2018-08-15T12:32:46-05:00 2017-09-30 990 2016-10-01 610458376 Pikeville Medical Center Inc PIKE 6062183501 911 Bypass Road Pikeville KY 41501 Michelle Hagy CFO 6062183974 2018-08-15 2016 2022-09-23 18:48:47Z William D Blackburn 911 Bypass Road Pikeville KY 41501 531178929 0 X www.pikevillehospital.org X 1923 KY The Center's Mission is TO PROVIDE world class quality HEALTH CARE IN A CHRISTIAN ENVIRONMENT. 14 5 3720 201 1454644 0 110593 681369 466322210 506744243 994946 1996041 10706455 14471617 478134204 523893270 105739 66359 0 0 249357328 310210605 0 0 0 200848567 224767270 450311634 535044234 27822570 -11150964 535912611 541581678 234566906 251168117 301345705 290413561 X PIKEVILLE MEDICAL CENTER's Mission IS TO PROVIde world class quality health care in A CHRISTIAN ENVIRONMENT. 0 0 125753441 54240089 PHYSICIAN PRACTICES:Currently, more than 350 physicians are members of Pikeville Medical Center's Medical Staff. During FY 2017, PMC welcomed 28 physicians, two physician assistants, eight certified registered nurse anesthetists, and 12 nurse practitioners to the organization.The physicians recruited during this time period consist of five anesthesiologists, one cardiothoracic surgeon, one primary care physician, three intensivists, seven emergency medicine physicians, two hematologists/oncologists, four hospitalists, one interventional radiologist, one podiatrist, one pulmonologist, one urologist, and one vascular surgeon.With the addition of these new physicians, PMC offers more than 400 services, including most specialties and many subspecialties. PMC, as a proud member of the Mayo Clinic Care Network, forged a partnership which was the first of its kind in the area. This powerful tool extends Mayo Clinic's knowledge and expertise to physicians and providers interested in working together in the best interest of their patients. PMC providers accessed Mayo Clinic resources, via an online point-of-care information system and electronic consulting process that connects physicians with Mayo Clinic specialists on questions of diagnosis, therapy or care management. The primary goal of the Mayo Clinic Care Network is to provide the benefits of Mayo Clinic knowledge and expertise close to home, decreasing the patient's need to travel outside the region for healthcare.In 2014, PMC completed a multi-million dollar expansion, adding an 11-story clinic building and a 10-story parking garage on the main campus to improve the accessibility of health care and efficiency in the manner in which that care is delivered. The PMC Clinic houses eight additional operating rooms, six endoscopy suites, 23 pre-op rooms, 27 post-op rooms and most of PMC's physician practices including cardiothoracic surgery, vascular surgery, colorectal surgery, trauma surgery, general surgery, endocrinology, interventional radiology, gastroenterology, urology, orthopedic trauma surgery, orthopedic surgery, hand surgery, podiatry, sports medicine, obstetrics/gynecology, pediatrics, infectious disease, nephrology, neurology, neurosurgery, physiatry, pulmonology, ophthalmology, optometry, oral/maxillofacial surgery, otolaryngology, plastic/reconstructive surgery, and surgical oncology. The 1,162-space parking garage connects to the PMC Clinic on each floor, allowing patients to conveniently park on the same floor as their physician's office.In addition to physician practices found in the clinic, PMC offers: bariatric surgery in Pikeville (Kentucky); cardiology general/invasive/interventional/electrophysiology in Pikeville, Whitesburg, Prestonsburg, and South Williamson (Kentucky) and Grundy (Virginia); oncology medical/hematology/radiation/gynecologic in Pikeville (Kentucky); neurology in Whitesburg, South Williamson, and Prestonsburg (Kentucky); family medicine in Harold and Shelby Valley (Kentucky); obstetrics/gynecology in Harold (Kentucky); pain management; dermatopathology; pathology; psychology; cardiac rehabilitation and pulmonary rehabilitation in Pikeville (Kentucky).PMC also offers emergency medicine services and utilizes around-the-clock Hospitalists, Intensivists and Neonatologists who devote their professional time to the care of hospitalized patients.PMC and the Pike County Kentucky Board of Education formed an innovative partnership during 2017 to provide nurse practitioners for the school system's 2017-2018 term, reaffirming PMC's commitment to be a leader in providing quality healthcare to the children of the region. PMC physicians completed 365,683 patient visits during FY 2017, an increase of 24 percent from the previous year. Many existing physician practices experienced significant growth during the year: obstetrics/gynecology (34% volume increase), pediatrics (22% volume increase) trauma surgery (25% volume increase), bariatrics (26% volume increase), intensivists (32% volume increase), and hospitalists (33% volume increase). New practices in the specialties of emergency medicine, nephrology, oral/maxillofacial surgery, optometry, and colorectal surgery encountered more than 49,396 patient visits during the fiscal year.The continued expansion of Pikeville Medical Center's specialty capabilities, including trauma services, has resulted in fewer patients being transferred out of PMC to larger hospitals and an increase in the number of patient transfers in to PMC from smaller hospitals throughout eastern Kentucky. Transfers in to PMC increased by 21% from 5,066 in FY 2016 to 6,118 in FY 2017.PMC strives to ensure there is an adequate supply of primary care physicians for the rural region in which it serves and is a founding member of the Appalachian Osteopathic Post Graduate Training Consortium. To facilitate the education of primary care physicians, PMC operates the only Family Practice/Neuromuscular Medicine (FP/NMM) Residency Program in Kentucky, the only One-Year Plus One Neuromuscular Medicine/Osteopathic Manipulative Medicine Residency Program in Kentucky and one of only five Family Practice and Osteopathic Manipulative Treatment Medicine Residency Programs in Kentucky. The Family Practice Clinic in conjunction with the Residency Program had nearly 12,000 patient visits during FY 2017. 94761135 146459965 Surgical SERVICES:The surgical services division of Pikeville Medical Center performs a comprehensive array of surgical and endoscopic procedures with some of the most sophisticated, technologically advanced medical equipment available. The recruitment of new surgeons from varied specialties, including trauma, has not only resulted in substantial expansion of service offerings but has also led to the increase in the number of OR suites available to meet patient demand. PMC has 20 operating rooms, including 2 dedicated open heart surgery operating rooms, and six endoscopy rooms currently in operation. During FY 2017 there were 354 open heart surgery cases, in addition to 20,761 surgical services cases, which included inpatient and outpatient endoscopy procedures, inpatient and outpatient surgical procedures, and C-sections, a 7% increase in cases over the prior year.Pikeville Medical Center's Wellness and Weight Loss Surgery Center is a comprehensive program MBS QIP accredited by the American College of Surgeons American Society for Metabolic and Bariatric Surgery. Services provided by the multi-disciplinary team within the Weight Loss Surgery Center include laparoscopic gastric bypass, laparoscopic sleeve gastrectomy, laparoscopic adjustable gastric banding and revisional surgery along with pre-operative and post-operative processes to ensure the long term success of the patient. During FY 2017 PMC purchased the Uroskop Omnia Max Urology Imaging System. The superior imaging technology, unrestricted patient access, and unhindered view provided by the Uroskop Omnia Max results in exceptional image quality at the lowest possible radiation dose, optimizing not only operational efficiency but also patient safety. The capital investment for surgical services totaled $549,044 15914365 62861284 Imaging Services:Pikeville Medical Center's American College of Radiology accredited imaging services division takes pride in providing high quality diagnostic and interventional services in a caring and efficient manner. The state-of-the-art technology currently utilized within imaging services includes two linear accelerators, one 32-slice large bore CT scanner, two 64-slice CT scanners, two 320-slice CT scanners, a PET/CT scanner, a Spect/CT scanner, two 1.5T open MRIs, a 3.0T open MRI, an IR Allura Xper FD 20 cardiovascular system, and an Azurion 7 C20 image guided therapy system.PMC completed installation of the Azurion 7 C20 image guided interventional x-ray system and control room within the fully equipped Interventional Radiology (IR) Lab during FY 2017. IR specializes in minimally invasive image-guided procedures that diagnose and treat diseases in most every organ system in the body. In addition to the two procedure rooms that are now in operation, the IR Lab houses nine pre-operative and post-operative bays, a centralized nurse's station and two outpatient rooms for minor ultrasound procedures. Interventional Radiology performed more than 3,300 procedures during FY 2017, an increase of 23% over FY 2016. The total capital investment in imaging services during FY 2017 was $1,298,470. 236047585 66359 246103645 All other:Pikeville Medical Center is a regional provider of comprehensive health care services through its licensed 300-bed acute care and inpatient rehabilitation hospital, Level II Trauma Center, Outpatient Diagnostic Center, Orthopedic and Rehabilitation Center, Sleep Labs, Home Health, Home Medical Equipment, Family Practice Residency Program, Level II Neonatal Intensive Care Unit, Cancer Center, Pain Management Clinic and multi-specialty physician practices. PMC offers more than 400 services, including most every major specialty and many subspecialties. With more than 3,000 employees and over 400 credentialed providers, PMC stands as the largest hospital providing high quality patient care in the eastern Kentucky counties of Pike, Floyd, Johnson, Letcher, Magoffin and Martin. In addition, PMC also serves a significant number of patients from Mingo County, West Virginia. PMC's role in the health care delivery system in eastern Kentucky has been elevated to that of a regional referral center for smaller community hospitals that have patients with complex needs whom they cannot serve. PMC's total inpatient admissions during FY 2017 was 15,642 a 6.4% increase over prior year, resulting in a total adult and neonatal inpatient occupancy rate of 90%.As the premier hospital in a multi-state region, PMC is home to some of the most sophisticated, technologically advanced medical equipment in eastern Kentucky and is continually growing and looking for new ways to provide the very best in health care to its patients and the broader population. The hospital's compassionate, dedicated employees and physicians are focused on providing world class patient care in a Christian environment while continually striving for perfection.PMC is a certified Kentucky Cabinet of Health and Family Services' Department of Public Health Level II Trauma Center and has also received Level II Trauma verification from the American College of Surgeons. PMC is the only Level II Trauma Center in the Commonwealth of Kentucky and is the designated hospital for all trauma cases in Eastern Kentucky. As a verified Trauma Center, PMC is equipped and staffed to provide comprehensive emergency care to patients suffering traumatic injuries. The spectrum of care encompasses the pre-hospital phase through the rehabilitation process. PMC's Trauma Center serves more than 400,000 people; significantly increasing those individuals' chance of survival should they be injured. The number of trauma patients PMC served increased by 12% between 2016 and 2017.Heart disease is one of the most prevalent health problems affecting the region that Pikeville Medical Center (PMC) serves. PMC's Heart and Vascular Institute offers comprehensive cardiac care through services including general cardiology, interventional cardiology, invasive cardiology, electrophysiology, cardiothoracic surgery, vascular surgery, echocardiography and a two stage cardiac rehab program, allowing patients to receive the full spectrum of cardiac care close to home.PMC is an accredited Chest Pain Center with Primary PCI and is a Level IV Cycle V Chest Pain Center. PMC is also accredited by the American Association of Cardiovascular and Pulmonary Rehabilitation for meeting strict standards of practice. PMC is a member of the American Heart Association's Mission: Lifeline. The American Heart Association developed Mission: Lifeline to transform heart attack patient outcomes by connecting healthcare providers, pre-hospital providers and community stakeholders in a proactive system of care that saves and improves lives from symptom onset through cardiac rehabilitation. All Mission: Lifeline participants share a common commitment to American Heart Association guidelines and data-based quality measures. Since PMC began implementing the AHA best-practice strategies, Pike County, KY has gone from being ranked as one of the worst places in the nation to have a heart attack, to one of the safest.An Innova IGS 530 with Omega V cath lab suite and Maclab hemodynamic IT uscan system were purchased during FY 2017 for the Cardiac Catherization Lab. The Innova provides clinical versatility supporting increasingly sophisticated interventional vascular procedures in addition to coronary angiography with greater precision and dose efficiency. The capital investment in cardiac services during FY 2017 totaled $796,634. The increase in the offering of cardiac specialty services and the outreach of satellite cardiac clinics have contributed to continued volume increases in cardiac procedures during FY 2017. The hospital completed 66,914 cardiac procedures during the fiscal year, an increase of eight percent over the prior year. Pikeville Medical Center Leonard Lawson Cancer Center (LLCC) is one of a select few accredited full-service cancer centers in Kentucky providing cutting edge cancer treatment and follow-up care that have received commendations by the American College of Surgeons' Commission on Cancer. LLCC is a free-standing facility with convenient parking to better serve patients in the battle against cancer. Oncology services offered by PMC include medical oncology, hematology, radiation therapy, infusion service, genetic counseling, palliative care, biopsies and surgical oncology.9th Floor Critical Care Unit RenovationDuring FY 2017, the interior build out of 23,000 square foot of space on the 9th floor of the May Tower was completed. The 29 bed state-of-the-art critical care unit, along with nurses' stations and support staff space, was placed in service to meet the demand resulting from the dramatic increase in the number of complex and emergent cases transferred to PMC from smaller hospitals across the region. Equipment purchased for the project included a nurse call system, ceiling lift systems for each bed, Nihon Khoden patient monitoring system, Venue 50 point of care ultrasound, Intouch beds, Lifepak defibrillators, Thermogard XP temperature management systems, EV1000 monitors, and ICP/ICT neuromonitors. The capital investment totaled $5,719,944.6th Floor Critical Care Unit RenovationThe interior renovation and equipment to convert five existing patient rooms located on the 6th Floor of the May Tower to additional ICU rooms was completed during FY 2017. Equipment purchased included EV 1000 monitors, warming cabinets, Lifepak defibrillators, Thermogard temperature management system, ventilators, and Nihon Khoden patient monitoring system. The capital investment totaled $1,019,535.Other Capital InvestmentsOpenVista E.H.R. implementation network hardware and software was installed during FY 2017. The purchase included servers, network installation, Netapp SAN storage, Commvault software, Microsoft SQL software and VMWARE Vsphere 6 Enterprise Plus software. This major capital investment in the hardware/software system network for the OpenVista E.H.R. totaled $3,423,303.Upgrade of the Soft Computer Laboratory Information System was completed during FY 2017. The upgrade included SCC Soft Oracle, Weblogic, Softlab, Softmic GUI, Softbank and Softpath modules in preparation for the implementation of the Medsphere OpenVista E.H.R. system. This capital investment totaled $409,225.During FY 2017, PMC purchased the Cellvision DM9600 digital morphology system for Laboratory. The DM9600 automates the manual effort associated with traditional microscopy by leveraging digital image analysis to locate and examine cells in blood and other bodily fluids, thereby accelerating turnaround and increasing technologists' productivity. The capital investment totaled $115,000.Pikeville Medical Center's Microsoft Exchange email system was upgraded during FY 2017. The upgrade includes advanced message archiving, email security, web security, robust audit functionality as well as self-service options. This capital investment totaled $303,123. OTHER PROGRAM SERVICES CONTINUED:National RecognitionPikeville Medical Center (PMC) strives to be nationally recognized as a leader in healthcare. The dedication of PMC's leadership team, physicians, and staff to fulfill the hospital's mission "to provide world-class quality health care in a Christian environment" led to notable recognition and awards during FY 2017 including: November '16 The Joint Commission's Gold Seal of Approval for certifications in total hip replacement, total knee replacement and hip fracture. PMC is the only hospital in Kentucky to have attained all three of these certifications.November '16 The Leapfrog Group, a national patient safety watchdog organization announced that PMC once again earned a Hospital Safety Grade of "A", accomplishing the difficult task of being awarded straight "A's" since the ranking began in 2013. PMC is one of only 113 hospitals out of over 2,600 across the country to attain this honor.December '16 The American Heart Association/American Stroke Association's Heart-Check Mark for Advanced Certification for Primary Stroke Centers.April '17 The Health Resources and Services Administration (HRSA) Workplace Partnership for Life Hospital Organ Donation Campaign Platinum Level award winner for efforts to promote organ donation awareness and registration.August '17 The Joint Commission's Gold Seal of Approval -- Three Year Accreditation of Pikeville Medical Center and PMC Leonard Lawson Cancer Center.October '17 The American Heart Association/American Stroke Association Get with the Guidelines Stroke Gold Plus Quality Achievement Award with Target: Stroke Honor Roll Elite.PMC's commitment to provide world-class quality healthcare in a passionate, innovative, and visionary environment, where patients' needs are placed first, will propel the organization forward to continued growth and expansion, forever meeting the evolving healthcare needs of the region. 236047585 66359 246103645 472476526 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 1 1 1 0 0 1 146 0 1 3720 1 1 1 0 0 0 0 1 1 0 0 0 0 X 14 5 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 KY X Michelle Hagy CFO 6062183974 911 Bypass Road Pikeville KY 41501 RonaLD BURCHETT board vice-president 4.00 1.00 X X 0 0 0 JOE DEAN ANDERSON board secretary/Treasurer 4.00 1.00 X X 0 0 22111 FADI Al AKHRASS MD Board-CHIEF OF STAFF (1/1/17-9/30/17) 40.00 0.00 X 451713 0 32419 DEBra BLACKBURN BOARD MEMBER 2.00 0.00 X 0 0 8345 Samuel L King MD Bd-CHIEF OF STAFf (10/1/16-12/31/16) 2.00 0.00 X 0 0 0 DAVID COLLINS CPA board member 2.00 0.00 X 0 0 22111 HOBERT JOHNSON deceased 22018 board member 2.00 0.00 X 0 0 0 DENNIS HALBERT MD board member 4.00 0.00 X 0 0 22111 JOHN LABRECHE board member 4.00 1.00 X 0 0 233 Julius CLINTON MARTIN II board member 2.00 0.00 X 0 0 0 ALEX POULOS MD BOARD MEMBER 4.00 1.00 X 0 0 22111 JO NELL ROBINSON BOARD MEMBER 4.00 1.00 X 0 0 8345 MARY SIMPSON PHD BOARD MEMBER 2.00 0.00 X 0 0 0 SUE SMALLWOOD deceased 42018 board member 4.00 1.00 X 0 0 8345 CINDY MAY JOHNSON BOARD MEMBER 2.00 0.00 X 0 0 0 WALTER E MAY President/CEO 40.00 1.00 X X 649930 0 35419 MICHELLE HAGY CFO - VP Finance 40.00 0.00 X 341138 0 28459 JUANITA DESKINS Chief opERATING OFFICER 40.00 0.00 X 377577 0 35419 DEBRA PARSONS CHIEF NURSING OFFICer 40.00 0.00 X 235058 0 17471 AARON CRUM MD CHIEF MEDICAL OFFICER 40.00 0.00 X 694620 0 32419 cherYL HICKMAN Assistant to president 40.00 0.00 X 202632 0 29529 deborah Puckett VP rehAB SERVICes 40.00 0.00 X 152448 0 30295 CATHERINE JORGENSEN VP Corporate Compliance & 40.00 0.00 X 193045 0 32409 TONY DAMRON CHief Information Officer 40.00 0.00 X 169954 0 26695 Ralph Lomma VP Facilities 40.00 0.00 X 206221 0 18727 Michelle Rainey Assistant Chief Nursing Of 40.00 0.00 X 176073 0 28045 Aaron Brown MD Trauma Surgeon 40.00 0.00 X 988143 0 32419 AMY JOHNSON MD Bariatric & General Surgeon 40.00 0.00 X 963037 0 35419 Kevin Pugh MD Orthopedic Surgeon 40.00 0.00 X 1004653 0 32419 Keith Hall MD Orthopedic Surgeon 40.00 0.00 X 1000132 0 32419 William Peery II MD Trauma Surgeon 40.00 0.00 X 988488 0 32419 russELL SHANKLIN Former - Assist Chief Information 40.00 0.00 X 171529 0 31583 PEGGY JUSTICE Former - VP PHYSICIAN NETWORK 40.00 0.00 X 159512 0 30952 9125903 0 688648 263 1 1 0 FASTAFF LLC 6399 S FIDDLERS GREEN CIRCLE SUITE GREENWOOD CO 80111 STAFFING SERVICES 10010353 Rose Builders 7 Stacy Street Harold KY 41635 Construction services 6765770 Precyse Solutions LLC 1275 drummers lane wayne PA 19087 him services 3388152 Laboratory Corporation of America PO Box 12140 Burlington NC 27216 professional services 2873777 MTBC Acquisition Corp 7 Clyde Road Somerset NJ 08873 Professional services 2751720 54 9770 593787 77812 6939 681369 PATIENT SERVICE REVENUE 621110 506744243 506744243 506744243 1846281 1846281 4329 4329 345239 705812 247367 0 97872 705812 803684 -11508 815192 394320 244560 149760 149760 149760 10900 9770 6503 4397 4397 13082299 6787229 6295070 341842 5953228 Cafeteria 900099 4134279 4134279 Rebate Income 900099 1760482 1760482 EHR REVENUE 900099 315730 315730 1153646 856036 297610 7364137 523893270 509664983 1454644 12092274 26726 26726 39633 39633 4406324 4406324 218554178 197312859 21241319 2931508 2683480 248028 70867311 63193695 7673616 13451284 11526023 1925261 111602 111602 1676799 1676799 79613 79613 113477 113477 27203079 19618790 7584289 3520254 819069 2701185 1064754 813225 251529 6220845 5517146 703699 5211607 4825789 385818 1016601 871282 145319 205927 121817 84110 6641708 5890401 751307 22957210 20360300 2596910 8186048 8106619 79429 supplies & drugs 96767533 95799858 967675 Professional Fees 15178604 15176399 2205 equipment rental & main 10016328 9275139 741189 Provider tax expense 3252537 3252537 15342744 7134137 8208607 535044234 472476526 62567708 0 10954 11504 169647627 153412997 82548693 80221170 14189073 14814690 4434580 3519559 445474174 197501780 233494342 247972394 8544748 9429497 67582 109784 22975012 32090083 535912611 541581678 47926180 54858077 1784179 2425869 124872589 76962422 49397090 107142232 241251 225848 10345617 9553669 234566906 251168117 X 300693337 289727622 446368 479939 206000 206000 301345705 290413561 535912611 541581678 X -11150964 186276 -1029 33573 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 21426 21426 0 Part II-B, Line 1: Other Activity costs are the corporation's portion of trade dues (i.e. Kentucky Hospital Association). 652368 33571 685939 624622 27746 652368 705176 -80554 624622 206000 499176 705176 206000 206000 0.30000 0.70000 1 0 1868888 7430625 9299513 6449869 241390549 78538403 169302015 1076513 978309 98204 46027 169720907 117985068 51781866 17490796 17490796 247972394 BOND ISSUANCE COSTS 860991 Estimated Amounts Due From 3rd Party Payers 704363 Indenture 12149429 other receivables 15949431 GRANT RECEIVABLE 2425869 32090083 reserve for reciprocal of amer claims 2323657 Deferred Compensation Liability 4324835 reserves for workers compensation claims 2905177 9553669 X 530914107 186276 6834561 7020837 523893270 0 523893270 541879824 1029 6834561 6835590 535044234 0 535044234 Part V, Line 4: THE AMOUNT OF $206,000 IS A PERMANENT RESTRICTED ENDOWMENT-HERBERT FABER ENDOWMENT FUND. THE JEAN H. JOHNSON CHARITABLE REMAINDER UNITRUST IS A TEMPORARILY RESTRICTED ENDOWMENT IN THE AMOUNT OF $479,939. 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, 2017 AND 2016. THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2017 AND 2016. AT SEPTEMBER 30, 2017, TAX RETURNS FOR 2014 THROUGH 2016 ARE SUBJECT TO EXAMINATION BY THE IRS. Part XI, Line 2d - Other Adjustments: Expenses reclassed to Revenue Section 6,828,058. Fundraising expenses 6,503. Part XII, Line 2d - Other Adjustments: Expenses reclassed to revenue section 6,828,058. Fundraising expenses 6,503. Form 990, Part IV Line 12 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. Colors of Courage 5K Run/Walk 20670 9770 10900 1618 83 1522 3280 20670 9770 10900 1618 83 1522 3280 6503 4397 1 1 1 X 1 X 1 1 1 0 1 1 5976206 2267534 3708672 0.00690 109039049 103467990 5571059 0.01040 115015255 105735524 9279731 0.01730 543 4167 481084 300 480784 0.00090 103 2044 1698227 792875 905352 0.00170 43 27635 27635 0.00010 689 6211 2206946 793175 1413771 0.00270 689 6211 117222201 106528699 10693502 0.02000 147 17579 183654 3508 180146 0.00030 52 2143 134360 20670 113690 0.00020 12 930047 930047 0.00170 211 19722 1248061 24178 1223883 0.00220 1 45944176 0 149291055 136105310 13185745 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 15 1 0 0 1 X www.pikevillehospital.org/2016-2019-community-health-needs-assessment/ X X 1 15 1 www.pikevillehospital.org/2016-2019-community-health-needs-assessment/ 0 1 X 150.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X http://www.pikevillehospital.org/billing/financial-assistance-policy/ X http://www.pikevillehospital.org/billing/financial-assistance-policy/ X HTTP://WWW.PIKEVILLEHOSPITAL.ORG/BILLING/FINANCIAL-ASSISTANCE-POLICY/ X X X X 1 0 X X X X 1 X 0 1 PIKEVILLE MEDICAL CENTER Part V, Section B, Line 5: Pikeville Medical Center in collaboration with an Advisory Committee comprised of community leaders from Pike and Floyd Counties, whom are involved with local health departments, school systems, senior citizens programs, social work, post-secondary education, volunteer groups, and local business/industry developed a survey to obtain input concerning the needs of our community. The survey was made available online, published in Pikeville Medical Center's newspaper, The Medical Leader, and distributed at local health departments, senior citizens centers, apartment complexes, banks and churches. The survey was also distributed electronically to all students and faculty at the University of PIkevelle and to all patients at various PMC clinics. PMC's community survey was an overwhelming success as the hospital received over 1,000 responses. PIKEVILLE MEDICAL CENTER Part V, Section B, Line 7d: https://www.pikevillehospital.org/2016-2019-community-health-needs-assessment/PMC mailed the CHNA report to the Chamber of Commerce, Civic Organization members, and local business people. 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. 17 1 - OBGYN PHYSICIAN PRACTICE - HAROLD 246 KY ROUTE 979 Harold KY 41635 PHYSICIAN PRACTICE 2 - PMC-LEONARD LAWSON CANCER CENTER 172 SOUTH MAYO TRAIL PIKEVILLE KY 41501 PHYSICIAN PRACTICE 3 - HOME HEALTH SERVICES 1370 S MAYO TRAIL PIKEVILLE KY 41501 Home Health Services 4 - pmc SPECIALTY CLINIC-WHITESBURG 255 MAIN ST WHITESBURG KY 41858 pHYSICIAN PRACTICE 5 - BARIATRIC SURGERY PHYSICIAN PRACTICE 1098 S MAYO TRAIL STE 103 PIKEVILLE KY 41501 PHYSICIAN PRACTICE 6 - PMC SPECIALTY CLINIC-PRESTONSBURG 311 NORTH ARNOLD AVE PRESTONSBURG KY 41653 PHYSICIAN PRACTICE 7 - PMC Clinic - WALMART Pikeville 251 CASSIDY BLVD PIKEVILLE KY 41501 PHYSICIAN PRACTICE 8 - PMC SPECIALTY CLINIC-GRUNDY 1520 SLATE CREEK ROAD STE 205 GRUNDY VA 24614 PHYSICIAN PRACTICE 9 - SLEEP LAB - WHITESBURG 60 MAIN STREET WHITESBURG KY 41858 sleep lab 10 - PRIMARY CARE PRACTICE - SHELBY VALLEY 6800 US HWY 23 S STE 3 PIKEVILLE KY 41501 phySICIAN PRACTICE 11 - PRIMARY CARE PRACTICE - HAROLD 246 KY RT 979 HAROLD KY 41635 PHYSICIAN PRACTICE 12 - PIKEVILLE FAMILY PRACTICE CLINIC 184 S MAYO TRAIL PIKEVILLE KY 41501 PHYSICIAN PRACTICE 13 - PMC SPECIALTY CLINIC-SOUTH WILLIAMSON 411 CENTRAL AVE STE 7 SOUTH WILLIAMSON KY 41503 PHYSICIAN PRACTICE 14 - CARDIOLOGY PRACTICE - LEXINGTON 989 GOVERNORS LANE LEXINGTON KY 40513 PHYSICIAN PRACTICE 15 - OPTHALMOLOGY - HAZARD 101 TOWN COUNTRY DRIVE STE 100 HAZARD KY 41701 PHYSICIAN PRACTICE 16 - PMC SPECIALTY CLINIC-PAINTSVILLE 826 SOUTH MAYO TRAIL PAINTSVILLE KY 41240 PHYSICIAN PRACTICE 17 - PMC SPECIALTY CLINIC-MCDOWELL ARH MCDOWELL BLDG MCDOWELL KY 41647 PHYSICIAN PRACTICE Part II, Community Building Activities: PIKEVILLE MEDICAL CENTER'S MISSION STATEMENT, "TO PROVIDE WORLD CLASS quality HEALTH CARE IN A CHRISTIAN ENVIRONMENT" IS THE CATALYST BEHIND PMC'S EFFORTS TO IMPROVE THE PHYSICAL, MENTAL AND SPIRITUAL WELL BEING OF THE PUBLIC. DURING FY 2017, PIKEVILLE MEDICAL CENTER REPORTED TAKING PART IN 211 COMMUNITY BUILDING ACTIVITIES, SERVING NEARLY 20,000 PEOPLE AND TOTALING MORE THAN $1,200,000. 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: EAST KY CARES-2017 HURRICANE RELIEF RADIO-TELETHON, FIRST-AID BOOTH AT HILLBILLY DAYS, SUPPORT OF THE MARCH OF DIMES WALK AND RELAY FOR LIFE PIKE COUNTY, COLORS OF COURAGE 5K RUN/WALK, SMOKING CESSATION CLASSES, A CHRISTMAS LIVE NATIVITY, OVER 500 MEALS PER MONTH PROVIDED TO MEALS ON WHEELS, AND RECRUITMENT OF MORE THAN 350 HEALTHCARE PROFESSIONALS. Part III, Line 4: SEE PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.The hospital has a detailed Financial Assistance Policy and makes every effort to educate patients with limited ability to pay regarding financial assistance, in addition, PMC Patient Financial Counselors are available to assist those in need throughout the financial assistance application process. For this reason the organization believes that it accurately captures charity care deductions provided according to the financial assistance policy and the amount of bad debt expense attributable to patients eligible under the organization's charity care policy is negligible. Part III, Line 8: No shortfall existed in FY 2017. The source used to determine the amount of Medicare allowable costs reported for Part III, Section B, Medicare has been provided from the Year Ended Sept 30, 2017 report: Hospital Statement of Reimbursable Cost. 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 patients' bill include a conspicuous written notice that informs recipients about the availability of financial assistance, the notice includes the telephone number of PMC's patient financial counseling department as well as the web site address where copies of the financial assistance policy, financial application forms, and a plain language summary of the financial assistance policy may be obtained. In addition, Billing department personnel inform each patient about PMC's FAP in all 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 IN THE MEDICAL LEADER, 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 PIKE, FLOYD, JOHNSON, MAGOFFIN, MARTIN, LETCHER AND PERRY COUNTIES IN KENTUCKY, MINGO COUNTY IN WEST VIRGINIA AND BUCHANAN COUNTY IN VIRGINIA. PMC IS COMMITTED TO MEETING THE NEEDS OF ITS PATIENTS BY PROVIDING HIGH QUALITY SPECIALTY SERVICES WITHIN THE REGION. PMC USES THE MOST RECENT U.S. CENSUS BUREAU DATA AND INFORMATION FROM THE KY STATE DATA CENTER WHEN TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC POPULATION IT SERVES. BASED ON 2017 DATA AVAILABLE, PMC'S SERVICE AREA CONTAINS A POPULATION OF APPROXIMATELY 236,271 INDIVIDUALS. THERE IS A RELATIVELY EVEN DISTRIBUTION OF MALES (49.4%) TO FEMALES (50.6%). THE AVERAGE HOUSEHOLD SIZE IS 2 INDIVIDUALS AND 18.1% OF THE POPULATION IS AGE 65 AND OVER. THE POVERTY-STRICKEN AREA SERVED BY PIKEVILLE MEDICAL CENTER HAS A MEDIAN FAMILY INCOME OF $31,163 WITH 30% OF THE POPULATION LIVING UNDER THE POVERTY LINE. Part VI, Line 6: Pikeville Medical Center (PMC), a beacon of hope for an improved quality of life, located in the coalfields of eastern Kentucky, is known for its compassionate employees, unparalleled service, advanced technology, and unmatched generosity to the community. Poised as a regional referral center in a multi-state region, PMC is continually expanding service offerings and looking for innovative ways to offer the best in health care to its patients and the broader population. The mission of Pikeville Medical Center is "to provide world class quality health care in a Christian environment." This mission is fulfilled daily, as the dedicated staff places the needs of the patients first while portraying a sense of enthusiasm, teamwork, and passion to help others.PMC has undergone substantial growth throughout its 93-year history, as the Hospital has continually responded to and met the healthcare needs of the community. Beginning as a small, rural, 50-bed facility at its inception in 1924, the Medical Center is today a comprehensive medical complex comprised of a 300-bed facility encompassing over one million square feet with both the main facility and surrounding supportive services. In 2014 PMC opened a new 11-story clinic and 10-story parking garage on the hospital's main campus. This expansion increased efficiency in operations and enhanced patient convenience. A one-of-a-kind architectural design in the area, the PMC Clinic houses most of PMC's physician practices under one roof as well as clinical space for additional surgical and endoscopy suites. The enclosed 10-story parking garage added 1,162 parking spaces to the main campus and enables patients to conveniently park on the same floor as their physician's office.The Hospital also expanded in other areas. The outpatient Diagnostic Center was expanded to permit additional laboratory and radiology testing of patients. The Pain Management building expansion increased the number of patient exam rooms available to serve patients in need of quality pain management training by more than 100%. Two Interventional Radiology suites were constructed with new cutting-edge equipment. A patient-centered 29 bed Critical Care Unit was opened on the 9th Floor of the May Tower. The Miner's Building was also the site for the development of an area for diagnosis and treatment of patients with Ebola. In addition to physical expansion, PMC, accredited by The Joint Commission, has experienced significant growth in patient volumes. Admissions increased to 15,642 in FY 2017 from 14,705 in FY 2016; surgical procedures increased to 23,301 in FY 2017 from 22,165 in FY 2016; trauma cases increased to 1,585 in FY 2017 from 1,419 in FY 2016; and physician outpatient visits increased to 202,115 in FY 2017 from 185,263 in FY 2016.PMC continues to recruit highly-qualified professionals aspiring to practice in a progressive, growing medical community that demands quality and strives for excellence. Currently, PMC employs more than 3,000 people. More than 400 providers are credentialed to practice at PMC. During FY 2017 the hospital welcomed 28 new employed physicians and contracted 10 additional with start dates ranging from December 2017 to August 2020.The hospital offers over 400 services, including most major specialties and many subspecialties. The tremendous physical growth and expansion in scope of specialty service capabilities, including trauma services, has transformed PMC in to a regional referral center for smaller community hospitals that have patients with complex medical needs whom they cannot serve. Current services include: a verified Level II Trauma Center, an award-winning, full-service Cancer Treatment Center; Chest Pain Center with Primary PCI; 40-bed Inpatient Physical Rehabilitation Hospital; an Accredited Gold Plus Stroke Center: Neurosurgery; Level II Neonatal Intensive Care Unit; Bariatric Surgery Center of Excellence, Joint Commission Gold Seal Certified Orthopedic Program, Pain Management, Pulmonary Rehabilitation, two satellite Sleep Lab facilities; a Diagnostic Center; integrated family and specialty physician practices, along with a retail clinic at Wal-Mart.Pikeville Medical Center is dedicated to providing patients with state-of-the-art treatment technology. PMC's diagnostic and therapeutic radiology services consists of two linear accelerators, one 32-slice large bore CT scanner, two 320-slice CT scanners, two 64-slice CT scanners, a PET/CT scanner, a Spect/CT scanner, two 1.5T open MRI's, a 3.0T open MRI, as well as two fully equipped Interventional Radiology Suites. In addition to expanding the range and dimension of health care services provided to patients in the region, Pikeville Medical Center's growth has played an inherent part in enhancing the Hospital's outreach to the community. PMC provides a variety of educational, wellness, and preventive health services that are fundamental to PMC's mission "to provide world class health care in a Christian environment." Charity Care: Through defined policies and procedures, PMC recorded uncompensated charity of more than $17,782,000 during FY 2017 (services at hospital's established rates). Health Care Support Services:Blood Drives PMC was host to four blood drives during FY 2017. Preparation for blood drives includes publicity before and after the event, obtaining give-away items for donors; reserving a location, helping with set-up and take-down, and pre-registering donors. Blood drives are conducted in accordance with the Kentucky Blood Center. In FY 2017, 254 donors participated in PMC's four blood drives, providing life-saving blood products to an estimated 763 recipients. These events cost PMC $2,712.Meals on Wheels In FY 2017, PMC provided 6,035 meals at a cost of $41,755.Guest Meals PMC donated 4,503 food trays to guests at a cost of $33,717 in FY 2017.Indigent Support Services - Many patients need financial assistance with prescribed medications, in-home medical equipment, transportation, and other items or services. To help reduce financial burden, PMC's Chaplain Services, Case Management, and Leonard Lawson Cancer Center departments provided assistance to 391 patients totaling $29,425 in FY 2017. Assistance went to patients needing prescribed medications and transportation upon discharge. Transportation support was also provided to patients needing to travel to and from the hospital to receive care. In addition, the hospital purchased child car seats, home medical equipment, and medical supplies for patients in need.Spiritual - PMC's Chaplaincy department works around the clock to ensure patients' spiritual needs are met. The staff rounds daily on each patient, offering words of encouragement and prayer. In FY 2017, 672 Bibles for newborns were distributed and eight large print Bibles were purchased for public use within the PMC Chapel. Easter Sunrise and Holy Week Services, which included six events with nearly 300 participants, were also conducted during FY 2017. These services provided a community benefit of more than $31,000.Community Financial Donations: In FY 2017, PMC extended its path of corporate stewardship through financial donations to community organizations, in addition to supporting employee participation in community activities and events with a common goal of serving others. The hospital provided $26,750 in financial support to such entities as:American Cancer SocietyMountain Mission School & ChoirShaping Our Appalachian Region, Inc. (SOAR)March of DimesKentucky Chamber FoundationFloyd County Emergency and Rescue SquadPikeville Police and Fire 5K Run/WalkSoutheast Kentucky Chamber of CommerceBlessed Beyond MeasureAfter Breast Cancer Support GroupPMC is a proud supporter of SOAR, an Appalachian Kentucky network committed to the common purpose of improving education, health and the economy for all citizens of the region through innovation and collaboration. PMC executives and staff participate in annual conferences to assist in shaping a better future for the region.Fundraising: During August 2017, PMC hosted its fourth annual "Colors of Courage" 5K fundraiser in Pikeville to benefit underinsured cancer patients of the hospital's Leonard Lawson Cancer Center and bring awareness to all types of cancer. More than 500 runners and walkers came together for this common cause. Hospital employees organized, publicized, and worked the event. The total community benefit was $20,670. The cost of fundraising was $6,503.PMC partnered with East Kentucky Broadcasting during September 2017 to host "East Kentucky Cares Hurricane Relief" a live radio-telethon event to directly benefit hurricane relief efforts across the southern United States through the American Red Cross. Hospital employees volunteered throughout the event answering calls and collecting donations. The event generated over $85,000 in pledged donations. Part VI line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED)Health Screenings: PMC participated in 15 free community health fairs/screenings during FY 2017 including three diabetes screening events and a World Hepatitis Day health screening event. Health education materials were distributed at the events, which were attended by more than 3,500 people. All screenings were hosted by PMC physicians, nurses and/or support staff. The events provided a community benefit of $30,489.Other events during which PMC hosted free health screenings included: - First-Aid Booth Hillbilly Days Festival- U.S. Army Corp Engineers Health Fair- Mine Safety and Health Administration (MSHA) Health Fair- Stroke Awareness Day- Marrowbone Senior Citizens Center Health Fair- Belfry Senior Citizens Center Health Fair- Shelby Valley Senior Citizens Health Fair- Pikeville Senior Citizens Health Fair- Betsy Layne Senior Citizens Safety Fair- East KY Sport/Boat/RV Show- World Hepatitis Day Health FairCommunity Health Education: PMC's staff remains involved in educating the community on important health care topics. Throughout FY 2017, hospital representatives from various departments spoke to local civic clubs, schools, medical professionals, and the public at large. Through its 143 community education efforts in FY 2017, PMC contributed $554,472.PMC employees participated in the following lectures/presentations/publications during FY 2017:- Betsy Layne Senior Citizen Center Safety Fair- Patton Leadership Institute - Basic EKG Interpretation Demonstration- Heart Healthy Awareness Event- Carl D. Perkins College/Career Day- Pre-hospital Trauma Life Support Outreach Education- University of Pikeville-Business for Breakfast (7)- Stop the Bleed Trauma Demonstration (2)- University of Pikeville Trained Scholars (20)- Ready Fest-Back to School Bash- Wilderness Survival/First Aid/Helicopter LZ Safety Event- Influenza Education Program- Heart Month Education Program- Health Minute/Medical Journal- Health Talk Programs (12)- Mayo Minute Programs (12)- Back to School Safety Education Program- Medical Leader Community Publication and Website- Stroke Awareness Day- Weight Loss Surgery Education Seminars (15)Health Talk - Each week, PMC's Public Relations department records a 30-minute radio show that is aired on nine local radio stations covering Pike, Floyd, Letcher, Johnson, Knott, Magoffin, and Martin counties in Kentucky and Mingo County, West Virginia. Through this show, PMC informs listeners of new health services, physicians and technology at the hospital. This program educates the public on health topics of interest which have included family medicine; flu; pulmonary rehabilitation; cancer symptoms, prevention and treatment; and diabetes. In FY 2017, the total cost for this program was more than $35,100.Mayo Minute - PMC regularly sponsors Mayo Minute radio spots from Mayo Clinic as a Mayo Clinic Care Network Member. The 60-second radio spots are aired on nine local radio stations covering Pike, Floyd, Letcher, Johnson, Knott, Magoffin and Martin Counties in Kentucky and Mingo County, West Virginia. Mayo Minute covers a wide range of health topics. In FY 2017, the total cost for this program was $46,617.Medical Leader - PMC publishes a weekly newspaper, Medical Leader, in which health information is printed along with content about PMC services, physicians, and technology. During FY 2017 the hospital printed 7,500 copies of Medical Leader weekly and distributed them, free of charge, to more than 150 locations in Pike, Floyd, and Letcher counties in Kentucky, and Mingo County, West Virginia. Medical Leader maintained its own website with nearly 5,000 email subscribers. This community benefit exceeded $275,400 in FY 2017.Weight Loss Surgery Education Seminars - PMC's Weight Loss Surgery Center staff educates the public on various bariatric surgery, weight management, and nutrition topics. Seminars are advertised prior to the events to increase public awareness. During FY 2017, this community benefit totaled $55,874.Community Self-Help Education: Forty smoking cessation classes were offered by PMC during FY 2017, reaching 34 participants at a cost of $6,014.Health Professions Education: During FY 2017, PMC invested $905,352 in health professions education. In affiliation with nearly thirty academic institutions, PMC trained more than 400 students during 2017, in more than twenty different specialties including: nursing, respiratory therapy, pharmacy, and radiology. Schools affiliated with PMC include:American National UniversityBellarmine UniversityBig Sandy Community and Technical CollegeCardiac & Vascular Institute of UIEastern Kentucky UniversityEast Tennessee State UniversityFrontier School of Midwifery and Family NursingHazard Community and Technical CollegeKentucky Christian UniversityKentucky Community Technical College SystemKing UniversityLincoln Memorial UniversityMeridian Institute of Surgical AssistingMorehead State UniversitySoutheast Community CollegeSouthern West Virginia Community & Technical CollegeSouthwest Virginia Community CollegeSpalding UniversityUnion College of BarbourvilleUnion UniversityUniversity of Appalachia College of PharmacyUniversity of CharlestonUniversity of CincinnatiUniversity of KentuckyUniversity of PikevilleVirginia Commonwealth UniversityWalden UniversityResidency Program - PMC's Residency Program is accredited by the American Osteopathic Association and is sponsored by the Appalachian Osteopathic Postgraduate Training Institute Consortium. PMC operates the only Integrated Osteopathic Family Medicine and Manipulative Treatment/Neuromusculoskeletal Medicine Residency Program in Kentucky, the only Plus-One Neuromusculoskeletal and Osteopathic Manipulative Medicine Residency Program in Kentucky, and one of only five Family Practice and Osteopathic Manipulative Treatment Medicine Residency Programs in Kentucky. The hospital, in conjunction with the Residency Program, operates a Family Practice Clinic which treats more than 12,000 patients annually. This service allows PMC to educate and retain competent, skilled physicians in the region. During the residency year of July 2016 to June 2017, PMC trained 13 residents. This program provided a community benefit of $893,437.Pikeville Medical Center has also partnered with the University of Pikeville Kentucky College of Optometry, a not-for-profit Optometric education institution engaged in educating Optometric students and advancing Optometric education to provide clinical care space and equipment as a Core Site to accommodate optometry patient care for the education and training of Optometric students.Continuing Health Professionals Education - PMC has an active Medical Library staff that coordinates and oversees Continuing Medical Education (CME) hours offered at the hospital. Most CMEs are open to not only PMC staff, but to other medical professionals throughout the region. In FY 2017, PMC offered 102 CME presentations, reaching more than 2,000 attendees. This service provided a community benefit of $11,915. The educational opportunities offered by the hospital during FY 2017 covered the following topics:- Advanced Cardiovascular Life Support (21 events) - Cardiology Grand Rounds (9 events) - Cancer Case Conference (12 events)- Heart and Vascular Symposium- Infectious Disease conference (12 events)- Pain Management Symposium- Pediatric Advanced Life Support (21 events)- Stroke Case Conference (12 events)- Trauma Symposium- Trauma Grand Rounds (12 events)Physician, Midlevel and Nursing Professional Recruitment: PMC's recruitment program is focused on providing patients within the service area with quality medical care by recruiting an adequate number of primary care physicians along with a desired mix of specialty physicians. Physician recruitment is essential to enhancing the health and well being of the region. PMC is a regional referral center for specialty and sub-specialty services not provided by other local hospitals. During FY 2017, PMC recruiters attended 25 physician recruitment conferences. Twenty-four physicians, twenty-one midlevel professionals and 325 registered nurses were added to PMC's team of healthcare providers during the fiscal year. The total community benefit associated with recruitment of these providers during FY 2017 was $930,047. The recruited physicians practice in the following specialties: - Anesthesiology- Cardiothoracic Surgery- Critical Care- Emergency Medicine- Hematology/Oncology- Hospitalist Medicine- Interventional Radiology- Podiatry- Primary Care Medicine- Pulmonology- Urology- Vascular Surgery Part VI line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED)Support Groups: In FY 2017, PMC hosted/sponsored 37 support group meetings, more than 260 people and providing $8,281 in community benefits. Below is a list of the support groups PMC hosted/sponsored: - After Breast Cancer (ABC) Support Group- Cure Blood Cancer Support Group- Man to Man Prostate Cancer Support Group- Thyroid Cancer Support Group- Diabetes Support Group- Weight Loss Surgery Support GroupOther Community Support: Throughout FY 2017, PMC hosted, sponsored, or participated in several events to support the community including: - First-Aid Booth Hillbilly Days Festival--a nationally known annual event held in downtown Pikeville to benefit the Shriners' Children's Hospital- Light the Night Walk- Millard Elementary Safe Trick or Treat- Live Nativity- March of Dimes Walk- PMC Booth at Nightmare on Main- Relay For Life- SOAR 5K Run/Walk- Whitesburg Elementary Safe Trick or Treat- Children's Community Christmas Party with Santa- A Perfect Affair: Bridal Show Event- YMCA Healthy Kids Day & Easter Egg HuntThe total community benefit for the other community support events was $43,308. 1 SOUTHEAST KENTUCKY CHAMBER OF COMMERCE 178 COLLEGE STREET PIKEVILLE KY 41501 610544068 501c3 11100 PREMIER SPONSORSHIP 2017 AWARDS BANQUET 1 0 ASSISTANCE FOR UNINSURED PATIENTS FOR PRESCRIPTIONS, CAFE VOUCHERS, TRANSPORTATION, MEDICAL EQUIPMENT AND CANCER TREATMENT TRAVEL ASSISTANCE. 391 29425 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. Part III, Column (A) ASSISTANCE FOR UNINSURED PATIENTS FOR PRESCRIPTIONS, CAFE VOUCHERS, TRANSPORTATION, MEDICAL EQUIPMENT AND CANCER TREATMENT TRAVEL ASSISTANCE. THERE WERE 341 PRESCRIPTIONS PROVIDED, 33 CAFe VOUCHERS PROVIDED AND 283 INSTANCES OF TRAVEL ASSISTANCE. X 1 1 X X X 1 0 0 1 0 0 0 1 0 FADI Al AKHRASS MD Board-CHIEF OF STAFF (1/1/17-9/30/17 451464 0 0 0 249 0 9000 0 23419 0 484132 0 0 0 WALTER E MAY President/CEO 649702 0 0 0 228 0 12000 0 23419 0 685349 0 0 0 MICHELLE HAGY CFO - VP Finance 300444 0 36627 0 4067 0 5042 0 23417 0 369597 0 0 0 JUANITA DESKINS Chief opERATING OFFICER 340087 0 34662 0 2828 0 12000 0 23419 0 412996 0 0 0 DEBRA PARSONS CHIEF NURSING OFFICer 224176 0 6822 0 4060 0 7875 0 9596 0 252529 0 0 0 AARON CRUM MD CHIEF MEDICAL OFFICER 694205 0 0 0 415 0 9000 0 23419 0 727039 0 0 0 cherYL HICKMAN Assistant to president 180179 0 15492 0 6961 0 8686 0 20843 0 232161 0 0 0 deborah Puckett VP rehAB SERVICes 145496 0 4457 0 2495 0 7351 0 22944 0 182743 0 0 0 CATHERINE JORGENSEN VP Corporate Compliance & 183744 0 5609 0 3692 0 9250 0 23159 0 225454 0 0 0 TONY DAMRON CHief Information Officer 163744 0 5003 0 1207 0 3649 0 23046 0 196649 0 0 0 Ralph Lomma VP Facilities 185364 0 5655 0 15202 0 9325 0 9402 0 224948 0 0 0 Michelle Rainey Assistant Chief Nursing Of 164569 0 4837 0 6667 0 4990 0 23055 0 204118 0 0 0 Aaron Brown MD Trauma Surgeon 987894 0 0 0 249 0 9000 0 23419 0 1020562 0 0 0 AMY JOHNSON MD Bariatric & General Surgeon 473744 0 488656 0 637 0 12000 0 23419 0 998456 0 0 0 Kevin Pugh MD Orthopedic Surgeon 1004376 0 0 0 277 0 9000 0 23419 0 1037072 0 0 0 Keith Hall MD Orthopedic Surgeon 999855 0 0 0 277 0 9000 0 23419 0 1032551 0 0 0 William Peery II MD Trauma Surgeon 988239 0 0 0 249 0 9000 0 23419 0 1020907 0 0 0 russELL SHANKLIN Former - Assist Chief Information 168750 0 1386 0 1393 0 8516 0 23067 0 203112 0 0 0 PEGGY JUSTICE Former - VP PHYSICIAN NETWORK 156668 0 1302 0 1542 0 7937 0 23015 0 190464 0 0 0 Part I, Line 4a DEBRA PARSONS RECEIVED SEVERANCE PAYMENTS TOTALING $147,115. Part I, Line 7 THERE WAS BONUS PAYMENT TO KEY EMPLOYEES RELATED TO FY 2016 ORGANIZATIONAL PERFORMANCE. DR. JOHNSON EARNS QUARTERLY BONUSES BASED ON THE WORK RELATIVE VALUE UNIT PRODUCTION WITHIN HER PRACTICE. A CITY OF PIKEVILLE KY 616001897 72134PAR3 2011-04-27 90370651 SEE BELOW 0 0 0 A 90370651 3563671 1328586 41241831 44236563 2014 1 0 1 1 A 0 1 1 1 1 1 0.00890 0.00890 0 0 0 A 0 0 0 0 0 0 0 0 0 A 1 Form 990, Sch K THE BONDS WERE ISSUED FOR THE PURPOSES OF PROVIDING FUNDS TO BE USED TO 1.) FINANCE A PORTION OF THE COSTS OF CERTAIN ADDITIONS, RENOVATIONS, IMPROVEMENTS AND EQUIPMENT FOR PIKEVILLE MEDICAL CENTER 2.) REFUND KY ECONOMIC DEVELOPMENT FINANCE AUTHORITY HOSPITAL REVENUE AND REFUND REVENUE BONDS, SERIES 1997 3.) RETIRE CERTAIN OUTSTANDING TAXABLE DEBT 4.) FUND A DEBT SERVICE RESERVE FUND 5.) FUND CAPITALIZED INTEREST DURING CONSTRUCTION OF THE PROJECT AND 6.) PAY COST OF ISSUANCE OF THE BONDS. BRANDI MAY Daughter in law of Walter E. May 1308 employee educational assistance employee educational assistance ADRIENNE ADKINS STEP GRANDDAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO 66463 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS STAFF REGISTERED NURSE. 0 ANDREA ALLARA DAUGHTER OF JOE DEAN ANDERSON, PMC BOARD MEMBER 43758 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS RADIOLOGY COORDINATOR. 0 ANDREA ROBINETTE LOWE STEP DAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO 150192 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS VP- Human Resources. 0 BART DAVIS Grandson of Jo Nell Robinson, PMC Board Member 59770 Employed By Pikeville Medical Center as Director of Fleet. 0 BRANDI MAY DAUGHTER IN LAW OF WALTER E. MAY, PMC PRESIDENT/CEO 19446 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A Clinic NURSE PRACTITIONER. 0 CAMILLA DAMRON DAUGHTER OF JO NELL ROBINSON, PMC BOARD MEMBER 77378 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A SPEECH LANGUAGE PATHOLOGIST. 0 City of Pikeville ENTITY OF WHICH SPOUSE of DEBra BLACKBURN HAS BUSINESS relationship 743662 SPOUSE OF PMC BOARD MEMBER, Debra BLACKBURN, EMPLOYED AS CITY MANAGER OF CITY OF PIKEVILLE. SERVICES PROVIDED BY CITY OF PIKEVILLE TO PIKEVILLE MEDICAL CENTER: GAS, TRASH, WATER, AND SEWER UTILITY PAYMENTS, $742,718.14 -ADVERTISING INCOME MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $944.00. 0 COMMUNITY TRUST BANK ENTITY OF WHICH BOARD MEMBER HAs BUSINESS RELATIONSHIP 8363291 DAVID COLLINS SERVES AS BOARD MEMBER OF BOTH ENTITIES. SERVICES PROVIDED BY COMMUNITY TRUST BANK TO PIKEVILLE MEDICAL CENTER: -INTEREST INCOME BANKING SERVICES & FUNDS IN TRUST, $821,864.80 -SAFE DEPOSIT BOX FEES/LINE OF CREDIT FEES/BOND ACCT MGMT FEES, $25,216.79 -INSTALLMENT LOAN PAYMENTS, $7,497,770.79 -ADVERTISING INCOME MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $18,438.20 0 Cordell Weatherford Grandson in law of Walter E May, PMC President/CEO 100416 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS ASSISTANT VICE PRESIDENT-ADMINISTRATION. 0 EAST KY BROADCASTING & EAST KY RADIO NETWORK (TOTAL OF NINE RADIO STATIONs) ENTITIES MORE THAN 35% OWNED BY WALTER E. MAY, PMC PRESIDENT/CEO 1601377 ENTITIES PROVIDE ADVERTISING SERVICES TO PMC, $1,508,849.60 -ENTITIES PROVIDE ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $92,527.45 0 KAMINSKI ROBINSON SPOUSE OF JO NELL ROBINSON, PMC BOARD MEMBER 66145 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-CHAPLAIN SERVICES. 0 Miranda Forsyth SISTER IN LAW OF Debra Blackburn, PMC BOARD MEMBER 71264 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS STAFF REGISTERED NURSE. 0 RANDY L JOHNSON SON IN LAW OF WALTER E. MAY, PMC PRES;SPOUSE OF CINDY JOHNSON, PMC BD MEM 61653 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-CHAPLAIN SERVICEs. 0 Rhonda Coleman SISTER IN LAW OF Debra Blackburn, PMC BOARD MEMBER 54120 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS SENIOR COMPLIANCE CODING AUDITOR 0 Rita Crum SISTER IN LAW OF AARON CRUM, M.D., PMC BOARD MEMBER 39160 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR of EMPLOYEE DEVELOPMENT/EDUCATION. 0 ROBERT BELL STEP SON OF HOBART JOHNSON, PMC BOARD MEMBER 102551 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS Nutritional Services Head Chef. 0 SARAH Taylor DAUGHTER OF CHERYL HICKMAN, PMC KEY EMPLOYEE 82278 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS IT- Project Manager. 0 TRISTAN BLACKBURN Son of Debra Blackburn, PMC Board Member 73217 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS Network Administrator. 0 US BANK ENTITY OF WHICH KEY EMPLOYEE HAS A BUSINESS RELATIONASHIP 795871 AARON CRUM, M.D., SERVES ON THE BOARD AT US BANK. SERVICES PROVIDED BY US BANK TO PIKEVILLE MEDICAL CENTER: INSTALLMENT LOAN PAYMENTS, $788,954.41 - RENT, $9,916.16 0 East Kentucky Law Group PSC Entity more than 35% owned by spouse of Walter E. May, PMC President/CEO 1090403 FIRM PROVIDES LEGAL SERVICES TO PIKEVILLE MEDICAL CENTER. 0 PIKEVILLE RADIOLOGY ENTITY MORE THAN 35% OWNED BY TWO PMC BOARD MEMBERS 26658 ALEX POULOS, MD AND DENNS HALBERT, MD ARE PARTNERS OF PIKEVILLE RADIOLOGY WITH WHOM PIKEVILLE MEDICAL CENTER CONTRACTS WITH FOR RADIOLOGY SERVICES 0 WILLIAM BLACKBURN SPOUSE OF DEBRA BLACKBURN, PMC BOARD MEMBER 82385 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS ASSISTANT CEO 0 BRAD LOWE STEP SON IN LAW OF WALTER E MAY, PMC PRESIDENT/CEO 47111 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS EXECUTIVE DIRECTOR PHYSICIAN REFERRAL 0 CAROLINA WEATHERFORD DBA CLW EDITING GRANDDAUGHTER OF WALTER E MAY, PMC PRESIDENT/CEO: DAUGHTER OF CINDY JOHNSON 17175 ENTITY PROVIDES PROOFREADING SERVICES FOR PIKEVILLE MEDICAL CENTER'S MEDICAL LEADER PUBLICATION 0 SUMMITT ENGINEERING ENTITY WHICH PMC FORMER KEY EMPLOYEE, PEGGY JUSTICE'S BROTHER IS A PARTNer 68047 ENTITY PROVIDES ENGINERING SERVICES TO PIKEVILLE MEDICAL CENTER 0 JORDAN ELIZABETH PUGH GRANDDAUGHTER OF SUE SMALLWOOD, PMC BOARD MEMBER 55600 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS RECRUITER 0 Form 990, Part VI, Section A, line 2 Dr Alex Poulos & Dr Dennis Halbert partners in Pikeville Radiology. 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. Copies are provided to each voting member of the organization's governing body upon request. 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, CHILDREN, GRANDCHILDREN, BROTHERS AND SISTERS AND THE SPOUSES OF THOSE INDIVIDUALS. THE SCOPE OF THIS POLICY INCLUDES: PIKEVILLE MEDICAL CENTER AND ALL ITS DEPARTMENTS AND SERVICES WHEREVER LOCATED. THE COVERED INDIVIDUALS ARE TO FOLLOW THESE PROCEDURES: 1. ALL LICENSED CLINICAL STAFF, SUPERVISORS, AND MANAGEMENT PERSONNEL SHALL COMPLETE A DUALITY AND CONFLICT OF INTEREST FORM AT THE TIME OF INITIAL EMPLOYMENT AND ANNUALLY THEREAFTER. 2. EMPLOYEE CONFLICT OF INTEREST FORMS SHALL BE FILED IN THEIR PERSONNEL FILES. 3. IN THE EVENT THAT AN EMPLOYEE'S JOB DESCRIPTION OR DUTIES REQUIRES A BUSINESS RELATED DECISION TO BE MADE IN AN AREA IN WHICH A PERSONAL CONFLICT OF INTEREST HAS BEEN IDENTIFIED, THE EMPLOYEE SHALL NOTIFY HIS/HER SUPERVISOR TO ARRANGE FOR AN ALTERNATIVE DECISION MAKING PROCESS WHICH WILL MAINTAIN OBJECTIVITY AND ELIMINATE PERSONAL BIAS, I.E. PERSONAL WITHDRAWAL FROM THE DECISION MAKING PROCESS, SOLICITATION OF CLOSED BIDS, OR UTILIZATION OF AN INDEPENDENT SELECTION COMMITTEE. 4. IF AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF ETHICS IS IDENTIFIED INVOLVING PATIENT CARE OR TREATMENT, THE EMPLOYEE SHOULD SEEK ASSISTANCE FROM THEIR SUPERVISOR TO FIND A RESOLUTION WHICH WOULD HAVE MINIMUM IMPACT ON PATIENT CARE, TREATMENT, OR SERVICES. Form 990, Part VI, Section B, line 15a THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE SALARY OF THE ORGANIZATION'S CEO. THE COMMITTEE USES COMPARATIVE DATA FROM NATIONAL SALARY SURVEYS. MOTION AND APPROVALS FROM THE COMMITTEE ARE KEPT IN THE MINUTES. Form 990, Part VI, Section C, line 19 The organization does make the financial statements available to the public upon request. Form 990, Part XI, line 9: INTEREST IN CHARITABLE REMAINDER TRUST 33,571. rounding 2. Form 990, Part XII, Line 2c. Oversight of Audit Process The Board of Directors assumes responsibility for oversight of the audit of the financial statements and no processes have changed from the prior year. Pikeville Medical Center Foundation For Quality Healthcare 911 Bypass Road Pikeville KY 41501 472020718 Support KY 501(c)(3) Line 12a, I Pikeville Medical Center Inc 1 PIKEVILLE MEDICAL DEVELOPMENT CORPORATION 911 bypass road piKeville KY 41501 202487928 INACTIVE KY N/A C -349 6746 1.00000 0 landmark properties of pikeville inc PO Box 1259 Pikeville KY 41502 462494613 Lodging/Dining KY Pikeville Medical Center C -352907 5176679 1.00000 1 0 1 1 1 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 landmark Properties B 318229 cash landmark Properties D 473317 cost landmark Properties J 12 Cost landmark Properties M 1545312 COST Landmark Properties K 84000 cost PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE INC C 593787 cash