On Tuesday, November 27, 2018, Pikeville Medical Center, a presenting partner of Shaping Our Appalachian Region, Inc., held a press conference at the East Kentucky Expo Center announced the creation of children’s hospital. The creation of Pikeville Medical Center’s Children’s Hospital is expected to cost $7 million, part of more than $52 million in expansions the healthcare provider is looking to make. Jared Arnett, executive director of SOAR, said the announcement of expansions represents a significant investment not only for Pikeville Medical Center, but an investment in Appalachia Kentucky.