PARTNERS OF PIKEVILLE RADIOLOGY WITH WHOM PIKEVILLE MEDICAL CENTER CONTRACTS WITH FOR RADIOLOGY SERVICES.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>SKYY STUDIO ADVERTISING</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>ENTITY OF WHICH T.T. COLLEY'S GRANDDAUGHTER IS PARTIAL OWNER</Relationship>
        <AmountOfTransaction>1490</AmountOfTransaction>
        <DescriptionOfTransaction>ENTITY PROVIDES GRAPHIC DESIGN SERVICES TO PIKEVILLE MEDICAL CENTER</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>T&amp;C CONSTRUCTION</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>ENTITY OWNED BY T.T. COLLEY, PMC BOARD MEMBER</Relationship>
        <AmountOfTransaction>7200</AmountOfTransaction>
        <DescriptionOfTransaction>ENTITY RENTS OFFICE SPACE FROM PIKEVILLE MEDICAL CENTER</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>US BANK</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>ENTITY OF WHICH ALEX POULOS, M.D. IS A BOARD MEMBER</Relationship>
        <AmountOfTransaction>397934</AmountOfTransaction>
        <DescriptionOfTransaction>SERVICES PROVIDED BY US BANK TO PIKEVILLE MEDICAL CENTER: -INSTALLMENT LOAN PAYMENTS, $312,643.00 -BANK FEES, $800.00 -RENT, $84,142.80 -ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PMC, $348.00</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>ANDREA ALLARA</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF JOE DEAN ANDERSON, PMC BOARD MEMBER</Relationship>
        <AmountOfTransaction>42863</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS RADIOLOGY COORDINATOR.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>ROBERT BELL</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>STEP SON OF HOBART JOHNSON, PMC BOARD MEMBER</Relationship>
        <AmountOfTransaction>66740</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS ADVERTISING MANAGER OF MEDICAL LEADER.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>RITA CRUM</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SISTER-IN-LAW OF AARON CRUM, M.D., PMC BOARD MEMBER</Relationship>
        <AmountOfTransaction>54671</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A REGISTERED NURSE</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>CAMILLA DAMRON</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF JO NELL ROBINSON, PMC BOARD MEMBER</Relationship>
        <AmountOfTransaction>70330</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A SPEECH LANGUAGE PATHOLOGIST.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>LIAM FARRELL</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SON OF TERENCE FARRELL, PMC KEY EMPLOYEE</Relationship>
        <AmountOfTransaction>23166</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A REGISTRAR</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SARAH HARRIS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF CHERYL HICKMAN, PMC KEY EMPLOYEE</Relationship>
        <AmountOfTransaction>44288</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS PHYSICIAN SYSTEMS ANALYST</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>ASHLEY COLLINS JOHNSON</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF DAVID COLLINS, PMC BOARD MEMBER</Relationship>
        <AmountOfTransaction>57428</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS MANAGER-EMPLOYEE RELATIONS.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>CINDY MAY JOHNSON</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO</Relationship>
        <AmountOfTransaction>40736</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-MEDICAL LEADER/PUBLIC RELATIONS.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>RANDY L JOHNSON</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SON IN LAW OF WALTER E. MAY, PMC PRESIDENT/CEO</Relationship>
        <AmountOfTransaction>61105</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS CHAPLAIN</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>BRANDI MAY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER IN LAW OF WALTER E. MAY, PMC PRESIDENT/CEO</Relationship>
        <AmountOfTransaction>50426</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS CORE MEASURES SPECIALIST.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>KAMINSKI ROBINSON</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>HUSBAND OF JO NELL ROBINSON, PMC BOARD MEMBER</Relationship>
        <AmountOfTransaction>67709</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-CHAPLAIN SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>ANDREA ROBINETTE SHOWALTER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>STEP DAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO</Relationship>
        <AmountOfTransaction>19284</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS PHYSICIAN RECRUITER.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>COLLEY STEVENS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>GRANDSON OF T.T. COLLEY, PMC BOARD MEMBER</Relationship>
        <AmountOfTransaction>31324</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYED BY PIKEVILLE MEDICAL CENTER AS MANAGER-SECURITY.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 2</Identifier>
        <Explanation>Dr Alex Poulos &amp; Dr Dennis Halbert partners in Pikeville Radiology. Hobert Johnson &amp; David Collins members of Community Trust Bank Board of Directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>The process of reviewing the Form 990 entails a detailed review by the CFO and Hospital Attorney. Additionally, The governing body reviews and approves the final Form 990 including requested schedules prior to filing. Copies are provided to each voting member of the organization's governing body upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>As to Board Members, updates to the Conflict of Interest forms are completed annually with voluntary disclosure of conflict on any particular issue. There is no participation, discussion or vote taken on these; however, the Board Attorney is provided a copy of all interests of each member to ensure compliance with the policy. These are regularly and consistently monitored for any changes. As to employees, there is a written conflict of interest policy which too is regularly and consistently monitored and enforced by Human Resources and Administration as necessary. This policy is intended to identify and resolve conflicts of interest which may occur related to financial, business, or professional interests. The policy is in place to identify and resolve a conflict of interest which may occur any time there is a situation in which one's ability to make objective, job related business decisions may be influenced by, or have the appearance of being influenced by, outside activities or personal interests. Potential conflicts of interest may include, but are not limited to, the following: 1. Working a second job at a competing healthcare entity which may allow the transfer of confidential business information or influence referral patterns. 2. Allowing the demands of outside activities to hinder or distract you from the performance of your job or cause you to use PIkeville Medical Center Resources for other than Pikeville Medical Center purposes. 3. Holding an ownership interest, management, or board of directors position in a company with whom Pikeville Medical Center does business which may lead to the individual's personal gain/benefit. "Ownership interest" means serving as a board director or officer or owning more than 5% of the business or corporation. 4. Having an immediate family member or significant other who holds an ownership interest in a company with whom Pikeville medical Center does business which may lead to the individual's personal gain/benefit. "Ownership interest" means serving as a board director or officer or owning more than 5% of the business or corporation. 5. Having an immediate family member or significant other employed by the Pikeville Medical Center and working within the same direct line of authority (above or below) as the first employee. Immediate family members include spouses, children, grandchildren, brothers and sisters and the spouses of those individuals. The scope of this policy includes: PIkeville Medical Center and all its departments and services wherever located. The covered individuals are to follow these procedures: 1. All licensed clinical staff, supervisors, and management personnel shall complete a duality and conflict of interest form at the time of initial employment and annually thereafter. 2. Employee conflict of interest forms shall be filed in their personnel files. 3. In the event that an employee's job description or duties requires a business related decision to be made in an area in which a personal conflict of interest has been identified, the employee shall notify his/her supervisor to arrange for an alternative decision making process which will maintain objectivity and eliminate personal bias, i.e. personal withdrawal from the decision making process, solicitation of closed bids, or utilization of a 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>The Compensation committee reviews and approves the salary of the organization's CEO and key employees. The committee uses comparative data from other organizations' Form 990 and salary surveys. Motion and approvals from the committee are kept in the minutes.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>The organization does make the financial statements available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 2c</Identifier>
        <ReturnReference>Oversight of Audit</ReturnReference>
        <Explanation>The board of directors assumes responsibility for oversight of the audit of the financial statements and no processes have changed from the prior year.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Sch H., Part VI, Line 6 Continuation of how Organization furthers its exempt purpose HEALTH PROFESSIONS EDUCATION: STUDENT ROTATIONS- PMC SERVES AS A CLINICAL TRAINING SITE FOR STUDENTS IN HEALTH CARE RELATED FIELDS FROM REGIONAL UNIVERSITIES AND COLLEGES. DURING FY 2010, PMC CONTRACTED WITH 40 SCHOOLS AND RECEIVED 343 STUDENTS IN CLINICAL ROTATION. THE SCHOOLS CONTRACTED BY PMC INCLUDED: APPALACHIAN COLLEGE OF PHARMACY BELFRY AREA TECHNOLOGY CENTER BELLARMINE UNIVERSITY DEVRY UNIVERSItY EASTERN KENTUCKY UNIVERSITY (EKU) EMERGENCY MEDICAL EDUCATORS FRONTIER SCHOOL OF NURSING HUNTINGTON JUNIOR COLLEGE HUTCHINSON COMMUNITY COLLEGE JEFFERSON COLLEGE OF HEALTH SERVICES KAPLAN UNIVERSITY KENTUCKY COMMUNITY AND TECHNICAL COLLEGE SYSTEM (KCTCS) LINCOLN MEMORIAL UNIVERSITY LINDSEY WILSON COLLEGE MIDWAY COLLEGE SCHOOL OF PHARMACY MILLIGAN COLLEGE MOREHEAD STATE UNIVERSITY STATE NATIONAL COLLEGE OF BUSINESS NORTHERN KENTUCKY UNIVERSITY NOVA SOUTHEASTERN UNIVERSITY PHLEBOTOMY EDUCATION, INC. PIKEVILLE COLLEGE SHAWNEE STATE UNIVERSTIY SOUTH DAKOTA STATE UNIVERSITY SOUTH UNIVERSITY SCHOOL OF PHARMACY SOUTHERN WEST VIRGINIA COMMUNITY AND TECHNICAL COLLEGE (SWCTC) SOUTHWEST VIRGINIA COMMUNITY COLLEGE SPENCERIAN COLLEGE TENNESSEE TECHNOLOGY CENTER AT ELIZABETHTOWN UNIOR UNIVERSITY UNIVERSITY OF CHARLESTON UNIVERSITY OF CINCINNATI UNIVERSITY OF KENTUCKY (UK) UNIVERSITY OF NORTH CAROLINA UNIVERSITY OF LOUISVILLE VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF ALLIED HEALTH AND PROFESSIONS DEPT. OF NURSE ANESTHESIA WASHBURN UNIVERSITY WEBER STATE UNIVERSITY WESTERN KENTUCKY UNIVERSITY WHEELING JESUIT UNIVERSITY PIKEVILLE MEDICAL CENTER IS A MEMBER OF A GROUP OF MEDICAL FACILITIES AND EDUCATIONAL INSTITUTIONS THAT HAVE JOINED TOGETHER TO BRING INTERN AND RESIDENCY PROGRAMS TO THE AREA. BY ALLOWING MEDICAL STUDENTS TO PRACTICE AT THEIR HOSPITAL-RUN, FAMILY CLINIC, PMC IS COMMITTED TO HELP EDUCATE AND RETAIN COMPETENT/SKILLED PHYSICIANS IN OUR COMMUNITY AND REGION. PMC'S TOTAL COMMUNITY BENEFIT EXPENSE IN FY 2010 FOR TRAINING INTERNS,RESIDENTS AND FELLOWS TOTALED MORE THAN $319,000. PHYSICIAN RECRUITMENT - PIKEVILLE MEDICAL CENTER MAINTAINS AN ACTIVE PHYSICIAN RECRUITMENT PROGRAM BY LOCATING HIGH QUALITY PHYSICIANS AND MAKING THEM A PART OF THE PMC TEAM. THE HOSPITAL'S RECRUITMENT EFFORTS ARE ESSENTIAL TO ENHANCING THE HEALTH AND WELL BEING OF OUR COMMUNITY AND REGION. SURROUNDING COMMUNITY HOSPITALS LOOK TO OUR HOSPITAL TO OFFER THE SPECIALTIES AND SUB-SPECIALTIES THEIR FACILITIES DO NOT PROVIDE. PIKEVILLE MEDICAL CENTER RECRUITED AND SIGNED A TOTAL OF 22 PHYSICIANS DURING FY 2010. AMONG THE DIFFERENT SPECIALTIES THESE PHYSICIANS PRACTICE ARE: ANESTHESIA INTERVENTIONAL CARDIOLOGY CRITICAL CARE ENDOCRINOLOGY FAMILY PRACTICE HOSPITALISTS ONCOLOGY AND PALLIATIVE CARE PEDIATRICS PHYSIATRY PULMONARY/CRITICAL CARE RADIOLOGY VASCULAR SURGERY CONTINUING HEALTH PROFESSIONALS EDUCATION - PIKEVILLE MEDICAL CENTER HAS AN ACTIVE MEDICAL LIBRARY STAFF THAT COORDINATES AND OVERSEES MANY OF THE CONTINUING MEDICAL EDUCATION (CME) HOURS OFFERED AT THE HOSPITAL. MOST CME'S ARE OPEN TO NOT ONLY OUR STAFF, BUT TO OTHER MEDICAL PROFESSIONALS in the COMMUNITY. THESE EDUCATION OPPORTUNITIES ARE FREE OF CHARGE TO ALL WHO ATTEND. PMC SPENT NEARLY $11,000 ON CME'S IN FY 2010. THE EDUCATION OPPORTUNITIES OFFERED BY THE HOSPITAL LAST YEAR COVERED NUMEROUS TOPICS INCLUDING: PROSTATE CANCER PAIN MANAGEMENT SEVERE OBESITY LUNG CANCER DIABETES RECURRENT STROKE PREVENTION SUPPORT GROUPS PMC SPONSORS AND PARTICIPATES IN SEVERAL SUPPORT GROUPS WITHIN OUR COMMUNITY. IN 2010, MORE THAN $5,000 WENT TOWARDS BENEFITING THE FOLLOWING GROUPS: ABC/AFTER BREAST CANCER SUPPORT GROUP ALCOHOLICS ANONYMOUS NARCOTICS ANONYMOUS DIABETES SUPPORT GROUP HEALTH STEPS LIFELINE SMOKING CESSATION CLASS STROKE SUPPORT GROUP WEIGHT LOSS SURGERY SUPPORT GROUP</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043500001">
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>pikeville medical center foundation inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>911 bypass road</AddressLine1>
          <City>pikeville</City>
          <State>KY</State>
          <ZIPCode>41501</ZIPCode>
        </AddressUS>
        <EIN>611274046</EIN>
        <PrimaryActivity>Inactive</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfEOYAssets>47652</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PIKEVILLE mEDICAL DEVELOPMENT CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>911 bypass road</AddressLine1>
          <City>PIKeville</City>
          <State>KY</State>
          <ZIPCode>41501</ZIPCode>
        </AddressUS>
        <EIN>202487928</EIN>
        <PrimaryActivity>INACTIVE</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>8</ShareOfTotalIncome>
        <ShareOfEOYAssets>7962</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>