APPALACHIAN REGIONAL HEALTHCARE
2260 EXECUTIVE DRIVE, LEXINGTON, KY 40505 www.arh.org

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Organizations Filed Purposes: TO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL PEOPLE IN CENTRAL APPALACHIA IN PARTNERSHIP WITH OUR COMMUNITIES.

TO PROVIDE CENTRAL APPALACHIA AN ABUNDANCE OF HEALTHCARE AND COMMUNITY-ORIENTED SERVICES THROUGH ITS HOSPITAL, CLINICS AND HOME HEALTH OPERATIONS AS WELL AS COMMUNITY OUTREACH SERVICES.

APPALACHIAN REGIONAL HEALTHCARE (ARH), THE HEALTHCARE SYSTEM OF APPALACHIA, AND RANKED AS ONE OF THE TOP 10 EMPLOYERS IN KENTUCKY BY FORBES MAGAZINE, IS A NOT-FOR-PROFIT HEALTH SYSTEM OPERATING 13 HOSPITALS (9 OF WHICH ARE INCLUDED ON THIS RETURN) IN BARBOURVILLE, HAZARD, HARLAN, HYDEN, MARTIN, MCDOWELL, MIDDLESBORO, PRESTONSBURG, WEST LIBERTY, WHITESBURG AND SOUTH WILLIAMSON IN KENTUCKY AND BECKLEY AND HINTON IN WEST VIRGINIA, AS WELL AS MULTI-SPECIALTY PHYSICIAN PRACTICES, HOME HEALTH AGENCIES, HOME MEDICAL EQUIPMENT STORES AND RETAIL PHARMACIES. ARH EMPLOYS MORE THAN 6,000 PEOPLE WITH AN ANNUAL PAYROLL AND BENEFITS OF $330 MILLION GENERATED INTO OUR LOCAL ECONOMIES. ARH ALSO HAS A NETWORK OF MORE THAN 600 ACTIVE AND COURTESY MEDICAL STAFF MEMBERS. ARH IS THE LARGEST PROVIDER OF CARE AND SINGLE LARGEST EMPLOYER IN SOUTHEASTERN KENTUCKY AND THE THIRD LARGEST PRIVATE EMPLOYER IN SOUTHERN WEST VIRGINIA, AND IS CONSISTENTLY RECOGNIZED FOR ITS MEDICAL EXCELLENCE.IN THE PAST YEAR, ARH KEPT PATIENT CARE AND SAFETY AT THE FOREFRONT BY COMPLETING THE LAUNCH OF THE MEDITECH ELECTRONIC MEDICAL RECORDS SYSTEM AT ALL LOCATIONS THROUGHOUT KENTUCKY AND WEST VIRGINIA. TWO OF ARH'S HOME HEALTH SERVICES AGENCIES WERE RECOGNIZED BY HOMECARE ELITE, AN ANNUAL COMPILATION OF THE MOST SUCCESSFUL HOME CARE PROVIDERS IN THE UNITED STATES. THIS MARKET-LEADING REVIEW FROM ABILITY NETWORK AND DECISIONHEALTH BASED ON QUALITY OUTCOME AND PROCESS MEASURES, DECIDED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES.SEVERAL ARH HOSPITALS WERE AMONG THOSE IN ACEP HONORS FOR EMERGENCY DEPARTMENTS FOR IMPROVING OUTCOMES OF OPIOIDS, SEPSIS, AND CHEST PAIN. BARBOURVILLE ARH HOSPITAL, HAZARD ARH REGIONAL MEDICAL CENTER, MARY BRECKINRIDGE ARH HOSPITAL, TUG VALLEY ARH REGIONAL MEDICAL CENTER AND WHITESBURG ARH HOSPITAL WERE THE ONLY HOSPITAL EMERGENCY DEPARTMENTS IN KENTUCKY TO BE NAMED TO THE EMERGENCY QUALITY NETWORK (E-QUAL) HONOR ROLL FOR LEADING THE WAY FOR THE QUALITY OF CARE THEY PROVIDE TO EMERGENCY PATIENTS.IN SEPTEMBER, THE WEST VIRGINIA HEALTH CARE AUTHORITY ISSUED A DECISION APPROVING BECKLEY ARH HOSPITAL'S CERTIFICATE OF NEED APPLICATION TO EXPAND ADVANCED CARDIAC SERVICES GIVING HEART ATTACK PATIENTS MORE ACCESS TO LIFE-SAVING INTERVENTIONAL PROCEDURES LOCALLY. THE NEW MEDICAL PROCEDURE--PERCUTANEOUS CORONARY INTERVENTION OR PCI--IS A NON-SURGICAL, THERAPEUTIC PROCEDURE THAT OPENS A BLOCKED OR NARROW ARTERY TO RESTORE BLOOD FLOW. THE PROCEDURE USES A CATHETER (A THIN FLEXIBLE TUBE) TO PLACE A STENT TO OPEN UP BLOOD VESSELS IN THE HEART THAT HAVE BEEN NARROWED BY PLAQUE BUILDUP, A CONDITION KNOWN AS ATHEROSCLEROSIS.IN THE FALL, THE NORTON HEALTHCARE/UK HEALTHCARE - STROKE CARE NETWORK RECOGNIZED MIDDLESBORO ARH HOSPITAL AS A "RISING STAR" FOR ITS WORK IN IMPROVING STROKE CARE FOR ITS PATIENTS. AT THE NETWORK'S ANNUAL SUMMIT IN LEXINGTON, DR. LARRY GOLDSTEIN, INTERIM DIRECTOR OF THE STROKE CARE NETWORK, PRESENTED MIDDLESBORO ARH HOSPITAL WITH THEIR AWARD, AND CONGRATULATED THEM FOR THEIR ACCOMPLISHMENTS. THE "RISING STAR" AWARD IS GIVEN TO THOSE WHO DEMONSTRATE REMARKABLE PROGRAM DEVELOPMENT, EVIDENCE-BASED COMPONENTS IMPLEMENTED, AND DISEASE SPECIFIC CERTIFICATION. IT WAS NOTED THAT MIDDLESBORO ARH HOSPITAL "MADE REMARKABLE PROGRESS IN THEIR WORK TO ENHANCE STROKE CARE FOR ITS PATIENTS AND ACHIEVED CERTIFICATION THROUGH DET NORSKE VERITAS (DNV) AS AN ACUTE STROKE READY HOSPITAL. IN NOVEMBER, THE COMMISSION ON CANCER (COC), A QUALITY PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS (ACS) GRANTED THREE-YEAR ACCREDITATION TO THE CANCER PROGRAM AT HARLAN ARH HOSPITAL. TO EARN VOLUNTARY COC ACCREDITATION, A CANCER PROGRAM MUST MEET 34 COC QUALITY CARE STANDARDS, BE EVALUATED EVERY THREE YEARS THROUGH A SURVEY PROCESS AND MAINTAIN LEVELS OF EXCELLENCE IN THE DELIVERY OF COMPREHENSIVE PATIENT-CENTERED CARE. THE COC ACCREDITATION PROGRAM PROVIDES THE FRAMEWORK FOR HARLAN ARH HOSPITAL TO IMPROVE ITS QUALITY OF PATIENT CARE THROUGH VARIOUS CANCER-RELATED PROGRAMS THAT FOCUS ON THE FULL SPECTRUM OF CANCER CARE INCLUDING PREVENTION, EARLY DIAGNOSIS, CANCER STAGING, OPTIMAL TREATMENT, REHABILITATION, LIFE-LONG FOLLOW-UP FOR RECURRENT DISEASE, AND END-OF-LIFE CARE. REPORTS. THESE REPORTS HELP COC FACILITIES WITH THEIR QUALITY IMPROVEMENT EFFORTS.ARH STRIVES NOT ONLY TO PROVIDE ITS COMMUNITIES EXCEPTIONAL MEDICAL CARE, BUT ALSO TO BUILD PUBLIC AWARENESS OF WARNING SIGNS AND TIPS FOR PREVENTION OF COMMON HEALTH CONDITIONS IN OUR AREA THROUGH FREE EDUCATIONAL SESSIONS. DURING MANY OF THESE EDUCATIONAL EVENTS, FREE HEALTH SCREENINGS ARE OFFERED TO FURTHER IMPROVE THE HEALTH OF THE RESIDENTS ARH SERVES. ARH STRONGLY PROMOTES THE IMPORTANCE OF PREVENTATIVE HEALTH SCREENINGS AND EACH YEAR ARH FACILITIES PROVIDE A NUMBER OF FREE ROUTINE HEALTH SCREENINGS. TO ENCOURAGE WOMEN TO GET ANNUAL SCREENING MAMMOGRAMS, EACH YEAR ARH ALSO OFFERS DISCOUNTED MAMMOGRAM SCREENINGS DURING OCTOBER'S BREAST CANCER AWARENESS MONTH, WHICH COINCIDE WITH AWARENESS EVENTS HELD THROUGHOUT THE MONTH. ARH HAS CONTINUED ITS WORK TO EDUCATE THE REGION'S YOUTH ABOUT THE IMPORTANCE OF PHYSICAL FITNESS TO GOOD HEALTH AND KEEPS OUR SENIORS HEALTHY THROUGH A SENIOR WELLNESS PROGRAM. ADDITIONALLY, ARH HEADED UP SEVERAL OTHER YOUTH-RELATED OUTREACH INITIATIVES INCLUDING CONDUCTING SPECIAL AWARENESS EVENTS AT SEVEN HIGH SCHOOLS AND IMPACTING MORE THAN 10,000 STUDENTS IN OUR COMMUNITIES RELATED TO THE OPIOID EPIDEMIC AND MAKING HEALTHIER LIFE CHOICES. IN ABUNDANCE OF CAUTION TO PROTECT ARH PATIENTS, EMPLOYEES, AND COMMUNITIES FROM THE POTENTIAL SPREAD OF COVID-19, ARH CANCELLED IN-PERSON COMMUNITY EVENTS STARTING IN FEBRUARY 2020 THROUGH THE REST OF THE YEAR. ARH FOCUSED ON PROVIDING COVID-19 EDUCATION TO ITS PATIENTS, EMPLOYEES, AND COMMUNITIES VIA ITS WEBSITE, SOCIAL MEDIA PAGES, ONLINE ZOOM MEETINGS, AND A TOLL-FREE NUMBER. ARH ALSO PROVIDED COVID-19 SCREENINGS AT ITS HOSPITALS AND CLINICS SYSTEM-WIDE.DURING THE COVID-19 PANDEMIC, ARH HAS BEEN AT THE FOREFRONT OF RESPONSE, TREATMENT, AND PREVENTION IN KENTUCKY. WE HAVE:-CREATED AND MAINTAINED A LONG TERM ARCHER CLINIC TESTING SITE LOCATION, INCLUDING THE ESTABLISHMENT OF DRIVE-THRU CLINICS-BEEN CHOSEN AS EMERGENCY MANAGEMENT'S REGION 8 LAB TESTING HUB SITE FOR THE STATE'S GRAVITY LAB PROJECT, OFTEN PROCESSING AS MANY AS 200 TESTS PER DAY-UTILIZED TELEHEALTH AND CURB-SIDE SERVICES FOR THE SAFETY OF OUR PATIENTS-ENFORCED NEW POLICIES FOR ALL VISITORS AND EMPLOYEES, INCLUDING DAILY SCREENING BEFORE ENTRY, MASK ENFORCEMENT, QUARANTINE AFTER TRAVEL, AND COVID-19 TESTING FOR ALL NEW AND RETURNING STAFF-UTILIZED A VAST FOLLOWING ON SOCIAL MEDIA TO EDUCATE AND SPREAD COVID-19 MESSAGING DAILY

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