In 1952, times were especially tough in our rural Appalachian communities due to the closing of many of the local coalmines in this area. Medical services were meager at best. The story of our health center began in this setting. Dayspring consists of 3 outpatient clinics which provide full spectrum family health care. Along with providing routine primary care, we offer obstetric and gynecological ultrasound, colposcopy, cryosurgery, vasectomies and other office procedures. Our physicians admit to Jellico Community Hospital (a 54-bed hospital operated by Adventist Health System). We provide OB services including cesarean sections and tubal ligations. Our hospital has a 4-bed ICU to which our physicians admit patients. In the past few years, the hospital has completed a $3 million dollar expansion program that includes a new ER, labor and delivery area (with four LDRPs), and surgical department. The hospital has also recently added “state of the art” CT and MRI services.