2024-08-15T10:49:47-05:00 2023-09-30 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2022-10-01 610458376 PIKEVILLE MEDICAL CENTER INC PIKE 6064303501 911 BYPASS ROAD PIKEVILLE KY 41501 MICHELLE HAGY CFO 6062183974 2024-08-15 1 0 EMILIE M KNIERIEM CPA P01330194 5029923500 2024-08-15 2022 2024-08-08 14:25:15Z WILLIAM D BLACKBURN 911 BYPASS ROAD PIKEVILLE KY 41501 693001987 0 X WWW.PIKEVILLEHOSPITAL.ORG X 1923 KY THE CENTER'S MISSION IS TO ADVANCE THE HEALTH AND WELL-BEING OF OUR REGION THROUGH COMPREHENSIVE CARE IN A CHRISTIAN ENVIRONMENT. 16 6 3884 185 5344167 1191510 31064636 6667394 554194879 598099939 3078332 7093247 28271123 40919830 616608970 652780410 336287 192545 0 0 333721475 327557003 0 0 0 289109628 295502376 623167390 623251924 -6558420 29528486 670121229 671107372 351963401 315762040 318157828 355345332 X THE CENTER'S MISSION IS TO ADVANCE THE HEALTH AND WELL-BEING OF OUR REGION THROUGH COMPREHENSIVE CARE IN A CHRISTIAN ENVIRONMENT. 0 0 145950647 60128307 PHYSICIAN PRACTICES:CURRENTLY, MORE THAN 400 CREDENTIALED HEALTHCARE PROVIDERS; INCLUDING PHYSICIANS, ADVANCED PRACTICE REGISTERED NURSES, AND PHYSICIAN ASSISTANTS, ARE MEMBERS OF PIKEVILLE MEDICAL CENTER'S MEDICAL STAFF. DURING FY 2023, PIKEVILLE MEDICAL CENTER (PMC) WELCOMED 21 PHYSICIANS, EIGHT NURSE PRACTITIONERS AND ONE CERTIFIED REGISTERED NURSE ANESTHETIST TO THE ORGANIZATION. THE PHYSICIANS RECRUITED DURING THIS TIME CONSIST OF ONE ANESTHESIOLOGIST, ONE CARDIOTHORACIC SURGEON, FOUR CARDIOLOGISTS, ONE CRITICAL CARE PHYSICIAN, TWO ELECTROPHYSIOLOGISTS, TWO HOSPITALISTS, ONE OTOLARYNGOLOGIST/FACIAL TRAUMA SURGEON, ONE PEDIATRIC HOSPITALIST, ONE PEDIATRICIAN, ONE PODIATRIC SURGEON, ONE INTERNAL MEDICINE PHYSICIAN, ONE RHEUMATOLOGIST, THREE ACUTE CARE SURGEONS AND ONE VASCULAR SURGEON. PMC'S 11-STORY CLINIC BUILDING LOCATED ON THE HOSPITAL'S MAIN CAMPUS HOUSES THE MAJORITY OF THE ORGANIZATION'S PHYSICIAN PRACTICES INCLUDING TRAUMA SURGERY, GENERAL SURGERY, BARIATRIC AND WEIGHT LOSS SURGERY, ENDOCRINOLOGY, INTERVENTIONAL RADIOLOGY, GASTROENTEROLOGY, UROLOGY, ORTHOPEDIC TRAUMA SURGERY, ORTHOPEDIC SURGERY, HAND SURGERY, PODIATRY, SPORTS MEDICINE, OBSTETRICS/GYNECOLOGY, INFECTIOUS DISEASE, NEPHROLOGY, NEUROLOGY, NEUROSURGERY, PHYSIATRY, PULMONOLOGY, OPHTHALMOLOGY, OPTOMETRY, OTOLARYNGOLOGY, AUDIOLOGY, RHEUMATOLOGY, SLEEP MEDICINE, MEDICAL ONCOLOGY, HEMATOLOGY AND SURGICAL ONCOLOGY. PMC OFFERS MORE THAN 400 SERVICES, INCLUDING MOST MAJOR SPECIALTIES AND MANY SUB-SPECIALTIES AND PROVIDES THE TEAM OF, HIGHLY SKILLED, DEDICATED PHYSICIANS WITH THE STATE-OF-THE ART TECHNOLOGY AND HIGHLY MOTIVATED SUPPORT STAFF NECESSARY TO PROVIDE QUALITY COMPREHENSIVE HEALTHCARE TO THE REGION.IN ADDITION TO PHYSICIAN PRACTICES FOUND IN THE CLINIC, PMC OFFERS: PEDIATRICS IN PIKEVILLE (KY); PEDIATRIC PSYCHIATRY IN PIKEVILLE (KY), PLASTIC SURGERY IN PIKEVILLE (KY); DERMATOLOGY IN PIKEVILLE (KY); CARDIOTHORACIC AND VASCULAR SURGERY IN PIKEVILLE (KY); CARDIOLOGY--GENERAL/INVASIVE/INTERVENTIONAL/ELECTROPHYSIOLOGY IN PIKEVILLE, WHITESBURG, PRESTONSBURG, SOUTH WILLIAMSON (KY) AND GRUNDY (VA); RADIATION ONCOLOGY IN PIKEVILLE (KY); NEUROLOGY IN WHITESBURG, SOUTH WILLIAMSON, AND PRESTONSBURG (KY); PRIMARY CARE MEDICINE IN PIKEVILLE, PRESTONSBURG, AND SOUTH WILLIAMSON (KY); OBSTETRICS/GYNECOLOGY IN PIKEVILLE (KY); URGENT CARE SERVICES IN PIKEVILLE AND PRESTONSBURG (KY); SCHOOL TELEHEALTH SERVICES IN PIKE COUNTY (KY); APPLIED BEHAVIOR ANALYSIS SERVICES IN PIKEVILLE (KY) AND PRESTONSBURG (KY); PSYCHOLOGY; WOUND CARE; CARDIAC REHABILITATION AND PULMONARY REHABILITATION IN PIKEVILLE (KY).PMC ALSO OFFERS EMERGENCY MEDICINE SERVICES, PALLIATIVE CARE SERVICES, AND UTILIZES AROUND-THE-CLOCK HOSPITALISTS, INTENSIVISTS AND NEONATOLOGISTS WHO DEVOTE THEIR PROFESSIONAL TIME TO THE CARE OF HOSPITALIZED PATIENTS.PMC PHYSICIANS COMPLETED 301,439 PATIENT CLINIC VISITS DURING FY 2023. PHYSICIAN PRACTICE LOCATIONS WITH NOTABLE ACTIVITY DURING THE YEAR: AVA CENTER PRACTICE-PIKEVILLE COMPLETED 13,685 LEARNER VISITS, AVA CENTER PRACTICE-PRESTONSBURG COMPLETED 2,328 LEARNER VISITS, CARDIOLOGY PRACTICE-PIKEVILLE COMPLETED 20,983 PATIENT VISITS, ONCOLOGY PRACTICE-PIKEVILLE COMPLETED 10,907 PATIENT VISITS, PEDIATRIC PRACTICE-PIKEVILLE COMPLETED 12,422 PATIENT VISITS, PRIMARY CARE PRACTICE-PIKEVILLE COMPLETED 11,886 PATIENT VISITS, PRIMARY CARE PRACTICE-PRESTONSBURG COMPLETED 7,378 PATIENT VISITS, PRIMARY CARE PRACTICE-SOUTH WILLIAMSON COMPLETED 3,932 PATIENT VISITS, RHEUMATOLOGY PRACTICE-PIKEVILLE COMPLETED 5,374 PATIENT VISITS, SCHOOL TELEHEALTH PROGRAM COMPLETED 371 TELEHEALTH PATIENT VISITS, URGENT CARE PRACTICE-PIKEVILLE COMPLETED 21,067 PATIENT VISITS AND URGENT CARE PRACTICE-PRESTONSBURG COMPLETED 8,652 PATIENT VISITS. THE PIKEVILLE MEDICAL CENTER HEART AND VASCULAR INSTITUTE OF EASTERN KENTUCKY (HVI) IS COMPRISED OF A TEAM OF CARDIAC SPECIALISTS WITH A BROAD RANGE OF EXPERTISE; THAT EXPERTISE, COUPLED WITH CUTTING-EDGE TECHNOLOGY HAS RESULTED IN A COMPREHENSIVE HEART CARE PROGRAM FOR THE PEOPLE OF THE REGION THAT IS SECOND TO NONE. THE HVI IS ACCREDITED BY THE AMERICAN HEART ASSOCIATION AND THE AMERICAN COLLEGE OF CARDIOLOGY IN HEART ATTACK TREATMENT, CARDIAC CATH LAB PERCUTANEOUS CORONARY INTERVENTION (PCI) ACCREDITATION, AND CHEST PAIN WITH PCI, IN ADDITION TO OFFERING AN AACVPR CERTIFIED CARDIAC REHABILITATION PROGRAM. THE HEART AND VASCULAR INSTITUTE TEAM PROVIDES A WIDE RANGE OF SERVICES TO ADDRESS VARIOUS CARDIOVASCULAR CONCERNS, FROM ROUTINE CHECK-UPS TO THE MANAGEMENT OF COMPLEX HEART CONDITIONS, GUIDING THE PATIENT THROUGH EVERY STEP OF THEIR HEART HEALTH JOURNEY. CARDIAC SERVICES OFFERED BY PMC INCLUDE GENERAL CARDIOLOGY, INVASIVE CARDIOLOGY, INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, CARDIOTHORACIC SURGERY, VASCULAR/ENDOVASCULAR SURGERY, ECHOCARDIOGRAPHY, AND CARDIAC REHABILITATION. THE PMC HEART AND VASCULAR INSTITUTE OCCUPIES 49,000 SQUARE FEET OF RECENTLY RENOVATED SPACE LOCATED ON THE HOSPITAL'S MAIN CAMPUS. THE AREA PROVIDES A FUNCTIONAL FLOW FOR IMPROVED PATIENT ACCESS INCLUDING A NEW REGISTRATION AREA, 29 EXAM ROOMS, TWO WAITING ROOMS AND INCLUDES THREE NEW STATE-OF-THE-ART INTERVENTIONAL CARDIAC CATHETERIZATION (CATH) LABS, TWO NEW ELECTROPHYSIOLOGY CATH LABS, SIX PRE/POST-OPERATIVE BAYS AND A MULTIPURPOSE CASE CONFERENCE ROOM. THE CAPITAL INVESTMENT IN THE HEART AND VASCULAR INSTITUTE RENOVATION AND EXPANSION WAS MORE THAN $35.2 MILLION.PIKEVILLE MEDICAL CENTER'S METTU CHILDREN'S HOSPITAL OPENED DURING FY 2022. THE NEWLY RENOVATED 13,400 SQUARE FEET OF SPACE HOUSES EASTERN KENTUCKY'S ONLY CHILDREN'S HOSPITAL, OFFERING BOTH INPATIENT AND OUTPATIENT PEDIATRIC SERVICES. THE CHILDREN'S HOSPITAL FILLS A GAP IN PROVIDING MUCH-NEEDED PEDIATRIC HEALTHCARE FOR THE REGION, ALLOWING FAMILIES TO STAY CLOSE TO HOME FOR SPECIALIZED PEDIATRIC CARE, THUS GREATLY REDUCING THE FINANCIAL BURDEN THAT COMES WITH TRAVELING TO HOSPITALS HUNDREDS OF MILES AWAY. THE CHILDREN'S HOSPITAL IS STAFFED BY PEDIATRIC HOSPITALISTS AND PEDIATRIC NURSES SPECIALLY TRAINED IN INPATIENT PEDIATRIC CARE. INPATIENT SERVICES ARE LOCATED IN AN 8,130 SQ FT AREA CONSISTING OF A FAMILY-FRIENDLY WAITING ROOM, 10 PRIVATE PATIENT ROOMS (INCLUDING TWO ISOLATION ROOMS), A CONSULTATION ROOM, A TREATMENT ROOM, MEDICATION ROOM, NOURISHMENT ROOM AND MORE. THE OUTPATIENT SERVICE AREA IS LOCATED IN A 5,290 SQ FT AREA CONSISTING OF SEPARATE SICK AND WELL CHILD WAITING ROOMS, CHECK-IN AND REGISTRATION AREAS, 13 EXAM ROOMS, A MEDICATION ROOM, AND A NURSE'S STATION. THIS NEW PEDIATRIC FACILITY HAS PROVIDED PMC WITH THE CAPACITY TO OFFER PEDIATRIC CARDIOLOGY, PULMONOLOGY, BMI, AND PLASTICS SPECIALTY SERVICES THROUGH A COOPERATIVE AGREEMENT WITH THE UNIVERSITY OF KENTUCKY CHILDREN'S HOSPITAL AT THE METTU CHILDREN'S HOSPITAL LOCATED ON PMC'S MAIN CAMPUS IN PIKEVILLE, KY. THESE NEW PEDIATRIC SERVICES BRIDGE THE GAP TO ENSURE ALL CHILDREN AND FAMILIES HAVE ADEQUATE ACCESS TO SPECIALIZED PEDIATRIC CARE. THE CAPITAL INVESTMENT IN THE CHILDREN'S HOSPITAL WAS MORE THAN $6.3 MILLION.THE PMC APPALACHIAN VALLEY AUTISM (AVA) CENTER IS A CERTIFIED AUTISM CENTER BY THE INTERNATIONAL BOARD OF CREDENTIALING AND CONTINUING EDUCATION STANDARDS SPECTRUM DISORDER (ASD). AS THE FIRST COMPREHENSIVE CENTER OF ITS KIND IN EASTERN KENTUCKY, THE AVA CENTER, WITH LOCATIONS IN PIKEVILLE, KY AND PRESTONSBURG, KY, OFFERS APPLIED BEHAVIOR ANALYSIS (ABA) THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, AND FEEDING THERAPIES FOR CHILDREN ON THE AUTISM SPECTRUM BETWEEN THE AGES OF 2 AND 12. THE PROGRAM STRIVES TO IDENTIFY CHILDREN AT THE EARLIEST SIGNS OF DETECTION, PROVIDE INTEGRATED CARE TO SUPPORT THE BEST POSSIBLE QUALITY OF LIFE FOR CHILDREN WITH ASD AND THEIR FAMILIES AND HELP CHILDREN WITH ASD REACH THEIR FULL POTENTIAL. THE SPECIALIZED EARLY INTERVENTION AND TREATMENT PROVIDED BY THE SPECIFICALLY TRAINED THERAPISTS AT THE AVA CENTER HAVE PROVEN EFFECTIVE IN INCREASING COMMUNICATION SKILLS, IMPROVING ATTENTION, AND DECREASING PROBLEM BEHAVIORS. THE PMC AVA CENTER PIKEVILLE CAMPUS OCCUPIES MORE THAN 25,000 SQ FT OF SPACE IN THE HEALTH & WELL-BEING LEARNING CENTER AND HAS THE CAPACITY TO SERVE UP TO 100 LEARNERS. A NEW OUTDOOR SENSORY ACTIVITIES AREA HAS BEEN CONSTRUCTED AT THE AVA CENTER PIKEVILLE CAMPUS, THIS AREA CONTAINS SENSORY-FRIENDLY PLAY AND LEARNING ACTIVITIES TO HELP LEARNERS RELAX AND FOCUS, WHICH PROMOTES NATURAL PLAY AND THE DEVELOPMENT OF SOCIAL LEARNING SKILLS SUCH AS NEGOTIATING, PLANNING, AND SHARING. ADAPTIVE EQUIPMENT, INCLUDED IN THE SENSORY ACTIVITIES AREA, DESIGNED FOR CHILDREN ON THE AUTISM SPECTRUM ALSO ENHANCES SOCIAL INTERACTIONS, COMMUNICATION, MOTOR CONTROL AND COORDINATION OR PHYSICAL HEALTH, WHICH SUPPORTS THE OVERALL THERAPY PROCESS. (CONTINUED ON SCH O) 16112757 58967979 IMAGING SERVICES:PIKEVILLE MEDICAL CENTER'S IMAGING SERVICES DIVISION OFFERS SOME OF THE MOST ADVANCED MEDICAL IMAGING AVAILABLE IN THE MODALITIES OF DIAGNOSTIC IMAGING, NUCLEAR MEDICINE, MAGNETIC RESONANCE IMAGING (MRI), COMPUTED TOMOGRAPHY (CT), POSITRON EMISSION TOMOGRAPHY (PET), MAMMOGRAPHY, AND ULTRASOUND. PMC'S IMAGING SERVICES HAS RECEIVED THREE-YEAR ACCREDITATION FROM THE AMERICAN COLLEGE OF RADIOLOGY, RECOGNIZED AS THE GOLD STANDARD IN DIAGNOSTIC IMAGING. THIS ACCREDITATION CERTIFIES THE IMAGING SERVICES DIVISION'S COMMITMENT TO IMAGE QUALITY, EQUIPMENT PERFORMANCE, SAFETY STANDARDS FOR STAFF AND PATIENTS, QUALITY ASSURANCE AND QUALITY CONTROL PROGRAMS, AS WELL AS STRICT PERSONNEL QUALIFICATIONS FOR BOTH PHYSICIANS AND TECHNOLOGISTS. CURRENT DIAGNOSTIC IMAGING EQUIPMENT INCLUDES TWO 3D MAMMOGRAPHY MACHINES, A DIGITAL PET/CT SCANNER, ONE 3T MRI, TWO 1.5T MRI SCANNERS, TWO FLASH CT SCANNERS, TWO 64 SLICE CT SCANNERS, THREE ULTRASOUND UNITS, SIX GENERAL X-RAY UNITS AND THREE NUCLEAR MEDICINE SCANNERS.PMC'S DIAGNOSTIC CENTER PROVIDES A LOCATION FOR PATIENTS TO OBTAIN A FULL RANGE OF ADVANCED OUTPATIENT DIAGNOSTIC IMAGING SERVICES IN AN "ALL-IN-ONE" SETTING FOR IMAGING SERVICES, LAB WORK, AND EKGS WITH EXTENDED SERVICE HOURS AND CONVENIENT PARKING. SINCE OPENING, THE DIAGNOSTIC CENTER HAS GONE THROUGH SEVERAL PERIODS OF RENOVATION TO ACCOMMODATE NEW EQUIPMENT AND TECHNOLOGY, THE MOST RECENT OF WHICH WAS COMPLETED IN 2023. THE FRONT LOBBY OF THE DIAGNOSTIC CENTER WAS EXPANDED TO INCREASE SEATING CAPACITY FOR PATIENTS AND A HOLOGIC HORIZON A BONE DENSITY SCANNER WAS INSTALLED TO MONITOR A PATIENT FOLLOWING THE ADMINISTRATION OF CERTAIN MEDICATIONS OR TO MEASURE THE SUCCESS OF VARIOUS TREATMENT TECHNIQUES. IN ADDITION, A NEWLY REMODELED BREAST CARE AREA WILL OFFER THE LATEST TECHNOLOGY IN 3D MAMMOGRAPHY, INCLUDING THE INSTALLATION OF A THIRD 3D MAMMOGRAPHY SYSTEM AND STATE-OF-THE-ART AI TECHNOLOGY SOFTWARE TO RAPIDLY AND ACCURATELY ANALYZE EACH 3D MAMMOGRAPHY IMAGE TO IDENTIFY POTENTIAL CANCEROUS TUMORS WITH PINPOINT ACCURACY IS SCHEDULED TO OPEN DURING 2024. THE TOTAL ANTICIPATED CAPITAL INVESTMENT IN THIS PHASE OF THE DIAGNOSTIC CENTER EXPANSION INCLUDING EQUIPMENT IS $2.1 MILLION.PMC'S IMAGING SERVICES HAS RECENTLY REACHED ANOTHER MILESTONE BY PERFORMING THE REGION'S FIRST PET SCAN DESIGNED SPECIFICALLY TO DETECT PROSTATE CANCER. THIS LATEST IN PET SCAN TECHNOLOGY UTILIZING ILLUCCIX RADIOACTIVE ISOTOPES ON THE NEWLY INSTALLED PHILIPS VEREOS DIGITAL PET/CT SCANNER IS PARTICULARLY BENEFICIAL TO UROLOGISTS TREATING PATIENTS WHO ARE AT HIGH RISK OF OR SUSPECTED OF HAVING PROSTATE CANCER BY OFFERING AN ADVANCED TOOL TO EXPEDITE A CANCER DIAGNOSIS AND TREATMENT, LEADING TO IMPROVED PATIENT OUTCOMES.DURING FY 2023 PMC PURCHASED TWO EPIQ CVX ULTRASOUND SYSTEMS, THE EPIQ PROVIDES PREMIUM 3D ECHO, DELIVERING AN UNCOMPROMISED LEVEL OF CLINICAL PERFORMANCE. THE SYSTEMS UTILIZE A LEADING-EDGE ANATOMICAL INTELLIGENCE PLATFORM DESIGNED FOR THE MOST DEMANDING OF CARDIOLOGY APPLICATIONS, SIGNIFYING PMC'S COMMITMENT TO CONTINUALLY UPGRADE TECHNOLOGY AND EQUIPMENT TO PROVIDE SPECIALIZED, ADVANCED, AND COMPREHENSIVE CARE IN AN EVER-ADVANCING DIAGNOSTIC IMAGING HEALTHCARE ENVIRONMENT. THIS EQUIPMENT INVESTMENT TOTALED $507,398. 35420933 58732653 ONCOLOGY SERVICES: PIKEVILLE MEDICAL CENTER'S LAWSON CANCER CENTER (LCC) HAS THE EXPERTISE AND LEADING-EDGE TECHNOLOGY TO FIGHT CANCER TODAY. WITH CAPABILITIES TO PROVIDE FULL-SERVICE CANCER TREATMENT AND FOLLOW-UP CARE, THE LAWSON CANCER CENTER IS ONE OF A SELECT FEW CANCER CENTERS IN KENTUCKY TO HOLD ACCREDITATION FROM THE COMMISSION ON CANCER WITH COMMENDATIONS. LCC IS STAFFED BY EXPERT ONCOLOGISTS, SURGICAL SPECIALISTS, NURSES, PHARMACISTS, PATIENT NAVIGATORS, AND MANY OTHER HIGHLY TRAINED HEALTHCARE PROFESSIONALS PROVIDING SERVICES IN A CONVENIENT AND COMPASSIONATE SETTING, ALLOWING PATIENTS ACROSS THE REGION TO RECEIVE ADVANCED CANCER CARE CLOSE TO HOME. THIS MULTIDISCIPLINARY APPROACH BRINGS TOGETHER A DIVERSE GROUP OF PATIENT CARE PROVIDERS TO EXAMINE AND DISCUSS THE PATIENT'S DIAGNOSIS, MEDICAL HISTORY, PREFERENCES, AND EMOTIONAL NEEDS TO COLLABORATE AND TAILOR SPECIFIC TREATMENT PLANS UNIQUE TO EACH PATIENT. THE LAWSON CANCER CENTER IS LOCATED ON THE PMC MAIN CAMPUS WHICH ALLOWS ENHANCED ACCESS AND CONVENIENCE FOR THE PATIENT BY PROVIDING ALL THEIR SERVICES AND PROVIDERS IN ONE LOCATION INCLUDING IMAGING, DIAGNOSTICS, CHEMOTHERAPY, INFUSION, AND RADIATION THERAPY; AS WELL AS GENETIC COUNSELING, FINANCIAL COUNSELING AND PATIENT NAVIGATION. HAVING ALL SERVICES IN ONE LOCATION ALLOWS FOR NOT ONLY EFFICIENCY FOR CLINICIANS, BUT ALSO EASE OF ACCESS FOR PATIENTS, WHICH CAN IMPROVE OUTCOMES. AS A RESULT OF THE INCREASED DEMAND FOR CANCER TREATMENT SERVICES, PMC COMPLETED AN ADDITIONAL 7,085 SQUARE FEET EXPANSION OF THE LCC ON THE MAIN CAMPUS TO MAKE AVAILABLE 14 PRIVATE CHEMO SUITES, 10 OPEN CHEMO TREATMENT BAYS, NURSING SUPPORT SPACE, AND ADDITIONAL DIAGNOSTIC CAPABILITIES. THE PMC LCC MAIN CAMPUS EXPANSION WAS COMPLETED DURING FY 2023 AND TOTALED $3.7 MILLION.THE LAWSON CANCER CENTER AT PIKEVILLE MEDICAL CENTER IS USING INNOVATIVE TECHNOLOGY TO TREAT PATIENTS WHOSE TREATMENT PLANS CALL FOR RADIATION THERAPY. PMC HAS PURCHASED AND INSTALLED TWO NEW VARIAN RAPIDARC TRUE BEAM LINEAR ACCELERATORS AND BRAIN LAB EXACTRAC DYNAMIC SYSTEMS. THE TRUE BEAM RADIOTHERAPY SYSTEMS PROVIDE A VARIETY OF TREATMENT TECHNIQUES TO ADDRESS A BROAD RANGE OF CANCER CASES, IN ADDITION TO ALLOWING PMC TO DELIVER LIFESAVING RADIATION TWO TO EIGHT TIMES FASTER THAN CONVENTIONAL FORMS OF RADIOTHERAPY. THE BRAIN LAB EXACTRAC SYSTEM IS AN ALL-IN-ONE REVOLUTIONARY NEW THERMAL-SURFACE CAMERA TECHNOLOGY THAT WORKS IN TANDEM WITH REAL-TIME X-RAY TRACKING TO ACHIEVE SUBMILLIMETRIC RADIOTHERAPY POSITIONING AND MONITORING ACCURACY. ADVANCED IMAGING AND HIGH PRECISION DOSAGE CONTROL WITH THE LATEST TRUE BEAM TECHNOLOGY THAT PRODUCES A RADIATION BEAM THAT IS CONTINUALLY SHAPED AND RESHAPED ACCORDING TO THE SIZE, SHAPE AND POSITION OF THE TUMOR, PROTECTING HEALTHY, SURROUNDING TISSUE, ENSURES RADIATION DELIVERY CONFORMALITY WITH BUILT-IN PATIENT SAFETY FEATURES THAT ALLOW CLINICIANS TO NAVIGATE THE COMPLEXITIES OF RADIATION THERAPY TREATMENT DELIVERY WITH CONFIDENCE. THE CAPITAL INVESTMENT IN THE VARIAN TRUE BEAM LINEAR ACCELERATOR AND BRAIN LAB EXACTRAC EQUIPMENT, INCLUDING INSTALLATION-RELATED RENOVATION TOTALED MORE THAN $8.4 MILLION. 345909895 192545 425760060 ALL OTHER PROGRAMS: PIKEVILLE MEDICAL CENTER IS A COMPREHENSIVE HEALTHCARE PROVIDER OF TERTIARY HEALTHCARE SERVICES THROUGH ITS LICENSED 348-BED ACUTE CARE AND INPATIENT REHABILITATION HOSPITAL, LEVEL II TRAUMA CENTER, OUTPATIENT DIAGNOSTIC CENTER, OCCUPATIONAL, PHYSICAL AND SPEECH THERAPY CENTER, SLEEP LAB, HOME MEDICAL EQUIPMENT, LEVEL II ADVANCED NEONATAL INTENSIVE CARE UNIT, CANCER TREATMENT CENTER, AND MULTI-SPECIALTY PHYSICIAN PRACTICES. PMC OFFERS MORE THAN 400 SERVICES, INCLUDING MOST MAJOR SPECIALTIES AND MANY SUBSPECIALTIES, WHICH HAS RESULTED IN PMC BEING RECOGNIZED AS A REGIONAL REFERRAL CENTER THROUGHOUT CENTRAL APPALACHIA FOR SMALLER COMMUNITY HOSPITALS THAT HAVE PATIENTS WITH COMPLEX NEEDS WHOM THEY CANNOT SERVE. WITH MORE THAN 3,000 EMPLOYEES AND OVER 400 CREDENTIALED PROVIDERS WHO REPRESENT MORE THAN 45 HOME COUNTIES IN KENTUCKY, VIRGINIA AND WEST VIRGINIA; PMC STRIVES TO BE THE PROVIDER AND EMPLOYER OF CHOICE FOR HEALTHCARE ACROSS THE REGION WE SERVE, WHICH INCLUDES THE EASTERN KENTUCKY COUNTIES OF PIKE, FLOYD, JOHNSON, LETCHER, MAGOFFIN, AND MARTIN; BUCHANAN COUNTY, VIRGINIA; AND MINGO COUNTY, WEST VIRGINIA. PMC'S RECORDED TOTAL INPATIENT ADMISSIONS DURING FY 2023 OF 10,789 AND RECEIVED 2,999 TRANSFERS IN FROM SMALLER HOSPITALS THROUGHOUT THE REGION DURING THE YEAR.THE U.S. BUREAU OF LABOR STATISTICS PROJECTS THAT EMPLOYMENT IN HEALTHCARE OCCUPATIONS WILL INCREASE BY 15% BY 2029, ADDING MORE JOBS THAN ANY OTHER OCCUPATIONAL GROUP. PIKEVILLE MEDICAL CENTER'S PRIMARY, SECONDARY AND TERTIARY MARKET AREAS HAVE ECONOMICALLY DECLINED OVER THE PAST DECADE DUE TO VARIOUS REGULATORY AND OTHER ECONOMIC SITUATIONS ADVERSELY AFFECTING THE EMPLOYMENT RATE, THIS DECLINE HAS RESULTED IN AN OUTMIGRATION OF THE REGION'S WORKFORCE, CREATING A SHORTAGE OF SKILLED HEALTHCARE LABOR TO FILL THE INCREASING NEED FOR NURSING AND OTHER SKILLED CLINICAL STAFF REQUIRED TO PROVIDE CARE FOR THE AGING POPULATION OF THE REGION. PMC IS A PRIMARY DRIVER OF THE ECONOMY WITHIN THE REGION IT SERVES AND HAS SPEARHEADED AN INITIATIVE TITLED "PROJECT HEART" (HEALTHCARE EMPLOYMENT AROUND REGIONAL TRAINING) TO ADDRESS THE GROWING SHORTAGE OF A SKILLED HEALTHCARE WORKFORCE. ALONG WITH AN EXCEPTIONAL TEAM OF COLLABORATIVE PARTNERS, PMC HAS DEVELOPED MULTIPLE STRATEGIES TO INCREASE TRAINING, FURTHER DEVELOP THE HEALTHCARE WORKFORCE AND PROVIDE CAREER OPPORTUNITIES FOR AS MANY AS POSSIBLE ACROSS THE REGION. PMC HAS WORKED WITH BIG SANDY COMMUNITY AND TECHNICAL COLLEGE, GALEN COLLEGE OF NURSING, UNIVERSITY OF PIKEVILLE ELLIOTT SCHOOL OF NURSING AND AMERICAN NATIONAL UNIVERSITY TO EXPAND CAMPUS SPACE AND INCREASE CLASS SIZES. THE UNIVERSITY OF PIKEVILLE (UPIKE) AND PMC HAVE PARTNERED TO OFFER THE RURAL HEALTH NURSING FELLOWSHIP PROGRAM EDUCATIONAL OPPORTUNITY TO STUDENTS EAGER TO PURSUE A CAREER IN NURSING, THE PROGRAM ALLOWS STUDENTS TO EARN AN ASSOCIATE DEGREE IN NURSING FROM UPIKE AND POTENTIALLY GRADUATE DEBT-FREE BY MAKING A COMMITMENT TO WORK FOR PMC UPON BECOMING A LICENSED RN. PMC HAS ALSO PARTNERED WITH THE KENTUCKY COMMUNITY AND TECHNICAL COLLEGE SYSTEM (KCTCS) TO OFFER THE TRAINS PROGRAM FOR THE POSITIONS OF PATIENT CARE TECHNICIAN, MEDICAL OFFICE TECHNICIAN, AND CERTIFIED NURSING AID; THE TRAINS PROGRAM PROVIDES CUSTOMIZED TRAINING FOR EMPLOYERS TO BUILD AND SUSTAIN THEIR TALENT PIPELINE, AT NO COST TO THE STUDENT. ADDITIONALLY, PMC PROJECT HEART PARTNERED WITH SOAR, A REGIONAL NONPARTISAN NONPROFIT THAT CHAMPIONS LOCAL PROGRAMS AND ADVOCACY FOR THE 54 ARC MANDATED COUNTIES IN EASTERN KENTUCKY, TO FILL THE ECONOMIC GAPS LEFT BY THE DECLINE OF THE COAL INDUSTRY. THE SOAR COLLABORATIVE HAS RESULTED IN THE DEVELOPMENT AND DEPLOYMENT OF THE EASTERN KENTUCKY HEALTHCARE ACTION PLAN TO HELP MEMBERS OF THE COMMUNITY LEARN HOW TO STABILIZE EASTERN KENTUCKY'S HOSPITALS AND PROTECT OUR REGION'S FUTURE. PMC INVESTED MORE THAN $1.2 MILLION IN EDUCATION ASSISTANCE RELATING TO PROJECT HEART INITIATIVES DURING FY 2023.PMC IS A CERTIFIED KENTUCKY CABINET OF HEALTH AND FAMILY SERVICES DEPARTMENT OF PUBLIC HEALTH LEVEL II TRAUMA CENTER AND HAS ALSO RECEIVED LEVEL II TRAUMA VERIFICATION FROM THE AMERICAN COLLEGE OF SURGEONS. PMC IS THE ONLY LEVEL II TRAUMA CENTER IN THE COMMONWEALTH OF KENTUCKY AND IS THE DESIGNATED HOSPITAL FOR ALL TRAUMA CASES IN EASTERN KENTUCKY. AS A VERIFIED TRAUMA CENTER, PMC IS EQUIPPED AND STAFFED TO PROVIDE COMPREHENSIVE EMERGENCY CARE TO PATIENTS SUFFERING TRAUMATIC INJURIES. PMC PROVIDES PATIENTS 24-HOUR IMMEDIATE COVERAGE BY TRAUMA SURGEONS, ORTHOPEDIC SURGEONS, NEUROSURGEONS, ANESTHESIOLOGY, EMERGENCY MEDICINE, CRITICAL CARE AND OTHER SURGEONS SPECIALIZING IN TRAUMATIC INJURIES. THE CONTINUUM OF CARE ENCOMPASSES THE PRE-HOSPITAL PHASE THROUGH THE REHABILITATION PROCESS. PMC'S TRAUMA CENTER SERVICE SIGNIFICANTLY INCREASES THE CHANCE OF SURVIVAL SHOULD AN INDIVIDUAL BE SERIOUSLY INJURED WITHIN THE PMC MULTI-COUNTY SERVICE AREA. PMC PROVIDED EMERGENT, POTENTIALLY LIFE-SAVING TRAUMA CARE TO 1,173 PATIENTS DURING FY 2023. PMC'S CRITICAL CARE UNITS (CCU) ARE COMPRISED OF 53 TOTAL BEDS IN SERVICE AND STAFFED BY BOARD-CERTIFIED PHYSICIAN SPECIALISTS AND DEDICATED STAFF TO PROVIDE 24/7 CARE TO PATIENTS WITH A WIDE VARIETY OF SEVERE ILLNESS OR INJURY. PMC HAS 69 ADULT VENTILATORS AND 35 PEDIATRIC/NICU VENTILATORS IMMEDIATELY AVAILABLE FOR SERVICE WITH 1,454 PATIENTS REQUIRING VENTILATOR MANAGEMENT DURING 2023. PMC IS ALSO ONE OF THE FEW HOSPITALS IN THE STATE AND THE ONLY HOSPITAL IN THE REGION TO PROVIDE THE EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) LIFE SUPPORT. PATIENTS REQUIRING ECMO HAVE A SEVERE, LIFE-THREATENING ILLNESS THAT PREVENTS THEIR HEART OR LUNGS FROM WORKING PROPERLY. THIS TECHNOLOGICALLY ADVANCED LIFESAVING MACHINE REPLACES THE FUNCTION OF THE HEART AND LUNGS, AND PUMPS BLOOD FROM THE PATIENT'S BODY TO AN OXYGENATOR THAT WORKS AS AN ARTIFICIAL LUNG. PIKEVILLE MEDICAL CENTER'S INPATIENT PHYSICAL REHABILITATION HOSPITAL IS A COMPREHENSIVE PROGRAM DEDICATED TO HELPING PATIENTS WHO ARE DISABLED BY DISEASE OR INJURY. A TEAM OF WELL-TRAINED REHABILITATION SPECIALISTS; INCLUDING PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, REHABILITATION NURSES, CASE MANAGERS, SOCIAL WORKERS, AND DIETICIANS, IN ADDITION TO, HIGHLY SKILLED, BOARD-CERTIFIED PHYSICAL MEDICINE PHYSICIANS HELP PATIENTS ACHIEVE THEIR GREATEST LEVEL OF INDEPENDENCE POSSIBLE BASED ON THEIR PHYSICAL AND MENTAL ABILITIES. THE 20-BED INPATIENT REHABILITATION FACILITY OFFERS A FULL RANGE OF INTENSIVE REHABILITATION SERVICES FOR ILL AND INJURED PATIENTS, ALLOWING THOSE PATIENTS TO REMAIN CLOSE TO HOME AND FAMILY WHILE RECEIVING REHABILITATIVE CARE. THE 23,000 SQUARE FOOT FACILITY IS DESIGNATED EXCLUSIVELY FOR REHABILITATION USE, INCLUDING A DINING HALL, FULLY EQUIPPED KITCHEN, LAUNDRY FACILITIES, AN APARTMENT-LIKE ROOM TO PRACTICE DAILY LIVING SKILLS, AND A THERAPEUTIC GYM WITH UNIQUE EQUIPMENT SPECIFICALLY SUITED FOR PATIENTS WORKING TO REGAIN MOTOR FUNCTIONS FROM INJURY OR ILLNESS, SUCH AS STROKE.PMC'S NEONATAL INTENSIVE CARE UNIT (NICU) IS A LICENSED 16 BED LEVEL II ADVANCED CARE FACILITY THAT PROVIDES AROUND-THE-CLOCK CARE FOR NEWBORNS WHO REQUIRE INTENSIVE NURSING AND MEDICAL CARE. AS THE ONLY LEVEL II ADVANCED NICU IN THE REGION, PMC NEONATOLOGISTS AND STAFF ARE TRAINED AND EQUIPPED TO CARE FOR BABIES BORN AS EARLY AS 28 WEEKS IN THE MOTHER'S PREGNANCY. HAVING THIS SPECIALIZED SERVICE AT PMC ALLOWS MANY FAMILIES TO STAY CLOSE TO HOME AND CLOSE TO THEIR NEWBORNS WHILE RECEIVING COMPASSIONATE CARE FROM THE TEAM OF SPECIALIZED MEDICAL PROVIDERS. THE PMC NICU HAD 124 NEWBORN ADMISSIONS AND 2,369 PATIENT DAYS OF CARE DURING FY 2023.THE PMC SPECIALTY PHARMACY IS PROUD TO BE THE ONLY SPECIALTY PHARMACY IN THE REGION ACCREDITED BY BOTH ACCREDITATION COMMISSION FOR HEALTH CARE (ACHC) AND THE UTILIZATION REVIEW ACCREDITATION COMMISSION (URAC). SPECIALTY DRUGS GENERALLY REQUIRE SPECIAL ADMINISTRATION AND ARE DEFINED AS EXPENSIVE MEDICATIONS USED TO TREAT CONDITIONS SUCH AS CANCER, RHEUMATOID ARTHRITIS, AND MULTIPLE SCLEROSIS. SPECIALTY PRESCRIPTIONS ARE SOMETIMES DIFFICULT TO NAVIGATE FOR THOSE WHO NEED THEM THE MOST AND PMC IS COMMITTED TO ASSISTING PATIENTS THROUGH THIS PROCESS. PRIOR TO PMC OPENING THE SPECIALTY PHARMACY, PATIENTS OFTEN HAD TO SEARCH FOR WAYS TO RECEIVE THEIR SPECIALTY MEDICATION. NOW, A TEAM OF DEDICATED PROFESSIONALS AT PMC ASSISTS PATIENTS WITH PRIOR AUTHORIZATIONS AND INSURANCE QUESTIONS IN ADDITION TO DISPENSING THE SPECIALIZED MEDICATION. PMC UTILIZES EFFICIENT PROCEDURES, OVERNIGHT SHIPPING, AND MEDICINE DELIVERY TO EXPEDITE THE PROCESS, ALLOWING PATIENTS TO RECEIVE NEEDED SPECIALTY MEDICATION MORE QUICKLY. PMC'S SPECIALTY PHARMACY FILLED 9,121 PRESCRIPTIONS DURING FY 2023, NEARLY TWICE THE VOLUME OF THE PRIOR YEAR.(CONTINUED ON SCH O) 345909895 192545 425760060 543394232 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 1 1 1 0 0 0 0 0 1 1 1 0 0 1 226 0 1 3884 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 6 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 1 1 1 0 KY X MICHELLE HAGY CFO 6064303519 911 BYPASS ROAD PIKEVILLE KY 41501 RONALD BURCHETT BOARD VICE-CHAIR 7.00 1.00 X X 28661 0 0 WILLIAM D BLACKBURN BOARD CHAIR/PRESIDENT/CEO 40.00 1.00 X X 945211 0 45255 JOE DEAN ANDERSON BOARD SECRETARY/TREASURER 4.00 1.00 X X 23000 0 0 DAVID COLLINS CPA BOARD MEMBER 4.00 1.00 X 23000 0 0 JOHN LABRECHE BOARD MEMBER 5.00 1.00 X 23702 0 0 JULIUS CLINTON MARTIN II BOARD MEMBER 4.00 1.00 X 23730 0 0 MARY SIMPSON PHD BOARD MEMBER 3.00 X 23097 0 0 JYOTHI METTU MD BOARD MEMBER 3.00 X 23661 0 0 DAVID BAIRD BOARD MEMBER 3.00 X 0 0 30638 AARON CRUM MD EX-OFFICIO/CMO/ASST CEO 40.00 1.00 X 893382 0 14117 ROBERT SHURTLEFF BOARD MEMBER 3.00 X 23666 0 0 LINDA WAGNER-JUSTICE BOARD MEMBER 3.00 X 23097 0 0 PHILLIP D REED BOARD MEMBER 3.00 X 23000 0 0 ERICH BLACKBURN EX-OFFICIO/CHIEF LEGAL OFF/SR. VP 40.00 X 479049 0 45255 JOHN WATSON MD BOD/CHIEF OF STAFF/HOSPITALIST 40.00 X 370491 0 42005 MICHELLE HAGY EX-OFFICIO/CFO/SR. VP FINANCE 40.00 X X 420682 0 45255 MELISSA THACKER CHIEF QUALITY OFFICER-SR. VP 40.00 X 277865 0 14578 KANSAS JUSTICE CHIEF OPERATING OFFICER-SR. VP 40.00 X 336992 0 42005 CHERYL HICKMAN CHIEF REGULATORY OFFICER-SR. VP 40.00 X 282464 0 41387 MICHELLE RAINEY CHIEF NURSING OFFICER-SR. VP 40.00 X 318863 0 45255 TONY DAMRON CHIEF INFORMATION OFFICER-SR. VP 40.00 X 254108 0 38194 MARCUS CONLEY VP FINANCE 40.00 X 232110 0 37637 KEITH HALL MD ORTHOPEDIC SURGEON 40.00 X 1694852 0 42005 KEVIN PUGH MD ORTHOPEDIC SURGEON 40.00 X 1648830 0 42005 CHRISTOPHER REYNOLDS MD CARDIOLOGIST/ELECTROPHYSIOLOGIST 40.00 X 1169441 0 42005 AYORINDE MEDAIYESE MD CRITICAL CARE PHYSICIAN 40.00 X 1096492 0 45255 DERMOT HALPIN MD CARDIOTHORACIC SURGEON 40.00 X 1018931 0 45255 JUANITA DESKINS FORMER CHIEF OPERATING OFFICER 40.00 X 193567 0 40231 DAVID HALCOMB FORMER ASST. CFO 40.00 X 182756 0 39001 12054700 0 737338 444 1 1 0 QUALIVIS LLC 5930 CORNERSTONE COURT WEST STE 30 SAN DIEGO CA 92121 PROFESSIONAL SERVICES 21037697 ELLIOTT CONTRACTING INC PO BOX 3038 PIKEVILLE KY 41502 CONSTRUCTION SERVICES 5583325 LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON NC 27216 LABORATORY SERVICES 3671876 PHILIPS HEALTHCARE INC 22100 BOTHELL EVERETT HIGHWAY BOTHELL WA 98041 PROFESSIONAL SERVICES 3586333 CROSS COUNTRY STAFFING INC 6551 PARK OF COMMERCE BOULEVARD BOCA RATON FL 33487 PROFESSIONAL SERVICES 3151280 71 529670 4312514 1825210 1010 6667394 NET PATIENT SERVICE RE 621999 598099939 598099939 598099939 7279230 7279230 6049 6049 263121 1027700 351995 0 -88874 1027700 938826 -86041 1024867 347464 533447 -185983 -185983 -185983 72254152 39336135 32918017 4319300 28598717 CAFETERIA 722310 3704067 2800966 903101 REBATE INCOME 900099 2032908 2032908 GIFT SHOP SALES 900099 578736 578736 741227 741227 7056938 652780410 603588999 5344167 37179850 X 138441 138441 54104 54104 5890566 5037284 853282 1585773 1356065 229708 239408826 204729089 34679737 3616110 3092296 523814 62719365 53634107 9085258 14336363 12259659 2076704 1583819 1409725 174094 276730 276730 124032 124032 63221566 56272219 6949347 2286166 2034869 251297 2635645 2345933 289712 6988259 6220106 768153 714055 635566 78489 403340 359005 44335 4906679 4214767 691912 32910013 28060694 4849319 16911778 15052826 1858952 MEDICAL SUPPLIES AND DR 102984993 91664828 11320165 DUES AND SUBSCRIPTIONS 17340898 15434777 1906121 PROVIDER TAX EXPENSE 16500110 16500110 EQUIPMENT RENTAL & MAIN 14000516 12461572 1538944 11713777 10426190 1287587 623251924 543394232 79857692 0 15830 16245 115715552 102997799 3115788 12016123 76750114 103157063 18659998 21531155 6185588 7376130 589432551 299173973 302523220 290258578 9817266 11171322 20794 12997 137317079 122569960 670121229 671107372 108009275 95945769 10982686 14767834 202360203 194226777 30611237 10821660 351963401 315762040 X 317951828 355139332 206000 206000 318157828 355345332 670121229 671107372 29528486 7659018 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 138307 138307 0 PART II-B, LINE 1: OTHER ACTIVITY COSTS ARE THE CORPORATION'S PORTION OF TRADE DUES (I.E. KENTUCKY HOSPITAL ASSOCIATION) IN THE AMOUNT OF $18,307. $120,000 WAS PAID TO CORNERSTONE GOVERNMENT AFFAIRS FOR CONSULTING SERVICES AND GOVERNMENT RELATIONS. 206000 206000 206000 206000 206000 206000 206000 206000 206000 206000 0.00000 1.00000 0.00000 0 0 15595700 15595700 331652200 136851044 194801156 2233546 1964222 269324 225523065 154479876 71043189 14428040 5878831 8549209 290258578 INVESTMENT - CUSTODY ACCOUNT 7687684 ASSETS WHOSE USE IS LIMITED - SELF INSURED TRUST 32207262 CTIC - INVESTMENT MANAGEMENT ACCOUNT 78764729 ROU ASSET - FINANCE LEASE 1740977 ROU ASSET - OPERATING LEASE 1052305 RELATED PARTY RECEIVABLE 1117003 122569960 RESERVES-RECIPROCAL AMER CLAIMS 1680272 RES FOR WORKERS COMPENSATION CLAIMS 2498094 EST AMOUNTS DUE TO 3RD PARTY PAYERS 3059599 ROU ASSET - OPERATING LEASE LIABILITY 1052306 ROU ASSET - FINANCE LEASE LIABILITY 2531389 10821660 X PART V, LINE 4: THE AMOUNT OF $206,000 IS A PERMANENT RESTRICTED ENDOWMENT- HERBERT FABER ENDOWMENT FUND. THE ENDOWMENT FUND IS UTILIZED TO SUPPORT THE CHARITABLE AND HEALTH ACTIVITES OF PIKEVILLE MEDICAL CENTER, INC. PART X, LINE 2: THE HOSPITAL AND PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE, INC. ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PIKEVILLE MEDICAL CENTER DEVELOPMENT CORPORATION AND LANDMARK PROPERTIES OF PIKEVILLE, INC. ARE TAXABLE ENTITIES TO WHICH APPLICABLE CORPORATE INCOME TAXES APPLY. NO INCOME TAXES WERE OWED BY PIKEVILLE MEDICAL CENTER DEVELOPMENT CORPORATION OR LANDMARK PROPERTIES OF PIKEVILLE, INC. FOR THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022. THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2023 AND 2022 THAT WOULD REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. AT SEPTEMBER 30, 2023, TAX RETURNS FILED FOR 2020 THROUGH 2022 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. 1 1 1 X 1 X 1 1 1 0 1 1 2663158 2663158 0.00430 147001835 141785459 5216376 0.00840 149664993 141785459 7879534 0.01270 145 1148 51054 51054 0.00010 11 1460 391164 357750 33414 0.00010 25 112545 112545 0.00020 181 2608 554763 357750 197013 0.00040 181 2608 150219756 142143209 8076547 0.01310 2 130000 130000 0.00020 31 9552 79286 79286 0.00010 13 301 483 483 0.00000 45 1529 1954053 1954053 0.00310 91 11382 2163822 2163822 0.00340 1 5784692 95346758 97451458 -2104700 X 1 1 1 1 PIKEVILLE MEDICAL CENTER 911 BYPASS ROAD PIKEVILLE KY 41501 WWW.PIKEVILLEHOSPITAL.ORG 100366 X X X X PIKEVILLE MEDICAL CENTER 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X WWW.PIKEVILLEHOSPITAL.ORG/2022-2025-COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X X 1 21 1 WWW.PIKEVILLEHOSPITAL.ORG/2022-2025-COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 150.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X HTTP://WWW.PIKEVILLEHOSPITAL.ORG/FINANCIAL-ASSISTANCE-POLICY/ X HTTP://WWW.PIKEVILLEHOSPITAL.ORG/FINANCIAL-ASSISTANCE-POLICY/ X HTTP://WWW.PIKEVILLEHOSPITAL.ORG/FINANCIAL-ASSISTANCE-POLICY/ X X X X 1 X 0 X X X X 1 X 0 1 PIKEVILLE MEDICAL CENTER PART V, SECTION B, LINE 5: PIKEVILLE MEDICAL CENTER CONDUCTED AN EXTENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY DURING FY 2022. A COMMITTEE ADVISORY BOARD COMPRISED OF 27 MEMBERS FROM THE BUSINESS SECTOR, EDUCATIONAL INSTITUTIONS AND VARIED CIVIC ORGANIZATIONS, IN ADDITION TO, 10 PMC STAFF MEMBERS, FROM POSITIONS WITHIN ADMINISTRATION AND CLINICAL SUPPORT SERVICES, AS WELL AS LICENSED PROVIDERS WAS ASSEMBLED TO PROVIDE OVERSIGHT FOR THE SURVEY AND REPORTING PROCESSES. PMC GATHERED DATA FROM THE LOCAL, STATE AND NATIONAL PATIENT POPULATIONS RELATED TO THEIR SOCIOECONOMIC AND HEALTH-RELATED ISSUES TO FOCUS ON ADDRESSING HEALTH DISPARITIES AND OTHER FACTORS AFFECTING PEOPLE OF THE REGION SERVED BY PMC. THE SURVEY WAS DISTRIBUTED TO ALL ADVISORY COMMITTEE MEMBERS; MEMBERS PROMOTED THE SURVEY TO THEIR EMPLOYEES, CUSTOMERS AND TO THE PUBLIC AT LARGE FOR ALL TO TAKE AND GIVE INPUT. ADDITIONALLY, THE SURVEY WAS MADE AVAILABLE ONLINE AND MARKETED PUBLICLY VIA MULTIPLE MEDIA PLATFORMS INCLUDING PRINT, SOCIAL MEDIA AND OTHER ON-SITE SIGNAGE AND PUBLICATIONS TO ACHIEVE A DIVERSIFIED DISTRIBUTION OF THE SURVEY. PMC'S COMMUNITY SURVEY RESPONSES WERE AGGREGATED WITH OTHER DATA AND STATISTICS TO PROVIDE A CLEAR AND DETAILED PICTURE OF THE HEALTHCARE INDUSTRY NEEDS WITHIN THE PMC MARKET AREA. PIKEVILLE MEDICAL CENTER PART V, SECTION B, LINE 7D: THE PMC BOARD-APPROVED CHNA REPORT WAS DISTRIBUTED TO THE ADVISORY BOARD MEMBERS WHO WERE ENCOURAGED TO DISTRIBUTE THE REPORT TO LOCAL BUSINESS/INDUSTRY LEADERS, PUBLIC OFFICIALS, AND CIVIC ORGANIZATION MEMBERS, THE REPORT WAS MADE AVAILABLE AT VARIOUS LOCATIONS ACROSS THE PMC CAMPUS AND IS AVAILABLE PUBLICLY ONLINE. PIKEVILLE MEDICAL CENTER PART V, SECTION B, LINE 11: PIKEVILLE MEDICAL CENTER ADDRESSES THE COMMUNITY NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA BY PROMOTING HEALTHY LIFESTYLES AND GOOD HABITS NECESSARY TO PREVENT OR ALLEVIATE DEVELOPMENT OF DISEASE THROUGH NUMEROUS COMMUNITY INFORMATION EVENTS AND BY CONTINUING INVOLVEMENT IN A WIDE ARRAY OF PUBLIC ACTIVITIES SUCH AS HEALTH FAIRS, REMOTE AREA MEDICAL (RAM) CLINICS, AND SPONSORED OCCASIONS ACROSS THE REGION. HEALTH SCREENINGS ARE CONDUCTED THROUGHOUT THE REGION TO DETECT EARLY WARNING SIGNS OF DISEASE INCLUDING, BUT NOT LIMITED TO, CANCER, DIABETES, AND HEART DISEASE. PMC IS CONTINUING TO INCREASE AVAILABILITY OF PRIMARY AND PEDIATRIC CARE SERVICES BY AGGRESSIVELY RECRUITING ADDITIONAL PROVIDERS TO THE AREA AND EXPANDING LOCATIONS WHERE THESE SERVICES ARE OFFERED. PMC'S FOCUS ON EXPANDING PEDIATRIC SERVICES HAS LED TO THE OPENING OF THE REGION'S ONLY CHILDREN'S HOSPITAL AND EMERGENCY DEPARTMENT PEDIATRIC WING THAT HAS EARNED THE PEDIATRIC READINESS DESIGNATION. THESE TWO NEW PEDIATRIC FACILITIES HAVE ALLOWED FOR THE LAUNCH OF A MULTI-SPECIALTY PEDIATRIC PROGRAM THAT INCLUDES CARDIOLOGY, PULMONOLOGY, BMI AND PLASTICS SERVICES THROUGH A COOPERATIVE AGREEMENT WITH THE UNIVERSITY OF KENTUCKY CHILDREN'S HOSPITAL. APPALACHIA REMAINS AS ONE OF THE NATION'S MOST PREVALENT REGIONS FOR HEART DISEASE, OBESITY, AND CANCER RELATED ILLNESS. PMC IS CONTINUING TO EXPAND THE AVAILABILITY OF ADVANCED CARDIOLOGY SERVICES BY OFFERING THE LATEST IN LIFE SAVING PROCEDURES AND STATE OF THE ART THERAPIES, IN ADDITION TO EXPANDING CARDIOLOGY SERVICE OFFERINGS TO OUTLYING AREAS THROUGH SATELLITE CLINICS. TO EXPAND ONCOLOGY SERVICE OFFERINGS AND PROVIDE THE MOST COMPREHENSIVE CANCER CARE, PMC COMPLETED ANOTHER EXPANSION PROJECT TO DESIGNATE AN ADDITIONAL 7,085 SQUARE FEET OF SPACE TO THE EXISTING LAWSON CANCER CENTER TO BE UTILIZED FOR EXPANDED DIAGNOSTIC AND CHEMOTHERAPY INFUSION SERVICES. PMC HAS ALSO PURCHASED TWO NEW RAPIDARC TRUE BEAM LINEAR ACCELERATORS TO MEET THE INCREASED DEMAND FOR RADIOTHERAPY ONCOLOGY SERVICES. SUBSTANCE ABUSE PLAGUES THE PMC SERVICE AREA; PMC IS CONTINUING TO IMPLEMENT STRATEGIES TO PREVENT IMPROPER USAGE OF MEDICATIONS OF ALL KINDS THROUGH ELECTRONIC PRESCRIPTIONS, HEPATITIS C CLINICS AND PATIENT EDUCATION. ECONOMIC STABILITY HAS A DIRECT CORRELATION TO AN INDIVIDUAL'S OVERALL HEALTH AND IS A SIGNIFICANT AREA OF CONCERN ACROSS THE REGION. PMC IS COLLABORATING WITH MULTIPLE ORGANIZATIONS TO DEVELOP PROGRAMS TO ASSIST IN PROVIDING IMPROVED ECONOMIC OPPORTUNITY TO RESIDENTS ACROSS THE SERVICE AREA. THE PMC PROJECT HEART (HEALTHCARE EMPLOYMENT AROUND REGIONAL TRAINING) IS ONE SUCH PROGRAM THAT SUPPORTS JOB CREATION AND OPPORTUNITY THROUGH BRIDGING TOGETHER MANY ENTITIES, WHICH HAVE COMBINED FORCES TO PROVIDE FINANCIALLY ASSISTED TRAINING AND EDUCATION FOR SUSTAINABLE QUALITY HEALTHCARE CAREER OPPORTUNITIES ACROSS EASTERN KENTUCKY. PMC IS ALSO PARTNERING WITH MULTIPLE POST-SECONDARY EDUCATIONAL INSTITUTIONS TO IMPROVE THE REGISTRATION AND GRADUATION RATE OF NURSING AND OTHER HEALTHCARE RELATED STUDENTS TO ADDRESS THE CURRENT SHORTAGE OF AVAILABLE LICENSED STAFF IN THESE FIELDS DUE TO EXISTING AND GROWING DEMAND OF THE AGING PATIENT POPULATION. PMC HAS ALSO DEVELOPED SEVERAL IN-HOUSE TRAINING PROGRAMS FOR VARIOUS POSITIONS INCLUDING PHLEBOTOMISTS, PATIENT CARE TECHNICIANS AND MEDICAL ASSISTANTS ALLOWING STUDENTS TO OBTAIN THEIR CERTIFICATIONS IN THESE FIELDS WHILE WORKING AT PMC. PIKEVILLE MEDICAL CENTER PART V, SECTION B, LINE 24: PIKEVILLE MEDICAL CENTER FOLLOWS THE SAME CHARGING STRUCTURE FOR ALL PATIENTS; HOWEVER, PMC'S IN-HOUSE SLIDING SCALE FINANCIAL ASSISTANCE PROGRAM PROVIDES A RANGE OF DISCOUNTS UP TO FREE CARE FOR THOSE WHO QUALIFY. FOLLOWING A DETERMINATION THAT AN INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE UNINSURED PATIENT PORTION OF THE PROGRAM, PMC WILL NOT BILL THAT INDIVIDUAL FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IN AN AMOUNT IN EXCESS OF THE AMOUNT GENERALLY BILLED (UTILIZING THE MEDICARE LOOK-BACK METHOD). ADDITIONAL DISCOUNTS OF FREE OR 50% OF AGB ARE ALSO OFFERED BY PMC, DEPENDENT UPON THE PATIENT'S INCOME AND RESOURCE LEVEL AND FAMILY SIZE. 10 1 - PMC URGENT CARE & FAMILY WELLNESS CENTER 238 CASSADY BLVD PIKEVILLE KY 41501 PHYSICIAN PRACTICE 2 - PMC APPALACHIAN VALLEY AUTISM CENTER 131 SUMMIT DRIVE PIKEVILLE KY 41501 AUTISM CENTER 3 - PMC PRESTONSBURG PRIMARY & URGENT CARE 723 SOUTH LAKE DRIVE PRESTONSBURG KY 41653 PHYSICIAN PRACTICE 4 - PMC PRIMARY CARE CLINIC 184 S MAYO TRAIL PIKEVILLE KY 41501 PHYSICIAN PRACTICE 5 - PMC SPECIALTY CLINIC-WHITESBURG 107 MEDICAL PLAZA LANE WHITESBURG KY 41858 PHYSICIAN PRACTICE 6 - PMC HOME MEDICAL EQUIPMENT 138 S MAYO TRAIL PIKEVILLE KY 41501 MEDICAL EQUIPMENT/SUPPLY RENTALS/SALES 7 - PMC APPALACHIAN VALLEY AUTISM CENTER-PRE 631 SOUTH LAKE DRIVE PRESTONBURG KY 41653 AUTISM CENTER 8 - PMC PRIMARY & SPECIALTY CLINIC 285 SOUTHSIDE MALL ROAD SOUTH WILLIAMSON KY 41503 PHYSICIAN PRACTICE 9 - PMC SPECIALTY CLINIC-PRESTONSBURG 311 NORTH ARNOLD AVE PRESTONSBURG KY 41653 PHYSICIAN PRACTICE 10 - PMC SPECIALTY CLINIC-GRUNDY 1520 SLATE CREEK ROAD STE 205 GRUNDY VA 24614 PHYSICIAN PRACTICE PART II, COMMUNITY BUILDING ACTIVITIES: PIKEVILLE MEDICAL CENTER'S MISSION STATEMENT, "TO ADVANCE THE HEALTH AND WELL-BEING OF OUR REGION THROUGH COMPREHENSIVE CARE IN A CHRISTIAN ENVIRONMENT" PROVIDES THE FOUNDATION FOR PMC'S EFFORTS TO NOT ONLY ADDRESS THE HEALTHCARE NEEDS OF THE PATIENT POPULATION BUT TO ALSO IMPROVE THE MENTAL AND SPIRITUAL WELL BEING OF THOSE WE SERVE, ALL VITAL COMPONENTS TO ADVANCING THE REGION BOTH SOCIALLY AND ECONOMICALLY. DURING FY 2023, PIKEVILLE MEDICAL CENTER REPORTED TAKING PART IN 91 COMMUNITY BUILDING ACTIVITIES, SERVING MORE THAN 11,000 PEOPLE AND TOTALING MORE THAN $2,160,000 THESE ACTIVITIES FOCUSED ON IMPROVING THE HEALTH AND WELLNESS OF THOSE WE SERVE THROUGH HEALTH EDUCATION, AWARENESS, PREVENTION AND TREATMENT, AS WELL AS, WORKFORCE DEVELOPMENT. SOME OF THE EVENTS LISTED UNDER THE COMMUNITY BUILDING ACTIVITIES SECTION INCLUDE; BLOOD DONATION DRIVES, BEREAVEMENT SUPPORT, BIBLE DISTRIBUTION, REMOTE AREA MEDICAL EVENT SUPPORT, ECONOMIC DEVELOPMENT PROGRAM SUPPORT, AND RECRUITMENT OF NEARLY 200 HEALTHCARE PROFESSIONALS. PART III, LINE 3: EXPLANATION FOR LINE 2 AND 3 OR RATIONAL FOR INCLUDING OTHER BAD DEBT AMOUNT IN COMMUNITY BENEFIT: [THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY AND MAKES EVERY EFFORT TO EDUCATE PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE, IN ADDITION, PMC PATIENT FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST THROUGHOUT THE FINANCIAL ASSISTANCE APPLICATION PROCESS. FOR THIS REASON THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE.] THE COST TO CHARGE FACTOR UTILIZED TO CALCULATE NET COMMUNITY BENEFIT EXPENSE IS 0.179794 FROM WS S-10. SCHEDULE H, PART II, LINE 7 COMMUNITY HEALTH EDUCATION: PMC'S STAFF IS ACTIVELY INVOLVED IN EDUCATING THE COMMUNITY ON IMPORTANT HEALTHCARE TOPICS. THROUGHOUT FY 2023, HOSPITAL REPRESENTATIVES FROM VARIOUS DEPARTMENTS PRESENTED TO LOCAL CIVIC CLUBS, MEDICAL PROFESSIONALS, AND THE PUBLIC AT LARGE. THROUGH ITS COMMUNITY EDUCATION EFFORTS IN FY 2023, PMC REACHED MORE THAN 500 PARTICIPANTS.PMC EMPLOYEES PARTICIPATED IN THE FOLLOWING LECTURES/PRESENTATIONS AND COMMUNITY EVENTS DURING FY 2023:- BELFRY AREA BACK TO SCHOOL BASH- COLORS OF COURAGE 5K RUN- HILLBILLY DAYS FIRST AID BOOTH- KIMPER ELEMENTARY TOBACCO/VAPING EDUCATION- LAWSON CANCER CENTER ICE CREAM SOCIAL- PMC BOOTH AT NIGHTMARE ON MAIN- SKIN CARE AWARENESS- SHAPING OUR APPALACHIAN REGION- REMEMBERING EASTERN KENTUCKY FLOOD VICTIMS EVENT- WORLD CANCER DAY AWARENESS - VALENTINE'S DAY CELEBRATION CANCER SURVIVORS PART III, LINE 4: SEE PAGE 10-11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. CURRENT OPERATIONS INCLUDE AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ESTIMATED BASED UPON THE AGE OF THE PATIENT ACCOUNTS RECEIVABLE, HISTORICAL WRITEOFFS AND RECOVERIES AND ANY UNUSUAL CIRCUMSTANCES (SUCH AS LOCAL, REGIONAL OR NATIONAL ECONOMIC CONDITIONS) WHICH MAY AFFECT THE COLLECTIBILITY OF RECEIVABLES, INCLUDING MANAGEMENT'S ASSUMPTIONS ABOUT CONDITIONS IT EXPECTS TO EXIST AND COURSES OF ACTION IT EXPECTS TO TAKE. PART III, LINE 8: FY 2023 AS FILED MEDICARE COST REPORT DATA WAS USED AS THE SOURCE FOR THE TOTAL REVENUE AND MEDICARE ALLOWABLE COSTS REPORTED IN SECTION B, THEREFORE THE COMMUNITY BENEFIT REPORTABLE AMOUNT OF SHORTFALL IS $2,104,700. PART III, LINE 9B: PMC WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) AGAINST PATIENTS BEFORE MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER PMC'S FINANCIAL ASSISTANCE POLICY. PMC MAKES REASONABLE EFFORTS TO ORALLY NOTIFY THE PATIENT ABOUT PMC'S FINANCIAL ASSISTANCE POLICY AND HOW THEY MAY RECEIVE ASSISTANCE WITH THE APPLICATION PROCESS. EACH PATIENT BILLING STATEMENT AND ALL WRITTEN COMMUNICATIONS CONCERNING THE PATIENT'S BILL INCLUDE A CONSPICUOUS WRITTEN NOTICE THAT INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE, THE NOTICE INCLUDES THE TELEPHONE NUMBER OF PMC'S PATIENT FINANCIAL COUNSELING DEPARTMENT AS WELL AS THE WEB SITE ADDRESS WHERE COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL APPLICATION FORMS, AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY MAY BE OBTAINED. IN ADDITION, BILLING DEPARTMENT PERSONNEL INFORM EACH PATIENT ABOUT PMC'S FAP IN ORAL COMMUNICATIONS REGARDING AMOUNTS DUE. ONCE A PATIENT HAS BEEN DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE IN-HOUSE SLIDING SCALE PROGRAM, THEIR ELIGIBILITY WILL REMAIN INTACT FOR A TERM OF ONE (1) YEAR FROM THE DATE OF APPROVAL UNLESS PMC BECOMES AWARE OF A MATERIAL CHANGE IN THE PATIENT'S FINANCIAL CIRCUMSTANCES. 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. 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, AS WELL AS THE PMC IN-HOUSE SLIDING SCALE PROGRAM. THE FINANCIAL ASSISTANCE PROGRAM POLICY, THE DSH PROGRAM APPLICATION FORM, THE IN-HOUSE SLIDING SCALE PROGRAM APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY OF THIS POLICY IS AVAILABLE FREE OF CHARGE ON PMC'S WEBSITE; PAPER COPIES OF THE POLICY, THE DSH PROGRAM APPLICATION FORM, THE IN-HOUSE SLIDING SCALE PROGRAM APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY OF THE POLICY ARE AVAILABLE FREE OF CHARGE UPON REQUEST IN PMC'S EMERGENCY, REGISTRATION AND BILLING DEPARTMENTS AND BY MAIL; A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY OF THE POLICY IS OFFERED TO PATIENTS AS PART OF THE INTAKE PROCESS UNLESS IT IS NOT FEASIBLE TO DO SO DUE TO AN EMERGENCY OR OTHER CIRCUMSTANCES IN WHICH CASE PMC WILL OFFER A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY AS PART OF THE DISCHARGE PROCESS; VISITORS TO PMC ARE INFORMED AND NOTIFIED ABOUT THE POLICY THROUGH CONSPICUOUS PUBLIC DISPLAYS AT PMC; RESIDENTS OF THE COMMUNITY THAT PMC SERVES ARE INFORMED AND NOTIFIED OF THE POLICY BY STATEMENTS ON PMC'S WEBSITE AND IN MESSAGES PLAYED TO CALLERS TO PMC WHO ARE PLACED ON HOLD THAT PMC OFFERS FINANCIAL ASSISTANCE UNDER A FINANCIAL ASSISTANCE POLICY AND INFORMING THE READER/LISTENER HOW TO OBTAIN MORE INFORMATION; AND BY INCLUDING A CONSPICUOUS WRITTEN NOTICE ON ALL BILLING STATEMENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISATNCE UNDER THIS POLICY AND INCLUDES THE TELEPHONE NUMBER OF PMC'S PATIENT FINANCIAL COUNSELING DEPARTMENT ALONG WITH THE WEB SITE ADDRESS WHERE COPIES OF THIS POLICY, THE APPLICATION FORMS, AND A PLAIN LANGUAGE SUMMARY OF THE POLICY MAY BE OBTAINED. PART VI, LINE 4: PIKEVILLE MEDICAL CENTER PROVIDES HEALTHCARE SERVICES TO RESIDENTS OF EASTERN KENTUCKY, SOUTHWEST VIRGINIA AND SOUTHWEST WEST VIRGINIA. PMC REALIZES THE HEALTH AND ACCESS DISPARITIES IN OUR APPALACHIAN MARKET AND IS COMMITTED TO SURPASSING BARRIERS TO BE THE PROVIDER OF CHOICE FOR COMPREHENSIVE QUALITY HEALTHCARE SERVICES TO MEET THE NEEDS OF THE RESIDENTS OF THE REGION IT SERVES. PMC USES THE MOST RECENT U.S. CENSUS BUREAU DATA IN ADDITION TO INFORMATION FROM THE KY STATE DATA CENTER AND CENTERS FOR DISEASE CONTROL WHEN ASSESSING THE GEOGRAPHIC AREA AND DEMOGRAPHIC POPULATION CHARACTERISTICS OF THE REGION. BASED ON THE LATEST AVAILABLE DATA, PMC'S SERVICE AREA CONTAINS A POPULATION ESTIMATE OF 209,860 INDIVIDUALS. THERE IS AN EVEN DISTRIBUTION OF MALES TO FEMALES. THE AVERAGE HOUSEHOLD SIZE IS 2.5 INDIVIDUALS AND 20.91% OF THE POPULATION IS AGE 65 AND OVER. THE AREA SERVED BY PIKEVILLE MEDICAL CENTER HAS A MEDIAN FAMILY INCOME OF $39,568 WITH 28% OF THE POPULATION LIVING BELOW THE POVERTY LINE. PART VI, LINE 6: PIKEVILLE MEDICAL CENTER (PMC), A 348-BED TERTIARY CARE CENTER, PROVIDES HIGH QUALITY COMPREHENSIVE HEALTHCARE FOR EASTERN KENTUCKY AND THE CENTRAL APPALACHIAN REGION. FOR DECADES, THE REGION SERVED BY PMC BATTLED MANY CHALLENGES RELATED TO LIMITED ACCESS TO QUALITY MEDICAL CARE; PMC HAS STRIVED TO CONTINUALLY EXPAND SERVICE OFFERINGS AND IMPROVE ACCESS TO HEALTHCARE ACROSS THE REGION IN PURSUIT OF THE ORGANIZATION'S GOAL TO BE THE PROVIDER OF CHOICE THROUGH ITS DEDICATED SERVICE TO THE COMMUNITY AND COMMITMENT TO PROVIDING THE MOST ADVANCED HEALTHCARE TREATMENT AND TECHNOLOGY AVAILABLE. THE MISSION OF PIKEVILLE MEDICAL CENTER IS "TO ADVANCE THE HEALTH AND WELL-BEING OF OUR REGION THROUGH COMPREHENSIVE CARE IN A CHRISTIAN ENVIRONMENT." PMC'S MISSION ALONG WITH THE VISION OF THE ORGANIZATION: "TO BE THE PROVIDER AND EMPLOYER OF CHOICE FOR HEALTHCARE IN THE REGION WE SERVE", IS THE FOUNDATION FOR THE HIGH-QUALITY LEVEL OF CARE PROVIDED EACH DAY THROUGHOUT THE ORGANIZATION BY MORE THAN 3,000 EMPLOYEES INCLUDING NEARLY 600 LICENSED MEDICAL PROVIDERS. PMC BEGAN AS A SMALL, RURAL, 50-BED FACILITY AT ITS INCEPTION IN 1924, THE MEDICAL CENTER HAS GROWN EXPONENTIALLY AND IS TODAY A COMPREHENSIVE MEDICAL COMPLEX COMPRISED OF 10 CENTERS OF EXCELLENCE AND 328 LICENSED ACUTE CARE INPATIENT BEDS WHICH INCLUDE: 16 NEONATAL LEVEL II BASSINETS, 20 INPATIENT PHYSICAL REHABILITATION BEDS, 22 NURSERY BASSINETS, AND 17 AMBULATORY CLINIC LOCATIONS OFFERING 34 DIFFERENT SPECIALTIES; COVERING NEARLY 1.5 MILLION SQUARE FEET WITH BOTH THE MAIN FACILITY, SATELLITE CLINICS AND SUPPORTIVE SERVICE AREAS. PIKEVILLE MEDICAL CENTER IS A PILLAR OF THE REGIONAL ECONOMIC LANDSCAPE AS HEALTHCARE HAS EVOLVED INTO THE ECONOMY'S LARGEST SECTOR THROUGHOUT EASTERN KENTUCKY, SOUTHWEST VIRGINIA AND SOUTHWEST WEST VIRGINIA. PMC EMBRACES THE RESPONSIBILITY IN BEING ONE OF THE REGION'S LARGEST EMPLOYERS AND UNDERSTANDS THAT THE FUTURE HEALTH, SOCIAL AND ECONOMIC OUTCOMES FOR THE REGION DEPEND ON THE FINANCIAL STRENGTH OF THE ORGANIZATION. THE HOSPITAL IS COMMITTED TO CONTINUALLY IMPROVING THE HEALTH AND WELL-BEING OF THE REGION AND NOW OFFERS MORE THAN 400 SERVICES, INCLUDING MOST MAJOR SPECIALTIES AND MANY SUBSPECIALTIES. THE PROGRESSIVE PHYSICAL GROWTH AND EXPANSION OF SPECIALTY SERVICE OFFERINGS, INCLUDING TRAUMA SERVICES AND PEDIATRIC SPECIALTY SERVICES, HAS TRANSFORMED PMC INTO A REGIONAL REFERRAL CENTER FOR SMALLER COMMUNITY HOSPITALS THAT HAVE PATIENTS WITH COMPLEX MEDICAL NEEDS WHOM THEY CANNOT SERVE. CURRENT SERVICES OFFERED AT PMC INCLUDE: A VERIFIED LEVEL II TRAUMA CENTER; A COMMISSION ON CANCER ACCREDITED, FULL-SERVICE CANCER TREATMENT CENTER; A HEART & VASCULAR INSTITUTE WITH PRIMARY PCI ACCREDITATION; 20-BED INPATIENT PHYSICAL REHABILITATION HOSPITAL; AN ACCREDITED GOLD PLUS NEUROSCIENCE CENTER; NEUROSURGERY; LEVEL II ADVANCED NEONATAL INTENSIVE CARE UNIT; A MBSAQIP ACCREDITED BARIATRIC & MINIMALLY INVASIVE SURGERY CENTER; JOINT COMMISSION GOLD SEAL CERTIFIED ORTHOPEDIC SURGERY & SPORTS MEDICINE PROGRAM; PULMONARY REHABILITATION; PEDIATRIC SPECIALTY SERVICES INCLUDING CARDIOLOGY, PULMONOLOGY, BMI, AND PLASTICS; THE REGION'S ONLY CHILDREN'S HOSPITAL; SLEEP LAB; A DIAGNOSTIC CENTER; AUTISM CENTERS; URGENT CARE CENTERS; INTEGRATED FAMILY AND SPECIALTY PHYSICIAN PRACTICES WITH SATELLITE LOCATIONS IN PIKEVILLE, PRESTONSBURG, SOUTH WILLIAMSON, WHITESBURG, KY AND GRUNDY, VA, ALONG WITH A SCHOOL TELE-HEALTH PROGRAM.PIKEVILLE MEDICAL CENTER'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROVIDES THE ORGANIZATION WITH THE OPPORTUNITY AND KNOWLEDGE TO BETTER ALIGN EXISTING PROGRAMS AND TO DESIGN FUTURE PROGRAMS TO BEST MEET THE NEEDS OF OUR COMMUNITY. THE ISSUES IDENTIFIED AS MOST IMPORTANT DURING THE LATEST CHNA INCLUDE HEART HEALTH, CANCER, OBESITY, PEDIATRIC SERVICES, SUBSTANCE ABUSE AND ECONOMIC CONDITIONS. PIKEVILLE MEDICAL CENTER'S HEART AND VASCULAR INSTITUTE (HVI) IS RECOGNIZED AS HAVING ONE OF THE TOP HEART PROGRAMS IN KENTUCKY. HEART DISEASE HAS BEEN A PRIMARY FOCUS OF PMC FOR SEVERAL YEARS, A RECENTLY COMPLETED $35.2 MILLION 46,000 SQUARE FOOT CAPITAL INVESTMENT PROJECT EXPANDED THE HVI TO MAKE IT UNLIKE ANY OTHER PROGRAM IN STATE. THE MULTI-DISCIPLINARY TEAM OF PHYSICIANS UTILIZES THIS SPACE FOR INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, INTERVENTIONAL RADIOLOGY, VASCULAR TREATMENTS, AND ENDOVASCULAR SURGERY. IN ADDITION TO THE MAIN CAMPUS SERVICE AREA, HVI CURRENTLY OFFERS LIFESAVING CARDIOLOGY SERVICES TO OUTLYING AREAS THROUGH SATELLITE CLINICS LOCATED IN PRESTONSBURG, KY, SOUTH WILLIAMSON, KY, WHITESBURG, KY, AND GRUNDY, VA. PMC'S COMMITMENT TO SERVE THE HEART HEALTH NEEDS OF THE COMMUNITY WILL CONTINUE TO INCORPORATE STATE OF THE ART THERAPIES AND CUTTING-EDGE TECHNOLOGY IN MINIMALLY INVASIVE INTERVENTIONS. NEW LIFE SAVING AND CURATIVE PROCEDURES THAT WERE NOT PREVIOUSLY OFFERED IN THE REGION THAT ARE NOW PERFORMED AT PMC'S HVI INCLUDE THE MAZE, TACTICATH, TAVR, WATCHMAN DEVICE, AND LEADLESS PACEMAKERS. PMC'S HVI VALVE CLINIC, THE FIRST OF ITS KIND IN THE REGION, DELIVERS QUALITY HEART CARE TO PATIENTS WITH COMPLEX VALVE DISORDERS. WITH STATE-OF-THE-ART CARDIOLOGY CATHETERIZATION LABS, INTERVENTIONAL CARDIOLOGISTS AND CARDIOTHORACIC SURGEONS HAVE JOINED FORCES TO COMPLETE VALVE PROCEDURES UTILIZING PERCUTANEOUS APPROACHES OR MINIMALLY INVASIVE APPROACHES FOR VALVE REPLACEMENTS, ALLEVIATING THE NEED FOR PATIENTS TO TRAVEL HOURS AWAY FROM HOME FOR MULTIPLE DOCTOR'S VISITS TO RECEIVE ADVANCED HEART CARE. ADDITIONALLY, HVI'S CARDIAC REHABILITATION CENTER, AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR) CERTIFIED, OFFERS PATIENTS WITH HEART DISEASE LIFESTYLE MONITORING AND FITNESS PROGRAMS DESIGNED TO HELP RESTORE THEIR HEART TO MAXIMUM EFFICIENCY. PMC'S STAGE II AND STAGE III CARDIAC REHAB PROGRAMS HELP HEART PATIENTS INCORPORATE CHANGES INTO THEIR DAILY ROUTINES SUCH AS EXERCISING, TAKING MEDICATIONS AND EATING A HEART HEALTHY DIET TO ALLOW FOR AN ACTIVE LIFESTYLE RESULTING IN A BETTER QUALITY OF LIFE AND IMPROVED LONG TERM OUTCOMES. THE PMC LAWSON CANCER CENTER (LCC) PROVIDES ADVANCED CANCER CARE, HEALING, AND COMFORT CLOSE TO HOME FOR INDIVIDUALS AND FAMILIES NAVIGATING THE CHALLENGING JOURNEY OF A CANCER DIAGNOSIS AND TREATMENT. AS THE REGION'S ONLY HOSPITAL TO HAVE ACHIEVED THE COMMISSION ON CANCER'S OUTSTANDING ACHIEVEMENT AWARD WITH COMMENDATIONS FOR EXCEPTIONAL QUALITY, PIKEVILLE MEDICAL CENTER HAS MADE INVESTMENTS IN THE EXPERTISE AND LEADING-EDGE TECHNOLOGY TO FIGHT CANCER IMMEDIATELY UPON DIAGNOSIS. THE LCC AT PIKEVILLE MEDICAL CENTER IS CONVENIENTLY LOCATED ON PMC'S MAIN CAMPUS, WHERE PATIENTS HAVE ALL THEIR SERVICES AND PROVIDERS IN ONE LOCATION INCLUDING IMAGING, DIAGNOSTICS, CHEMOTHERAPY, INFUSION, AND RADIATION THERAPY; AS WELL AS GENETIC COUNSELING, FINANCIAL COUNSELING AND PATIENT NAVIGATION. HAVING ALL SERVICES IN ONE LOCATION ALLOWS EFFICIENCY FOR CLINICIANS AND EASE OF ACCESS FOR PATIENTS, WHICH CAN IMPROVE OUTCOMES. PMC HAS COMPLETED A 7,085 SQUARE FEET EXPANSION OF LCC, CREATING PRIVATE CHEMO INFUSION SUITES AND PROVIDING ADDITIONAL DIAGNOSTIC CAPABILITIES TO ENSURE THE UTMOST IN COMFORT AND CONVENIENCE TO THE PATIENT DURING THEIR FIGHT AGAINST CANCER. ADDITIONALLY, TWO NEW VARIAN RAPIDARC TRUE BEAM LINEAR ACCELERATORS WITH BRAINLAB TECHNOLOGY WERE RECENTLY PLACED IN SERVICE TO PROVIDE FAST AND PRECISE RADIOTHERAPY TREATMENT, ALLOWING LCC TO DELIVER LIFESAVING RADIATION TWO TO EIGHT TIMES FASTER THAN CONVENTIONAL FORMS OF RADIOTHERAPY. LCC IS ALSO PURSUING ADDITIONAL CLINICAL TRIAL OPPORTUNITIES TO ADD TO OUR PORTFOLIO OF SERVICES GIVING THE MOST RECENT TECHNOLOGY IN INTERVENTION TO OUR PATIENTS. MEDICAL TREATMENT IS ONLY PART OF THE BATTLE IN FIGHTING CANCER, THEREFORE, MULTIPLE AUXILIARY SERVICES TO APPROACH HEALING HOLISTICALLY ARE ALSO OFFERED. AUXILIARY SERVICE OFFERINGS INCLUDE CANCER SUPPORT GROUPS, LOOK GOOD-FEEL GOOD PROGRAM, PROVIDING FREE ACCESS TO WIGS, MAKE-UP AND SCARVES, AND THE ART OF HEALING PROGRAM, OFFERING ARTISTIC ACTIVITIES DESIGNED TO PROVIDE EMOTIONAL SUPPORT TO PEOPLE COPING WITH A CANCER DIAGNOSIS. SMOKING AND VAPING CESSATION CLASSES ARE ALSO OFFERED TO HELP SMOKING ADDICTED PEOPLE BREAK THE DANGEROUS HABIT AND HOPEFULLY PREVENT THEM FROM NEEDING THESE VAST ONCOLOGY SERVICES. THE AVAILABILITY OF THESE LIFE CHANGING AND LIFESAVING TREATMENTS LOCALLY REDUCES THE BURDEN AND EXPENSE OF TRAVEL ON OUR PATIENTS AND THEIR FAMILIES. PIKEVILLE MEDICAL CENTER RECOGNIZES THAT PREVENTATIVE CARE HAS LONG BEEN RECOGNIZED AS THE BEST FORM OF CARE. OBESITY WAS INDICATED TO BE THE NUMBER THREE CONCERN FOR ADULTS AND THE NUMBER ONE CONCERN FOR CHILDREN IN THE AREA ON PMC'S LATEST CHNA. TO HELP COMBAT THESE CONCERNS, PMC WILL CONTINUE TO BE THE COMMUNITY LEADER IN PROMOTING A HEALTHY LIFESTYLE. (CONTINUED) SCHEDULE H PART VI, LINE 6 (CONTINUED)PMC'S BARIATRIC & MINIMALLY INVASIVE SURGERY CENTER SERVES PATIENTS WHO HAVE UNSUCCESSFULLY TRIED TO CONTROL THEIR WEIGHT BY OFFERING SEVERAL DIFFERENT PROCEDURE OPTIONS, COUNSELING, AND GROUP SUPPORT SESSIONS, ALONG WITH DIABETES AND NUTRITIONAL EDUCATION; SOME OF WHICH ARE CONDUCTED VIA REMOTE VIDEO VISITS, ALLOWING A BETTER OPPORTUNITY FOR PATIENTS TO SUCCEED IN THEIR WEIGHT LOSS PROGRAM. PMC OFFERS DIABETES MANAGEMENT APPOINTMENTS WITH OUR DIABETES SPECIALTY TEAM WHO WORK IN CONJUNCTION WITH OUR STAFF ENDOCRINOLOGIST TO ADDRESS DIABETES MELLITUS, THYROID DISORDERS, PARATHYROID DISORDERS, PITUITARY DISORDERS, ADRENAL DISORDERS, METABOLIC SYNDROME, AND METABOLISM. PMC ALSO SPONSORS DIABETES SUPPORT GROUPS FOR PATIENTS AND THE COMMUNITY AT LARGE. ADDITIONALLY, PMC TAKES STEPS TO ASSIST EMPLOYEES WITH A HEALTHIER LIFESTYLE THROUGH A CORPORATE SPONSORED WEIGHT WATCHERS PROGRAM, DISCOUNTED YMCA MEMBERSHIP OFFERING, AND PMC'S NUTRITIONAL TEAM OFFERS HEALTHY MEAL CHOICES IN THE CAFETERIA WHICH SERVES PATIENTS, VISITORS AND STAFF EACH DAY. TO MAKE A DYNAMIC SHIFT IN ONE'S LIFESTYLE REQUIRES A LONG-TERM MULTI-PRONGED APPROACH. PMC SUPPORTS THE COMMUNITY AT LARGE AND PROMOTES COMMUNITY ACTIVITIES TO ASSIST IN FIGHTING OBESITY BY SPONSORING EVENTS INCLUDING 5K WALKS/RUNS, COMMUNITY INFORMATION CAMPAIGNS TO PROMOTE GOOD HABITS NECESSARY TO PREVENT OR ALLEVIATE DEVELOPMENT OF DISEASE AND CONTINUING INVOLVEMENT IN A WIDE ARRAY OF PUBLIC ACTIVITIES SUCH AS HEALTH FAIRS, REMOTE AREA MEDICAL (RAM) CLINICS AND OTHER SPONSORED EVENTS.PIKEVILLE MEDICAL CENTER RECENTLY OPENED THE METTU CHILDREN'S HOSPITAL (MCH), THE ONLY CHILDREN'S HOSPITAL IN THE REGION, LOCATED IN 13,400 SQUARE FEET OF SPACE ON THE HOSPITAL'S MAIN CAMPUS, TO FILL A GAP IN PEDIATRIC CARE BY PROVIDING BOTH INPATIENT AND OUTPATIENT PEDIATRIC SERVICES. PMC ALSO OPENED A PEDIATRIC FOCUSED WING IN THE EMERGENCY DEPARTMENT, THIS WING HAS DESIGNATED EMERGENCY ROOM TREATMENT BAYS TO SERVE YOUNG PATIENTS, WITH NOT ONLY SPECIALTY EQUIPMENT BUT A FRIENDLY ENVIRONMENT TO REDUCE THEIR FEAR, WHILE THERE. PMC'S EMERGENCY DEPARTMENT EARNED A PEDIATRIC READY DESIGNATION AND IS ONE OF ONLY FOUR PEDIATRIC READY EDS IN THE STATE OF KENTUCKY. THESE TWO NEW PEDIATRIC FACILITIES PROVIDE PMC WITH THE CAPACITY TO LAUNCH A MULTI-SPECIALTY SPECTRUM OF CARE FOR PEDIATRIC PATIENTS. PEDIATRIC CARDIOLOGY, PULMONOLOGY, BMI, AND PLASTICS SPECIALTY SERVICES ARE NOW PROVIDED THROUGH A COOPERATIVE AGREEMENT WITH THE UNIVERSITY OF KENTUCKY CHILDREN'S HOSPITAL. WITH THE OPENING OF THE METTU CHILDREN'S HOSPITAL, PMC IS NOW POISED TO EXPAND THE RANGE OF CARE AND SERVICES TO THE FAMILIES OF THE REGION HERE AT HOME TO PREVENT LONG TRAVEL DISTANCES TO OBTAIN PEDIATRIC CARE. PMC'S APPALACHIAN VALLEY AUTISM (AVA) CENTER, CERTIFIED BY THE INTERNATIONAL BOARD OF CREDENTIALING AND CONTINUING EDUCATION STANDARDS (IBCCES) AS A CERTIFIED AUTISM CENTER, PROVIDES THERAPY FOR CHILDREN DIAGNOSED WITH AUTISM SPECTRUM DISORDER (ASD) WITH THE GOAL TO IDENTIFY CHILDREN AT THE EARLIEST SIGNS OF DETECTION WHICH IMPACTS THEIR PHYSICAL AND MENTAL HEALTH. THE AVA CENTER'S MULTI-DISCIPLINARY TEAMS ARE EQUIPPED TO OFFER FAMILIES UNRIVALED EXPERTISE IN UNDERSTANDING AND MEETING THE NEEDS OF TODDLERS AND BRIDGE THE HEALTHCARE GAP OF CHILDREN WITH AUTISM AND RELATED CHALLENGES. THE AVA CENTER'S PIKEVILLE, KY LOCATION HAS OVER 25,000 SQUARE FEET OF LEARNING SPACE AND FEATURES THERAPY ROOMS, A LIBRARY, AN INDOOR GYMNASIUM, STATE-OF-THE-ART INDOOR SENSORY ROOMS, AND A MULTI-SENSORY OUTDOOR STIMULATION AREA; THE CENTER CAN SERVE UP TO 100 CHILDREN AND IS CURRENTLY AT CAPACITY. WITH AN EXTENSIVE WAIT LIST OF LEARNERS IN NEED OF SERVICES, PMC RECENTLY OPENED THE AVA CENTER SATELLITE LOCATION IN PRESTONSBURG, KY. THE 5,500 SQUARE FOOT SATELLITE LOCATION ALLOWS PMC THERAPISTS TO PROVIDE SERVICES FOR 24 ADDITIONAL LEARNERS, OFFERING THE SAME SPECIALIZED SERVICES THAT ARE AVAILABLE AT THE PIKEVILLE LOCATION WHILE ACCOMMODATING THE GROWING NEED FOR AUTISM SERVICES IN EASTERN KENTUCKY. PMC PLANS TO CONTINUE DEVELOPING AND EXPANDING PEDIATRIC SPECIALTY SERVICES TO BECOME THE REGIONAL REFERRAL CENTER FOR ALMOST ALL PEDIATRIC CARE. KENTUCKY IS AMONG THE TOP TEN STATES WITH THE HIGHEST OPIOID PRESCRIBING RATES. PMC'S LEADERSHIP AND CLINICIANS TAKE VERY SERIOUSLY THE RESPONSIBILITY IN PROTECTING THE PUBLIC BY PREVENTING SUBSTANCE ABUSE IN OUR PATIENTS. PMC HAS A STRICTLY ENFORCED POLICY RELATING TO THE PRESCRIBING OF CONTROLLED SUBSTANCES AND ROUTINELY ANALYZES NARCOTIC PRESCRIBING DATA, IMPLEMENTING STRATEGIES THAT PREVENT IMPROPER USAGE OF MEDICATIONS OF ALL KINDS. STRATEGIES CURRENTLY IN PLACE INCLUDE ELECTRONIC PRESCRIPTIONS WITHIN THE CLINIC AND HOSPITAL SETTING, HEPATITIS C CLINICS, AND PATIENT EDUCATION AND PATIENT AUTHORIZATION FOR OPIOID TRACKING THROUGH REPORTABLE DATA. THERE HAS ALSO BEEN AN INCREASE IN NEONATAL ABSTINENCE SYNDROMES (NAS) AND NEONATAL OPIOID WITHDRAWAL SYMPTOMS (NOWS), BOTH NATIONALLY AND LOCALLY. PMC IS CONTINUING TO EXPLORE AND POSITION THE ORGANIZATION TO ADDRESS THIS UNIQUE SUBSTANCE ABUSE ISSUE AND IS PREPARED TO TAKE CARE OF THE SMALLEST AND MOST VULNERABLE OF OUR PATIENTS, THE NEWBORN BABY. TO SERVE THESE NEWBORN PATIENTS, PMC HAS INCREASED THE NEONATAL INTENSIVE CARE UNIT (NICU) TO INCLUDE 16 NEONATAL LEVEL II BASSINETS. PMC'S TENURED TEAM OF NEONATOLOGISTS AND HIGHLY SKILLED NURSES IS EQUIPPED TO BEGIN SPECIALIZED CARE WITHIN SECONDS OF BIRTH AND HAS ACHIEVED THE DESIGNATION OF ADVANCED CARE UNIT FOR PATIENTS BORN AT 28 WEEKS OF GESTATION OR WHO ARE RECOVERING FROM MORE SERIOUS CONDITIONS SUCH AS NAS OR NOWS. PIKEVILLE MEDICAL CENTER'S REGIONAL MARKET AREAS HAVE ECONOMICALLY DECLINED OVER THE PAST DECADE DUE TO VARIOUS REGULATORY AND OTHER ECONOMIC SITUATIONS ADVERSELY AFFECTING THE EMPLOYMENT RATE. THIS DECLINE HAS RESULTED IN A REDUCED OVERALL POPULATION ACROSS THE REGION DUE TO OUT-MIGRATION, IN ADDITION TO LOWER DISPOSABLE INCOME TO SPEND ON HEALTH CARE FOR THOSE REMAINING IN THE REGION. THE ECONOMIC DOWNTURN HAS RESULTED IN A SIGNIFICANT IMPACT ON THE OVERALL HEALTH OF THE GENERAL POPULATION OF THE REGION AND THE ORGANIZATIONS WHICH DELIVER THEIR CARE. PMC IS NOT, HOWEVER, EXPERIENCING A PATIENT SHORTAGE BUT A SKILLED WORKFORCE SHORTAGE. AS A RESULT OF THIS SHORTAGE, FROM THE GROWING DEMAND OF THE AGING POPULATION FOR HEALTHCARE SERVICES, PMC HAS SPEARHEADED AN INNOVATIVE INITIATIVE TO MEET THE NEED FOR A STRONG HEALTHCARE WORKFORCE ACROSS THE REGION. THE PMC PROJECT HEART (HEALTHCARE EMPLOYMENT AROUND REGIONAL TRAINING) INITIATIVE HAS FORMED AN EXCEPTIONAL TEAM OF COLLABORATIVE PARTNERS THAT CONSISTENTLY WORKS TOGETHER THROUGH INTEGRATED INITIATIVES THAT PRIORITIZE MOVING OUR REGION FORWARD, ON MULTIPLE FRONTS, TO MAXIMIZE THE TOTAL IMPACT WHILE BRIDGING TOGETHER THE STRENGTHS OF OTHERS TO CHALLENGE US TO THINK DIFFERENTLY ABOUT WHAT IS POSSIBLE WHEN WE UNITE AS ONE. PROJECT HEART IS THE LARGEST EFFORT TO SUPPORT JOB CREATION AND OPPORTUNITY IN EASTERN KENTUCKY SINCE THE EARLY 1970S AND HAS RESULTED IN THE DEVELOPMENT OF MULTIPLE STRATEGIES TO SERVE THE COMMUNITY, INCREASE TRAINING OPPORTUNITIES AND FURTHER DEVELOP OUR WORKFORCE, WITH THE ULTIMATE GOAL OF IMPROVING ACCESS TO ESSENTIAL HEALTHCARE SERVICES, RESULTING IN BETTER HEALTH, SOCIAL, AND ECONOMIC OUTCOMES FOR THE REGION. THE PROJECT PARTNERS HAVE MADE COMBINED INVESTMENTS TOTALING $26 MILLION IN PROGRAMS THAT WILL CREATE THOUSANDS OF SUSTAINABLE CAREER OPPORTUNITIES WITH GREAT BENEFITS HERE IN EASTERN KENTUCKY. PMC HAS WORKED WITH BIG SANDY COMMUNITY AND TECHNICAL COLLEGE, GALEN COLLEGE OF NURSING, UNIVERSITY OF PIKEVILLE'S ELLIOT SCHOOL OF NURSING AND AMERICAN NATIONAL UNIVERSITY TO EXPAND CAMPUS SPACE AND INCREASE CLASS SIZES, IN ADDITION TO OFFERING FELLOWSHIP PROGRAMS THAT PROVIDE FINANCIAL ASSISTANCE TO STUDENTS FOCUSING ON DEVELOPING MEDICAL SKILLS. PMC'S CONTINUED PARTNERSHIP WITH THESE POST-SECONDARY INSTITUTIONS ALONG WITH THE PMC IN-HOUSE TRAINING PROGRAMS DEVELOPED FOR CERTAIN POSITIONS INCLUDING PHLEBOTOMISTS, PATIENT CARE TECHNICIANS, AND MEDICAL ASSISTANTS, WHICH ALLOWS STUDENTS TO OBTAIN THEIR CERTIFICATIONS WHILE WORKING AT PMC, WILL SUBSTANTIALLY SOLVE THE PUBLIC HEALTH CRISIS OF INADEQUATE NURSING AND SKILLED HEALTHCARE STAFFING WHILE PROVIDING A PATH FOR THE YOUTH OF APPALACHIA TO PURSUE A REWARDING CAREER AND REMAIN IN THE AREA, WHICH IS CRITICAL FOR THE STABILITY OF OUR ENTIRE REGION. PIKEVILLE MEDICAL CENTER IS, AND WILL CONTINUE TO BE, THE CORPORATE LEADER TO DEVELOP EDUCATIONAL OPPORTUNITIES, ASSIST HEALTHCARE PROVIDERS AND CREATE HUNDREDS OF JOBS AROUND THE REGION. (CONTINUED) SCHEDULE H PART VI, LINE 6 (CONTINUED)PIKEVILLE MEDICAL CENTER'S VISION TO BE THE REGION'S PROVIDER AND EMPLOYER OF CHOICE HAS NOT ONLY RESULTED IN THE EXPANSION OF HEALTH CARE SERVICES PROVIDED TO PATIENTS BUT HAS ALSO BEEN INTEGRAL IN ENHANCING THE HOSPITAL'S ABILITY TO PROVIDE COMMUNITY OUTREACH SERVICES. PMC PROVIDES A VARIETY OF EDUCATIONAL, WELLNESS, AND PREVENTIVE HEALTH SERVICES THAT ARE DERIVED FROM THE CORE OF PMC'S MISSION. 1 CITY OF PIKEVILLE 234 MAIN STREET PIKEVILLE KY 41501 616001897 CITY OF PIKEVILLE 25000 0 SPONSOR EVENT SOUTHEAST KENTUCKY CHAMBER OF COMMERCE 178 COLLEGE STREET PIKEVILLE KY 41501 610544068 501(C)(6) 22500 0 SPONSOR EVENTS CEDAR INC PO BOX 2152 PIKEVILLE KY 41501 611244951 501(C)(3) 15329 0 SPONSOR EVENTS PIKE COUNTY SCHOOL SYSTEM 316 SOUTH MAYO TRAIL PIKEVILLE KY 41501 616001345 PIKE COUNTY 10000 0 SPONSOR EVENTS FIVCO AREA DEVELOPMENT DISTRICT 32 FIVCO COURT GRAYSON KY 41143 611874861 501(C)(2) 10000 0 SPONSOR EVENT CHALLENGER LEARNING CENTER OF KENTUCKY INC PO BOX 2064 HAZARD KY 41702 311492348 501(C)(3) 7000 0 SPONSOR PROGRAM 5 1 ASSISTANCE TO UNINSURED PATIENTS FOR PRESCRIPTIONS, TRANSPORTATION, MEDICAL EQUIPMENT, CANCER TREATMENT TRAVEL ASSISTANCE 477 49104 463 RECIPIENTS OF 155 PRESCRIPTIONS PROVIDED, 376 INSTANCES OF TRAVEL ASSISTANCE, 9 MEDICAL EQUIPMENT PURCHASES/RENTALS, AND 14 RECIPIENTS OF LODGING AND OTHER FINANCIAL ASSISTANCE SCHOLARSHIPS 1 5000 SUPPORT FOR TUITION PART I, LINE 2: ALL GRANTS ARE PROVIDED TO PUBLIC CHARITIES FOR GENERAL SUPPORT. PIKEVILLE MEDICAL CENTER, INC. DOES NOT MONITOR THE USE OF THESE FUNDS BY THESE PUBLIC CHARITIES. X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 KEITH HALL MD ORTHOPEDIC SURGEON 980232 0 714170 0 450 0 10250 0 31755 0 1736857 0 0 0 KEVIN PUGH MD ORTHOPEDIC SURGEON 980232 0 634151 0 34447 0 10250 0 31755 0 1690835 0 0 0 CHRISTOPHER REYNOLDS MD CARDIOLOGIST/ELECTROPHYSIOLOGIST 1169141 0 0 0 300 0 10250 0 31755 0 1211446 0 0 0 AYORINDE MEDAIYESE MD CRITICAL CARE PHYSICIAN 1053398 0 0 0 43094 0 13500 0 31755 0 1141747 0 0 0 DERMOT HALPIN MD CARDIOTHORACIC SURGEON 984756 0 0 0 34175 0 13500 0 31755 0 1064186 0 0 0 WILLIAM D BLACKBURN BOARD CHAIR/PRESIDENT/CEO 883911 0 0 0 61300 0 13500 0 31755 0 990466 0 0 0 AARON CRUM MD EX-OFFICIO/CMO/ASST CEO 762875 0 0 0 130507 0 13000 0 1117 0 907499 0 0 0 ERICH BLACKBURN EX-OFFICIO/CHIEF LEGAL OFF/SR. VP 477641 0 0 0 1408 0 13500 0 31755 0 524304 0 0 0 MICHELLE HAGY EX-OFFICIO/CFO/SR. VP FINANCE 390171 0 0 0 30511 0 13500 0 31755 0 465937 0 0 0 JOHN WATSON MD BOD/CHIEF OF STAFF/HOSPITALIST 316850 0 30000 0 23641 0 10250 0 31755 0 412496 0 0 0 KANSAS JUSTICE CHIEF OPERATING OFFICER-SR. VP 307432 0 0 0 29560 0 10250 0 31755 0 378997 0 0 0 MICHELLE RAINEY CHIEF NURSING OFFICER-SR. VP 298735 0 0 0 20128 0 13500 0 31755 0 364118 0 0 0 CHERYL HICKMAN CHIEF REGULATORY OFFICER-SR. VP 275593 0 0 0 6871 0 9649 0 31738 0 323851 0 0 0 MELISSA THACKER CHIEF QUALITY OFFICER-SR. VP 253330 0 0 0 24535 0 13500 0 1078 0 292443 0 0 0 TONY DAMRON CHIEF INFORMATION OFFICER-SR. VP 249153 0 0 0 4955 0 6478 0 31716 0 292302 0 0 0 MARCUS CONLEY VP FINANCE 213369 0 500 0 18241 0 5944 0 31693 0 269747 0 0 0 JUANITA DESKINS FORMER CHIEF OPERATING OFFICER 162005 0 0 0 31562 0 8500 0 31731 0 233798 0 0 0 DAVID HALCOMB FORMER ASST. CFO 172176 0 500 0 10080 0 7509 0 31492 0 221757 0 0 0 PART I, LINE 1A EXPENSES RELATED TO MEALS AND PORTERAGE FOR A TRAVEL COMPANION ATTENDING THE ANNUAL PMC BOARD RETREAT WERE APPROVED IN ADVANCE BY THE CEO AND REPORTED, AS APPLICABLE, AS A TAXABLE BENEFIT. PART I, LINE 7 DR. PUGH'S AND DR. HALL'S PRODUCTIVITY BONUS IS BASED ON WRVU'S FOR SERVICES RENDERED IN EXCESS OF THEIR WRVU TARGET. DR. WATSON EARNED A QUARTERLY INCENTIVE BONUS FOR ACHIEVEMENT OF PROGRAM GOALS. ANDREA ANDERSON DAUGHTER OF BOARD MEMBER 52785 COMPENSATION 0 ASHLEY JOHNSON DAUGHTER OF BOARD MEMBER 98551 COMPENSATION 0 KIERSTEN WOODS SHURTLEFF DAUGHTER-IN-LAW OF BOARD MEMBER 60575 COMPENSATION 0 MICHAEL CRUM MD BROTHER OF CMO/BOARD MEMBER 152450 COMPENSATION 0 RHONDA BLACKBURN SPOUSE OF CLO/EX-OFFICIO BOARD MEMBER 198731 COMPENSATION 0 ROBERT SHURTLEFF DO SON OF BOARD MEMBER 208000 COMPENSATION 0 SARAH TAYLOR DAUGHTER OF KEY EMPLOYEE 110176 COMPENSATION 0 SHELDON THACKER SPOUSE OF KEY EMPLOYEE 117245 COMPENSATION 0 TRISTAN BLACKBURN SON OF PMC PRESIDENT/CEO & BOARD CHAIRPERSON 129482 COMPENSATION 0 CHRISTIAN HAGY SON OF PMC CFO/EX-OFFICIO BOARD MEMBER 75788 COMPENSATION 0 DEBRA BLACKBURN SPOUSE OF PMC PRESIDENT/CEO & BOARD CHAIRPERSON 111037 COMPENSATION 0 AMY BLACKBURN DAUGHTER-IN-LAW OF PMC PRESIDENT/CEO & BOARD CHAIRPERSON 38689 COMPENSATION 0 ANGELIA CRUM SPOUSE OF CMO/BOARD MEMBER 37651 COMPENSATION 0 BRAXTON DAMRON SON OF KEY EMPLOYEE 20146 COMPENSATION 0 BROOKE SHURTLEFF DAUGHTER-IN-LAW OF BOARD MEMBER 27889 COMPENSATION 0 THOMAS BLACKBURN SON OF CLO/EX-OFFICIO BOARD MEMBER 18028 COMPENSATION 0 AARON COLLINS SON OF BOARD MEMBER 12923 COMPENSATION 0 ELIZABETH BURCHETT SPOUSE OF BOARD MEMBER 24360 COMPENSATION 0 KETERAH WATSON SPOUSE OF BOARD MEMBER 77245 COMPENSATION 0 MADISON RAINEY DAUGHTER OF KEY EMPLOYEE 14022 COMPENSATION 0 MOUNTAIN TOP MEDIA LLC SPOUSE OF BOARD MEMBER IS > 5% OWNER 111927 COMPENSATION 0 FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE CFO PRIOR TO FILING. ADDITIONALLY, THE GOVERNING BODY WILL REVIEW THE FINAL FORM 990 INCLUDING REQUESTED SCHEDULES AT THE NEXT BOARD MEETING. THE FINAL FORM 990 IS PROVIDED ELECTRONICALLY TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 12C AS TO BOARD MEMBERS, UPDATES TO THE CONFLICT OF INTEREST FORMS ARE COMPLETED ANNUALLY WITH VOLUNTARY DISCLOSURE OF CONFLICT ON ANY PARTICULAR ISSUE. THERE IS NO PARTICIPATION, DISCUSSION OR VOTE TAKEN ON THESE; HOWEVER, THE HOSPITAL ATTORNEY IS PROVIDED A COPY OF ALL INTERESTS OF EACH MEMBER TO ENSURE COMPLIANCE WITH THE POLICY. THESE ARE REGULARLY AND CONSISTENTLY MONITORED FOR ANY CHANGES. AS TO EMPLOYEES, THERE IS A WRITTEN CONFLICT OF INTEREST POLICY WHICH TOO IS REGULARLY AND CONSISTENTLY MONITORED AND ENFORCED BY HUMAN RESOURCES AND ADMINISTRATION AS NECESSARY. THIS POLICY IS INTENDED TO IDENTIFY AND RESOLVE CONFLICTS OF INTEREST WHICH MAY OCCUR RELATED TO FINANCIAL, BUSINESS, OR PROFESSIONAL INTERESTS. THE POLICY IS IN PLACE TO IDENTIFY AND RESOLVE A CONFLICT OF INTEREST WHICH MAY OCCUR ANY TIME THERE IS A SITUATION IN WHICH ONE'S ABILITY TO MAKE OBJECTIVE, JOB RELATED BUSINESS DECISIONS MAY BE INFLUENCED BY, OR HAVE THE APPEARANCE OF BEING INFLUENCED BY, OUTSIDE ACTIVITIES OR PERSONAL INTERESTS. POTENTIAL CONFLICTS OF INTEREST MAY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: 1. WORKING A SECOND JOB AT A COMPETING HEALTHCARE ENTITY WHICH MAY ALLOW THE TRANSFER OF CONFIDENTIAL BUSINESS INFORMATION OR INFLUENCE REFERRAL PATTERNS. 2. ALLOWING THE DEMANDS OF OUTSIDE ACTIVITIES TO HINDER OR DISTRACT YOU FROM THE PERFORMANCE OF YOUR JOB OR CAUSE YOU TO USE PIKEVILLE MEDICAL CENTER RESOURCES FOR OTHER THAN PIKEVILLE MEDICAL CENTER PURPOSES. 3. HOLDING AN OWNERSHIP INTEREST, MANAGEMENT, OR BOARD OF DIRECTORS POSITION IN A COMPANY WITH WHOM PIKEVILLE MEDICAL CENTER DOES BUSINESS WHICH MAY LEAD TO THE INDIVIDUAL'S PERSONAL GAIN/BENEFIT. "OWNERSHIP INTEREST" MEANS SERVING AS A BOARD DIRECTOR OR OFFICER OR OWNING MORE THAN 5% OF THE BUSINESS OR CORPORATION. 4. HAVING AN IMMEDIATE FAMILY MEMBER OR SIGNIFICANT OTHER WHO HOLDS AN OWNERSHIP INTEREST IN A COMPANY WITH WHOM PIKEVILLE MEDICAL CENTER DOES BUSINESS WHICH MAY LEAD TO THE INDIVIDUAL'S PERSONAL GAIN/BENEFIT. "OWNERSHIP INTEREST" MEANS SERVING AS A BOARD DIRECTOR OR OFFICER OR OWNING MORE THAN 5% OF THE BUSINESS OR CORPORATION. 5. HAVING AN IMMEDIATE FAMILY MEMBER OR SIGNIFICANT OTHER EMPLOYED BY THE PIKEVILLE MEDICAL CENTER AND WORKING WITHIN THE SAME DIRECT LINE OF AUTHORITY (ABOVE OR BELOW) AS THE FIRST EMPLOYEE. IMMEDIATE FAMILY MEMBERS INCLUDE SPOUSES, ANCESTORS, CHILDREN, GRANDCHILDREN, GREAT 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 MANAGEMENT PERSONNEL SHALL COMPLETE A DUALITY AND CONFLICT OF INTEREST FORM AT THE TIME OF INITIAL EMPLOYMENT AND ANNUALLY THEREAFTER. 2. EMPLOYEE CONFLICT OF INTEREST FORMS SHALL BE FILED IN THEIR PERSONNEL FILES. 3. IN THE EVENT THAT AN EMPLOYEE'S JOB DESCRIPTION OR DUTIES REQUIRES A BUSINESS RELATED DECISION TO BE MADE IN AN AREA IN WHICH A PERSONAL CONFLICT OF INTEREST HAS BEEN IDENTIFIED, THE EMPLOYEE SHALL NOTIFY HIS/HER SUPERVISOR TO ARRANGE FOR AN ALTERNATIVE DECISION MAKING PROCESS WHICH WILL MAINTAIN OBJECTIVITY AND ELIMINATE PERSONAL BIAS, I.E. PERSONAL WITHDRAWAL FROM THE DECISION MAKING PROCESS, SOLICITATION OF CLOSED BIDS, OR UTILIZATION OF AN INDEPENDENT SELECTION COMMITTEE. 4. IF AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF ETHICS IS IDENTIFIED INVOLVING PATIENT CARE OR TREATMENT, THE EMPLOYEE SHOULD SEEK ASSISTANCE FROM THEIR SUPERVISOR TO FIND A RESOLUTION WHICH WOULD HAVE MINIMUM IMPACT ON PATIENT CARE, TREATMENT, OR SERVICES. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A: THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE SALARY OF THE ORGANIZATION'S CEO. THE COMMITTEE USES COMPARATIVE DATA FROM NATIONAL SALARY SURVEYS AND FORM 990 OF OTHER SIMILAR ORGANIZATIONS. MOTIONS AND APPROVALS FROM THE COMMITTEE ARE DOCUMENTED AND KEPT IN THE BOARD MINUTES. THE SALARY IS ALSO INDEPENDENTLY REVIEWED WITH AN OPINION RENDERED BY AN EXTERNAL CONSULTING FIRM. THE PROCESS FOR REVIEW OF SALARIES IS PERFORMED ANNUALLY. LINE 15B: THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE SALARY OF THE ORGANIZATION'S OTHER OFFICERS/SENIOR VICE PRESIDENTS. THE COMMITTEE USES COMPARATIVE DATA FROM NATIONAL SALARY SURVEYS. MOTIONS AND APPROVALS FROM THE COMMITTEE ARE DOCUMENTED AND KEPT IN THE BOARD MINUTES. THE SALARY OF THE ASSISTANT CEO/CMO IS ALSO INDEPENDENTLY REVIEWED WITH AN OPINION RENDERED BY AN EXTERNAL CONSULTING FIRM. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THE FORM 990, WHICH INCLUDES THE ANNUAL AUDITED FINANCIAL STATEMENTS, AVAILABLE TO THE PUBLIC UPON REQUEST FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 31,505,708. MANAGEMENT AND GENERAL EXPENSES 3,890,803. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,396,511. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 8,465,735. MANAGEMENT AND GENERAL EXPENSES 1,045,477. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,511,212. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 16,300,776. MANAGEMENT AND GENERAL EXPENSES 2,013,067. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,313,843. FORM 990, PART III, LINE 4A (CONTINUED) THE INVESTMENT IN THE CONSTRUCTION AND EQUIPMENT FOR SENSORY ACTIVITIES AREA TOTALED $1.07 MILLION. PMC ALSO COMPLETED CONSTRUCTION RENOVATION OF THE AVA CENTER PRESTONSBURG CAMPUS DURING FY 2023. THE NEWLY OPENED PRESTONSBURG LOCATION IS A 5,500 SQUARE FOOT SATELLITE CENTER THAT FEATURES AN OCEAN THEME WITH 12 MULTIPLE LEARNING ROOMS, A FEEDING ROOM AND TWO SPECIALLY DESIGNED SENSORY STIMULATION ACTIVITY ROOMS. THIS CENTER ALLOWS PMC THERAPISTS TO PROVIDE SERVICES FOR 24 ADDITIONAL LEARNERS, OFFERING THE SAME SPECIALIZED SERVICES THAT ARE AVAILABLE AT THE PIKEVILLE LOCATION WHILE ACCOMMODATING THE GROWING NEED FOR AUTISM SERVICES IN EASTERN KENTUCKY. THE TOTAL INVESTMENT IN RENOVATIONS FOR THE AVA CENTER PRESTONSBURG CAMPUS WAS $2.1 MILLION. PIKEVILLE MEDICAL CENTER'S PRIMARY CARE AND FAMILY MEDICINE TEAM PROVIDES COMPREHENSIVE CARE FOR ALL GENERATIONS. BETTER HEALTH STARTS WITH A FAMILY DOCTOR, PMC'S EXPERIENCED FAMILY MEDICINE TEAM DOES MUCH MORE THAN TREAT PATIENTS WHEN SICK, THE TEAM FOCUSES ON ENCOURAGING PREVENTATIVE CARE AND A HEALTHY LIFESTYLE WHILE ALSO MANAGING CARE WHEN THERE IS A CHRONIC HEALTH CONCERN BY OPENING DOORS TO SPECIALIZED SERVICES IF THEY ARE NEEDED. TO IMPROVE ACCESS TO PIKEVILLE MEDICAL CENTER'S PRIMARY CARE TEAM; INCLUDING PEDIATRICS, ADULT PRIMARY CARE, AND URGENT CARE SPECIALISTS, PMC RECENTLY OPENED THE NEW URGENT CARE & FAMILY WELLNESS CENTER. THE RENOVATED 14,600 SQUARE FOOT OF SPACE IS IN A CONVENIENT LOCATION AND INCLUDES 14 YOUTH-THEMED EXAM ROOMS, 25 ADULT/URGENT CARE EXAM ROOMS, 14 PROVIDER WORKSTATIONS, NURSE STATIONS, AN ON-SITE LABORATORY FOR SPECIMEN COLLECTION, ON-SITE X-RAY SERVICES, AND RECEPTION/WAITING ROOMS. THE URGENT CARE AT PIKEVILLE NORTH IS OPEN 12 HOURS A DAY SEVEN DAYS A WEEK TO TREAT INJURIES, COMMON MEDICAL CONDITIONS, AND ILLNESSES. THE TOTAL CAPITAL INVESTMENT IN THE URGENT CARE & FAMILY WELLNESS CENTER EQUIPMENT AND RENOVATIONS TOTALED $3.7 MILLION. THE PMC ORTHOPEDIC SURGERY & SPORTS MEDICINE INSTITUTE OF EASTERN KENTUCKY, LOCATED IN THE PMC CLINIC BUILDING, INCLUDES THE SPECIALTIES OF FOOT AND ANKLE SURGERY, HAND SURGERY, ORTHOPEDIC JOINT SURGERY, ORTHOPEDIC TRAUMA SURGERY, PODIATRY, AND SPORTS MEDICINE. THE ORTHOPEDIC TEAM UTILIZES THE LATEST TECHNOLOGY, INCLUDING ULTRASOUND-GUIDED INJECTIONS AND DIGITAL X-RAYS TO OFFER PATIENTS THE MOST ADVANCED PROCEDURES CURRENTLY AVAILABLE, SUCH AS DIRECT ANTERIOR HIP REPLACEMENTS, PARTIAL KNEE REPLACEMENTS, SHOULDER REPLACEMENTS, ANATOMIC ACL SURGERY, ARTHROSCOPIC ROTATOR CUFF REPAIR, TOTAL HIP AND TOTAL KNEE REPLACEMENTS. THE ORTHOPEDIC SURGERY & SPORTS MEDICINE INSTITUTE HAS RECEIVED THE GOLD SEAL OF DISTINCTION FOR HIP FRACTURE, JOINT REPLACEMENT HIP, AND JOINT REPLACEMENT KNEE FROM THE JOINT COMMISSION, RECOGNIZING THE TEAM'S COMMITMENT TO MEDICAL EXCELLENCE. PMC IS THE ONLY HOSPITAL IN KENTUCKY TO RECEIVE ALL THREE CERTIFICATIONS. THE ORTHOPEDIC CLINIC SPECIALISTS COMPLETED 36,189 PATIENT VISITS DURING FY 2023. FORM 990, PART III, LINE 4D (CONTINUED) PIKEVILLE MEDICAL CENTER COMPLETED AN UPGRADE TO THE NIHON KHODEN TELEMETRY MONITORING SYSTEM DURING FY 2023. THE HOUSE WIDE UPGRADE INCLUDED THE REPLACEMENT OF CENTRAL STATION MONITORS, REMOTE STATION MONITORS, PRINTERS, TRANSMITTERS AND OTHER PERIPHERAL EQUIPMENT THROUGHOUT THE CENTRALIZED TELEMETRY MONITORING AREA, CRITICAL CARE UNITS, MEDICAL UNITS AND SURGICAL SERVICES DEPARTMENTS. THIS UPGRADE INCLUDED FEATURES FOR MORE RAPID VIEWING OF PATIENT RHYTHM EVENTS BY CARDIOLOGISTS, IN ADDITION TO IMPROVED INTEGRATION WITH THE NEW EPIC ELECTRONIC MEDICAL RECORD SYSTEM. THE CAPITAL INVESTMENT IN THE NIHON KHODEN UPGRADE WAS $1.4 MILLION. NATIONAL RECOGNITION: PIKEVILLE MEDICAL CENTER (PMC) STRIVES TO BE THE PROVIDER OF CHOICE FOR QUALITY HEALTHCARE THROUGHOUT CENTRAL APPALACHIA. TO ENSURE THAT QUALITY, PMC CONSISTENTLY PURSUES MULTIPLE DESIGNATIONS AND HAS EARNED THE FOLLOWING AWARDS AND RECOGNITIONS DURING FY 2023. SEPTEMBER '23 PMC PULMONARY REHABILITATION PROGRAM CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION; PMC LABORATORY RE-CERTIFIED BY THE ACCREDITATION COMMITTEE OF THE COLLEGE OF AMERICAN PATHOLOGISTS; PMC AVA CENTER AND METTU CHILDREN'S HOSPITAL RECEIVED RECOGNITION FROM THE SOUTHEAST KENTUCKY CHAMBER OF COMMERCE FOR OUTSTANDING CONTRIBUTION; PMC PRESENTED WITH THE EPIC GOOD INSTALL AWARD; PMC NAMED TO THE FORBES LIST OF BEST-IN-STATE EMPLOYERS. AUGUST '23 PMC CARDIAC REHABILITATION PROGRAM CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. JULY '23 PMC SPECIALTY PHARMACY SERVICES RECEIVED ACCREDITATION FROM THE ACCREDITATION COMMISSION FOR HEALTH CARE; PMC RECEIVED THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE STEMI RECEIVING CENTER BRONZE RECOGNITION. JUNE '23 PMC RECEIVED AMERICAN COLLEGE OF CARDIOLOGY CHEST PAIN MI REGISTRY PLATINUM PERFORMANCE ACHIEVEMENT AWARD. FEBRUARY '23 PMC URGENT CARE & FAMILY WELLNESS CENTER RECOGNIZED AS A CERTIFIED AUTISM CENTER (CAC) BY THE INTERNATIONAL BOARD OF CREDENTIALING AND CONTINUING EDUCATION STANDARDS. JANUARY '23 PMC NAMED PRESS GANEY HUMAN EXPERIENCE (HX) GUARDIAN OF EXCELLENCE AWARD WINNER. DECEMBER '22 PMC RECEIVED WOMEN'S CHOICE AWARDS BEST HOSPITALS FOR EMERGENCY CARE AND BEST HOSPITAL FOR CANCER CARE; PMC LAWSON CANCER CENTER RECEIVED AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER RE-ACCREDITATION OCTOBER '22 PMC RECEIVED JOINT COMMISSION HIP FRACTURE, HIP AND KNEE REPLACEMENT RE-CERTIFICATION. PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE 911 BYPASS ROAD PIKEVILLE KY 41501 472020718 SUPPORT OF PIKEVILLE MEDICAL CENTER, INC. KY 501(C)(3) LINE 12B, II PIKEVILLE MEDICAL CENTER INC 1 PIKEVILLE MEDICAL DEVELOPMENT CORPORATION 911 BYPASS ROAD PIKEVILLE KY 41501 202487928 INACTIVE KY N/A C -169 6498 1.00000 1 LANDMARK PROPERTIES OF PIKEVILLE INC PO BOX 1259 PIKEVILLE KY 41502 462494613 LODGING KY PIKEVILLE MEDICAL CENTER INC C 197840 4134537 1.00000 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 1 1 0 0 LANDMARK PROPERTIES OF PIKEVILLE INC J 16788 COST LANDMARK PROPERTIES OF PIKEVILLE INC M 190000 COST LANDMARK PROPERTIES OF PIKEVILLE INC P 55165 COST LANDMARK PROPERTIES OF PIKEVILLE INC Q 967942 CASH PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE INC C 529670 CASH PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE INC Q 298390 CASH