4A (Expenses $ 143626743 including grants of $ 0) (Revenue $ 55826124)
PHYSICIAN PRACTICES:CURRENTLY, MORE THAN 350 CREDENTIALED PHYSICIANS ARE MEMBERS OF PIKEVILLE MEDICAL CENTER'S MEDICAL STAFF. DURING FY 2022, PMC WELCOMED 11 PHYSICIANS AND 10 NURSE PRACTITIONERS, ONE CERTIFIED REGISTERED NURSE ANESTHETIST AND ONE PHYSICIAN ASSISTANT TO THE ORGANIZATION. THE PHYSICIANS RECRUITED DURING THIS TIME CONSIST OF ONE ANESTHESIOLOGIST, ONE CRITICAL CARE PHYSICIAN, ONE DERMATOLOGIST, THREE HOSPITALISTS, ONE RADIATION ONCOLOGIST, ONE RHEUMATOLOGIST, ONE SLEEP MEDICINE PHYSICIAN, ONE TRAUMA SURGEON AND ONE VASCULAR SURGEON. PMC'S 11-STORY CLINIC BUILDING LOCATED ON THE HOSPITAL'S MAIN CAMPUS HOUSES THE MAJORITY OF THE ORGANIZATION'S PHYSICIAN PRACTICES INCLUDING TRAUMA SURGERY, GENERAL SURGERY, BARIATRIC AND WEIGHT LOSS SURGERY, ENDOCRINOLOGY, INTERVENTIONAL RADIOLOGY, GASTROENTEROLOGY, UROLOGY, ORTHOPEDIC TRAUMA SURGERY, ORTHOPEDIC SURGERY, HAND SURGERY, PODIATRY, SPORTS MEDICINE, OBSTETRICS/GYNECOLOGY, INFECTIOUS DISEASE, NEPHROLOGY, NEUROLOGY, NEUROSURGERY, PHYSIATRY, PULMONOLOGY, OPHTHALMOLOGY, OPTOMETRY, OTOLARYNGOLOGY, RHEUMATOLOGY, SLEEP MEDICINE, MEDICAL ONCOLOGY, HEMATOLOGY AND SURGICAL ONCOLOGY. PMC OFFERS MORE THAN 400 SERVICES, INCLUDING MOST MAJOR SPECIALTIES AND MANY SUB-SPECIALTIES AND PROVIDES THE TEAM OF, HIGHLY SKILLED, DEDICATED PHYSICIANS WITH THE TOOLS AND TRAINING NECESSARY TO PROVIDE QUALITY COMPREHENSIVE HEALTHCARE TO THE REGION.IN ADDITION TO PHYSICIAN PRACTICES FOUND IN THE CLINIC, PMC OFFERS: PEDIATRICS IN PIKEVILLE (KY); PEDIATRIC PSYCHIATRY IN PIKEVILLE (KY), PLASTIC SURGERY IN PIKEVILLE (KY); DERMATOLOGY IN PIKEVILLE (KY); CARDIOTHORACIC AND VASCULAR SURGERY IN PIKEVILLE (KY); CARDIOLOGY--GENERAL/INVASIVE/INTERVENTIONAL/ELECTROPHYSIOLOGY IN PIKEVILLE, WHITESBURG, PRESTONSBURG, SOUTH WILLIAMSON (KY) AND GRUNDY (VA); RADIATION ONCOLOGY IN PIKEVILLE (KY); NEUROLOGY IN WHITESBURG, SOUTH WILLIAMSON, AND PRESTONSBURG (KY); PRIMARY CARE MEDICINE IN PIKEVILLE, PRESTONSBURG, AND SOUTH WILLIAMSON (KY); OBSTETRICS/GYNECOLOGY IN PIKEVILLE (KY); URGENT CARE SERVICES IN PIKEVILLE AND PRESTONSBURG (KY); SCHOOL TELEHEALTH SERVICES IN PIKE COUNTY (KY); APPLIED BEHAVIOR ANALYSIS SERVICES IN PIKEVILLE (KY) AND PRESTONSBURG (KY); PSYCHOLOGY; WOUND CARE; CARDIAC REHABILITATION AND PULMONARY REHABILITATION IN PIKEVILLE (KY).PMC ALSO OFFERS EMERGENCY MEDICINE SERVICES, PALLIATIVE CARE SERVICES, AND UTILIZES AROUND-THE-CLOCK HOSPITALISTS, INTENSIVISTS AND NEONATOLOGISTS WHO DEVOTE THEIR PROFESSIONAL TIME TO THE CARE OF HOSPITALIZED PATIENTS.PMC PHYSICIANS COMPLETED 281,563 PATIENT CLINIC VISITS DURING FY 2022. PHYSICIAN PRACTICE LOCATIONS WITH NOTABLE GROWTH DURING THE YEAR: AVA CENTER PRACTICE-PIKEVILLE COMPLETED 11,823 LEARNER VISITS, PEDIATRIC PRACTICE-PIKEVILLE COMPLETED 9,539 PATIENT VISITS, PRIMARY CARE PRACTICE-PIKEVILLE COMPLETED 13,407 PATIENT VISITS, PRIMARY CARE PRACTICE-PRESTONSBURG COMPLETED 5,669 PATIENT VISITS, PRIMARY CARE PRACTICE-SOUTH WILLIAMSON COMPLETED 3,373 PATIENT VISITS, RHEUMATOLOGY PRACTICE-PIKEVILLE COMPLETED 4,908 PATIENT VISITS, SCHOOL TELEHEALTH PROGRAM COMPLETED 472 TELEHEALTH PATIENT VISITS, URGENT CARE PRACTICE-PIKEVILLE COMPLETED 18,196 PATIENT VISITS AND URGENT CARE PRACTICE-PRESTONSBURG COMPLETED 9,369 PATIENT VISITS. PIKEVILLE MEDICAL CENTER'S CONSTRUCTION RENOVATION OF 13,400 SQUARE FEET OF SPACE TO HOUSE EASTERN KENTUCKY'S ONLY CHILDREN'S HOSPITAL WAS COMPLETED DURING FY 22. THE NEW METTU CHILDREN'S HOSPITAL OPENED IN DECEMBER 2021 AND OFFERS BOTH INPATIENT AND OUTPATIENT PEDIATRIC SERVICES. THE CHILDREN'S HOSPITAL FILLS A GAP IN PROVIDING MUCH NEEDED PEDIATRIC HEALTHCARE FOR THE REGION, ALLOWING MORE FAMILIES TO STAY CLOSE TO HOME FOR SPECIALIZED PEDIATRIC CARE, THUS GREATLY REDUCING THE FINANCIAL BURDEN THAT COMES WITH TRAVELING TO HOSPITALS HUNDREDS OF MILES AWAY. THE CHILDREN'S HOSPITAL IS STAFFED BY PEDIATRIC HOSPITALISTS AND PEDIATRIC NURSES SPECIALLY TRAINED IN INPATIENT PEDIATRIC CARE. INPATIENT SERVICES ARE LOCATED IN AN 8,130 SQ FT AREA CONSISTING OF A FAMILY-FRIENDLY WAITING ROOM, 10 PRIVATE PATIENT ROOMS (INCLUDING TWO ISOLATION ROOMS), A CONSULTATION ROOM, A TREATMENT ROOM, MEDICATION ROOM, NOURISHMENT ROOM AND MORE. THE OUTPATIENT SERVICE AREA IS LOCATED IN A 5,290 SQ FT AREA CONSISTING OF SEPARATE SICK AND WELL CHILD WAITING ROOMS, CHECK-IN AND REGISTRATION AREAS, 13 EXAM ROOMS, A MEDICATION ROOM, AND NURSE'S STATION. THIS NEW PEDIATRIC FACILITY HAS PROVIDED PMC WITH THE CAPACITY TO LAUNCH A MULTI-SPECIALTY SPECTRUM OF CARE FOR PEDIATRIC PATIENTS. PEDIATRIC CARDIOLOGY, PULMONOLOGY, BMI, AND PLASTICS SPECIALTY SERVICES ARE NOW PROVIDED THROUGH A COOPERATIVE AGREEMENT WITH THE UNIVERSITY OF KENTUCKY CHILDREN'S HOSPITAL AT THE METTU CHILDREN'S HOSPITAL LOCATED ON PMC'S MAIN CAMPUS IN PIKEVILLE, KY. THESE NEW PEDIATRIC SERVICES BRIDGE THE GAP TO ENSURE ALL CHILDREN AND FAMILIES HAVE ADEQUATE ACCESS TO SPECIALIZED PEDIATRIC CARE. THE CAPITAL INVESTMENT IN THE CHILDREN'S HOSPITAL IS MORE THAN $6.3 MILLION.THE PMC APPALACHIAN VALLEY AUTISM (AVA) CENTER IS A CERTIFIED AUTISM CENTER BY THE INTERNATIONAL BOARD OF CREDENTIALING AND CONTINUING EDUCATION STANDARDS SPECTRUM DISORDER (ASD). AS THE FIRST COMPREHENSIVE CENTER OF ITS KIND IN EASTERN KENTUCKY, THE AVA CENTER OFFERS APPLIED BEHAVIOR ANALYSIS (ABA) THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, AND FEEDING THERAPIES FOR CHILDREN ON THE AUTISM SPECTRUM BETWEEN THE AGES OF 2 AND 12. THE PROGRAM STRIVES TO IDENTIFY CHILDREN AT THE EARLIEST SIGNS OF DETECTION, PROVIDE INTEGRATED CARE TO SUPPORT THE BEST POSSIBLE QUALITY OF LIFE FOR CHILDREN WITH ASD AND THEIR FAMILIES, AND HELP CHILDREN WITH ASD REACH THEIR FULL POTENTIAL. THE SPECIALIZED EARLY INTERVENTION AND TREATMENT PROVIDED BY THE SPECIFICALLY TRAINED THERAPISTS AT THE AVA CENTER HAS PROVEN EFFECTIVE IN INCREASING COMMUNICATION SKILLS, IMPROVING ATTENTION, AND DECREASING PROBLEM BEHAVIORS. THE PMC AVA CENTER PIKEVILLE CAMPUS OCCUPIES MORE THAN 25,000 SQ FT OF SPACE IN THE HEALTH & WELL-BEING LEARNING CENTER AND HAS THE CAPACITY TO SERVE UP TO 100 LEARNERS. DUE TO AN EXTENSIVE WAIT LIST OF MORE THAN 500 LEARNERS IN NEED OF SERVICES, PMC HAS RECENTLY EXPANDED THE AVA CENTER TO A SECOND LOCATION IN PRESTONSBURG, KY. THE AVA CENTER PRESTONSBURG CAMPUS IS A NEWLY RENOVATED 5,500 SQUARE FOOT SATELLITE CENTER THAT FEATURES AN OCEAN THEME WITH 12 MULTIPLE LEARNING ROOMS, A FEEDING ROOM AND TWO SPECIALLY DESIGNED SENSORY STIMULATION ACTIVITY ROOMS. THIS CENTER WILL ALLOW PMC THERAPISTS TO PROVIDE SERVICES FOR 24 ADDITIONAL LEARNERS, OFFERING THE SAME SPECIALIZED SERVICES THAT ARE AVAILABLE AT THE PIKEVILLE LOCATION WHILE ACCOMMODATING THE GROWING NEED FOR AUTISM SERVICES IN EASTERN KENTUCKY. THE TOTAL INVESTMENT IN RENOVATIONS FOR THE AVA CENTER PRESTONSBURG CAMPUS IS $2.1 MILLION.PIKEVILLE MEDICAL CENTER HAS ESTABLISHED THE EASTERN KENTUCKY ADVANCED WOMEN'S CARE CENTER TO MEET THE UNIQUE HEALTH NEEDS OF WOMEN. THE EXPERIENCED OBSTETRICS-GYNECOLOGY TEAM OF SEVEN OB/GYN PHYSICIANS IS THE LARGEST ON-CALL, BOARD CERTIFIED OB/GYN PHYSICIAN TEAM IN EASTERN KENTUCKY. THE TRUSTED AND COMPASSIONATE WOMEN'S CARE CENTER PHYSICIANS OFFER WELL SCREENINGS, FAMILY PLANNING, PREGNANCY AND POSTPARTUM CARE, MINIMALLY INVASIVE GYNECOLOGIC SURGERIES UTILIZING THE DA VINCI ROBOTIC SURGICAL SYSTEM, AND MENOPAUSAL CARE. THE WOMEN'S CARE CENTER COMPLETED 7,449 PATIENT VISITS DURING FY 2022THE JOB OF PIKEVILLE MEDICAL CENTER'S PRIMARY CARE TEAM IS MUCH MORE THAN TREATING YOU WHEN YOU ARE SICK, IT'S ABOUT ENCOURAGING PREVENTATIVE CARE AND A HEALTHY LIFESTYLE. IT IS ALSO ABOUT MANAGING CARE IF THERE IS A CHRONIC HEALTH NEED AND OPENING DOORS TO SPECIALIZED SERVICES WHEN THEY ARE NEEDED. TO IMPROVE ACCESS TO PIKEVILLE MEDICAL CENTER'S PRIMARY CARE TEAM; INCLUDING PEDIATRICS, ADULT PRIMARY CARE, AND URGENT CARE SPECIALISTS, PMC RECENTLY OPENED THE NEW URGENT CARE & FAMILY WELLNESS CENTER. THE RENOVATED 14,600 SQUARE FOOT OF SPACE IS IN A CONVENIENT LOCATION AND INCLUDES 14 YOUTH THEMED EXAM ROOMS, 25 ADULT/URGENT CARE EXAM ROOMS, 14 PROVIDER WORKSTATIONS, NURSE STATIONS, AN ON-SITE LABORATORY FOR SPECIMEN COLLECTION, ON-SITE X-RAY SERVICES, AND RECEPTION/WAITING ROOMS. THE URGENT CARE AT PIKEVILLE NORTH IS OPEN 12 HOURS A DAY SEVEN DAYS A WEEK TO TREAT INJURIES, COMMON MEDICAL CONDITIONS, AND ILLNESSES. THE TOTAL CAPITAL INVESTMENT IN THE URGENT CARE & FAMILY WELLNESS CENTER EQUIPMENT AND RENOVATIONS IS $3.7 MILLION.THE PMC ORTHOPEDIC SURGERY & SPORTS MEDICINE INSTITUTE OF EASTERN KENTUCKY, LOCATED ON THE SIXTH FLOOR OF THE PMC CLINIC BUILDING, IS STAFFED WITH HIGHLY TRAINED SURGEONS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND NUMEROUS SUPPORT PERSONNEL. THREE ORTHOPEDIC SURGEONS FOCUS ON PROVIDING THE LATEST ADVANCEMENTS IN ORTHOPEDIC SURGERY FOR HIPS, KNEES, AND OTHER ORTHOPEDIC RELATED ISSUES, WHILE BEING DEVOTED TO PREVENTING, DIAGNOSING, AND TREATING DISORDERS OF THE BONES,

4B (Expenses $ 14239006 including grants of $ 0) (Revenue $ 55556590)
IMAGING SERVICES:PIKEVILLE MEDICAL CENTER'S IMAGING SERVICES DIVISION INCLUDES THE MODALITIES OF DIAGNOSTIC IMAGING, NUCLEAR MEDICINE, MAGNETIC RESONANCE IMAGING (MRI), COMPUTED TOMOGRAPHY (CT), POSITRON EMISSION TOMOGRAPHY (PET), MAMMOGRAPHY, AND ULTRASOUND. PMC'S IMAGING SERVICES HAS RECEIVED THREE-YEAR ACCREDITATION FROM THE AMERICAN COLLEGE OF RADIOLOGY, RECOGNIZED AS THE GOLD STANDARD IN DIAGNOSTIC IMAGING. THIS ACCREDITATION CERTIFIES THE IMAGING SERVICES DIVISION'S COMMITMENT TO IMAGE QUALITY, EQUIPMENT PERFORMANCE, SAFETY STANDARDS FOR STAFF AND PATIENTS, QUALITY ASSURANCE AND QUALITY CONTROL PROGRAMS, AS WELL AS STRICT PERSONNEL QUALIFICATIONS FOR BOTH PHYSICIANS AND TECHNOLOGISTS. PMC CONTINUALLY INVESTS IN THE MOST UP TO DATE DIGITAL DIAGNOSTIC AND INTERVENTIONAL IMAGING TECHNOLOGY TO DETECT AND TREAT DISEASES. BOARD CERTIFIED RADIOLOGISTS WORK WITH SKILLED TECHNOLOGISTS AND NURSES TO PROVIDE THE HIGHEST QUALITY DIAGNOSTIC AND INTERVENTIONAL SERVICES IN A CARING AND EFFICIENT MANNER TO PATIENTS OF ALL AGES. INTERVENTIONAL RADIOLOGY (IR) IS A RAPIDLY GROWING FIELD OF MEDICINE THAT UTILIZES MODERN IMAGING TECHNOLOGY SUCH AS ULTRASOUND, CT, X-RAY, AND MRI TO GUIDE MINIMALLY INVASIVE SURGICAL PROCEDURES TO TREAT DISEASES IN MOST EVERY ORGAN SYSTEM IN THE BODY. THESE ADVANCED PROCEDURES ARE PERFORMED AT PMC BY THREE INTERVENTIONAL RADIOLOGISTS, SPECIALLY TRAINED WITH EXPERTISE IN RADIOLOGY AND MINIMALLY INVASIVE PROCEDURES. IR OFFERS AN ADVANCED ALTERNATIVE TO TRADITIONAL SURGICAL PROCEDURES; WITH A HIGH SUCCESS RATE, IR PROCEDURES HAVE BECOME AN INCREASINGLY POPULAR OPTION FOR REFERRING PHYSICIANS AND PATIENTS WHO REQUIRE DIAGNOSTIC OR THERAPEUTIC PROCEDURES, WHICH THROUGH TRADITIONAL TREATMENT METHODS WOULD TYPICALLY REQUIRE HOSPITAL STAYS AND LONGER RECOVERY TIMES. PMC'S IR PHYSICIANS TREAT VARIOUS CONDITIONS, INCLUDING CANCER, VASCULAR DISEASES, AND CHRONIC PAIN. ADVANCEMENTS IN IR ARE PARTICULARLY USEFUL TO ONCOLOGISTS, FROM DIAGNOSING CANCER TO DEVELOPING APPROPRIATE TREATMENT PLANS. PMC IR IS ALSO EQUIPPED TO TREAT PATIENTS SUFFERING FROM OSTEOPOROSIS WITH KYPHOPLASTY, AN OUTPATIENT PROCEDURE WHERE CEMENT IS USED TO STABILIZE FRACTURED VERTEBRA AND RESTORE SOME OF THE VERTEBRA'S LOST HEIGHT CAUSED BY OSTEOPOROSIS. IN MANY PATIENTS, THE KYPHOPLASTY PROCEDURE DRASTICALLY REDUCES PAIN, WHICH, IN TURN, CAN ELIMINATE OR REDUCE THE NEED TO USE PAIN MEDICATION. PATIENTS FROM ACROSS THE REGION ARE REFERRED TO PMC'S IR DEPARTMENT TO RECEIVE THE MOST ADVANCED TREATMENT AND SPECIALIZED PROCEDURES WITHIN THE RECENTLY RENOVATED SPACE THAT CONTAINS THREE IR SUITES, NINE PRE-OPERATIVE AND POST-OPERATIVE BAYS, TWO OUTPATIENT ROOMS AND A CENTRAL NURSE'S STATION. THE STATE-OF-THE-ART TECHNOLOGY CURRENTLY UTILIZED WITHIN IMAGING SERVICES INCLUDES TWO LINEAR ACCELERATORS, ONE 32-SLICE LARGE BORE CT SCANNER, TWO 64-SLICE CT SCANNERS, TWO DUAL-SOURCE 128-SLICE CT SCANNERS, A DIGITAL PET/CT SCANNER, A SPECT/CT SCANNER, TWO 1.5T OPEN MRIS, A 3.0T OPEN MRI, A D-SPECT CARDIAC IMAGING SYSTEM, TWO 3D MAMMOGRAPHY SYSTEMS AND THREE FULLY EQUIPPED INTERVENTIONAL RADIOLOGY SUITES.PMC HAS PURCHASED TWO VARIAN RAPIDARC TRUE BEAM LINEAR ACCELERATORS. THE TRUE BEAM RADIOTHERAPY SYSTEMS PROVIDE A VARIETY OF TREATMENT TECHNIQUES TO ADDRESS A BROAD RANGE OF CANCER CASES, IN ADDITION TO ALLOWING PMC TO DELIVER LIFESAVING RADIATION TWO TO EIGHT TIMES FASTER THAN CONVENTIONAL FORMS OF RADIOTHERAPY. ADVANCED IMAGING AND HIGH PRECISION DOSAGE CONTROL WITH THE LATEST TRUE BEAM TECHNOLOGY ENSURE RADIATION DELIVERY CONFORMALITY WITH BUILT IN PATIENT SAFETY FEATURES THAT ALLOW CLINICIANS TO NAVIGATE THE COMPLEXITIES OF RADIATION THERAPY TREATMENT DELIVERY WITH CONFIDENCE. THE CAPITAL INVESTMENT IN THE VARIAN TRUE BEAM LINEAR ACCELERATOR EQUIPMENT AND INSTALLATION RELATED RENOVATION IS PROJECTED TO TOTAL $7.3 MILLION. PMC'S IMAGING SERVICES HAS RECENTLY REACHED ANOTHER MILESTONE BY PERFORMING THE REGION'S FIRST PET SCAN DESIGNED SPECIFICALLY TO DETECT PROSTATE CANCER. THIS LATEST IN PET SCAN TECHNOLOGY UTILIZING ILLUCCIX RADIOACTIVE ISOTOPES ON THE NEWLY INSTALLED PHILIPS VEREOS DIGITAL PET/CT SCANNER IS PARTICULARLY BENEFICIAL TO UROLOGISTS TREATING PATIENTS WHO ARE AT HIGH RISK OF OR SUSPECTED OF HAVING PROSTATE CANCER BY OFFERING AN ADVANCED TOOL TO EXPEDITE A CANCER DIAGNOSIS AND TREATMENT, LEADING TO IMPROVED PATIENT OUTCOMES.

4C (Expenses $ 32455167 including grants of $ 0) (Revenue $ 40355726)
"CARDIAC SERVICES:THE PIKEVILLE MEDICAL CENTER HEART AND VASCULAR INSTITUTE OF EASTERN KENTUCKY (HVI) IS ACCREDITED BY THE AMERICAN HEART ASSOCIATION AND THE AMERICAN COLLEGE OF CARDIOLOGY IN FIELDS SUCH AS HEART ATTACK TREATMENT, CARDIAC CATH LAB PERCUTANEOUS CORONARY INTERVENTION (PCI) ACCREDITATION, CHEST PAIN WITH PCI AND MORE. THE HEART PLAYS A CRITICAL ROLE IN THE OVERALL WELL-BEING OF THE HUMAN BODY; THE DEVOTED STAFF AT THE HVI OFFERS A WIDE RANGE OF SERVICES TO ADDRESS VARIOUS CARDIOVASCULAR CONCERNS, FROM ROUTINE CHECK-UPS TO THE MANAGEMENT OF COMPLEX HEART CONDITIONS, TO GUIDE THE PATIENT THROUGH EVERY STEP OF THEIR HEART HEALTH JOURNEY. HVI IS KNOWN THROUGHOUT THE REGION AND STATE OF KENTUCKY FOR ITS EXPERTISE AND EXPERIENCE IN AREAS INCLUDING CORONARY ARTERY DISEASE, HEART FAILURE, ARRHYTHMIAS, AND VALVULAR DISORDERS. CARDIAC SERVICES OFFERED BY PMC INCLUDE GENERAL CARDIOLOGY, INVASIVE CARDIOLOGY, INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, CARDIOTHORACIC SURGERY, VASCULAR/ENDOVASCULAR SURGERY, ECHOCARDIOGRAPHY, AND CARDIAC REHABILITATION.THE PMC HEART AND VASCULAR INSTITUTE HAS RECENTLY COMPLETED A MONUMENTAL $35.2 MILLION CAPITAL RENOVATION AND EXPANSION. THE FIRST PHASE OF THE PROJECT INCLUDED THE INSTALLATION OF THREE NEW STATE-OF-THE-ART INTERVENTIONAL CARDIAC CATHETERIZATION (CATH) LABS, BRINGING THE HOSPITAL'S CATH LAB COUNT TO MORE THAN ANY OTHER HOSPITAL IN KENTUCKY. THE ORIGINAL 26,000 SQUARE FEET OF SPACE OCCUPIED BY THE HEART AND VASCULAR INSTITUTE WAS FULLY RENOVATED ALLOWING FOR FUNCTIONAL FLOW OF A NEW REGISTRATION AREA FOR IMPROVED PATIENT ACCESS, AN ADDITIONAL 14,000 SQUARE FEET OF SPACE LOCATED ON THE 2ND FLOOR WAS RENOVATED AND A TWO-STORY ADDITION OF SPACE THAT EXCEEDS 9,000 SQUARE FEET WAS ADDED AND OCCUPIED BY CARDIAC SUPPORT SERVICES. THE PROJECT ALSO INCLUDED CONSTRUCTION OF TWO ADDITIONAL ELECTROPHYSIOLOGY CATH LABS, WHICH ARE HYBRID LABS, ALLOWING THE ROOMS TO BE QUICKLY CONVERTED INTO SURGICAL SUITES IF THE PATIENT'S CONDITION REQUIRES. IN ADDITION, THE RENOVATED SPACE CONTAINS SIX PRE/POST-OPERATIVE BAYS ALONG WITH A MULTIPURPOSE ROOM FOR CASE CONFERENCES. THE PMC HEART & VASCULAR INSTITUTE TEAM WORKS CONTINUOUSLY TO BRING THE MOST ADVANCED TREATMENT OPTIONS TO THE REGION. PMC IS THE FIRST HOSPITAL IN KENTUCKY TO OFFER A NEW ADVANCED ""ARTERIAL THROMBECTOMY"" DEVICE. THIS DEVICE, THE PENUMBRA LIGHTNING BOLT 7, WAS CREATED TO AID PHYSICIANS IN EXTRACTING BLOOD CLOTS QUICKLY AND EFFICIENTLY FROM PERIPHERAL ARTERIES. THESE TYPES OF BLOOD CLOTS OFTENTIMES REQUIRE INVASIVE OPEN SURGERY OR CAN RESULT IN AMPUTATION. THE MINIMALLY INVASIVE LIGHTNING BOLT 7 SYSTEM USES A COMPUTER-AIDED CLOT DETECTION TECHNOLOGY THAT MODULATES ASPIRATION, WHICH IS DESIGNED TO SPEED UP CLOT REMOVAL WHILE LEAVING HEALTHY BLOOD CIRCULATING.AT THE PMC HEART AND VASCULAR INSTITUTE OF EASTERN KENTUCKY A SPECIALIZED TEAM OF SURGEONS OFFER A MINIMALLY INVASIVE APPROACH TO TREAT ANEURYSMS, INCLUDING THE ABDOMINAL AORTIC ANEURYSM (AAA), WHICH CAN BE FATAL IF LEFT UNTREATED. AN ABDOMINAL AORTIC ANEURYSM IS A BULGING, WEAKENED AREA IN THE WALL OF A PATIENT'S AORTA, THE LARGEST ARTERY IN THE BODY, RESPONSIBLE FOR CARRYING OXYGENATED BLOOD FROM THE HEART THROUGHOUT THE BODY. VASCULAR SURGEONS AT THE HVI NOW HAVE THE ABILITY TO PERFORM AN ADVANCED ENDOVASCULAR AORTIC ANEURYSM PROCEDURE WHICH IS A LESS INVASIVE APPROACH TO TREAT AND REPAIR AAA, THIS ADVANCEMENT HAS REVOLUTIONIZED THE TREATMENT OF ABDOMINAL ANEURYSMAL DISEASE ALLOWING PATIENTS TO RETURN HOME THE DAY AFTER THE PROCEDURE; WHEREAS IN YEARS PAST AAA TREATMENT INVOLVED AN EXTENDED HOSPITAL STAY AND MONTHS OF RECOVERY. THE MINIMALLY INVASIVE PROCEDURE IS PERFORMED THROUGH A INCH INCISION WHERE THE DAMAGE TO THE AORTA IS REPAIRED TO ESTABLISH A STABLE CHANNEL FOR BLOOD FLOW AND PREVENTING THE ANEURYSM FROM POTENTIALLY RUPTURING.DUE TO PMC'S COMMITMENT TO PROVIDING EXCEPTIONAL CARDIAC AND ENDOVASCULAR CARE, PATIENTS NO LONGER HAVE TO TRAVEL HUNDREDS OF MILES FOR ADVANCED TREATMENT. THE PMC HEART AND VASCULAR INSTITUTE OF EASTERN KENTUCKY PROVIDES THE REGION WITH COMPREHENSIVE CARE THROUGH OUTSTANDING FACILITIES, EXPERT STAFF, AND CUTTING-EDGE TECHNOLOGY."

4D (Expenses $ 364643989 including grants of $ 336287) (Revenue $ 407936387)
"ALL OTHER:PIKEVILLE MEDICAL CENTER IS A REGIONAL PROVIDER OF TERTIARY HEALTH CARE SERVICES THROUGH ITS LICENSED 348-BED ACUTE CARE AND INPATIENT REHABILITATION HOSPITAL, LEVEL II TRAUMA CENTER, OUTPATIENT DIAGNOSTIC CENTER, ORTHOPEDIC AND REHABILITATION CENTER, SLEEP LAB, HOME MEDICAL EQUIPMENT, LEVEL II ADVANCED NEONATAL INTENSIVE CARE UNIT, CANCER TREATMENT CENTER, AND MULTI-SPECIALTY PHYSICIAN PRACTICES. PMC OFFERS MORE THAN 400 SERVICES, INCLUDING MOST MAJOR SPECIALTIES AND MANY SUBSPECIALTIES. WITH NEARLY 3,000 EMPLOYEES AND MORE THAN 350 CREDENTIALED PHYSICIANS, PMC STRIVES TO BE THE PROVIDER AND EMPLOYER OF CHOICE FOR HEALTHCARE ACROSS THE REGION WE SERVE, WHICH INCLUDES THE EASTERN KENTUCKY COUNTIES OF PIKE, FLOYD, JOHNSON, LETCHER, MAGOFFIN, AND MARTIN; BUCHANAN COUNTY, VIRGINIA; AND MINGO COUNTY, WEST VIRGINIA. PMC'S ROLE IN THE HEALTH CARE DELIVERY SYSTEM THROUGHOUT CENTRAL APPALACHIA HAS EVOLVED TO THAT OF A REGIONAL REFERRAL CENTER FOR SMALLER COMMUNITY HOSPITALS THAT HAVE PATIENTS WITH COMPLEX NEEDS WHOM THEY CANNOT SERVE. PMC'S RECORDED TOTAL INPATIENT ADMISSIONS DURING FY 2022 OF 10,552 AND RECEIVED 2,656 TRANSFERS IN FROM SMALLER HOSPITALS THROUGHOUT THE REGION DURING THE YEAR.THE U.S. BUREAU OF LABOR STATISTICS PROJECTS THAT EMPLOYMENT IN HEALTHCARE OCCUPATIONS WILL INCREASE BY A GREATER PERCENT THAN ANY OTHER OCCUPATIONAL GROUP BY 2029. PIKEVILLE MEDICAL CENTER'S PRIMARY, SECONDARY AND TERTIARY MARKET AREAS HAVE ECONOMICALLY DECLINED OVER THE PAST DECADE DUE TO VARIOUS REGULATORY AND OTHER ECONOMIC SITUATIONS ADVERSELY AFFECTING THE EMPLOYMENT RATE, THIS DECLINE HAS RESULTED IN AN OUT MIGRATION OF THE REGION'S WORKFORCE, CREATING A SHORTAGE OF SKILLED HEALTHCARE LABOR TO FILL THE INCREASING NEED FOR NURSING AND OTHER SKILLED CLINICAL STAFF REQUIRED TO PROVIDE CARE FOR THE AGING POPULATION OF THE REGION. PMC IS AN INTEGRAL DRIVER OF THE ECONOMY WITHIN THE REGION IT SERVES AND HAS SPEARHEADED AN INITIATIVE TITLED ""PROJECT HEART"" (HEALTHCARE EMPLOYMENT AROUND REGIONAL TRAINING) TO ADDRESS THE GROWING SHORTAGE OF A SKILLED HEALTHCARE WORKFORCE. ALONG WITH A TEAM OF COLLABORATIVE PARTNERS, PMC HAS DEVELOPED MULTIPLE STRATEGIES TO INCREASE TRAINING, FURTHER DEVELOP THE HEALTHCARE WORKFORCE AND PROVIDE CAREER OPPORTUNITIES FOR AS MANY AS POSSIBLE ACROSS THE REGION. PMC HAS WORKED WITH BIG SANDY COMMUNITY AND TECHNICAL COLLEGE, GALEN COLLEGE OF NURSING, UNIVERSITY OF PIKEVILLE'S ELLIOTT SCHOOL OF NURSING AND AMERICAN NATIONAL UNIVERSITY TO EXPAND CAMPUS SPACE AND INCREASE CLASS SIZES, IN ADDITION TO OFFERING FELLOWSHIP PROGRAMS THAT PROVIDE FINANCIAL ASSISTANCE TO STUDENTS FOCUSING ON DEVELOPING MEDICAL SKILLS. PMC'S CAPITAL INVESTMENT IN PROVIDING RENOVATED TRAINING CENTER SPACE FOR NURSING AND SKILLED HEALTHCARE EDUCATION, WHICH WILL SUBSTANTIALLY SOLVE THE PUBLIC HEALTH CRISIS OF AN INADEQUATE SUPPLY OF NURSING AND SKILLED HEALTHCARE STAFFING AND ALSO PROVIDE A PATH FOR THE YOUTH OF APPALACHIA TO PURSUE A REWARDING CAREER AND REMAIN IN THE AREA, IS A PROJECTED TOTAL OF $2.4 MILLION.PMC WAS NAMED FORBES 2020, 2021, AND 2022 AMERICA'S BEST-IN-STATE EMPLOYER FOR OFFERING COMPETITIVE PAY AND ONE OF THE BEST BENEFITS PACKAGES IN THE REGION. PMC IS HOME TO SOME OF THE MOST SOPHISTICATED, TECHNOLOGICALLY ADVANCED MEDICAL EQUIPMENT IN EASTERN KENTUCKY AND IS CONTINUALLY LOOKING FOR NEW WAYS TO PROVIDE THE VERY BEST IN HEALTHCARE TO ITS PATIENTS. THE HOSPITAL'S DEDICATED EMPLOYEES AND PHYSICIANS ARE FOCUSED ON PROVIDING COMPREHENSIVE PATIENT CARE IN A CHRISTIAN ENVIRONMENT WHILE CONTINUALLY STRIVING FOR EXCELLENCE.PMC IS A CERTIFIED KENTUCKY CABINET OF HEALTH AND FAMILY SERVICES' DEPARTMENT OF PUBLIC HEALTH LEVEL II TRAUMA CENTER AND HAS ALSO RECEIVED LEVEL II TRAUMA VERIFICATION FROM THE AMERICAN COLLEGE OF SURGEONS. PMC IS THE ONLY LEVEL II TRAUMA CENTER IN THE COMMONWEALTH OF KENTUCKY AND IS THE DESIGNATED HOSPITAL FOR ALL TRAUMA CASES IN EASTERN KENTUCKY. AS A VERIFIED TRAUMA CENTER, PMC IS EQUIPPED AND STAFFED TO PROVIDE COMPREHENSIVE EMERGENCY CARE TO PATIENTS SUFFERING TRAUMATIC INJURIES. PMC PROVIDES PATIENTS 24-HOUR IMMEDIATE COVERAGE BY TRAUMA SURGEONS, ORTHOPEDIC SURGEONS, NEUROSURGEONS, ANESTHESIOLOGY, EMERGENCY MEDICINE, CRITICAL CARE AND OTHER SURGEONS SPECIALIZING IN TRAUMATIC INJURIES. THE CONTINUUM OF CARE ENCOMPASSES THE PRE-HOSPITAL PHASE THROUGH THE REHABILITATION PROCESS. PMC'S TRAUMA CENTER SERVICE SIGNIFICANTLY INCREASES THE CHANCE OF SURVIVAL SHOULD AN INDIVIDUAL BE SERIOUSLY INJURED WITHIN THE PMC MULTI-COUNTY SERVICE AREA. PMC PURCHASED THE COMBINATION STEALTHSTATION SURGICAL NAVIGATION SYSTEM AND O-ARM 2D/3D IMAGING SYSTEM DURING FY22. THE STEALTHSTATION ENABLES PRECISE TRACKING OF THE LOCATION OF SURGICAL INSTRUMENTS THROUGHOUT A PROCEDURE BY INTRODUCING THE MOST ADVANCED VERSION OF STEALTH TECHNOLOGY, A COMBINATION OF HARDWARE, SOFTWARE, TRACKING ALGORITHMS, IMAGE DATA MERGING, AND SPECIALIZED INSTRUMENTS. THE STEALTHSTATION AND O-ARM SYSTEMS ARE USED IN A VARIETY OF PROCEDURES INCLUDING SPINE, CRANIAL, ORTHOPEDICS AND TRAUMA. THE SYSTEMS' HIGH QUALITY, VERSATILE IMAGING PROVIDES ENHANCED 3D VISIBILITY, IN ADDITION TO SURGICAL FEEDBACK NEEDED TO GUIDE TIMELY CLINICAL DECISION MAKING ENABLING ADVANCED SURGICAL APPROACHES TO IMPROVE PATIENT OUTCOMES. THE CAPITAL INVESTMENT IN THE STEALTHSTATION & O-ARM SYSTEMS TOTALED $1.2 MILLION. PMC'S CRITICAL CARE UNITS (CCU) ARE COMPRISED OF 71 TOTAL BEDS AND STAFFED BY BOARD-CERTIFIED PHYSICIAN SPECIALISTS AND DEDICATED STAFF TO PROVIDE 24/7 CARE TO PATIENTS WITH A WIDE VARIETY OF SEVERE ILLNESS OR INJURY. PMC HAS 69 ADULT VENTILATORS AND 35 PEDIATRIC/NICU VENTILATORS IMMEDIATELY AVAILABLE FOR SERVICE AND IS ONE OF THE FEW HOSPITALS IN THE STATE AND THE ONLY HOSPITAL IN THE REGION TO PROVIDE THE EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) LIFE SUPPORT. PATIENTS REQUIRING ECMO HAVE A SEVERE, LIFE-THREATENING ILLNESS THAT PREVENTS THEIR HEART OR LUNGS FROM WORKING PROPERLY. THIS TECHNOLOGICALLY ADVANCED LIFESAVING MACHINE REPLACES THE FUNCTION OF THE HEART AND LUNGS, AND PUMPS BLOOD FROM THE PATIENT'S BODY TO AN OXYGENATOR THAT WORKS AS AN ARTIFICIAL LUNG. PIKEVILLE MEDICAL CENTER'S INPATIENT PHYSICAL REHABILITATION HOSPITAL IS A COMPREHENSIVE PROGRAM DEDICATED TO HELPING PATIENTS WHO ARE DISABLED BY DISEASE OR INJURY. A TEAM OF WELL-TRAINED REHABILITATION SPECIALISTS; INCLUDING PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, REHABILITATION NURSES, CASE MANAGERS, SOCIAL WORKERS, AND DIETICIANS, IN ADDITION TO, HIGHLY SKILLED, BOARD-CERTIFIED PHYSICAL MEDICINE PHYSICIANS HELP PATIENTS ACHIEVE THEIR GREATEST LEVEL OF INDEPENDENCE POSSIBLE BASED ON THEIR PHYSICAL AND MENTAL ABILITIES. THE 20-BED INPATIENT REHABILITATION FACILITY OFFERS A FULL RANGE OF INTENSIVE REHABILITATION SERVICES FOR ILL AND INJURED PATIENTS, ALLOWING THOSE PATIENTS TO REMAIN CLOSE TO HOME AND FAMILY WHILE RECEIVING REHABILITATIVE CARE. THE 23,000 SQUARE FOOT FACILITY IS DESIGNATED EXCLUSIVELY FOR REHABILITATION USE, INCLUDING A DINING HALL, FULLY EQUIPPED KITCHEN, LAUNDRY FACILITIES, AN APARTMENT-LIKE ROOM TO PRACTICE DAILY LIVING SKILLS, AND A THERAPEUTIC GYM WITH UNIQUE EQUIPMENT SPECIFICALLY SUITED FOR PATIENTS WORKING TO REGAIN MOTOR FUNCTIONS FROM INJURY OR ILLNESS, SUCH AS STROKE.PMC'S NEONATAL INTENSIVE CARE UNIT (NICU) IS A LICENSED 16 BED LEVEL II ADVANCED CARE FACILITY THAT PROVIDES AROUND-THE-CLOCK CARE FOR NEWBORNS WHO REQUIRE INTENSIVE NURSING AND MEDICAL CARE. AS THE ONLY LEVEL II ADVANCED NICU IN THE REGION, PMC NEONATOLOGISTS AND STAFF ARE TRAINED AND EQUIPPED TO CARE FOR BABIES BORN AS EARLY AS 28 WEEKS IN THE MOTHER'S PREGNANCY. HAVING THIS SPECIALIZED SERVICE AT PMC ALLOWS MANY FAMILIES TO STAY CLOSE TO HOME AND CLOSE TO THEIR NEWBORNS WHILE RECEIVING COMPASSIONATE CARE FROM THE TEAM OF SPECIALIZED MEDICAL PROVIDERS. THE PMC NICU HAD 126 NEWBORN ADMISSIONS AND 2,502 PATIENT DAYS OF CARE DURING FY 2022.THE PMC LAWSON CANCER CENTER (LCC) PROVIDES ADVANCED CANCER CARE CLOSE TO HOME FOR ITS PATIENTS. AS ONE OF A SELECT FEW CANCER CENTERS IN KENTUCKY TO HAVE ACHIEVED ACCREDITATION FROM THE COMMISSION ON CANCER WITH COMMENDATIONS FOR EXCEPTIONAL QUALITY, PMC LCC IS STAFFED BY A MULTIDISCIPLINARY TEAM OF EXPERT ONCOLOGISTS, SURGICAL SPECIALISTS, NURSES, PHARMACISTS, PATIENT NAVIGATORS, AND MANY OTHER HIGHLY TRAINED HEALTHCARE PROFESSIONALS WHO PROVIDE FULL-SERVICE, LEADING-EDGE CANCER TREATMENT AND FOLLOW-UP CARE TO WIN THE BATTLE AGAINST CANCER ONE PATIENT AT A TIME. IN ADDITION TO PHYSICIANS DEDICATED TO TREATING CANCER, PMC RECENTLY COMPLETED RENOVATION OF 3,160 SQ FEET OF SPACE LOCATED ADJACENT TO THE LAWSON CANCER CENTER FOR RELOCATION OF THE REGION'S ONLY SPECIALIZED ONCOLOGY PHARMACY. (CONTINUED)"

PIKEVILLE MEDICAL CENTER
PART V, SECTION B, LINE 5: PIKEVILLE MEDICAL CENTER CONDUCTED AN EXTENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY DURING FY 2022. A COMMITTEE ADVISORY BOARD COMPRISED OF 27 MEMBERS FROM THE BUSINESS SECTOR, EDUCATIONAL INSTITUTIONS AND VARIED CIVIC ORGANIZATIONS, IN ADDITION TO, 10 PMC STAFF MEMBERS, FROM POSITIONS WITHIN ADMINISTRATION AND CLINICAL SUPPORT SERVICES, AS WELL AS LICENSED PROVIDERS WAS ASSEMBLED TO PROVIDE OVERSIGHT FOR THE SURVEY AND REPORTING PROCESSES. PMC GATHERED DATA FROM THE LOCAL, STATE AND NATIONAL PATIENT POPULATIONS RELATED TO THEIR SOCIOECONOMIC AND HEALTH-RELATED ISSUES TO FOCUS ON ADDRESSING HEALTH DISPARITIES AND OTHER FACTORS AFFECTING PEOPLE OF THE REGION SERVED BY PMC. THE SURVEY WAS DISTRIBUTED TO ALL ADVISORY COMMITTEE MEMBERS; MEMBERS PROMOTED THE SURVEY TO THEIR EMPLOYEES, CUSTOMERS AND TO THE PUBLIC AT LARGE FOR ALL TO TAKE AND GIVE INPUT. ADDITIONALLY, THE SURVEY WAS MADE AVAILABLE ONLINE AND MARKETED PUBLICLY VIA MULTIPLE MEDIA PLATFORMS INCLUDING PRINT, SOCIAL MEDIA AND OTHER ON-SITE SIGNAGE AND PUBLICATIONS TO ACHIEVE A DIVERSIFIED DISTRIBUTION OF THE SURVEY. PMC'S COMMUNITY SURVEY RESPONSES WERE AGGREGATED WITH OTHER DATA AND STATISTICS TO PROVIDE A CLEAR AND DETAILED PICTURE OF THE HEALTHCARE INDUSTRY NEEDS WITHIN THE PMC MARKET AREA.

PIKEVILLE MEDICAL CENTER
PART V, SECTION B, LINE 7D: THE PMC BOARD-APPROVED CHNA REPORT WAS DISTRIBUTED TO THE ADVISORY BOARD MEMBERS WHO WERE ENCOURAGED TO DISTRIBUTE THE REPORT TO LOCAL BUSINESS/INDUSTRY LEADERS, PUBLIC OFFICIALS, AND CIVIC ORGANIZATION MEMBERS, THE REPORT WAS MADE AVAILABLE AT VARIOUS LOCATIONS ACROSS THE PMC CAMPUS AND IS AVAILABLE PUBLICLY ONLINE.

PIKEVILLE MEDICAL CENTER
PART V, SECTION B, LINE 11: PIKEVILLE MEDICAL CENTER ADDRESSES THE COMMUNITY NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA BY PROMOTING HEALTHY LIFESTYLES AND GOOD HABITS NECESSARY TO PREVENT OR ALLEVIATE DEVELOPMENT OF DISEASE THROUGH NUMEROUS COMMUNITY INFORMATION EVENTS AND BY CONTINUING INVOLVEMENT IN A WIDE ARRAY OF PUBLIC ACTIVITIES SUCH AS HEALTH FAIRS, REMOTE AREA MEDICAL (RAM) CLINICS, AND SPONSORED OCCASIONS ACROSS THE REGION. HEALTH SCREENINGS ARE CONDUCTED THROUGHOUT THE REGION TO DETECT EARLY WARNING SIGNS OF DISEASE INCLUDING, BUT NOT LIMITED TO, CANCER, DIABETES, AND HEART DISEASE. PMC IS CONTINUING TO INCREASE AVAILABILITY OF PRIMARY AND PEDIATRIC CARE SERVICES BY AGGRESSIVELY RECRUITING ADDITIONAL PROVIDERS TO THE AREA AND EXPANDING LOCATIONS WHERE THESE SERVICES ARE OFFERED. PMC'S FOCUS ON EXPANDING PEDIATRIC SERVICES HAS LED TO THE OPENING OF THE REGION'S ONLY CHILDREN'S HOSPITAL AND EMERGENCY DEPARTMENT PEDIATRIC WING THAT HAS EARNED THE PEDIATRIC READINESS DESIGNATION. THESE TWO NEW PEDIATRIC FACILITIES HAVE ALLOWED FOR THE LAUNCH OF A MULTI-SPECIALTY PEDIATRIC PROGRAM THAT INCLUDES CARDIOLOGY, PULMONOLOGY, BMI AND PLASTICS SERVICES THROUGH A COOPERATIVE AGREEMENT WITH THE UNIVERSITY OF KENTUCKY CHILDREN'S HOSPITAL. APPALACHIA REMAINS AS ONE OF THE NATION'S MOST PREVALENT REGIONS FOR HEART DISEASE, OBESITY, AND CANCER RELATED ILLNESS. PMC IS CONTINUING TO EXPAND THE AVAILABILITY OF ADVANCED CARDIOLOGY SERVICES BY OFFERING THE LATEST IN LIFE SAVING PROCEDURES AND STATE OF THE ART THERAPIES, IN ADDITION TO EXPANDING CARDIOLOGY SERVICE OFFERINGS TO OUTLYING AREAS THROUGH SATELLITE CLINICS. TO EXPAND ONCOLOGY SERVICE OFFERINGS AND PROVIDE THE MOST COMPREHENSIVE CANCER CARE, PMC IS PURSUING ANOTHER EXPANSION PROJECT TO DESIGNATE AN ADDITIONAL 7,085 SQUARE FEET OF SPACE TO THE EXISTING LAWSON CANCER CENTER TO BE UTILIZED FOR EXPANDED DIAGNOSTIC AND CHEMOTHERAPY INFUSION SERVICES. PMC HAS ALSO PURCHASED TWO NEW RAPIDARC TRUE BEAM LINEAR ACCELERATORS TO MEET THE INCREASED DEMAND FOR RADIOTHERAPY ONCOLOGY SERVICES. SUBSTANCE ABUSE PLAGUES THE PMC SERVICE AREA; PMC IS CONTINUING TO IMPLEMENT STRATEGIES TO PREVENT IMPROPER USAGE OF MEDICATIONS OF ALL KINDS THROUGH ELECTRONIC PRESCRIPTIONS, HEPATITIS C CLINICS AND PATIENT EDUCATION. PMC IS ALSO DEVELOPING A PARTNERSHIP WITH THE ADDICTION RECOVERY TREATMENT CENTERS LOCATED ACROSS THE REGION TO PROVIDE TRIAGE, EVALUATION AND TREATMENT FROM PMC PRIMARY CARE AND SPECIALTY PROVIDERS FOR ADDICTION RECOVERY PROGRAM PARTICIPANTS. ECONOMIC STABILITY HAS A DIRECT CORRELATION TO AN INDIVIDUAL'S OVERALL HEALTH AND IS A SIGNIFICANT AREA OF CONCERN ACROSS THE REGION. PMC IS COLLABORATING WITH MULTIPLE ORGANIZATIONS TO DEVELOP PROGRAMS TO ASSIST IN PROVIDING IMPROVED ECONOMIC OPPORTUNITY TO RESIDENTS ACROSS THE SERVICE AREA. THE PMC PROJECT HEART (HEALTHCARE EMPLOYMENT AROUND REGIONAL TRAINING) IS ONE SUCH PROGRAM THAT SUPPORTS JOB CREATION AND OPPORTUNITY THROUGH BRIDGING TOGETHER MANY ENTITIES, WHICH HAVE COMBINED FORCES TO PROVIDE FINANCIALLY ASSISTED TRAINING AND EDUCATION FOR SUSTAINABLE QUALITY HEALTHCARE CAREER OPPORTUNITIES ACROSS EASTERN KENTUCKY. PMC IS ALSO PARTNERING WITH MULTIPLE POST-SECONDARY EDUCATIONAL INSTITUTIONS TO IMPROVE THE REGISTRATION AND GRADUATION RATE OF NURSING AND OTHER HEALTHCARE RELATED STUDENTS TO ADDRESS THE CURRENT SHORTAGE OF AVAILABLE LICENSED STAFF IN THESE FIELDS DUE TO EXISTING AND GROWING DEMAND OF THE AGING PATIENT POPULATION. PMC HAS ALSO DEVELOPED SEVERAL IN-HOUSE TRAINING PROGRAMS FOR VARIOUS POSITIONS INCLUDING PHLEBOTOMISTS, PATIENT CARE TECHNICIANS AND MEDICAL ASSISTANTS ALLOWING STUDENTS TO OBTAIN THEIR CERTIFICATIONS IN THESE FIELDS WHILE WORKING AT PMC.

PIKEVILLE MEDICAL CENTER
PART V, SECTION B, LINE 24: PIKEVILLE MEDICAL CENTER FOLLOWS THE SAME CHARGING STRUCTURE FOR ALL PATIENTS; HOWEVER, PMC'S IN-HOUSE SLIDING SCALE FINANCIAL ASSISTANCE PROGRAM PROVIDES A RANGE OF DISCOUNTS UP TO FREE CARE FOR THOSE WHO QUALIFY. FOLLOWING A DETERMINATION THAT AN INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE UNINSURED PATIENT PORTION OF THE PROGRAM, PMC WILL NOT BILL THAT INDIVIDUAL FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IN AN AMOUNT IN EXCESS OF THE AMOUNT GENERALLY BILLED (UTILIZING THE MEDICARE LOOK-BACK METHOD). ADDITIONAL DISCOUNTS OF FREE OR 50% OF AGB ARE ALSO OFFERED BY PMC, DEPENDENT UPON THE PATIENT'S INCOME AND RESOURCE LEVEL AND FAMILY SIZE.

PART II, COMMUNITY BUILDING ACTIVITIES:
"PIKEVILLE MEDICAL CENTER'S MISSION STATEMENT, ""TO ADVANCE THE HEALTH AND WELL-BEING OF OUR REGION THROUGH COMPREHENSIVE CARE IN A CHRISTIAN ENVIRONMENT"" PROVIDES THE FOUNDATION FOR PMC'S EFFORTS TO NOT ONLY ADDRESS THE HEALTHCARE NEEDS OF THE PATIENT POPULATION BUT TO ALSO IMPROVE THE MENTAL AND SPIRITUAL WELL BEING OF THOSE WE SERVE, ALL VITAL COMPONENTS TO ADVANCING THE REGION BOTH SOCIALLY AND ECONOMICALLY. DURING FY 2022, PIKEVILLE MEDICAL CENTER REPORTED TAKING PART IN 53 COMMUNITY BUILDING ACTIVITIES, SERVING MORE THAN 6,800 PEOPLE AND TOTALING MORE THAN $712,000. THESE ACTIVITIES FOCUSED ON IMPROVING THE HEALTH AND WELLNESS OF THOSE WE SERVE THROUGH HEALTH EDUCATION, AWARENESS, PREVENTION AND TREATMENT, AS WELL AS, WORKFORCE DEVELOPMENT. SOME OF THE EVENTS LISTED UNDER THE COMMUNITY BUILDING ACTIVITIES SECTION INCLUDE; BLOOD DONATION DRIVES, BEREAVEMENT SUPPORT, BIBLE DISTRIBUTION, BAPTISMS, EAST KENTUCKY STRONG SUPPORT, NATIONAL MAMMOGRAPHY DAY, REMOTE AREA MEDICAL EVENT SUPPORT, AND RECRUITMENT OF MORE THAN 200 HEALTHCARE PROFESSIONALS."

PART III, LINE 3:
EXPLANATION FOR LINE 2 AND 3 OR RATIONAL FOR INCLUDING OTHER BAD DEBT AMOUNT IN COMMUNITY BENEFIT: THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY AND MAKES EVERY EFFORT TO EDUCATE PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE, IN ADDITION, PMC PATIENT FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST THROUGHOUT THE FINANCIAL ASSISTANCE APPLICATION PROCESS. FOR THIS REASON THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE. THE COST TO CHARGE FACTOR UTILIZED TO CALCULATE NET COMMUNITY BENEFIT EXPENSE IS 0.17026 FROM FY 2022 COST REPORT WORKSHEET S-10.

PART III, LINE 4:
SEE PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. CURRENT OPERATIONS INCLUDE AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ESTIMATED BASED UPON THE AGE OF THE PATIENT ACCOUNTS RECEIVABLE, HISTORICAL WRITEOFFS AND RECOVERIES AND ANY UNUSUAL CIRCUMSTANCES (SUCH AS LOCAL, REGIONAL OR NATIONAL ECONOMIC CONDITIONS) WHICH MAY AFFECT THE COLLECTIBILITY OF RECEIVABLES, INCLUDING MANAGEMENT'S ASSUMPTIONS ABOUT CONDITIONS IT EXPECTS TO EXIST AND COURSES OF ACTION IT EXPECTS TO TAKE.

PART III, LINE 8:
NO SHORTFALL EXISTED IN FY 2022. 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, 2022 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST.

PART III, LINE 9B:
PMC WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) AGAINST PATIENTS BEFORE MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER PMC'S FINANCIAL ASSISTANCE POLICY. PMC MAKES REASONABLE EFFORTS TO ORALLY NOTIFY THE PATIENT ABOUT PMC'S FINANCIAL ASSISTANCE POLICY AND HOW THEY MAY RECEIVE ASSISTANCE WITH THE APPLICATION PROCESS. EACH PATIENT BILLING STATEMENT AND ALL WRITTEN COMMUNICATIONS CONCERNING THE PATIENT'S BILL INCLUDE A CONSPICUOUS WRITTEN NOTICE THAT INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE, THE NOTICE INCLUDES THE TELEPHONE NUMBER OF PMC'S PATIENT FINANCIAL COUNSELING DEPARTMENT AS WELL AS THE WEB SITE ADDRESS WHERE COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL APPLICATION FORMS, AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY MAY BE OBTAINED. IN ADDITION, BILLING DEPARTMENT PERSONNEL INFORM EACH PATIENT ABOUT PMC'S FAP IN ORAL COMMUNICATIONS REGARDING AMOUNTS DUE. ONCE A PATIENT HAS BEEN DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE IN-HOUSE SLIDING SCALE PROGRAM, THEIR ELIGIBILITY WILL REMAIN INTACT FOR A TERM OF ONE (1) YEAR FROM THE DATE OF APPROVAL UNLESS PMC BECOMES AWARE OF A MATERIAL CHANGE IN THE PATIENT'S FINANCIAL CIRCUMSTANCES.

PART VI, LINE 2:
IN ORDER TO ASSESS OUR COMMUNITY'S HEALTH-RELATED NEEDS, PIKEVILLE MEDICAL CENTER UTILIZES SEVERAL REPORTS LOOKING AT THE SERVICES THEY PROVIDE, IN COMPARISON TO OTHER HOSPITALS, AS WELL AS, REPORTS INDICATING THE SPECIALTIES THAT ARE IMPACTED BY PHYSICIAN REFERRALS. PMC ALSO KEEPS A RECORD OF PREVIOUS COMMUNITY EVENTS HOSTED, TRACKING THEIR SUCCESS. FOR EXAMPLE: WHEN A FREE HEALTH SCREENING EVENT IS HELD, A RECORD IS KEPT OF THE NUMBER OF ATTENDEES INCLUDING THEIR RESULTS.

PART VI, LINE 3:
PIKEVILLE MEDICAL CENTER USES SEVERAL DIFFERENT MEANS TO COMMUNICATE AND EDUCATE OUR PATIENTS ON ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER FEDERAL, STATE AND LOCAL GOVERNMENTS, AS WELL AS THE PMC IN-HOUSE SLIDING SCALE PROGRAM. THE FINANCIAL ASSISTANCE PROGRAM POLICY, THE DSH PROGRAM APPLICATION FORM, THE IN-HOUSE SLIDING SCALE PROGRAM APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY OF THIS POLICY IS AVAILABLE FREE OF CHARGE ON PMC'S WEBSITE; PAPER COPIES OF THE POLICY, THE DSH PROGRAM APPLICATION FORM, THE IN-HOUSE SLIDING SCALE PROGRAM APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY OF THE POLICY ARE AVAILABLE FREE OF CHARGE UPON REQUEST IN PMC'S EMERGENCY, REGISTRATION AND BILLING DEPARTMENTS AND BY MAIL; A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY OF THE POLICY IS OFFERED TO PATIENTS AS PART OF THE INTAKE PROCESS UNLESS IT IS NOT FEASIBLE TO DO SO DUE TO AN EMERGENCY OR OTHER CIRCUMSTANCES IN WHICH CASE PMC WILL OFFER A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY AS PART OF THE DISCHARGE PROCESS; VISITORS TO PMC ARE INFORMED AND NOTIFIED ABOUT THE POLICY THROUGH CONSPICUOUS PUBLIC DISPLAYS AT PMC; RESIDENTS OF THE COMMUNITY THAT PMC SERVES ARE INFORMED AND NOTIFIED OF THE POLICY BY STATEMENTS ON PMC'S WEBSITE AND IN MESSAGES PLAYED TO CALLERS TO PMC WHO ARE PLACED ON HOLD THAT PMC OFFERS FINANCIAL ASSISTANCE UNDER A FINANCIAL ASSISTANCE POLICY AND INFORMING THE READER/LISTENER HOW TO OBTAIN MORE INFORMATION; AND BY INCLUDING A CONSPICUOUS WRITTEN NOTICE ON ALL BILLING STATEMENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISATNCE UNDER THIS POLICY AND INCLUDES THE TELEPHONE NUMBER OF PMC'S PATIENT FINANCIAL COUNSELING DEPARTMENT ALONG WITH THE WEB SITE ADDRESS WHERE COPIES OF THIS POLICY, THE APPLICATION FORMS, AND A PLAIN LANGUAGE SUMMARY OF THE POLICY MAY BE OBTAINED.

PART VI LINE 5
(CONTINUED) PIKEVILLE MEDICAL CENTER RECOGNIZES THAT PREVENTATIVE CARE HAS LONG BEEN RECOGNIZED AS THE BEST FORM OF CARE. OBESITY WAS INDICATED TO BE THE NUMBER THREE CONCERN FOR ADULTS AND THE NUMBER ONE CONCERN FOR CHILDREN IN THE AREA ON PMC'S LATEST CHNA. TO HELP COMBAT THESE CONCERNS, PMC WILL CONTINUE TO BE THE COMMUNITY LEADER IN PROMOTING A HEALTHY LIFESTYLE. PMC'S SURGICAL WEIGHT LOSS DEPARTMENT SERVES PATIENTS WHO HAVE UNSUCCESSFULLY TRIED TO CONTROL THEIR WEIGHT BY OFFERING SEVERAL DIFFERENT PROCEDURE OPTIONS, COUNSELING, AND GROUP SUPPORT SESSIONS, ALONG WITH DIABETES AND NUTRITIONAL EDUCATION; SOME OF WHICH ARE CONDUCTED VIA REMOTE VIDEO VISITS, ALLOWING A BETTER OPPORTUNITY FOR PATIENTS TO SUCCEED IN THEIR WEIGHT LOSS PROGRAM. PMC OFFERS DIABETES MANAGEMENT APPOINTMENTS WITH OUR DIABETES SPECIALTY TEAM WHO WORK IN CONJUNCTION WITH OUR STAFF ENDOCRINOLOGIST TO ADDRESS DIABETES MELLITUS, THYROID DISORDERS, PARATHYROID DISORDERS, PITUITARY DISORDERS, ADRENAL DISORDERS, METABOLIC SYNDROME, AND METABOLISM. PMC ALSO SPONSORS DIABETES SUPPORT GROUPS AND HEALTHY OPTIONS COOKING CLASSES FOR PATIENTS AND THE COMMUNITY AT LARGE. ADDITIONALLY, PMC TAKES STEPS TO ASSIST EMPLOYEES WITH A HEALTHIER LIFESTYLE THROUGH A CORPORATE SPONSORED WEIGHT WATCHERS PROGRAM AND PMC'S NUTRITIONAL TEAM OFFERS HEALTHY MEAL CHOICES IN THE CAFETERIA WHICH SERVES PATIENTS, VISITORS AND STAFF EACH DAY. TO MAKE A DYNAMIC SHIFT IN ONE'S LIFESTYLE REQUIRES A LONG-TERM MULTI-PRONGED APPROACH. PMC SUPPORTS THE COMMUNITY AT LARGE AND PROMOTES COMMUNITY ACTIVITIES TO ASSIST IN FIGHTING OBESITY BY SPONSORING EVENTS INCLUDING 5K AND 10K WALKS, COMMUNITY INFORMATION CAMPAIGNS TO PROMOTE GOOD HABITS NECESSARY TO PREVENT OR ALLEVIATE DEVELOPMENT OF DISEASE AND CONTINUING INVOLVEMENT IN A WIDE ARRAY OF PUBLIC ACTIVITIES SUCH AS HEALTH FAIRS, REMOTE AREA MEDICAL (RAM) CLINICS AND OTHER SPONSORED EVENTS.PIKEVILLE MEDICAL CENTER RECENTLY OPENED THE NEW $6.3 MILLION METTU CHILDREN'S HOSPITAL THAT SPANS MORE THAN 13,400 SQUARE FEET OF SPACE ON THE HOSPITAL'S MAIN CAMPUS FOR BOTH INPATIENT AND OUTPATIENT PEDIATRIC SERVICES. PMC ALSO OPENED A PEDIATRIC FOCUSED WING IN THE EMERGENCY DEPARTMENT, THIS WING HAS DESIGNATED EMERGENCY ROOM TREATMENT BAYS TO SERVE YOUNG PATIENTS, WITH NOT ONLY SPECIALTY EQUIPMENT BUT A FRIENDLY ENVIRONMENT TO REDUCE THEIR FEAR, WHILE THERE. PMC'S EMERGENCY DEPARTMENT EARNED A PEDIATRIC READY DESIGNATION AND IS ONE OF ONLY FOUR PEDIATRIC READY EDS IN THE STATE OF KENTUCKY. THESE TWO NEW PEDIATRIC FACILITIES PROVIDE PMC WITH THE CAPACITY TO LAUNCH A MULTI-SPECIALTY SPECTRUM OF CARE FOR PEDIATRIC PATIENTS. PEDIATRIC CARDIOLOGY, PULMONOLOGY, BMI, AND PLASTICS SPECIALTY SERVICES ARE NOW PROVIDED THROUGH A COOPERATIVE AGREEMENT WITH THE UNIVERSITY OF KENTUCKY CHILDREN'S HOSPITAL. WITH THE OPENING OF THE METTU CHILDREN'S HOSPITAL, PMC IS NOW POISED TO EXPAND THE RANGE OF CARE AND SERVICES TO THE FAMILIES OF THE REGION HERE AT HOME TO PREVENT LONG TRAVEL DISTANCES TO OBTAIN PEDIATRIC CARE. PMC'S APPALACHIAN VALLEY AUTISM (AVA) CENTER OPENED IN MAY 2020 PROVIDING THERAPY FOR CHILDREN DIAGNOSED WITH AUTISM SPECTRUM DISORDER (ASD) WITH THE GOAL TO IDENTIFY CHILDREN AT THE EARLIEST SIGNS OF DETECTION WHICH IMPACTS THEIR PHYSICAL AND MENTAL HEALTH. THE AVA CENTER'S MULTI-DISCIPLINARY TEAMS ARE EQUIPPED TO OFFER FAMILIES UNRIVALED EXPERTISE IN UNDERSTANDING AND MEETING THE NEEDS OF TODDLERS AND BRIDGES THE HEALTHCARE GAP OF CHILDREN WITH AUTISM AND RELATED CHALLENGES. THE AVA CENTER'S PIKEVILLE LOCATION HAS OVER 25,000 SQUARE FEET OF LEARNING SPACE AND FEATURES THERAPY ROOMS, A LIBRARY, AN INDOOR GYMNASIUM, AND STATE-OF-THE-ART SENSORY ROOMS; THE CENTER CAN SERVE UP TO 100 CHILDREN AND IS CURRENTLY AT CAPACITY. WITH AN EXTENSIVE WAIT LIST OF LEARNERS IN NEED OF SERVICES, PMC HAS RECENTLY EXPANDED THE AVA CENTER TO A SECOND LOCATION IN PRESTONSBURG, KY. PMC PLANS TO CONTINUE DEVELOPING AND EXPANDING PEDIATRIC SPECIALTY SERVICES TO BECOME THE REGIONAL REFERRAL CENTER FOR MOST ALL PEDIATRIC CARE. KENTUCKY IS AMONG THE TOP TEN STATES WITH THE HIGHEST OPIOID PRESCRIBING RATES. PMC'S LEADERSHIP AND CLINICIANS TAKE VERY SERIOUSLY THE RESPONSIBILITY IN PROTECTING THE PUBLIC BY PREVENTING SUBSTANCE ABUSE IN OUR PATIENTS. PMC HAS A STRICTLY ENFORCED POLICY RELATING TO THE PRESCRIBING OF CONTROLLED SUBSTANCES AND ROUTINELY ANALYZES NARCOTIC PRESCRIBING DATA, IMPLEMENTING STRATEGIES THAT PREVENT IMPROPER USAGE OF MEDICATIONS OF ALL KINDS. STRATEGIES CURRENTLY IN PLACE INCLUDE ELECTRONIC PRESCRIPTIONS WITHIN THE CLINIC AND HOSPITAL SETTING, HEPATITIS C CLINICS, AND PATIENT EDUCATION AND PATIENT AUTHORIZATION FOR OPIOID TRACKING THROUGH REPORTABLE DATA. THERE HAS ALSO BEEN AN INCREASE IN NEONATAL ABSTINENCE SYNDROMES (NAS) AND NEONATAL OPIOID WITHDRAWAL SYMPTOMS (NOWS), BOTH NATIONAL AND LOCALLY. PMC IS CONTINUING TO EXPLORE AND POSITION THE ORGANIZATION TO ADDRESS THIS UNIQUE SUBSTANCE ABUSE ISSUE AND IS PREPARED TO TAKE CARE OF THE SMALLEST AND MOST VULNERABLE OF OUR PATIENTS, THE NEWBORN BABY. TO SERVE THESE NEWBORN PATIENTS, PMC HAS INCREASED THE NEONATAL INTENSIVE CARE UNIT (NICU) TO INCLUDE 16 NEONATAL LEVEL II BASSINETS. PMC'S TENURED TEAM OF PHYSICIANS AND NURSES HAS ACHIEVED THE DESIGNATION OF ADVANCED CARE UNIT FOR PATIENTS BORN AT 28 WEEKS OF GESTATION OR WHO ARE RECOVERING FROM MORE SERIOUS CONDITIONS SUCH AS NAS OR NOWS. PMC DOES NOT SPECIALIZE IN THE SPECIFIC INTERVENTIONS FOR ADULT SUBSTANCE ABUSE BUT HAS IDENTIFIED COMPONENTS WHERE THE ORGANIZATION CAN PROVIDE RELATIVE EXPERTISE TO LOCAL SUBSTANCE ABUSE PROGRAMS THROUGH A DIRECT AND EFFICIENT CONDUIT FOR HEALTHCARE, THE NEWLY IMPLEMENTED EPIC ELECTRONIC MEDICAL RECORD SYSTEM. PMC PROVIDES TRIAGE, EVALUATION AND TREATMENT FROM PRIMARY CARE AND SPECIALTY PROVIDERS TO SUBSTANCE ABUSE PROGRAM PARTICIPANTS THROUGHOUT THE REGION BY WORKING WITH THE TREATMENT CENTERS TO FORM A PARTNERSHIP IN HEALTHCARE OF THESE INDIVIDUALS. PIKEVILLE MEDICAL CENTER'S PRIMARY, SECONDARY AND TERTIARY MARKET AREAS HAVE ECONOMICALLY DECLINED OVER THE PAST DECADE DUE TO VARIOUS REGULATORY AND OTHER ECONOMIC SITUATIONS ADVERSELY AFFECTING THE EMPLOYMENT RATE. THIS DECLINE HAS RESULTED IN A REDUCED OVERALL POPULATION ACROSS THE REGION DUE TO OUT-MIGRATION, IN ADDITION TO LOWER DISPOSABLE INCOME TO SPEND ON HEALTH CARE FOR THOSE REMAINING IN THE REGION, WHICH HAS IN TURN HAD A SIGNIFICANT IMPACT ON THE OVERALL HEALTH OF THE GENERAL POPULATION AND THE ORGANIZATIONS WHICH DELIVER THEIR CARE. PMC IS NOT, HOWEVER, EXPERIENCING A PATIENT SHORTAGE BUT A SKILLED WORKFORCE SHORTAGE. AS A RESULT OF THIS SHORTAGE, FROM THE GROWING DEMAND OF THE AGING POPULATION FOR HEALTHCARE SERVICES, PMC HAS DEVELOPED AN INNOVATIVE INITIATIVE TO ADDRESS BOTH THE STAFF SHORTAGES AND THE UNEMPLOYMENT IN THE REGION. PMC IN COLLABORATION WITH AREA COLLEGES AND TECHNICAL SCHOOLS ARE WORKING TO IMPROVE THE REGISTRATION AND GRADUATION RATE OF SKILLED NURSING AND HEALTHCARE RELATED STUDENTS. THE PMC PROJECT HEART (HEALTHCARE EMPLOYMENT AROUND REGIONAL TRAINING) INITIATIVE IS THE LARGEST EFFORT TO SUPPORT JOB CREATION AND OPPORTUNITY IN EASTERN KENTUCKY SINCE THE EARLY 1970S AND BRINGS TOGETHER MANY ENTITIES WHICH HAVE COMBINED FORCES TO MAKE IT EASIER THAN EVER FOR SOMEONE TO TRAIN FOR A CAREER IN THE HEALTHCARE INDUSTRY. THE PROJECT PARTNERS HAVE MADE COMBINED INVESTMENTS TOTALING $26 MILLION IN PROGRAMS THAT WILL CREATE THOUSANDS OF SUSTAINABLE CAREER OPPORTUNITIES WITH GREAT BENEFITS HERE IN EASTERN KENTUCKY. PMC HAS WORKED WITH BIG SANDY COMMUNITY AND TECHNICAL COLLEGE, GALEN COLLEGE OF NURSING, UNIVERSITY OF PIKEVILLE'S ELLIOTT SCHOOL OF NURSING AND AMERICAN NATIONAL UNIVERSITY TO EXPAND CAMPUS SPACE AND INCREASE CLASS SIZES, IN ADDITION TO OFFERING FELLOWSHIP PROGRAMS THAT PROVIDE FINANCIAL ASSISTANCE TO STUDENTS FOCUSING ON DEVELOPING MEDICAL SKILLS. PMC'S CONTINUED PARTNERSHIP WITH THESE POST-SECONDARY INSTITUTIONS ALONG WITH THE PMC IN-HOUSE TRAINING PROGRAMS DEVELOPED FOR CERTAIN POSITIONS INCLUDING PHLEBOTOMISTS, PATIENT CARE TECHNICIANS, AND MEDICAL ASSISTANTS, WHICH ALLOWS STUDENTS TO OBTAIN THEIR CERTIFICATIONS WHILE WORKING AT PMC, WILL SUBSTANTIALLY SOLVE THE PUBLIC HEALTH CRISIS OF INADEQUATE NURSING AND SKILLED HEALTHCARE STAFFING AND PROVIDE A PATH FOR THE YOUTH OF APPALACHIA TO PURSUE A REWARDING CAREER AND REMAIN IN THE AREA, WHICH IS CRITICAL FOR THE STABILITY OF OUR ENTIRE REGION. PIKEVILLE MEDICAL CENTER IS, AND WILL CONTINUE TO BE, THE CORPORATE LEADER TO DEVELOP EDUCATIONAL OPPORTUNITIES, ASSIST HEALTHCARE PROVIDERS AND CREATE HUNDREDS OF JOBS AROUND THE REGION.

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PIKEVILLE MEDICAL CENTER PROVIDES HEALTHCARE SERVICES TO RESIDENTS OF EASTERN KENTUCKY, SOUTHWEST VIRGINIA AND SOUTHWEST WEST VIRGINIA. PMC REALIZES THE HEALTH AND ACCESS DISPARITIES IN OUR APPALACHIAN MARKET AND IS COMMITTED TO SURPASSING BARRIERS TO BE THE PROVIDER OF CHOICE FOR COMPREHENSIVE QUALITY HEALTHCARE SERVICES TO MEET THE NEEDS OF THE RESIDENTS OF THE REGION IT SERVES. PMC USES THE MOST RECENT U.S. CENSUS BUREAU DATA IN ADDITION TO INFORMATION FROM THE KY STATE DATA CENTER AND CENTERS FOR DISEASE CONTROL WHEN ASSESSING THE GEOGRAPHIC AREA AND DEMOGRAPHIC POPULATION CHARACTERISTICS OF THE REGION. BASED ON THE LATEST AVAILABLE DATA, PMC'S SERVICE AREA CONTAINS A POPULATION ESTIMATE OF 212,652 INDIVIDUALS. THERE IS A RELATIVELY EVEN DISTRIBUTION OF MALES (49.97%) TO FEMALES (50.03%). THE AVERAGE HOUSEHOLD SIZE IS 2.6 INDIVIDUALS AND 20.56% OF THE POPULATION IS AGE 65 AND OVER. THE AREA SERVED BY PIKEVILLE MEDICAL CENTER HAS A MEDIAN FAMILY INCOME OF $36,611 WITH 29% OF THE POPULATION LIVING BELOW THE POVERTY LINE.

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"PIKEVILLE MEDICAL CENTER (PMC), A 348-BED TERTIARY CARE CENTER, LOCATED IN EASTERN KENTUCKY, IS RECOGNIZED AS A LEADER IN PROVIDING HIGH QUALITY COMPREHENSIVE HEALTHCARE. PMC IS CONTINUALLY EXPANDING SERVICE OFFERINGS AND IMPROVING ACCESS TO HEALTHCARE ACROSS THE REGION AS THE ORGANIZATION STRIVES TO BE THE PROVIDER OF CHOICE THROUGH ITS DEDICATED SERVICE TO THE COMMUNITY AND COMMITMENT TO PROVIDING THE MOST ADVANCED HEALTHCARE TREATMENT AND TECHNOLOGY AVAILABLE. THE ORGANIZATION FOCUSES ON IDENTIFYING AND SERVING THE EVOLVING NEEDS OF THE PATIENT, THROUGH A PROGRESSIVE APPROACH THAT IS COMMITTED TO OFFERING QUALITY HEALTHCARE SERVICES IN A CHRISTIAN ENVIRONMENT BY DEDICATED PROFESSIONALS.THE MISSION OF PIKEVILLE MEDICAL CENTER IS ""TO ADVANCE THE HEALTH AND WELL-BEING OF OUR REGION THROUGH COMPREHENSIVE CARE IN A CHRISTIAN ENVIRONMENT."" PMC'S MISSION ALONG WITH THE VISION OF THE ORGANIZATION: TO BE THE PROVIDER AND EMPLOYER OF CHOICE FOR HEALTHCARE IN THE REGION WE SERVE IS THE FOUNDATION FOR THE CONTINUUM OF CARE PROVIDED EACH DAY THROUGHOUT THE ORGANIZATION BY THE NEARLY 3,000 STAFF MEMBERS.PMC HAS GROWN EXPONENTIALLY THROUGHOUT ITS 98-YEAR HISTORY. BEGINNING AS A SMALL, RURAL, 50-BED FACILITY AT ITS INCEPTION IN 1924, THE MEDICAL CENTER IS TODAY A COMPREHENSIVE MEDICAL COMPLEX COMPRISED OF 328 LICENSED ACUTE CARE INPATIENT BEDS WHICH INCLUDES 16 NEONATAL LEVEL II BASSINETS, 20 INPATIENT PHYSICAL REHABILITATION BEDS, 22 NURSERY BASSINETS, AND 18 AMBULATORY CLINIC LOCATIONS WHICH OFFER 34 DIFFERENT SPECIALTIES, COVERING NEARLY 1.5 MILLION SQUARE FEET WITH BOTH THE MAIN FACILITY, SATELLITE CLINICS AND SUPPORTIVE SERVICE AREAS. PIKEVILLE MEDICAL CENTER IS A LEADING MEMBER IN THE REGIONAL ECONOMIC COMMUNITY AS HEALTHCARE HAS EVOLVED TO BECOME THE LARGEST SECTOR OF THE ECONOMY THROUGHOUT EASTERN KENTUCKY, SOUTHWEST VIRGINIA AND SOUTHWEST WEST VIRGINIA. PMC UNDERSTANDS THE RESPONSIBILITY IN BEING ONE OF THE REGION'S LARGEST EMPLOYERS AS IT IS NOT ONLY LIVES, BUT ALSO LIVELIHOODS, THAT DEPEND ON THE FINANCIAL STRENGTH OF THE ORGANIZATION. THE HOSPITAL HAS A PASSION TO IMPROVE THE HEALTH OF THE REGION AND NOW OFFERS MORE THAN 400 SERVICES, INCLUDING MOST MAJOR SPECIALTIES AND MANY SUBSPECIALTIES. THE CONTINUAL PHYSICAL GROWTH AND EXPANSION OF SPECIALTY SERVICE OFFERINGS, INCLUDING TRAUMA SERVICES AND PEDIATRIC SPECIALTY SERVICES, HAS TRANSFORMED PMC INTO A REGIONAL REFERRAL CENTER FOR SMALLER COMMUNITY HOSPITALS THAT HAVE PATIENTS WITH COMPLEX MEDICAL NEEDS WHOM THEY CANNOT SERVE. CURRENT SERVICES OFFERED AT PMC INCLUDE: A VERIFIED LEVEL II TRAUMA CENTER; AN AWARD-WINNING, FULL-SERVICE CANCER TREATMENT CENTER; CHEST PAIN CENTER WITH PRIMARY PCI; 20-BED INPATIENT PHYSICAL REHABILITATION HOSPITAL; AN ACCREDITED GOLD PLUS STROKE CENTER; NEUROSURGERY; LEVEL II ADVANCED NEONATAL INTENSIVE CARE UNIT; A MBSAQIP ACCREDITED BARIATRIC & MINIMALLY INVASIVE SURGERY CENTER; JOINT COMMISSION GOLD SEAL CERTIFIED ORTHOPEDIC PROGRAM; PULMONARY REHABILITATION; PEDIATRIC SPECIALTY SERVICES INCLUDING CARDIOLOGY, PULMONOLOGY, BMI, AND PLASTICS; THE REGION'S ONLY CHILDREN'S HOSPITAL; SLEEP LAB; A DIAGNOSTIC CENTER; AUTISM CENTERS; URGENT CARE CENTERS; INTEGRATED FAMILY AND SPECIALTY PHYSICIAN PRACTICES WITH SATELLITE LOCATIONS IN PIKEVILLE, PRESTONSBURG, SOUTH WILLIAMSON, WHITESBURG, KY AND GRUNDY, VA, ALONG WITH A SCHOOL TELE-HEALTH PROGRAM.PIKEVILLE MEDICAL CENTER'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROVIDES THE ORGANIZATION WITH THE OPPORTUNITY AND KNOWLEDGE TO BETTER ALIGN EXISTING PROGRAMS AND TO DESIGN FUTURE PROGRAMS TO BEST MEET THE NEEDS OF OUR COMMUNITY. THE ISSUES IDENTIFIED AS MOST IMPORTANT DURING THE LATEST CHNA INCLUDE HEART HEALTH, CANCER, OBESITY, PEDIATRIC SERVICES, SUBSTANCE ABUSE AND ECONOMIC CONDITIONS. PIKEVILLE MEDICAL CENTER'S HEART AND VASCULAR INSTITUTE (HVI) IS RECOGNIZED AS HAVING ONE OF THE TOP HEART PROGRAMS IN KENTUCKY. FOR THE PAST SEVERAL YEARS, HEART DISEASE HAS BEEN A PRIMARY FOCUS OF PMC, A RECENTLY COMPLETED $35.2 MILLION 46,000 SQUARE FOOT CAPITAL INVESTMENT PROJECT EXPANDED THE HVI TO MAKE IT UNLIKE ANY OTHER PROGRAM IN STATE. THE MULTI-DISCIPLINARY TEAM OF PHYSICIANS UTILIZES THIS SPACE FOR INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, INTERVENTIONAL RADIOLOGY, VASCULAR TREATMENTS, AND ENDOVASCULAR SURGERY. IN ADDITION TO THE MAIN CAMPUS SERVICE AREA, HVI CURRENTLY OFFERS LIFESAVING CARDIOLOGY SERVICES TO OUTLYING AREAS THROUGH SATELLITE CLINICS LOCATED IN PRESTONSBURG, KY, SOUTH WILLIAMSON, KY, WHITESBURG, KY, AND GRUNDY, VA; A MODULAR OR PHASED CONSTRUCTION DESIGN APPROACH IS ALSO BEING USED TO SPECIFICALLY ALLOW FOR THE EXPANSION OF SERVICES, LIKE CARDIOLOGY AND OTHER SPECIALTY SERVICES, AT OTHER LOCATIONS AS WELL. PMC'S COMMITMENT TO SERVE THE HEART HEALTH NEEDS OF THE COMMUNITY WILL CONTINUE TO INVOLVE STATE OF THE ART THERAPIES AND CUTTING-EDGE TECHNOLOGY IN MINIMALLY INVASIVE INTERVENTIONS. NEW LIFE SAVING AND CURATIVE PROCEDURES THAT WERE NOT PREVIOUSLY OFFERED IN THE REGION THAT ARE NOW PERFORMED AT PMC'S HVI INCLUDE THE MAZE, TAVR, WATCHMAN DEVICE, AND LEADLESS PACEMAKERS. HVI'S CARDIAC REHABILITATION CENTER SERVES OUR PATIENTS THROUGHOUT THE CONTINUUM OF CARE BY PROVIDING A MEDICALLY SUPERVISED PROGRAM DESIGNED TO IMPROVE CARDIOVASCULAR HEALTH AFTER A CARDIAC EVENT. ADDITIONALLY, AN ALTERNATIVE TO PROCEDURAL INTERVENTION IS OFFERED TO PATIENTS OF HVI IN NEED OF ANTI-COAGULANT THERAPIES AND THOSE NEEDING TREATMENT FOR CONGESTIVE HEART FAILURE THROUGH THE PMC COUMADIN AND HEART FAILURE CLINIC. THESE ADVANCED SERVICE OFFERINGS HAVE CULMINATED IN A HIGHER LEVEL OF CARDIAC DIAGNOSTIC AND PROCEDURAL CARE FOR OUR PATIENTS, AS PMC CONTINUES TO LEAD THE WAY TO A HEALTHIER AND LONGER LIFE FOR OUR PATIENTS IN AND AROUND THE COMMUNITY. THE PMC LAWSON CANCER CENTER (LCC) PROVIDES ADVANCED CANCER CARE CLOSE TO HOME FOR ITS PATIENTS. PIKEVILLE MEDICAL CENTER HAS MADE INVESTMENTS IN THE EXPERTISE AND LEADING-EDGE TECHNOLOGY TO FIGHT CANCER IMMEDIATELY UPON DIAGNOSIS. AS THE REGION'S ONLY HOSPITAL TO HAVE ACHIEVED THE COMMISSION ON CANCER'S OUTSTANDING ACHIEVEMENT AWARD FOR EXCEPTIONAL QUALITY, LCC HAS A GOAL OF WINNING THE BATTLE AGAINST CANCER ONE PATIENT AT A TIME. TO ENHANCE ACCESS AND CONVENIENCE, THE LCC AT PIKEVILLE MEDICAL CENTER RECENTLY MOVED TO PMC'S MAIN CAMPUS, PATIENTS NOW HAVE ALL THEIR SERVICES AND PROVIDERS IN ONE LOCATION INCLUDING IMAGING, DIAGNOSTICS, CHEMOTHERAPY, INFUSION, AND RADIATION THERAPY; AS WELL AS GENETIC COUNSELING, FINANCIAL COUNSELING AND PATIENT NAVIGATION. HAVING ALL SERVICES IN ONE LOCATION ALLOWS EFFICIENCY FOR CLINICIANS AND EASE OF ACCESS FOR PATIENTS, WHICH CAN IMPROVE OUTCOMES. PMC CONTINUES TO FOCUS ON THE EXPANSION OF ONCOLOGY SERVICES AVAILABLE TO THE PATIENTS IN OUR REGION AND IS CURRENTLY DESIGNING AN ADDITIONAL 7,085 SQUARE FEET EXPANSION OF LCC TO PROVIDE PRIVATE CHEMO SUITES AND ADDITIONAL DIAGNOSTIC CAPABILITIES. ADDITIONALLY, TWO NEW VARIAN RAPIDARC TRUE BEAM LINEAR ACCELERATORS WERE RECENTLY ACQUIRED TO PROVIDE FAST AND PRECISE RADIOTHERAPY TREATMENT, ALLOWING LCC TO DELIVER LIFESAVING RADIATION TWO TO EIGHT TIMES FASTER THAN CONVENTIONAL FORMS OF RADIOTHERAPY. LCC IS ALSO PURSUING ADDITIONAL CLINICAL TRIAL OPPORTUNITIES TO ADD TO OUR PORTFOLIO OF SERVICES GIVING THE MOST RECENT TECHNOLOGY IN INTERVENTION TO OUR PATIENTS. MEDICAL TREATMENT IS ONLY PART OF THE BATTLE IN FIGHTING CANCER, THEREFORE, MULTIPLE AUXILIARY SERVICES TO APPROACH HEALING HOLISTICALLY ARE ALSO OFFERED. AUXILIARY SERVICE OFFERINGS INCLUDE CANCER SUPPORT GROUPS, LOOK GOOD-FEEL GOOD PROGRAM, PROVIDING FREE ACCESS TO WIGS, MAKE-UP AND SCARVES, AND THE ART OF HEALING PROGRAM, OFFERING ARTISTIC ACTIVITIES DESIGNED TO PROVIDE EMOTIONAL SUPPORT TO PEOPLE COPING WITH A CANCER DIAGNOSIS. SMOKING AND VAPING CESSATION CLASSES ARE ALSO OFFERED TO HELP SMOKING ADDICTED PEOPLE BREAK THE DANGEROUS HABIT AND HOPEFULLY PREVENT THEM FROM NEEDING THESE VAST ONCOLOGY SERVICES. THE AVAILABILITY OF THESE LIFE CHANGING AND LIFESAVING TREATMENTS LOCALLY REDUCES THE BURDEN AND EXPENSE OF TRAVEL ON OUR PATIENTS AND THEIR FAMILIES."

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(CONTINUED) PIKEVILLE MEDICAL CENTER'S VISION TO BE THE REGION'S PROVIDER AND EMPLOYER OF CHOICE HAS NOT ONLY RESULTED IN THE EXPANSION OF HEALTH CARE SERVICES PROVIDED TO PATIENTS BUT HAS ALSO BEEN INTEGRAL IN ENHANCING THE HOSPITAL'S ABILITY TO PROVIDE COMMUNITY OUTREACH SERVICES. PMC PROVIDES A VARIETY OF EDUCATIONAL, WELLNESS, AND PREVENTIVE HEALTH SERVICES THAT ARE DERIVED FROM THE CORE OF PMC'S MISSION. CHARITY CARE: THROUGH DEFINED POLICIES AND PROCEDURES, PMC RECORDED UNCOMPENSATED CHARITY OF MORE THAN $9,695,000 DURING FY 2022 (SERVICES AT HOSPITAL'S ESTABLISHED RATES). HEALTH CARE SUPPORT SERVICES:BLOOD DRIVES PMC WAS HOST TO SIX BLOOD DRIVES DURING FY 2022. PREPARATION FOR BLOOD DRIVES INCLUDES PUBLICITY BEFORE AND AFTER THE EVENT, OBTAINING GIVE-AWAY ITEMS FOR DONORS; RESERVING A LOCATION, HELPING WITH SET-UP AND TAKE-DOWN, AND PRE-REGISTERING DONORS. BLOOD DRIVES ARE CONDUCTED IN CONJUNCTION WITH THE KENTUCKY BLOOD CENTER. IN FY 2022, 322 DONORS PARTICIPATED IN PMC'S BLOOD DRIVES, PROVIDING LIFE-SAVING BLOOD PRODUCTS TO AN ESTIMATED 966 RECIPIENTS.GUEST MEALS PMC DONATED 4,165 FOOD TRAYS TO GUESTS AT A COST OF $31,238 IN FY 2022.INDIGENT SUPPORT SERVICES - MANY PATIENTS NEED FINANCIAL ASSISTANCE WITH PRESCRIBED MEDICATIONS, IN-HOME MEDICAL EQUIPMENT, TRANSPORTATION, AND OTHER ITEMS OR SERVICES. TO ASSIST IN RELIEVING FINANCIAL BURDENS, PMC'S CHAPLAIN SERVICES, CASE MANAGEMENT, AND LAWSON CANCER CENTER DEPARTMENTS PROVIDED FINANCIAL ASSISTANCE FOR 430 PATIENTS TOTALING $43,486 IN FY 2022. ASSISTANCE WENT TO PATIENTS NEEDING PRESCRIBED MEDICATIONS AND TRANSPORTATION UPON DISCHARGE. TRANSPORTATION SUPPORT WAS ALSO PROVIDED TO PATIENTS NEEDING TO TRAVEL TO AND FROM THE HOSPITAL TO RECEIVE CARE. IN ADDITION, THE HOSPITAL PURCHASED CHILD CAR SEATS, HOME MEDICAL EQUIPMENT, AND MEDICAL SUPPLIES FOR PATIENTS IN NEED.SPIRITUAL PMC'S CHAPLAINCY DEPARTMENT MAKES EVERY EFFORT TO ENSURE PATIENTS' SPIRITUAL NEEDS ARE MET. THE STAFF ROUNDS DAILY OFFERING WORDS OF ENCOURAGEMENT AND PRAYER. IN FY 2022, 970 BIBLES WERE DISTRIBUTED, 96 - 365 BEDTIME BIBLE STORY BOOKS WERE DISTRIBUTED TO PMC METTU CHILDREN'S HOSPITAL PATIENTS AND 6 COMMUNITY EVENTS, INCLUDING THE COLORS OF COURAGE 5K AND BAPTISMS WERE SERVICED BY PMC CHAPLAINS. IN ADDITION, 492 FOOD BASKETS WERE PROVIDED AS SUPPORT FOR BEREAVED FAMILIES. THESE SERVICES PROVIDED A COMMUNITY BENEFIT OF MORE THAN $19,000.COMMUNITY FINANCIAL DONATIONS: IN FY 2022, PMC PROUDLY SUPPORTED COMMUNITY ORGANIZATIONS AND FUNDRAISING INITIATIVES BY PROVIDING FINANCIAL AND IN-KIND DONATIONS, WHILE ALSO ENCOURAGING EMPLOYEE PARTICIPATION IN COMMUNITY ACTIVITIES AND EVENTS WITH A COMMON GOAL OF SERVING OTHERS. THE HOSPITAL PROVIDED MORE THAN $235,280 IN FINANCIAL AND IN-KIND SUPPORT TO THE FOLLOWING ENTITIES AND INITIATIVES:AMERICAN HEART ASSOCIATIONBIG SANDY COMMUNITY & TECHNICAL COLLEGECHRISTIAN APPALACHIAN PROJECTCITY OF PIKEVILLE-APPALACHIAN FESTIVALELKHORN CITY HERITAGE COUNCIL-REMOTE AREA MEDICALFOUNDATION FOR APPALACHIAN KENTUCKY INCJAG KENTUCKYKENTUCKY CHAMBER FOUNDATION1 EAST KENTUCKY CORPORATIONSAVAS KOSTAS GALASOAR-SHAPING OUR APPALACHIAN REGIONSOUTHEAST KENTUCKY CHAMBER OF COMMERCETEAM EAST KY FLOOD RELIEFPMC IS AN AVID SUPPORTER OF SOAR, A NON-PARTISAN APPALACHIAN KENTUCKY NETWORK COMMITTED TO THE COMMON PURPOSE OF EXPANDING JOB CREATION, ENHANCING REGIONAL OPPORTUNITY AND IDENTITY, AND IMPROVING THE QUALITY OF LIFE ALL CITIZENS OF THE REGION THROUGH COLLABORATION AND INNOVATION. PMC EXECUTIVES AND STAFF ACTIVELY PARTICIPATE IN SOAR EVENTS AND CONFERENCES TO ASSIST IN SHAPING A BETTER FUTURE FOR THE REGION.HEALTH PROFESSIONS EDUCATION: DURING FY 2022, PMC INVESTED $245,435 IN HEALTH PROFESSIONS EDUCATION. IN ORDER TO COMBAT THE GROWING SKILLED HEALTHCARE STAFFING SHORTAGES, PMC HAS AFFILIATED WITH THIRTY-SEVEN ACADEMIC INSTITUTIONS TO HOST MORE THAN 390 STUDENTS IN TRAINING DURING 2022, AREAS OF SPECIALTY TRAINED INCLUDE: NURSING, PHLEBOTOMY, PHYSICAL THERAPY, RESPIRATORY THERAPY, PHARMACY, RADIOLOGY AND SPEECH THERAPY. SCHOOLS AFFILIATED WITH PMC INCLUDE:AMERICAN NATIONAL UNIVERSITYBELLARMINE UNIVERSITYBIG SANDY COMMUNITY AND TECHNICAL COLLEGECHAMBERLAIN COLLEGEEASTERN KENTUCKY PHLEBOTOMY SCIENCESEASTERN KENTUCKY UNIVERSITYFRONTIER SCHOOL OF MIDWIFERY AND FAMILY NURSINGGALEN COLLEGE OF NURSINGGRAND CANYON UNIVERSITYHAZARD COMMUNITY AND TECHNICAL COLLEGEINDIANA WESLEYAN UNIVERSITYKCTCS-WHITESBURGLINCOLN MEMORIAL UNIVERSITYMARSHALL UNIVERSITYMILLIGAN COLLEGEMOREHEAD STATE UNIVERSITYMOUNTWEST COMMUNITY & TECHNICAL COLLEGENATIONAL COLLEGE OF BUSINESSNORTHERN KENTUCKY UNIVERSITYPITT COMMUNITY COLLEGESOUTHEAST COMMUNITY COLLEGESOUTHERN WEST VIRGINIA COMMUNITY & TECHNICAL COLLEGESPALDING UNIVERSITYTUG VALLEY PHLEBOTOMYUNIVERSITY OF APPALACHIA COLLEGE OF PHARMACYUNIVERSITY OF KENTUCKYUNIVERSITY OF NEBRASKA MEDICAL CENTERUNIVERSITY OF PIKEVILLEUNIVERSITY OF VIRGINIA COLLEGE AT WISEVIRGINIA COMMONWEALTH UNIVERSITYWALDEN UNIVERSITYWALTERS STATE UNIVERSITYWESTERN KENTUCKY UNIVERSITYRESIDENCY PROGRAM PMC'S RESIDENCY PROGRAM OFFERED A HOLISTIC APPROACH TO MEDICINE UTILIZING INTEGRATED OSTEOPATHIC FAMILY MEDICINE AND OSTEOPATHIC MANIPULATIVE TREATMENT/NEUROMUSCULOSKELETAL MEDICINE. THE HOSPITAL, IN CONJUNCTION WITH THE RESIDENCY PROGRAM, OPERATED A FAMILY PRACTICE CLINIC WHICH PROVIDED CARE TO MORE THAN 7,400 PATIENTS THROUGH JUNE FY 2022. DURING THE RESIDENCY YEAR OF JULY 2021 TO JUNE 2022, PMC TRAINED 8 RESIDENTS.OPTOMETRY PROGRAM PIKEVILLE MEDICAL CENTER CONTINUES TO PARTNER WITH THE UNIVERSITY OF PIKEVILLE KENTUCKY COLLEGE OF OPTOMETRY, A NOT-FOR-PROFIT OPTOMETRIC EDUCATION INSTITUTION ENGAGED IN EDUCATING OPTOMETRIC STUDENTS AND ADVANCING OPTOMETRIC EDUCATION TO PROVIDE CLINICAL CARE SPACE AND EQUIPMENT AS A CORE SITE TO ACCOMMODATE OPTOMETRY PATIENT CARE FOR THE EDUCATION AND TRAINING OF OPTOMETRIC STUDENTS.CONTINUING HEALTH PROFESSIONALS EDUCATION PMC'S MEDICAL LIBRARY STAFF COORDINATES AND OVERSEES CONTINUING MEDICAL EDUCATION (CME) HOURS OFFERED AT THE HOSPITAL. MOST CMES ARE OPEN TO NOT ONLY PMC STAFF, BUT TO OTHER MEDICAL PROFESSIONALS THROUGHOUT THE REGION. IN FY 2022, PMC OFFERED 476 CME PRESENTATIONS, REACHING NEARLY 905 ATTENDEES. THE EDUCATIONAL OPPORTUNITIES OFFERED BY THE HOSPITAL DURING FY 2022 RELATED TO THE FOLLOWING TOPICS:- ADVANCED CARDIOVASCULAR LIFE SUPPORT RECERTIFICATION (14 EVENTS) - HEPATITIS SYMPOSIUM- HIGH RELIABILITY ORGANIZATION LEADER TRAINING (6 EVENTS)- PEDIATRIC ADVANCED LIFE SUPPORT (3 EVENTS)- TRAUMA GRAND ROUNDS (2 EVENTS)- TUMOR BOARD (6 EVENTS)PHYSICIAN, MIDLEVEL AND NURSING PROFESSIONAL RECRUITMENT: PMC'S RECRUITMENT PROGRAM IS FOCUSED ON PROVIDING PATIENTS WITHIN THE SERVICE AREA WITH QUALITY MEDICAL CARE BY RECRUITING AN ADEQUATE NUMBER OF SKILLED PRIMARY AND PEDIATRIC CARE PHYSICIANS ALONG WITH A DESIRED MIX OF SPECIALTY PHYSICIANS. AS A REGIONAL REFERRAL CENTER FOR SPECIALTY AND SUB-SPECIALTY SERVICES NOT PROVIDED BY OTHER LOCAL HOSPITALS, PHYSICIAN RECRUITMENT IS A FUNDAMENTAL ELEMENT REQUIRED TO MEET THE HEALTHCARE NEEDS OF THE REGION PMC SERVES. DURING FY 2022, 11 PHYSICIANS, 12 MIDLEVEL PROFESSIONALS AND 187 REGISTERED NURSES/LICENSED PRACTICAL NURSES WERE ADDED TO PMC'S TEAM OF HEALTHCARE PROVIDERS. THE TOTAL COMMUNITY BENEFIT ASSOCIATED WITH RECRUITMENT OF THESE PROVIDERS DURING FY 2022 WAS $660,966. THE RECRUITED PHYSICIANS PRACTICE IN THE FOLLOWING SPECIALTIES: - ANESTHESIOLOGY- CRITICAL CARE- CARDIOLOGY- DERMATOLOGY- HOSPITALIST- RADIATION ONCOLOGY- RHEUMATOLOGY- SLEEP MEDICINE- TRAUMA SURGERY- VASCULAR SURGERYSUPPORT GROUPS: IN FY 2022, PMC HOSTED/SPONSORED 40 SUPPORT GROUP MEETINGS, PROVIDING MORE THAN $2,831 IN COMMUNITY BENEFITS. THE SUPPORT GROUPS PMC HOSTED/SPONSORED: - ART OF HEALING CANCER SUPPORT GROUP- WEIGHT LOSS SURGERY/NUTRITION SUPPORT GROUP- LOOK GOOD FEEL BETTER CANCER SUPPORT GROUP