PIKEVILLE MEDICAL CENTER INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: PIKEVILLE MEDICAL CENTER INC (EIN 61-0458376)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-14
IRS object ID: 202512269349300636
Schema version: 2023v6.0
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	2025-08-14T08:54:18-05:00	ReturnTs
Tax Period End	2024-09-30	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	2023-10-01	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	2025-08-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	EMILIE M KNIERIEM CPA	PreparerPersonNm
PTIN	P01330194	PTIN
Phone	5029923500	PhoneNum
Preparation	2025-08-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	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	$736,712,303	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	4001	TotalEmployeeCnt
Total Volunteers	191	TotalVolunteersCnt
Total Gross UBI	$5,785,174	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,063,089	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$6,667,394	PYContributionsGrantsAmt
CY Contributions Grants	$5,255,828	CYContributionsGrantsAmt
PY Program Service Revenue	$598,099,939	PYProgramServiceRevenueAmt
CY Program Service Revenue	$632,843,410	CYProgramServiceRevenueAmt
PY Investment Income	$7,093,247	PYInvestmentIncomeAmt
CY Investment Income	$10,083,242	CYInvestmentIncomeAmt
PY Other Revenue	$40,919,830	PYOtherRevenueAmt
CY Other Revenue	$40,726,060	CYOtherRevenueAmt
PY Total Revenue	$652,780,410	PYTotalRevenueAmt
CY Total Revenue	$688,908,540	CYTotalRevenueAmt
PY Grants And Similar Paid	$192,545	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$384,536	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$327,557,003	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$355,111,083	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$295,502,376	PYOtherExpensesAmt
CY Other Expenses	$313,233,812	CYOtherExpensesAmt
PY Total Expenses	$623,251,924	PYTotalExpensesAmt
CY Total Expenses	$668,729,431	CYTotalExpensesAmt
PY Revenues Less Expenses	$29,528,486	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$20,179,109	CYRevenuesLessExpensesAmt
Total Assets BOY	$671,107,372	TotalAssetsBOYAmt
Total Assets EOY	$706,319,723	TotalAssetsEOYAmt
Total Liabilities BOY	$315,762,040	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$313,217,032	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$355,345,332	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$393,102,691	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	$168,284,949	ExpenseAmt
Revenue	$69,404,055	RevenueAmt
Desc	PHYSICIAN PRACTICES:OUTPATIENT SERVICES: EXPANDING ACCESS, DELIVERING CAREOUTPATIENT CARE REMAINS A CORNERSTONE OF PIKEVILLE MEDICAL CENTER'S MISSION, PROVIDING ESSENTIAL ACCESS POINTS FOR PREVENTION, EARLY DIAGNOSIS, CHRONIC DISEASE MANAGEMENT, AND ONGOING TREATMENT. IN THE PAST YEAR ALONE, PMC RECORDED AN IMPRESSIVE 327,228 CLINIC VISITS ACROSS ITS GROWING NETWORK OF PRIMARY CARE, SPECIALTY CARE, AND URGENT CARE LOCATIONS.THIS EXTRAORDINARY VOLUME REFLECTS THE REGION'S INCREASING DEMAND FOR ACCESSIBLE, HIGH-QUALITY CARE AND PMC'S ROLE IN MEETING THAT NEED WITH TIMELY, COMPASSIONATE SERVICE. WHETHER IN RURAL COMMUNITIES OR URBAN CENTERS, PMC'S OUTPATIENT NETWORK ENSURES PATIENTS CAN RECEIVE THE CARE THEY NEED WITHOUT THE BARRIERS OF LONG-DISTANCE TRAVEL OR DELAYED APPOINTMENTS.PMC'S TEAM OF EXPERT PROVIDERS SPANS A WIDE ARRAY OF MEDICAL SPECIALTIES, OFFERING CARE THAT RANGES FROM ROUTINE CHECK-UPS AND SCREENINGS TO THE MANAGEMENT OF COMPLEX DISEASES AND SPECIALTY INTERVENTIONS. THESE PRACTICES PLAY A VITAL ROLE IN SUPPORTING THE LONG-TERM HEALTH AND WELL-BEING OF PATIENTS ACROSS EASTERN KENTUCKY, ACTING AS THE FRONTLINE OF HEALTHCARE DELIVERY IN THE REGION.AS HEALTHCARE CONTINUES TO EVOLVE, PMC REMAINS COMMITTED TO GROWING ITS OUTPATIENT FOOTPRINT, INVESTING IN TECHNOLOGY, INFRASTRUCTURE, AND WORKFORCE DEVELOPMENT TO ENSURE THAT EVERY PATIENT REGARDLESS OF LOCATION HAS ACCESS TO THE CARE THEY NEED, WHEN THEY NEED IT.CARDIOLOGY PRACTICE: 23,295 VISITSPMC'S RENOWNED CARDIOVASCULAR TEAM CONTINUES TO PROVIDE COMPREHENSIVE HEART CARE, FROM PREVENTIVE SCREENINGS TO ADVANCED DIAGNOSTICS AND INTERVENTIONAL PROCEDURES. THE HIGH VOLUME REFLECTS A DEEP REGIONAL NEED FOR SPECIALIZED CARDIAC SERVICES.PEDIATRIC PRACTICE: 14,259 VISITSPMC'S PEDIATRIC PROVIDERS OFFER A TRUSTED, CHILD-CENTERED APPROACH TO CARE, HELPING FAMILIES WITH EVERYTHING FROM WELL-CHILD VISITS AND IMMUNIZATIONS TO THE MANAGEMENT OF CHRONIC PEDIATRIC CONDITIONS.PRIMARY CARE (PIKEVILLE): 11,746 VISITSAS A FIRST POINT OF CONTACT FOR MANY, PMC'S PRIMARY CARE PHYSICIANS SERVE AS LONG-TERM HEALTH PARTNERS FOR PATIENTS OF ALL AGES, PROVIDING PREVENTIVE CARE AND MANAGING ONGOING HEALTH ISSUES.ONCOLOGY PRACTICE: 11,240 VISITSTHE ONCOLOGY DEPARTMENT CONTINUES TO DELIVER CUTTING-EDGE CANCER CARE, OFFERING CHEMOTHERAPY, RADIATION, AND SUPPORT SERVICES CLOSE TO HOME. PMC'S COMMITMENT TO ONCOLOGY ENSURES PATIENTS RECEIVE COORDINATED CARE THROUGHOUT THEIR TREATMENT JOURNEY.RHEUMATOLOGY: 5,196 VISITSWITH RISING DEMAND FOR AUTOIMMUNE AND MUSCULOSKELETAL CARE, PMC'S RHEUMATOLOGY SPECIALISTS PROVIDE EXPERT DIAGNOSIS AND MANAGEMENT OF CONDITIONS SUCH AS ARTHRITIS, LUPUS, AND FIBROMYALGIA.PRIMARY CARE (PRESTONSBURG): 7,931 VISITSTHE EXPANSION OF SERVICES TO PRESTONSBURG REFLECTS PMC'S REGIONAL GROWTH AND DEDICATION TO IMPROVING ACCESS IN UNDERSERVED AREAS.PMC'S URGENT CARE LOCATIONS PROVIDE A CRITICAL LINK FOR PATIENTS NEEDING PROMPT, NON-EMERGENCY CARE. WITH WALK-IN AVAILABILITY AND EXTENDED HOURS, THESE CENTERS REDUCE STRAIN ON EMERGENCY SERVICES WHILE MEETING COMMUNITY NEEDS:- URGENT CARE PIKEVILLE: 20,218 VISITS- URGENT CARE PRESTONSBURG: 9,127 VISITSTHESE NUMBERS UNDERSCORE THE CRUCIAL ROLE OF URGENT CARE IN BRIDGING THE GAP BETWEEN PRIMARY CARE AND EMERGENCY SERVICES, PARTICULARLY FOR WORKING FAMILIES AND INDIVIDUALS IN RURAL COMMUNITIES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$91,905,560	ExpenseAmt
Revenue	$133,777,539	RevenueAmt
Desc	SURGICAL SERVICES:SURGICAL EXPANSION: ADVANCING ACCESS AND EXCELLENCEPMC HAS REACHED A MAJOR MILESTONE IN ITS COMMITMENT TO SURGICAL EXCELLENCE WITH THE ADDITION OF FOUR NEW STATE-OF-THE-ART OPERATING SUITES, BRINGING THE TOTAL TO 24 FULLY EQUIPPED OPERATING ROOMS (OR) ON ITS MAIN CAMPUS. THIS EXPANSION MARKS A BOLD INVESTMENT IN THE HEALTH INFRASTRUCTURE OF EASTERN KENTUCKY AND CENTRAL APPALACHIA, STRENGTHENING PMC'S ABILITY TO MEET THE REGION'S GROWING DEMAND FOR SURGICAL CARE.DESIGNED WITH CUTTING-EDGE TECHNOLOGY AND MODERN WORKFLOW OPTIMIZATION, THE NEW OR SUITES IMPROVE EVERY ASPECT OF SURGICAL DELIVERY. ENHANCED STERILITY STANDARDS STREAMLINED ROOM TURNOVER, AND SEAMLESS COORDINATION AMONG SURGICAL, ANESTHESIA AND SUPPORT TEAMS ALLOWS PMC TO PROVIDE MORE TIMELY, EFFICIENT, AND ADVANCED CARE THAN EVER BEFORE.THIS GROWTH ALSO POSITIONS PMC AS A LEADING REGIONAL HUB FOR GENERAL AND SPECIALTY SURGERY. FROM URGENT PROCEDURES TO COMPLEX, ELECTIVE OPERATIONS, PMC'S GENERAL SURGERY TEAM LEVERAGES MINIMALLY INVASIVE TECHNIQUES, ADVANCED IMAGING AND MULTI-SPECIALTY COLLABORATION TO DELIVER EXCEPTIONAL PATIENT OUTCOMES. AS SURGICAL VOLUMES RISE AND CASE COMPLEXITY INCREASES, THIS EXPANSION ENSURES THAT PMC REMAINS FULLY EQUIPPED TO SERVE BOTH THE CURRENT AND FUTURE NEEDS OF THE COMMUNITIES IT SUPPORTS.GENERAL SURGERY SERVICES INCLUDE: EMERGENCY AND TRAUMA SURGERY LAPAROSCOPIC AND MINIMALLY INVASIVE PROCEDURES HERNIA REPAIRS GALLBLADDER AND APPENDECTOMY PROCEDURES ENDOCRINE SURGERY COLORECTAL, GI, AND SOFT TISSUE SURGERIESRAISING THE BAR IN RURAL SURGERY: PMC ACHIEVES NATIONAL RECOGNITION AND EXPANDS ACCESSIN 2025, PIKEVILLE MEDICAL CENTER (PMC) MADE HISTORY AS THE FIRST AND ONLY HOSPITAL IN KENTUCKY AND ONE OF JUST 12 NATION WIDE TO RECEIVE THE EMERGENCY GENERAL SURGERY VERIFICATION PROGRAM (EGS-VP) DESIGNATION FROM THE AMERICAN COLLEGE OF SURGEONS (ACS). THIS PRESTIGIOUS RECOGNITION AFFIRMS PMC'S UNWAVERING COMMITMENT TO DELIVERING TIMELY, SAFE, AND HIGH-QUALITY EMERGENCY GENERAL SURGERY, 24/7.THE EGS-VP DISTINCTION HIGHLIGHTS PMC'S ROBUST SURGICAL PROTOCOLS, SEAMLESS TRAUMA COORDINATION, AND PROVEN ABILITY TO MANAGE COMPLEX, LIFE-THREATENING EMERGENCIES WITH UNMATCHED CONSISTENCY. IT PLACES PMC AMONG A SELECT GROUP OF HOSPITALS, SETTING THE NATIONAL STANDARD FOR EMERGENCY SURGICAL CARE, A RARE ACHIEVEMENT FOR A RURAL MEDICAL CENTER.THIS MILESTONE COINCIDES WITH THE ADDITION OF FOUR NEW STATE-OF-THE-ART OPERATING SUITES, EXPANDING PMC'S TOTAL SURGICAL CAPACITY TO 24 FULLY EQUIPPED OPERATING ROOMS. MORE THAN JUST A FACILITIES UPGRADE, THIS EXPANSION ESTABLISHES PMC AS A REGIONAL ACCESS POINT FOR ADVANCED SURGICAL CARE, DRAWING REFERRALS FROM ACROSS COUNTY LINES AND NEIGHBORING STATES FOR PROCEDURES MANY LOCAL HOSPITALS CANNOT PERFORM.THE NEW OPERATING ROOMS ARE ENGINEERED FOR EFFICIENCY, ACCURACY, AND INNOVATION, EQUIPPED WITH ADVANCED TECHNOLOGY, ROBOTIC SYSTEMS, AND OPTIMIZED LAYOUTS THAT ENHANCE WORKFLOW, ENABLING QUICKER RESPONSE TIMES, HIGHER SURGICAL CAPACITY AND SMOOTH COLLABORATION BETWEEN SURGICAL, ANESTHESIA AND SUPPORT TEAMS. THEY ALSO STRENGTHEN PMC'S ROLE IN TRAINING THE NEXT GENERATION OF SURGICAL PROFESSIONALS, SUPPORTING WORKFORCE DEVELOPMENT, CLINICAL RESEARCH, AND ONGOING INNOVATION IN SURGICAL TECHNIQUES.WITH THESE ADVANCEMENTS, PMC IS DOING MORE THAN MEETING CURRENT DEMAND; IT IS DEFINING THE FUTURE OF RURAL SURGICAL CARE. THE COMBINATION OF THE EGS-VP DESIGNATION AND A MODERNIZED SURGICAL PLATFORM POSITIONS PMC AS BOTH A PROVIDER AND EMPLOYER OF CHOICE IN EASTERN KENTUCKY AND CENTRAL APPALACHIA.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$16,840,017	ExpenseAmt
Revenue	$66,169,787	RevenueAmt
Desc	DIAGNOSTIC SERVICES: TRANSFORMING HEALTHCARE THROUGH CUTTING-EDGE DIAGNOSTICSAT PMC, DIAGNOSTIC SERVICES ARE VITAL TO DELIVER TIMELY, ACCURATE, AND COMPASSIONATE CARE ACROSS EVERY DEPARTMENT, FROM TRAUMA AND STROKE RESPONSE TO ONCOLOGY AND CARDIOLOGY. OVER TIME, THE DEPARTMENT HAS BECOME A REGIONAL LEADER IN INNOVATION, EXPERTISE AND ACCESSIBILITY. WITH A DEDICATED TEAM OF OVER 86 CERTIFIED TECHNOLOGISTS OPERATING ACROSS DIVERSE IMAGING MODALITIES, PMC PROUDLY HOLDS FULL ACCREDITATION FROM THE AMERICAN COLLEGE OF RADIOLOGY (ACR) IN CT, MRI, MAMMOGRAPHY, PET, AND NUCLEAR MEDICINE. THESE NATIONALLY RECOGNIZED GOLD STANDARD CERTIFICATIONS UNDERSCORE PMC'S UNWAVERING COMMITMENT TO SAFETY, QUALITY CONTROL, AND DIAGNOSTIC PRECISION, BUILDING TRUST WITH PATIENTS AND CONFIDENCE AMONG CLINICIANS.DIAGNOSTIC SERVICES AT PMC ARE FULLY INTEGRATED INTO THE HOSPITAL'S COLLABORATIVE CARE MODEL. THE TEAM COLLABORATES CLOSELY WITH EMERGENCY PHYSICIANS, NEUROLOGISTS, ONCOLOGISTS, AND CARDIOLOGISTS TO SUPPORT COMPLEX, TIME-SENSITIVE CASES. IMAGING PLAYS A CRUCIAL ROLE IN TRAUMA AND STROKE CARE, WHERE MINUTES CAN DEFINE OUTCOMES. THE DEPARTMENT ALSO PARTNERS CLOSELY WITH PMC'S HEART & VASCULAR INSTITUTE TO PROVIDE ADVANCED CARDIOVASCULAR DIAGNOSTICS, SUCH AS CORONARY CT ANGIOGRAPHY (CTA) AND CARDIAC MRI, NON-INVASIVE TOOLS THAT DELIVER HIGH-RESOLUTION IMAGES ESSENTIAL FOR BOTH URGENT AND LONG-TERM TREATMENT PLANNING. IN AUGUST 2025, PMC WILL EXPAND PATIENT ACCESS AND CONVENIENCE BY OPENING A NEW MRI SCANNER AND RELOCATING CARDIAC MRI SERVICES TO AN OUTPATIENT SETTING. THIS WILL STREAMLINE WORKFLOWS, INCREASE AVAILABILITY, AND ENHANCE THE PATIENT EXPERIENCE BY MINIMIZING DELAYS AND REDUCING THE NEED FOR INPATIENT VISITS.BUILDING ON THE INNOVATIVE DRIVE-THRU DIAGNOSTIC MODEL LAUNCHED IN 2020 DURING THE COVID-19 PANDEMIC, PMC WILL SOON UNVEIL A TWO-BAY, FULLY ENCLOSED DRIVE-THRU DIAGNOSTIC CENTER. THIS WEATHER-PROTECTED FACILITY WILL OFFER LAB DRAWS AND VACCINATIONS FOR BOTH EMPLOYEES AND THE PUBLIC, MAINTAINING PMC'S POSITION AS A REGIONAL PIONEER IN SAFE, CONTACTLESS, AND COMMUNITY-FOCUSED CARE. PATIENTS CAN ENJOY FASTER, MORE ACCESSIBLE SERVICES ALL FROM THE COMFORT AND SAFETY OF THEIR VEHICLES.BREAST HEALTH HAS BECOME A CENTRAL FOCUS WITHIN PMC'S DIAGNOSTIC SERVICES. SIGNIFICANT INVESTMENTS HAVE ELEVATED BREAST IMAGING THROUGH THE ADDITION OF DR. CHERAH PRYCE, ONE OF THE REGION'S FEW BREAST-DEDICATED RADIOLOGISTS. HER EXPERTISE ENHANCES DIAGNOSTIC ACCURACY, SUPPORTS SAME-DAY EVALUATIONS, AND ACCELERATES TREATMENT DECISIONS. TO MEET GROWING DEMAND, PMC HAS ADDED A THIRD 3D MAMMOGRAPHY UNIT, SUBSTANTIALLY INCREASING SCREENING CAPACITY. PMC ALSO ADDED A NEW ULTRASOUND SYSTEM DEDICATED TO BREAST BIOPSIES, WHICH IMPROVES PRECISION AND EFFICIENCY IN TISSUE SAMPLING. ALL BIOPSY PROCEDURES, INCLUDING STEREOTACTIC, ULTRASOUND-GUIDED, AND SOON MRI-GUIDED, HAVE BEEN CENTRALIZED AT THE OUTPATIENT DIAGNOSTIC CENTER, CREATING A MORE PRIVATE, CALM ENVIRONMENT FOR PATIENTS. THE UPCOMING MRI UNIT WILL FURTHER STREAMLINE BREAST BIOPSY SERVICES, REDUCE PATIENT STRESS AND SIMPLIFY CARE.NUCLEAR MEDICINE AT PMC IS ALSO EXPANDING RAPIDLY, WITH CAPABILITIES EXTENDING WELL BEYOND TRADITIONAL ONCOLOGY IMAGING. THE DEPARTMENT NOW OFFERS SPECIALIZED SCANS FOR NEUROENDOCRINE TUMORS AND PROSTATE-SPECIFIC PET IMAGING, DELIVERING HIGHLY ACCURATE RESULTS THROUGH ADVANCED TARGETING TECHNIQUES. THESE SERVICES ARE CRUCIAL FOR EARLY DETECTION AND TREATMENT PLANNING OF RARE AND AGGRESSIVE CANCERS. ADDITIONALLY, PMC HAS IMPLEMENTED EARLY-ONSET ALZHEIMER'S IMAGING PROTOCOLS, PROVIDING PATIENTS AND FAMILIES WITH VALUABLE INSIGHTS TO INFORM CARE DECISIONS EARLIER IN THE DISEASE COURSE. LOOKING AHEAD, PMC PLANS TO INTRODUCE BREAST CANCER PET IMAGING, REINFORCING ITS COMMITMENT TO COMPREHENSIVE BREAST HEALTH CARE AND EARLY DETECTION.THESE ADVANCEMENTS FROM CUTTING-EDGE CARDIAC IMAGING AND DRIVE-THRU DIAGNOSTICS TO PIONEERING NUCLEAR MEDICINE EMBODY PMC'S BROADER VISION: ENSURING PATIENTS IN EASTERN KENTUCKY AND CENTRAL APPALACHIA RECEIVE WORLD-CLASS DIAGNOSTIC CARE WITHOUT LEAVING THE REGION. PMC'S DIAGNOSTIC APPROACH PRIORITIZES ACCESSIBILITY, INNOVATION, AND PATIENT COMFORT. CONTINUED INVESTMENTS IN EXPERT TALENT, STATE-OF-THE-ART TECHNOLOGY, AND FACILITY UPGRADES ENSURE THAT DIAGNOSTIC EXCELLENCE IS NOT LIMITED TO METROPOLITAN CENTERS BUT IS A STANDARD AVAILABLE TO EVERY COMMUNITY PMC SERVES.MEETING THE GROWING DEMAND FOR ADVANCED DIAGNOSTICS, PMC'S DIAGNOSTIC SERVICES ARE SHAPING THE FUTURE OF HEALTHCARE IN THE REGION. WITH FULL ACR ACCREDITATION IN FIVE KEY IMAGING AREAS, A MULTIDISCIPLINARY TEAM OF CERTIFIED TECHNOLOGISTS, AND EXPANDED OUTPATIENT AND DRIVE-THRU OPTIONS, PMC IS TRANSFORMING HOW AND WHERE PATIENTS RECEIVE CARE. FROM BREAST CANCER DETECTION TO ALZHEIMER'S IMAGING, TRAUMA SUPPORT TO ROUTINE LAB DRAWS, PMC REMAINS DEDICATED TO DELIVERING ACCURATE, EFFICIENT, AND COMPASSIONATE DIAGNOSTIC SERVICES, SETTING A NEW BENCHMARK FOR COMMUNITY-CENTERED HEALTHCARE INNOVATION NOW AND INTO THE FUTURE.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$311,206,223	ExpenseAmt
Grant	$384,536	GrantAmt
Revenue	$369,546,365	RevenueAmt
Desc	ALL OTHER PROGRAMS: COMMITTED TO CARE. CALLED TO SERVEPIKEVILLE MEDICAL CENTER (PMC), A 348-BED TERTIARY CARE FACILITY, OFFERS HIGH-QUALITY, COMPREHENSIVE HEALTHCARE TO EASTERN KENTUCKY AND THE CENTRAL APPALACHIAN REGION. FOR DECADES, THE COMMUNITIES SERVED BY PIKEVILLE MEDICAL CENTER HAVE FACED PERSISTENT CHALLENGES IN ACCESSING HIGH-QUALITY HEALTHCARE. GEOGRAPHIC ISOLATION, ECONOMIC HARDSHIP, AND A SHORTAGE OF MEDICAL PROFESSIONALS HAVE ALL CONTRIBUTED TO SIGNIFICANT BARRIERS IN RECEIVING TIMELY AND COMPREHENSIVE MEDICAL TREATMENT. DESPITE THESE LONGSTANDING DIFFICULTIES, PMC HAS EMERGED AS A CRUCIAL LIFELINE, STEADILY WORKING TO BRIDGE THE GAP AND PROVIDE ADVANCED, COMPASSIONATE CARE TO THE PEOPLE OF EASTERN KENTUCKY AND THE SURROUNDING APPALACHIAN REGION. 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 3,400 EMPLOYEES, INCLUDING OVER 600 LICENSED MEDICAL PROVIDERS.THE HOSPITAL OPENED ITS DOORS IN DECEMBER 1924 AS A SMALL, RURAL HOSPITAL WITH JUST 50 BEDS. OVER THE PAST CENTURY, IT HAS GROWN INTO A LEADING REGIONAL MEDICAL COMPLEX. TODAY, THE FACILITY INCLUDES 348 LICENSED BEDS, FEATURING 16 NEONATAL LEVEL II BASSINETS, 22 NURSERY BASSINETS, AND 20 INPATIENT PHYSICAL REHABILITATION BEDS. THE HOSPITAL OPERATES 17 AMBULATORY CLINIC LOCATIONS, OFFERING MORE THAN 400 SERVICES, INCLUDING MOST MAJOR SPECIALTIES AND MANY SUBSPECIALTIES, AND ENCOMPASSES NEARLY 1.5 MILLION SQUARE FEET ACROSS ITS MAIN FACILITY, SATELLITE CLINICS AND SUPPORT SERVICE AREAS. IT ALSO HOUSES 11 CENTERS OF EXCELLENCE, POSITIONING IT AS A HUB FOR ADVANCED, COMPREHENSIVE HEALTHCARE IN THE REGION.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 OF 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 PROGRESSIVE PHYSICAL GROWTH AND EXPANSION OF SPECIALTY SERVICE OFFERINGS, INCLUDING TRAUMA SERVICES AND PEDIATRIC SPECIALTY SERVICES, HAVE 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; 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. REAFFIRMING OUR COMMITMENT TO PEDIATRIC EXCELLENCEIN DECEMBER 2021, PMC PEDIATRICS REAFFIRMED ITS COMMITMENT TO ADVANCING PEDIATRIC CARE, RECOGNIZING THAT A CHILD'S HEALTH IS A FAMILY'S TOP PRIORITY. FROM ROUTINE CHECKUPS TO ACUTE CARE, PMC OFFERS EXPERT PEDIATRIC SERVICES CLOSE TO HOME, ENSURING THAT FAMILIES RECEIVE COMPASSIONATE, HIGH-QUALITY SUPPORT AT EVERY STAGE. FAMILIES TRUST PMC PEDIATRICS FOR ITS MULTIDISCIPLINARY APPROACH TO CHILDREN'S PHYSICAL, EMOTIONAL, AND DEVELOPMENTAL HEALTH, ACCESS TO PEDIATRIC SUBSPECIALISTS WHEN NEEDED AND THE STRENGTH OF A FULL REGIONAL MEDICAL CENTER. AT THE HEART OF THE PEDIATRIC CARE INITIATIVE IS METTU CHILDREN'S HOSPITAL (MCH), A DEDICATED INPATIENT FACILITY SPECIFICALLY DESIGNED FOR CHILDREN. IT FEATURES PRIVATE ROOMS EQUIPPED FOR OVERNIGHT STAYS BY PARENTS AND A CARE TEAM THAT INCLUDES PEDIATRICIANS, HOSPITALISTS AND CHILD LIFE SPECIALISTS. WITH A FAMILY-CENTERED MODEL AND 24/7 SUPPORT, THE HOSPITAL HAS THREE PEDIATRIC HOSPITALISTS. METTU CHILDREN'S HOSPITAL IS A SPACE FOR HEALING AND HOPE. COMPLEMENTING INPATIENT CARE IS THE PEDIATRIC SPECIALTY CLINIC LOCATED IN THE MAIN HOSPITAL. ALSO, NOW PMC OFFERS SPECIALIZED CARE IN PEDIATRIC GASTROENTEROLOGY, PROVIDING COMPREHENSIVE TREATMENT FOR A RANGE OF CONDITIONS INCLUDING LIVER DISEASE, IBD, FOOD ALLERGIES AND FUNCTIONAL GI DISORDERS. IN PARTNERSHIP WITH UK HEALTHCARE, PMC ALSO OFFERS PEDIATRIC SPECIALTY SERVICES IN CARDIOLOGY, PULMONOLOGY, AND BARIATRIC MEDICINE. PMC HAS A CERTIFIED PEDIATRIC-READY EMERGENCY DEPARTMENT TO COVER PEDIATRIC EMERGENCIES. A ROBUST SCHOOL TELEHEALTH PROGRAM FURTHER EXTENDS ACCESS TO CARE, SERVING EVERY PIKE COUNTY DISTRICT SCHOOL. AT PMC PEDIATRICS, THE GOAL IS SIMPLE: TO PROVIDE EXPERT, COMPASSIONATE CARE THAT MEETS THE UNIQUE NEEDS OF CHILDREN AND SUPPORTS FAMILIES EVERY STEP OF THE WAY.DELIVERING CARE WHERE IT'S NEEDED MOST (INPATIENT AND OUTPATIENT) PMC CONTINUES TO REAFFIRM ITS LEADERSHIP ROLE IN HEALTHCARE ACROSS EASTERN KENTUCKY AND THE CENTRAL APPALACHIAN REGION. WITH A STEADFAST COMMITMENT TO DELIVERING ADVANCED, COMPASSIONATE, AND PATIENT-CENTERED CARE, PMC SERVED A SUBSTANTIAL NUMBER OF PATIENTS ACROSS A BROAD SPECTRUM OF SERVICES, DEMONSTRATING BOTH CAPACITY AND EXCELLENCE IN MEDICAL CARE DELIVERY. AT PMC, EVERY PATIENT INTERACTION REPRESENTS A COMMITMENT TO IMPROVING LIVES ACROSS EASTERN KENTUCKY AND THE CENTRAL APPALACHIAN REGION. AS A CORNERSTONE OF HEALTH IN THE COMMUNITY, PMC HAS EXPERIENCED CONTINUED GROWTH AND DIVERSIFICATION IN CARE DELIVERY, ENSURING THAT HIGH-QUALITY, SPECIALIZED MEDICAL SERVICES ARE AVAILABLE WHEN AND WHERE THEY ARE NEEDED MOST. IN THE PAST YEAR, PMC SERVED AN EXCEPTIONAL VOLUME OF PATIENTS ACROSS INPATIENT, OUTPATIENT, SPECIALTY, AND EMERGENCY SETTINGS, REFLECTING THE ORGANIZATION'S OPERATIONAL STRENGTH AND THE TRUST PLACED IN IT BY THE REGION.DURING FY 2024, 11,305 PATIENTS WERE ADMITTED FOR INPATIENT CARE. THIS VOLUME REFLECTS PMC'S ABILITY TO MANAGE A BROAD RANGE OF HEALTH CONDITIONS, FROM SURGICAL RECOVERY AND CHRONIC DISEASE MANAGEMENT TO CRITICAL CARE AND SPECIALTY TREATMENTS. THE HIGH INPATIENT NUMBERS ALSO REFLECT THE HOSPITAL'S REPUTATION AS A REGIONAL REFERRAL CENTER, ATTRACTING PATIENTS FROM SURROUNDING COUNTIES WHO REQUIRE ADVANCED DIAGNOSTICS, SPECIALIZED PROCEDURES, AND LONG-TERM MONITORING.PMC'S INPATIENT SERVICES INCLUDE MEDICAL-SURGICAL, CARDIOLOGY, ONCOLOGY, ORTHOPEDICS, NEUROLOGY, WOMEN'S HEALTH, AND INTENSIVE CARE UNITS ALL STAFFED BY HIGHLY TRAINED MEDICAL PROFESSIONALS AND SUPPORTED BY CUTTING-EDGE TECHNOLOGY. THE HOSPITAL'S CONTINUOUS INVESTMENT IN MODERN INFRASTRUCTURE AND EVIDENCE-BASED PRACTICES ENSURES THAT EVERY INPATIENT RECEIVES HIGH-QUALITY CARE TAILORED TO THEIR INDIVIDUAL NEEDS.COMMITMENT TO EXCELLENCE AND COMMUNITY HEALTHAS ONE OF THE LARGEST EMPLOYERS AND HEALTHCARE PROVIDERS IN THE REGION, PIKEVILLE MEDICAL CENTER CONTINUES TO INVEST IN CLINICAL EXCELLENCE, COMMUNITY OUTREACH, AND STAFF DEVELOPMENT. THE HOSPITAL REMAINS FOCUSED ON:- EXPANDING ACCESS TO CARE THROUGH TELEMEDICINE AND OUTREACH CLINICS- IMPROVING PATIENT OUTCOMES THROUGH CONTINUOUS QUALITY IMPROVEMENT INITIATIVES- SUPPORTING THE LOCAL ECONOMY WITH JOB CREATION AND COMMUNITY PARTNERSHIPS- EDUCATING FUTURE HEALTHCARE PROFESSIONALS THROUGH RESIDENCY AND TRAINING PROGRAMSWITH OVER 11,000 INPATIENT ADMISSIONS, 45,000 EMERGENCY VISITS, AND MORE THAN 380,000 OUTPATIENT CLINIC VISITS, PIKEVILLE MEDICAL CENTER REMAINS A CORNERSTONE OF HEALTH AND HEALING FOR EASTERN KENTUCKY. THE NUMBERS REFLECT MORE THAN VOLUME. THEY REPRESENT LIVES TOUCHED, FAMILIES HELPED, AND A COMMUNITY STRENGTHENED BY THE PRESENCE OF A TRUSTED HEALTHCARE PROVIDER.(CONTINUED ON SCHEDULE O)	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$311,206,223	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$384,536	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$369,546,365	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$588,236,749	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	Yes (1)	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	412	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4001	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	Yes (1)	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)	$24,227	$0	$0
WILLIAM D BLACKBURN
BOARD CHAIR/PRESIDENT/CEO	40.00	1.00	Yes (X)	Yes (X)	$1,137,244	$0	$50,061
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)		$23,000	$0	$0
JULIUS CLINTON MARTIN II
BOARD MEMBER	4.00	1.00	Yes (X)		$23,000	$0	$0
MARY SIMPSON PHD
BOARD MEMBER	3.00		Yes (X)		$23,000	$0	$0
JYOTHI METTU MD
BOARD MEMBER	3.00		Yes (X)		$23,000	$0	$0
DAVID BAIRD
BOARD MEMBER	3.00		Yes (X)		$0	$0	$33,944
AARON CRUM MD
EX-OFFICIO/CMO/ASSISTANT CEO	40.00	1.00	Yes (X)		$916,298	$0	$16,117
ROBERT SHURTLEFF
BOARD MEMBER	3.00		Yes (X)		$23,000	$0	$0
LINDA WAGNER-JUSTICE
BOARD MEMBER	3.00		Yes (X)		$23,000	$0	$0
PHILLIP D REED
BOARD MEMBER	3.00		Yes (X)		$23,000	$0	$0
ERICH BLACKBURN
EX-OFFICIO/CHIEF LEGAL OFFICER-SR. VP	40.00		Yes (X)		$565,923	$0	$50,061
JOHN WATSON MD
BOD/CHIEF OF STAFF/HOSPITALIST (END 12/23)	40.00		Yes (X)		$372,583	$0	$34,997
MICHELLE HAGY
EX-OFFICIO/CFO/SR. VP FINANCE	40.00		Yes (X)	Yes (X)	$499,688	$0	$50,006
JENNIFER ERIN MULLINS MD
BOD/CHIEF OF STAFF/OBGYN (BEG 01/24)	40.00		Yes (X)		$448,010	$0	$47,411
MELISSA THACKER
CHIEF QUALITY OFFICER-SR. VP	40.00				$296,019	$0	$15,902	Yes (X)
KANSAS JUSTICE
CHIEF OPERATING OFFICER-SR. VP	40.00				$487,468	$0	$46,311	Yes (X)
CHERYL HICKMAN
CHIEF REGULATORY OFFICER-SR. VP (END 07/24)	40.00				$296,004	$0	$39,968	Yes (X)
MICHELLE RAINEY
CHIEF NURSING OFFICER-SR. VP	40.00				$390,690	$0	$48,581	Yes (X)
TONY DAMRON
CHIEF INFORMATION OFFICER-SR. VP	40.00				$310,391	$0	$42,939	Yes (X)
MARCUS CONLEY
VP FINANCE	40.00				$241,246	$0	$41,177	Yes (X)
KEITH HALL MD
ORTHOPEDIC SURGEON	40.00				$1,929,281	$0	$50,061		Yes (X)
KEVIN PUGH MD
ORTHOPEDIC SURGEON	40.00				$1,679,891	$0	$46,311		Yes (X)
CHRISTOPHER REYNOLDS MD
ELECTROPHYSIOLOGIST	40.00				$1,196,310	$0	$46,311		Yes (X)
KENNETH KOVAL MD
ORTHOPEDIC TRAUMA SURGEON	40.00				$1,270,116	$0	$50,061		Yes (X)
HAZIM BUKAMUR MD
CRITICAL CARE PHYSICIAN	40.00				$1,213,806	$0	$23,374		Yes (X)
DAVID HALCOMB
FORMER ASSISTANT CFO	40.00				$181,710	$0	$42,273			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$13,663,905	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$775,866	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	420	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	$7,430,767
CROTHALL HEALTHCARE INC
1500 LIBERTY RIDGE DRIVE STE 210	WAYNE	PA	19087	HEALTHCARE SUPPORT SERVICES	$4,492,711
CPS SOLUTIONS LLC
5050 BRADENTON AVE	DUBLIN	OH	43017	PROFESSIONAL SERVICES	$4,479,713
ELLIOTT CONTRACTING INC
PO BOX 3038	PIKEVILLE	KY	41502	CONSTRUCTION SERVICES	$3,954,357
LABORATORY CORP OF AMERICA
PO BOX 12140	BURLINGTON	NC	27216	LABORATORY SERVICES	$3,790,050

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	82	CntrctRcvdGreaterThan100KCnt
Related Organizations	$457,158	RelatedOrganizationsAmt
Government Grants	$4,055,551	GovernmentGrantsAmt
All Other Contributions	$743,119	AllOtherContributionsAmt
Noncash Contributions	$450	NoncashContributionsAmt
Total Contributions	$5,255,828	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE RE	Desc
Business	621999	BusinessCd
Total Revenue Column	$632,843,410	TotalRevenueColumnAmt
Related Or Exempt Func Income	$632,843,410	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$632,843,410	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,849,187	TotalRevenueColumnAmt
Exclusion	$9,849,187	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,990	TotalRevenueColumnAmt
Exclusion	$2,990	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$246,162	RealAmt
Personal	$1,306,797	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$287,722	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$41,560	RealAmt
Personal	$1,306,797	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,265,237	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$46,994	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,312,231	UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$264,173	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$30,118	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$234,055	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$234,055	TotalRevenueColumnAmt
Exclusion	$234,055	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$79,195,650	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$47,485,923	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$31,709,727	TotalRevenueColumnAmt
Unrelated Business Revenue	$4,119,894	UnrelatedBusinessRevenueAmt
Exclusion	$27,589,833	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA	722310	$3,949,659	$2,889,745	$353,049	$706,865
REBATE INCOME	900099	$2,337,195	$2,337,195
GIFT SHOP SALES	900099	$586,862			$586,862

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$874,390	TotalRevenueColumnAmt
Related Or Exempt Func Income	$874,390	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,748,106	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$688,908,540	TotalRevenueColumnAmt
Related Or Exempt Func Income	$638,897,746	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,785,174	UnrelatedBusinessRevenueAmt
Exclusion	$38,969,792	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	$309,430	TotalAmt
Program Services	$309,430	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$75,106	TotalAmt
Program Services	$75,106	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,113,962	TotalAmt
Program Services	$7,788,884	ProgramServicesAmt
Management And General	$1,325,078	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,498,853	TotalAmt
Program Services	$1,280,935	ProgramServicesAmt
Management And General	$217,918	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$256,206,944	TotalAmt
Program Services	$218,957,030	ProgramServicesAmt
Management And General	$37,249,914	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,768,241	TotalAmt
Program Services	$3,220,377	ProgramServicesAmt
Management And General	$547,864	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$69,118,916	TotalAmt
Program Services	$59,069,721	ProgramServicesAmt
Management And General	$10,049,195	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,404,167	TotalAmt
Program Services	$13,164,556	ProgramServicesAmt
Management And General	$2,239,611	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,214,215	TotalAmt
Program Services	$2,004,882	ProgramServicesAmt
Management And General	$209,333	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$200,253	TotalAmt
Management And General	$200,253	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$95,794	TotalAmt
Management And General	$95,794	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$70,538,689	TotalAmt
Program Services	$63,869,916	ProgramServicesAmt
Management And General	$6,668,773	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,315,389	TotalAmt
Program Services	$2,096,491	ProgramServicesAmt
Management And General	$218,898	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,700,916	TotalAmt
Program Services	$2,445,570	ProgramServicesAmt
Management And General	$255,346	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,050,104	TotalAmt
Program Services	$6,383,583	ProgramServicesAmt
Management And General	$666,521	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$721,760	TotalAmt
Program Services	$653,524	ProgramServicesAmt
Management And General	$68,236	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$494,169	TotalAmt
Program Services	$447,450	ProgramServicesAmt
Management And General	$46,719	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,682,119	TotalAmt
Program Services	$4,673,215	ProgramServicesAmt
Management And General	$8,904	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$32,820,000	TotalAmt
Program Services	$28,033,687	ProgramServicesAmt
Management And General	$4,786,313	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$14,162,054	TotalAmt
Program Services	$12,823,164	ProgramServicesAmt
Management And General	$1,338,890	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES/DRUGS	$109,390,953	$99,049,062	$10,341,891
PROVIDER TAX EXPENSE	$23,989,915	$23,989,915
DUES AND SUBSCRIPTIONS	$15,442,780	$13,982,810	$1,459,970
EQUIPMENT RENTAL & MAIN	$15,425,386	$13,967,060	$1,458,326

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,989,316	TotalAmt
Program Services	$9,950,381	ProgramServicesAmt
Management And General	$1,038,935	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$668,729,431	TotalAmt
Program Services	$588,236,749	ProgramServicesAmt
Management And General	$80,492,682	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$16,245	BOYAmt
EOY	$16,068	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$102,997,799	BOYAmt
EOY	$108,418,107	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,016,123	BOYAmt
EOY	$16,935,917	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$103,157,063	BOYAmt
EOY	$101,695,769	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$21,531,155	BOYAmt
EOY	$23,599,414	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,376,130	BOYAmt
EOY	$7,552,442	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$608,390,347	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$322,852,068	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$290,258,578	BOYAmt
EOY	$285,538,279	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$11,171,322	BOYAmt
EOY	$12,561,769	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,997	BOYAmt
EOY	$5,199	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$122,569,960	BOYAmt
EOY	$149,996,759	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$671,107,372	BOYAmt
EOY	$706,319,723	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$95,945,769	BOYAmt
EOY	$91,120,130	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$14,767,834	BOYAmt
EOY	$24,403,999	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$194,226,777	BOYAmt
EOY	$188,403,235	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,821,660	BOYAmt
EOY	$9,289,668	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$315,762,040	BOYAmt
EOY	$313,217,032	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	$355,139,332	BOYAmt
EOY	$392,896,691	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	$355,345,332	BOYAmt
EOY	$393,102,691	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$671,107,372	BOYAmt
EOY	$706,319,723	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$20,179,109	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$17,578,250	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	$127,440	OtherActivitiesAmt
Total Lobbying Expenditures	$127,440	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 $18,463. $68,978 WAS PAID TO CORNERSTONE GOVERNMENT AFFAIRS AND $40,000 WAS PAID TO COMMONWEALTH ADVOCATE, LLC 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	$336,263,474	OtherCostOrOtherBasisAmt
Depreciation	$150,203,028	DepreciationAmt
Book Value	$186,060,446	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,233,545	OtherCostOrOtherBasisAmt
Depreciation	$2,224,350	DepreciationAmt
Book Value	$9,195	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$231,269,353	OtherCostOrOtherBasisAmt
Depreciation	$164,014,357	DepreciationAmt
Book Value	$67,254,996	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,028,275	OtherCostOrOtherBasisAmt
Depreciation	$6,410,333	DepreciationAmt
Book Value	$16,617,942	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$285,538,279	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT - CUSTODY ACCOUNT	$8,599,993
ASSETS WHOSE USE IS LIMITED - SELF INSURED TRUST	$37,089,418
CTIC - INVESTMENT MANAGEMENT ACCOUNT	$97,366,659
ROU ASSET - FINANCE LEASE	$1,492,152
ROU ASSET - OPERATING LEASE	$3,536,260
RELATED PARTY RECEIVABLE	$1,415,536
ESTIMATE DUE FROM GOVERNMENT	$496,741

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$149,996,759	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
RESERVES-RECIPROCAL AMER CLAIMS	$1,578,111
RES FOR WORKERS COMPENSATION CLAIMS	$2,320,688
ROU ASSET - OPERATING LEASE LIABILITY	$3,536,260
ROU ASSET - FINANCE LEASE LIABILITY	$1,854,609

Field	Value	IRS element (for citing)
Total Liability	$9,289,668	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, 2024 AND 2023. THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2024 AND 2023 THAT WOULD REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. AT SEPTEMBER 30, 2024, TAX RETURNS FILED FOR 2021 THROUGH 2023 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	0	ExpensesExceedBudgetInd
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	$3,422,951	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,422,951	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$159,818,381	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$157,646,247	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,172,134	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$163,241,332	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$157,646,247	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,595,085	NetCommunityBenefitExpnsAmt
Total Expense	0.00830	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	160	ActivitiesOrProgramsCnt
Persons Served	3324	PersonsServedCnt
Total Community Benefit Expns	$409,988	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$680	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$409,308	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	1332	PersonsServedCnt
Total Community Benefit Expns	$340,189	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$479,875	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	34	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$225,531	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$225,531	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	206	ActivitiesOrProgramsCnt
Persons Served	4656	PersonsServedCnt
Total Community Benefit Expns	$975,708	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$480,555	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$634,839	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	206	ActivitiesOrProgramsCnt
Persons Served	4656	PersonsServedCnt
Total Community Benefit Expns	$164,217,040	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$158,126,802	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,229,924	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$100,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$100,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	71	ActivitiesOrProgramsCnt
Persons Served	27420	PersonsServedCnt
Total Community Benefit Expns	$119,687	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,115	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$114,572	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	3032	PersonsServedCnt
Total Community Benefit Expns	$23,125	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,125	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	135	ActivitiesOrProgramsCnt
Persons Served	8567	PersonsServedCnt
Total Community Benefit Expns	$3,159,773	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,156,773	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	219	ActivitiesOrProgramsCnt
Persons Served	39019	PersonsServedCnt
Total Community Benefit Expns	$3,402,585	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,115	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,394,470	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,625,187	BadDebtExpenseAmt
Reimbursed By Medicare	$84,039,407	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$92,047,744	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$8,008,337	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 (5 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 WERE 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 INITIATIVES 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 OPPORTUNITIES 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 19E: PMC UTILIZED AN EXTERNAL COLLECTION AGENCY BEGINNING IN FY 2022 TO ASSIST IN COLLECTIONS OF BAD DEBT. ALL REASONABLE EFFORTS WERE TAKEN TO DETERMINE THE INDIVIDUAL'S ELIGIBLILITY UNDER THE FAP PRIOR TO COLLECTION EFFORTS.
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	11	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 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 APPALACHIAN VALLEY AUTISM CENTER-PRE
631 SOUTH LAKE DRIVE	PRESTONBURG	KY	41653	AUTISM CENTER
6 - PMC HOME MEDICAL EQUIPMENT
138 S MAYO TRAIL	PIKEVILLE	KY	41501	MEDICAL EQUIPMENT/SUPPLY RENTALS/SALES
7 - PMC SPECIALTY CLINIC-WHITESBURG
107 MEDICAL PLAZA LANE	WHITESBURG	KY	41858	PHYSICIAN PRACTICE
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
11 - PMC SPECIALTY CLINIC-HAZARD
243 ROY CAMPBELL DRIVE STE B	HAZARD	KY	41701	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 EASTERN KENTUCKY AND THE BROADER CENTRAL APPALACHIAN REGION BUT TO ALSO IMPROVE THE MENTAL AND SPIRITUAL WELL BEING OF THOSE WE SERVE, ALL VITAL COMPONENTS REQUIRED TO FURTHER DEVELOP THE REGION BOTH SOCIALLY AND ECONOMICALLY. DURING FY 2024, PIKEVILLE MEDICAL CENTER REPORTED PARTICIPATION IN 219 COMMUNITY BUILDING ACTIVITIES, SERVING MORE THAN 39,000 PEOPLE AND TOTALING MORE THAN $3,400,000. 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, HEALTH FAIRS, THE BRIDGE EVENT, CAREER FAIRS AND RECRUITMENT OF NEARLY 300 HEALTHCARE PROFESSIONALS.
PART III, LINE 3:	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 0.183245 FROM THE FYE 2024 COST REPORT WORKSHEET 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 2024, HOSPITAL REPRESENTATIVES FROM VARIOUS DEPARTMENTS PRESENTED TO LOCAL CIVIC CLUBS, MEDICAL PROFESSIONALS, AND THE PUBLIC AT LARGE. THROUGH ITS COMMUNITY EDUCATION EFFORTS IN FY 2024, PMC REACHED MORE THAN 7,000 PARTICIPANTS.PMC EMPLOYEES PARTICIPATED IN THE FOLLOWING LECTURES/PRESENTATIONS AND COMMUNITY EVENTS DURING FY 2024:- BELFRY AREA READIFEST- BE THE BEAT/GRANDPA'S CROOKED SMILE- BIG SANDY SENIOR GAMES- COLORS OF COURAGE 5K RUN- COMMUNITY HELPERS DAY- COLON CANCER COMMUNITY OUTREACH - ELEVATE/BRIGHT EVENT- HILLBILLY DAYS EDUCATION BOOTH- LAWSON CANCER CENTER ICE CREAM SOCIAL- PMC BOOTH AT NIGHTMARE ON MAIN- RETIRED TEACHERS' HEALTH FAIR- SKIN CARE AWARENESS- SHAPING OUR APPALACHIAN REGION- SMOKING CESSATION TABLING EVENT- VALENTINE'S DAY CELEBRATION CANCER SURVIVORS- WILDWOOD GARDEN CLUB- YMCA BACK TO SCHOOL BASH- YMCA SAFE CHILD TRICK OR TREAT
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 2024 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 $8,008,337. THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED SEPT. 30, 2024 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST.
PART III, LINE 9B:	PMC WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) AGAINST PATIENTS BEFORE MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER PMC'S FINANCIAL ASSISTANCE POLICY. PMC MAKES REASONABLE EFFORTS TO ORALLY NOTIFY THE PATIENT ABOUT PMC'S FINANCIAL ASSISTANCE POLICY AND HOW THEY MAY RECEIVE ASSISTANCE WITH THE APPLICATION PROCESS. EACH PATIENT BILLING STATEMENT AND ALL WRITTEN COMMUNICATIONS CONCERNING THE PATIENT'S BILL INCLUDE A CONSPICUOUS WRITTEN NOTICE THAT INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE, THE NOTICE INCLUDES THE TELEPHONE NUMBER OF PMC'S PATIENT FINANCIAL COUNSELING DEPARTMENT AS WELL AS THE WEB SITE ADDRESS WHERE COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL APPLICATION FORMS, AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY MAY BE OBTAINED. IN ADDITION, BILLING DEPARTMENT PERSONNEL INFORM EACH PATIENT ABOUT PMC'S FAP IN ORAL COMMUNICATIONS REGARDING AMOUNTS DUE. ONCE A PATIENT HAS BEEN DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE IN-HOUSE SLIDING SCALE PROGRAM, THEIR ELIGIBILITY WILL REMAIN INTACT FOR A TERM OF ONE (1) YEAR FROM THE DATE OF APPROVAL UNLESS PMC BECOMES AWARE OF A MATERIAL CHANGE IN THE PATIENT'S FINANCIAL CIRCUMSTANCES.
PART VI, LINE 2:	IN ORDER TO ASSESS OUR COMMUNITY'S HEALTH-RELATED NEEDS, PIKEVILLE MEDICAL CENTER UTILIZES SEVERAL REPORTS LOOKING AT THE SERVICES THEY PROVIDE, IN COMPARISON TO OTHER HOSPITALS, AS WELL AS, REPORTS INDICATING THE SPECIALTIES THAT ARE IMPACTED BY PHYSICIAN REFERRALS. PMC ALSO KEEPS A RECORD OF PREVIOUS COMMUNITY EVENTS HOSTED, TRACKING THEIR SUCCESS. FOR EXAMPLE: WHEN A FREE HEALTH SCREENING EVENT IS HELD, A RECORD IS KEPT OF THE NUMBER OF ATTENDEES INCLUDING THEIR RESULTS.
PART VI, LINE 3:	PIKEVILLE MEDICAL CENTER USES SEVERAL DIFFERENT MEANS TO COMMUNICATE AND EDUCATE OUR PATIENTS ON ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER FEDERAL, STATE AND LOCAL GOVERNMENTS, AS WELL AS THE PMC IN-HOUSE SLIDING SCALE PROGRAM. THE FINANCIAL ASSISTANCE PROGRAM POLICY, THE DSH PROGRAM APPLICATION FORM, THE IN-HOUSE SLIDING SCALE PROGRAM APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY OF THIS POLICY IS AVAILABLE FREE OF CHARGE ON PMC'S WEBSITE; PAPER COPIES OF THE POLICY, THE DSH PROGRAM APPLICATION FORM, THE IN-HOUSE SLIDING SCALE PROGRAM APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY OF THE POLICY ARE AVAILABLE FREE OF CHARGE UPON REQUEST IN PMC'S EMERGENCY, REGISTRATION AND BILLING DEPARTMENTS AND BY MAIL; A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY OF THE POLICY IS OFFERED TO PATIENTS AS PART OF THE INTAKE PROCESS UNLESS IT IS NOT FEASIBLE TO DO SO DUE TO AN EMERGENCY OR OTHER CIRCUMSTANCES IN WHICH CASE PMC WILL OFFER A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY AS PART OF THE DISCHARGE PROCESS; VISITORS TO PMC ARE INFORMED AND NOTIFIED ABOUT THE POLICY THROUGH CONSPICUOUS PUBLIC DISPLAYS AT PMC; RESIDENTS OF THE COMMUNITY THAT PMC SERVES ARE INFORMED AND NOTIFIED OF THE POLICY BY STATEMENTS ON PMC'S WEBSITE AND IN MESSAGES PLAYED TO CALLERS TO PMC WHO ARE PLACED ON HOLD THAT PMC OFFERS FINANCIAL ASSISTANCE UNDER A FINANCIAL ASSISTANCE POLICY AND INFORMING THE READER/LISTENER HOW TO OBTAIN MORE INFORMATION; AND BY INCLUDING A CONSPICUOUS WRITTEN NOTICE ON ALL BILLING STATEMENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISATNCE UNDER THIS POLICY AND INCLUDES THE TELEPHONE NUMBER OF PMC'S PATIENT FINANCIAL COUNSELING DEPARTMENT ALONG WITH THE WEB SITE ADDRESS WHERE COPIES OF THIS POLICY, THE APPLICATION FORMS, AND A PLAIN LANGUAGE SUMMARY OF THE POLICY MAY BE OBTAINED.
PART VI, LINE 4:	PIKEVILLE MEDICAL CENTER PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO RESIDENTS OF EASTERN KENTUCKY, SOUTHWEST VIRGINIA AND SOUTHWEST WEST VIRGINIA. PMC RECOGNIZES THE HEALTH AND ACCESS DISPARITIES ACROSS OUR APPALACHIAN MARKET AND IS COMMITTED TO OVERCOMING THESE BARRIERS TO BE THE PROVIDER OF CHOICE FOR HIGH 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 215,976 INDIVIDUALS. THERE IS AN EVEN DISTRIBUTION OF MALES TO FEMALES. THE AVERAGE HOUSEHOLD SIZE IS 2.85 INDIVIDUALS AND 20% OF THE POPULATION IS AGE 65 AND OVER. THE AREA SERVED BY PIKEVILLE MEDICAL CENTER HAS A MEDIAN FAMILY INCOME OF $40,730 WITH 39% OF THE POPULATION LIVING BELOW THE 150% POVERTY LEVEL.
PART VI, LINE 6:	PIKEVILLE MEDICAL CENTER (PMC) IS A 348-BED TERTIARY CARE FACILITY DEDICATED TO DELIVERING HIGH-QUALITY, COMPREHENSIVE HEALTHCARE SERVICES TO EASTERN KENTUCKY AND THE BROADER CENTRAL APPALACHIAN REGION. FOR MANY YEARS, THIS REGION HAS FACED PERSISTENT CHALLENGES RELATED TO GEOGRAPHIC ISOLATION, ECONOMIC HARDSHIP AND A SHORTAGE OF HEALTHCARE PROVIDERS, WHICH HAVE LIMITED TIMELY ACCESS TO ADVANCED MEDICAL CARE. DESPITE THESE OBSTACLES, PMC HAS BECOME A VITAL HEALTHCARE RESOURCE, COMMITTED TO BRIDGING THESE GAPS BY PROVIDING COMPASSIONATE, ADVANCED TREATMENT TO THE COMMUNITIES IT SERVES.SINCE ITS FOUNDING IN 1924 AS A SMALL 50-BED RURAL HOSPITAL, PMC HAS GROWN SIGNIFICANTLY INTO A LEADING REGIONAL MEDICAL COMPLEX. THE CURRENT FACILITY INCLUDES 348 LICENSED BEDS, WITH SPECIALIZED UNITS SUCH AS 16 NEONATAL LEVEL II BASSINETS, 22 NURSERY BASSINETS, AND 20 INPATIENT PHYSICAL REHABILITATION BEDS. THE ORGANIZATION OPERATES 17 AMBULATORY CLINIC LOCATIONS OFFERING OVER 400 MEDICAL SERVICES ACROSS NUMEROUS SPECIALTIES AND SUBSPECIALTIES. THE TOTAL FOOTPRINT OF PMC'S FACILITIES, INCLUDING THE MAIN HOSPITAL, SATELLITE CLINICS AND SUPPORT SERVICES, COVERS NEARLY 1.5 MILLION SQUARE FEET. THE HOSPITAL ALSO MAINTAINS 11 CENTERS OF EXCELLENCE, FURTHER STRENGTHENING ITS ROLE AS A REGIONAL HUB FOR ADVANCED HEALTHCARE.PMC'S MISSION IS "TO ADVANCE THE HEALTH AND WELL-BEING OF OUR REGION THROUGH COMPREHENSIVE CARE IN A CHRISTIAN ENVIRONMENT." GUIDED BY THIS MISSION AND ITS VISION "TO BE THE PROVIDER AND EMPLOYER OF CHOICE FOR HEALTHCARE IN THE REGION WE SERVE," PMC EMPLOYS MORE THAN 3,400 INDIVIDUALS, INCLUDING OVER 600 LICENSED MEDICAL PROVIDERS, WHO WORK COLLABORATIVELY TO DELIVER EXCEPTIONAL CARE EACH DAY.AS ONE OF THE LARGEST EMPLOYERS IN EASTERN KENTUCKY, SOUTHWEST VIRGINIA, AND SOUTHWEST WEST VIRGINIA, PMC PLAYS A CRITICAL ROLE IN THE LOCAL ECONOMY. THE ORGANIZATION RECOGNIZES ITS RESPONSIBILITY IN SUPPORTING THE FINANCIAL STABILITY THAT UNDERPINS POSITIVE HEALTH, SOCIAL AND ECONOMIC OUTCOMES FOR THE REGION. THROUGH ONGOING FACILITY EXPANSIONS AND ENHANCED SPECIALTY SERVICES INCLUDING TRAUMA CARE AND PEDIATRIC SPECIALTIES PMC HAS ESTABLISHED ITSELF AS A KEY REFERRAL CENTER FOR SMALLER COMMUNITY HOSPITALS MANAGING COMPLEX CASES.PMC'S COMPREHENSIVE SERVICES INCLUDE:- A VERIFIED LEVEL II TRAUMA CENTER- A COMMISSION ON CANCER-ACCREDITED FULL-SERVICE CANCER TREATMENT CENTER- HEART & VASCULAR INSTITUTE WITH PRIMARY PCI ACCREDITATION- A 20-BED INPATIENT PHYSICAL REHABILITATION HOSPITAL- AN ACCREDITED GOLD PLUS NEUROSCIENCE CENTER AND NEUROSURGERY SERVICES- LEVEL II ADVANCED NEONATAL INTENSIVE CARE UNIT (NICU)- MBSAQIP ACCREDITED BARIATRIC & MINIMALLY INVASIVE SURGERY CENTER- JOINT COMMISSION GOLD SEAL CERTIFIED ORTHOPEDIC SURGERY & SPORTS MEDICINE PROGRAM- PULMONARY REHABILITATION- THE REGION'S ONLY CHILDREN'S HOSPITAL- SLEEP LAB AND 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).PMC'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) GUIDES THE ORGANIZATION'S EFFORTS TO ALIGN CURRENT SERVICES AND DEVELOP FUTURE PROGRAMS THAT EFFECTIVELY ADDRESS COMMUNITY HEALTH PRIORITIES. THE LATEST CHNA IDENTIFIED HEART HEALTH, CANCER, OBESITY, PEDIATRIC SERVICES, SUBSTANCE ABUSE, AND ECONOMIC CONDITIONS AS THE MOST CRITICAL ISSUES IMPACTING THE POPULATION SERVED.PIKEVILLE MEDICAL CENTER'S HEART AND VASCULAR INSTITUTE (HVI) OF EASTERN KENTUCKY IS COMPRISED OF A TEAM OF CARDIAC SPECIALISTS WHO BRING A BROAD RANGE OF EXPERTISE TO THE PROGRAM. THAT EXPERTISE, COUPLED WITH THE BEST EQUIPMENT AND OPERATING ROOMS AVAILABLE, HAS RESULTED IN A COMPREHENSIVE HEART CARE PROGRAM FOR THE PEOPLE OF THE REGION, THAT IS SECOND TO NONE. HEART DISEASE HAS BEEN A PRIMARY FOCUS OF PMC FOR SEVERAL YEARS. THE HVI MULTI-DISCIPLINARY TEAM OF PHYSICIANS PROVIDES CARDIAC AND VASCULAR SPECIALTY SERVICES TO INCLUDE 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 INCORPORATES STATE-OF-THE-ART THERAPIES AND CUTTING-EDGE TECHNOLOGY IN MINIMALLY INVASIVE INTERVENTIONS. NEW LIFE SAVING AND CURATIVE PROCEDURES THAT ARE PERFORMED AT PMC'S HVI INCLUDE THE AGIOVAC, MAZE, TACTI CATH, TAVR, WATCHMAN DEVICE, AND LEADLESS PACEMAKERS. 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 HEARTS 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. (CONTINUED)
SCHEDULE H PART VI, LINE 6	(CONTINUED) 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 ACCESS TO ALL 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 RECENTLY PLACED IN SERVICE TWO NEW VARIAN RAPIDARC TRUE BEAM LINEAR ACCELERATORS WITH BRAINLAB TECHNOLOGY, ALLOWING LCC TO DELIVER LIFESAVING RADIATION THERAPY TREATMENT 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 TO CONTINUE PROVIDING THE LATEST TECHNOLOGICAL ADVANCEMENTS IN INTERVENTIONS 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. AS AN ADVOCATE FOR EARLY CANCER DIAGNOSIS AND DISEASE PREVENTION PMC ALSO COMPLETED 792 LOW DOSE CT LUNG CANCER SCREENINGS DURING FY 2024, IN ADDITION TO PROVIDING TOBACCO AND VAPING CESSATION CLASSES TO HELP THOSE ADDICTED TO TOBACCO BREAK THE DANGEROUS HABIT AND HOPEFULLY PREVENT THEM FROM NEEDING FUTURE ONCOLOGY TREATMENT SERVICES. THE AVAILABILITY OF THESE LIFE CHANGING AND LIFESAVING TREATMENT SERVICES LOCALLY REDUCES THE BURDEN AND EXPENSE OF TRAVEL ON OUR PATIENTS AND THEIR FAMILIES. PIKEVILLE MEDICAL CENTER RECOGNIZES THAT PREVENTIVE CARE HAS LONG BEEN RECOGNIZED AS THE BEST FORM OF CARE. OBESITY WAS INDICATED TO BE THE NUMBER THREE CONCERN FOR ADULTS AND THE NUMBER ONE CONCERN FOR CHILDREN IN THE AREA ON PMC'S LATEST CHNA. TO HELP COMBAT THESE CONCERNS, PMC WILL CONTINUE TO BE THE COMMUNITY LEADER IN PROMOTING A HEALTHY LIFESTYLE. PMC'S 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 ENDOCRINOLOGY STAFF 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 DISCOUNTED YMCA MEMBERSHIP OFFERING AND AN ONLINE EMPLOYEE HEALTH AND WELLNESS TRACKING TOOL THROUGH WELLABLE. PMC'S NUTRITIONAL TEAM ALSO OFFERS HEALTHY MEAL CHOICES IN THE CAFETERIA WHICH SERVES PATIENTS, VISITORS AND STAFF EACH DAY. MAKING 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.IN DECEMBER 2021, PIKEVILLE MEDICAL CENTER (PMC) PEDIATRICS REAFFIRMED ITS COMMITMENT TO ADVANCING PEDIATRIC HEALTHCARE, RECOGNIZING THAT A CHILD'S HEALTH IS A FUNDAMENTAL PRIORITY FOR FAMILIES. PMC PROVIDES COMPREHENSIVE PEDIATRIC SERVICES RANGING FROM ROUTINE WELLNESS VISITS TO INPATIENT CARE, ENSURING FAMILIES HAVE ACCESS TO EXPERT, COMPASSIONATE CARE CLOSE TO HOME.PMC PEDIATRICS IS TRUSTED FOR ITS MULTIDISCIPLINARY APPROACH ADDRESSING CHILDREN'S PHYSICAL, EMOTIONAL AND DEVELOPMENTAL NEEDS. FAMILIES BENEFIT FROM ACCESS TO PEDIATRIC SUBSPECIALISTS AND THE EXTENSIVE RESOURCES OF A FULL REGIONAL MEDICAL CENTER. CENTRAL TO THIS PEDIATRIC CARE INITIATIVE IS METTU CHILDREN'S HOSPITAL (MCH), A DEDICATED INPATIENT FACILITY DESIGNED EXCLUSIVELY FOR CHILDREN. MCH FEATURES PRIVATE ROOMS THAT ACCOMMODATE OVERNIGHT STAYS BY PARENTS AND A SPECIALIZED CARE TEAM INCLUDING PEDIATRICIANS, HOSPITALISTS AND CHILD LIFE SPECIALISTS. THE HOSPITAL OPERATES UNDER A FAMILY-CENTERED CARE MODEL WITH 24/7 SUPPORT, STAFFED BY THREE PEDIATRIC HOSPITALISTS. METTU CHILDREN'S HOSPITAL SERVES AS A PLACE OF HEALING AND HOPE FOR CHILDREN AND THEIR FAMILIES.IN ADDITION TO INPATIENT SERVICES, PMC OFFERS OUTPATIENT PEDIATRIC SPECIALTY CARE THROUGH THE PEDIATRIC SPECIALTY CLINIC LOCATED WITHIN THE MAIN HOSPITAL. RECENTLY, PMC EXPANDED ITS PEDIATRIC SERVICES TO INCLUDE GASTROENTEROLOGY, PROVIDING COMPREHENSIVE TREATMENT FOR CONDITIONS SUCH AS LIVER DISEASE, INFLAMMATORY BOWEL DISEASE (IBD), FOOD ALLERGIES AND FUNCTIONAL GASTROINTESTINAL DISORDERS. IN PARTNERSHIP WITH UK HEALTHCARE, PMC ALSO OFFERS PEDIATRIC SPECIALTY CARE IN CARDIOLOGY, PULMONOLOGY AND BARIATRIC MEDICINE.PMC'S PEDIATRIC-READY EMERGENCY DEPARTMENT IS FULLY CERTIFIED TO ADDRESS PEDIATRIC EMERGENCIES WITH SPECIALIZED CARE. FURTHER EXTENDING ACCESS TO HEALTHCARE, PMC OPERATES A ROBUST SCHOOL TELEHEALTH PROGRAM THAT SERVES EVERY PIKE COUNTY SCHOOL DISTRICT, ENSURING CHILDREN RECEIVE TIMELY MEDICAL ATTENTION WITHIN THEIR COMMUNITY.AT PMC PEDIATRICS, THE MISSION REMAINS CLEAR AND STEADFAST: TO DELIVER EXPERT, COMPASSIONATE CARE THAT IS THOUGHTFULLY TAILORED TO ADDRESS THE UNIQUE PHYSICAL, EMOTIONAL AND DEVELOPMENTAL NEEDS OF EVERY CHILD. RECOGNIZING THAT PEDIATRIC HEALTHCARE EXTENDS BEYOND CLINICAL TREATMENT, PMC IS DEDICATED TO SUPPORTING FAMILIES AT EVERY STAGE OF THEIR CHILD'S HEALTHCARE JOURNEYWHETHER THROUGH PREVENTIVE WELLNESS VISITS, MANAGEMENT OF CHRONIC CONDITIONS, OR ACUTE INPATIENT CARE. THIS COMMITMENT INCLUDES FOSTERING A NURTURING ENVIRONMENT WHERE FAMILIES ARE ACTIVELY ENGAGED AS PARTNERS IN CARE DECISIONS, ENSURING CHILDREN RECEIVE HOLISTIC SUPPORT THAT PROMOTES THEIR OVERALL WELL-BEING AND HEALTHY GROWTH. BY COMBINING ADVANCED MEDICAL EXPERTISE WITH EMPATHY AND UNDERSTANDING, PMC PEDIATRICS STRIVES TO BE A TRUSTED RESOURCE FOR FAMILIES, PROVIDING REASSURANCE AND HOPE THROUGHOUT THEIR CHILD'S HEALTH AND HEALING PROCESS.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 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. (CONTINUED)
SCHEDULE H PART VI, LINE 6	(CONTINUED)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, WE BELIEVE, HAS RESULTED IN A SIGNIFICANT IMPACT ON THE OVERALL HEALTH OF THE GENERAL POPULATION OF THE REGION AND THE ORGANIZATIONS THAT 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 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 ELLIOTT SCHOOL OF NURSING, AND AMERICAN NATIONAL UNIVERSITY TO EXPAND CAMPUS SPACE AND INCREASE CLASS SIZES, IN ADDITION TO OFFERING FELLOWSHIP PROGRAMS THAT PROVIDE FINANCIAL ASSISTANCE TO STUDENTS FOCUSING ON DEVELOPING MEDICAL SKILLS. PMC'S CONTINUED PARTNERSHIP WITH THESE POST-SECONDARY INSTITUTIONS ALONG WITH THE PMC IN-HOUSE TRAINING PROGRAMS DEVELOPED FOR CERTAIN POSITIONS INCLUDING PHLEBOTOMISTS, PATIENT CARE TECHNICIANS, AND MEDICAL ASSISTANTS, WHICH ALLOWS STUDENTS TO OBTAIN THEIR CERTIFICATIONS WHILE WORKING AT PMC, WILL SUBSTANTIALLY SOLVE THE PUBLIC HEALTH CRISIS OF INADEQUATE NURSING AND SKILLED HEALTHCARE STAFFING 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. 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	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
CITY OF PIKEVILLE
234 MAIN STREET	PIKEVILLE	KY	41501	616001897	CITY OF PIKEVILLE	$25,000	$100,968	FMV	DONATION OF 3 LIFEPAK DEFIBRILLATORS & ACCESSORIES	SPONSOR EVENT
SOUTHEAST KENTUCKY CHAMBER OF COMMERCE
178 COLLEGE STREET	PIKEVILLE	KY	41501	610544068	501(C)(6)	$16,250	$0			SPONSOR EVENTS
CEDAR INC
PO BOX 2152	PIKEVILLE	KY	41501	611244951	501(C)(3)	$15,545	$0			SPONSOR PROGRAM
PIKEVILLE INDEPENDENT SCHOOLS
148 SECOND STREET	PIKEVILLE	KY	41501	616001430	CITY OF PIKEVILLE	$14,167	$0			SPONSOR PROGRAMS
KENTUCKY CHAMBER FOUNDATION
464 CHENAULT ROAD	FRANKFORT	KY	40601	611284992	501(C)(3)	$12,500	$0			SPONSOR EVENT
SHAPING OUR APPALACHIAN REGION INC
134 MAIN STREET SUITE 300	PIKEVILLE	KY	41501	371760428	501(C)(3)	$100,000	$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

Field	Value	IRS element (for citing)
Grant Type	ASSISTANCE TO UNINSURED PATIENTS FOR PRESCRIPTIONS, TRANSPORTATION, MEDICAL EQUIPMENT, CANCER TREATMENT TRAVEL ASSISTANCE	GrantTypeTxt
Recipient	440	RecipientCnt
Non Cash Assistance	$75,106	NonCashAssistanceAmt
Valuation Method Used	FMV	ValuationMethodUsedDesc
Non Cash Assistance	421 RECIPIENTS OF 139 PRESCRIPTIONS PROVIDED, 331 INSTANCES OF TRAVEL ASSISTANCE, 15 MEDICAL EQUIPMENT PURCHASES/RENTALS AND 19 RECIPIENTS OF LODGING OR OTHER FINANCIAL ASSISTANCE.	NonCashAssistanceDesc

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	$1,042,339	$0	$854,150	$0	$32,792	$0	$15,000	$0	$35,061	$0	$1,979,342	$0	$0	$0
KEVIN PUGH MD
ORTHOPEDIC SURGEON	$1,016,908	$0	$662,533	$0	$450	$0	$11,250	$0	$35,061	$0	$1,726,202	$0	$0	$0
KENNETH KOVAL MD
ORTHOPEDIC TRAUMA SURGEON	$1,267,906	$0	$0	$0	$2,210	$0	$15,000	$0	$35,061	$0	$1,320,177	$0	$0	$0
CHRISTOPHER REYNOLDS MD
ELECTROPHYSIOLOGIST	$1,196,010	$0	$0	$0	$300	$0	$11,250	$0	$35,061	$0	$1,242,621	$0	$0	$0
HAZIM BUKAMUR MD
CRITICAL CARE PHYSICIAN	$1,213,506	$0	$0	$0	$300	$0	$0	$0	$23,374	$0	$1,237,180	$0	$0	$0
WILLIAM D BLACKBURN
BOARD CHAIR/PRESIDENT/CEO	$949,290	$0	$0	$0	$187,954	$0	$15,000	$0	$35,061	$0	$1,187,305	$0	$0	$0
AARON CRUM MD
EX-OFFICIO/CMO/ASSISTANT CEO	$842,923	$0	$0	$0	$73,375	$0	$15,000	$0	$1,117	$0	$932,415	$0	$0	$0
ERICH BLACKBURN
EX-OFFICIO/CHIEF LEGAL OFFICER-SR. V	$540,961	$0	$0	$0	$24,962	$0	$15,000	$0	$35,061	$0	$615,984	$0	$0	$0
MICHELLE HAGY
EX-OFFICIO/CFO/SR. VP FINANCE	$458,274	$0	$0	$0	$41,414	$0	$14,945	$0	$35,061	$0	$549,694	$0	$0	$0
KANSAS JUSTICE
CHIEF OPERATING OFFICER-SR. VP	$416,169	$0	$0	$0	$71,299	$0	$11,250	$0	$35,061	$0	$533,779	$0	$0	$0
JENNIFER ERIN MULLINS MD
BOD/CHIEF OF STAFF/OBGYN (BEG 01/24)	$446,872	$0	$0	$0	$1,138	$0	$12,350	$0	$35,061	$0	$495,421	$0	$0	$0
MICHELLE RAINEY
CHIEF NURSING OFFICER-SR. VP	$336,042	$0	$0	$0	$54,648	$0	$13,520	$0	$35,061	$0	$439,271	$0	$0	$0
JOHN WATSON MD
BOD/CHIEF OF STAFF/HOSPITALIST (END	$342,283	$0	$30,000	$0	$300	$0	$11,250	$0	$23,747	$0	$407,580	$0	$0	$0
TONY DAMRON
CHIEF INFORMATION OFFICER-SR. VP	$291,075	$0	$0	$0	$19,316	$0	$7,897	$0	$35,042	$0	$353,330	$0	$0	$0
CHERYL HICKMAN
CHIEF REGULATORY OFFICER-SR. VP (END	$270,226	$0	$5,000	$0	$20,778	$0	$10,764	$0	$29,204	$0	$335,972	$0	$0	$0
MELISSA THACKER
CHIEF QUALITY OFFICER-SR. VP	$272,656	$0	$0	$0	$23,363	$0	$14,806	$0	$1,096	$0	$311,921	$0	$0	$0
MARCUS CONLEY
VP FINANCE	$239,714	$0	$1,000	$0	$532	$0	$6,159	$0	$35,018	$0	$282,423	$0	$0	$0
DAVID HALCOMB
FORMER ASSISTANT CFO	$174,222	$0	$1,000	$0	$6,488	$0	$7,463	$0	$34,810	$0	$223,983	$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

Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	ELIZABETH BURCHETT	PersonNm
Relationship With Org	SPOUSE OF BOARD MEMBER	RelationshipWithOrgTxt
Cash Grant	$10,033	CashGrantAmt
Type Of Assistance	EMPLOYEE TUITION ASSISTANCE AGREEMENT REIMBURSEMENT	TypeOfAssistanceTxt
Assistance Purpose	CONTINUING EDUCATION	AssistancePurposeTxt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (19 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ANDREA ANDERSON
DAUGHTER OF BOARD MEMBER	$61,736	COMPENSATION	0
ASHLEY JOHNSON
DAUGHTER OF BOARD MEMBER	$99,805	COMPENSATION	0
KIERSTEN WOODS SHURTLEFF
DAUGHTER-IN-LAW OF BOARD MEMBER	$52,492	COMPENSATION	0
RHONDA BLACKBURN
SPOUSE OF CLO/EX-OFFICIO BOARD MEMBER	$166,664	COMPENSATION	0
ROBERT SHURTLEFF DO
SON OF BOARD MEMBER	$209,000	COMPENSATION	0
SARAH TAYLOR
DAUGHTER OF KEY EMPLOYEE	$111,506	COMPENSATION	0
SHELDON THACKER
SPOUSE OF KEY EMPLOYEE	$123,898	COMPENSATION	0
TRISTAN BLACKBURN
SON OF PMC PRESIDENT/CEO & BOARD CHAIRPERSON	$133,748	COMPENSATION	0
CHRISTIAN HAGY
SON OF PMC CFO/EX-OFFICIO BOARD MEMBER	$82,538	COMPENSATION	0
DEBRA BLACKBURN
SPOUSE OF PMC PRESIDENT/CEO & BOARD CHAIRPERSON	$114,144	COMPENSATION	0
AMY BLACKBURN
DAUGHTER-IN-LAW OF PMC PRESIDENT/CEO & BOARD CHAIRPERSON	$39,464	COMPENSATION	0
ANGELIA CRUM
SPOUSE OF CMO/EX-OFFICIO BOARD MEMBER	$39,816	COMPENSATION	0
BRAXTON DAMRON
SON OF KEY EMPLOYEE	$29,344	COMPENSATION	0
BROOKE SHURTLEFF
DAUGHTER-IN-LAW OF BOARD MEMBER	$33,836	COMPENSATION	0
ELIZABETH BURCHETT
SPOUSE OF BOARD MEMBER	$111,795	COMPENSATION	0
KETERAH WATSON
SPOUSE OF CHIEF OF STAFF/BOARD MEMBER	$55,675	COMPENSATION	0
MOUNTAIN TOP MEDIA LLC
SPOUSE OF BOARD MEMBER IS > 35% OWNER	$105,033	COMPENSATION	0
BIT SOURCE LLC
SPOUSE OF BOARD MEMBER IS > 35% OWNER	$45,500	COMPENSATION	0
GINA SALISBURY
SISTER-IN-LAW OF KEY EMPLOYEE	$33,394	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. 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 INFORMATION 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 36,656,856. MANAGEMENT AND GENERAL EXPENSES 3,827,409. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,484,265. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 19,459,260. MANAGEMENT AND GENERAL EXPENSES 2,031,776. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,491,036. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 7,753,800. MANAGEMENT AND GENERAL EXPENSES 809,588. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,563,388.
FORM 990, PART III, LINE 4D	(CONTINUED) EMERGENCY DEPARTMENT: LEADING THE REGION IN LIFESAVING, INCLUSIVE CARE WITH 45,513 PATIENT VISITS LAST YEAR, THE EMERGENCY DEPARTMENT (ED) REMAINS ONE OF THE BUSIEST IN THE REGION, SERVING AS A CRITICAL LIFELINE FOR EASTERN KENTUCKY AND SURROUNDING RURAL COMMUNITIES, WHERE ACCESS TO IMMEDIATE CARE IS OFTEN LIMITED. STAFFED BY BOARD-CERTIFIED EMERGENCY PHYSICIANS, TRAUMA SURGEONS, NURSES, AND SPECIALISTS, THE ED IS EQUIPPED TO MANAGE A WIDE RANGE OF EMERGENCIES, FROM STROKES AND HEART ATTACKS TO PEDIATRIC AND TRAUMA EMERGENCIES. RAPID TRIAGE, INTEGRATION WITH INPATIENT AND SPECIALTY SERVICES, AND CUTTING-EDGE DIAGNOSTICS ENSURE PATIENTS RECEIVE TIMELY, COORDINATED CARE WHEN EVERY SECOND COUNTS. A REGIONAL TRAUMA LEADER IN A LANDMARK ACHIEVEMENT, PMC BECAME KENTUCKY'S ONLY LEVEL II TRAUMA CENTER, ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS (ACS). THIS ELITE DESIGNATION CONFIRMS PMC'S CAPACITY TO DELIVER ADVANCED, IMMEDIATE CARE FOR THE MOST SEVERE AND COMPLEX INJURIESWITHOUT NEEDING TO TRANSFER PATIENTS OUT OF THE REGION. LAST YEAR, 1,164 TRAUMA CASES WERE TREATED THROUGH THIS PROGRAM, SUPPORTED BY A 24/7 TEAM OF TRAUMA SURGEONS, ORTHOPEDIC SPECIALISTS, NEUROSURGEONS, AND CRITICAL CARE PROFESSIONALS. EXPANDING TO MEET DEMAND TO SUPPORT THIS ELEVATED LEVEL OF CARE, PMC HAS COMPLETED A MULTI-MILLION-DOLLAR, 23,000-SQUARE-FOOT EXPANSION OF THE EMERGENCY DEPARTMENT. THE NEW LAYOUT ENHANCES PATIENT PRIVACY AND COMFORT AND, MOST IMPORTANTLY, REDUCES WAITING TIMES AND STREAMLINES CARE DELIVERY. FASTER TRIAGE AND TREATMENT MEAN PATIENTS ARE SEEN MORE QUICKLY BY EMERGENCY PHYSICIANS, TRANSLATING DIRECTLY INTO BETTER OUTCOMES AND SAVED LIVES. MEETING THE NEEDS OF AGING POPULATIONS PMC ALSO EARNED GERIATRIC EMERGENCY DEPARTMENT ACCREDITATION (GEDA) AT THE BRONZE LEVEL FROM THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS (ACEP). AS THE NUMBER OF OLDER ADULTS RISES, THIS CERTIFICATION ENSURES PMC MEETS NATIONAL STANDARDS FOR SENIOR-FRIENDLY EMERGENCY CARE REDUCING HOSPITAL ADMISSIONS, IMPROVING COMMUNICATION, AND PRIORITIZING SAFE, DIGNIFIED TREATMENT TAILORED TO OLDER PATIENTS' NEEDS. PEDIATRIC AND INCLUSIVE CARE INNOVATION THE ED IS ONE OF ONLY FOUR "PEDIATRIC READY" HOSPITALS IN KENTUCKY, RECOGNIZED BY THE KY EMERGENCY MEDICAL SERVICES FOR CHILDREN (KYEMSC) PROGRAM. THIS DESIGNATION ENSURES ACCESS TO CHILD-SPECIFIC PROTOCOLS, APPROPRIATELY SIZED EQUIPMENT, AND PROVIDERS TRAINED IN PEDIATRIC EMERGENCY CARE. A DEDICATED PEDIATRIC WING, FEATURING A CALMING, CHILD-FRIENDLY DESIGN, FURTHER ENHANCES THE EXPERIENCE FOR YOUNG PATIENTS AND THEIR FAMILIES. PMC BECAME KENTUCKY'S FIRST CERTIFIED AUTISM CENTER EMERGENCY DEPARTMENT, A DESIGNATION BY THE INTERNATIONAL BOARD OF CREDENTIALING AND CONTINUING EDUCATION STANDARDS (IBCCES). STAFF RECEIVE SPECIALIZED TRAINING TO ACCOMMODATE PATIENTS WITH AUTISM, SENSORY SENSITIVITIES, AND COMMUNICATION CHALLENGES, ENSURING A SAFER, MORE COMPASSIONATE EXPERIENCE FOR NEURODIVERSE PATIENTS. A HUB FOR TIME-CRITICAL INTERVENTIONS THE ED ALSO PLAYS A CENTRAL ROLE IN PMC'S PRIMARY STROKE CENTER, ENABLING THE RAPID DIAGNOSIS AND TREATMENT OF STROKE WITH ADVANCED CLOT-BUSTING THERAPIES. THE DEPARTMENT ACTS AS THE FRONT LINE FOR HIGH-STAKES EMERGENCIES TRAUMA, CARDIAC, STROKE, PEDIATRIC, AND MORE CONNECTING PATIENTS TO SPECIALIZED IN-HOUSE SERVICES 24/7. SETTING THE STANDARD FOR EMERGENCY CARE THESE MILESTONES REPRESENT MORE THAN JUST CLINICAL ACHIEVEMENT; THEY REFLECT PMC'S MISSION TO DELIVER EXCEPTIONAL, ACCESSIBLE AND INCLUSIVE EMERGENCY CARE TO EVERY CORNER OF EASTERN KENTUCKY. FROM SENIORS WITH CHRONIC CONDITIONS TO CHILDREN WITH AUTISM, FROM COMPLEX TRAUMA CASES TO STROKE INTERVENTIONS, PMC'S EMERGENCY DEPARTMENT IS SETTING THE STANDARD, NOT JUST MEETING IT. AS HEALTHCARE EVOLVES, PMC CONTINUES TO LEAD WITH BOLD INVESTMENTS, INCLUSIVE CARE MODELS, AND NATIONALLY RECOGNIZED EXCELLENCE, PROVING THAT WORLD-CLASS EMERGENCY CARE BELONGS IN EVERY COMMUNITY, ESPECIALLY THE ONES THAT NEED IT MOST. LABORATORY SERVICES: INFRASTRUCTURE DEVELOPMENT ALIGNS WITH GROWTH AND INNOVATION PMC CONTINUES TO SET A HIGH STANDARD IN CLINICAL DIAGNOSTICS BY INVESTING IN ITS PEOPLE AND INFRASTRUCTURE. THE LABORATORY AT PMC IS POWERED BY A HIGHLY SKILLED AND CERTIFIED TEAM OF 79 DEDICATED EMPLOYEES. AMONG THEM ARE 23 MEDICAL LABORATORY SCIENTISTS WITH BACHELOR'S DEGREES AND 19 MEDICAL LABORATORY TECHNICIANS WITH ASSOCIATE'S DEGREES FORMING THE BACKBONE OF THE LAB'S DIAGNOSTIC EXPERTISE. NOTABLY, 100% OF PHLEBOTOMISTS EMPLOYED AT PMC ARE CERTIFIED, A DEPARTMENT-WIDE STANDARD THAT REFLECTS A STEADFAST COMMITMENT TO QUALITY SPECIMEN COLLECTION AND EXCEPTIONAL PATIENT CARE. THE LABORATORY'S STRENGTH ALSO LIES IN ITS STABILITY AND INSTITUTIONAL KNOWLEDGE. SEVEN VETERAN EMPLOYEES BOAST OVER 25 YEARS OF SERVICE, BRINGING UNPARALLELED INSIGHT AND DEDICATION TO DAILY OPERATIONS AND LONG-TERM STRATEGIC DEVELOPMENT. UNDER THE GUIDANCE OF THE CURRENT LABORATORY DIRECTOR, THERE HAS BEEN A RENEWED FOCUS ON HIRING CERTIFIED, HIGHLY QUALIFIED PERSONNEL. THIS LEVEL OF PROFESSIONALISM IS MORE THAN A DEPARTMENT GOAL; IT IS A STANDARD PROTOCOL THROUGHOUT THE ORGANIZATION. THIS FOCUS ENSURES THE LAB REMAINS COMPLIANT AND COMPETITIVE IN A RAPIDLY EVOLVING HEALTHCARE ENVIRONMENT. PMC LABORATORY MAINTAINS THE HIGHEST STANDARDS OF QUALITY AND SAFETY. IT IS CURRENTLY WITHIN ITS COLLEGE OF AMERICAN PATHOLOGISTS (CAP) SURVEY WINDOW; CAP ACCREDITATION IS WIDELY REGARDED AS THE GOLD STANDARD IN LABORATORY QUALITY ASSURANCE, UNDERSCORING PMC'S COMMITMENT TO EXCELLENCE. ADDITIONALLY, THE LAB UNDERGOES ANNUAL INSPECTIONS BY THE OFFICE OF INSPECTOR GENERAL, SPECIFICALLY TARGETING BLOOD BANK COMPLIANCE TO ENSURE THE HIGHEST LEVELS OF REGULATORY ADHERENCE AND PATIENT SAFETY. PMC'S INFRASTRUCTURE DEVELOPMENT HAS CONSISTENTLY KEPT PACE WITH ITS STAFFING EXPANSION AND EVOLVING REGULATORY LANDSCAPE, ENSURING SEAMLESS SUPPORT FOR HIGH-QUALITY CARE. THE FOUNDATION FOR THIS GROWTH WAS LAID IN 2018 WITH THE UPGRADE OF THE MAIN LABORATORY, AN ESSENTIAL PROJECT THAT SET THE STAGE FOR ALL FUTURE ADVANCEMENTS. THAT SAME YEAR, PMC SIGNIFICANTLY EXPANDED ITS DIAGNOSTIC CAPABILITIES WITH THE COMPLETION OF A DEDICATED MICROBIOLOGY LAB. BUILDING ON THIS MOMENTUM, THE ORGANIZATION CONVERTED UNUSED SHELL SPACE INTO A FULLY FUNCTIONAL LABORATORY SUITE. THIS NEW SPACE NOW SUPPORTS A BROAD ARRAY OF SERVICES, INCLUDING BLOOD DRAWS, THERAPEUTIC PHLEBOTOMY, URINE DRUG SCREENS, BREATH ALCOHOL TESTING AND SPECIALIZED GENETIC TESTING. MOST RECENTLY, PMC LAUNCHED A COMPREHENSIVE LABORATORY RENOVATION & AUTOMATION OVERHAUL, A TRANSFORMATIVE PROJECT DESIGNED TO MEET RISING TEST VOLUMES AND IMPROVE OPERATIONAL EFFICIENCY. THE INITIATIVE INTRODUCED 13 UPGRADED INSTRUMENTS AND FIVE NEW ONES AND INTEGRATED A CUTTING-EDGE AUTOMATION LINE THAT CONNECTS PREVIOUSLY ISOLATED ANALYZERS, DRAMATICALLY REDUCING TURNAROUND TIMES. AT THE CORE OF THIS INNOVATION IS A NEW "COMMAND CENTRAL" WORKSTATION, ALLOWING TECHNICIANS TO MONITOR ALL INSTRUMENTS FROM A SINGLE POINT. THIS HUB HAS PROVEN ESPECIALLY VITAL DURING EVENING AND NIGHT SHIFTS, ENHANCING OVERSIGHT WHEN STAFFING IS LIMITED. THE RESULTS ARE PRECISE: STREAMLINED WORKFLOWS, REDUCED ERRORS, INCREASED EFFICIENCY, AND STRONGER, UNINTERRUPTED SUPPORT FOR PATIENT CARE. THE DEPARTMENT CURRENTLY PROCESSES 98% OF ALL LABS TESTING IN-HOUSE, EXCEEDING 1.3 MILLION TESTS LAST YEAR, AND RANKS SECOND ONLY TO THE PHARMACY IN HOSPITAL GROSS REVENUE. THE LAB IS ON TRACK FOR A 10% REVENUE INCREASE OVER THE PREVIOUS FISCAL YEAR. PMC LABORATORY SERVICES IS CAP-ACCREDITED, WITH REGULAR INSPECTIONS BY THE OFFICE OF THE INSPECTOR GENERAL, AND CONTINUES TO EXPAND ITS OUTPATIENT SERVICES, INCLUDING GENETIC TESTING, THERAPEUTIC DRAWS AND TOXICOLOGY. PMC LABORATORY'S ONGOING IMPROVEMENTS IN PERSONNEL, COMPLIANCE, AND TECHNOLOGY REFLECT A LONG-TERM VISION FOR INNOVATION AND QUALITY. WITH STRONG LEADERSHIP, EXPERIENCED STAFF, AND STATE-OF-THE-ART SYSTEMS, THE LAB IS WELL-POSITIONED TO MEET GROWING DEMAND WHILE MAINTAINING THE HIGHEST STANDARDS OF CLINICAL EXCELLENCE. (CONTINUED)
FORM 990, PART III, LINE 4D	COMMITTED TO CARE: CALLED TO SERVE PMC'S GROWTH IS ABOUT MORE THAN NEW BUILDINGS OR ADVANCED TECHNOLOGY; IT'S ABOUT PEOPLE. IT'S ABOUT THE MOTHER IN RURAL LETCHER COUNTY WHO NO LONGER HAS TO TRAVEL FOR HOURS FOR HER CHILD'S PEDIATRIC SPECIALTY CARE. THE GRANDFATHER IN FLOYD COUNTY IS RECEIVING CANCER TREATMENT CLOSE TO HOME. A JOHNSON COUNTY CHILD WITH AUTISM IS THRIVING IN A SENSORY-FRIENDLY THERAPEUTIC PLAYGROUND DESIGNED JUST FOR THEM. THESE AREN'T JUST STORIES, THEIR LIVES CHANGED BY A VISION BROUGHT TO LIFE. THROUGH INITIATIVES LIKE THE METTU CHILDREN'S HOSPITAL, AVA AUTISM CENTERS, A DEDICATED PEDIATRIC EMERGENCY DEPARTMENT, AN ACCREDITED HEART AND VASCULAR INSTITUTE, AND A NATIONALLY RECOGNIZED CANCER CENTER, PMC IS SHAPING A COMPREHENSIVE CONTINUUM OF CARE FOR EVERY AGE AND STAGE OF LIFE. NEW INVESTMENTS IN PREVENTIVE CARE, ENDOCRINOLOGY, BARIATRIC MEDICINE AND DIABETES EDUCATION ARE HELPING PATIENTS TAKE OWNERSHIP OF THEIR HEALTH, SUPPORTED BY COMPASSIONATE PROFESSIONALS AND MODERN, ACCESSIBLE SERVICES. AT EVERY STEP, PMC STAYS GROUNDED IN ITS MISSION: TO SERVE WITH COMPASSION IN A CHRISTIAN ENVIRONMENT AND TO BE BOTH THE PROVIDER AND EMPLOYER OF CHOICE ACROSS THE REGION. LOOKING AHEAD, OUR COMMITMENT REMAINS STRONG. PIKEVILLE MEDICAL CENTER WILL CONTINUE TO EXPAND ACCESS, BUILD TRUST AND DELIVER WORLD-CLASS CARE - NOT JUST BECAUSE IT'S NEEDED, BUT BECAUSE OUR COMMUNITIES DESERVE IT. WITH INNOVATION LED BY HEART AND PROGRESS POWERED BY PURPOSE, PMC ISN'T JUST ADVANCING HEALTHCARE; WE'RE CHANGING LIVES.

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

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LANDMARK PROPERTIES OF PIKEVILLE INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1259	AddressLine1Txt
City	PIKEVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41502	ZIPCd

Field	Value	IRS element (for citing)
EIN	462494613	EIN
Primary Activities	LODGING	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd

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)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$3,615,947	ShareOfTotalIncomeAmt
Share Of EOY Assets	$4,691,088	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

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	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	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 (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
LANDMARK PROPERTIES OF PIKEVILLE INC
J	$25,243	COST
LANDMARK PROPERTIES OF PIKEVILLE INC
M	$1,439,512	COST
LANDMARK PROPERTIES OF PIKEVILLE INC
P	$59,199	COST
LANDMARK PROPERTIES OF PIKEVILLE INC
Q	$435,811	CASH
PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE INC
C	$457,158	CASH
PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE INC
Q	$164,180	CASH
LANDMARK PROPERTIES OF PIKEVILLE INC
L	$28,000	COST