PIKEVILLE MEDICAL CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: PIKEVILLE MEDICAL CENTER INC (EIN 61-0458376)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-08-15
IRS object ID: 202402289349300045
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-08-15T10:49:47-05:00	ReturnTs
Tax Period End	2023-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	351178661	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BLUE & CO LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2650 EASTPOINT PKWY SUITE 300	AddressLine1Txt
City	LOUISVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40223	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	610458376	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PIKEVILLE MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PIKE	BusinessNameControlTxt
Phone	6064303501	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	911 BYPASS ROAD	AddressLine1Txt
City	PIKEVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41501	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHELLE HAGY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6062183974	PhoneNum
Signature	2024-08-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	EMILIE M KNIERIEM CPA	PreparerPersonNm
PTIN	P01330194	PTIN
Phone	5029923500	PhoneNum
Preparation	2024-08-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2024-08-08 14:25:15Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	WILLIAM D BLACKBURN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	911 BYPASS ROAD	AddressLine1Txt
City	PIKEVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41501	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$693,001,987	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PIKEVILLEHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1923	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	THE CENTER'S MISSION IS TO ADVANCE THE HEALTH AND WELL-BEING OF OUR REGION THROUGH COMPREHENSIVE CARE IN A CHRISTIAN ENVIRONMENT.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	3884	TotalEmployeeCnt
Total Volunteers	185	TotalVolunteersCnt
Total Gross UBI	$5,344,167	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,191,510	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$31,064,636	PYContributionsGrantsAmt
CY Contributions Grants	$6,667,394	CYContributionsGrantsAmt
PY Program Service Revenue	$554,194,879	PYProgramServiceRevenueAmt
CY Program Service Revenue	$598,099,939	CYProgramServiceRevenueAmt
PY Investment Income	$3,078,332	PYInvestmentIncomeAmt
CY Investment Income	$7,093,247	CYInvestmentIncomeAmt
PY Other Revenue	$28,271,123	PYOtherRevenueAmt
CY Other Revenue	$40,919,830	CYOtherRevenueAmt
PY Total Revenue	$616,608,970	PYTotalRevenueAmt
CY Total Revenue	$652,780,410	CYTotalRevenueAmt
PY Grants And Similar Paid	$336,287	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$192,545	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$333,721,475	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$327,557,003	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$289,109,628	PYOtherExpensesAmt
CY Other Expenses	$295,502,376	CYOtherExpensesAmt
PY Total Expenses	$623,167,390	PYTotalExpensesAmt
CY Total Expenses	$623,251,924	CYTotalExpensesAmt
PY Revenues Less Expenses	-$6,558,420	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$29,528,486	CYRevenuesLessExpensesAmt
Total Assets BOY	$670,121,229	TotalAssetsBOYAmt
Total Assets EOY	$671,107,372	TotalAssetsEOYAmt
Total Liabilities BOY	$351,963,401	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$315,762,040	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$318,157,828	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$355,345,332	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE CENTER'S MISSION IS TO ADVANCE THE HEALTH AND WELL-BEING OF OUR REGION THROUGH COMPREHENSIVE CARE IN A CHRISTIAN ENVIRONMENT.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$145,950,647	ExpenseAmt
Revenue	$60,128,307	RevenueAmt
Desc	PHYSICIAN PRACTICES:CURRENTLY, MORE THAN 400 CREDENTIALED HEALTHCARE PROVIDERS; INCLUDING PHYSICIANS, ADVANCED PRACTICE REGISTERED NURSES, AND PHYSICIAN ASSISTANTS, ARE MEMBERS OF PIKEVILLE MEDICAL CENTER'S MEDICAL STAFF. DURING FY 2023, PIKEVILLE MEDICAL CENTER (PMC) WELCOMED 21 PHYSICIANS, EIGHT NURSE PRACTITIONERS AND ONE CERTIFIED REGISTERED NURSE ANESTHETIST TO THE ORGANIZATION. THE PHYSICIANS RECRUITED DURING THIS TIME CONSIST OF ONE ANESTHESIOLOGIST, ONE CARDIOTHORACIC SURGEON, FOUR CARDIOLOGISTS, ONE CRITICAL CARE PHYSICIAN, TWO ELECTROPHYSIOLOGISTS, TWO HOSPITALISTS, ONE OTOLARYNGOLOGIST/FACIAL TRAUMA SURGEON, ONE PEDIATRIC HOSPITALIST, ONE PEDIATRICIAN, ONE PODIATRIC SURGEON, ONE INTERNAL MEDICINE PHYSICIAN, ONE RHEUMATOLOGIST, THREE ACUTE CARE SURGEONS 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, AUDIOLOGY, 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 STATE-OF-THE ART TECHNOLOGY AND HIGHLY MOTIVATED SUPPORT STAFF 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 301,439 PATIENT CLINIC VISITS DURING FY 2023. PHYSICIAN PRACTICE LOCATIONS WITH NOTABLE ACTIVITY DURING THE YEAR: AVA CENTER PRACTICE-PIKEVILLE COMPLETED 13,685 LEARNER VISITS, AVA CENTER PRACTICE-PRESTONSBURG COMPLETED 2,328 LEARNER VISITS, CARDIOLOGY PRACTICE-PIKEVILLE COMPLETED 20,983 PATIENT VISITS, ONCOLOGY PRACTICE-PIKEVILLE COMPLETED 10,907 PATIENT VISITS, PEDIATRIC PRACTICE-PIKEVILLE COMPLETED 12,422 PATIENT VISITS, PRIMARY CARE PRACTICE-PIKEVILLE COMPLETED 11,886 PATIENT VISITS, PRIMARY CARE PRACTICE-PRESTONSBURG COMPLETED 7,378 PATIENT VISITS, PRIMARY CARE PRACTICE-SOUTH WILLIAMSON COMPLETED 3,932 PATIENT VISITS, RHEUMATOLOGY PRACTICE-PIKEVILLE COMPLETED 5,374 PATIENT VISITS, SCHOOL TELEHEALTH PROGRAM COMPLETED 371 TELEHEALTH PATIENT VISITS, URGENT CARE PRACTICE-PIKEVILLE COMPLETED 21,067 PATIENT VISITS AND URGENT CARE PRACTICE-PRESTONSBURG COMPLETED 8,652 PATIENT VISITS. THE PIKEVILLE MEDICAL CENTER HEART AND VASCULAR INSTITUTE OF EASTERN KENTUCKY (HVI) IS COMPRISED OF A TEAM OF CARDIAC SPECIALISTS WITH A BROAD RANGE OF EXPERTISE; THAT EXPERTISE, COUPLED WITH CUTTING-EDGE TECHNOLOGY HAS RESULTED IN A COMPREHENSIVE HEART CARE PROGRAM FOR THE PEOPLE OF THE REGION THAT IS SECOND TO NONE. THE HVI IS ACCREDITED BY THE AMERICAN HEART ASSOCIATION AND THE AMERICAN COLLEGE OF CARDIOLOGY IN HEART ATTACK TREATMENT, CARDIAC CATH LAB PERCUTANEOUS CORONARY INTERVENTION (PCI) ACCREDITATION, AND CHEST PAIN WITH PCI, IN ADDITION TO OFFERING AN AACVPR CERTIFIED CARDIAC REHABILITATION PROGRAM. THE HEART AND VASCULAR INSTITUTE TEAM PROVIDES A WIDE RANGE OF SERVICES TO ADDRESS VARIOUS CARDIOVASCULAR CONCERNS, FROM ROUTINE CHECK-UPS TO THE MANAGEMENT OF COMPLEX HEART CONDITIONS, GUIDING THE PATIENT THROUGH EVERY STEP OF THEIR HEART HEALTH JOURNEY. 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 OCCUPIES 49,000 SQUARE FEET OF RECENTLY RENOVATED SPACE LOCATED ON THE HOSPITAL'S MAIN CAMPUS. THE AREA PROVIDES A FUNCTIONAL FLOW FOR IMPROVED PATIENT ACCESS INCLUDING A NEW REGISTRATION AREA, 29 EXAM ROOMS, TWO WAITING ROOMS AND INCLUDES THREE NEW STATE-OF-THE-ART INTERVENTIONAL CARDIAC CATHETERIZATION (CATH) LABS, TWO NEW ELECTROPHYSIOLOGY CATH LABS, SIX PRE/POST-OPERATIVE BAYS AND A MULTIPURPOSE CASE CONFERENCE ROOM. THE CAPITAL INVESTMENT IN THE HEART AND VASCULAR INSTITUTE RENOVATION AND EXPANSION WAS MORE THAN $35.2 MILLION.PIKEVILLE MEDICAL CENTER'S METTU CHILDREN'S HOSPITAL OPENED DURING FY 2022. THE NEWLY RENOVATED 13,400 SQUARE FEET OF SPACE HOUSES EASTERN KENTUCKY'S ONLY CHILDREN'S HOSPITAL, OFFERING BOTH INPATIENT AND OUTPATIENT PEDIATRIC SERVICES. THE CHILDREN'S HOSPITAL FILLS A GAP IN PROVIDING MUCH-NEEDED PEDIATRIC HEALTHCARE FOR THE REGION, ALLOWING 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 A NURSE'S STATION. THIS NEW PEDIATRIC FACILITY HAS PROVIDED PMC WITH THE CAPACITY TO OFFER PEDIATRIC CARDIOLOGY, PULMONOLOGY, BMI, AND PLASTICS SPECIALTY SERVICES 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 WAS 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, WITH LOCATIONS IN PIKEVILLE, KY AND PRESTONSBURG, KY, 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 HAVE 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. A NEW OUTDOOR SENSORY ACTIVITIES AREA HAS BEEN CONSTRUCTED AT THE AVA CENTER PIKEVILLE CAMPUS, THIS AREA CONTAINS SENSORY-FRIENDLY PLAY AND LEARNING ACTIVITIES TO HELP LEARNERS RELAX AND FOCUS, WHICH PROMOTES NATURAL PLAY AND THE DEVELOPMENT OF SOCIAL LEARNING SKILLS SUCH AS NEGOTIATING, PLANNING, AND SHARING. ADAPTIVE EQUIPMENT, INCLUDED IN THE SENSORY ACTIVITIES AREA, DESIGNED FOR CHILDREN ON THE AUTISM SPECTRUM ALSO ENHANCES SOCIAL INTERACTIONS, COMMUNICATION, MOTOR CONTROL AND COORDINATION OR PHYSICAL HEALTH, WHICH SUPPORTS THE OVERALL THERAPY PROCESS. (CONTINUED ON SCH O)	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$16,112,757	ExpenseAmt
Revenue	$58,967,979	RevenueAmt
Desc	IMAGING SERVICES:PIKEVILLE MEDICAL CENTER'S IMAGING SERVICES DIVISION OFFERS SOME OF THE MOST ADVANCED MEDICAL IMAGING AVAILABLE IN 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. CURRENT DIAGNOSTIC IMAGING EQUIPMENT INCLUDES TWO 3D MAMMOGRAPHY MACHINES, A DIGITAL PET/CT SCANNER, ONE 3T MRI, TWO 1.5T MRI SCANNERS, TWO FLASH CT SCANNERS, TWO 64 SLICE CT SCANNERS, THREE ULTRASOUND UNITS, SIX GENERAL X-RAY UNITS AND THREE NUCLEAR MEDICINE SCANNERS.PMC'S DIAGNOSTIC CENTER PROVIDES A LOCATION FOR PATIENTS TO OBTAIN A FULL RANGE OF ADVANCED OUTPATIENT DIAGNOSTIC IMAGING SERVICES IN AN "ALL-IN-ONE" SETTING FOR IMAGING SERVICES, LAB WORK, AND EKGS WITH EXTENDED SERVICE HOURS AND CONVENIENT PARKING. SINCE OPENING, THE DIAGNOSTIC CENTER HAS GONE THROUGH SEVERAL PERIODS OF RENOVATION TO ACCOMMODATE NEW EQUIPMENT AND TECHNOLOGY, THE MOST RECENT OF WHICH WAS COMPLETED IN 2023. THE FRONT LOBBY OF THE DIAGNOSTIC CENTER WAS EXPANDED TO INCREASE SEATING CAPACITY FOR PATIENTS AND A HOLOGIC HORIZON A BONE DENSITY SCANNER WAS INSTALLED TO MONITOR A PATIENT FOLLOWING THE ADMINISTRATION OF CERTAIN MEDICATIONS OR TO MEASURE THE SUCCESS OF VARIOUS TREATMENT TECHNIQUES. IN ADDITION, A NEWLY REMODELED BREAST CARE AREA WILL OFFER THE LATEST TECHNOLOGY IN 3D MAMMOGRAPHY, INCLUDING THE INSTALLATION OF A THIRD 3D MAMMOGRAPHY SYSTEM AND STATE-OF-THE-ART AI TECHNOLOGY SOFTWARE TO RAPIDLY AND ACCURATELY ANALYZE EACH 3D MAMMOGRAPHY IMAGE TO IDENTIFY POTENTIAL CANCEROUS TUMORS WITH PINPOINT ACCURACY IS SCHEDULED TO OPEN DURING 2024. THE TOTAL ANTICIPATED CAPITAL INVESTMENT IN THIS PHASE OF THE DIAGNOSTIC CENTER EXPANSION INCLUDING EQUIPMENT IS $2.1 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.DURING FY 2023 PMC PURCHASED TWO EPIQ CVX ULTRASOUND SYSTEMS, THE EPIQ PROVIDES PREMIUM 3D ECHO, DELIVERING AN UNCOMPROMISED LEVEL OF CLINICAL PERFORMANCE. THE SYSTEMS UTILIZE A LEADING-EDGE ANATOMICAL INTELLIGENCE PLATFORM DESIGNED FOR THE MOST DEMANDING OF CARDIOLOGY APPLICATIONS, SIGNIFYING PMC'S COMMITMENT TO CONTINUALLY UPGRADE TECHNOLOGY AND EQUIPMENT TO PROVIDE SPECIALIZED, ADVANCED, AND COMPREHENSIVE CARE IN AN EVER-ADVANCING DIAGNOSTIC IMAGING HEALTHCARE ENVIRONMENT. THIS EQUIPMENT INVESTMENT TOTALED $507,398.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$35,420,933	ExpenseAmt
Revenue	$58,732,653	RevenueAmt
Desc	ONCOLOGY SERVICES: PIKEVILLE MEDICAL CENTER'S LAWSON CANCER CENTER (LCC) HAS THE EXPERTISE AND LEADING-EDGE TECHNOLOGY TO FIGHT CANCER TODAY. WITH CAPABILITIES TO PROVIDE FULL-SERVICE CANCER TREATMENT AND FOLLOW-UP CARE, THE LAWSON CANCER CENTER IS ONE OF A SELECT FEW CANCER CENTERS IN KENTUCKY TO HOLD ACCREDITATION FROM THE COMMISSION ON CANCER WITH COMMENDATIONS. LCC IS STAFFED BY EXPERT ONCOLOGISTS, SURGICAL SPECIALISTS, NURSES, PHARMACISTS, PATIENT NAVIGATORS, AND MANY OTHER HIGHLY TRAINED HEALTHCARE PROFESSIONALS PROVIDING SERVICES IN A CONVENIENT AND COMPASSIONATE SETTING, ALLOWING PATIENTS ACROSS THE REGION TO RECEIVE ADVANCED CANCER CARE CLOSE TO HOME. THIS MULTIDISCIPLINARY APPROACH BRINGS TOGETHER A DIVERSE GROUP OF PATIENT CARE PROVIDERS TO EXAMINE AND DISCUSS THE PATIENT'S DIAGNOSIS, MEDICAL HISTORY, PREFERENCES, AND EMOTIONAL NEEDS TO COLLABORATE AND TAILOR SPECIFIC TREATMENT PLANS UNIQUE TO EACH PATIENT. THE LAWSON CANCER CENTER IS LOCATED ON THE PMC MAIN CAMPUS WHICH ALLOWS ENHANCED ACCESS AND CONVENIENCE FOR THE PATIENT BY PROVIDING 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 FOR NOT ONLY EFFICIENCY FOR CLINICIANS, BUT ALSO EASE OF ACCESS FOR PATIENTS, WHICH CAN IMPROVE OUTCOMES. AS A RESULT OF THE INCREASED DEMAND FOR CANCER TREATMENT SERVICES, PMC COMPLETED AN ADDITIONAL 7,085 SQUARE FEET EXPANSION OF THE LCC ON THE MAIN CAMPUS TO MAKE AVAILABLE 14 PRIVATE CHEMO SUITES, 10 OPEN CHEMO TREATMENT BAYS, NURSING SUPPORT SPACE, AND ADDITIONAL DIAGNOSTIC CAPABILITIES. THE PMC LCC MAIN CAMPUS EXPANSION WAS COMPLETED DURING FY 2023 AND TOTALED $3.7 MILLION.THE LAWSON CANCER CENTER AT PIKEVILLE MEDICAL CENTER IS USING INNOVATIVE TECHNOLOGY TO TREAT PATIENTS WHOSE TREATMENT PLANS CALL FOR RADIATION THERAPY. PMC HAS PURCHASED AND INSTALLED TWO NEW VARIAN RAPIDARC TRUE BEAM LINEAR ACCELERATORS AND BRAIN LAB EXACTRAC DYNAMIC SYSTEMS. 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. THE BRAIN LAB EXACTRAC SYSTEM IS AN ALL-IN-ONE REVOLUTIONARY NEW THERMAL-SURFACE CAMERA TECHNOLOGY THAT WORKS IN TANDEM WITH REAL-TIME X-RAY TRACKING TO ACHIEVE SUBMILLIMETRIC RADIOTHERAPY POSITIONING AND MONITORING ACCURACY. ADVANCED IMAGING AND HIGH PRECISION DOSAGE CONTROL WITH THE LATEST TRUE BEAM TECHNOLOGY THAT PRODUCES A RADIATION BEAM THAT IS CONTINUALLY SHAPED AND RESHAPED ACCORDING TO THE SIZE, SHAPE AND POSITION OF THE TUMOR, PROTECTING HEALTHY, SURROUNDING TISSUE, ENSURES 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 AND BRAIN LAB EXACTRAC EQUIPMENT, INCLUDING INSTALLATION-RELATED RENOVATION TOTALED MORE THAN $8.4 MILLION.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$345,909,895	ExpenseAmt
Grant	$192,545	GrantAmt
Revenue	$425,760,060	RevenueAmt
Desc	ALL OTHER PROGRAMS: PIKEVILLE MEDICAL CENTER IS A COMPREHENSIVE HEALTHCARE PROVIDER OF TERTIARY HEALTHCARE SERVICES THROUGH ITS LICENSED 348-BED ACUTE CARE AND INPATIENT REHABILITATION HOSPITAL, LEVEL II TRAUMA CENTER, OUTPATIENT DIAGNOSTIC CENTER, OCCUPATIONAL, PHYSICAL AND SPEECH THERAPY 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, WHICH HAS RESULTED IN PMC BEING RECOGNIZED AS A REGIONAL REFERRAL CENTER THROUGHOUT CENTRAL APPALACHIA FOR SMALLER COMMUNITY HOSPITALS THAT HAVE PATIENTS WITH COMPLEX NEEDS WHOM THEY CANNOT SERVE. WITH MORE THAN 3,000 EMPLOYEES AND OVER 400 CREDENTIALED PROVIDERS WHO REPRESENT MORE THAN 45 HOME COUNTIES IN KENTUCKY, VIRGINIA AND WEST VIRGINIA; 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 RECORDED TOTAL INPATIENT ADMISSIONS DURING FY 2023 OF 10,789 AND RECEIVED 2,999 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 15% BY 2029, ADDING MORE JOBS THAN ANY OTHER OCCUPATIONAL GROUP. 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 OUTMIGRATION 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 A PRIMARY 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 AN EXCEPTIONAL 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 ELLIOTT SCHOOL OF NURSING AND AMERICAN NATIONAL UNIVERSITY TO EXPAND CAMPUS SPACE AND INCREASE CLASS SIZES. THE UNIVERSITY OF PIKEVILLE (UPIKE) AND PMC HAVE PARTNERED TO OFFER THE RURAL HEALTH NURSING FELLOWSHIP PROGRAM EDUCATIONAL OPPORTUNITY TO STUDENTS EAGER TO PURSUE A CAREER IN NURSING, THE PROGRAM ALLOWS STUDENTS TO EARN AN ASSOCIATE DEGREE IN NURSING FROM UPIKE AND POTENTIALLY GRADUATE DEBT-FREE BY MAKING A COMMITMENT TO WORK FOR PMC UPON BECOMING A LICENSED RN. PMC HAS ALSO PARTNERED WITH THE KENTUCKY COMMUNITY AND TECHNICAL COLLEGE SYSTEM (KCTCS) TO OFFER THE TRAINS PROGRAM FOR THE POSITIONS OF PATIENT CARE TECHNICIAN, MEDICAL OFFICE TECHNICIAN, AND CERTIFIED NURSING AID; THE TRAINS PROGRAM PROVIDES CUSTOMIZED TRAINING FOR EMPLOYERS TO BUILD AND SUSTAIN THEIR TALENT PIPELINE, AT NO COST TO THE STUDENT. ADDITIONALLY, PMC PROJECT HEART PARTNERED WITH SOAR, A REGIONAL NONPARTISAN NONPROFIT THAT CHAMPIONS LOCAL PROGRAMS AND ADVOCACY FOR THE 54 ARC MANDATED COUNTIES IN EASTERN KENTUCKY, TO FILL THE ECONOMIC GAPS LEFT BY THE DECLINE OF THE COAL INDUSTRY. THE SOAR COLLABORATIVE HAS RESULTED IN THE DEVELOPMENT AND DEPLOYMENT OF THE EASTERN KENTUCKY HEALTHCARE ACTION PLAN TO HELP MEMBERS OF THE COMMUNITY LEARN HOW TO STABILIZE EASTERN KENTUCKY'S HOSPITALS AND PROTECT OUR REGION'S FUTURE. PMC INVESTED MORE THAN $1.2 MILLION IN EDUCATION ASSISTANCE RELATING TO PROJECT HEART INITIATIVES DURING FY 2023.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 PROVIDED EMERGENT, POTENTIALLY LIFE-SAVING TRAUMA CARE TO 1,173 PATIENTS DURING FY 2023. PMC'S CRITICAL CARE UNITS (CCU) ARE COMPRISED OF 53 TOTAL BEDS IN SERVICE 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 WITH 1,454 PATIENTS REQUIRING VENTILATOR MANAGEMENT DURING 2023. PMC IS ALSO 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 124 NEWBORN ADMISSIONS AND 2,369 PATIENT DAYS OF CARE DURING FY 2023.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, 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 9,121 PRESCRIPTIONS DURING FY 2023, NEARLY TWICE THE VOLUME OF THE PRIOR YEAR.(CONTINUED ON SCH O)	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$345,909,895	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$192,545	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$425,760,060	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$543,394,232	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	226	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3884	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	Yes (1)	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MICHELLE HAGY CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6064303519	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	911 BYPASS ROAD	AddressLine1Txt
City	PIKEVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41501	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RONALD BURCHETT
BOARD VICE-CHAIR	7.00	1.00	Yes (X)	Yes (X)	$28,661	$0	$0
WILLIAM D BLACKBURN
BOARD CHAIR/PRESIDENT/CEO	40.00	1.00	Yes (X)	Yes (X)	$945,211	$0	$45,255
JOE DEAN ANDERSON
BOARD SECRETARY/TREASURER	4.00	1.00	Yes (X)	Yes (X)	$23,000	$0	$0
DAVID COLLINS CPA
BOARD MEMBER	4.00	1.00	Yes (X)		$23,000	$0	$0
JOHN LABRECHE
BOARD MEMBER	5.00	1.00	Yes (X)		$23,702	$0	$0
JULIUS CLINTON MARTIN II
BOARD MEMBER	4.00	1.00	Yes (X)		$23,730	$0	$0
MARY SIMPSON PHD
BOARD MEMBER	3.00		Yes (X)		$23,097	$0	$0
JYOTHI METTU MD
BOARD MEMBER	3.00		Yes (X)		$23,661	$0	$0
DAVID BAIRD
BOARD MEMBER	3.00		Yes (X)		$0	$0	$30,638
AARON CRUM MD
EX-OFFICIO/CMO/ASST CEO	40.00	1.00	Yes (X)		$893,382	$0	$14,117
ROBERT SHURTLEFF
BOARD MEMBER	3.00		Yes (X)		$23,666	$0	$0
LINDA WAGNER-JUSTICE
BOARD MEMBER	3.00		Yes (X)		$23,097	$0	$0
PHILLIP D REED
BOARD MEMBER	3.00		Yes (X)		$23,000	$0	$0
ERICH BLACKBURN
EX-OFFICIO/CHIEF LEGAL OFF/SR. VP	40.00		Yes (X)		$479,049	$0	$45,255
JOHN WATSON MD
BOD/CHIEF OF STAFF/HOSPITALIST	40.00		Yes (X)		$370,491	$0	$42,005
MICHELLE HAGY
EX-OFFICIO/CFO/SR. VP FINANCE	40.00		Yes (X)	Yes (X)	$420,682	$0	$45,255
MELISSA THACKER
CHIEF QUALITY OFFICER-SR. VP	40.00				$277,865	$0	$14,578	Yes (X)
KANSAS JUSTICE
CHIEF OPERATING OFFICER-SR. VP	40.00				$336,992	$0	$42,005	Yes (X)
CHERYL HICKMAN
CHIEF REGULATORY OFFICER-SR. VP	40.00				$282,464	$0	$41,387	Yes (X)
MICHELLE RAINEY
CHIEF NURSING OFFICER-SR. VP	40.00				$318,863	$0	$45,255	Yes (X)
TONY DAMRON
CHIEF INFORMATION OFFICER-SR. VP	40.00				$254,108	$0	$38,194	Yes (X)
MARCUS CONLEY
VP FINANCE	40.00				$232,110	$0	$37,637	Yes (X)
KEITH HALL MD
ORTHOPEDIC SURGEON	40.00				$1,694,852	$0	$42,005		Yes (X)
KEVIN PUGH MD
ORTHOPEDIC SURGEON	40.00				$1,648,830	$0	$42,005		Yes (X)
CHRISTOPHER REYNOLDS MD
CARDIOLOGIST/ELECTROPHYSIOLOGIST	40.00				$1,169,441	$0	$42,005		Yes (X)
AYORINDE MEDAIYESE MD
CRITICAL CARE PHYSICIAN	40.00				$1,096,492	$0	$45,255		Yes (X)
DERMOT HALPIN MD
CARDIOTHORACIC SURGEON	40.00				$1,018,931	$0	$45,255		Yes (X)
JUANITA DESKINS
FORMER CHIEF OPERATING OFFICER	40.00				$193,567	$0	$40,231			Yes (X)
DAVID HALCOMB
FORMER ASST. CFO	40.00				$182,756	$0	$39,001			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,054,700	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$737,338	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	444	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
QUALIVIS LLC
5930 CORNERSTONE COURT WEST STE 30	SAN DIEGO	CA	92121	PROFESSIONAL SERVICES	$21,037,697
ELLIOTT CONTRACTING INC
PO BOX 3038	PIKEVILLE	KY	41502	CONSTRUCTION SERVICES	$5,583,325
LABORATORY CORP OF AMERICA
PO BOX 12140	BURLINGTON	NC	27216	LABORATORY SERVICES	$3,671,876
PHILIPS HEALTHCARE INC
22100 BOTHELL EVERETT HIGHWAY	BOTHELL	WA	98041	PROFESSIONAL SERVICES	$3,586,333
CROSS COUNTRY STAFFING INC
6551 PARK OF COMMERCE BOULEVARD	BOCA RATON	FL	33487	PROFESSIONAL SERVICES	$3,151,280

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	71	CntrctRcvdGreaterThan100KCnt
Related Organizations	$529,670	RelatedOrganizationsAmt
Government Grants	$4,312,514	GovernmentGrantsAmt
All Other Contributions	$1,825,210	AllOtherContributionsAmt
Noncash Contributions	$1,010	NoncashContributionsAmt
Total Contributions	$6,667,394	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE RE	Desc
Business	621999	BusinessCd
Total Revenue Column	$598,099,939	TotalRevenueColumnAmt
Related Or Exempt Func Income	$598,099,939	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$598,099,939	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,279,230	TotalRevenueColumnAmt
Exclusion	$7,279,230	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,049	TotalRevenueColumnAmt
Exclusion	$6,049	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$263,121	RealAmt
Personal	$1,027,700	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$351,995	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$88,874	RealAmt
Personal	$1,027,700	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$938,826	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$86,041	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,024,867	UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$347,464	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$533,447	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$185,983	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$185,983	TotalRevenueColumnAmt
Exclusion	-$185,983	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$72,254,152	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$39,336,135	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,918,017	TotalRevenueColumnAmt
Unrelated Business Revenue	$4,319,300	UnrelatedBusinessRevenueAmt
Exclusion	$28,598,717	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
CAFETERIA	722310	$3,704,067	$2,800,966	$903,101
REBATE INCOME	900099	$2,032,908	$2,032,908
GIFT SHOP SALES	900099	$578,736		$578,736

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$741,227	TotalRevenueColumnAmt
Related Or Exempt Func Income	$741,227	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,056,938	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$652,780,410	TotalRevenueColumnAmt
Related Or Exempt Func Income	$603,588,999	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,344,167	UnrelatedBusinessRevenueAmt
Exclusion	$37,179,850	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$138,441	TotalAmt
Program Services	$138,441	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$54,104	TotalAmt
Program Services	$54,104	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,890,566	TotalAmt
Program Services	$5,037,284	ProgramServicesAmt
Management And General	$853,282	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,585,773	TotalAmt
Program Services	$1,356,065	ProgramServicesAmt
Management And General	$229,708	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$239,408,826	TotalAmt
Program Services	$204,729,089	ProgramServicesAmt
Management And General	$34,679,737	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,616,110	TotalAmt
Program Services	$3,092,296	ProgramServicesAmt
Management And General	$523,814	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$62,719,365	TotalAmt
Program Services	$53,634,107	ProgramServicesAmt
Management And General	$9,085,258	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,336,363	TotalAmt
Program Services	$12,259,659	ProgramServicesAmt
Management And General	$2,076,704	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,583,819	TotalAmt
Program Services	$1,409,725	ProgramServicesAmt
Management And General	$174,094	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$276,730	TotalAmt
Management And General	$276,730	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$124,032	TotalAmt
Management And General	$124,032	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$63,221,566	TotalAmt
Program Services	$56,272,219	ProgramServicesAmt
Management And General	$6,949,347	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,286,166	TotalAmt
Program Services	$2,034,869	ProgramServicesAmt
Management And General	$251,297	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,635,645	TotalAmt
Program Services	$2,345,933	ProgramServicesAmt
Management And General	$289,712	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,988,259	TotalAmt
Program Services	$6,220,106	ProgramServicesAmt
Management And General	$768,153	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$714,055	TotalAmt
Program Services	$635,566	ProgramServicesAmt
Management And General	$78,489	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$403,340	TotalAmt
Program Services	$359,005	ProgramServicesAmt
Management And General	$44,335	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,906,679	TotalAmt
Program Services	$4,214,767	ProgramServicesAmt
Management And General	$691,912	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$32,910,013	TotalAmt
Program Services	$28,060,694	ProgramServicesAmt
Management And General	$4,849,319	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$16,911,778	TotalAmt
Program Services	$15,052,826	ProgramServicesAmt
Management And General	$1,858,952	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES AND DR	$102,984,993	$91,664,828	$11,320,165
DUES AND SUBSCRIPTIONS	$17,340,898	$15,434,777	$1,906,121
PROVIDER TAX EXPENSE	$16,500,110	$16,500,110
EQUIPMENT RENTAL & MAIN	$14,000,516	$12,461,572	$1,538,944

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,713,777	TotalAmt
Program Services	$10,426,190	ProgramServicesAmt
Management And General	$1,287,587	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$623,251,924	TotalAmt
Program Services	$543,394,232	ProgramServicesAmt
Management And General	$79,857,692	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$15,830	BOYAmt
EOY	$16,245	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$115,715,552	BOYAmt
EOY	$102,997,799	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,115,788	BOYAmt
EOY	$12,016,123	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$76,750,114	BOYAmt
EOY	$103,157,063	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$18,659,998	BOYAmt
EOY	$21,531,155	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,185,588	BOYAmt
EOY	$7,376,130	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$589,432,551	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$299,173,973	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$302,523,220	BOYAmt
EOY	$290,258,578	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$9,817,266	BOYAmt
EOY	$11,171,322	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,794	BOYAmt
EOY	$12,997	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$137,317,079	BOYAmt
EOY	$122,569,960	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$670,121,229	BOYAmt
EOY	$671,107,372	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$108,009,275	BOYAmt
EOY	$95,945,769	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$10,982,686	BOYAmt
EOY	$14,767,834	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$202,360,203	BOYAmt
EOY	$194,226,777	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$30,611,237	BOYAmt
EOY	$10,821,660	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$351,963,401	BOYAmt
EOY	$315,762,040	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$317,951,828	BOYAmt
EOY	$355,139,332	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$206,000	BOYAmt
EOY	$206,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$318,157,828	BOYAmt
EOY	$355,345,332	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$670,121,229	BOYAmt
EOY	$671,107,372	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$29,528,486	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,659,018	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$138,307	OtherActivitiesAmt
Total Lobbying Expenditures	$138,307	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	OTHER ACTIVITY COSTS ARE THE CORPORATION'S PORTION OF TRADE DUES (I.E. KENTUCKY HOSPITAL ASSOCIATION) IN THE AMOUNT OF $18,307. $120,000 WAS PAID TO CORNERSTONE GOVERNMENT AFFAIRS FOR CONSULTING SERVICES AND GOVERNMENT RELATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$206,000	BeginningYearBalanceAmt
End Year Balance	$206,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$206,000	BeginningYearBalanceAmt
End Year Balance	$206,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$206,000	BeginningYearBalanceAmt
End Year Balance	$206,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$206,000	BeginningYearBalanceAmt
End Year Balance	$206,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$206,000	BeginningYearBalanceAmt
End Year Balance	$206,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,595,700	OtherCostOrOtherBasisAmt
Book Value	$15,595,700	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$331,652,200	OtherCostOrOtherBasisAmt
Depreciation	$136,851,044	DepreciationAmt
Book Value	$194,801,156	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,233,546	OtherCostOrOtherBasisAmt
Depreciation	$1,964,222	DepreciationAmt
Book Value	$269,324	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$225,523,065	OtherCostOrOtherBasisAmt
Depreciation	$154,479,876	DepreciationAmt
Book Value	$71,043,189	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,428,040	OtherCostOrOtherBasisAmt
Depreciation	$5,878,831	DepreciationAmt
Book Value	$8,549,209	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$290,258,578	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT - CUSTODY ACCOUNT	$7,687,684
ASSETS WHOSE USE IS LIMITED - SELF INSURED TRUST	$32,207,262
CTIC - INVESTMENT MANAGEMENT ACCOUNT	$78,764,729
ROU ASSET - FINANCE LEASE	$1,740,977
ROU ASSET - OPERATING LEASE	$1,052,305
RELATED PARTY RECEIVABLE	$1,117,003

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$122,569,960	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
RESERVES-RECIPROCAL AMER CLAIMS	$1,680,272
RES FOR WORKERS COMPENSATION CLAIMS	$2,498,094
EST AMOUNTS DUE TO 3RD PARTY PAYERS	$3,059,599
ROU ASSET - OPERATING LEASE LIABILITY	$1,052,306
ROU ASSET - FINANCE LEASE LIABILITY	$2,531,389

Field	Value	IRS element (for citing)
Total Liability	$10,821,660	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

THE AMOUNT OF $206,000 IS A PERMANENT RESTRICTED ENDOWMENT- HERBERT FABER ENDOWMENT FUND. THE ENDOWMENT FUND IS UTILIZED TO SUPPORT THE CHARITABLE AND HEALTH ACTIVITES OF PIKEVILLE MEDICAL CENTER, INC.

PART X, LINE 2:

THE HOSPITAL AND PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE, INC. ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PIKEVILLE MEDICAL CENTER DEVELOPMENT CORPORATION AND LANDMARK PROPERTIES OF PIKEVILLE, INC. ARE TAXABLE ENTITIES TO WHICH APPLICABLE CORPORATE INCOME TAXES APPLY. NO INCOME TAXES WERE OWED BY PIKEVILLE MEDICAL CENTER DEVELOPMENT CORPORATION OR LANDMARK PROPERTIES OF PIKEVILLE, INC. FOR THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022. THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2023 AND 2022 THAT WOULD REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. AT SEPTEMBER 30, 2023, TAX RETURNS FILED FOR 2020 THROUGH 2022 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,663,158	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,663,158	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$147,001,835	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$141,785,459	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,216,376	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$149,664,993	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$141,785,459	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,879,534	NetCommunityBenefitExpnsAmt
Total Expense	0.01270	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	145	ActivitiesOrProgramsCnt
Persons Served	1148	PersonsServedCnt
Total Community Benefit Expns	$51,054	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$51,054	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	1460	PersonsServedCnt
Total Community Benefit Expns	$391,164	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$357,750	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,414	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$112,545	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$112,545	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	181	ActivitiesOrProgramsCnt
Persons Served	2608	PersonsServedCnt
Total Community Benefit Expns	$554,763	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$357,750	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$197,013	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	181	ActivitiesOrProgramsCnt
Persons Served	2608	PersonsServedCnt
Total Community Benefit Expns	$150,219,756	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$142,143,209	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,076,547	NetCommunityBenefitExpnsAmt
Total Expense	0.01310	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$130,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$130,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	31	ActivitiesOrProgramsCnt
Persons Served	9552	PersonsServedCnt
Total Community Benefit Expns	$79,286	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$79,286	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	301	PersonsServedCnt
Total Community Benefit Expns	$483	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$483	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	45	ActivitiesOrProgramsCnt
Persons Served	1529	PersonsServedCnt
Total Community Benefit Expns	$1,954,053	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,954,053	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	91	ActivitiesOrProgramsCnt
Persons Served	11382	PersonsServedCnt
Total Community Benefit Expns	$2,163,822	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,163,822	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,784,692	BadDebtExpenseAmt
Reimbursed By Medicare	$95,346,758	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$97,451,458	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,104,700	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PIKEVILLE MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	911 BYPASS ROAD	AddressLine1Txt
City	PIKEVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41501	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.PIKEVILLEHOSPITAL.ORG	WebsiteAddressTxt
State License	100366	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	PIKEVILLE MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.PIKEVILLEHOSPITAL.ORG/2022-2025-COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.PIKEVILLEHOSPITAL.ORG/2022-2025-COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://WWW.PIKEVILLEHOSPITAL.ORG/FINANCIAL-ASSISTANCE-POLICY/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.PIKEVILLEHOSPITAL.ORG/FINANCIAL-ASSISTANCE-POLICY/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://WWW.PIKEVILLEHOSPITAL.ORG/FINANCIAL-ASSISTANCE-POLICY/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 COMPLETED 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. 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.

Field	Value	IRS element (for citing)
Facility	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - PMC URGENT CARE & FAMILY WELLNESS CENTER
238 CASSADY BLVD	PIKEVILLE	KY	41501	PHYSICIAN PRACTICE
2 - PMC APPALACHIAN VALLEY AUTISM CENTER
131 SUMMIT DRIVE	PIKEVILLE	KY	41501	AUTISM CENTER
3 - PMC PRESTONSBURG PRIMARY & URGENT CARE
723 SOUTH LAKE DRIVE	PRESTONSBURG	KY	41653	PHYSICIAN PRACTICE
4 - PMC PRIMARY CARE CLINIC
184 S MAYO TRAIL	PIKEVILLE	KY	41501	PHYSICIAN PRACTICE
5 - PMC SPECIALTY CLINIC-WHITESBURG
107 MEDICAL PLAZA LANE	WHITESBURG	KY	41858	PHYSICIAN PRACTICE
6 - PMC HOME MEDICAL EQUIPMENT
138 S MAYO TRAIL	PIKEVILLE	KY	41501	MEDICAL EQUIPMENT/SUPPLY RENTALS/SALES
7 - PMC APPALACHIAN VALLEY AUTISM CENTER-PRE
631 SOUTH LAKE DRIVE	PRESTONBURG	KY	41653	AUTISM CENTER
8 - PMC PRIMARY & SPECIALTY CLINIC
285 SOUTHSIDE MALL ROAD	SOUTH WILLIAMSON	KY	41503	PHYSICIAN PRACTICE
9 - PMC SPECIALTY CLINIC-PRESTONSBURG
311 NORTH ARNOLD AVE	PRESTONSBURG	KY	41653	PHYSICIAN PRACTICE
10 - PMC SPECIALTY CLINIC-GRUNDY
1520 SLATE CREEK ROAD STE 205	GRUNDY	VA	24614	PHYSICIAN PRACTICE

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2023, PIKEVILLE MEDICAL CENTER REPORTED TAKING PART IN 91 COMMUNITY BUILDING ACTIVITIES, SERVING MORE THAN 11,000 PEOPLE AND TOTALING MORE THAN $2,160,000 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, REMOTE AREA MEDICAL EVENT SUPPORT, ECONOMIC DEVELOPMENT PROGRAM SUPPORT, AND RECRUITMENT OF NEARLY 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 0.179794 FROM WS S-10.
SCHEDULE H, PART II, LINE 7	COMMUNITY HEALTH EDUCATION: PMC'S STAFF IS ACTIVELY INVOLVED IN EDUCATING THE COMMUNITY ON IMPORTANT HEALTHCARE TOPICS. THROUGHOUT FY 2023, HOSPITAL REPRESENTATIVES FROM VARIOUS DEPARTMENTS PRESENTED TO LOCAL CIVIC CLUBS, MEDICAL PROFESSIONALS, AND THE PUBLIC AT LARGE. THROUGH ITS COMMUNITY EDUCATION EFFORTS IN FY 2023, PMC REACHED MORE THAN 500 PARTICIPANTS.PMC EMPLOYEES PARTICIPATED IN THE FOLLOWING LECTURES/PRESENTATIONS AND COMMUNITY EVENTS DURING FY 2023:- BELFRY AREA BACK TO SCHOOL BASH- COLORS OF COURAGE 5K RUN- HILLBILLY DAYS FIRST AID BOOTH- KIMPER ELEMENTARY TOBACCO/VAPING EDUCATION- LAWSON CANCER CENTER ICE CREAM SOCIAL- PMC BOOTH AT NIGHTMARE ON MAIN- SKIN CARE AWARENESS- SHAPING OUR APPALACHIAN REGION- REMEMBERING EASTERN KENTUCKY FLOOD VICTIMS EVENT- WORLD CANCER DAY AWARENESS - VALENTINE'S DAY CELEBRATION CANCER SURVIVORS
PART III, LINE 4:	SEE PAGE 10-11 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:	FY 2023 AS FILED MEDICARE COST REPORT DATA WAS USED AS THE SOURCE FOR THE TOTAL REVENUE AND MEDICARE ALLOWABLE COSTS REPORTED IN SECTION B, THEREFORE THE COMMUNITY BENEFIT REPORTABLE AMOUNT OF SHORTFALL IS $2,104,700.
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 4:	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 209,860 INDIVIDUALS. THERE IS AN EVEN DISTRIBUTION OF MALES TO FEMALES. THE AVERAGE HOUSEHOLD SIZE IS 2.5 INDIVIDUALS AND 20.91% OF THE POPULATION IS AGE 65 AND OVER. THE AREA SERVED BY PIKEVILLE MEDICAL CENTER HAS A MEDIAN FAMILY INCOME OF $39,568 WITH 28% OF THE POPULATION LIVING BELOW THE POVERTY LINE.
PART VI, LINE 6:	PIKEVILLE MEDICAL CENTER (PMC), A 348-BED TERTIARY CARE CENTER, PROVIDES HIGH QUALITY COMPREHENSIVE HEALTHCARE FOR EASTERN KENTUCKY AND THE CENTRAL APPALACHIAN REGION. FOR DECADES, THE REGION SERVED BY PMC BATTLED MANY CHALLENGES RELATED TO LIMITED ACCESS TO QUALITY MEDICAL CARE; PMC HAS STRIVED TO CONTINUALLY EXPAND SERVICE OFFERINGS AND IMPROVE ACCESS TO HEALTHCARE ACROSS THE REGION IN PURSUIT OF THE ORGANIZATION'S GOAL 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 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 HIGH-QUALITY LEVEL OF CARE PROVIDED EACH DAY THROUGHOUT THE ORGANIZATION BY MORE THAN 3,000 EMPLOYEES INCLUDING NEARLY 600 LICENSED MEDICAL PROVIDERS. PMC BEGAN AS A SMALL, RURAL, 50-BED FACILITY AT ITS INCEPTION IN 1924, THE MEDICAL CENTER HAS GROWN EXPONENTIALLY AND IS TODAY A COMPREHENSIVE MEDICAL COMPLEX COMPRISED OF 10 CENTERS OF EXCELLENCE AND 328 LICENSED ACUTE CARE INPATIENT BEDS WHICH INCLUDE: 16 NEONATAL LEVEL II BASSINETS, 20 INPATIENT PHYSICAL REHABILITATION BEDS, 22 NURSERY BASSINETS, AND 17 AMBULATORY CLINIC LOCATIONS OFFERING 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 PILLAR OF THE REGIONAL ECONOMIC LANDSCAPE AS HEALTHCARE HAS EVOLVED INTO THE ECONOMY'S LARGEST SECTOR THROUGHOUT EASTERN KENTUCKY, SOUTHWEST VIRGINIA AND SOUTHWEST WEST VIRGINIA. PMC EMBRACES THE RESPONSIBILITY IN BEING ONE OF THE REGION'S LARGEST EMPLOYERS AND UNDERSTANDS THAT THE FUTURE HEALTH, SOCIAL AND ECONOMIC OUTCOMES FOR THE REGION DEPEND ON THE FINANCIAL STRENGTH OF THE ORGANIZATION. THE HOSPITAL IS COMMITTED TO CONTINUALLY IMPROVING THE HEALTH AND WELL-BEING OF THE REGION AND NOW OFFERS MORE THAN 400 SERVICES, INCLUDING MOST MAJOR SPECIALTIES AND MANY SUBSPECIALTIES. THE PROGRESSIVE 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; A COMMISSION ON CANCER ACCREDITED, FULL-SERVICE CANCER TREATMENT CENTER; A HEART & VASCULAR INSTITUTE WITH PRIMARY PCI ACCREDITATION; 20-BED INPATIENT PHYSICAL REHABILITATION HOSPITAL; AN ACCREDITED GOLD PLUS NEUROSCIENCE CENTER; NEUROSURGERY; LEVEL II ADVANCED NEONATAL INTENSIVE CARE UNIT; A MBSAQIP ACCREDITED BARIATRIC & MINIMALLY INVASIVE SURGERY CENTER; JOINT COMMISSION GOLD SEAL CERTIFIED ORTHOPEDIC SURGERY & SPORTS MEDICINE 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. HEART DISEASE HAS BEEN A PRIMARY FOCUS OF PMC FOR SEVERAL YEARS, 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. PMC'S COMMITMENT TO SERVE THE HEART HEALTH NEEDS OF THE COMMUNITY WILL CONTINUE TO INCORPORATE 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, TACTICATH, TAVR, WATCHMAN DEVICE, AND LEADLESS PACEMAKERS. PMC'S HVI VALVE CLINIC, THE FIRST OF ITS KIND IN THE REGION, DELIVERS QUALITY HEART CARE TO PATIENTS WITH COMPLEX VALVE DISORDERS. WITH STATE-OF-THE-ART CARDIOLOGY CATHETERIZATION LABS, INTERVENTIONAL CARDIOLOGISTS AND CARDIOTHORACIC SURGEONS HAVE JOINED FORCES TO COMPLETE VALVE PROCEDURES UTILIZING PERCUTANEOUS APPROACHES OR MINIMALLY INVASIVE APPROACHES FOR VALVE REPLACEMENTS, ALLEVIATING THE NEED FOR PATIENTS TO TRAVEL HOURS AWAY FROM HOME FOR MULTIPLE DOCTOR'S VISITS TO RECEIVE ADVANCED HEART CARE. ADDITIONALLY, HVI'S CARDIAC REHABILITATION CENTER, AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR) CERTIFIED, OFFERS PATIENTS WITH HEART DISEASE LIFESTYLE MONITORING AND FITNESS PROGRAMS DESIGNED TO HELP RESTORE THEIR HEART TO MAXIMUM EFFICIENCY. PMC'S STAGE II AND STAGE III CARDIAC REHAB PROGRAMS HELP HEART PATIENTS INCORPORATE CHANGES INTO THEIR DAILY ROUTINES SUCH AS EXERCISING, TAKING MEDICATIONS AND EATING A HEART HEALTHY DIET TO ALLOW FOR AN ACTIVE LIFESTYLE RESULTING IN A BETTER QUALITY OF LIFE AND IMPROVED LONG TERM OUTCOMES. THE PMC LAWSON CANCER CENTER (LCC) PROVIDES ADVANCED CANCER CARE, HEALING, AND COMFORT CLOSE TO HOME FOR INDIVIDUALS AND FAMILIES NAVIGATING THE CHALLENGING JOURNEY OF A CANCER DIAGNOSIS AND TREATMENT. AS THE REGION'S ONLY HOSPITAL TO HAVE ACHIEVED THE COMMISSION ON CANCER'S OUTSTANDING ACHIEVEMENT AWARD WITH COMMENDATIONS FOR EXCEPTIONAL QUALITY, PIKEVILLE MEDICAL CENTER HAS MADE INVESTMENTS IN THE EXPERTISE AND LEADING-EDGE TECHNOLOGY TO FIGHT CANCER IMMEDIATELY UPON DIAGNOSIS. THE LCC AT PIKEVILLE MEDICAL CENTER IS CONVENIENTLY LOCATED ON PMC'S MAIN CAMPUS, WHERE PATIENTS 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 HAS COMPLETED A 7,085 SQUARE FEET EXPANSION OF LCC, CREATING PRIVATE CHEMO INFUSION SUITES AND PROVIDING ADDITIONAL DIAGNOSTIC CAPABILITIES TO ENSURE THE UTMOST IN COMFORT AND CONVENIENCE TO THE PATIENT DURING THEIR FIGHT AGAINST CANCER. ADDITIONALLY, TWO NEW VARIAN RAPIDARC TRUE BEAM LINEAR ACCELERATORS WITH BRAINLAB TECHNOLOGY WERE RECENTLY PLACED IN SERVICE 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. 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. (CONTINUED)
SCHEDULE H PART VI, LINE 6	(CONTINUED)PMC'S BARIATRIC & MINIMALLY INVASIVE SURGERY CENTER 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 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, DISCOUNTED YMCA MEMBERSHIP OFFERING, 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 WALKS/RUNS, 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 METTU CHILDREN'S HOSPITAL (MCH), THE ONLY CHILDREN'S HOSPITAL IN THE REGION, LOCATED IN 13,400 SQUARE FEET OF SPACE ON THE HOSPITAL'S MAIN CAMPUS, TO FILL A GAP IN PEDIATRIC CARE BY PROVIDING 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, CERTIFIED BY THE INTERNATIONAL BOARD OF CREDENTIALING AND CONTINUING EDUCATION STANDARDS (IBCCES) AS A CERTIFIED AUTISM CENTER, PROVIDES 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 BRIDGE THE HEALTHCARE GAP OF CHILDREN WITH AUTISM AND RELATED CHALLENGES. THE AVA CENTER'S PIKEVILLE, KY LOCATION HAS OVER 25,000 SQUARE FEET OF LEARNING SPACE AND FEATURES THERAPY ROOMS, A LIBRARY, AN INDOOR GYMNASIUM, STATE-OF-THE-ART INDOOR SENSORY ROOMS, AND A MULTI-SENSORY OUTDOOR STIMULATION AREA; 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 RECENTLY OPENED THE AVA CENTER SATELLITE LOCATION IN PRESTONSBURG, KY. THE 5,500 SQUARE FOOT SATELLITE LOCATION ALLOWS 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. PMC PLANS TO CONTINUE DEVELOPING AND EXPANDING PEDIATRIC SPECIALTY SERVICES TO BECOME THE REGIONAL REFERRAL CENTER FOR ALMOST 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 NATIONALLY 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 NEONATOLOGISTS AND HIGHLY SKILLED NURSES IS EQUIPPED TO BEGIN SPECIALIZED CARE WITHIN SECONDS OF BIRTH AND 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. PIKEVILLE MEDICAL CENTER'S REGIONAL 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. THE ECONOMIC DOWNTURN HAS RESULTED IN A SIGNIFICANT IMPACT ON THE OVERALL HEALTH OF THE GENERAL POPULATION OF THE REGION 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 SPEARHEADED AN INNOVATIVE INITIATIVE TO MEET THE NEED FOR A STRONG HEALTHCARE WORKFORCE ACROSS THE REGION. THE PMC PROJECT HEART (HEALTHCARE EMPLOYMENT AROUND REGIONAL TRAINING) INITIATIVE HAS FORMED AN EXCEPTIONAL TEAM OF COLLABORATIVE PARTNERS THAT CONSISTENTLY WORKS TOGETHER THROUGH INTEGRATED INITIATIVES THAT PRIORITIZE MOVING OUR REGION FORWARD, ON MULTIPLE FRONTS, TO MAXIMIZE THE TOTAL IMPACT WHILE BRIDGING TOGETHER THE STRENGTHS OF OTHERS TO CHALLENGE US TO THINK DIFFERENTLY ABOUT WHAT IS POSSIBLE WHEN WE UNITE AS ONE. PROJECT HEART IS THE LARGEST EFFORT TO SUPPORT JOB CREATION AND OPPORTUNITY IN EASTERN KENTUCKY SINCE THE EARLY 1970S AND HAS RESULTED IN THE DEVELOPMENT OF MULTIPLE STRATEGIES TO SERVE THE COMMUNITY, INCREASE TRAINING OPPORTUNITIES AND FURTHER DEVELOP OUR WORKFORCE, WITH THE ULTIMATE GOAL OF IMPROVING ACCESS TO ESSENTIAL HEALTHCARE SERVICES, RESULTING IN BETTER HEALTH, SOCIAL, AND ECONOMIC OUTCOMES FOR THE REGION. 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 ELLIOT 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 WHILE PROVIDING 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. (CONTINUED)
SCHEDULE H PART VI, LINE 6	(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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
CITY OF PIKEVILLE
234 MAIN STREET	PIKEVILLE	KY	41501	616001897	CITY OF PIKEVILLE	$25,000	$0	SPONSOR EVENT
SOUTHEAST KENTUCKY CHAMBER OF COMMERCE
178 COLLEGE STREET	PIKEVILLE	KY	41501	610544068	501(C)(6)	$22,500	$0	SPONSOR EVENTS
CEDAR INC
PO BOX 2152	PIKEVILLE	KY	41501	611244951	501(C)(3)	$15,329	$0	SPONSOR EVENTS
PIKE COUNTY SCHOOL SYSTEM
316 SOUTH MAYO TRAIL	PIKEVILLE	KY	41501	616001345	PIKE COUNTY	$10,000	$0	SPONSOR EVENTS
FIVCO AREA DEVELOPMENT DISTRICT
32 FIVCO COURT	GRAYSON	KY	41143	611874861	501(C)(2)	$10,000	$0	SPONSOR EVENT
CHALLENGER LEARNING CENTER OF KENTUCKY INC
PO BOX 2064	HAZARD	KY	41702	311492348	501(C)(3)	$7,000	$0	SPONSOR PROGRAM

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Non Cash AssistanceNonCashAssistanceAmt	Non Cash AssistanceNonCashAssistanceDesc	Cash GrantCashGrantAmt
ASSISTANCE TO UNINSURED PATIENTS FOR PRESCRIPTIONS, TRANSPORTATION, MEDICAL EQUIPMENT, CANCER TREATMENT TRAVEL ASSISTANCE	477	$49,104	463 RECIPIENTS OF 155 PRESCRIPTIONS PROVIDED, 376 INSTANCES OF TRAVEL ASSISTANCE, 9 MEDICAL EQUIPMENT PURCHASES/RENTALS, AND 14 RECIPIENTS OF LODGING AND OTHER FINANCIAL ASSISTANCE
SCHOLARSHIPS	1		SUPPORT FOR TUITION	$5,000

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEITH HALL MD
ORTHOPEDIC SURGEON	$980,232	$0	$714,170	$0	$450	$0	$10,250	$0	$31,755	$0	$1,736,857	$0	$0	$0
KEVIN PUGH MD
ORTHOPEDIC SURGEON	$980,232	$0	$634,151	$0	$34,447	$0	$10,250	$0	$31,755	$0	$1,690,835	$0	$0	$0
CHRISTOPHER REYNOLDS MD
CARDIOLOGIST/ELECTROPHYSIOLOGIST	$1,169,141	$0	$0	$0	$300	$0	$10,250	$0	$31,755	$0	$1,211,446	$0	$0	$0
AYORINDE MEDAIYESE MD
CRITICAL CARE PHYSICIAN	$1,053,398	$0	$0	$0	$43,094	$0	$13,500	$0	$31,755	$0	$1,141,747	$0	$0	$0
DERMOT HALPIN MD
CARDIOTHORACIC SURGEON	$984,756	$0	$0	$0	$34,175	$0	$13,500	$0	$31,755	$0	$1,064,186	$0	$0	$0
WILLIAM D BLACKBURN
BOARD CHAIR/PRESIDENT/CEO	$883,911	$0	$0	$0	$61,300	$0	$13,500	$0	$31,755	$0	$990,466	$0	$0	$0
AARON CRUM MD
EX-OFFICIO/CMO/ASST CEO	$762,875	$0	$0	$0	$130,507	$0	$13,000	$0	$1,117	$0	$907,499	$0	$0	$0
ERICH BLACKBURN
EX-OFFICIO/CHIEF LEGAL OFF/SR. VP	$477,641	$0	$0	$0	$1,408	$0	$13,500	$0	$31,755	$0	$524,304	$0	$0	$0
MICHELLE HAGY
EX-OFFICIO/CFO/SR. VP FINANCE	$390,171	$0	$0	$0	$30,511	$0	$13,500	$0	$31,755	$0	$465,937	$0	$0	$0
JOHN WATSON MD
BOD/CHIEF OF STAFF/HOSPITALIST	$316,850	$0	$30,000	$0	$23,641	$0	$10,250	$0	$31,755	$0	$412,496	$0	$0	$0
KANSAS JUSTICE
CHIEF OPERATING OFFICER-SR. VP	$307,432	$0	$0	$0	$29,560	$0	$10,250	$0	$31,755	$0	$378,997	$0	$0	$0
MICHELLE RAINEY
CHIEF NURSING OFFICER-SR. VP	$298,735	$0	$0	$0	$20,128	$0	$13,500	$0	$31,755	$0	$364,118	$0	$0	$0
CHERYL HICKMAN
CHIEF REGULATORY OFFICER-SR. VP	$275,593	$0	$0	$0	$6,871	$0	$9,649	$0	$31,738	$0	$323,851	$0	$0	$0
MELISSA THACKER
CHIEF QUALITY OFFICER-SR. VP	$253,330	$0	$0	$0	$24,535	$0	$13,500	$0	$1,078	$0	$292,443	$0	$0	$0
TONY DAMRON
CHIEF INFORMATION OFFICER-SR. VP	$249,153	$0	$0	$0	$4,955	$0	$6,478	$0	$31,716	$0	$292,302	$0	$0	$0
MARCUS CONLEY
VP FINANCE	$213,369	$0	$500	$0	$18,241	$0	$5,944	$0	$31,693	$0	$269,747	$0	$0	$0
JUANITA DESKINS
FORMER CHIEF OPERATING OFFICER	$162,005	$0	$0	$0	$31,562	$0	$8,500	$0	$31,731	$0	$233,798	$0	$0	$0
DAVID HALCOMB
FORMER ASST. CFO	$172,176	$0	$500	$0	$10,080	$0	$7,509	$0	$31,492	$0	$221,757	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	EXPENSES RELATED TO MEALS AND PORTERAGE FOR A TRAVEL COMPANION ATTENDING THE ANNUAL PMC BOARD RETREAT WERE APPROVED IN ADVANCE BY THE CEO AND REPORTED, AS APPLICABLE, AS A TAXABLE BENEFIT.
PART I, LINE 7	DR. PUGH'S AND DR. HALL'S PRODUCTIVITY BONUS IS BASED ON WRVU'S FOR SERVICES RENDERED IN EXCESS OF THEIR WRVU TARGET. DR. WATSON EARNED A QUARTERLY INCENTIVE BONUS FOR ACHIEVEMENT OF PROGRAM GOALS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (21 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ANDREA ANDERSON
DAUGHTER OF BOARD MEMBER	$52,785	COMPENSATION	0
ASHLEY JOHNSON
DAUGHTER OF BOARD MEMBER	$98,551	COMPENSATION	0
KIERSTEN WOODS SHURTLEFF
DAUGHTER-IN-LAW OF BOARD MEMBER	$60,575	COMPENSATION	0
MICHAEL CRUM MD
BROTHER OF CMO/BOARD MEMBER	$152,450	COMPENSATION	0
RHONDA BLACKBURN
SPOUSE OF CLO/EX-OFFICIO BOARD MEMBER	$198,731	COMPENSATION	0
ROBERT SHURTLEFF DO
SON OF BOARD MEMBER	$208,000	COMPENSATION	0
SARAH TAYLOR
DAUGHTER OF KEY EMPLOYEE	$110,176	COMPENSATION	0
SHELDON THACKER
SPOUSE OF KEY EMPLOYEE	$117,245	COMPENSATION	0
TRISTAN BLACKBURN
SON OF PMC PRESIDENT/CEO & BOARD CHAIRPERSON	$129,482	COMPENSATION	0
CHRISTIAN HAGY
SON OF PMC CFO/EX-OFFICIO BOARD MEMBER	$75,788	COMPENSATION	0
DEBRA BLACKBURN
SPOUSE OF PMC PRESIDENT/CEO & BOARD CHAIRPERSON	$111,037	COMPENSATION	0
AMY BLACKBURN
DAUGHTER-IN-LAW OF PMC PRESIDENT/CEO & BOARD CHAIRPERSON	$38,689	COMPENSATION	0
ANGELIA CRUM
SPOUSE OF CMO/BOARD MEMBER	$37,651	COMPENSATION	0
BRAXTON DAMRON
SON OF KEY EMPLOYEE	$20,146	COMPENSATION	0
BROOKE SHURTLEFF
DAUGHTER-IN-LAW OF BOARD MEMBER	$27,889	COMPENSATION	0
THOMAS BLACKBURN
SON OF CLO/EX-OFFICIO BOARD MEMBER	$18,028	COMPENSATION	0
AARON COLLINS
SON OF BOARD MEMBER	$12,923	COMPENSATION	0
ELIZABETH BURCHETT
SPOUSE OF BOARD MEMBER	$24,360	COMPENSATION	0
KETERAH WATSON
SPOUSE OF BOARD MEMBER	$77,245	COMPENSATION	0
MADISON RAINEY
DAUGHTER OF KEY EMPLOYEE	$14,022	COMPENSATION	0
MOUNTAIN TOP MEDIA LLC
SPOUSE OF BOARD MEMBER IS > 5% OWNER	$111,927	COMPENSATION	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 AND FORM 990 OF OTHER SIMILAR ORGANIZATIONS. MOTIONS AND APPROVALS FROM THE COMMITTEE ARE DOCUMENTED AND KEPT IN THE BOARD MINUTES. THE SALARY IS ALSO INDEPENDENTLY REVIEWED WITH AN OPINION RENDERED BY AN EXTERNAL CONSULTING FIRM. THE PROCESS FOR REVIEW OF SALARIES IS PERFORMED ANNUALLY. 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 31,505,708. MANAGEMENT AND GENERAL EXPENSES 3,890,803. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,396,511. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 8,465,735. MANAGEMENT AND GENERAL EXPENSES 1,045,477. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,511,212. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 16,300,776. MANAGEMENT AND GENERAL EXPENSES 2,013,067. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,313,843.
FORM 990, PART III, LINE 4A	(CONTINUED) THE INVESTMENT IN THE CONSTRUCTION AND EQUIPMENT FOR SENSORY ACTIVITIES AREA TOTALED $1.07 MILLION. PMC ALSO COMPLETED CONSTRUCTION RENOVATION OF THE AVA CENTER PRESTONSBURG CAMPUS DURING FY 2023. THE NEWLY OPENED PRESTONSBURG LOCATION IS A 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 ALLOWS 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 WAS $2.1 MILLION. PIKEVILLE MEDICAL CENTER'S PRIMARY CARE AND FAMILY MEDICINE TEAM PROVIDES COMPREHENSIVE CARE FOR ALL GENERATIONS. BETTER HEALTH STARTS WITH A FAMILY DOCTOR, PMC'S EXPERIENCED FAMILY MEDICINE TEAM DOES MUCH MORE THAN TREAT PATIENTS WHEN SICK, THE TEAM FOCUSES ON ENCOURAGING PREVENTATIVE CARE AND A HEALTHY LIFESTYLE WHILE ALSO MANAGING CARE WHEN THERE IS A CHRONIC HEALTH CONCERN BY OPENING DOORS TO SPECIALIZED SERVICES IF 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 TOTALED $3.7 MILLION. THE PMC ORTHOPEDIC SURGERY & SPORTS MEDICINE INSTITUTE OF EASTERN KENTUCKY, LOCATED IN THE PMC CLINIC BUILDING, INCLUDES THE SPECIALTIES OF FOOT AND ANKLE SURGERY, HAND SURGERY, ORTHOPEDIC JOINT SURGERY, ORTHOPEDIC TRAUMA SURGERY, PODIATRY, AND SPORTS MEDICINE. THE ORTHOPEDIC TEAM UTILIZES THE LATEST TECHNOLOGY, INCLUDING ULTRASOUND-GUIDED INJECTIONS AND DIGITAL X-RAYS TO OFFER PATIENTS THE MOST ADVANCED PROCEDURES CURRENTLY AVAILABLE, SUCH AS DIRECT ANTERIOR HIP REPLACEMENTS, PARTIAL KNEE REPLACEMENTS, SHOULDER REPLACEMENTS, ANATOMIC ACL SURGERY, ARTHROSCOPIC ROTATOR CUFF REPAIR, TOTAL HIP AND TOTAL KNEE REPLACEMENTS. THE ORTHOPEDIC SURGERY & SPORTS MEDICINE INSTITUTE HAS RECEIVED THE GOLD SEAL OF DISTINCTION FOR HIP FRACTURE, JOINT REPLACEMENT HIP, AND JOINT REPLACEMENT KNEE FROM THE JOINT COMMISSION, RECOGNIZING THE TEAM'S COMMITMENT TO MEDICAL EXCELLENCE. PMC IS THE ONLY HOSPITAL IN KENTUCKY TO RECEIVE ALL THREE CERTIFICATIONS. THE ORTHOPEDIC CLINIC SPECIALISTS COMPLETED 36,189 PATIENT VISITS DURING FY 2023.
FORM 990, PART III, LINE 4D	(CONTINUED) PIKEVILLE MEDICAL CENTER COMPLETED AN UPGRADE TO THE NIHON KHODEN TELEMETRY MONITORING SYSTEM DURING FY 2023. THE HOUSE WIDE UPGRADE INCLUDED THE REPLACEMENT OF CENTRAL STATION MONITORS, REMOTE STATION MONITORS, PRINTERS, TRANSMITTERS AND OTHER PERIPHERAL EQUIPMENT THROUGHOUT THE CENTRALIZED TELEMETRY MONITORING AREA, CRITICAL CARE UNITS, MEDICAL UNITS AND SURGICAL SERVICES DEPARTMENTS. THIS UPGRADE INCLUDED FEATURES FOR MORE RAPID VIEWING OF PATIENT RHYTHM EVENTS BY CARDIOLOGISTS, IN ADDITION TO IMPROVED INTEGRATION WITH THE NEW EPIC ELECTRONIC MEDICAL RECORD SYSTEM. THE CAPITAL INVESTMENT IN THE NIHON KHODEN UPGRADE WAS $1.4 MILLION. NATIONAL RECOGNITION: PIKEVILLE MEDICAL CENTER (PMC) STRIVES TO BE THE PROVIDER OF CHOICE FOR QUALITY HEALTHCARE THROUGHOUT CENTRAL APPALACHIA. TO ENSURE THAT QUALITY, PMC CONSISTENTLY PURSUES MULTIPLE DESIGNATIONS AND HAS EARNED THE FOLLOWING AWARDS AND RECOGNITIONS DURING FY 2023. SEPTEMBER '23 PMC PULMONARY REHABILITATION PROGRAM CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION; PMC LABORATORY RE-CERTIFIED BY THE ACCREDITATION COMMITTEE OF THE COLLEGE OF AMERICAN PATHOLOGISTS; PMC AVA CENTER AND METTU CHILDREN'S HOSPITAL RECEIVED RECOGNITION FROM THE SOUTHEAST KENTUCKY CHAMBER OF COMMERCE FOR OUTSTANDING CONTRIBUTION; PMC PRESENTED WITH THE EPIC GOOD INSTALL AWARD; PMC NAMED TO THE FORBES LIST OF BEST-IN-STATE EMPLOYERS. AUGUST '23 PMC CARDIAC REHABILITATION PROGRAM CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. JULY '23 PMC SPECIALTY PHARMACY SERVICES RECEIVED ACCREDITATION FROM THE ACCREDITATION COMMISSION FOR HEALTH CARE; PMC RECEIVED THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE STEMI RECEIVING CENTER BRONZE RECOGNITION. JUNE '23 PMC RECEIVED AMERICAN COLLEGE OF CARDIOLOGY CHEST PAIN MI REGISTRY PLATINUM PERFORMANCE ACHIEVEMENT AWARD. FEBRUARY '23 PMC URGENT CARE & FAMILY WELLNESS CENTER RECOGNIZED AS A CERTIFIED AUTISM CENTER (CAC) BY THE INTERNATIONAL BOARD OF CREDENTIALING AND CONTINUING EDUCATION STANDARDS. JANUARY '23 PMC NAMED PRESS GANEY HUMAN EXPERIENCE (HX) GUARDIAN OF EXCELLENCE AWARD WINNER. DECEMBER '22 PMC RECEIVED WOMEN'S CHOICE AWARDS BEST HOSPITALS FOR EMERGENCY CARE AND BEST HOSPITAL FOR CANCER CARE; PMC LAWSON CANCER CENTER RECEIVED AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER RE-ACCREDITATION OCTOBER '22 PMC RECEIVED JOINT COMMISSION HIP FRACTURE, HIP AND KNEE REPLACEMENT RE-CERTIFICATION.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	911 BYPASS ROAD	AddressLine1Txt
City	PIKEVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41501	ZIPCd

Field	Value	IRS element (for citing)
EIN	472020718	EIN
Primary Activities	SUPPORT OF PIKEVILLE MEDICAL CENTER, INC.	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LINE 12B, II	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PIKEVILLE MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (1)	ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
PIKEVILLE MEDICAL DEVELOPMENT CORPORATION
911 BYPASS ROAD	PIKEVILLE	KY	41501	202487928	INACTIVE	KY	N/A	C	-$169	$6,498	1.00000	Yes (1)
LANDMARK PROPERTIES OF PIKEVILLE INC
PO BOX 1259	PIKEVILLE	KY	41502	462494613	LODGING	KY		C	$197,840	$4,134,537	1.00000	Yes (1)	PIKEVILLE MEDICAL CENTER INC

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
LANDMARK PROPERTIES OF PIKEVILLE INC
J	$16,788	COST
LANDMARK PROPERTIES OF PIKEVILLE INC
M	$190,000	COST
LANDMARK PROPERTIES OF PIKEVILLE INC
P	$55,165	COST
LANDMARK PROPERTIES OF PIKEVILLE INC
Q	$967,942	CASH
PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE INC
C	$529,670	CASH
PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE INC
Q	$298,390	CASH