2014-08-15T14:00:53-05:00 2013-09-30 990 2012-10-01 610458376 PIKEVILLE MEDICAL CENTER INC PIKE 6062183501 911 BYPASS ROAD PIKEVILLE KY 41501 MICHELLE HAGY 6062183974 2014-08-15 2012 2015-11-30 17:44:51Z WALTER E MAY 911 BYPASS ROAD PIKEVILLE KY 41501 367801940 0 X WWW.PIKEVILLEHOSPITAL.ORG X 1923 KY THE CENTER'S MISSION IS TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT 15 5 2810 204 2745454 0 363597 378614 385376490 342921275 554182 83141 11747236 11203268 398041505 354586298 176467 163545 0 0 179449038 191023710 0 0 7837 195894960 142062274 375520465 333249529 22521040 21336769 426453584 482877006 193391387 228845732 233062197 254031274 X PIKEVILLE MEDICAL CENTER'S MISSION IS TO PROVIDE QUALITY REGIONAL HEALTHCARE IN A CHRISTIAN ENVIRONMENT. 0 0 79855873 0 42389398 PHYSICIAN PRACTICES:CURRENTLY, NEARLY 290 HEALTH CARE PROVIDERS ARE CREDENTIALED TO PRACTICE MEDICINE AT PIKEVILLE MEDICAL CENTER (PMC).IN FY 2013, PMC WELCOMED 31 PHYSICIANS, 14 NURSE PRACTITIONERS AND THREE PHYSICIAN ASSISTANTS. THE PHYSICIANS RECRUITED DURING THAT TIME PERIOD CONSIST OF ONE ANESTHESIOLOGIST, TWO CARDIOLOGISTS, ONE CARDIOLOGIST/ELECTROPHYSIOLOGIST, ONE CARDIOTHORACIC & VASCULAR SURGEON, ONE CARDIOTHORACIC/TRAUMA SURGEON, ONE ENDOCRINOLOGIST, ONE GASTROENTEROLOGIST, ONE GENERAL SURGEON, FOUR HOSPITALISTS, ONE INTERVENTIONAL CARDIOLOGIST, TWO INTERVENTIONAL RADIOLOGISTS, ONE ORTHOPEDIC TRAUMA SURGEON, ONE PAIN MANAGEMENT SPECIALIST, ONE PLASTIC/RECONSTRUCTIVE SURGEON, ONE PODIATRIST, THREE PULMONARY/CRITICAL CARE SPECIALISTS, ONE RADIATION ONCOLOGIST AND SEVEN TRAUMA SURGEONS. WITH THE ADDITION OF THESE NEW PHYSICIANS, PMC OFFERS MORE THAN 400 SERVICES, INCLUDING EVERY SPECIALTY AND MANY SUB-SPECIALTIES. IN MAY 2013, PMC ANNOUNCED ITS MEMBERSHIP IN THE MAYO CLINIC CARE NETWORK. THIS PARTNERSHIP - THE FIRST OF ITS KIND TO BE FORMED IN THE AREA - IS A POWERFUL TOOL THAT ALLOWS PMC PHYSICIANS TO CONSULT WITH MAYO CLINIC PHYSICIANS ON COMPLEX MEDICAL CASES. AS A MEMBER OF THE MAYO CLINIC CARE NETWORK, PMC HAS ACCESS TO THE LATEST INFORMATION, TOOLS AND TECHNOLOGIES TO PROVIDE QUALITY CARE AS WELL AS IMPROVE SYSTEMS AND THE OVERALL HEALTH OF THE COMMUNITY.UNTIL RECENTLY, MOST OF PMC'S PHYSICIAN PRACTICES WERE SPREAD THROUGHOUT THE COMMUNITY AND OUTLYING AREAS. TO MAKE HEALTH CARE MORE ACCESSIBLE AND EFFICIENT, PMC OPENED AN 11-STORY CLINIC AND A 10-STORY PARKING GARAGE ON THE HOSPITAL'S MAIN CAMPUS IN APRIL 2014. THE CLINIC HOUSES EIGHT ADDITIONAL OPERATING ROOMS, SIX ADDITIONAL ENDOSCOPY SUITES, 23 PRE-OP ROOMS, 27 POST-OP ROOMS AND MOST OF PMC'S PHYSICIAN PRACTICES INCLUDING PLASTIC/RECONSTRUCTIVE SURGERY, INTERVENTIONAL RADIOLOGY, CARDIOTHORACIC SURGERY, VASCULAR SURGERY, GASTROENTEROLOGY, GENERAL SURGERY, TRAUMA SURGERY, UROLOGY, OBSTETRICS/GYNECOLOGY, FAMILY MEDICINE, PEDIATRICS, PEDIATRIC ENDOCRINOLOGY, ORTHOPEDICS, SPORTS MEDICINE, HAND SURGERY, ORTHOPEDIC TRAUMA SURGERY, NEPHROLOGY, NEUROSURGERY, PULMONOLOGY, INFECTIOUS DISEASE AND RHEUMATOLOGY. FUTURE SERVICES TO BE OFFERED IN THE CLINIC INCLUDE NEUROLOGY AND CLINICAL PSYCHOLOGY. THE 1,162-SPACE PARKING GARAGE CONNECTS TO THE 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, HAZARD AND PRESTONSBURG (KENTUCKY) AND GRUNDY (VIRGINIA); ONCOLOGY - MEDICAL/HEMATOLOGY/RADIATION/GYNECOLOGIC - IN PIKEVILLE, WHITESBURG AND PRESTONSBURG (KENTUCKY) AND GRUNDY (VIRGINIA); FAMILY MEDICINE IN PIKEVILLE, HAROLD AND SHELBY VALLEY (KENTUCKY); OBSTETRICS/GYNECOLOGY IN HAROLD; OPHTHALMOLOGY IN PIKEVILLE; RETINAL OPHTHALMOLOGY IN PIKEVILLE; PAIN MANAGEMENT IN PIKEVILLE; PHYSIATRY IN PIKEVILLE; DERMATOPATHOLOGY IN PIKEVILLE; CARDIAC REHABILITATION IN PIKEVILLE; AND PULMONARY REHABILITATION IN PIKEVILLE. PMC ALSO EMPLOYS ANESTHESIOLOGISTS, HOSPITALISTS, INTENSIVISTS AND NEONATOLOGISTS.PMC PHYSICIANS COMPLETED MORE THAN 204,400 PATIENT VISITS DURING FY 2013, AN INCREASE OF 7% FROM THE PREVIOUS YEAR. 20369567 0 34651257 CARDIAC SERVICES:HEART DISEASE IS ONE OF THE MOST PREVALENT HEALTH PROBLEMS AFFECTING THE REGION PIKEVILLE MEDICAL CENTER (PMC) SERVES. THE HOSPITAL IS CONTINUING ITS MISSION TO OFFER A WORLD-CLASS HEART & VASCULAR INSTITUTE SO THAT PATIENTS DON'T HAVE TO TRAVEL OUTSIDE OF THE AREA FOR CARE. PMC IS AN ACCREDITED CHEST PAIN CENTER WITH PCI AND IS A LEVEL IV CHEST PAIN CENTER. THE HEART & VASCULAR INSTITUTE RECEIVED THE AMERICAN HEART ASSOCIATION'S MISSION LIFELINE 2013 ACHIEVEMENT AWARD IN JULY 2013, AND PMC WAS NAMED A CARDIOVASCULAR CENTER OF EXCELLENCE BY THE CONSORTIUM FOR SOUTHEASTERN HYPERTENSION CONTROL IN SEPTEMBER 2013. SOME OF THE SERVICES OFFERED BY PMC'S HEART AND VASCULAR INSTITUTE INCLUDE CARDIOLOGY, INVASIVE CARDIOLOGY, INTERVENTIONAL CARDIOLOGY, ECHOCARDIOGRAPHY, CARDIOTHORACIC SURGERY, VASCULAR SURGERY, INTERVENTIONAL RADIOLOGY, ELECTROPHYSIOLOGY AND CARDIAC REHABILITATION.PMC IS DEDICATED TO RECRUITING HIGHLY-SKILLED, HIGHLY-TRAINED PHYSICIANS TO ITS HEART AND VASCULAR INSTITUTE AND CURRENTLY EMPLOYS TWO CARDIOLOGISTS, TWO INVASIVE CARDIOLOGISTS, THREE INTERVENTIONAL CARDIOLOGISTS, TWO ELECTROPHYSIOLOGISTS, TWO CARDIOTHORACIC SURGEONS, ONE VASCULAR SURGEON AND ONE INTERVENTIONAL RADIOLOGIST AS WELL AS SEVERAL PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND NURSES. AN ADDITIONAL ELECTROPHYSIOLOGIST WILL SOON BE JOINING THE TEAM.PMC IS COMMITTED TO PROVIDING THE MOST ADVANCED TECHNOLOGY AVAILABLE ANYWHERE. DURING FY 2013, THE HOSPITAL PURCHASED A SPECTRANETICS LASER FOR THE HEART & VASCULAR INSTITUTE TO ALLOW PHYSICIANS TO REMOVE ICT PACEMAKER LEADS FROM THE HEART WITH GREATER EASE AND LESS RISK OF TRAUMA TO THE HEART. THIS TECHNOLOGY NOT ONLY INCREASES THE SAFETY OF LEAD REMOVAL, BUT ALSO DECREASES CASE TIME. THE HOSPITAL COMPLETED MORE THAN 48,600 CARDIAC CASES DURING FY 2013. OF THOSE CASES, 167 WERE OPEN HEART SURGERIES, A 26% INCREASE FROM THE PREVIOUS YEAR. 12883673 0 41305301 IMAGING SERVICES:PIKEVILLE MEDICAL CENTER (PMC) TAKES PRIDE IN OFFERING STATE-OF-THE-ART IMAGING EQUIPMENT AND CONTINUOUSLY INVESTS IN CUTTING-EDGE TECHNOLOGY.THE HOSPITAL OFFERS IMAGING SERVICES WITHIN THE HOSPITAL AS WELL AS IN ITS DIAGNOSTIC CENTER, CONVENIENTLY LOCATED ON THE HOSPITAL'S MAIN CAMPUS. DUE TO THE LARGE NUMBER OF PATIENTS BEING SEEN IN THE DIAGNOSTIC CENTER, PMC EXPANDED THE FACILITY FROM 5,898 SQUARE FEET TO 9,140 SQUARE FEET IN FY 2013. PHASE I OF THE PROJECT CONSISTED OF INSTALLING UNDERGROUND UTILITIES, CONSTRUCTION OF A NEW FOUNDATION AND ERECTION OF THE EXPANSION'S STRUCTURAL STEEL. PHASE II INVOLVED THE BUILD-OUT AND COMPLETION OF THE EXPANSION. NEW SPACE FUNCTIONS INCLUDE X-RAY ROOM, MAMMOGRAPHY, BONE DENSITY, ULTRASOUND, LAB, CT SCAN, WAITING AREA, OFFICE SPACE, MECHANICAL/ELECTRICAL ROOM AND SHELL SPACE FOR FUTURE GROWTH. THE TOTAL COST FOR THE EXPANSION WAS $4,173,114. A SIEMENS 3D C-ARM SYSTEM WAS PURCHASED IN FY 2013 TO ENABLE SURGEONS TO PERFORM MORE COMPLEX PROCEDURES THAT REQUIRE THE USE OF A 3D CAMERA. THIS SYSTEM, WHICH COST $246,748, IS USED IN CONJUNCTION WITH BRAIN LAB NAVIGATION EQUIPMENT AND PROVIDES MORE SPECIFIC, CLEARER IMAGES TO HELP GUIDE PHYSICIANS DURING PROCEDURES. IT ALSO ENABLES THE TRAUMA TEAM TO PERFORM MORE COMPLEX PROCEDURES.IN FY 2013, PMC INVESTED $499,775 IN A D SPECT CARDIAC IMAGING SYSTEM FOR THE NUCLEAR MEDICINE DEPARTMENT. THE MACHINE ALLOWS TWICE AS MANY CARDIOLITES TO BE PERFORMED DAILY, DECREASES SCAN TIME AND PROVIDES IMPROVED IMAGE QUALITY COMPARED TO THE PREVIOUS MACHINE THAT WAS USED.A GE ULTRASOUND MACHINE WAS PURCHASED FOR $116,120 IN FY 2013 AND PLACED IN THE DIAGNOSTIC CENTER. HAVING ULTRASOUND PROCEDURES AVAILABLE AT THE DIAGNOSTIC CENTER HAS LED TO GREATER CONVENIENCE AND SATISFACTION FOR PATIENTS.CONSTRUCTION WAS ALSO COMPLETED DURING FY 2013 TO ALLOW FOR THE INSTALLATION OF A TOSHIBA 320 CT SCANNER ON PMC'S MAIN CAMPUS. CONSTRUCTION INCLUDED A COMPLETE RENOVATION OF THE EXISTING SPACE TO ACCOMODATE THE LARGER 320 CT SCANNER AND TOTALED $168,951.IN ADDITION, ONE TOSHIBA AQUILION ONE CT SCANNER AND TWO SIEMENS SOMATOM CT SCANNERS WERE PURCHASED IN FY 2013 FOR $1,703,461 AND $1,084,000, RESPECTIVELY. THE TOTAL CAPITAL INVESTMENT IN IMAGING SERVICES DURING FY 2013 WAS $7,992,168. 176718948 163545 228178332 ALL OTHER SERVICES:PIKEVILLE MEDICAL CENTER (PMC) IS A 261-BED FACILITY OFFERING MORE THAN 400 SERVICES AND EMPLOYING MORE THAN 2,300 PEOPLE. THE NATION'S ONLY THREE-TIME WINNER OF NATIONAL HOSPITAL OF THE YEAR, PMC HAS BEEN NAMED ONE OF THE BEST PLACES TO WORK IN KENTUCKY FOR SEVEN YEARS AND HAS BEEN RANKED NATIONALLY IN THE TOP 10 (LARGE ORGANIZATION CATEGORY) FOR "BEST PLACES TO WORK" BY MODERN HEALTHCARE MAGAZINE, AS OF AS OF 2014. PMC'S COMPASSIONATE, DEDICATED EMPLOYEES AND PHYSICIANS ARE COMMITTED TO PROVIDING QUALITY, REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT. KNOWN AS THE PREMIER HOSPITAL IN A MULTI-STATE REGION, PMC PROVIDES UNMATCHED GENEROSITY TO THE COMMUNITY AND IS CONTINUALLY GROWING AND LOOKING FOR NEW WAYS TO PROVIDE THE MOST ADVANCED HEALTH CARE AVAILABLE. PIKEVILLE MEDICAL LEONARD LAWSON CANCER CENTERTHE PIKEVILLE MEDICAL LEONARD LAWSON CANCER CENTER (LLCC) PROVIDES CARE IN A STATE-OF-THE-ART FACILITY COMPRISED OF 18 STATE-OF-THE-ART EXAM ROOMS, 18 CHEMOTHERAPY STATIONS, PHYSICIAN OFFICES, AN ONCOLOGY LAB, AN INFUSION ROOM AND A PHARMACY. A TEAM OF TWO HEMATOLOGISTS/ONCOLOGISTS; ONE MEDICAL ONCOLOGIST/INFECTIOUS DISEASE SPECIALIST; TWO MEDICAL ONCOLOGISTS; TWO RADIATION ONCOLOGISTS; AND A GYNECOLOGICAL ONCOLOGIST PROVIDE HIGH-QUALITY CANCER CARE TO THE REGION. IN ADDITION TO THE EXTENSIVE ONCOLOGY SERVICES PIKEVILLE MEDICAL CENTER (PMC) PROVIDES IN PIKEVILLE (KENTUCKY), THE HOSPITAL OPERATES ONCOLOGY CLINICS IN PRESTONSBURG AND WHITESBURG (KENTUCKY) AND GRUNDY (VIRGINIA).LLCC HOLDS A THREE-YEAR ACCREDITATION WITH COMMENDATION FROM THE COMMISSION ON CANCER AND THE AMERICAN COLLEGE OF SURGEONS. THIS ACCREDITATION, WHICH HAS BEEN OBTAINED EIGHT CONSECUTIVE TIMES AND THREE CONSECUTIVE TIMES WITH COMMENDATION, DISTINGUISHES LLCC AS A CANCER PROGRAM THAT NOT ONLY MEETS, BUT EXCEEDS NATIONAL STANDARDS. IN ADDITION, LLCC HAS RECEIVED REACCREDITATION BY THE QUALITY ONCOLOGY PRACTICE INITIATIVE (QOPI) CERTIFICATION PROGRAM, AN AFFILIATE OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY (ASCO). THE QOPI CERTIFICATION PROGRAM PROVIDES A THREE-YEAR CERTIFICATION FOR OUTPATIENT HEMATOLOGY/ONCOLOGY PRACTICES THAT MEET THE HIGHEST STANDARDS FOR QUALITY CANCER CARE. LLCC OFFERS COMPREHENSIVE CANCER CARE BY PROVIDING PATIENTS WITH STATE-OF-THE-ART SERVICES AND TECHNOLOGY, A MULTISPECIALTY CANCER CARE TEAM, ACCESS TO INFORMATION FROM CLINICAL TRIALS, NEW TREATMENT OPTIONS, PSYCHOSOCIAL SUPPORT AND SURVIVOR CARE. A GENETICS COUNSELOR, A LYMPHEDEMA SPECIALIST AND RADIOLOGY ALSO WORK CLOSELY WITH LLCC.MANY DEPARTMENTS COMPRISE PMC'S AWARD-WINNING CANCER PROGRAM INCLUDING LLCC; INPATIENT ONCOLOGY; MEDICAL, RADIATION, GYNECOLOGICAL AND SURGICAL ONCOLOGY; PATIENT NAVIGATION; PATHOLOGY; CHAPLAINCY SERVICES; PALLIATIVE CARE; NUTRITIONAL SERVICES; REHABILITATIVE SERVICES; AND CASE MANAGEMENT. LABORATORYDURING FY 2013, PIKEVILLE MEDICAL CENTER (PMC) MADE MAJOR CAPITAL INVESTMENTS IN LABORATORY EQUIPMENT TO IMPROVE THE QUALITY OF SERVICES OFFERED. TWO SIEMENS VISTA 500 CHEMISTRY ANALYZER SYSTEMS WERE PURCHASED FOR $424,800. THESE ANALYZERS, WHICH REPLACED TWO EXISTING ANALYZERS, PROVIDE THE MOST ADVANCED TECHNOLOGY AND UPDATED SOFTWARE FOR AUTO-VERIFICATION. THEY SAVE LABOR TECHNICAL TIME IN TEST VERIFICATION. NOT ONLY DO THE NEW ANALYZERS CUT DOWN ON MAINTENANCE, BUT THEY ALSO PROVIDE A 25% INCREASE IN THE AVAILABLE TEST MENU.A CLINITEK AUWI URINE ANALYSIS INSTRUMENT, WHICH COST $114,895, WAS PURCHASED SO THAT MINUTE AMOUNTS OF BACTERIA ARE IDENTIFIABLE. THIS TECHNOLOGY REPLACED TRADITIONAL MICROSCOPIC TESTS WHICH WERE SUBJECT TO INSTRUMENT AND OPERATOR VARIATIONS. THE HOSPITAL INVESTED $104,775 IN A SIEMENS ADVIA CENTAUR XP IMMUNOASSAY SYSTEM WHICH ALLOWS PMC LABORATORIES TO PERFORM MORE TESTS AND KEEP PACE WITH PEAK LOAD TIMES. IT ALSO PROVIDES A PORTFOLIO OF SEVERAL DISEASE STATE TESTS AND INCREASES THE TYPES OF IN-HOUSE TESTS THAT CAN BE PERFORMED. THE SYSTEM HAS ALLOWED PMC LABORATORIES TO MEET THE TEST VOLUME DEMANDS ASSOCIATED WITH THE INCREASE IN PHYSICIANS AND SPECIALTIES AT THE HOSPITAL.THE TOTAL CAPITAL INVESTMENT IN LABORATORY EQUIPMENT FOR FY 2013 WAS $644,470.PAIN MANAGEMENT PHYSICIAN PRACTICE/PHARMACYIN ORDER TO BETTER SERVE THE GROWING NUMBER OF PATIENTS SEEN IN THE PAIN MANAGEMENT/PHARMACY BUILDING, PMC EXPANDED THE FACILITY, LOCATED ACROSS FROM THE HOSPITAL'S MAIN CAMPUS, IN FY 2013. SQUARE FOOTAGE WAS INCREASED BY 3,983 FROM 3,789, MORE THAN DOUBLING THE SPACE. THE EXPANSION PROJECT, WHICH CONSISTED OF INSTALLATION OF UNDERGROUND UTILITIES, RELOCATION AND DEMOLITION OF EXISTING UTILITIES, AND CONSTRUCTION OF A NEW FOUNDATION, COST $1,520.399.BARIATRIC PHYSICIAN PRACTICEPMC COMPLETED RENOVATIONS FOR THE BARIATRIC PROGRAM PRACTICE DURING FY 2013. THE RENOVATION PROJECT WHICH CENTERED AROUND THE NEEDS OF THE PATIENT INVOLVED RELOCATION OF THE OFFICE TO A NEW SPACE, CREATING FIVE EXAM ROOMS, ENLARGING A HANDICAP RESTROOM, AND ADDING CHECK-IN AND CHECK-OUT STATIONS, A TRAINING ROOM, AND CONFERENCE ROOM. THE COST OF RENOVATIONS TOTALED $237,570. PMC HAS SINCE BEEN CERTIFIED AS A BARIATRIC SURGERY CENTER OF EXCELLENCE.OTHER EQUIPMENTTHE HOSPITAL INVESTED $903,040 IN REPLACING A STEAM LINE IN FY 2013. THIS PROJECT CONSISTED OF ABANDONING THE EXISTING UNDERGROUND STEAM LINE AND VAULTS AND INSTALLING NECESSARY STRUCTURAL SUPPORTS.TWENTY-ONE V60 PHILIPS BIPAP VENTILATORS WERE PURCHASED FOR $281,222 IN FY 2013 TO REPLACE 10 VENTILATORS THAT WERE AT THE END OF LIFE AND FIVE VENTILATORS THAT WOULD SOON BE AT THE END OF LIFE. PMC PURCHASED A MIZUHOSI SURGICAL TABLE SYSTEM DURING FY 2013, THIS TABLE ENABLES ORTHOPEDIC TRAUMA SURGEONS TO POSITION PATIENTS AS NEEDED DURING SURGERY TO ALLOW FOR IMPROVED VIEWING OF ALL PARTS OF THE PELVIS AND HIP JOINTS, WHICH FACILIATES RECONSTRUCTION OF FRAGMENTED BONES. THIS SYSTEM COST $165,643, AND ALLOWS PMC PHYSICIANS TO COMPLETE PROCEDURES ON PATIENTS WITH VARIED DEGREES OF PELVIC FRACTURES. THE FUSION ENT NAVIGATION SYSTEM, AN INNOVATIVE ELECTROMAGNETIC IMAGE-GUIDED SURGERY SYSTEM, ALLOWS PHYSICIANS TO SEE THE RELATIVE LOCATION OF THE INSTRUMENT TIP IN THE PATIENT'S SINUS ANATOMY DURING SURGERY. THE SYSTEM WAS PURCHASED FOR $129,965 IN FY 2013.NATIONAL RECOGNITIONPIKEVILLE MEDICAL CENTER (PMC) HAS ACHIEVED NATIONAL RECOGNITION MANY WOULD THINK UNATTAINABLE. THE COMMITMENT FROM THE LEADERSHIP TEAM, PHYSICIANS AND STAFF TO CARRY OUT THE HOSPITAL'S MISSION "TO PROVIDE QUALITY, REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT""LED TO SIGNIFICANT RECOGNITION AND AWARDS IN FY 2013 INCLUDING:SEPTEMBER 2013 - AMERICA'S 100 BEST HOSPITALS FOR PATIENT EXPERIENCE BY WOMENCERTIFIEDSEPTEMBER 2013 - CARDIOVASCULAR CENTER OF EXCELLENCE BY THE CONSORTIUM FOR SOUTHEASTERN HYPERTENSION CONTROLJULY 2013 - MISSION LIFELINE 2013 ACHIEVEMENT AWARD BY THE AMERICAN HEART ASSOCIATIONAPRIL 2013 - BEST PLACES TO WORK IN KENTUCKYAPRIL 2013 - THREE YEAR ACCREDITATION WITH COMMENDATION FROM THE COMMISSION ON CANCER AND THE AMERICAN COLLEGE OF SURGEONSMARCH 2013 - BARIATRIC SURGERY CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERYMARCH 2013 - GET WITH THE GUIDELINES GOLD PLUS STROKE AWARD BY THE AMERICAN HEART ASSOCIATION AND THE AMERICAN STROKE ASSOCIATIONMARCH 2013 - BEST HOSPITALS FOR PATIENT EXPERIENCE IN ORTHOPEDICS BY WOMENCERTIFIEDFEBRUARY 2013 - 18 AWARDS FROM THE KENTUCKY PRESS ASSOCIATION (MEDICAL LEADER - PMC WEEKLY NEWSPAPER)FEBRUARY 2013 - BEST PLACES TO WORK IN KENTUCKY BY THE KENTUCKY CHAMBER OF COMMERCEJANUARY 2013 - BEST HOSPITALS FOR PATIENT EXPERIENCE IN OBSTETRICS BY WOMENCERTIFIEDNOVEMBER 2012 - DISTINGUISHED COMMUNITY EMPLOYER BY NATIONAL COLLEGE - PIKEVILLE CAMPUSOCTOBER 2012 - HEALTHCARE ORGANIZATION OF THE MONTH BY STUDER GROUPOCTOBER 2012 - EXCELLENCE IN PATIENT CARE AWARD FOR DOCTOR COMMUNICATION BY STUDER GROUPOCTOBER 2012 - #1 BEST PLACE TO WORK IN HEALTHCARE IN KY AND #3 IN THE NATION BY MODERN HEALTHCARE MAGAZINEBY STRIVING TO PROVIDE QUALITY CARE AND PLACING PATIENTS' NEEDS FIRST, PMC WILL CONTINUE TO GROW AND REDEFINE THE HEALTH CARE MODEL. 176718948 163545 228178332 289828061 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 1 128 0 1 2810 1 1 1 0 0 0 0 1 1 0 0 0 0 X 15 5 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X MICHELLE HAGY CFO 6062183974 911 BYPASS ROAD PIKEVILLE KY 41501 RONALD BURCHETT 4.00 0.00 X X 0 0 0 JOE DEAN ANDERSON 4.00 0.00 X X 0 0 21212 NAVEED AHMED MD 2.00 0.00 X 0 0 0 WALTER BLANKENSHIP 2.00 0.00 X 0 0 0 HOBART CLAY JOHNSON 2.00 0.00 X 0 0 0 TT COLLEY 2.00 0.00 X 0 0 15744 DAVID COLLINS CPA 2.00 0.00 X 0 0 17915 DENNIS HALBERT MD 4.00 0.00 X 0 0 21212 JUDITH HINKLE 2.00 0.00 X 0 0 0 JOHN LABRECHE 4.00 0.00 X 0 0 260 ALEX POULOS MD 4.00 0.00 X 0 0 21212 JO NELL ROBINSON 4.00 0.00 X 0 0 8024 SUE SMALLWOOD 4.00 0.00 X 0 0 8024 MARY SIMPSON PHD 2.00 0.00 X 0 0 0 BURLIN COLEMAN 0.00 0.00 X 0 0 0 LACY PUCKETT 0.00 0.00 X 0 0 0 WALTER E MAY 40.00 0.00 X X 948257 0 35502 MICHELLE HAGY 40.00 0.00 X 252286 0 30342 JUANITA DESKINS 40.00 0.00 X 334179 0 30343 WILLIAM JOHNSON MD 40.00 0.00 X 270354 0 49392 CHERYL HICKMAN 40.00 0.00 X 240031 0 36415 RUSSELL SHANKLIN 40.00 0.00 X 157625 0 33817 PEGGY JUSTICE 40.00 0.00 X 162330 0 32372 DEBORAH PUCKETT 40.00 0.00 X 153341 0 33053 MARCUS CONLEY 40.00 0.00 X 156368 0 26611 KEITH HALL MD 40.00 0.00 X 1052568 0 33296 KEVIN PUGH MD 40.00 0.00 X 1008325 0 33296 JOSE VELAZQUEZ MD 40.00 0.00 X 868849 0 26208 DUANE DENSLER MD 40.00 0.00 X 829674 0 32040 MARK J SWOFFORD MD 40.00 0.00 X 808237 0 10828 ESTELLA CLARK 40.00 0.00 X 161287 0 15980 7403711 0 573098 185 1 1 0 MESSER CONTRUCTION CO INC 5158 FISHWICK DR CINCINNATI OH 45216 CONSTRUCTION SERVICES 25994716 ROSE BUILDERS 7 STACY STREET HAROLD KY 41635 CONSTRUCTION SERVICES 7941626 PRECYSE SOLUTIONS LLC 1275 DRUMMERS LANE WAYNE PA 19087 HIM SERVICES 2589688 MCKESSON HBOC PO BOX 98347 CHICAGO IL 60693 PROFESSIONAL SERVICES 1576326 LABORATORY CORPORATION OF AMERICA PO BOX 12410 BURLINGTON NC 27216 PROFESSIONAL SERVICES 1526291 47 229184 149430 378614 PATIENT SERVICE REVENUE 621110 342921275 342921275 342921275 825687 825687 10261 10261 343419 874201 446372 0 -102953 874201 771248 -152891 924139 2864284 3606830 -742546 -742546 -742546 73516 229184 155772 -82256 -82256 10541569 9006668 1534901 425920 1108981 EHR REVENUE 900099 3755904 3755904 CAFETERIA 900099 2363059 2363059 HOTEL/RESTAURANT (JAN - MAY) 721110 1071948 1071948 1778203 323447 1454756 8969114 354586298 346524288 2745454 4937942 125354 125354 38191 38191 3061799 3061799 138264685 122482297 15782388 1982937 1775379 207558 39211042 34321267 4889775 8503247 7088624 1414623 428841 223961 204880 2202330 13598 2188732 71768 71768 62246 62246 69534 69534 10687597 7671011 3016386 200 2433350 43078 2390272 909280 646982 262298 3393204 2948112 445092 4418808 3971415 447393 445247 183346 261901 171403 132878 38525 4880369 4240203 640166 17551439 15249186 2302253 5195307 5140684 54623 SUPPLIES & DRUGS 63903280 62178030 1725250 EQUIPMENT RENTAL & MAIN 7625096 7241832 383264 PROVIDER TAX EXPENSE 3776277 3776277 PROFESSIONAL FEES 3242540 3242540 10594358 7093816 3492905 7637 333249529 289828061 43413631 7837 12155 12353 121311526 126359516 60612948 56176687 11313528 11761876 3273243 3870451 354191366 132055816 200044908 222135550 2233472 3805445 27651804 58755128 426453584 482877006 42822459 33943347 133738775 176236949 8083054 6796529 107679 8747099 11761228 193391387 228845732 X 232856197 253825274 206000 206000 233062197 254031274 426453584 482877006 21336769 -334218 -33474 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 1 62246 1 17531 79777 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: PIKEVILLE MEDICAL CENTER ENGAGES THE SERVICES OF MCCARTHY STRATEGIC SOLUTIONS, LLC TO KEEP THEM UPDATED ON RELATED HEALTHCARE AND GOVERNMENT HAPPENINGS. OTHER ACTIVITY COSTS ARE THE CORPORATION'S PORTION OF TRADE DUES (I.E. KENTUCKY HOSPITAL ASSOCIATION) 206000 206000 206000 206000 226845 20845 206000 226346 25000 24501 226845 331000 479000 583654 226346 1.00000 0 0 1580000 6971099 8551099 5965356 138334562 47180765 97119153 1393438 991365 402073 187417 119683383 83883686 35987114 80076111 80076111 222135550 INDENTURE 47660473 GOODWILL 90975 BOND ISSUANCE COSTS 1301937 LONG TERM PREPAID ASSET 467936 OTHER RECEIVABLES 9233807 58755128 RESERVE FOR RECIPROCAL OF AMER CLAIMS 3131514 ESTIMATED COST REPORT SETTLEMENTS 5503113 DEFERRED COMPENSATION LIABILITY 1902658 RESERVES FOR WORKERS COMPENSATION CLAIMS 1053622 CAPITAL LEASE OBLIGATION 170321 11761228 X 363860834 -334218 9608754 9274536 354586298 0 354586298 342891757 33474 9608754 9642228 333249529 0 333249529 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE AMOUNT OF $206,000 IS A PERMANENT RESTRICTED ENDOWMENT-HERBERT FABER ENDOWMENT FUND. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE HOSPITAL HAS RECEIVED A DETERMINATION FROM THE INTERNAL REVENUE SERVICE THAT IT IS A NOT-FOR-PROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE FOUNDATION, PIKEVILLE MEDICAL DEVELOPMENT CORPORATION AND LANDMARK PROPERTIES OF PIKEVILLE, INC. ARE TAXABLE ENTITIES TO WHICH APPLICABLE CORPORATE INCOME TAXES APPLY. NO INCOME TAXES WERE OWED BY THE FOUNDATION, PIKEVILLE MEDICAL DEVELOPMENT CORPORATION, OR LANDMARK PROPERTIES OF PIKEVILLE, INC. FOR THE YEARS ENDED SEPTEMBER 30, 2013 AND 2012. THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2013 AND 2012. PART XI, LINE 2D - OTHER ADJUSTMENTS: EXPENSES RECLASSED TO REVENUE SECTION 9,452,982. FUNDRAISING EXPENSES 155,772. ROUNDING PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES RECLASSED TO REVENUE SECTION 9,452,982. FUNDRAISING EXPENSES 155,772. ROUNDING 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. NEW YEARS EVE GALA 296702 225332 71370 59098 54266 10679 28834 5K RUN/WALK 5998 3852 2146 344 92 200 2259 302700 229184 73516 59442 54358 10879 31093 155772 -82256 1 1 1 X 1 X 1 1 1 0 1 1 10658542 2560717 8097825 0.02430 44724285 20990821 23733464 0.07120 55382827 23551538 31831289 0.09550 257 3445 453938 453938 0.00140 55 2158 1507993 679332 828661 0.00250 45 124354 124354 0.00040 357 5603 2086285 679332 1406953 0.00430 357 5603 57469112 24230870 33238242 0.09980 91 18015 245247 1949 243298 0.00070 1 22 110 110 0.00000 7 540 46187 6773 39414 0.00010 33 791235 791235 0.00240 132 18577 1082779 8722 1074057 0.00320 1 69291272 0 95185098 89207008 5978090 X 1 1 1 1 PIKEVILLE MEDICAL CENTER

911 BYPASS ROAD PIKEVILLE KY 41501

WWW.PIKEVILLEHOSPITAL.ORG X X X X PIKEVILLE MEDICAL CENTER 1 1 X X X X X X X X X 12 1 0 1 X X X X X X X X X X X 1 0 1 1 150.000000000000 1 400.000000000000 1 X X X X X 1 1 X X X X 1 0 X X X X 1 X 0 1 40 ORTHOPEDIC PHYSICIAN PRACTICE

184 S MAYO TRAIL PIKEVILLE KY 41501

PHYSICIAN PRACTICE WOMENS CARE CENTER

419 TOWN MOUNTAIN ROAD SUITE 206 PIKEVILLE KY 41501

PHYSICIAN PRACTICE GENERAL SURGERY PRACTICE

255 CHURCH ST STE 201 PIKEVILLE KY 41501

PHYSICIAN PRACTICE ORTHOPEDIC DIAGNOSTIC RADIOLOGY CTR

184 S MAYO TRAIL PIKEVILLE KY 41501

IMAGING CENTER OPHTHALMOLOGY PHYS PRACTICE

1098 S MAYO TRAIL STE 305 PIKEVILLE KY 41501

PHYSICIAN PRACTICE UROLOGY PHYSICIAN PRACTICE

255 CHURCH ST STE 202 PIKEVILLE KY 41501

PHYSICIAN PRACTICE BARIATRIC SURGERY PHYSICIAN PRACTICE

1098 S MAYO TRAIL STE 103 PIKEVILLE KY 41501

PHYSICIAN PRACTICE OBGYN PHYSICIAN PRACTICE - HAROLD

246 KY ROUTE 979 HAROLD KY 41635

PHYSICIAN PRACTICE OPHTHALMOLOGY PHYSICIAN PRACTICE

1098 S MAYO TRAIL STE 203 PIKEVILLE KY 41501

PHYSICIAN PRACTICE ONCOLOGY PHYSICIAN PRACTICE - LLCC

172 SOUTH MAYO TRAIL PIKEVILLE KY 41501

PHYSICIAN PRACTICE HOME MEDICAL EQUIPMENT

1370 S MAYO TRAIL PIKEVILLE KY 41501

MEDICAL EQUIPMENT GASTROENTEROLOGIST PHYS PRACTICE

387 TOWN MTN RD STE 206 PIKEVILLE KY 41501

PHYSICIAN PRACTICE HOME HEALTH SERVICES

1370 S MAYO TRAIL PIKEVILLE KY 41501

HOME HEALTH SERVICES GENERAL SURGERY PHYSICIAN PRACTICE

387 TOWN MTN RD STE 207 PIKEVILLE KY 41501

PHYSICIAN PRACTICE GENERAL SURGERY PHYSICIAN PRACTICE

1098 S MAYO TRAIL STE 301 PIKEVILLE KY 41501

PHYSICIAN PRACTICE ENDOCRINOLOGY PRACTICE

140 ADAMS LANE STE 600-700 PIKEVILLE KY 41501

PHYSICIAN PRACTICE SPORTS MEDICINE PHYSICIAN PRACTICE

184 S MAYO TRAIL PIKEVILLE KY 41501

PHYSICIAN PRACTICE NEPHROLOGY PHYSICIAN PRACTICE

1098 S MAYO TRAIL SUITE 202 PIKEVILLE KY 41501

PHYSICIAN PRACTICE PRIMARY CARE PRACTICE - PIKEVILLE WALMAR

251 CASSIDY BLVD PIKEVILLE KY 41501

PHYSICIAN PRACTICE ONCOLOGY GYNECOLOGY PRACTICE

246 KY ROUTE 979 HAROLD KY 41635

PHYSICIAN PRACTICE CARDIOLOGY PRACTICE - GRUNDY

1535 SLATE CREEK ROAD GRUNDY VA 24614

PHYSICIAN PRACTICE SLEEP LAB - WHITESBURG

60 MAIN STREET WHITESBURG KY 41858

SLEEP LAB PLASTICRECONSTRUCTIVE SURGERY

387 TOWN MOUNTAIN RD - SUITE 104 PIKEVILLE KY 41501

PHYSICIAN PRACTICE SLEEP LAB - PRESTONSBURG

203 COLLINS CIRCLE PRESTONSBURG KY 41653

SLEEP LAB ENT PHYSICIAN PRACTICE

1098 S MAYO TRAIL STE 304 PIKEVILLE KY 41501

PHYSICIAN PRACTICE RHEUMATOLOGY PHYSICIAN PRACTICE

1370 S MAYO TRAIL PIKEVILLE KY 41501

PHYSICIAN PRACTICE PRESTONSBURG RADIOLOGY CTR

204 COLLINS CIRCLE PRESTONSBURG KY 41635

IMAGING CENTER PRIMARY CARE PRACTICE-PIKEVILLE

1098 S MAYO TRAIL STE 104 PIKEVILLE KY 41501

PHYSICIAN PRACTICE PRIMARY CARE PRACTICE - SHELBY VALLEY

6800 US HWY 23 S STE 3 PIKEVILLE KY 41501

PHYSICIAN PRACTICE PRIMARY CARE PRACTICE - HAROLD

246 KY RT 979 HAROLD KY 41635

PHYSICIAN PRACTICE CARDIOLOGY PRACTICE-PRESTONSBURG

5000 KY RT 321 STE 4102 PRESTONSBURG KY 41653

PHYSICIAN PRACTICE CADIOLOGY PRACTICE - WHITESBURG

714 JENKINS RD WHITESBURG KY 41858

PHYSICIAN PRACTICE PEDIATRIC ENDOCRINOLOGY PRACTICE

140 ADAMS LANE STE 300 PIKEVILLE KY 41501

PHYSICIAN PRACTICE CARDIOLOGY PRACTICE - PAINTSVILLE

830 S MAYO TRAIL PAINTSVILLE KY 41240

PHYSICIAN PRACTICE ONCOLOGY PHYSICIAN PRACTICE - GRUNDY

1535 SLATE CREEK ROAD GRUNDY VA 24614

PHYSICIAN PRACTICE ONCOLOGY PHYSICIAN PRACTICE - WHITESBURG

226 MEDICAL PLAZA LANE WHITESBURG KY 41858

PHYSICIAN PRACTICE CARDIOLOGY PRACTICE-HAZARD

474 VILLAGE LANE HAZARD KY 41701

PHYSICIAN PRACTICE ENDOCRINOLOGY PRACTICE - HAZARD

145 CITIZENS LANE HAZARD KY 41701

PHYSICIAN PRACTICE OPHTHALMOLOGY - HAZARD

474 VILLAGE LANE HAZARD KY 41701

PHYSICIAN PRACTICE RHEUMATOLOGY PHYSICIAN PRACTICE - PAIN

830 SOUTH MAYO TRAIL PAINTSVILLE KY 41240

PHYSICIAN PRACTICE PART II: THE HOSPITAL'S MISSION STATEMENT, "TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT" DRIVES PMC'S EFFORTS TO IMPROVE THE PHYSICAL, MENTAL AND SPIRITUAL WELL BEING OF THE PUBLIC. DURING FY 2013, PIKEVILLE MEDICAL CENTER REPORTED TAKING PART IN 132 COMMUNITY BUILDING ACTIVITIES, AFFECTING OVER 18,577 PEOPLE AND TOTALING MORE THAN $1,074,056. 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: RELAY FOR LIFE SURVIVORS DINNER, A VETERAN'S DAY TRIBUTE, DRIVE UP FLU SHOT CLINIC, RECLAIM YOUR LIFE 5K RUN/FUN WALK, THE PIKEVILLE WOMAN'S CLUB WOMEN'S HEALTH PROGRAM, A CHRISTMAS LIVE NATIVITY AND OVER 390 MEALS PER MONTH PROVIDED TO MEALS ON WHEELS. PART III, LINE 4: SEE PAGES 9 & 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN CHARITY CARE CANDIDATES MUST COOPERATE FULLY. IN ADDITION THE HOSPITAL EDUCATES PATIENTS WITH A LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. 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. PART III, LINE 8: NO SHORTFALL EXISTED IN FY 2013. 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, 2013 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST. PART III, LINE 9B: IF DETERMINED THAT A PATIENT MIGHT QUALIFY FOR AN INDIGENT PROGRAM, THE PATIENT IS SENT THE REQUIRED FORMS (FINANCIAL ASSISTANCE APPLICATION) TO APPLY FOR CHARITY ASSISTANCE. WHEN THE PAPERWORK IS RETURNED BY THE PATIENT, THE APPLICATION IS SENT THROUGH THE ELIGIBILITY DETERMINATION REVIEW PROCESS. IF THE APPLICATION IS APPROVED, THE ACCOUNT BALANCE IS THEN ADJUSTED BY THE AMOUNT ALLOWED BY THE CHARITY ELIGIBILITY GUIDELINES. PIKEVILLE MEDICAL CENTER PART V, SECTION B, LINE 3: PIKEVILLE MEDICAL CENTER IN COLLABORATION WITH AN ADVISORY COMMITTEE COMPRISED OF COMMUNITY LEADERS FROM PIKE AND FLOYD COUNTIES, WHO ARE INVOLVED WITH LOCAL HEALTH DEPARTMENTS, SCHOOL SYSTEMS, SENIOR CITIZENS PROGRAMS, HOSPICE, SOCIAL WORK, AND AMBULANCE SERVICES DEVELOPED A SURVEY TO OBTAIN INPUT CONCERNING THE NEEDS OF OUR COMMUNITY. THE SURVEY WAS MADE AVAILABLE ONLINE AND PUBLISHED IN PIKEVILLE MEDICAL CENTER'S NEWSPAPER, THE MEDICAL LEADER. PMC'S COMMUNITY SURVEY WAS AN OVERWHELMING SUCCESS AS THE HOSPITAL RECEIVED OVER 3,000 RESPONSES. PIKEVILLE MEDICAL CENTER PART V, SECTION B, LINE 5C: WWW.PIKEVILLEHOSPITAL.ORG/COMMUNITY_HEALTH_NEEDS_ASSESSMENT.HTMLPMC MAILED THE CHNA REPORT TO THE CHAMBER OF COMMERCE, CIVIC ORGANIZATION MEMBERS, AND LOCAL BUSINESS PEOPLE. PIKEVILLE MEDICAL CENTER PART V, SECTION B, LINE 20D: PIKEVILLE MEDICAL CENTER FOLLOWS THE SAME CHARGING STRUCTURE FOR ALL PATIENTS; HOWEVER, IF A PATIENT PRESENTS AS A SELF PAY PATIENT, PMC HAS A SELF PAY DISCOUNT POLICY OF 70% OFF ESTIMATED GROSS CHARGES IF A PATIENT IS ABLE TO PAY ANY TIME PRIOR TO OR ON DAY OF SERVICE. IF IT IS AFTER THE DAY OF SERVICE THAT THEY ARE ABLE TO PAY, PMC OFFERS A 50% DISCOUNT OFF GROSS CHARGES, A PAYMENT PLAN, OR IF CANNOT PAY IN FULL WITH DISCOUNTS OR PAYMENT PLANS THEN THE PATIENT IS REFERRED TO THE FINANCIAL COUNSELOR WHERE PATIENT IS FURTHER NOTIFIED OF DSH PROGRAMS, MEDICAID ELIGIBILITY REQUIREMENTS OR PMC INTERNAL FINANCIAL ASSISTANCE PROGRAM. PIKEVILLE MEDICAL CENTER PART V, SECTION B, LINE 22: PIKEVILLE MEDICAL CENTER FOLLOWS THE SAME CHARGING STRUCTURE FOR ALL PATIENTS; HOWEVER, IF A PATIENT PRESENTS AS A SELF PAY PATIENT, PMC HAS A SELF PAY DISCOUNT POLICY OF 70% OFF ESTIMATED GROSS CHARGES IF A PATIENT IS ABLE TO PAY ANY TIME PRIOR TO OR ON DAY OF SERVICE. IF IT IS AFTER THE DAY OF SERVICE THAT THEY ARE ABLE TO PAY, PMC OFFERS A 50% DISCOUNT OFF GROSS CHARGES, A PAYMENT PLAN, OR IF CANNOT PAY IN FULL WITH DISCOUNTS OR PAYMENT PLANS THEN THE PATIENT IS REFERRED TO THE FINANCIAL COUNSELOR WHERE PATIENT IS FURTHER NOTIFIED OF DSH PROGRAMS, MEDICAID ELIGIBILITY REQUIREMENTS OR PMC INTERNAL FINANCIAL ASSISTANCE PROGRAM. 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. FIRST, A HANDOUT LABELED, "FINANCIAL SERVICES AND CONSULTATIONS" IS AVAILABLE TO EVERY PATIENT UPON REGISTRATION. SECOND, THE MANDATORY CONSENT FORM HAS THE PATIENT'S ACKNOWLEDGEMENT STATEMENT, "I ACKNOWLEDGE RECEIPT OF INFORMATION ON DSH, KCHIP, BILLING AND INSURANCE PROCEDURES AND AIDS QUESTIONS / ANSWERS." THIRD, THE FIRST BILL A PATIENT RECEIVES INCLUDES A STATEMENT REGARDING HOW ONE CAN CONTACT A COUNSELOR, IF THE FINANCIAL ASSISTANCE IS NEEDED. LASTLY, THE PATIENT ACCOUNTS STAFF AND PATIENT FINANCIAL COUNSELORS REGULARLY MAIL OUT DSH/PMC CHARITY APPLICATIONS. THESE APPLICATIONS, ALONG WITH DIRECTIONS, ARE ALSO AUTOMATICALLY PRINTED OFF WHEN REGISTERING A SELF-PAY PATIENT. THE PATIENT IS THEN DIRECTED TO OUR FINANCIAL COUNSELORS FOR FURTHER ASSISTANCE. IN THE EVENT A PATIENT IS ADMITTED TO THE FACILITY, FINANCIAL COUNSELORS MEET WITH EACH TO DISCUSS POSSIBLE FINANCIAL ASSISTANCE OPPORTUNITIES. ASSISTANCE FROM THE COUNSELORS BEGINS WITH THE APPLICATION AND CONTINUES THROUGH THE VERIFICATION PROCESS TO ALLOW EACH PATIENT TO TAKE ADVANTAGE OF THE AVAILABLE PROGRAMS. PART VI, LINE 4: PIKEVILLE MEDICAL CENTER USES THE MOST RECENT U.S. CENSUS BUREAU DATA AND INFORMATION FROM THE KENTUCKY STATE DATA CENTER WHEN TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES. INFORMATION IS PULLED FROM OUR IMMEDIATE SERVICE AREA ENCOMPASSING A SEVEN COUNTY REGION - PIKE, FLOYD, LETCHER, JOHNSON, MAGOFFIN AND MARTIN COUNTIES IN KENTUCKY AND WEST VIRGINIA'S MINGO COUNTY. BASED ON 2011/2012 DATA AVAILABLE, THE SEVEN COUNTY AREA CONTAINS A TOTAL POPULATION OF APPROXIMATELY 202,350 INDIVIDUALS WITH A RELATIVELY EVEN DISTRIBUTION OF MALES (100,315) TO FEMALES (102,035). THE MEDIAN POPULATION AGE IS 39.7 YEARS OLD AND THE AVERAGE HOUSEHOLD SIZE IS 2.53 INDIVIDUALS. THE MEDICALLY UNDERSERVED AND IMPOVERISHED AREA IN WHICH PIKEVILLE MEDICAL CENTER RESIDES HAS A MEDIAN FAMILY INCOME OF $33,148 WITH 22.2% OF THE POPULATION LIVING UNDER THE POVERTY LINE. PIKEVILLE MEDICAL CENTER CONTINUES TO SERVE AS A BEACON OF HOPE AND AN ECONOMIC BOOST TO THIS MOUNTAIN COMMUNITY. THE CITY OF PIKEVILLE, KY WHERE THE HOSPITAL IS CENTERED IS HOME TO 6,903 INDIVIDUALS. OVER 39% OF THE CITY'S RESIDENTS POSSESS A BACHELORS DEGREE OR HIGHER AND 39.8% OF THE CITY'S POPULATION IS EMPLOYED IN EDUCATION, HEALTH CARE OR SOCIAL SERVICES. PART VI, LINE 5: PIKEVILLE MEDICAL CENTER (PMC), THE PREMIER HOSPITAL IN A MULTI-STATE REGION, IS KNOWN FOR PROVIDING QUALITY, COMPASSIONATE CARE AS WELL AS FOR STATE-OF-THE-ART TECHNOLOGY, EXCELLENT SERVICE AND UNMATCHED GENEROSITY TO THE COMMUNITY. DURING ITS 89-YEAR HISTORY, PMC HAS GROWN FROM A RURAL 50-BED HOSPITAL INTO A COMPREHENSIVE 261-BED MEDICAL CENTER ENCOMPASSING MORE THAN 1 MILLION SQUARE FEET.IN APRIL 2014, A BRAND NEW 11-STORY CLINIC AND 10-STORY PARKING GARAGE WILL OPEN ON THE HOSPITAL'S MAIN CAMPUS TO INCREASE EFFICIENCY IN THE DELIVERY OF HEALTH CARE AND ENHANCE PATIENT CONVENIENCE. A ONE-OF-A-KIND FACILITY IN THE AREA, THE CLINIC WILL HOUSE MOST OF PMC'S PHYSICIAN PRACTICES UNDER ONE ROOF AS WELL AS ADDITIONAL SURGICAL AND ENDOSCOPY SUITES, WHICH WILL ALLOW MORE PROCEDURES TO BE PERFORMED DAILY. THE 10-STORY PARKING GARAGE WILL ENABLE PATIENTS TO CONVENIENTLY PARK ON THE SAME FLOOR AS THEIR PHYSICIAN'S OFFICE. IN ADDITION TO PHYSICAL EXPANSION, PMC, ACCREDITED BY THE JOINT COMMISSION, HAS EXPERIENCED SIGNIFICANT GROWTH IN PATIENT VOLUMES. ADMISSIONS INCREASED TO 11,971 IN FY 2013 FROM 11,129 IN FY 2012; EMERGENCY ROOM VISITS INCREASED TO 46,257 IN FY 2013 FROM 44,753 IN FY 2012; INPATIENT SURGICAL PROCEDURES INCREASED TO 4,467 IN FY 2013 FROM 4,295 IN FY 2012; AND OUTPATIENT VISITS INCREASED TO 416,140 IN FY 2013 FROM 403,197 IN FY 2012.PMC CONTINUES TO RECRUIT TOP-NOTCH PROFESSIONALS AT A TIME WHEN MANY HOSPITALS ARE STRUGGLING. CURRENTLY, PMC EMPLOYS OVER 2,300 PEOPLE, HAVING HIRED 558 EMPLOYEES IN FY 2013. NEARLY 270 PHYSICIANS PRACTICE REGULARLY AT PMC. IN THE PAST THREE YEARS, THE HOSPITAL HAS RECRUITED MORE THAN 100 PHYSICIANS AND CONTRACTED MORE THAN 10 WITH START DATES RANGING FROM JULY 2014 TO JULY 2016.THE HOSPITAL OFFERS OVER 400 SERVICES, INCLUDING EVERY MAJOR SPECIALTY AND MANY SUBSPECIALTIES, AND BECAME A PROUD MEMBER OF THE MAYO CLINIC CARE NETWORK IN MAY 2013. THIS TREMENDOUS GROWTH, ALONG WITH A STRONG FINANCIAL POSITION, HAS ALLOWED PMC TO SIGNIFICANTLY EXPAND ITS SERVICE LINES. SERVICES INCLUDE AN AWARD-WINNING, FULL-SERVICE CANCER CENTER; LEVEL IIII CHEST PAIN ACCREDITED HEART AND VASCULAR INSTITUTE; 40-BED INPATIENT PHYSICAL REHABILITATION HOSPITAL; ACCREDITED GOLD PLUS STROKE CENTER; STATE-OF-THE-ART EMERGENCY DEPARTMENT; NEUROSCIENCE CENTER; LEVEL II NEONATAL INTENSIVE CARE UNIT; WOUND CARE CENTER; ORTHOPEDIC CENTER; WEIGHT LOSS SURGERY CENTER; SLEEP CENTERS; DIAGNOSTIC CENTER; AND PRIMARY AND SPECIALTY PHYSICIAN PRACTICES, JUST TO NAME A FEW.PMC TAKES PRIDE IN PURCHASING STATE-OF-THE-ART TECHNOLOGY INCLUDING TWO LINEAR ACCELERATORS, ONE 32-SLICE LARGE BORE CT SCANNER, TWO 320-SLICE CT SCANNERS, TWO 64-SLICE CT SCANNERS, TWO 1.5T OPEN MRIS, A 3.0T OPEN MRI, AND A STATIONARY PET/CT SCANNER, ALL OF WHICH PROVIDE HIGH-QUALITY IMAGES FOR ADVANCED DETECTION. RECOGNITION HAS BEEN GIVEN TO PMC AT MANY LEVELS FOR PROVIDING QUALITY CARE AND BEING AN EMPLOYER OF CHOICE. THE HOSPITAL IS THE ONLY THREE-TIME WINNER OF "NATIONAL HOSPITAL OF THE YEAR". FOR THE PAST FOUR YEARS, PMC HAS RANKED IN THE TOP 10 IN THE NATION IN THE LARGE ORGANIZATION CATEGORY FOR "BEST PLACES TO WORK" BY MODERN HEALTHCARE MAGAZINE. IN ADDITION, THE HOSPITAL HAS BEEN NAMED A "BEST PLACE TO WORK" IN KENTUCKY FOR SEVEN YEARS BY THE KENTUCKY CHAMBER OF COMMERCE AND KENTUCKY SOCIETY FOR HUMAN RESOURCE MANAGEMENT. PMC'S CONTINUOUS GROWTH HAS MADE IT POSSIBLE TO ENHANCE COMMUNITY OUTREACH EFFORTS. THE HOSPITAL PROVIDES A VARIETY OF EDUCATIONAL, WELLNESS AND PREVENTIVE HEALTH SERVICES THAT IT CONSIDERS ESSENTIAL TO ITS MISSION "TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT." CHARITY CARE: PMC SET A NEW RECORD FOR CHARITY CARE IN FY 2013. THROUGH DEFINED POLICIES AND PROCEDURES, PMC RECORDED UNCOMPENSATED CHARITY OF MORE THAN $43.7 MILLION (SERVICES AT HOSPITAL'S ESTABLISHED RATES). HEALTH CARE SUPPORT SERVICES: BLOOD DRIVES - PMC HOSTS BLOOD DRIVES ON A REGULAR BASIS. PREPARATION FOR BLOOD DRIVES INCLUDES PUBLICITY BEFORE AND AFTER THE EVENT, 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 2013, 283 DONORS PARTICIPATED IN PMC'S SIX BLOOD DRIVES AND DONATED 266 UNITS OF BLOOD, WHICH HELPED SAVE UP TO 798 LIVES. THESE EVENTS COST PMC $2,696.MEALS ON WHEELS - IN FY 2013, PMC PROVIDED 4,684 MEALS AT A COST OF $28,497. GUEST MEALS - PMC DONATED 12,902 FOOD TRAYS TO GUESTS AT A COST OF $83,863 IN FY 2013.NEWBORN PARENT MEALS - NEW MOTHERS AND A GUEST RECEIVE A COMPLIMENTARY MEAL WITH THEIR CHOICE OF ENTREE DURING THE MOTHER'S HOSPITAL STAY. IN FY 2013, 956 MEALS WERE SERVED FOR A TOTAL CONTRIBUTION OF $12,500.INDIGENT SUPPORT SERVICES - MANY PATIENTS NEED FINANCIAL ASSISTANCE WITH PRESCRIBED MEDICATIONS, MEALS, TRANSPORTATION, AND OTHER ITEMS OR SERVICES. TO HELP RELIEVE FINANCIAL BURDEN, PMC'S CHAPLAIN SERVICES, CASE MANAGEMENT AND RADIATION ONCOLOGY DEPARTMENTS PROVIDED ASSISTANCE TO 633 PATIENTS TOTALING MORE THAN $36,652 IN FY 2013. ASSISTANCE WENT TO PATIENTS NEEDING PRESCRIBED MEDICATIONS AND TRANSPORTATION UPON DISCHARGE. TRANSPORTATION SUPPORT WAS ALSO PROVIDED TO PATIENTS NEEDING TO GET TO AND FROM THE HOSPITAL TO RECEIVE CARE, AND FOOD VOUCHERS WERE GIVEN TO PATIENTS AND THEIR FAMILIES. IN ADDITION, THE HOSPITAL PURCHASED CHILD CAR SEATS, MEDICAL EQUIPMENT AND MEDICAL SUPPLIES FOR PATIENTS IN NEED.SPIRITUAL - PMC'S CHAPLAINCY DEPARTMENT WORKS 24/7 TO ENSURE THAT PATIENTS' SPIRITUAL NEEDS ARE MET. THEY ROUND DAILY ON EACH PATIENT, OFFERING WORDS OF ENCOURAGEMENT AND PRAYER. IN FY 2013, 2,000 HEALING WORD DEVOTIONALS AND 1,060 BIBLES FOR NEWBORNS WERE DISTRIBUTED. THIS SERVICE PROVIDED A COMMUNITY BENEFIT OF $5,107.COMMUNITY FINANCIAL DONATIONS: IN FY 2013, PIKEVILLE MEDICAL CENTER ONCE AGAIN PROVED TO BE A STRONG CORPORATE CITIZEN. IN ADDITION TO ENCOURAGING EMPLOYEE PARTICIPATION IN COMMUNITY ACTIVITIES AND EVENTS, THE HOSPITAL GAVE $124,353 IN FINANCIAL SUPPORT TO SUCH ENTITIES AS:AMERICAN CANCER SOCIETYAMERICAN HEART ASSOCIATIONAPPALACHIAN PREGNANCY CARE CENTERFLOYD COUNTY EMERGENCY AND RESCUE SQUADHILLBILLY CHRISTMAS IN JULY, INC. JENNY WILEY THEATREJOHNS CREEK DISABLED AMERICAN VETERANSKENNETH HUFFMAN MEMORIAL TENNIS FOUNDATIONKENTUCKY CHAMBER OF COMMERCELETCHER COUNTY CENTRAL HIGH SCHOOLMARCH OF DIMESMOUNTAIN CLASSIC SCHOLARSHIP FUND MOUNTAIN MISSION SCHOOL CHOIROPERATION UNITE FOUNDATIONPIKE COUNTY PRIDE CLEAN COMMUNITY BOARDPIKE COUNTY YOUTH LEADERSHIP COUNCILPIKEVILLE ROTARY CLUBRED BIRD MISSIONSOUTHEAST KENTUCKY CHAMBER OF COMMERCESAINT FRANCIS SCHOOLUNIVERSITY OF KENTUCKY-SUMMIT SCHOLARSHIP FUNDUNIVERSITY OF PIKEVILLERECLAIM YOUR LIFE 5K FUNDRAISER - ON MAY 4, 2013, PMC HOSTED A 5K FUNDRAISER IN PIKEVILLE TO BENEFIT THE HOSPITAL'S WEIGHT LOSS SURGERY PROGRAM. AN ESTIMATED 150 PEOPLE PARTICIPATED IN THE EVENT. HOSPITAL EMPLOYEES ORGANIZED, PUBLICIZED AND WORKED THE EVENT. ALL PROCEEDS WENT TO UNDERINSURED PMC WEIGHT LOSS SURGERY PATIENTS. THE TOTAL COMMUNITY BENEFIT WAS $25,538.HEALTH SCREENINGS AND IMMUNIZATION: PMC HELD 13 FREE COMMUNITY HEALTH SCREENINGS DURING FY 2013. AMONG THE SCREENINGS OFFERED WERE BLOOD PRESSURE, BLOOD SUGAR, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), BODY MASS INDEX (BMI) AND CHOLESTEROL CHECKS, AS WELL AS PROSTATE CANCER, COLORECTAL CANCER, SKIN CANCER AND OSTEOARTHRITIS SCREENINGS. HEALTH EDUCATION MATERIALS WERE DISTRIBUTED AT THE EVENTS. ALL SCREENINGS WERE HOSTED BY PMC PHYSICIANS, NURSES AND/OR SUPPORT STAFF. MORE THAN 2800 PEOPLE ATTENDED THE EVENTS DURING WHICH THESE SCREENINGS WERE OFFERED. THE EVENTS PROVIDED A COMMUNITY BENEFIT IN EXCESS OF $129,940. EVENTS DURING WHICH PMC HOSTED FREE HEALTH SCREENINGS INCLUDED: - HEART HEALTHY FASHION SHOW AND AWARENESS DAY- PMC PHYSICAL REHAB REUNION AND SENIOR DAY- TRIBUTE TO VETERANS- FIRST-AID BOOTH AT HILLBILLY DAYS- STROKE AWARENESS DAY- MARROWBONE SENIOR CITIZENS HEALTH FAIR- SIGNATURE HEALTH CARE WELLNESS FAIR- LADIES NIGHT OUT TO PROMOTE WELLNESS- SEKY CHAMBER LEADERSHIP SOUTHEAST KENTUCKY- COLORECTAL CANCER SCREENING (17 PARTICIPANTS)- PROSTATE CANCER SCREENING (37 PARTICIPANTS)- SKIN CANCER SCREENING (48 PARTICIPANTS)- OSTEOARTHRITIS SCREENING (102 PARTICIPANTS) IN ADDITION, PMC OFFERED DRIVE-UP FLU SHOTS ON OCTOBER 6, 2012, REACHING 40 PEOPLE AT A COST OF $7,909.TRIBUTE TO VETERANS - PMC HELD A TRIBUTE TO VETERANS ON NOVEMBER 9, 2012. PEOPLE FROM ALL OVER THE REGION GATHERED TO WATCH A PARADE IN DOWNTOWN PIKEVILLE, FOLLOWED BY A FREE PERFORMANCE FROM COUNTRY MUSIC ARTIST AARON TIPPIN AND A SPECIAL PROGRAM HONORING VETERANS AT THE EAST KENTUCKY EXPO CENTER. AFTER THE FESTIVITIES, FREE REFRESHMENTS AND HEALTH SCREENINGS WERE OFFERED TO THE PUBLIC. THIS EVENT CONTRIBUTED $77,356 TOWARD COMMUNITY BENEFITS. PROMOTION OF COMMUNITY HEALTH (CONTINUED) PART VI LINE 5 HEART HEALTHY FASHION SHOW AND AWARENESS DAY - PMC CELEBRATED AMERICAN HEART MONTH 2013 BY HOSTING AN EDUCATIONAL HEART HEALTHY FASHION SHOW ON FEBRUARY 21. DURING THE EVENT, LADIES SHOWCASED THE LATEST STYLES IN RED FASHIONS, PROVIDED BY LOCAL VENDORS, WHILE PHYSICIANS MINGLED WITH THE CROWD AND DISCUSSED THE IMPORTANCE OF HEART HEALTH. PMC'S INTERVENTIONAL CARDIOLOGIST DR. BILL HARRIS WAS THE GUEST SPEAKER. FREE HEALTH SCREENINGS, HEALTH EDUCATION INFORMATION AND REFRESHMENTS WERE PROVIDED. THE TOTAL COMMUNITY BENEFIT WAS $16,467.LADIES NIGHT OUT - ON MAY 14, 2013, PMC HOSTED A FREE LADIES NIGHT OUT EVENT TO RAISE AWARENESS AND PROVIDE EDUCATION ABOUT WOMEN'S HEALTH ISSUES. APPROXIMATELY 150 ATTENDEES WERE ON HAND TO RECEIVE FREE HEALTH SCREENINGS AND HEALTH EDUCATION INFORMATION. PMC PHYSICIANS SERVED AS GUEST SPEAKERS, INFORMING THE AUDIENCE ON WOMEN'S HEALTH ISSUES AND HOSTING A QUESTION AND ANSWER SESSION. FREE REFRESHMENTS WERE SERVED AND LOCAL VENDORS SHOWCASED THEIR PRODUCTS AND SERVICES. THIS WAS A COMMUNITY BENEFIT OF $18,439.COMMUNITY HEALTH EDUCATION: PMC'S STAFF REMAINS ACTIVE IN EDUCATING THE COMMUNITY ON IMPORTANT HEALTH CARE TOPICS. THROUGHOUT FY 2013, HOSPITAL REPRESENTATIVES FROM VARIOUS DEPARTMENTS SPOKE TO LOCAL CIVIC CLUBS, SCHOOLS, MEDICAL PROFESSIONALS AND THE PUBLIC AT LARGE. THROUGH PMC'S 174 COMMUNITY EDUCATION EFFORTS IN FY 2013, THE HOSPITAL REACHED MORE THAN 2,400 PEOPLE. THIS WAS A COMMUNITY BENEFIT OF MORE THAN $375,527.PMC EMPLOYEES PARTICIPATED IN THE FOLLOWING LECTURES/PRESENTATIONS/PUBLICATIONS DURING FY 2013:- 44 CHILDBIRTH CLASSES - SHELBY VALLEY MOUNTAIN COMP PROGRAM DIABETES PRESENTATION- DIABETES ALERT DAY RADIO SPOT- COPD COMMUNITY SEMINAR- 12 HEALTH TALK PROGRAMS- HEART HEALTHY FASHION SHOW AND AWARENESS DAY- HELP OVERCOME TOBACCO AND DRUGS YOUTH CONFERENCE - LADIES NIGHT OUT TO PROMOTE WELLNESS- MEDICAL LEADER COMMUNITY PUBLICATION AND WEBSITE- DIABETES HEALTH FESTIVAL- KIDS EXPO- MARROWBONE SENIOR CITIZENS HEALTH FAIR- SIGNATURE HEALTH CARE WELLNESS FAIR- STROKE AWARENESS DAY- 52 WEIGHT LOSS SURGERY EDUCATION SEMINARS- WOMEN'S HEALTH PROGRAM AT PIKEVILLE WOMEN'S CLUBCHILDBIRTH CLASSES - PMC'S EDUCATION DEPARTMENT HOSTS FOUR CHILDBIRTH CLASSES A MONTH TO EDUCATE PARENTS-TO-BE ON WHAT TO EXPECT DURING LABOR AND AFTER BRINGING THEIR BABY HOME. INFORMATION DISCUSSED INCLUDES WHAT TO BRING TO THE HOSPITAL, HOSPITAL SERVICES, AVAILABLE PEDIATRICIANS, KANGAROO CARE, MANAGING LABOR PAIN AND EPIDURALS, BASIC NEWBORN CARE, CIRCUMCISION, CORD CARE, INFANT CPR, IMMUNIZATIONS AND BREASTFEEDING. ATTENDEES ALSO RECEIVE A TOUR OF THE LABOR AND DELIVERY FLOOR. THIS SERVICE COST $4,663 IN FY 2013. 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 2013, THE TOTAL COST FOR THIS SERVICE WAS NEARLY $55,000.MEDICAL LEADER - PMC PUBLISHES A WEEKLY NEWSPAPER, MEDICAL LEADER, IN WHICH HEALTH INFORMATION IS PRINTED ALONG WITH CONTENT ABOUT PMC SERVICES, PHYSICIANS AND TECHNOLOGY. THE HOSPITAL PRINTS 8,500 COPIES OF MEDICAL LEADER WEEKLY AND DISTRIBUTES THEM, FREE OF CHARGE, TO NUMEROUS LOCATIONS IN PIKE, FLOYD AND LETCHER COUNTIES IN KENTUCKY, AND MINGO COUNTY, WEST VIRGINIA. MEDICAL LEADER, WHICH HAS ITS OWN WEBSITE, HAS NEARLY 4,500 EMAIL SUBSCRIBERS AND MORE THAN 3,000 SOCIAL MEDIA FOLLOWERS. THIS COMMUNITY BENEFIT EXCEEDED $192,995 IN FY 2013.WEIGHT LOSS SURGERY EDUCATION SEMINARS - PMC'S WEIGHT LOSS SURGERY CENTER STAFF TRAVELS WEEKLY ACROSS THE REGION, EDUCATING THE PUBLIC ON VARIOUS BARIATRIC SURGERY, WEIGHT MANAGEMENT AND NUTRITION TOPICS. SEMINARS ARE ADVERTISED PRIOR TO THE EVENTS FOR MAXIMUM ATTENDANCE. DURING FY 2013, THIS COMMUNITY BENEFIT TOTALED $101,151.HEALTH PROFESSIONS EDUCATION - PMC SERVES AS A CLINICAL TRAINING SITE FOR HEALTH CARE STUDENTS FROM REGIONAL UNIVERSITIES AND COLLEGES. DURING FY 2013, PMC TRAINED APPROXIMATELY 575 STUDENTS AFFILIATED WITH 72 INSTITUTIONS. SCHOOLS AFFILIATED WITH PMC INCLUDE:A.T. STILL UNIVERSITY - ARIZONA SCHOOL OF MEDICINEBECKFIELD COLLEGEBELFRY AREA TECHNOLOGY CENTERBELLARMINE UNIVERSITYCHATHAM UNIVERSITYDES MOINES UNIVERSITYDEVRY UNIVERSITYDUKE UNIVERSITYEASTERN KENTUCKY UNIVERSITYEDWARD VIA VIRGINIA COLLEGE OF OSTEOPATHIC MEDICINEEMERGENCY MEDICAL EDUCATORSFRONTIER SCHOOL OF MIDWIFERY AND FAMILY NURSINGHUNTINGTON JUNIOR COLLEGEHUTCHINSON COMMUNITY COLLEGEIOWA COLLEGE ACQUISITION CORP. D/B/A KAPLAN UNIVERSITYJEFFERSON COLLEGE OF HEALTH SCIENCESJOHNS HOPKINS UNIVERSITYKANSAS CITY UNIVERSITY OF MEDICINE AND BIOSCIENCEKENTUCKY COLLEGE OF OSTEOPATHIC MEDICINEKENTUCKY COMMUNITY TECHNICAL COLLEGE SYSTEMLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE LETCHER COUNTY AREA TECHNOLOGY CENTERLIBERTY UNIVERSITYLINCOLN MEMORIAL UNIVERSITY - DEBUSK COLLEGE OF OSTEOPATHIC MEDICINELINDSEY WILSON COLLEGEMARIETTA COLLEGEMARSHALL UNIVERSITYMARYVILLE UNIVERSITYMERIDIAN INSTITUTE OF SURGICAL ASSISTINGMILLIGAN COLLEGEMOREHEAD STATE UNIVERSITYNATIONAL COLLEGE OF BUSINESS - LEXINGTON CAMPUSNATIONAL COLLEGE OF BUSINESS - PIKEVILLE CAMPUSNORTON RESIDENCY PROGRAMNORTHERN KENTUCKY UNIVERSITYNOVA SOUTHEASTERN UNIVERSITYOHIO UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINEPHLEBOTOMY EDUCATION INC.PHELPS VOCATIONAL SCHOOLROSS UNIVERSITYSAINT CLAIRE FAMILY MEDICINE OSTEOPATHIC RESIDENCY PROGRAM SAINT JAMES SCHOOL OF MEDICINESHAWNEE STATE UNIVERSITYSOUTH UNIVERSITY SCHOOL OF PHARMACYSOUTHERN WEST VIRGINIA COMMUNITY & TECHNICAL COLLEGESOUTHWEST VIRGINIA COMMUNITY COLLEGESPENCERIAN COLLEGESULLIVAN UNIVERSITY COLLEGE OF PHARMACYTENNESSEE TECHNOLOGY CENTER AT ELIZABETHTONTOURO UNIVERSITY NEVADATRANS STAR TRAINING ACADEMYUNION UNIVERSITYUNIVERSITY OF APPALACHIA COLLEGE OF PHARMACYUNIVERSITY OF CHARLESTONUNIVERSITY OF CINCINNATIUNIVERSITY OF THE CUMBERLANDSUNIVERSITY OF KENTUCKY UNIVERSITY OF LOUISVILLEUNIVERSITY OF NEW ENGLAND COLLEGE OF OSTEOPATHIC MEDICINEUNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTERUNIVERSITY OF NORTH CAROLINAUNIVERSITY OF PIKEVILLEUNIVERSITY OF WISCONSIN - OSHKOSH VIRGINIA APPALACHIAN TRICOLLEGE NURSING PROGRAMVIRGINIA COMMONWEALTH UNIVERSITYWASHBURN UNIVERSITYWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINEWEST VIRGINIA UNIVERSITY BOARD OF GOVERNORSWESTERN KENTUCKY UNIVERSITYWHEELING JESUIT UNIVERSITYWILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINEWINDSOR UNIVERSITY SCHOOL OF MEDICINERESIDENCY 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 SIX OSTEOPATHIC FAMILY MEDICINE AND MANIPULATIVE TREATMENT MEDICINE RESIDENCY PROGRAMS IN KENTUCKY. THE HOSPITAL, IN CONJUNCTION WITH THE RESIDENCY PROGRAM, OPERATES A FAMILY PRACTICE CLINIC WHICH TREATS APPROXIMATELY 12,000 PATIENTS ANNUALLY.THIS SERVICE ALLOWS PMC TO EDUCATE AND RETAIN COMPETENT, SKILLED PHYSICIANS IN THE REGION. DURING THE RESIDENCY YEAR OF JULY 2012 TO JUNE 2013, PMC TRAINED 15 RESIDENTS. THIS PROGRAM PROVIDED A COMMUNITY BENEFIT OF $810,457.PHYSICIAN AND MIDLEVEL PROFESSIONALS RECRUITMENT: THE PRIMARY GOAL OF PMC'S PHYSICIAN RECRUITMENT PROGRAM IS TO ENSURE THAT THE COMMUNITY HAS ACCESS TO THE HIGHEST QUALITY OF MEDICAL CARE AVAILABLE. PHYSICIAN RECRUITMENT IS ESSENTIAL TO ENHANCING THE HEALTH AND WELL BEING OF THE REGION. LOCAL HOSPITALS REFER PATIENTS TO PMC FOR SPECIALTY AND SUB-SPECIALTY SERVICES THEY ARE UNABLE TO PROVIDE. DURING FY 2013, PMC PHYSICIAN RECRUITERS ATTENDED 23 RECRUITMENT CONFERENCES AND RECRUITED 42 PHYSICIANS. ELEVEN MIDLEVEL PROFESSIONALS WERE ADDED. THE TOTAL COMMUNITY BENEFIT ASSOCIATED WITH RECRUITMENT DURING THIS TIME PERIOD WAS $791,235. THE RECRUITED PHYSICIANS PRACTICE IN THE FOLLOWING SPECIALTIES: - ANESTHESIOLOGY- CARDIOTHORACIC SURGERY- CLINICAL PSYCHOLOGY- ELECTROPHYSIOLOGY/CARDIOLOGY- ENDOCRINOLOGY- FAMILY MEDICINE- GENERAL SURGERY- HEMATOLOGY/ONCOLOGY- INFECTIOUS DISEASE- INTERNAL MEDICINE (HOSPITALISTS)- INTERVENTIONAL CARDIOLOGY- INTERVENTIONAL RADIOLOGY- NONINVASIVE CARDIOLOGY- ORTHOPEDIC HAND/SHOULDER SURGERY- PAIN MANAGEMENT PROMOTION OF COMMUNITY HEALTH (CONTINUED) PART VI LINE 5 - PLASTIC/RECONSTRUCTIVE SURGERY- PULMONOLOGY- RADIATION ONCOLOGY - TRAUMA SURGERY- UROLOGY- VASCULAR SURGERYCONTINUING HEALTH PROFESSIONALS EDUCATION: PMC HAS AN ACTIVE MEDICAL LIBRARY STAFF THAT COORDINATES AND OVERSEES MANY OF THE 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 2013, PMC OFFERED 44 CME PRESENTATIONS, REACHING 356 PHYSICIAN ATTENDEES AND MORE THAN 1,000 NON-PHYSICIAN ATTENDEES. THIS SERVICE PROVIDED A COMMUNITY BENEFIT OF $21,069. THE EDUCATIONAL OPPORTUNITIES OFFERED BY THE HOSPITAL DURING FY 2013 COVERED THE FOLLOWING TOPICS:- AN UPDATE ON KASPER: POST HOUSE BILL 1- CANCER CASE CONFERENCE (12 EVENTS)- CLABSI: CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS- HEART SYMPOSIUM - INFECTIOUS DISEASE CONFERENCE (10 EVENTS)- LUNG CANCER SYMPOSIUM: DIAGNOSIS AND MANAGEMENT- STATE-OF-THE-ART: ENDOMETRIAL CANCER- STROKE CASE CONFERENCE (5 EVENTS)- TRAUMA GRAND ROUNDS (11 EVENTS)- TRAUMA SYMPOSIUM: TREATMENT THROUGHOUT THE TRAUMA CONTINUUMSUPPORT GROUPS: IN FY 2013, PMC HOSTED/SPONSORED 40 SUPPORT GROUP MEETINGS, REACHING 751 PEOPLE AND GIVING $6,398 IN COMMUNITY BENEFITS. BELOW IS A LIST OF THE SUPPORT GROUPS PMC HOSTED/SPONSORED: - COPING WITH DIABETES SUPPORT GROUP- AFTER BREAST CANCER (ABC) SUPPORT GROUP- MAN TO MAN PROSTATE CANCER SUPPORT GROUP- WEIGHT LOSS SURGERY SUPPORT GROUPOTHER COMMUNITY SUPPORT: THROUGHOUT FY 2013, PMC HOSTED, SPONSORED OR PARTICIPATED IN SEVERAL COMMUNITY EVENTS INCLUDING: - CANCER SURVIVOR BANQUET- PICTURES WITH SANTA- EASTER EGGSTRAVAGANZA- LIVE NATIVITY- PMC BOOTH AT NIGHTMARE ON MAIN- RELAY FOR LIFE- RELAY FOR LIFE SURVIVORS DINNERTHE TOTAL COMMUNITY BENEFIT FOR THESE EVENTS WAS $26,299. 1 UNIVERSITY OF PIKEVILLE INC 147 SYCAMORE STREET PIKEVILLE KY 41501 610444788 501C3 28200 DONATION FOR COLEMAN COLLEGE OF BUSINESS; UPIKE CONCERT CHOIR; UPIKE VS U OF L RECEPTION; AND PRESIDENTIAL INAUGURATION RED BIRD MISSION INC 70 QUEENDALE CTR BEVERLY KY 40913 610674373 501C3 10000 DONATION UNITE FOUNDATION INC 2292 SOUTH HWY 27 SOMERSET KY 42501 562338443 501C3 20000 GOLD SPONSORSHIP NATIONAL RX DRUG ABUSE SUMMIT; SPONSORSHIP BLUEGRASS POLICY FORUM ON SUBSTANCE ABUSE JENNY WILEY DRAMA ASSOCIATION INC PO BOX 22 PRESTONSBURG KY 41653 610667976 501C3 12000 SPONSORSHIP FOR "THE MARVELOUS WONDERETTES"; PRODUCER SPONSORSHIP "MIRACLE ON 34TH STREET"; SPONSORSHIP "100 YEARS OF BROADWAY" AMERICAN HEART ASSOCIATION 545 NORTH HIGH ST COLUMBUS OH 43214 135613797 501C3 10000 DONATION AMERICAN HEART ASSOCIATION BALL SOUTHEAST KENTUCKY CHAMBER OF COMMERCE 787 HAMBLEY BLVD PIKEVILLE KY 41501 610544068 501C3 7000 SPONSORSHIP FOR ANNUAL AWARDS CEREMONY & BANQUET KENTUCKY CHAMBER OF COMMERCE 464 CHENAULT ROAD FRANKFORT KY 40601 610405718 501C6 15500 GOLD SPONSORSHIP 9TH ANNUAL BEST PLACES TO WORK; BRONZE SPONSORSHIP KENTUCKY CHAMBER DAY; BOARD MEETING SPONSORSHIP AMERICAN CANCER SOCIETY INC 4324 13TH STREET ASHLAND KY 41102 131788491 501C3 5000 RELAY FOR LIFE PIKE COUNTY SPONSORSHIP 7 1 ASSISTANCE FOR UNINSURED PATIENTS FOR PRESCRIPTIONS, CAFE VOUCHERS, TRANSPORTATION, MEDICAL EQUIPMENT AND CANCER TREATMENT TRAVEL ASSISTANCE. THERE WERE 586 PRESCRIPTIONS PROVIDED, 330 CAFE VOUCHERS PROVIDED, AND 69 RECIPIENTS OF TRAVEL ASSISTANCE. 994 38191 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 1 0 0 1 0 0 0 1 0 WALTER E MAY 592077 0 350000 0 6180 0 11962 0 23540 0 983759 0 0 0 MICHELLE HAGY 217431 0 33956 0 899 0 7043 0 23299 0 282628 0 2801 0 JUANITA DESKINS 271665 0 60686 0 1828 0 6916 0 23427 0 364522 0 3222 0 WILLIAM JOHNSON MD 265089 0 0 0 5265 0 26022 0 23370 0 319746 0 0 0 CHERYL HICKMAN 180761 0 57525 0 1745 0 13484 0 22931 0 276446 0 2354 0 RUSSELL SHANKLIN 150792 0 5859 0 974 0 11205 0 22612 0 191442 0 1689 0 PEGGY JUSTICE 155000 0 6439 0 891 0 9689 0 22683 0 194702 0 2014 0 DEBORAH PUCKETT 145758 0 6107 0 1476 0 10446 0 22607 0 186394 0 1910 0 MARCUS CONLEY 149363 0 6182 0 823 0 3968 0 22643 0 182979 0 1884 0 KEITH HALL MD 1013133 0 39165 0 270 0 9756 0 23540 0 1085864 0 0 0 KEVIN PUGH MD 1008055 0 0 0 270 0 9756 0 23540 0 1041621 0 0 0 JOSE VELAZQUEZ MD 493007 0 375542 0 300 0 2668 0 23540 0 895057 0 0 0 DUANE DENSLER MD 805000 0 24374 0 300 0 8500 0 23540 0 861714 0 0 0 MARK J SWOFFORD MD 600000 0 207787 0 450 0 8500 0 2328 0 819065 0 0 0 ESTELLA CLARK 111084 0 4682 0 45521 0 890 0 15090 0 177267 0 1949 0 PART I, LINE 4A ESTELLA CLARK RECEIVED SEVERANCE PAYMENTS TOTALING $45,000. PART I, LINE 5 DR. HALL AND DR. PUGH EARN QUARTERLY BONUSES BASED ON A PERCENTAGE OF THE NET COLLECTIONS OF THE PHYSICIANS PRACTICES OVER 150% OF THEIR BASE COMPENSATION. PART I, LINE 7 PMC'S COMPENSATION COMMITTEE DID NOT MEET UNTIL JULY 2012 TO REVIEW THE CEO'S EVALUATION AND COMPENSATION FOR FISCAL YEAR ENDING 2011. THUS WALTER E. MAY'S EARNINGS INCLUDES A BONUS PAYMENT OF $150,000 AND PAY ADJUSTMENT THAT WAS RETROACTIVE TO OCTOBER 1, 2011. A CITY OF PIKEVILLE KY 616001897 72134PAR3 2011-04-27 90370651 SEE BELOW 0 0 0 B CITY OF PIKEVILLE KY 616001897 72134PAT9 2013-03-21 45288000 SEE BELOW 0 0 0 A 90370651 3563671 1328586 35665770 44236511 5576114 1 0 0 1 B 45288000 200000 327500 13388506 31371994 0 0 0 1 A 0 1 1 1 0 0.00590 0.00000 0.00590 0 0 0 B 0 0 0 0 0.00000 0.00000 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 1 B 1 THE BONDS AND NOTES 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 1769 EMPLOYEE EDUCATIONAL ASSISTANCE EMPLOYEE EDUCATIONAL ASSISTANCE COMMUNITY TRUST BANK ENTITY OF WHICH BOARD MEMBERS HAVE BUSINESS RELATIONSHIPS 9591777 HOBART JOHNSON AND DAVID COLLINS SERVE AS BOARD MEMBERS OF BOTH ENTITIES. SERVICES PROVIDED BY COMMUNITY TRUST BANK TO PIKEVILLE MEDICAL CENTER: -INTEREST INCOME BANKING SERVICES & FUNDS IN TRUST, $544,936.57 -SAFE DEPOSIT BOX FEES/LINE OF CREDIT FEES/BOND ACCT MGMT FEES, $9,065.00 -INSTALLMENT LOAN PAYMENTS, $9,016,204.16 -ADVERTISING INCOME AND SUBSCRIPTION-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $21,571.20 0 EAST KY BROADCASTING AND EAST KY RADIO NETWORK (TOTAL OF NINE RADIO STATION ENTITIES MORE THAN 35% OWNED BY WALTER E. MAY, PMC PRESIDENT/CEO 839762 ENTITIES PROVIDE ADVERTISING SERVICES TO PMC, $817,765.01 -ENTITIES PROVIDE ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $21,996.60 0 KVWV TRAFFIC CONTROL ENTITY OF WHICH T.T. COLLEY'S SON IS THE OWNER 19363 ENTITY PROVIDES PARKING LOT STRIPING SERVICES TO PIKEVILLE MEDICAL CENTER 0 MESA-ER PHYSICIAN GROUP ENTITY OF WHICH SUE SMALLWOOD'S STEP GRANDSON IS THE MEDICAL DIRECTOR. 480000 THE STEP GRANDSON OF PMC BOARD MEMBER SUE SMALLWOOD IS PIKEVILLE MEDICAL CENTER EMERGENCY DEAPARTMENT MEDICAL DIRECTOR AND AN EMPLOYEE FOR MESA. MESA PROVIDES EMERGENCY DEPARTMENT PHYSICIAN SERVICES FOR PIKEVILLE MEDICAL CENTER. 0 PAM MAY LAW FIRM PSC ENTITY MORE THAN 35% OWNED BY WIFE OF WALTER E. MAY, PMC PRESIDENT/CEO 1887603 FIRM PROVIDES LEGAL SERVICES TO PIKEVILLE MEDICAL CENTER. 0 PIKEVILLE RADIOLOGY ENTITY MORE THAN 35% OWNED BY TWO PMC BOARD MEMBERS 73730 ALEX POULOS, M.D. & DENNIS HALBERT, M.D. ARE PARTNERS OF PIKEVILLE RADIOLOGY WITH WHOM PIKEVILLE MEDICAL CENTER CONTRACTS WITH FOR RADIOLOGY SERVICES 0 US BANK ENTITY OF WHICH ALEX POULOS, M.D. IS A BOARD MEMBER 1319467 SERVICES PROVIDED BY US BANK TO PIKEVILLE MEDICAL CENTER: -INSTALLMENT LOAN PAYMENTS, $1,213,027.08 - RENT, $106,142.28 - ADVERTISING INCOME - MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PMC, $298.00. 0 CREATIVE PROMOTIONS ENTITY OWNED BY SON IN LAW OF WALTER E. MAY, PMC PRESIDENT/CEO 61760 PIKEVILLE MEDICAL CENTER PURCHASES PROMOTIONAL PRODUCTS FROM THIS ENTITY. 0 ANDREA ALLARA DAUGHTER OF JOE DEAN ANDERSON, PMC BOARD MEMBER 42802 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS RADIOLOGY COORDINATOR. 0 ROBERT BELL STEP SON OF HOBART JOHNSON, PMC BOARD MEMBER 100326 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS NUTRITIONAL SERVICES HEAD CHEF. 0 CAMILLA DAMRON DAUGHTER OF JO NELL ROBINSON, PMC BOARD MEMBER 75375 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A SPEECH LANGUAGE PATHOLOGIST. 0 BART DAVIS GRANDSON OF JO NELL ROBINSON, PMC BOARD MEMBER 10577 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR OF FLEET. 0 SARAH HARRIS DAUGHTER OF CHERYL HICKMAN, PMC KEY EMPLOYEE 72263 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS IT- PRACTICE PROJECT MANAGER. 0 ASHLEY COLLINS JOHNSON DAUGHTER OF DAVID COLLINS, PMC BOARD MEMBER 33737 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS MANAGER-EMPLOYEE RELATIONS. 0 CINDY MAY JOHNSON DAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO 34437 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-MEDICAL LEADER/PUBLIC RELATIONS. 0 RANDY L JOHNSON SON IN LAW OF WALTER E. MAY, PMC PRESIDENT/CEO 60349 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS ASSISTANT DIRECTOR-CHAPLAIN SERVICES. 0 BRANDI MAY DAUGHTER IN LAW OF WALTER E. MAY, PMC PRESIDENT/CEO 27750 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A NURSE PRACTITIONER. 0 KAMINSKI ROBINSON HUSBAND OF JO NELL ROBINSON, PMC BOARD MEMBER 66044 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-CHAPLAIN SERVICES. 0 ANDREA ROBINETTE STEP DAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO 57420 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-PHYSICIAN SERVICES. 0 COLLEY STEVENS GRANDSON OF T.T. COLLEY, PMC BOARD MEMBER 62929 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS ASSISTANT DIRECTOR - VALET SERVICES. 0 CORDELL WEATHERFORD GRANDSON IN LAW OF WALTER E MAY, PMC PRESIDENT/CEO 91926 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS ASSISTANT VICE PRESIDENT-ADMINISTRATION. 0 CAROLINA WEATHERFORD DBA CLW EDITIN GRANDDAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO 18300 ENTITY PROVIDES PROOFREADING SERVICES FOR PIKEVILLE MEDICAL CENTER'S MEDICAL LEADER PUBLICATION. 0 SUMMIT ENGINEERING ENTITY OF WHICH PMC KEY EMPLOYEE PEGGY JUSTICE'S BROTHER IS A PARTNER 38249 ENTITY PROVIDES ENGINEERING SERVICES TO PIKEVILLE MEDICAL CENTER. 0 FORM 990, PART VI, SECTION A, LINE 2 DR ALEX POULOS & DR DENNIS HALBERT PARTNERS IN PIKEVILLE RADIOLOGY. HOBERT JOHNSON & DAVID COLLINS MEMBERS OF COMMUNITY TRUST BANK BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE CFO AND HOSPITAL ATTORNEY PRIOR TO FILING. ADDITIONALLY, THE GOVERNING BODY REVIEWS AND APPROVES THE FINAL FORM 990 INCLUDING REQUESTED SCHEDULES. 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 BOARD ATTORNEY IS PROVIDED A COPY OF ALL INTERESTS OF EACH MEMBER TO ENSURE COMPLIANCE WITH THE POLICY. THESE ARE REGULARLY AND CONSISTENTLY MONITORED FOR ANY CHANGES. AS TO EMPLOYEES, THERE IS A WRITTEN CONFLICT OF INTEREST POLICY WHICH TOO IS REGULARLY AND CONSISTENTLY MONITORED AND ENFORCED BY HUMAN RESOURCES AND ADMINISTRATION AS NECESSARY. THIS POLICY IS INTENDED TO IDENTIFY AND RESOLVE CONFLICTS OF INTEREST WHICH MAY OCCUR RELATED TO FINANCIAL, BUSINESS, OR PROFESSIONAL INTERESTS. THE POLICY IS IN PLACE TO IDENTIFY AND RESOLVE A CONFLICT OF INTEREST WHICH MAY OCCUR ANY TIME THERE IS A SITUATION IN WHICH ONE'S ABILITY TO MAKE OBJECTIVE, JOB RELATED BUSINESS DECISIONS MAY BE INFLUENCED BY, OR HAVE THE APPEARANCE OF BEING INFLUENCED BY, OUTSIDE ACTIVITIES OR PERSONAL INTERESTS. POTENTIAL CONFLICTS OF INTEREST MAY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: 1. WORKING A SECOND JOB AT A COMPETING HEALTHCARE ENTITY WHICH MAY ALLOW THE TRANSFER OF CONFIDENTIAL BUSINESS INFORMATION OR INFLUENCE REFERRAL PATTERNS. 2. ALLOWING THE DEMANDS OF OUTSIDE ACTIVITIES TO HINDER OR DISTRACT YOU FROM THE PERFORMANCE OF YOUR JOB OR CAUSE YOU TO USE PIKEVILLE MEDICAL CENTER RESOURCES FOR OTHER THAN PIKEVILLE MEDICAL CENTER PURPOSES. 3. HOLDING AN OWNERSHIP INTEREST, MANAGEMENT, OR BOARD OF DIRECTORS POSITION IN A COMPANY WITH WHOM PIKEVILLE MEDICAL CENTER DOES BUSINESS WHICH MAY LEAD TO THE INDIVIDUAL'S PERSONAL GAIN/BENEFIT. "OWNERSHIP INTEREST" MEANS SERVING AS A BOARD DIRECTOR OR OFFICER OR OWNING MORE THAN 5% OF THE BUSINESS OR CORPORATION. 4. HAVING AN IMMEDIATE FAMILY MEMBER OR SIGNIFICANT OTHER WHO HOLDS AN OWNERSHIP INTEREST IN A COMPANY WITH WHOM PIKEVILLE MEDICAL CENTER DOES BUSINESS WHICH MAY LEAD TO THE INDIVIDUAL'S PERSONAL GAIN/BENEFIT. "OWNERSHIP INTEREST" MEANS SERVING AS A BOARD DIRECTOR OR OFFICER OR OWNING MORE THAN 5% OF THE BUSINESS OR CORPORATION. 5. HAVING AN IMMEDIATE FAMILY MEMBER OR SIGNIFICANT OTHER EMPLOYED BY THE PIKEVILLE MEDICAL CENTER AND WORKING WITHIN THE SAME DIRECT LINE OF AUTHORITY (ABOVE OR BELOW) AS THE FIRST EMPLOYEE. IMMEDIATE FAMILY MEMBERS INCLUDE SPOUSES, CHILDREN, GRANDCHILDREN, BROTHERS AND SISTERS AND THE SPOUSES OF THOSE INDIVIDUALS. THE SCOPE OF THIS POLICY INCLUDES: PIKEVILLE MEDICAL CENTER AND ALL ITS DEPARTMENTS AND SERVICES WHEREVER LOCATED. THE COVERED INDIVIDUALS ARE TO FOLLOW THESE PROCEDURES: 1. ALL LICENSED CLINICAL STAFF, SUPERVISORS, AND MANAGEMENT PERSONNEL SHALL COMPLETE A DUALITY AND CONFLICT OF INTEREST FORM AT THE TIME OF INITIAL EMPLOYMENT AND ANNUALLY THEREAFTER. 2. EMPLOYEE CONFLICT OF INTEREST FORMS SHALL BE FILED IN THEIR PERSONNEL FILES. 3. IN THE EVENT THAT AN EMPLOYEE'S JOB DESCRIPTION OR DUTIES REQUIRES A BUSINESS RELATED DECISION TO BE MADE IN AN AREA IN WHICH A PERSONAL CONFLICT OF INTEREST HAS BEEN IDENTIFIED, THE EMPLOYEE SHALL NOTIFY HIS/HER SUPERVISOR TO ARRANGE FOR AN ALTERNATIVE DECISION MAKING PROCESS WHICH WILL MAINTAIN OBJECTIVITY AND ELIMINATE PERSONAL BIAS, I.E. PERSONAL WITHDRAWAL FROM THE DECISION MAKING PROCESS, SOLICITATION OF CLOSED BIDS, OR UTILIZATION OF A INDEPENDENT SELECTION COMMITTEE. 4. IF AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF ETHICS IS IDENTIFIED INVOLVING PATIENT CARE OR TREATMENT, THE EMPLOYEE SHOULD SEEK ASSISTANCE FROM THEIR SUPERVISOR TO FIND A RESOLUTION WHICH WOULD HAVE MINIMUM IMPACT ON PATIENT CARE, TREATMENT, OR SERVICES. 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. OVERSIGHT OF AUDIT THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR. 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