| FORM 990, PART VI, SECTION B, LINE 11B |
THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE CFO PRIOR TO FILING. ADDITIONALLY, THE GOVERNING BODY WILL REVIEW THE FINAL FORM 990 INCLUDING REQUESTED SCHEDULES AT THE NEXT BOARD MEETING. THE FINAL FORM 990 IS PROVIDED ELECTRONICALLY TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 12C |
AS TO BOARD MEMBERS, UPDATES TO THE CONFLICT OF INTEREST FORMS ARE COMPLETED ANNUALLY WITH VOLUNTARY DISCLOSURE OF CONFLICT ON ANY PARTICULAR ISSUE. THERE IS NO PARTICIPATION, DISCUSSION OR VOTE TAKEN ON THESE; HOWEVER, THE HOSPITAL ATTORNEY IS PROVIDED A COPY OF ALL INTERESTS OF EACH MEMBER TO ENSURE COMPLIANCE WITH THE POLICY. THESE ARE REGULARLY AND CONSISTENTLY MONITORED FOR ANY CHANGES. AS TO EMPLOYEES, THERE IS A WRITTEN CONFLICT OF INTEREST POLICY WHICH TOO IS REGULARLY AND CONSISTENTLY MONITORED AND ENFORCED BY HUMAN RESOURCES AND ADMINISTRATION AS NECESSARY. THIS POLICY IS INTENDED TO IDENTIFY AND RESOLVE CONFLICTS OF INTEREST WHICH MAY OCCUR RELATED TO FINANCIAL, BUSINESS, OR PROFESSIONAL INTERESTS. THE POLICY IS IN PLACE TO IDENTIFY AND RESOLVE A CONFLICT OF INTEREST WHICH MAY OCCUR ANY TIME THERE IS A SITUATION IN WHICH ONE'S ABILITY TO MAKE OBJECTIVE, JOB RELATED BUSINESS DECISIONS MAY BE INFLUENCED BY, OR HAVE THE APPEARANCE OF BEING INFLUENCED BY, OUTSIDE ACTIVITIES OR PERSONAL INTERESTS. POTENTIAL CONFLICTS OF INTEREST MAY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: 1. WORKING A SECOND JOB AT A COMPETING HEALTHCARE ENTITY WHICH MAY ALLOW THE TRANSFER OF CONFIDENTIAL BUSINESS INFORMATION OR INFLUENCE REFERRAL PATTERNS. 2. ALLOWING THE DEMANDS OF OUTSIDE ACTIVITIES TO HINDER OR DISTRACT YOU FROM THE PERFORMANCE OF YOUR JOB OR CAUSE YOU TO USE PIKEVILLE MEDICAL CENTER RESOURCES FOR OTHER THAN PIKEVILLE MEDICAL CENTER PURPOSES. 3. HOLDING AN OWNERSHIP INTEREST, MANAGEMENT, OR BOARD OF DIRECTORS POSITION IN A COMPANY WITH WHOM PIKEVILLE MEDICAL CENTER DOES BUSINESS WHICH MAY LEAD TO THE INDIVIDUAL'S PERSONAL GAIN/BENEFIT. "OWNERSHIP INTEREST" MEANS SERVING AS A BOARD DIRECTOR OR OFFICER OR OWNING MORE THAN 5% OF THE BUSINESS OR CORPORATION. 4. HAVING AN IMMEDIATE FAMILY MEMBER OR SIGNIFICANT OTHER WHO HOLDS AN OWNERSHIP INTEREST IN A COMPANY WITH WHOM PIKEVILLE MEDICAL CENTER DOES BUSINESS WHICH MAY LEAD TO THE INDIVIDUAL'S PERSONAL GAIN/BENEFIT. "OWNERSHIP INTEREST" MEANS SERVING AS A BOARD DIRECTOR OR OFFICER OR OWNING MORE THAN 5% OF THE BUSINESS OR CORPORATION. 5. HAVING AN IMMEDIATE FAMILY MEMBER OR SIGNIFICANT OTHER EMPLOYED BY THE PIKEVILLE MEDICAL CENTER AND WORKING WITHIN THE SAME DIRECT LINE OF AUTHORITY (ABOVE OR BELOW) AS THE FIRST EMPLOYEE. IMMEDIATE FAMILY MEMBERS INCLUDE SPOUSES, ANCESTORS, CHILDREN, GRANDCHILDREN, GREAT GRANDCHILDREN, BROTHERS AND SISTERS AND THE SPOUSES OF THOSE INDIVIDUALS. THE SCOPE OF THIS POLICY INCLUDES: PIKEVILLE MEDICAL CENTER AND ALL ITS DEPARTMENTS AND SERVICES WHEREVER LOCATED. THE COVERED INDIVIDUALS ARE TO FOLLOW THESE PROCEDURES: 1. ALL MANAGEMENT PERSONNEL SHALL COMPLETE A DUALITY AND CONFLICT OF INTEREST FORM AT THE TIME OF INITIAL EMPLOYMENT AND ANNUALLY THEREAFTER. 2. EMPLOYEE CONFLICT OF INTEREST FORMS SHALL BE FILED IN THEIR PERSONNEL FILES. 3. IN THE EVENT THAT AN EMPLOYEE'S JOB DESCRIPTION OR DUTIES REQUIRES A BUSINESS RELATED DECISION TO BE MADE IN AN AREA IN WHICH A PERSONAL CONFLICT OF INTEREST HAS BEEN IDENTIFIED, THE EMPLOYEE SHALL NOTIFY HIS/HER SUPERVISOR TO ARRANGE FOR AN ALTERNATIVE DECISION MAKING PROCESS WHICH WILL MAINTAIN OBJECTIVITY AND ELIMINATE PERSONAL BIAS, I.E. PERSONAL WITHDRAWAL FROM THE DECISION MAKING PROCESS, SOLICITATION OF CLOSED BIDS, OR UTILIZATION OF AN INDEPENDENT SELECTION COMMITTEE. 4. IF AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF ETHICS IS IDENTIFIED INVOLVING PATIENT CARE OR TREATMENT, THE EMPLOYEE SHOULD SEEK ASSISTANCE FROM THEIR SUPERVISOR TO FIND A RESOLUTION WHICH WOULD HAVE MINIMUM IMPACT ON PATIENT CARE, TREATMENT, OR SERVICES. |
| FORM 990, PART VI, SECTION B, LINE 15 |
LINE 15A: THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE SALARY OF THE ORGANIZATION'S CEO. THE COMMITTEE USES COMPARATIVE DATA FROM NATIONAL SALARY SURVEYS. MOTIONS AND APPROVALS FROM THE COMMITTEE ARE DOCUMENTED AND KEPT IN THE BOARD MINUTES. LINE 15B: THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE SALARY OF THE ORGANIZATION'S OTHER OFFICERS/SENIOR VICE PRESIDENTS. THE COMMITTEE USES COMPARATIVE DATA FROM NATIONAL SALARY SURVEYS. MOTIONS AND APPROVALS FROM THE COMMITTEE ARE DOCUMENTED AND KEPT IN THE BOARD MINUTES. THE SALARY OF THE ASSISTANT CEO/CMO IS ALSO INDEPENDENTLY REVIEWED WITH AN OPINION RENDERED BY AN EXTERNAL CONSULTING FIRM. |
| FORM 990, PART VI, SECTION C, LINE 19 |
THE ORGANIZATION MAKES THE FORM 990, WHICH INCLUDES THE ANNUAL AUDITED FINANCIAL STATEMENTS, AVAILABLE TO THE PUBLIC UPON REQUEST |
| FORM 990, PART IX, LINE 11G |
PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 47,764,436. MANAGEMENT AND GENERAL EXPENSES 6,403,353. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,167,789. PROFESSIONAL FEES : PROGRAM SERVICE EXPENSES 8,233,338. MANAGEMENT AND GENERAL EXPENSES 3,730. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,237,068. |
| FORM 990, PART XII, LINE 2C. |
THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR. |
| FORM 990, PART III, LINE 4D |
(CONTINUED) PHARMACISTS WORK ONE-ON-ONE WITH PMC'S ONCOLOGY PHYSICIANS TO FORMULATE THE CHEMOTHERAPY REGIMENS APPROPRIATE FOR THE NEEDS OF EACH INDIVIDUAL PATIENT. PMC CONTINUES TO FOCUS ON THE BROADENING 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. PMC LCC IS ALSO AMONG A RELATIVELY SMALL PERCENTAGE OF CANCER CENTERS APPROVED TO OFFER SOME OF THE NEWEST TREATMENTS TO QUALIFYING CANCER PATIENTS IN THE FORM OF CLINICAL TRIALS. PATIENTS WHOSE CANCER HAS NOT RESPONDED WELL TO TREATMENT AND WHO MEET CERTAIN QUALIFICATIONS ARE GIVEN THE OPTION TO PARTICIPATE IN A CLINICAL TRIAL, GIVING THEM ACCESS TO NEW, POTENTIALLY LIFE CHANGING MEDICATIONS NOT YET AVAILABLE TO THE MAJORITY OF PATIENTS. THE LAWSON CANCER CENTER PROVIDED 13,288 CHEMOTHERAPY RELATED INFUSIONS AND 12,565 RADIATION THERAPY PROCEDURES DURING FY 2022. THE PMC SPECIALTY PHARMACY IS PROUD TO BE THE ONLY SPECIALTY PHARMACY IN THE REGION ACCREDITED BY BOTH ACCREDITATION COMMISSION FOR HEALTH CARE (ACHC) AND THE UTILIZATION REVIEW ACCREDITATION COMMISSION (URAC). SPECIALTY DRUGS GENERALLY REQUIRE SPECIAL ADMINISTRATION AND ARE DEFINED AS EXPENSIVE MEDICATIONS USED TO TREAT CONDITIONS SUCH AS CANCER, RHEUMATOID ARTHRITIS, AND MULTIPLE SCLEROSIS. SPECIALTY PRESCRIPTIONS ARE SOMETIMES DIFFICULT TO NAVIGATE FOR THOSE WHO NEED THEM THE MOST AND PMC IS COMMITTED TO ASSISTING PATIENTS THROUGH THIS PROCESS. PRIOR TO PMC OPENING THE SPECIALTY PHARMACY IN SEPTEMBER 2020, PATIENTS OFTEN HAD TO SEARCH FOR WAYS TO RECEIVE THEIR SPECIALTY MEDICATION. NOW, A TEAM OF DEDICATED PROFESSIONALS AT PMC ASSISTS PATIENTS WITH PRIOR AUTHORIZATIONS AND INSURANCE QUESTIONS IN ADDITION TO DISPENSING THE SPECIALIZED MEDICATION. PMC UTILIZES EFFICIENT PROCEDURES, OVERNIGHT SHIPPING, AND MEDICINE DELIVERY TO EXPEDITE THE PROCESS, ALLOWING PATIENTS TO RECEIVE NEEDED SPECIALTY MEDICATION MORE QUICKLY. PMC'S SPECIALTY PHARMACY FILLED 5,210 PRESCRIPTIONS DURING FY 2022. PIKEVILLE MEDICAL CENTER COMPLETED IMPLEMENTATION OF THE EPIC ELECTRONIC HEALTH RECORD (EHR) SYSTEM DURING FY 2022. EPIC IS A HIPPA COMPLIANT CLOUD BASED EHR SOLUTION BUILT FOR HOSPITALS WITH THE FUNCTIONALITY TO HANDLE THE DAY-TO-DAY OPERATIONS OF A PRACTICE, INCLUDING PATIENT MEDICAL RECORDS. EPIC SOFTWARE CATERS TO A NUMBER OF SPECIALTIES AND IS USED ACROSS A BROAD RANGE OF PRACTICES, FROM COMMUNITY HOSPITALS AND INDEPENDENT PRACTICES TO MULTI-SPECIALTY HOSPITAL GROUPS. EPIC HAS A STRONG FOCUS ON PATIENT ENGAGEMENT AND FACILITATING REMOTE CARE VIA TELEHEALTH. THE INTEGRATED EPIC CHARTING SYSTEM INCLUDES PATIENT RECORDS AND ANALYTICS FUNCTIONALITY ALLOWING HEALTHCARE PROVIDERS TO DELIVER COMPREHENSIVE QUALITY PATIENT CARE. EPIC SOFTWARE FEATURES IMPLEMENTED BY PMC TO STANDARDIZE AND STREAMLINE WORKFLOW WITHIN AN INTEGRATED EHR SOLUTION INCLUDE APPOINTMENT MANAGEMENT, CLINICAL WORKFLOW, INSURANCE AND CLAIMS, MEDICAL TEMPLATES, SCHEDULING, PATIENT HISTORY, REFERRALS, E-PRESCRIPTION, BILLING MANAGEMENT, DOCUMENT MANAGEMENT, LAB INTEGRATION, PATIENT DEMOGRAPHICS, PATIENT PORTAL AND REPORTING AND ANALYTICS. THE TOTAL CAPITAL INVESTMENT IN THE EPIC EHR SOFTWARE AND IMPLEMENTATION IS $26 MILLION. NATIONAL RECOGNITION: PIKEVILLE MEDICAL CENTER (PMC) STRIVES TO BE THE PROVIDER OF CHOICE FOR QUALITY HEALTHCARE THROUGHOUT THE REGION WE SERVE. TO ENSURE THAT QUALITY, PMC CONSISTENTLY PURSUES MULTIPLE DESIGNATIONS AND HAS EARNED THE FOLLOWING AWARDS AND RECOGNITIONS DURING FY 2022. SEPTEMBER '22 PMC STROKE PROGRAM AWARDED ADVANCED CERTIFICATION AS A PRIMARY STROKE CENTER BY JOINT COMMISSION. AUGUST '22 PMC DURABLE MEDICAL EQUIPMENT URGENT CARE LOCATIONS RECEIVED JOINT COMMISSION CERTIFICATION. MAY '22 PMC RECEIVED CHEST PAIN MI REGISTRY PLATINUM PERFORMANCE ACHIEVEMENT AWARD FROM AMERICAN COLLEGE OF CARDIOLOGY'S NCDR. FEBRUARY '22 PMC RANKED AMONG TOP IN THE STATE AND NATION IN SIX AREAS OF MEDICAL EXCELLENCE AND PATIENT SAFETY BY CARECHEX/QUANTROS. TOP 10% OF HOSPITALS IN THE NATION FOR MEDICAL EXCELLENCE, HIP FRACTURE CARE; TOP 10% OF HOSPITALS IN THE NATION FOR PATIENT SAFETY, HEART FAILURE TREATMENT AND HEART ATTACK TREATMENT; TOP 10% OF HOSPITALS IN THE STATE FOR MEDICAL EXCELLENCE, HIP FRACTURE CARE; TOP 10% OF HOSPITALS IN THE STATE FOR PATIENT SAFETY, HEART FAILURE TREATMENT AND HEART ATTACK TREATMENT. OCTOBER '21 PMC SLEEP LAB REACCREDITED BY THE AMERICAN ACADEMY OF SLEEP MEDICINE. OCTOBER '21 PMC RECEIVED CHEST PAIN CENTER REACCREDITATION BY THE AMERICAN COLLEGE OF CARDIOLOGY ACCREDITATION SERVICES, VERSION 7. |
Attach to Form 990 or 990-EZ.