2012-08-15T12:56:12-05:00 2011-09-30 990 2010-10-01 610458376 PIKEVILLE MEDICAL CENTER INC PIKE 6062183501 911 BYPASS ROAD PIKEVILLE KY 41501 MICHELLE HAGY 6062183974 2012-08-15 2010 2016-02-24 21:20:13Z WALTER E MAY 911 BYPASS ROAD PIKEVILLE KY 41501 360165528 0 X WWW.PIKEVILLEHOSPITAL.ORG X 1923 KY THE CENTER'S MISSION IS TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT 15 4 2684 215 1008615 -455572 442444 352146 291879557 338216599 1085265 1236269 4978100 11631548 298385366 351436562 215250 94068 0 0 135921312 160481295 0 0 8229 137663189 159881424 273799751 320456787 24585615 30979775 263525600 384559071 84228459 174114008 179297141 210445063 X PIKEVILLE MEDICAL CENTER'S MISSION IS TO PROVIDE QUALITY REGIONAL HEALTHCARE IN A CHRISTIAN ENVIRONMENT. 0 0 52093837 0 30713250 PHYSICIAN PRACTICES:DURING FY 2011, PIKEVILLE MEDICAL CENTER (PMC) WELCOMED 26 NEW PHYSICIANS, SIX NEW NURSE PRACTITIONERS AND ONE PHYSICIAN ASSISTANT TO ITS PHYSICIAN PRACTICE TEAM. THEY INCLUDED: ONE NEPHROLOGIST, ONE INTENSIVIST, ONE OTOLARYNGOLOGIST, ONE UROLOGIST, TWO GENERAL SURGEONS, TWO RHEUMATOLOGISTS, ONE VASCULAR SURGEON, ONE CRITICAL CARE PHYSICIAN, TWO OBSTETRICIANS, ONE GYNECOLOGICAL ONCOLOGIST, SIX HOSPITALISTS, ONE HAND SURGEON, ONE PEDIATRIC ENDOCRINOLOGIST, ONE FAMILY PRACTICE PHYSICIAN, ONE INTERVENTIONAL CARDIOLOGIST, ONE PHYSIATRIST, ONE PULMONOLOGIST AND ONE SPORTS MEDICINE PHYSICIAN.WITH THE ADDITION OF THE NEW DOCTORS, PIKEVILLE MEDICAL CENTER HAS A TEAM OF MORE THAN 270 FULL-TIME EMPLOYEES STAFFING ITS PHYSICIAN PRACTICE OFFICES.THESE NEWLY RECRUITED PHYSICIANS, ALONG WITH OUR EXISTING EMPLOYED PHYSICIANS COMPLETED MORE THAN 112,700 PATIENT VISITS/CONSULTATIONS.PIKEVILLE MEDICAL CENTER'S PHYSICIAN PRACTICE NETWORK INCLUDES: FAMILY PHYSICIAN PRACTICES IN HAROLD, PIKEVILLE, MOUTHCARD, AND SHELBY VALLEY (KENTUCKY); UROLOGY, GYNECOLOGICAL ONCOLOGY; GENERAL SURGERY; OBSTETRICS AND GYNECOLOGY; CARDIOTHORACIC SURGERY; INFECTIOUS DISEASE; NEPHROLOGY; PULMONOLOGY; PLASTIC SURGERY; INTERVENTIONAL CARDIOLOGY; COUMADIN/CONGESTIVE HEART FAILURE; CARDIOLOGY PRACTICES IN GRUNDY (VIRGINIA), PAINTSVILLE, WHITESBURG AND SOUTH WILLIAMSON (KENTUCKY); BARIATRIC SURGERY; ORTHOPAEDIC REHABILITATION; NEUROSURGERY; OTOLARYNGOLOGY; ORTHOPAEDIC SURGERY; SPORTS MEDICINE; RHEUMATOLOGY; ADULT AND PEDIATRIC ENDOCRINOLOGY; PAIN MANAGEMENT; ONCOLOGY PRACTICES IN PIKEVILLE, PAINTSVILLE AND SOUTH WILLIAMSON (KENTUCKY); PULMONARY REHABILITATION; AND OPHTHALMOLOGY-RETINA SPECIALIST.PIKEVILLE MEDICAL CENTER BEGAN THE RELOCATION OF ITS LEONARD LAWSON CANCER CENTER IN SEPTEMBER 2011. OUR PATIENTS NOW ENJOY EASY ACCESS, CONVENIENT PARKING AND A FACILITY DESIGNED WITH THE PATIENT IN MIND. THE NEW FACILITY INCLUDES 18 STATE-OF-THE-ART EXAM ROOMS, 18 CHEMOTHERAPY STATIONS, A TEAM OF 10 EXPERIENCED ONCOLOGISTS, PHYSICIAN OFFICES, AN ONCOLOGY LABORATORY, INFUSION ROOM AND AN ON-SITE PHARMACY. THE TOTAL RELOCATION COST WAS MORE THAN FOUR MILLION DOLLARS.FOR THE SECOND CONSECUTIVE TIME, THE LEONARD LAWSON CANCER CENTER RECEIVED THE COMMISSION ON CANCER'S "OUTSTANDING ACHIEVEMENT AWARD." PMC IS THE ONLY HOSPITAL IN KENTUCKY TO BE HONORED TWICE AND CONSECUTIVELY BY THIS DISTINCTION. PIKEVILLE MEDICAL CENTER OPENED TWO NEW GYNECOLOGY CENTERS, IN PIKEVILLE AND HAROLD (KENTUCKY). AS WE CONTINUE TO OPTIMIZE OUR OPPORTUNITIES TO SERVE, WE HAVE BEEN HONORED WITH THE WOMEN'S CERTIFIED AWARD FOR EXCELLENCE IN WOMEN'S CARE.THE HOSPITAL ALSO COMPLETED RENOVATION FOR A NEW ORTHOPEDIC/TRAINING CENTER AND ADDED A HAND SURGEON SPECIALIST AND SPORTS MEDICINE SPECIALIST TO THE PMC ORTHOPEDIC TEAM.RECENTLY IMPLEMENTING NEXTGEN, A NEW ELECTRONIC MEDICAL RECORDS SYSTEM, PIKEVILLE MEDICAL CENTER IS WELL ON ITS WAY TO BEING PAPERLESS WHERE ALL MEDICAL RECORDS ARE DOCUMENTED IN THE COMPUTER. THIS NEW, MORE EFFICIENT, FASTER SYSTEM ALLOWS EVERYONE INVOLVED IN THE PATIENT'S CARE TO RECEIVE IMMEDIATE DOCUMENTATION.IN FEBRUARY 2011, PIKEVILLE MEDICAL CENTER BEGAN CONSTRUCTION ON A MEDICAL OFFICE BUILDING AND PARKING GARAGE THAT WHEN COMPLETE WILL HAVE 10 FLOORS OF PARKING IN THE GARAGE WITH A TOTAL OF 1,162 PARKING SPACES AND 10 FLOORS IN THE MEDICAL OFFICE BUILDING WITH THE FIRST FLOOR BEING PARKING AND MECHANICAL ROOMS, TWO FLOORS FOR SURGICAL FUNCTIONS, SIX AND ONE-HALF FLOORS OF PHYSICIAN EXAM SPACE, AND ONE-HALF FLOOR OF CONFERENCE SPACE. THE ANTICIPATED COST OF THIS TOTAL PROJECT WILL BE APPROXIMATELY $112 MILLION. UPON COMPLETION, PMC WILL CONCENTRATE ITS EMPLOYED PHYSICIANS IN A SINGLE VENUE. FOLLOWING THE MAYO CLINIC MODEL OF HOSPITAL-PHYSICIAN INTEGRATION, THIS WILL ALLOW EASY PATIENT ACCESS TO PHYSICIAN OFFICES AS WELL AS THE MAIN HOSPITAL FACILITY. 12078524 0 39504631 IMAGING SERVICES:PIKEVILLE MEDICAL CENTER'S DIAGNOSTIC IMAGING SERVICES ARE KNOWN AS ONE OF THE BEST EQUIPPED IN THE NATION. THE HOSPITAL'S BOARD CERTIFIED RADIOLOGISTS ARE EXPERTS WHO CONSULT WITH SPECIALISTS IN OTHER DEPARTMENTS TO PROVIDE PATIENT CARE. RADIOLOGISTS WORK WITH THE BEST EQUIPMENT AVAILABLE, AS WELL AS SKILLED TECHNOLOGISTS AND NURSES TO PERFORM TESTS AND INTERPRET RESULTS IN THE IMAGING AND TREATMENT OF DISEASES AFFECTING PATIENTS OF ALL AGES. OVERALL, PMC DIAGNOSTICS COMPLETED NEARLY 721,900 TESTS DURING FY 2011. THE DIFFERENT AREAS/TESTS OUR PATIENTS WERE REFERRED TO INCLUDED; CT, ULTRASOUND, PET SCAN, MRI (LOCATED ON TWO DIFFERENT CAMPUSES), ORTHOPEDIC DIAGNOSTIC RADIOLOGY, GENERAL DIAGNOSTIC RADIOLOGY AND NUCLEAR MEDICINE.DURING FY 2011, THE HOSPITAL COMPLETED MORE THAN $793,400 IN RENOVATIONS TO CURRENT DIAGNOSTIC IMAGING AREAS AND THE ADDITION OF NEW STATE-OF-THE-ART TECHNOLOGY IN FIVE LOCATIONS. AMONG THE NEW EQUIPMENT PIKEVILLE MEDICAL CENTER PURCHASED WERE: ULTRASOUND SYSTEM - PHILLIPS IE33 (TEE) VISION SYSTEM W/QLAB, TWO TOSHIBA AQUILION ONE DYNAMIC VOLUME CT SCANNERS, TOSHIBA AQUILION LARGE BORE (64) CT SCANNER AND ONE TOSHIBA TITAN X HIGH FIELD MRI SYSTEM. THE TOSHIBA AQUILION LARGE BORE (64) CT SCANNER WAS INSTALLED IN PMC'S RADIATION ONCOLOGY DEPARTMENT. THIS MACHINE IS HELPFUL FOR CLAUSTROPHOBICS AND THE OBESE, ACCOMMODATING PATIENTS UP TO 650 LBS. 16491505 0 29482926 CARDIAC SERVICES:ONE OF THE NATION'S MOST PREVALENT HEALTH PROBLEMS IS HEART DISEASE, AND OUR REGION IS NO EXCEPTION. PIKEVILLE MEDICAL CENTER, AFFILIATED WITH CLEVELAND CLINIC'S HEART SURGERY PROGRAM, MADE A COMMITMENT 13 YEARS AGO TO BUILD A WORLD CLASS HEART PROGRAM. PMC IS THE FIRST HOSPITAL IN THE STATE OF KENTUCKY AND THE FIFTH IN THE NATION TO BE RECOGNIZED AS A LEVEL IV CHEST PAIN ACCREDITED HEART & VASCULAR INSTITUTE.FY 2011 WAS ANOTHER SUCCESSFUL YEAR FOR RECRUITMENT, WITH THE EMPLOYMENT OF AN ADDITIONAL VASCULAR SURGEON AND THE ADDITION OF A FORMER CLEVELAND CLINIC INTERVENTIONAL CARDIOLOGIST. THESE NEW PHYSICIANS JOINED AN ALREADY ESTABLISHED CARDIOLOGY TEAM INCLUDING: TWO APRNS; TWO PA-CS; TWO CARDIOTHORACIC SURGEONS; SIX CARDIOLOGISTS; AND AN ELECTROPHYSIOLOGIST. ALL OF OUR SURGEONS IN THE HEART & VASCULAR INSTITUTE ARE CREDENTIALED AT CLEVELAND CLINIC, ALLOWING THEM TO MIRROR CLEVELAND'S BEST PRACTICES WHILE EXCHANGING INFORMATION AND RESEARCH. PIKEVILLE MEDICAL CENTER IS COMMITTED TO PROVIDING THE MOST ADVANCED TOOLS AND FACILITIES AVAILABLE ANYWHERE. PMC PROVIDES HEART PATIENTS WITH DIAGNOSTIC CATHS, STENTS AND ANGIOPLASTY, INTRAVASCULAR ULTRASOUND AND MINIMALLY INVASIVE CLOSURE OF HEART DEFECTS, JUST TO NAME A FEW. DURING FY 2011, PIKEVILLE MEDICAL CENTER'S HEART AND VASCULAR INSTITUTE COMPLETED A NEW CATH LAB HOLDING AREA RENOVATION, AND ADDED TWO NEW PIECES OF EQUIPMENT (THE CARDIAC CRYOBLATION SYSTEM AND THE TOSHIBA INFINIX VF-I/S VASCULAR SYSTEM), AN INVESTMENT OF MORE THAN $1,367,300. DURING THIS YEAR WE HAVE ADDED AN EP LAB TO BETTER SERVE OUR PATIENTS. PMC HAS ALSO RECEIVED ECHO CERTIFICATION.AS WE LOOK FOR WAYS TO IMPROVE, PMC HAS AGAIN MOVED OUTSIDE THE WALLS OF ITS MAIN CAMPUS. WE'VE OPENED MULTI-PURPOSE REGIONAL CLINICS IN THE OUTLYING COMMUNITIES OF PAINTSVILLE, WHITESBURG AND SOUTH WILLIAMSON (KENTUCKY) AND GRUNDY (VIRGINIA) WITH THE EXPANSION OF HEART-RELATED SERVICES, THE HOSPITAL HAS BEEN ABLE TO COMPLETE NEARLY 24,000 GENERAL CARDIAC CASES INCLUDING INPATIENT CARDIOLOGY CARE, CARDIAC REHAB, CARDIOPULMONARY, EDG, EEG AND CARDIAC CATHLAB SERVICES. PMC ALSO COMPLETED 140 OPEN HEART CASES. 200317686 94068 245331335 OTHER:PIKEVILLE MEDICAL CENTER HAS BEEN RECOGNIZED AS THE NATION'S ONLY REPEAT WINNER FOR THREE CONSECUTIVE YEARS OF THE NATIONAL HOSPITAL OF THE YEAR BY THE AMERICAN ALLIANCE OF HEALTHCARE PROVIDERS. PMC HAS ALSO BEEN NAMED A HOSPITAL OF CHOICE EMERITUS.PMC IS LICENSED FOR 261 BEDS AND PROVIDES MORE THAN 400 HEALTH CARE SERVICES THROUGHOUT MULTIPLE COUNTIES. PMC'S COMPASSIONATE EMPLOYEES AND DEDICATED DOCTORS PROVIDE UNSURPASSED SERVICE WITH STATE-OF-THE-ART TECHNOLOGY AND UNMATCHED GENEROSITY TO THE COMMUNITY. KNOWN AS THE PREMIER HOSPITAL IN A MULTI-STATE REGION, PMC IS CONTINUALLY GROWING AND LOOKING FOR NEW WAYS TO PROVIDE THE MOST ADVANCED HEALTH CARE AVAILABLE. PHYSICAL INPATIENT REHABILITATION HOSPITALPIKEVILLE MEDICAL CENTER'S INPATIENT PHYSICAL REHABILITATION (IPR) HOSPITAL, A STATE-OF-THE-ART FACILITY CONSISTS OF 40 LICENSED BEDS AND COVERS 23,000 SQUARE FEET OF SPACE INCLUDING A DINING HALL, FULLY EQUIPPED KITCHEN AND LAUNDRY FACILITIES. BEING RANKED #1 IN PATIENT SATISFACTION OUT OF MORE THAN 400 HOSPITALS SURVEYED BY HEALTHSTREAM RESEARCH, PMC'S INPATIENT PHYSICAL REHABILITATION HOSPITAL IS DEDICATED TO HELPING PATIENTS WHO ARE DISABLED BY DISEASE OR INJURY. FOR PATIENTS NEEDING INTENSIVE REHABILITATION, PIKEVILLE MEDICAL CENTER'S INPATIENT REHABILITATION PHYSICIAN LED TEAM OFFERS A FULL RANGE OF SERVICES FROM PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS, REHABILITATION NURSES, CASE MANAGERS, SOCIAL WORKERS, DIETITIANS AND OTHER PROFESSIONALS. THE TEAM WORKS WITH PATIENTS AND THEIR FAMILIES TO DESIGN AND EXECUTE A CAREFULLY MONITORED TREATMENT PLAN THAT MEETS EACH INDIVIDUAL PATIENT'S NEEDS. THE GOAL OF PMC'S INPATIENT REHABILITATION HOSPITAL IS TO RETURN THE PATIENT HOME OR BACK TO WORK AS SOON AS POSSIBLE FOLLOWING AN ILLNESS OR ACCIDENT, ALLOWING THEM TO REGAIN THE HIGHEST LEVEL OF INDEPENDENCE POSSIBLE.PMC IS ONE OF ONLY 70 HOSPITALS IN THE U.S. TO OFFER LOKOMAT THERAPY. THE LOKOMAT USES A COMPUTER PROGRAM TO GUIDE THE PATIENT'S LEGS IN A NATURAL PATTERN ALLOWING FOR A MORE INTENSE TRAINING. BY USING THIS EQUIPMENT, THE PATIENT ACHIEVES A NATURAL GAIT AND RE-LEARNS HOW TO WALK. PMC IS ONE OF ONLY 17 REHABILITATION HOSPITALS IN THE COUNTRY TO OFFER PEDIATRIC EXTENSIONS FOR CHILDREN.STROKE CENTERPIKEVILLE MEDICAL CENTER HAS RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES -STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD. ONLY 10 HOSPITALS IN KENTUCKY HAVE EARNED THIS ACCREDITATION, AND NO OTHER KENTUCKY HOSPITAL EAST OF LEXINGTON HAS EARNED THIS PRESTIGIOUS DISTINCTION. THE AWARD RECOGNIZES PMC'S COMMITMENT AND SUCCESS IN IMPLEMENTING EXCELLENT CARE FOR STROKE PATIENTS, ACCORDING TO EVIDENCE-BASED GUIDELINES. TO RECEIVE THE AWARD, PMC ACHIEVED 85 PERCENT OR HIGHER ADHERENCE TO ALL GET WITH THE GUIDELINES-STROKE QUALITY ACHIEVEMENT INDICATORS FOR TWO OR MORE CONSECUTIVE 12-MONTH INTERVALS AND ACHIEVED 75 PERCENT OR HIGHER COMPLIANCE WITH SIX OF TEN GET WITH THE GUIDELINES-STROKE QUALITY MEASURES, WHICH ARE REPORTING INITIATIVES TO MEASURE QUALITY OF CARE.EMERGENCY DEPARTMENTIN PREPARATION FOR ACHIEVING LEVEL II TRAUMA CENTER CERTIFICATION, PIKEVILLE MEDICAL CENTER COMPLETED A $10 MILLION EXPANSION AND RENOVATION TO ITS EMERGENCY DEPARTMENT. THIS NEW FACILITY ENCOMPASSES NEARLY 23,000 SQUARE FEET AND INCLUDES TWO TRAUMA BAYS AND THREE TRIAGE BAYS, AS WELL AS ON-SITE CT SCANNING AND DIGITAL X-RAY. TRAUMA:TRAUMA CARE IS NOW AVAILABLE AT PMC. IN THE IMMEDIATE FUTURE WE WILL BE CERTIFIED AS A LEVEL II TRAUMA CENTER BY THE AMERICAN COLLEGE OF SURGEONS. WE HAVE ALREADY TREATED APPROXIMATELY 500 TRAUMA CASES. THIS SERVICE ALLOWS PMC TO PROVIDE THE HIGHEST LEVEL OF CARE TO TRAUMA PATIENTS WHO DEPEND ON IMMEDIATE CARE FOR SURVIVAL.TRANSLATION SERVICES:THE POPULATION IN EASTERN KENTUCKY IS QUICKLY BECOMING MORE DIVERSE CREATING SPECIAL COMMUNICATION NEEDS. PIKEVILLE MEDICAL CENTER HAS LAUNCHED A NEW WEB BASED VIDEO TRANSLATION SERVICE WITH INTERPRETERS SKILLED IN MEDICAL TERMINOLOGY IN OVER 180 LANGUAGES. THIS IMPORTANT NEW SERVICE MINIMIZES MANY COMMUNICATION BARRIERS WHICH MIGHT EXIST WITH OUR PATIENTS.THE JOURNEY OF EXCELLENCE CONTINUESTHE HOSPITAL'S BOARD OF DIRECTORS, MORE THAN 250 CREDENTIALED PHYSICIANS AND NEARLY 2,600 EMPLOYEES BELIEVE AND CARRY OUT THE HOSPITAL'S MISSION STATEMENT EVERYDAY "TO PROVIDE QUALITY, REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT." IT IS PRIMARILY BECAUSE OF THIS WORK ETHIC THAT PIKEVILLE MEDICAL CENTER REGULARLY RECEIVES RECOGNITION AND AWARDS SUCH AS: -JUNE 2012 - NATIONAL HOSPITAL OF THE YEAR FOR AN UNPRECEDENTED THIRD CONSECUTIVE TIME AND HOSPITAL OF CHOICE EMERITUS -APRIL 2012 - BEST PLACES TO WORK IN KENTUCKY TOP HOSPITAL -FEBRUARY 2012 - U.S. NEWS & WORLD REPORT BEST REGIONAL HOSPITAL -FEBRUARY 2012 - HOSPITAL OF CHOICE AWARD. PMC IS IN THE TOP 10 OF MORE THAN 400 HOSPITALS THAT WERE CONSIDERED. PMC IS THE ONLY KENTUCKY HOSPITAL TO BE A HOSPITAL OF CHOICE. -FEBRUARY 2012 - PMC'S RADIOLOGY SERVICES HAS RECEIVED THREE-YEAR ACCREDITATION FROM THE AMERICAN COLLEGE OF RADIOLOGY. -5TH IN THE NATION AND 1ST IN KENTUCKY IN MODERN HEALTHCARE MAGAZINE'S BEST PLACES TO WORK. THIS IS THE FOURTH CONSECUTIVE YEAR OF NATIONAL RECOGNITION BY MODERN HEALTHCARE. -BEST REGIONAL HOSPITAL IN THREE SPECIALTY AREAS (GYNECOLOGY, EAR NOSE & THROAT AND NEPHROLOGY) BY U.S. NEWS AND WORLD REPORT FOR 2011-2012. -ONE OF "AMERICA'S BEST HOSPITALS FOR PATIENT EXPERIENCE" BY WOMEN CERTIFIED. -IN 2011, PMC'S IT DEPARTMENT WAS RANKED 7TH IN THE NATION IN HEALTHCARE IT NEWS WHERE TO WORK: BEST HOSPITAL IT DEPARTMENTS. -IN 2011, WE WERE AWARDED THE GET WITH THE GUIDELINES GOLD PLUS AWARD BY THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION FOR MAINTAINING STRICT ADHERENCE TO NATIONALLY ACCEPTED BEST PRACTICES FOR STROKE CARE. THIS IS THEIR HIGHEST AWARD OFFERED FOR STROKE CARE. -3 PMC PHYSICIANS; A CARDIOTHORACIC SURGEON, AN INTERVENTIONAL CARDIOLOGIST AND A RHEUMATOLOGIST WERE NAMED TO THE 2011-2012 BEST DOCTORS IN AMERICA LIST. -EXCELLENCE THROUGH INSIGHT AWARD FOR RATING #1 NATIONALLY FOR PATIENT SATISFACTION IN INPATIENT ONCOLOGY AND INPATIENT REHABILITATION. -COMMISSION ON CANCER'S OUTSTANDING ACHIEVEMENT AWARD PRESENTED BY THE AMERICAN COLLEGE OF SURGEONS (GIVEN TO THE TOP 7 PERCENT OF CANCER PROGRAMS IN THE NATION EACH YEAR) -WE WERE AWARDED THE BALDRIDGE CRITERIA BASED LEVEL 4 EXCELLENCE AWARD BY THE KENTUCKY CENTER FOR PERFORMANCE EXCELLENCE -AMERICAN CANCER SOCIETY'S COMMUNITY VOLUNTEER OF THE YEAR AWARD TO THE LEONARD LAWSON CANCER CENTER -AMERICAN DIABETES ASSOCIATION'S RECOGNITION AWARD TO PMCS DIABETES EDUCATION DEPARTMENT -CENTRAL KENTUCKY BLOOD CENTER'S LIFETIME ACHIEVEMENT AWARD PRESENTED TO PMC PRESIDENT & CEO WALTER E. MAY -CHAMBER OF COMMERCE AWARD FOR COMMUNITY INVOLVEMENT -KENTUCKY'S FIRST LEVEL 3 ACCREDITED CHEST PAIN CENTER, THE HIGHEST RECOGNITION GIVEN BY THE SOCIETY OF CHEST PAIN CENTERS -MCKESSON NATIONAL VIP AWARD FOR SUPPORTING ORGANIZATIONAL GROWTH AND TECHNOLOGY AT PIKEVILLE MEDICAL CENTER WE ARE NOT JUST STRIVING TO BE THE BEST HEALTH CARE PROVIDER WE CAN BE, WE ARE STRIVING TO BE THE MODEL HEALTH CARE ORGANIZATION THAT BENEFITS EVERYONE. PMC WILL CONTINUE TO IMPROVE AND GROW, AND WILL ALWAYS PURSUE EXCELLENCE. TECHNOLOGY WILL EVOLVE AND WE WILL CONTINUE TO RECRUIT THE COUNTRY'S BEST PHYSICIANS AND ADD SPECIALTY SERVICES TO ASSURE THE BEST HEALTH CARE POSSIBLE FOR OUR PATIENTS. PMC REFUSES TO ACCEPT STATUS QUO, BY ALWAYS OFFERING THE BEST TO PATIENTS.PIKEVILLE MEDICAL CENTER IS CONFIDENT ITS APPROACH TO HEALTH CARE IS ONE OF THE BEST. THROUGH HARD WORK, A FIRM COMMITMENT TO ALL THE PATIENTS WHO ENTER THE HOSPITAL'S DOORS AND SUCCESSFULLY LIVING OUT OUR MISSION STATEMENT EVERY DAY "TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT" PMC WILL CONTINUE TO GROW AND REDEFINE THE HEALTH CARE MODEL. 200317686 94068 245331335 280981552 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 1 0 1 1 1 0 0 0 0 0 1 0 0 0 0 1 131 0 1 2684 1 1 1 0 0 0 0 1 1 0 0 0 0 X 15 4 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X MICHELLE HAGY CFO 6062183974 911 BYPASS ROAD PIKEVILLE KY 41501 WALTER BLANKENSHIP 2.00 X 0 0 0 TT COLLEY 2.00 X 0 0 14235 DAVID COLLINS CPA 2.00 X 0 0 0 DENNIS HALBERT MD 4.00 X 0 0 14235 JUDITH HINKLE 2.00 X 0 0 0 HOBART CLAY JOHNSON 2.00 X 0 0 0 JOHN LABRECHE 4.00 X 0 0 280 ALEX POULOS MD 4.00 X 0 0 14235 JO NELL ROBINSON 4.00 X 0 0 5532 MARY SIMPSON PHD 2.00 X 0 0 0 SUE SMALLWOOD 4.00 X 0 0 5532 JOE DEAN ANDERSON 4.00 X X 0 0 14235 RONALD BURCHETT 4.00 X X 0 0 0 WILLIAM GAUNT MD 2.00 X 0 0 0 LACY PUCKETT 0.00 X 0 0 0 BURLIN COLEMAN 0.00 X 0 0 0 WALTER E MAY 40.00 X X 617007 0 29029 MICHELLE HAGY 40.00 X 230442 0 21852 SUSAN SCHELL 40.00 X 163615 0 18509 CHERYL HICKMAN 40.00 X 214733 0 28719 WILLIAM JOHNSON 40.00 X 268871 0 27744 DEBRA HAMPTON 40.00 X 233022 0 24882 JUANITA DESKINS 40.00 X 231410 0 21579 PEGGY JUSTICE 40.00 X 164907 0 26540 TERENCE FARRELL 40.00 X 212572 0 21482 DEBORAH PUCKETT 40.00 X 156761 0 21553 BILL HARRIS MD 40.00 X 803104 0 29341 DUANE DENSLER MD 40.00 X 895945 0 26265 NORMAN MAYER MD 40.00 X 972491 0 25739 KEITH HALL MD 40.00 X 1079783 0 25725 KEVIN PUGH MD 40.00 X 914171 0 25725 DANNY HARRIS 40.00 X 103727 0 13342 JERRY JOHNSON 40.00 X 263084 0 21521 7525645 0 477831 127 1 1 0 ROSE BUILDERS 7 STACY STREET HAROLD KY 41635 CONSTRUCTION SERVICES 5931518 PRECYSE SOLUTIONS LLC 1275 DRUMMERS LANE WAYNE PA 19087 HIM SERVICES 2242433 STENGEL HILL ARCHITECTURE INC 613 W MAIN STREET LOUISVILLE KY 40202 PROFESSIONAL SERVICES 2194413 MCKESSON HBOC PO BOX 98347 CHICAGO IL 60693 PROFESSIONAL SERVICES 1971319 GENERAL ELECTRIC PO BOX 96483 CHICAGO IL 60693 PROFESSIONAL SERVICES 1119902 49 331842 20304 352146 PATIENT SERVICE REVENU 621110 338216599 338216599 338216599 1215521 1215521 14082 14082 410411 347527 570935 -160524 347527 187003 -160524 347527 1694908 1674160 20748 20748 20748 97141 331842 155779 -58638 -58638 8346445 6328092 2018353 318547 1699806 INSURANCE SETTLEMENT 900099 6233814 6233814 CAFETERIA 900099 2152140 0 2152140 OTHER REVENUE 900099 742253 742253 342541 342541 9470748 351436562 345032142 1008615 5043659 73026 73026 21042 21042 2812814 2812814 118043944 101901463 16141222 1259 1612224 1391753 220454 17 30454528 26289880 4164323 325 7557785 6322885 1234804 96 443904 310921 132983 1392675 1392675 121421 121421 61803 61803 53841 53841 9440630 7379687 2060943 2448030 195090 2252940 888162 602999 284502 661 2590521 2184221 406273 27 3561216 2875801 685379 36 418765 269425 149247 93 156642 95526 60916 200 3908425 3295424 612960 41 16681073 14064798 2616101 174 3623270 3582764 40468 38 SUPPLIES & DRUGS 54945718 54633251 312467 BAD DEBT EXPENSE 38576015 38576015 MISCELLANEOUS 8298425 5023116 3270047 5262 EQUIPMENT RENTAL & MAIN 6072388 5693965 378423 PROVIDER TAX EXPENSE 3256359 3256359 2942141 2942141 320456787 280981552 39467006 8229 10554 12255 83406653 120750346 31348306 40695824 130995 31995 10156400 10703096 2676369 2867950 250459527 107746213 126569200 142713314 1448001 1741318 7779122 65042973 263525600 384559071 29484308 31417884 34920000 135795572 13238252 209362 6585899 6691190 84228459 174114008 X 179070296 210239063 20845 0 206000 206000 179297141 210445063 263525600 384559071 X 30979775 168147 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 1 61803 1 13126 74929 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: OTHER ACTIVITY COSTS ARE THE CORPORATION'S PORTION OF TRADE DUES (I.E. KENTUCKY HOSPITAL ASSOCIATION) 226845 20845 206000 226346 25000 24501 226845 331000 479000 583654 226346 1.00000 0 0 5495937 5495937 5499265 105661357 38050496 73110126 3179896 1327213 1852683 103937092 68368504 35568588 26685980 26685980 142713314 INDENTURE 62118875 GOODWILL 229624 BOND ISSUANCE COSTS 1551370 LONG TERM PREPAID ASSET 1143104 65042973 RESERVE FOR RECIPROCAL OF AMER CLAIMS 3645630 ESTIMATED COST REPORT SETTLEMENTS 1385910 DEFERRED COMPENSATION LIABILITY 900440 RESERVES FOR WORKERS COMPENSATION CLAIMS 759210 6691190 351436562 320456787 30979775 168151 -4 168147 31147922 358712670 168151 53153 7054806 7276110 351436560 2 2 351436562 327564746 53153 7054806 7107959 320456787 0 320456787 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. THE BALANCE OF THE RAY OF HOPE FOUNDATION DONATION IN THE AMOUNT OF $20,845 WAS USED TO PROVIDE INDIGENT PATIENTS WITH FINANCIAL ASSISTANCE FOR TRAVEL AND MEDICATION RELATED EXPENSES DURING FY 2011. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE HOSPITAL HAS RECEIVED A DETERMINATION LETTER FROM THE IRS THAT IT IS A NOT-FOR-PROFIT ORGNAIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2011 AND 2012. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES RECLASSED TO REVENUE SECTION 6,899,027. FUNDRAISING EXPENSES 155,779. PART XII, LINE 4B - OTHER ADJUSTMENTS: ROUNDING 2. PART XIII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES RECLASSED TO REVENUE SECTION 6,899,027. FUNDRAISING EXPENSES 155,779. 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 428983 331842 97141 50060 73259 11748 20712 428983 331842 97141 50060 73259 11748 20712 155779 -58638 1 1 1 X 1 X 1 1 1 0 1 1 12510973 2728747 9782226 0.03050 50147857 36814060 13333797 0.04160 62658830 39542807 23116023 0.07210 276 2606 216613 216613 0.00070 9 1007024 433769 573255 0.00180 42 110 73518 73518 0.00020 327 2716 1297155 433769 863386 0.00270 327 2716 63955985 39976576 23979409 0.07480 69 4114 38567 2259 36308 0.00010 4 129 1806 1806 0.00000 2 269 6748 6748 0.00000 33 733137 733137 0.00230 108 4512 780258 2259 777999 0.00240 1 9294377 464719 90699695 79076915 11622780 X 1 1 1 1 PIKEVILLE MEDICAL CENTER

911 BYPASS ROAD PIKEVILLE KY 41501

X X X X PIKEVILLE MEDICAL CENTER - NOT REQUIRED 1 32 ORTHOPEDIC PHYSICIAN PRACTICE

184 S MAYO TRAIL PIKEVILLE KY 41501

PHYSICIAN PRACTICE CARDIOTHORACIC PHYSICIAN PRACTICE

119 WEDDINGTON BR RD PIKEVILLE KY 41501

PHYSICIAN PRACTICE HOME HEALTH SERVICES

1370 S MAYO TRAIL PIKEVILLE KY 41501

HOME HEALTH SERVICES OPTHALMOLOGY PHYS PRACTICE

1098 S MAYO TRAIL STE 305 PIKEVILLE KY 41501

PHYSICIAN PRACTICE GENERAL SURGERY PHYSICIAN PRACTICE

1098 S MAYO TRAIL STE 305 PIKEVILLE KY 41501

PHYSICIAN PRACTICE HOME MEDICAL EQUIPMENT

1370 S MAYO TRAIL PIKEVILLE KY 41501

MEDICAL EQUIPMENT CENTER UROLOGY PHYSICIAN PRACTICE

255 CHURCH ST STE 202 PIKEVILLE KY 41501

PHYSICIAN PRACTICE GYNECOLOGY PRACTICE

246 KY RT 979 HAROLD KY 41635

PHYSICIAN PRACTICE GENERAL SURGERY PHYSICIAN PRACTICE

387 TOWN MTN RD STE 106 PIKEVILLE KY 41501

PHYSICIAN PRACTICE BARIATRIC SURGERY PHYSICIAN PRACTICE

1098 S MAYO TRAIL STE 301 PIKEVILLE KY 41501

PHYSICIAN PRACTICE ONCOLOGY PHYSICIAN PRACTICE

439 HAMBLEY BLVD PIKEVILLE KY 41501

PHYSICIAN PRACTICE PRESTONSBURG RADIOLOGY

126 COLLINS CIR UNIT K PRESTONSBURG KY 41653

IMAGING CENTER ENDOCRINOLOGY PRACTICE

1098 S MAYO TRAIL PIKEVILLE KY 41501

PHYSICIAN PRACTICE WHITESBURG SLEEP LAB

60 MAIN STREET WHITESBURG KY 41858

SLEEP LAB WOMENS CARE CENTER

387 TOWN MTN RD STE 206 PIKEVILLE KY 41501

PHYSICIAN PRACTICE PRIMARY CARE PRACTICE - PIKEVILLE WALMAR

251 CASSIDY BLVD PIKEVILLE KY 41501

PHYSICIAN PRACTICE PRESTONSBURG SLEEP LAB

206 COLLINS CIR UNIT 3 PRESTONSBURG KY 41653

SLEEP LAB NEPHROLOGY PHYSICIAN PRACTICE

126 TRIVETTE DR STE 202 PIKEVILLE KY 41501

PHYSICIAN PRACTICE ENT PHYSICIAN PRACTICE

1098 S MAYO TRAIL STE 304 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 - WHITESBURG WALMA

350 IRONWOOD DRIVE WHITESBURG KY 41858

PHYSICIAN PRACTICE ULTRASOUND-OBGYN PHYSICIAN PRACTICE

246 KY RT 979 HAROLD KY 41635

PHYSICIAN PRACTICE PRIMARY CARE PRACTICE - MOUTHCARD

137 N LEVISA RD MOUTHCARD KY 41548

PHYSICIAN PRACTICE PRIMARY CARE PRACTICE - HAROLD

246 KY RT 979 HAROLD KY 41635

PHYSICIAN PRACTICE SPORTS MEDICINE PHYSICIAN PRACTICE

184 S MAYO TRAIL PIKEVILLE KY 41501

PHYSICIAN PRACTICE PRIMARY CARE PRACTICE- NORTON WALMART

780 COMMONWEALTH DR NORTON VA 24273

PHYSICIAN PRACTICE ONCOLOGY PHYSICIAN PRACTICE -PAINTSVILLE

830 SOUTH MAYO TRAIL PAINTSVILLE KY 41240

PHYSICIAN PRACTICE RHEUMATOLOGY PHYSICIAN PRACTICE

1370 S MAYO TRAIL PIKEVILLE KY 41501

PHYSICIAN PRACTICE RHEUMATOLOGY PHYSICIAN PRACTICE - PAIN

830 SOUTH MAYO TRAIL PAINTSVILLE KY 41240

PHYSICIAN PRACTICE PEDIATRIC ENDOCRINOLOGY PRACTICE

140 ADAMS LANE STE 600 PIKEVILLE KY 41501

PHYSICIAN PRACTICE OPTHALMOLOGY PHYS PRACTICE - GRUNDY

1193 PLAZA DRIVE GRUNDY VA 24614

PHYSICIAN PRACTICE CARDIOLOGY PRACTICE-HAZARD

474 VILLAGE LANE HAZARD KY 41701

PHYSICIAN PRACTICE PART II: THE HOSPITAL'S MISSION STATEMENT, "TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT" DRIVES PMC'S EFFORTS AS WE CONCENTRATE ON THE PHYSICAL, MENTAL AND SPIRITUAL WELL BEING OF THE PUBLIC. DURING FY 2011, PIKEVILLE MEDICAL CENTER REPORTED TAKING PART IN 106 DIFFERENT COMMUNITY BUILDING ACTIVITIES, AFFECTING OVER 4,243 PEOPLE AND TOTALING MORE THAN $770,000. 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: CELEBRATION OF HOPE FOR BREAST CANCER SURVIVORS, FAMILY AND CONSUMER SCIENCES MEETING, PROFESSIONAL DEVELOPMENT DAY AT HARRY M. CAUDILL LIBRARY, EASTER SUNRISE SERVICE AND HOLY WEEK SERVICES, A CHRISTMAS LIVE NATIVITY AND OVER 300 MEALS PER MONTH PROVIDED TO MEALS ON WHEELS. PART III, LINE 4: THE HOSPITAL HAS A POLICY OF PROVIDING CHARITY CARE TO PATIENTS WHO ARE UNABLE TO PAY. SUCH PATIENTS ARE IDENTIFIED BASED ON FINANCIAL INFORMATION OBTAINED FROM THE PATIENT AND SUBSEQUENT ANALYSIS. SINCE THE HOSPITAL DOES NOT EXPECT PAYMENT, ESTIMATED CHARGES FOR CHARITY ARE NOT REPORTED IN REVENUE. THE COST TO CHARGE FACTOR USED IS 0.242 FROM WORKSHEET 2. PART III, LINE 8: NO SHORTFALL EXISTED IN FY 2011. 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, 2011 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. 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 KY STATE DATA CENTER WHEN TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES. INFORMATION IS PULLED FROM OUR IMMEDIATE SERVICE AREA ENCOMPASSING A SEVEN COUNTY REGION - PIKE, FLOYD, LETCHER, JOHNSON, MAGOFFIN AND MARTIN COUNTIES IN KENTUCKY AND WEST VIRGINIA'S MINGO COUNTY. ALL DATA PRESENTED HERE IS CURRENT AS OF THE 2010 U.S. CENSUSTHE SEVEN COUNTY AREA CONTAINS A TOTAL POPULATION OF 205,451 INDIVIDUALSWITH A RELATIVELY EVEN DISTRIBUTION OF MALES (101,543) TO FEMALES (103,908). THE MEDIAN POPULATION AGE IS 39.8 YEARS OLD AND THE AVERAGE HOUSEHOLD SIZE IS 2.4 INDIVIDUALS.PIKEVILLE MEDICAL CENTER RESIDES IN A MEDICALLY UNDERSERVED AND IMPOVERISHED AREA. THE MEDIAN FAMILY INCOME FOR OUR REGION WAS $30,212 IN 2009 WITH 16,695 OF THE 43,202 CHILDREN UNDER AGE 18 LIVING UNDER THE POVERTY LINE. THE NUMBER OF HOUSEHOLDS WITH AN INCOME LOWER THAN $25,000 WAS 37,820.PIKEVILLE MEDICAL CENTER SERVES AS A BEACON OF HOPE AND AN ECONOMIC BOOST TO THE MOUNTAIN COMMUNITY IN WHICH IT RESIDES. THE CITY OF PIKEVILLE, KY WHERE THE HOSPITAL IS CENTERED IS HOME TO 6,361 INDIVIDUALS. OVER 35% OF THE CITY'S RESIDENTS POSSESS A BACHELORS DEGREE OR HIGHER. 32.9% OF THE CITY'S POPULATION WORKS IN EDUCATION, HEALTH CARE OR SOCIAL SERVICES. PART VI, LINE 6: PIKEVILLE MEDICAL CENTER (PMC), NOW AFFILIATED WITH THE CLEVELAND CLINIC HEART SURGERY PROGRAM, IS KNOWN FOR ITS COMPASSIONATE EMPLOYEES, UNSURPASSED SERVICE, STATE-OF-THE-ART TECHNOLOGY AND UNMATCHED GENEROSITY TO THE COMMUNITY. KNOWN AS THE PREMIER HOSPITAL IN A MULTI-STATE REGION, PMC IS CONTINUALLY GROWING AND LOOKING FOR NEW WAYS TO OFFER THE VERY BEST IN HEALTH CARE TO ITS PATIENTS AND THE BROADER POPULATION. PIKEVILLE MEDICAL CENTER'S MISSION "TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT" IS FULFILLED ON A DAILY BASIS AS THE STAFF EMPLOYS TEAMWORK WITH A SINCERE PASSION TO HELP OTHERS.THROUGHOUT PIKEVILLE MEDICAL CENTER'S 87-YEAR HISTORY, THE HOSPITAL HAS UNDERGONE SUBSTANTIAL CHANGE. STARTING AS A SMALL, RURAL, 50-BED FACILITY IN 1924, THE MEDICAL CENTER HAS UNDERGONE MANY PHYSICAL CHANGES. TODAY, THE HOSPITAL IS A COMPREHENSIVE 261-BED FACILITY ENCOMPASSING 959,000 SQUARE FEET INCLUDING BOTH THE MAIN FACILITY AND SURROUNDING SUPPORTIVE SERVICES. CURRENTLY PMC EMPLOYS NEARLY 2,600 PEOPLE, HAVING HIRED MORE THAN 700 EMPLOYEES DURING THE PAST YEAR. PMC OFFERS MORE THAN 400 SERVICES. THIS TREMENDOUS PHYSICAL GROWTH, ALONG WITH SOUND FINANCIAL LEADERSHIP, HAS ALLOWED PMC TO SIGNIFICANTLY EXPAND THE HEALTH CARE SERVICES OFFERED TO OUR REGION. CURRENT SERVICES INCLUDE: AN AWARD-WINNING, FULL-SERVICE CANCER TREATMENT CENTER; A LEVEL IIII CHEST PAIN ACCREDITED HEART AND VASCULAR INSTITUTE; A 40-BED INPATIENT PHYSICAL REHABILITATION HOSPITAL; AN ACCREDITED STROKE CENTER; STATE-OF-THE-ART EMERGENCY DEPARTMENT; TRAUMA CENTER; NEUROSCIENCE CENTER; LEVEL III NEONATAL INTENSIVE CARE UNIT; WOUND CARE CENTER; ORTHOPEDIC CENTER; WEIGHT LOSS SURGERY CENTER; TWO SATELLITE SLEEP LAB FACILITIES; AN OUTPATIENT DIAGNOSTIC CENTER, SEVERAL FAMILY PHYSICIAN PRACTICES, AND A VARIETY OF SPECIALTY PHYSICIAN PRACTICES. AS WELL AS AUGMENTING THE RANGE AND COMPLEXITY OF HEALTH CARE SERVICES PROVIDED TO PATIENTS IN THE AREA, PIKEVILLE MEDICAL CENTER'S GROWTH HAS PLAYED AN INTEGRAL PART IN ENHANCING THE HOSPITAL'S OUTREACH TO THE LOCAL COMMUNITY. PMC TAKES PRIDE IN KEEPING THE PUBLIC INFORMED ABOUT INNOVATIVE MEDICAL ADVANCEMENTS THROUGH THE PUBLICATION OF A WEEKLY NEWSPAPER CALLED THE MEDICAL LEADER - THE REGION'S ONLY "GOOD NEWS" COMMUNITY NEWSPAPER. MORE THAN 8,500 PAPERS ARE DISTRIBUTED WEEKLY TO 150+ LOCATIONS THROUGHOUT THE COUNTIES OF PIKE, FLOYD, LETCHER (KENTUCKY) AND MINGO (WEST VIRGINIA). THE PAPER ALSO HAS NEARLY 4,000 EMAIL SUBSCRIBERS AND 2,000 SOCIAL MEDIA FOLLOWERS. THIS FREE FULL-SERVICE NEWSPAPER ALLOWED PMC TO GIVE OVER $180,833 COMMUNITY BENEFIT EXPENSE DURING FY 2011. PMC ALSO PROVIDES A VARIETY OF EDUCATIONAL, WELLNESS AND PREVENTIVE HEALTH SERVICES. SUCH ACTIVITIES AND EVENTS INCLUDE: INDIGENT CARE ASSISTANCE, EDUCATIONAL/TRAINING SESSIONS, SUPPORT GROUPS, HEALTH FAIRS, FREE HEALTH SCREENINGS AND OTHER COMMUNITY EVENTS. PIKEVILLE MEDICAL CENTER CONSIDERS ITS OUTREACH EFFORTS TO THE PUBLIC AN ESSENTIAL PART OF ITS CHRISTIAN MISSION, AS IT SEEKS NOT ONLY TO TREAT THE SICK AND INJURED DURING THEIR TIME OF NEED, BUT ALSO TO IMPROVE THE REGION'S HEALTH CARE. CHARITY CARE:PIKEVILLE MEDICAL CENTER SET A NEW RECORD FOR CHARITY CARE IN FY 2011. THROUGH DEFINED POLICIES AND PROCEDURES, PMC RECORDED UNCOMPENSATED CHARITY OF $38,410,981(SERVICES AT HOSPITAL'S ESTABLISHED RATES). HEALTH CARE SUPPORT SERVICES: BLOOD DRIVES - PIKEVILLE MEDICAL CENTER HAS A GROUP OF DEDICATED EMPLOYEES WHO PARTICIPATE ON THE HOSPITAL'S BLOOD DRIVE COMMITTEE. PREPARATION FOR BLOOD DRIVES INCLUDE: RESERVING A LOCATION, PLACING SET-UP AND TAKE-DOWN WORK ORDERS, REGISTERING DONORS AND ASSURING THE EVENT IS A SUCCESS. BLOOD DRIVES ARE HELD QUARTERLY AND CONDUCTED IN ACCORDANCE WITH THE KENTUCKY BLOOD CENTER (KBC). IN FY 2011, PMC HELD SIX BLOOD DRIVES AND DONATED 292 UNITS OF BLOOD. THESE GENEROUS DONATIONS ALLOWED PMC DONORS TO SAVE NEARLY 876 LIVES. MEALS ON WHEELS - PIKEVILLE MEDICAL CENTER PROVIDED 4,014 MEALS DURING FY 2011 AND INCURRED MORE THAN $23,000 IN EXPENSES RELATED TO THIS PROGRAM. FOOD DONATIONS - PMC PROVIDED MORE THAN 500 LUNCH AND DINNER GUEST TRAY VOUCHERS TO PATIENTS OR CAREGIVERS DURING FY 2011. THIS SERVICE ALLOWED PMC TO GIVE BACK OVER $3,000 TO ITS PATRONS. INDIGENT SUPPORT SERVICES - SEVERAL PATIENTS NEED FINANCIAL ASSISTANCE WITH PRESCRIBED MEDICATIONS OR HEALTH CARE EQUIPMENT AT THE TIME OF DISCHARGE. IN HOPES OF RELIEVING ANY FINANCIAL BURDEN, PIKEVILLE MEDICAL CENTER'S CHAPLAIN SERVICES AND CASE MANAGEMENT DEPARTMENTS PROVIDED 355 PRESCRIPTIONS AT A VALUE OF MORE THAN $15,300.COMMUNITY FINANCIAL DONATIONSIN 2011, PIKEVILLE MEDICAL CENTER ONCE AGAIN PROVED TO BE AN ESTABLISHED COMMUNITY LEADER. ENCOURAGING EMPLOYEE PARTICIPATION IN LOCAL ACTIVITIES AND EVENTS, PMC ALSO OFFERED FINANCIAL SUPPORT TO AREA ORGANIZATIONS AND IMPORTANT CAUSES, GIVING MORE THAN $73,000. PIKEVILLE MEDICAL CENTER WAS PROUD TO HELP THE FOLLOWING ORGANIZATIONS:AFTER BREAST CANCER SUPPORT GROUPALZHEIMER'S ASSOCIATIONAMERICAN CANCER SOCIETYAMERICAN HEART ASSOCIATIONFLOYD COUNTY CHAMBER OF COMMERCEFLOYD COUNTY EMERGENCY AND RESCUE SQUADGOD'S FOOD PANTRYHILLBILLY CHRISTMAS IN JULY INC. JENNY WILEY THEATREJOHNS CREEK DISABLED AMERICAN VETERANSTHE KENNY HUFFMAN TENNIS CLASSICKENTUCKY CHAMBER OF COMMERCEKENTUCKY REGIONAL MEN'S CHORUSMARCH OF DIMESOUR LADY OF THE MOUNTAINS SCHOOLUNIVERSITY OF PIKEVILLE PIKEVILLE MAIN STREETPIKEVILLE ROTARY CLUBSOUTHEAST KENTUCKY CHAMBER OF COMMERCEUNIVERSITY OF KENTUCKY SUMMIT SCHOLARSHIP FUNDWILLOWBROOK YOUTH GOLF PROGRAMWYMT-TV MT CLASSIC SCHOLARSHIP FUNDHEALTH SCREENINGS: PIKEVILLE MEDICAL CENTER HELD SEVERAL TYPES OF HEALTH SCREENINGS FOR THE COMMUNITY IN 2011. AMONG THE SERVICES WERE BLOOD PRESSURE, BLOOD SUGAR, OXYGEN SATURATION AND CHOLESTEROL CHECKS. DIFFERENT FORMS OF FREE EDUCATIONAL LITERATURE WERE ALSO DISTRIBUTED. ALL SCREENINGS WERE HOSTED BY PMC PHYSICIANS, NURSES AND SUPPORT STAFF. IN FY 2011, MORE THAN 544 PEOPLE PARTICIPATED IN PMC RELATED SCREENINGS, COSTING THE HOSPITAL NEARLY $10,000. PMC HEALTH SCREENINGS INCLUDED: - HILLBILLY DAYS FIRST AID BOOTH & SCREENING STATION- DIABETES ALERT DAY- ELKHORN CITY PUBLIC LIBRARY STREET FAIR- FLOYD, PIKE AND MARROWBONE SENIOR CITIZEN CENTERS SCREENING- PROSTATE & COLON CANCER SCREENING- SKIN CANCER SCREENING- STROKE AWARENESS SCREENINGCOMMUNITY HEALTH EDUCATION:LECTURES - PIKEVILLE MEDICAL CENTER'S STAFF REMAINS ACTIVE IN PRESENTING SEVERAL TOPICS TO THE COMMUNITY. REPRESENTATIVES FROM DIFFERENT DEPARTMENTS SPEAK ON REQUEST TO LOCAL CIVIC CLUBS, SCHOOLS, AND MEDICAL PROFESSIONALS. AMONG THE DIFFERENT LECTURES /PRESENTATIONS PMC EMPLOYEES TOOK PART IN DURING FY 2011 WERE: -SENIOR CITIZEN CENTER DIABETES CLASSES IN MARTIN AND PIKE COUNTIES -HEART HEALTH AWARENESS EDUCATION PRESENTED AT THE HOSPITAL'S ANNUAL HEART HEALTHY FASHION SHOW & HEALTH FAIR -STROKE & TRAUMA EDUCATION -HEALTH TALKS, AIRED ON LOCAL RADIO AND TV STATIONS, HIGHLIGHTING SELECTED PMC HEALTH CARE PROFESSIONALS AND COVERING TOPICS SUCH AS: MEDICAL CONCERNS, PREVENTION AND VARIOUS SERVICES OFFERED AT PMC. -4-WEEK PREPARED CHILDBIRTH CLASSESOTHER EDUCATIONAL PROGRAMS PMC PARTICIPATES IN ARE FLOYD/PIKE ASAP, HEALTHY STEPS/HEC, LOCAL PRIDE MEETINGS AND STROKE/SEPSIS EDUCATION. THROUGH THEIR 120 COMMUNITY EDUCATION EFFORTS, PIKEVILLE MEDICAL CENTER REACHED MORE THAN 800 PEOPLE AT A COST OF MORE THAN $18,000. PART VI, LINE 7: HEALTH PROFESSIONS EDUCATION:STUDENT ROTATIONS - PIKEVILLE MEDICAL CENTER SERVES AS A CLINICAL TRAINING SITE FOR STUDENTS IN HEALTH CARE RELATED FIELDS FROM REGIONAL UNIVERSITIES AND COLLEGES. DURING FY 2011, PMC CONTRACTED OR AFFILIATED WITH 48 INSTITUTIONS AND RECEIVED 528 STUDENTS IN CLINICAL ROTATION. THE SCHOOLS CONTRACTED BY PMC INCLUDED: APPALACHIA COLLEGE OF PHARMACYBELFRY AREA TECHNOLOGY CENTERBELLARMINE UNIVERSITYDEVRY UNIVERSITYDUKE UNIVERSITYEASTERN KENTUCKY UNIVERSITYEMERGENCY MEDICAL EDUCATORSFRONTIER SCHOOL OF MIDWIFERY AND FAMILY NURSINGHUNTINGTON JUNIOR COLLEGEHUTCHINSON COMMUNITY COLLEGEIOWA COLLEGE ACQUISITION CORP. KAPLAN UNIVERSITY JEFFERSON COLLEGE OF HEALTH SERVICES KENTUCKY COMMUNITY TECHNICAL COLLEGE SYSTEM - WHITESBURG CAMPUSLINCOLN MEMORIAL UNIVERSITY LINDSEY WILSON COLLEGEMARSHALL UNIVERSITY MERIDIAN INSTITUTE OF SURGICAL ASSISTING MIDWAY COLLEGE SCHOOL OF PHARMACY MILLIGAN COLLEGE MOREHEAD STATE UNIVERSITY NATIONAL COLLEGE OF BUSINESS - LEXINGTON CAMPUS NATIONAL COLLEGE OF BUSINESS NORTHERN KENTUCKY UNIVERSITY NOVA SOUTHEASTERN UNIVERSITY PHELPS VOCATIONAL SCHOOLPHLEBOTOMY EDUCATION, INC. SAINT LOUIS UNIVERSITY SHAWNEE STATE UNIVERSITY SOUTH DAKOTA STATE UNIVERSITY OF NURSING SOUTH UNIVERSITY SCHOOL OF PHARMACY SOUTHERN WEST VIRGINIA COMMUNITY AND TECHNICAL COLLEGESOUTHWEST VIRGINIA COMMUNITY COLLEGE SPENCERIAN COLLEGE TENNESSEE TECHNOLOGY CENTER AT ELIZABETHTON DESCRIPTION OF AFFILIATED HEALTH CARE (CONTINUED) SCH H PART VI LINE 6 UNION UNIVERSITY UNIVERSITY OF CHARLESTON UNIVERSITY OF CINCINNATI UNIVERSITY OF KENTUCKY UNIVERSITY OF NORTH CAROLINA UNIVERSITY OF LOUISVILLE UNIVERSITY OF PIKEVILLEVIRGINIA COMMONWEALTH UNIVERSITY AL WASHBURN UNIVERSITY WEBER STATE UNIVERSITY WEST VIRGINIA UNIVERSITY WESTERN KENTUCKY UNIVERSITY WHEELING JESUIT UNIVERSITYDURING FY 2011, PIKEVILLE MEDICAL CENTER OFFERED SEVEN DIFFERENT CONTINUING MEDICAL EDUCATION CLASSES COSTING MORE THAN $11,000. THESE PRESENTATIONS BENEFIT HEALTH CARE PROFESSIONALS THROUGHOUT THE REGION. AMONG THE CLASSES OFFERED WERE A HEART SYMPOSIUM, MELANOMA CARE CONFERENCE AND A NEUROSCIENCE SYMPOSIUM. RESIDENCY PROGRAM-A-OPTIC: (APPALACHIAN OSTEOPATHIC POSTGRADUATE TRAINING INSTITUTE CONSORTIUM) - PIKEVILLE MEDICAL CENTER IS A MEMBER OF A GROUP OF MEDICAL FACILITIES AND EDUCATIONAL INSTITUTIONS THAT HAVE JOINED TOGETHER TO BRING INTERN AND RESIDENCY PROGRAMS TO THE AREA. BY ALLOWING MEDICAL STUDENTS TO PRACTICE AT ITS HOSPITAL-RUN FAMILY CLINIC, PMC IS COMMITTED TO HELP EDUCATE AND RETAIN COMPETENT/SKILLED PHYSICIANS IN OUR COMMUNITY AND REGION. PMC'S TOTAL COMMUNITY BENEFIT EXPENSE IN FY 2011 FOR TRAINING INTERNS, RESIDENTS AND FELLOWS TOTALED MORE THAN $562,000.PHYSICIAN RECRUITMENT: PIKEVILLE MEDICAL CENTER MAINTAINS AN ACTIVE PHYSICIAN RECRUITMENT PROGRAM BY LOCATING HIGH QUALITY PHYSICIANS AND MAKING THEM A PART OF THE PMC TEAM. THE HOSPITAL'S RECRUITMENT EFFORTS ARE ESSENTIAL TO ENHANCING THE HEALTH AND WELL BEING OF OUR COMMUNITY AND REGION. SURROUNDING COMMUNITY HOSPITALS LOOK TO OUR HOSPITAL TO OFFER THE SPECIALTIES AND SUB-SPECIALTIES THEIR FACILITIES DO NOT PROVIDE. DURING FY 2011, PMC PHYSICIAN RECRUITERS ATTENDED A TOTAL OF 14 RECRUITMENT CONFERENCES LOCATED ALL OVER THE U.S. PIKEVILLE MEDICAL CENTER RECRUITED AND SIGNED A TOTAL OF 26 NEW PHYSICIANS. THE HOSPITAL ALSO WELCOMED SIX NEW NURSE PRACTITIONERS AND ONE PHYSICIAN ASSISTANT. AMONG THE DIFFERENT SPECIALTIES THE RECRUITED PHYSICIANS PRACTICE ARE: - CARDIOVASCULAR SURGERY- CRITICAL CARE- FAMILY PRACTICE- GENERAL SURGERY - GYNECOLOGICAL ONCOLOGY- HAND SURGERY- INTERNAL MEDICINE (HOSPITALISTS)- INTERVENTIONAL CARDIOLOGY- NEPHROLOGY- OTOLARYNGOLOGY- OBSTETRICS/GYNECOLOGY- PEDIATRIC ENDOCRINOLOGY- PHYSIATRY- PULMONOLOGY- RHEUMATOLOGY- SPORTS MEDICINE- UROLOGYCONTINUING HEALTH PROFESSIONALS EDUCATION:PIKEVILLE MEDICAL CENTER HAS AN ACTIVE MEDICAL LIBRARY STAFF THAT COORDINATES AND OVERSEES MANY OF THE CONTINUING MEDICAL EDUCATION (CME) HOURS OFFERED AT THE HOSPITAL. MOST CMES ARE OPEN TO NOT ONLY OUR STAFF, BUT TO OTHER MEDICAL PROFESSIONALS IN THE COMMUNITY. THESE EDUCATIONAL OPPORTUNITIES ARE FREE OF CHARGE TO ALL WHO ATTEND. IN FY 2011, PMC OFFERED SEVEN DIFFERENT CMES COSTING MORE THAN $11,000.THE EDUCATION OPPORTUNITIES OFFERED BY THE HOSPITAL LAST YEAR COVERED NUMEROUS TOPICS, INCLUDING:- CARDIOTHORACIC & VASCULAR UPDATE- BASICS OF CRITICAL CARE NUTRITION- MELANOMA- PALLIATIVE CARE- HIPPA UPDATE- ESSENTIALS FOR YOUR NEUROSCIENCE PRACTICESUPPORT GROUPS: PMC SPONSORS AND PARTICIPATES IN SEVERAL SUPPORT GROUPS WITHIN OUR COMMUNITY. IN FY 2011, PMC TOOK PART IN 60 EVENTS, GIVING NEARLY $4,500 TOWARDS BENEFITING THE FOLLOWING GROUPS: - AFTER BREAST CANCER SUPPORT GROUP- COPING WITH DIABETES SUPPORT GROUP- HEC/HEALTHY STEPS: TEACHING THE IMPORTANCE OF HEALTHY EATING HABITS & EXERCISE TO REDUCE CHILDHOOD OBESITY- LIFELINE SUPPORT GROUP- MAN TO MAN SUPPORT GROUP FOR PROSTATE CANCER PATIENTS AND SUPPORT PERSONS- WEIGHT LOSS SURGERY SUPPORT GROUP 1 JENNY WILEY THEATRE PO BOX 22 PRESTONSBURG KY 41653 610667976 501C3 11200 SPONSORSHIP FOR "RAGS TO RICHES" AND "A CHRISTMAS STORY" WILLOWBROOK COUNTRY CLUB PO BOX 165 GRUNDY VA 24164 540837540 10000 GRAND SPONSOR YOUTH GOLF PROGRAM AMERICAN HEART ASSOCIATION 545 NORTH HIGH ST COLUMBUS OH 43214 135613797 501C3 10000 DONATION FOR 2011 CENTRAL KY HEART BALL PIKEVILLE MAIN STREET PROGRAM INC 178 COLLEGE STREET PIKEVILLE KY 41501 611273907 501C3 10000 DONATION FOR EAST KY LEADERSHIP CONFERENCE SOUTHEAST KENTUCKY CHAMBER OF COMMERCE 787 HAMBLEY BLVD PIKEVILLE KY 41501 610544068 501C3 6000 PREMIERE SPONSORSHIP FOR ANNUAL AWARDS CEREMONY & BANQUET KENTUCKY CHAMBER OF COMMERCE 464 CHENAULT ROAD FRANKFORT KY 40601 610405718 5000 SILVER SPONSOR FOR ANNUAL MEETING AND AWARDS 4 2 ASSISTANCE FOR UNINSURED PATIENTS FOR PRESCRIPTIONS, CAFE VOUCHERS, AND CANCER TRAVEL ASSISTANCE. THERE WERE 355 PRESCRIPTIONS PROVIDED, 501 CAFE VOUCHERS PROVIDED, AND 55 RECIPIENTS OF TRAVEL ASSISTANCE. 911 21041 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 X 1 0 0 1 0 0 0 0 0 WALTER E MAY 515827 0 95000 0 6180 0 11000 0 18029 0 646036 0 0 0 MICHELLE HAGY 217213 0 12532 0 697 0 4603 0 17249 0 252294 0 3249 0 SUSAN SCHELL 155000 0 7924 0 691 0 1747 0 16762 0 182124 0 1291 0 CHERYL HICKMAN 187418 0 25770 0 1545 0 11413 0 17306 0 243452 0 3019 0 WILLIAM JOHNSON 263506 0 100 0 5265 0 10131 0 17613 0 296615 0 0 0 DEBRA HAMPTON 206006 0 11891 0 15125 0 7385 0 17497 0 257904 0 3333 0 JUANITA DESKINS 219400 0 11050 0 960 0 3893 0 17686 0 252989 0 2666 0 PEGGY JUSTICE 155000 0 9216 0 691 0 9497 0 17043 0 191447 0 2583 0 TERENCE FARRELL 200000 0 11891 0 681 0 3985 0 17497 0 234054 0 3333 0 DEBORAH PUCKETT 147014 0 8741 0 1006 0 11948 0 9605 0 178314 0 2450 0 BILL HARRIS MD 800500 0 624 0 1980 0 11000 0 18341 0 832445 0 0 0 DUANE DENSLER MD 700192 0 183795 0 11958 0 8250 0 18015 0 922210 0 0 0 NORMAN MAYER MD 700192 0 160778 0 111521 0 8250 0 17489 0 998230 0 0 0 KEITH HALL MD 565300 0 514213 0 270 0 8250 0 17475 0 1105508 0 0 0 KEVIN PUGH MD 625124 0 288777 0 270 0 8250 0 17475 0 939896 0 0 0 DANNY HARRIS 100384 0 2724 0 619 0 1691 0 11651 0 117069 0 0 0 JERRY JOHNSON 57840 0 4177 0 201067 0 3856 0 17665 0 284605 0 4177 0 PART I, LINE 4A JERRY JOHNSON RECEIVED SEVERANCE PAYMENTS TOTALING $57,840, AND DEBRA HAMPTON RECEIVED SEVERANCE PAYMENTS TOTALING $13,846 DURING THE 2010 CALENDAR YEAR. 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. CITY OF PIKEVILLE KY 616001897 72134PAR3 2011-04-27 90370651 SEE BELOW 0 0 0 CITY OF PIKEVILLE KY 616001897 72134PAS1 2011-04-27 45615542 SEE BELOW 0 0 0 90370651 3563671 1328586 21132972 44236511 20108911 1 0 0 1 45615542 3597734 297917 12955685 31901073 0 0 0 1 0 1 1 0 1 0.01290 0.00000 0.01290 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 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. NORMAN MAYER MD LOAN TO DR MAYER FROM PMC FOR REPAYMENT OF FINANCIAL OBLIGATION X 331995 31995 0 0 1 31995 A&M DISTRIBUTING ENTITY OF WHICH WALTER E. MAY'S SON IS AN OFFICER 432 PIKEVILLE MEDICAL CENTER PURCHASES BEVERAGE PRODUCTS FROM ENTITY FOR RESALE IN ITS GRILL 0 VICKI BELL DAUGHTER-IN-LAW OF HOBART JOHNSON, PMC BOARD MEMBER 11370 PIKEVILLE MEDICAL CENTER PURCHASES CATERING SERVICES FOR HOSPITAL FUNCTIONS FROM THIS VENDOR. 0 COMMUNITY TRUST BANK ENTITY OF WHICH BOARD MEMBERS HAVE BUSINESS RELATIONSHIPS 3663762 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, $996,269 -SAVINGS BONDS PURCHASED FOR EMPLOYEES, $3,400 -SAFE DEPOSIT BOX FEES/LINE OF CREDIT FEES/BOND ACCT MGMT FEES, $5,065 -INSTALLMENT LOAN PAYMENTS, $2,643,277 -ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $15,751. 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 621659 ENTITIES PROVIDE ADVERTISING SERVICES TO PMC, $605,915 -ENTITIES PROVIDE ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $15,744. 0 TINA GAUNT MD WIFE OF WILLIAM GAUNT, M.D., PMC BOARD MEMBER 23288 TINA GAUNT, M.D. RENTS PHYSICIAN OFFICE SPACE FROM PIKEVILLE MEDICAL CENTER 0 KVWV TRAFFIC CONTROL ENTITY OF WHICH T.T. COLLEY'S SON IS THE OWNER 14600 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. 490018 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 1152258 FIRM PROVIDES LEGAL SERVICES TO PIKEVILLE MEDICAL CENTER. 0 PIKEVILLE RADIOLOGY ENTITY MORE THAN 35% OWNED BY TWO PMC BOARD MEMBERS 40796 ALEX POULOS, M.D. & DENNIS HALBERT, M.D. ARE PARTNERS OF PIKEVILLE RADIOLOGY WITH WHOM PIKEVILLE MEDICAL CENTER CONTRACTS WITH FOR RADIOLOGY SERVICES. 0 T&C CONSTRUCTION ENTITY OWNED BY T.T. COLLEY, PMC BOARD MEMBER 7200 ENTITY RENTS OFFICE SPACE FROM PIKEVILLE MEDICAL CENTER 0 US BANK ENTITY OF WHICH ALEX POULOS, M.D. IS A BOARD MEMBER 285290 SERVICES PROVIDED BY US BANK TO PIKEVILLE MEDICAL CENTER: -INSTALLMENT LOAN PAYMENTS, 198,023 -RENT, $87,078 -ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PMC, $189. 0 ANDREA ALLARA DAUGHTER OF JOE DEAN ANDERSON, PMC BOARD MEMBER 42956 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS RADIOLOGY COORDINATOR. 0 ROBERT BELL STEP SON OF HOBART JOHNSON, PMC BOARD MEMBER 79281 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS NUTRITIONAL SERVICES HEAD CHEF. 0 CAMILLA DAMRON DAUGHTER OF JO NELL ROBINSON, PMC BOARD MEMBER 76089 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A SPEECH LANGUAGE PATHOLOGIST. 0 LIAM FARRELL SON OF TERENCE FARRELL, PMC KEY EMPLOYEE 22326 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A REGISTRAR 0 SARAH HARRIS DAUGHTER OF CHERYL HICKMAN, PMC KEY EMPLOYEE 46142 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS IT- PRACTICE PROJECT MANAGER. 0 ASHLEY COLLINS JOHNSON DAUGHTER OF DAVID COLLINS, PMC BOARD MEMBER 62909 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS MANAGER-EMPLOYEE RELATIONS. 0 CINDY MAY JOHNSON DAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO 94987 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 60879 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS CHAPLAIN 0 BRANDI MAY DAUGHTER IN LAW OF WALTER E. MAY, PMC PRESIDENT/CEO 50354 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS PI OUTCOME SPECIALIST. 0 KAMINSKI ROBINSON HUSBAND OF JO NELL ROBINSON, PMC BOARD MEMBER 67613 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-CHAPLAIN SERVICES 0 ANDREA ROBINETTE SHOWALTER STEP DAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO 16527 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS PHYSICIAN RECRUITER. 0 COLLEY STEVENS GRANDSON OF T.T. COLLEY, PMC BOARD MEMBER 35631 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS ASSISTANT DIRECTOR - VALET SERVICES. 0 CORDELL WEATHERFORD GRANDSON IN LAW OF WLATER E MAY, PMC PRESIDENT/CEO 52993 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-CUSTOMER SERVICE/EMPLOYEE DEVELOPMENT. 0 CAROLINA WEATHERFORD DBA CLW EDITIN GRANDDAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO 10000 ENTITY PROVIDES PROOFREADING SERVICES FOR PIKEVILLE MEDICAL CENTER'S MEDICAL LEADER PUBLICATION 0 CORNERSTONE REAL ESTATE GROUP LLC ENTITY OF WHICH PEGGY JUSTICE, PMC KEY EMPLOYEE IS BROKER 3300 ENTITY PROVIDES REAL ESTATE SERVICES TO PIKEVILLE MEDICAL CENTER 0 ALEX POULOS MD PMC BOARD MEMBER 36029 PIKEVILLE MEDICAL CENTER PURCHASED OFFICE SUITE PARTIALLY OWNED BY BOARD MEMBER. 0 DENNIS HALBERT MD PMC BOARD MEMBER 36029 PIKEVILLE MEDICAL CENTER PURCHASED OFFICE SUITE PARTIALLY OWNED BY BOARD MEMBER. 0 SUMMIT ENGINEERING ENTITY OF WHICH PEGGY JUSTICE'S BROTHER IS A PARTNER 12460 ENTITY PROVIDES ENGINEERING SERVICES TO PMC, $12,262 -ENTITY PROVIDES ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $198 0 UNIVERSITY OF PIKEVILLE ENTITY OF WHICH MARY R. SIMPSON IS CHAIR OF THE DIVISION OF NURSING 13249 PMC BOARD MEMBER MARY R. SIMPSON PHD IS CHAIR OF THE UNIVERSITY OF PIKEVILLE DIVISION OF NURSING. SERVICES PROVIDED BY UNIVERSITY OF PIKEVILLE TO PIKEVILLE MEDICAL CENTER: -ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PMC, $1,249.00. RENT PAYMENTS TO UNIVERSITY OF PIKEVILLE FOR STORAGE LOT, $12,000. 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 15 THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE SALARY OF THE ORGANIZATION'S CEO AND KEY EMPLOYEES. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 168,151. ROUNDING -4. TOTAL TO FORM 990, PART XI, LINE 5: 168,147. OVERSIGHT OF AUDIT FORM 990, PART XI, LINE 2C THE BOARD OF DIRECTORS ASSUMES RESPONSIBLITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR. PIKEVILLE MEDICAL CENTER FOUNDATION INC 911 BYPASS ROAD PIKEVILLE KY 41501 611274046 INACTIVE KY N/A C -306 47347 1.00000 PIKEVILLE MEDICAL DEVELOPMENT CORPORATION 911 BYPASS ROAD PIKEVILLE KY 41501 202487928 INACTIVE KY N/A C -173 7789 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0