PIKEVILLE MEDICAL CENTER INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: PIKEVILLE MEDICAL CENTER INC (EIN 61-0458376)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-15
IRS object ID: 201902279349302120
Schema version: 2017v2.3
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-08-15T12:25:51-05:00	ReturnTs
Tax Period End	2018-09-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-10-01	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	6062183501	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	2019-08-15	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	38.109.186.2	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-08-15	IPDt
IP Tm	11:34:12	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	DFFF94E40E6042B53F95D34511187C45F8C68B42	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	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	$525,287,873	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 PROVIDE WORLD CLASS QUALITY HEALTH CARE IN A CHRISTIAN ENVIRONMENT.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	3867	TotalEmployeeCnt
Total Volunteers	203	TotalVolunteersCnt
Total Gross UBI	$1,299,648	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$681,369	PYContributionsGrantsAmt
CY Contributions Grants	$3,411,549	CYContributionsGrantsAmt
PY Program Service Revenue	$506,744,243	PYProgramServiceRevenueAmt
CY Program Service Revenue	$494,378,829	CYProgramServiceRevenueAmt
PY Investment Income	$1,996,041	PYInvestmentIncomeAmt
CY Investment Income	$2,789,169	CYInvestmentIncomeAmt
PY Other Revenue	$14,471,617	PYOtherRevenueAmt
CY Other Revenue	$17,220,679	CYOtherRevenueAmt
PY Total Revenue	$523,893,270	PYTotalRevenueAmt
CY Total Revenue	$517,800,226	CYTotalRevenueAmt
PY Grants And Similar Paid	$66,359	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$64,708	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$310,210,605	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$316,809,229	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$224,767,270	PYOtherExpensesAmt
CY Other Expenses	$214,028,689	CYOtherExpensesAmt
PY Total Expenses	$535,044,234	PYTotalExpensesAmt
CY Total Expenses	$530,902,626	CYTotalExpensesAmt
PY Revenues Less Expenses	-$11,150,964	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$13,102,400	CYRevenuesLessExpensesAmt
Total Assets BOY	$541,581,678	TotalAssetsBOYAmt
Total Assets EOY	$542,977,796	TotalAssetsEOYAmt
Total Liabilities BOY	$251,168,117	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$266,013,122	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$290,413,561	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$276,964,674	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	PIKEVILLE MEDICAL CENTER'S MISSION IS TO PROVIDE WORLD CLASS QUALITY HEALTH CARE IN A CHRISTIAN ENVIRONMENT.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$127,860,189	ExpenseAmt
Revenue	$54,743,613	RevenueAmt
Desc	PHYSICIAN PRACTICES:CURRENTLY, MORE THAN 450 CREDENTIALED PROVIDERS ARE MEMBERS OF PIKEVILLE MEDICAL CENTER'S MEDICAL STAFF.DURING FY 2018, PMC WELCOMED 25 PHYSICIANS, FOUR PHYSICIAN ASSISTANTS, TWO CERTIFIED REGISTERED NURSE ANESTHETISTS, AND 10 NURSE PRACTITIONERS TO THE ORGANIZATION.THE PHYSICIANS RECRUITED DURING THIS TIME PERIOD CONSIST OF ONE ANESTHESIOLOGIST, FIVE CARDIOLOGISTS, ONE CARDIOTHORACIC SURGEON, TWO PRIMARY CARE PHYSICIANS, TWO EMERGENCY MEDICINE PHYSICIANS, ONE ENDOCRINOLOGIST, FOUR HEMATOLOGISTS/ONCOLOGISTS, THREE HOSPITALISTS, ONE ORTHOPEDIC SURGEON, ONE ORTHOPEDIC TRAUMA SURGEON, ONE PODIATRIST, ONE PULMONOLOGIST/CRITICAL CARE PHYSICIAN, ONE RHEUMATOLOGIST AND ONE SURGICAL ONCOLOGIST.PMC OFFERS MORE THAN 400 SERVICES, INCLUDING EVERY MAJOR SPECIALTY AND MOST SUB-SPECIALTIES. WITH A PROGRESSIVE, SUPPORTIVE ADMINISTRATION AND BOARD OF DIRECTORS, PMC'S PHYSICIANS HAVE THE TOOLS AND TRAINING NECESSARY TO PROVIDE WORLD-CLASS QUALITY HEALTH CARE TO THE REGION. PMC'S 11-STORY CLINIC BUILDING HOUSES THE MAJORITY OF THE ORGANIZATION'S PHYSICIAN PRACTICES INCLUDING CARDIOTHORACIC SURGERY, VASCULAR SURGERY, TRAUMA SURGERY, GENERAL SURGERY, ENDOCRINOLOGY, INTERVENTIONAL RADIOLOGY, GASTROENTEROLOGY, UROLOGY, ORTHOPEDIC TRAUMA SURGERY, ORTHOPEDIC SURGERY, HAND SURGERY, PODIATRY, SPORTS MEDICINE, OBSTETRICS/GYNECOLOGY, PEDIATRICS, INFECTIOUS DISEASE, NEPHROLOGY, NEUROLOGY, NEUROSURGERY, PHYSIATRY, PULMONOLOGY, OPHTHALMOLOGY, OPTOMETRY, OTOLARYNGOLOGY, RHEUMATOLOGY, AND SURGICAL ONCOLOGY. A 10-STORY PARKING GARAGE ON THE MAIN CAMPUS WITH 1,162 PARKING SPACES, DIRECTLY CONNECTED TO THE CLINIC BUILDING, DELIVERS IMPROVED ACCESS TO HEALTH CARE AS THE PATIENTS CONVENIENTLY PARK ON THE SAME FLOOR AS THEIR PHYSICIAN'S OFFICE.IN ADDITION TO PHYSICIAN PRACTICES FOUND IN THE CLINIC, PMC OFFERS: BARIATRIC AND WEIGHT LOSS SURGERY SERVICES IN PIKEVILLE (KENTUCKY); PLASTIC SURGERY IN PIKEVILLE (KENTUCKY); CARDIOLOGY --GENERAL/INVASIVE/INTERVENTIONAL/ELECTROPHYSIOLOGY IN PIKEVILLE, WHITESBURG, PRESTONSBURG, SOUTH WILLIAMSON (KENTUCKY) AND GRUNDY (VIRGINIA); ONCOLOGY MEDICAL/HEMATOLOGY/RADIATION IN PIKEVILLE (KENTUCKY); NEUROLOGY IN WHITESBURG, SOUTH WILLIAMSON, AND PRESTONSBURG (KENTUCKY); FAMILY MEDICINE IN HAROLD, MARTIN AND SHELBY VALLEY (KENTUCKY); OBSTETRICS/GYNECOLOGY IN HAROLD (KENTUCKY); PAIN MANAGEMENT; PATHOLOGY; PSYCHOLOGY; CARDIAC REHABILITATION AND PULMONARY REHABILITATION IN PIKEVILLE (KENTUCKY).PMC ALSO OFFERS EMERGENCY MEDICINE SERVICES AND UTILIZES AROUND-THE-CLOCK HOSPITALISTS, INTENSIVISTS AND NEONATOLOGISTS WHO DEVOTE THEIR PROFESSIONAL TIME TO THE CARE OF HOSPITALIZED PATIENTS.PMC PHYSICIANS COMPLETED 392,324 PATIENT VISITS DURING FY 2018, AN INCREASE OF 7 PERCENT FROM THE PREVIOUS YEAR. MANY EXISTING PHYSICIAN PRACTICES EXPERIENCED SIGNIFICANT GROWTH DURING THE YEAR: NEPHROLOGY (55% VOLUME INCREASE), RHEUMATOLOGY (47% VOLUME INCREASE), INTERVENTIONAL RADIOLOGY (41% VOLUME INCREASE), UROLOGY (22% VOLUME INCREASE), AND ORTHOPEDICS (12% VOLUME INCREASE). THE NEW SURGICAL ONCOLOGY SPECIALTY PRACTICE RECORDED 1,055 PATIENT VISITS DURING THE FISCAL YEAR.PMC STRIVES TO ENSURE THERE IS AN ADEQUATE SUPPLY OF PRIMARY CARE PHYSICIANS FOR THE RURAL REGION IN WHICH IT SERVES AND IS A FOUNDING MEMBER OF THE APPALACHIAN OSTEOPATHIC POST GRADUATE TRAINING CONSORTIUM. TO FACILITATE THE EDUCATION OF PRIMARY CARE PHYSICIANS, PMC OPERATES THE ONLY INTEGRATED OSTEOPATHIC FAMILY MEDICINE AND MANIPULATIVE TREATMENT/ NEUROMUSCULOSKELETAL MEDICINE RESIDENCY PROGRAM IN KENTUCKY, THE ONLY PLUS-ONE NEUROMUSCULOSKELETAL AND OSTEOPATHIC MANIPULATIVE MEDICINE RESIDENCY PROGRAM IN KENTUCKY, AND ONE OF ONLY SIX FAMILY MEDICINE AND OSTEOPATHIC MANIPULATIVE TREATMENT MEDICINE RESIDENCY PROGRAMS IN KENTUCKY. PMC'S RESIDENCY PROGRAM TRAINED 13 RESIDENTS DURING THE 2017-2018 PROGRAM YEAR. THE FAMILY PRACTICE CLINIC IN CONJUNCTION WITH THE RESIDENCY PROGRAM HAD MORE THAN 13,500 PATIENT VISITS DURING FY 2018. TO FURTHER MEET THE GROWING NEED FOR PRIMARY CARE PHYSICIANS WITHIN UNDERSERVED COMMUNITIES ACROSS THE REGION, PMC OPENED A NEW PRIMARY CARE CLINIC IN MARTIN, KENTUCKY DURING FY 2018. PATIENTS OF ALL AGES WHO ARE IN NEED OF URGENT CARE, HAVE MINOR CUTS AND ABRASIONS, ACUTE BRONCHITIS, HYPERLIPIDEMIA, HYPERTENSION, HYPOTHYROIDISM, OSTEOARTHRITIS, REFLUX ESOPHAGITIS, URINARY TRACT INFECTIONS, ETC ARE SERVED AT THIS NEW CLINIC LOCATION. THE CLINIC RECORDED 633 PATIENT VISITS DURING THE YEAR. THE INVESTMENT IN PMC CLINIC MARTIN TOTALED MORE THAN $30,000. PMC PURCHASED PROPERTY IN WHITESBURG, KENTUCKY AND COMPLETED RENOVATIONS DURING FY 2018 TO RELOCATE THE PMC SPECIALTY CLINIC AT WHITESBURG TO A NEW, MORE CONVENIENT LOCATION. THE CLINIC NOW HAS THE AVAILABLE SQUARE FOOTAGE TO PROVIDE COMMUNITY MEMBERS WITH ACCESS TO A TEAM OF HIGHLY ADVANCED SPECIALISTS WHO ARE EQUIPPED WITH DIAGNOSTIC AND ON-SITE TESTING CAPABILITIES. THE INVESTMENT IN THE PMC SPECIALTY CLINIC AT WHITESBURG DURING FY 2018 WAS MORE THAN $1,250,000.THE CONTINUED EXPANSION OF PIKEVILLE MEDICAL CENTER'S TERTIARY CARE SPECIALTY CAPABILITIES, INCLUDING TRAUMA SERVICES, CARDIAC SERVICES, ONCOLOGY SERVICES, AND NEUROSURGERY SERVICES HAS RESULTED IN FEWER PATIENTS BEING TRANSFERRED OUT OF PMC TO LARGER HOSPITALS LOCATED OUTSIDE THE REGION. PMC RECEIVED 5,645 TRANSFERS IN FROM SMALLER HOSPITALS ACROSS THE REGION DURING FY 2018.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$85,994,257	ExpenseAmt
Revenue	$133,483,495	RevenueAmt
Desc	SURGICAL SERVICES:THE SURGICAL SERVICES DIVISION OF PIKEVILLE MEDICAL CENTER PERFORMS A COMPREHENSIVE ARRAY OF SURGICAL AND ENDOSCOPIC PROCEDURES WITH SOME OF THE MOST SOPHISTICATED, TECHNOLOGICALLY ADVANCED MEDICAL EQUIPMENT AVAILABLE. SURGICAL AND ENDOSCOPIC PROCEDURES OFFERED AT PMC INCLUDE OPEN-HEART AND MINIMALLY-INVASIVE CARDIAC BYPASS PROCEDURES, LUNG SURGERIES, MASTECTOMIES, ORTHOPEDIC SURGERIES, EYE SURGERIES, ROBOTIC ASSISTED UROLOGICAL SURGERIES, AND GYNECOLOGICAL SURGERIES, TO NAME A FEW. THE RECRUITMENT OF NEW SURGEONS FROM VARIED SPECIALTIES, INCLUDING TRAUMA, CARDIOTHORACIC, AND SURGICAL ONCOLOGY HAS NOT ONLY RESULTED IN SUBSTANTIAL EXPANSION OF SERVICE OFFERINGS BUT HAS ALSO LED TO THE INCREASE IN THE NUMBER OF OR SUITES AVAILABLE TO MEET PATIENT DEMAND. PMC HAS 20 OPERATING ROOMS, INCLUDING 2 DEDICATED OPEN HEART SURGERY OPERATING ROOMS, AND SIX ENDOSCOPY ROOMS CURRENTLY IN OPERATION. DURING FY 2018 THERE WERE 357 OPEN HEART SURGERY CASES, IN ADDITION TO 20,148 SURGICAL SERVICES CASES, WHICH INCLUDED INPATIENT AND OUTPATIENT ENDOSCOPY PROCEDURES, INPATIENT AND OUTPATIENT SURGICAL PROCEDURES, AND C-SECTIONS.PIKEVILLE MEDICAL CENTER'S WELLNESS AND WEIGHT LOSS SURGERY CENTER IS A COMPREHENSIVE PROGRAM, MBSAQIP ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY. THIS DESIGNATION HIGHLIGHTS PMC'S COMMITMENT TO PROVIDING SAFE, HIGH-QUALITY BARIATRIC SURGICAL CARE, IN-DEPTH EDUCATION, AND SUPPORT FOR BARIATRIC PATIENTS. SERVICES PROVIDED BY THE MULTI-DISCIPLINARY TEAM WITHIN THE WEIGHT LOSS SURGERY CENTER INCLUDE LAPAROSCOPIC GASTRIC BYPASS, LAPAROSCOPIC SLEEVE GASTRECTOMY, LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING AND REVISIONAL SURGERY, ALONG WITH PRE-OPERATIVE AND POST-OPERATIVE PROCESSES TO ENSURE THE LONG TERM SUCCESS OF THE PATIENT. PMC'S HEART & VASCULAR INSTITUTE CONTINUES TO PROVIDE THE MOST ADVANCED HEART CARE FOR PATIENTS BY OFFERING MINIMALLY INVASIVE CORONARY ARTERY BYPASS GRAFTING (CABG) OR KEYHOLE HEART SURGERY THAT USES A SMALL INCISION BETWEEN THE RIBS, UNDERNEATH THE BREAST BONE, TO PERFORM THE BYPASS SURGERY, RATHER THAN THE TRADITIONAL APPROACH OF GOING THROUGH THE BREAST BONE. THIS CUTTING-EDGE PROCEDURE BRINGS A MORE RAPID RECOVERY WITH A SHORTER HOSPITAL STAY AND POTENTIAL FOR LESS COMPLICATIONS TO THE PATIENT.PIKEVILLE MEDICAL CENTER IS ONE OF THE FEW HOSPITALS IN KENTUCKY OFFERING PATIENTS TOTAL HIP REPLACEMENT SURGERY USING AN ANTERIOR APPROACH. THIS IS AN APPROACH TO THE FRONT OF THE HIP JOINT AS OPPOSED TO A LATERAL APPROACH TO THE HIP OR POSTERIOR APPROACH. THE ANTERIOR APPROACH RESULTS IN A SHORTER RECOVERY TIME, SMALLER INCISIONS, AND A SHORTER HOSPITAL STAY. PMC'S ORTHOPEDIC SURGERY TEAM HAS RECEIVED SPECIALIZED TRAINING TO PROVIDE THIS ADVANCED CARE FOR PATIENTS AND UTILIZES A STATE-OF-THE-ART FRACTURE TABLE TO OPTIMIZE THE ANTERIOR APPROACH FOR A TOTAL HIP REPLACEMENT.DURING FY 2018 PMC INVESTED MORE THAN $502,000 IN CAPITAL EQUIPMENT FOR SURGICAL SERVICES TO ENSURE PATIENTS RECEIVE THE LATEST IN ADVANCED HEALTH CARE. THE MOST NOTABLE PURCHASES DURING THE FISCAL YEAR INCLUDED A SORIN S5 HEART/LUNG MACHINE, AN XTRA AUTOTRANSFUSION SYSTEM, FOUR DEFIBRILLATORS, FOUR DUAL CHAMBER EXTERNAL PACEMAKERS, A BIOM 5 BIONOCULAR INDIRECT OPHTHALMOMICROSCOPE, AND A RULTRACT MAMMORY RETRACTOR SET.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$15,602,540	ExpenseAmt
Revenue	$61,603,055	RevenueAmt
Desc	IMAGING SERVICES:PIKEVILLE MEDICAL CENTER'S IMAGING SERVICES DIVISION TAKES PRIDE IN PROVIDING HIGH QUALITY DIAGNOSTIC AND INTERVENTIONAL SERVICES IN A CARING AND EFFICIENT MANNER. PMC'S IMAGING MODALITIES OF NUCLEAR MEDICINE, MAGNETIC RESONANCE IMAGING (MRI), COMPUTED TOMOGRAPHY (CT), POSITRON EMISSION TOMOGRAPHY (PET), AND MAMMOGRAPHY HAVE RECEIVED THREE-YEAR ACCREDITATION FROM THE AMERICAN COLLEGE OF RADIOLOGY, RECOGNIZED AS THE GOLD STANDARD IN DIAGNOSTIC IMAGING.PMC'S RADIOLOGY DEPARTMENT IS DIGITALLY ACCREDITED BY THE NATIONAL INSTITUTE FOR OCCUPATION SAFETY AND HEALTH (NIOSH) AND CONTINUALLY WORKS TO PROVIDE THE BEST POSSIBLE CARE TO THE MINING POPULATION OF EASTERN KENTUCKY. TWO DEDICATED BLACK LUNG EXAM ROOMS ARE LOCATED ON THE MAIN CAMPUS OF PMC ALLOWING FOR EIGHT TO TEN PATIENTS TO BE SCHEDULED PER EXAM DAY. WITH ONE OF ONLY ELEVEN PHYSICIANS CERTIFIED BY NIOSH IN THE STATE OF KENTUCKY PROVIDING BLACK LUNG SCREEN READING SERVICES TO PMC PATIENTS, THE TURNAROUND TIME ON TEST RESULTS IS LESS THAN 16 HOURS FOR FINAL REPORT RESULTS. THE STATE-OF-THE-ART TECHNOLOGY CURRENTLY UTILIZED WITHIN IMAGING SERVICES INCLUDES TWO LINEAR ACCELERATORS, ONE 32-SLICE LARGE BORE CT SCANNER, TWO 64-SLICE CT SCANNERS, TWO DUAL-SOURCE 128-SLICE CT SCANNERS, A PET/CT SCANNER, A SPECT/CT SCANNER, TWO 1.5T OPEN MRIS, A 3.0T OPEN MRI, AND THREE FULLY EQUIPPED INTERVENTIONAL RADIOLOGY SUITES.PMC COMPLETED INSTALLATION OF TWO SIEMENS RS SOMATOM DUAL-SOURCE 128-SLICE CT SCANNERS DURING FY 2018. THE SOMATOM REDEFINES IMAGING STANDARDS IN CARDIOLOGY, PEDIATRICS, AND ONCOLOGY WHILE ALLOWING SCANNING WITHOUT BETA-BLOCKERS AND WITHOUT HAZARDOUS SEDATION, TO CHARACTERIZING LESIONS WHILE MAINTAINING DOSE NEUTRALITY WITH DUAL SOURCE DUAL ENERGY, PRODUCING IMPROVED PATIENT OUTCOMES. THE INVESTMENT IN SOMATOM CT SCANNERS AND RELATED RENOVATION TOTALED $1,770,880.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$243,035,768	ExpenseAmt
Grant	$64,708	GrantAmt
Revenue	$246,946,599	RevenueAmt
Desc	OTHER PROGRAM SERVICES:PIKEVILLE MEDICAL CENTER IS A REGIONAL PROVIDER OF TERTIARY HEALTH CARE SERVICES THROUGH ITS LICENSED 340-BED ACUTE CARE AND INPATIENT REHABILITATION HOSPITAL, LEVEL II TRAUMA CENTER, OUTPATIENT DIAGNOSTIC CENTER, ORTHOPEDIC AND REHABILITATION CENTER, SLEEP LABS, HOME MEDICAL EQUIPMENT, FAMILY PRACTICE RESIDENCY PROGRAM, LEVEL II NEONATAL INTENSIVE CARE UNIT, CANCER TREATMENT CENTER, PAIN MANAGEMENT CLINIC, AND MULTI-SPECIALTY PHYSICIAN PRACTICES. PMC OFFERS MORE THAN 400 SERVICES, INCLUDING EVERY MAJOR SPECIALTY AND MANY SUBSPECIALTIES. WITH NEARLY 3,000 EMPLOYEES AND OVER 450 CREDENTIALED PROVIDERS, PMC STANDS AS THE LARGEST HOSPITAL PROVIDING WORLD-CLASS QUALITY PATIENT CARE IN THE EASTERN KENTUCKY COUNTIES OF PIKE, FLOYD, JOHNSON, LETCHER, MAGOFFIN, AND MARTIN. IN ADDITION, PMC ALSO SERVES A SIGNIFICANT NUMBER OF PATIENTS FROM MINGO COUNTY, WEST VIRGINIA. PMC'S ROLE IN THE HEALTH CARE DELIVERY SYSTEM IN EASTERN KENTUCKY HAS TRANSFORMED TO THAT OF A REGIONAL REFERRAL CENTER FOR SMALLER COMMUNITY HOSPITALS THAT HAVE PATIENTS WITH COMPLEX NEEDS WHOM THEY CANNOT SERVE. PMC RECORDED TOTAL INPATIENT ADMISSIONS DURING FY 2018 OF 14,944 AND RECEIVED 5,645 TRANSFERS IN FROM SMALLER HOSPITALS THROUGHOUT THE REGION DURING THE YEAR.AS THE PREMIER HOSPITAL IN A MULTI-STATE REGION, PMC IS HOME TO SOME OF THE MOST SOPHISTICATED, TECHNOLOGICALLY ADVANCED MEDICAL EQUIPMENT IN EASTERN KENTUCKY AND IS CONTINUALLY GROWING AND LOOKING FOR NEW WAYS TO PROVIDE THE VERY BEST IN HEALTH CARE TO ITS PATIENTS AND THE BROADER POPULATION. THE HOSPITAL'S COMPASSIONATE, DEDICATED EMPLOYEES AND PHYSICIANS ARE FOCUSED ON PROVIDING WORLD CLASS PATIENT CARE IN A CHRISTIAN ENVIRONMENT WHILE CONTINUALLY STRIVING FOR PERFECTION.PMC IS A CERTIFIED KENTUCKY CABINET OF HEALTH AND FAMILY SERVICES' DEPARTMENT OF PUBLIC HEALTH LEVEL II TRAUMA CENTER AND HAS ALSO RECEIVED LEVEL II TRAUMA VERIFICATION FROM THE AMERICAN COLLEGE OF SURGEONS. PMC IS THE ONLY LEVEL II TRAUMA CENTER IN THE COMMONWEALTH OF KENTUCKY AND IS THE DESIGNATED HOSPITAL FOR ALL TRAUMA CASES IN EASTERN KENTUCKY. AS A VERIFIED TRAUMA CENTER, PMC IS EQUIPPED AND STAFFED TO PROVIDE COMPREHENSIVE EMERGENCY CARE TO PATIENTS SUFFERING TRAUMATIC INJURIES. THE SPECTRUM OF CARE ENCOMPASSES THE PRE-HOSPITAL PHASE THROUGH THE REHABILITATION PROCESS. PMC'S TRAUMA CENTER SERVES MORE THAN 400,000 PEOPLE; SIGNIFICANTLY INCREASING THOSE INDIVIDUALS' CHANCE OF SURVIVAL SHOULD THEY BE INJURED. THE NUMBER OF TRAUMA PATIENTS PMC SERVED DURING FY 2018 EXCEEDED 1,550.HEART DISEASE IS ONE OF THE MOST WIDESPREAD HEALTH ISSUES AFFECTING THE REGION SERVED BY PIKEVILLE MEDICAL CENTER (PMC). PMC'S HEART AND VASCULAR INSTITUTE OFFERS COMPREHENSIVE CARDIAC CARE THROUGH SERVICES INCLUDING GENERAL CARDIOLOGY, INTERVENTIONAL CARDIOLOGY, INVASIVE CARDIOLOGY, ELECTROPHYSIOLOGY, CARDIOTHORACIC SURGERY, VASCULAR SURGERY, ECHOCARDIOGRAPHY, AND A TWO STAGE CARDIAC REHAB PROGRAM, ALLOWING PATIENTS TO RECEIVE THE FULL SPECTRUM OF CARDIAC CARE CLOSE TO HOME. PMC IS AN ACCREDITED CHEST PAIN CENTER WITH PRIMARY PCI AND IS A LEVEL IV CYCLE V CHEST PAIN CENTER. PMC IS ALSO ACCREDITED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION FOR MEETING STRICT STANDARDS OF PRACTICE. PMC IS A MEMBER OF THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE. THE AMERICAN HEART ASSOCIATION DEVELOPED MISSION: LIFELINE TO TRANSFORM HEART ATTACK PATIENT OUTCOMES BY CONNECTING HEALTHCARE PROVIDERS, PRE-HOSPITAL PROVIDERS, AND COMMUNITY STAKEHOLDERS IN A PROACTIVE SYSTEM OF CARE THAT SAVES AND IMPROVES LIVES FROM SYMPTOM ONSET THROUGH CARDIAC REHABILITATION. ALL MISSION: LIFELINE PARTICIPANTS SHARE A COMMON COMMITMENT TO AMERICAN HEART ASSOCIATION GUIDELINES AND DATA-BASED QUALITY MEASURES. SINCE PMC BEGAN IMPLEMENTING THE AHA BEST-PRACTICE STRATEGIES, PIKE COUNTY, KY HAS GONE FROM BEING RANKED AS ONE OF THE WORST PLACES IN THE NATION TO HAVE A HEART ATTACK, TO ONE OF THE SAFEST.PMC HAS RECENTLY EMBARKED ON A MONUMENTAL CAPITAL IMPROVEMENT PROJECT THAT WILL FOREVER CHANGE CARDIAC CARE FOR FUTURE GENERATIONS ACROSS THE REGION. THE NEW HEART AND VASCULAR INSTITUTE WILL INCLUDE A NEW CARDIAC REHAB DEPARTMENT, 29 EXAM ROOMS, TWO WAITING ROOMS, ONE NEW ELECTROPHYSIOLOGY CATH LAB, ONE NEW CATH LAB, ONE EXISTING ELECTROPHYSIOLOGY CATH LAB, SIX PRE/POST-OPERATIVE BAYS, REGISTRATION AREA, AND MULTIPURPOSE ROOM. THE NEW EXPANSION HAS AN ESTIMATED COST OF $32 MILLION WITH CONSTRUCTION COMPLETION EXPECTED IN AUGUST 2020. IN PREPARATION FOR THE CONSTRUCTION AND EXPANSION WITHIN THE FORMER CATH LAB AREA, RENOVATION OF 10,170 SQUARE FOOT OF SPACE, LOCATED ACROSS FROM THE EMERGENCY DEPARTMENT, AND INSTALLATION OF THREE NEW STATE-OF-THE-ART PHILIPS AZURION 7 CATH LABS WAS COMPLETED DURING AUGUST 2018. THE PHILIPS AZURION IMAGING SYSTEM HAS 58 INCH MONITORS WITH MULTIPLE TILES TO PROVIDE AN ADVANCED LEVEL OF CARE TO THE PATIENT THROUGH A WIDER RANGE OF MINIMALLY INVASIVE DIAGNOSTIC AND INTERVENTIONAL CARDIOVASCULAR PROCEDURES IN A PATIENT FOCUSED ENVIRONMENT. THE INVESTMENT IN THE NEW CARDIAC CATH LAB RELOCATION AND RENOVATION WAS $8.9 MILLION. A TOTAL OF 3,620 CARDIAC CATH LAB PROCEDURES WERE COMPLETED DURING THE FISCAL YEAR, AN INCREASE OF FOUR PERCENT OVER THE PRIOR YEAR. PIKEVILLE MEDICAL CENTER LEONARD LAWSON CANCER CENTER (LLCC) PROVIDES ADVANCED CANCER CARE CLOSE TO HOME AND IS ONE OF A SELECT FEW ACCREDITED FULL-SERVICE CANCER CENTERS IN KENTUCKY. LLCC PROVIDES CUTTING EDGE CANCER TREATMENT AND FOLLOW-UP CARE AND IS THE REGION'S ONLY CANCER CENTER TO HAVE ACHIEVED THE COMMISSION ON CANCER'S 2018 OUTSTANDING ACHIEVEMENT AWARD FOR EXCEPTIONAL QUALITY. ONCOLOGY SERVICES OFFERED BY PMC INCLUDE MEDICAL ONCOLOGY, HEMATOLOGY, RADIATION THERAPY, INFUSION SERVICE, GENETIC COUNSELING, PALLIATIVE CARE, BIOPSIES, AND SURGICAL ONCOLOGY.DURING FY 2018 PMC PURCHASED THE XOFT AXXENT ELECTRONIC BRACHYTHERAPY SYSTEM. THIS ADVANCED TECHNOLOGY DELIVERS A TARGETED DOSE OF RADIATION DIRECTLY TO THE SURFACE OF NON -MELANOMA SKIN CANCER LESIONS. THE XOFT SYSTEM IS FDA APPROVED FOR THE TREATMENT OF CANCER ANYWHERE IN THE BODY. THE INVESTMENT IN ADVANCED RADIATION ONCOLOGY EQUIPMENT DURING THE YEAR TOTALED $248,932.CENTRAL LAB PHASE 1 RENOVATIONDURING FY 2018, THE PHASE 1 CENTRAL LABORATORY INTERIOR RENOVATION OF 9,656 SQUARE FOOT OF SPACE ON THE 2ND FLOOR OF THE ELLIOTT BUILDING WAS COMPLETED. THE PROJECT MORE THAN DOUBLED THE SIZE OF THE LABORATORY. PMC INSTALLED A NEW AUTOMATED LINE TO DELIVER AND TEST PATIENTS' BLOOD SAMPLES. THE AUTOMATED LINE IS SEAMLESS IN ITS APPROACH TO DELIVERING SPECIMENS AND HAS INCREASED THE TESTING MENU PROVIDED IN HOUSE BY PMC'S LABORATORY BY MORE THAN 200. PMC IS THE FIRST IN THE STATE OF KENTUCKY TO DEPLOY THIS ADVANCED LABORATORY AUTOMATION LINE. THE ADDITIONAL ADVANCEMENTS INCLUDED IN THE PHASE 1 RENOVATION INCLUDED NEW HEMATOLOGY EQUIPMENT FEATURING A CELLAVISION, A NEW BLOOD BANK, AND A NEW PATHOLOGY DEPARTMENT WITH AN IMMUNOSTAINER. THE CENTRAL LAB PHASE 1 INVESTMENT TOTALED $4.2 MILLION. DATA CENTER BUILDTHE CONSTRUCTION OF A NEW 13,500 SQUARE FOOT, TWO-STORY BUILDING ON PMC'S MAIN CAMPUS TO HOUSE ALL PMC'S TECHNICAL OPERATIONS, INCLUDING SERVERS AND VARIOUS INFORMATION TECHNOLOGY EQUIPMENT, WAS COMPLETED DURING FY 2018. THE DATA CENTER WAS DESIGNED WITH MANY SPECIAL FEATURES, SUCH AS UPGRADED WIRING, LEAK DETECTION, AND ENVIRONMENTAL CONTROLS TO MAINTAIN PROPER TEMPERATURES FOR ALL THE EQUIPMENT. THE DATA CENTER IS HAILED AS A TECHNICAL MARVEL AND IS EQUIPPED WITH MANY BACKUP SYSTEMS AND FAIL-SAFES TO MAINTAIN OPERATION AND KEEP ALL EMPLOYEE AND PATIENT DATA SECURE. THE PROJECT INVESTMENT TOTALED $11 MILLION.OTHER CAPITAL INVESTMENTSPMC DEPLOYED THE IMPRIVATA SINGLE SIGN ON SOLUTION DURING FY 2018. THIS SOLUTION OFFERS COMPREHENSIVE POSITIVE IDENTITY, UBIQUITOUS ACCESS, AND MULTIFACTOR AUTHENTICATION ACROSS THE HEALTHCARE DELIVERY NETWORK. THE CAPITAL INVESTMENT IN THE IMPRIVATA SOLUTION TOTALED $348,900.DURING FY 2018 THE CITRIX FARM REBUILD WAS COMPLETED. THE UPGRADE AND REDESIGN OF THE CITRIX IT ENVIRONMENT INCLUDED THE PURCHASE OF HARDWARE AND SOFTWARE FOR SECURE INDIVIDUALIZED REMOTE ACCESS TO VARIOUS ORGANIZATIONAL APPLICATIONS. THIS CAPITAL INVESTMENT TOTALED $614,400.PIKEVILLE MEDICAL CENTER OUTPATIENT PHARMACY DRIVE THRU WAS EXPANDED DURING FY 18 TO INCLUDE TWO ADDITIONAL DRIVE THRU LANES AND A CANOPY TO PROVIDE FASTER, EASIER AND MORE CONVENIENT SERVICE TO THOSE PATIENTS REQUIRING MEDICATION. THIS CAPITAL INVESTMENT TOTALED $103,000.CONTINUED ON SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$243,035,768	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$64,708	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$246,946,599	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$472,492,754	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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	Yes (1)	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	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
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	159	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3867	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	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	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	0	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	0	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	6062183974	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 (38 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 PRESIDENT (EFFECTIVE 1/18)	4.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
JOE DEAN ANDERSON
BOARD SECRETARY/TREASURER	4.00	1.00	Yes (X)	Yes (X)	$0	$0	$22,977
ALEX POULOS MD
BOARD VICE PRES. (EFFECTIVE 1/18)	4.00	1.00	Yes (X)	Yes (X)	$0	$0	$22,977
DEBRA BLACKBURN
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$8,645
DAVID COLLINS CPA
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$22,977
HOBERT JOHNSON DECEASED 218
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
DENNIS HALBERT MD
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$22,977
JOHN LABRECHE
BOARD MEMBER	4.00	1.00	Yes (X)		$0	$0	$223
JULIUS CLINTON MARTIN II
BOARD MEMBER	4.00	1.00	Yes (X)		$0	$0	$0
JO NELL ROBINSON
BOARD MEMBER	4.00	1.00	Yes (X)		$0	$0	$8,645
MARY SIMPSON PHD
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
SUE SMALLWOOD DECEASED 418
BOARD MEMBER	4.00	1.00	Yes (X)		$0	$0	$8,645
CINDY MAY JOHNSON
BOARD MEMBER (ENDING 5/18)	2.00	0.00	Yes (X)		$0	$0	$0
MICHAEL MCCOY
BOARD MEMBER (EFFECTIVE 7/18)	2.00	0.00	Yes (X)		$0	$0	$0
JYOTHI METTU MD
BOARD MEMBER (EFFECTIVE 1/18)	2.00	0.00	Yes (X)		$0	$0	$0
DAVID BAIRD
BOARD MEMBER (EFFECTIVE 7/18)	2.00	0.00	Yes (X)		$0	$0	$0
AARON CRUM MD
BOARD MEMBER/CMO (EFFECTIVE 1/18)	40.00	1.00	Yes (X)		$627,866	$0	$33,118
FADI AL AKHRASS MD
BOARD MEMBER/CHIEF OF STAFF	40.00	0.00	Yes (X)		$438,981	$0	$29,578
WALTER E MAY
BOARD PRESIDENT/CEO (ENDING 1/18)	40.00	1.00	Yes (X)	Yes (X)	$572,531	$0	$27,695
MICHELLE HAGY
CFO - SENIOR VP FINANCE	40.00	0.00		Yes (X)	$294,542	$0	$31,565
JUANITA DESKINS
CHIEF OPERATING OFFICER	40.00	0.00		Yes (X)	$315,206	$0	$36,110
WILLIAM D BLACKBURN
CHIEF EXECUTIVE OFFICER	40.00	0.00		Yes (X)	$147,699	$0	$4,878
CHERYL HICKMAN
CHIEF REGULATORY OFFICER - SENIOR VP	40.00	0.00			$178,175	$0	$32,523	Yes (X)
MICHELLE RAINEY
CHIEF NURSING OFFICER - SENIOR VP	40.00	0.00			$193,846	$0	$29,796	Yes (X)
TONY DAMRON
CHIEF INFORMATION OFFICER -SENIOR VP	40.00	0.00			$160,457	$0	$27,824	Yes (X)
CATHERINE JORGENSEN
VP CORPORATE COMPLIANCE	40.00	0.00			$184,874	$0	$33,170	Yes (X)
DAVID HALCOMB
ASSISTANT CHIEF FINANCIAL OFFICER	40.00	0.00			$156,379	$0	$23,735	Yes (X)
DEBRA PARSONS
CHIEF NURSING OFFICER	40.00	0.00			$245,790	$0	$2,046	Yes (X)
MARCUS CONLEY
ASSISTANT CHIEF FINANCIAL OFFICER	40.00	0.00			$179,509	$0	$26,601	Yes (X)
RALPH LOMMA
VP FACILITIES	40.00	0.00			$195,586	$0	$18,688	Yes (X)
ANITA WILSON
VP SURGICAL SERVICES	40.00	0.00			$266,200	$0	$0	Yes (X)
DERMOT HALPIN MD
CARDIOTHORACIC SURGEON	40.00	0.00			$948,841	$0	$24,118		Yes (X)
AMY JOHNSON MD
BARIATRIC & GENERAL SURGEON	40.00	0.00			$986,939	$0	$36,118		Yes (X)
KEVIN PUGH MD
ORTHOPEDIC SURGEON	40.00	0.00			$1,022,999	$0	$33,118		Yes (X)
KEITH HALL MD
ORTHOPEDIC SURGEON	40.00	0.00			$1,028,198	$0	$33,118		Yes (X)
WILLIAM B WEBB DO
EMERGENCY DEPARTMENT PHYSICIAN	40.00	0.00			$928,404	$0	$13,636		Yes (X)
RUSSELL SHANKLIN
FORMER-ASSISTANT CIO	40.00	0.00			$171,007	$0	$32,407			Yes (X)
PEGGY JUSTICE
FORMER - VP PHYSICIAN NETWORK	40.00	0.00			$157,840	$0	$31,742			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,401,869	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$679,650	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	331	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
MAYNARD C SMITH CONSTRUCTION COMPANY I
PO BOX 11888	CHARLESTON	WV	25339	CONSTRUCTION SERVICES	$8,536,178
ROSE BUILDERS LLC
7 STACY STREET	HAROLD	KY	41635	CONSTRUCTION SERVICES	$4,425,056
NTHRIVE INC
PO BOX 733492	DALLAS	TX	75373	HIM SERVICES	$3,240,727
PHILIPS HEALTHCARE INC
22100 BOTHELL EVERETT HIGHWAY	BOTHELL	WA	98041	PROFESSIONAL SERVICES	$3,008,695
JACKSON & COKER LOCUMTENENS LLC
PO BOX 277638	ATLANTA	GA	30384	PROFESSIONAL SERVICES	$2,934,895

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	63	CntrctRcvdGreaterThan100KCnt
Fundraising	$25,228	FundraisingAmt
Related Organizations	$293,391	RelatedOrganizationsAmt
All Other Contributions	$3,092,930	AllOtherContributionsAmt
Total Contributions	$3,411,549	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$494,378,829	TotalRevenueColumnAmt
Related Or Exempt Func Income	$494,378,829	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$494,378,829	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,982,706	TotalRevenueColumnAmt
Exclusion	$1,982,706	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$98,319	TotalRevenueColumnAmt
Exclusion	$98,319	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$344,727	RealAmt
Personal	$678,772	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$226,948	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$117,779	RealAmt
Personal	$678,772	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$796,551	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,558	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$781,993	UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,287,494	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$481,031	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$806,463	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$806,463	TotalRevenueColumnAmt
Exclusion	$806,463	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$17,485	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$25,228	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$14,004	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,481	TotalRevenueColumnAmt
Exclusion	$3,481	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$16,879,932	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$6,765,664	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,114,268	TotalRevenueColumnAmt
Unrelated Business Revenue	$397,817	UnrelatedBusinessRevenueAmt
Exclusion	$9,716,451	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA	900099	$3,704,847	$3,704,847
REBATE INCOME	900099	$1,054,208		$1,054,208
EHR REVENUE	900099	$85,000		$85,000

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,364,005	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,244,167	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$119,838	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,208,060	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$517,800,226	TotalRevenueColumnAmt
Related Or Exempt Func Income	$496,776,762	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,299,648	UnrelatedBusinessRevenueAmt
Exclusion	$16,312,267	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$21,411	TotalAmt
Program Services	$21,411	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$43,297	TotalAmt
Program Services	$43,297	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,521,361	TotalAmt
Program Services	$891,177	ProgramServicesAmt
Management And General	$3,630,184	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$219,606,962	TotalAmt
Program Services	$198,885,632	ProgramServicesAmt
Management And General	$20,721,330	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,140,046	TotalAmt
Program Services	$2,882,959	ProgramServicesAmt
Management And General	$257,087	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$75,939,250	TotalAmt
Program Services	$68,164,512	ProgramServicesAmt
Management And General	$7,774,738	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,601,610	TotalAmt
Program Services	$11,774,677	ProgramServicesAmt
Management And General	$1,826,933	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$146,810	TotalAmt
Program Services	$146,810	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$870,096	TotalAmt
Management And General	$870,096	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$95,687	TotalAmt
Management And General	$95,687	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$134,753	TotalAmt
Management And General	$134,753	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$20,358,065	TotalAmt
Program Services	$12,885,133	ProgramServicesAmt
Management And General	$7,472,932	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,708,217	TotalAmt
Program Services	$41,790	ProgramServicesAmt
Management And General	$1,666,427	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$959,117	TotalAmt
Program Services	$733,981	ProgramServicesAmt
Management And General	$225,136	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,032,510	TotalAmt
Program Services	$5,388,228	ProgramServicesAmt
Management And General	$644,282	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,310,598	TotalAmt
Program Services	$4,753,986	ProgramServicesAmt
Management And General	$556,612	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$989,997	TotalAmt
Program Services	$809,757	ProgramServicesAmt
Management And General	$180,240	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$261,489	TotalAmt
Program Services	$126,080	ProgramServicesAmt
Management And General	$135,409	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,692,372	TotalAmt
Program Services	$6,870,807	ProgramServicesAmt
Management And General	$821,565	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,303,933	TotalAmt
Program Services	$20,815,014	ProgramServicesAmt
Management And General	$2,488,919	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$17,256,553	TotalAmt
Program Services	$17,166,327	ProgramServicesAmt
Management And General	$90,226	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES & DRUGS	$94,179,652	$93,528,790	$650,862
PROFESSIONAL FEES	$9,287,372	$9,286,367	$1,005
EQUIPMENT RENTAL & MAIN	$8,780,966	$8,489,993	$290,973
PROVIDER TAX EXPENSE	$3,250,333	$3,250,333

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,410,169	TotalAmt
Program Services	$5,535,693	ProgramServicesAmt
Management And General	$7,874,476	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$530,902,626	TotalAmt
Program Services	$472,492,754	ProgramServicesAmt
Management And General	$58,409,872	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,504	BOYAmt
EOY	$11,964	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$153,412,997	BOYAmt
EOY	$148,205,446	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$80,221,170	BOYAmt
EOY	$74,912,194	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,814,690	BOYAmt
EOY	$14,929,025	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,519,559	BOYAmt
EOY	$3,226,714	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$469,845,070	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$207,631,177	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$247,972,394	BOYAmt
EOY	$262,213,893	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$9,429,497	BOYAmt
EOY	$10,384,776	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$109,784	BOYAmt
EOY	$101,986	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$32,090,083	BOYAmt
EOY	$28,991,798	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$541,581,678	BOYAmt
EOY	$542,977,796	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$54,858,077	BOYAmt
EOY	$59,536,842	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,425,869	BOYAmt
EOY	$362,368	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$76,962,422	BOYAmt
EOY	$67,243,445	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$107,142,232	BOYAmt
EOY	$124,483,012	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$225,848	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$9,553,669	BOYAmt
EOY	$14,387,455	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$251,168,117	BOYAmt
EOY	$266,013,122	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$289,727,622	BOYAmt
EOY	$276,758,674	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$479,939	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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	$290,413,561	BOYAmt
EOY	$276,964,674	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$541,581,678	BOYAmt
EOY	$542,977,796	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$13,102,400	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$133,453	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$479,940	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

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	$22,550	OtherActivitiesAmt
Total Lobbying Expenditures	$22,550	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).	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$685,939	BeginningYearBalanceAmt
Investment Earnings Or Losses	$20,061	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$500,000	GrantsOrScholarshipsAmt
End Year Balance	$206,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$652,368	BeginningYearBalanceAmt
Investment Earnings Or Losses	$33,571	InvestmentEarningsOrLossesAmt
End Year Balance	$685,939	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$624,622	BeginningYearBalanceAmt
Investment Earnings Or Losses	$27,746	InvestmentEarningsOrLossesAmt
End Year Balance	$652,368	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$705,176	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$80,554	InvestmentEarningsOrLossesAmt
End Year Balance	$624,622	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$206,000	BeginningYearBalanceAmt
Contributions	$499,176	ContributionsAmt
End Year Balance	$705,176	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)
Investment Cost Or Other Basis	$1,868,888	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$7,614,636	OtherCostOrOtherBasisAmt
Book Value	$9,483,524	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$6,427,369	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$263,900,162	OtherCostOrOtherBasisAmt
Depreciation	$87,499,019	DepreciationAmt
Book Value	$182,828,512	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,015,759	OtherCostOrOtherBasisAmt
Depreciation	$831,679	DepreciationAmt
Book Value	$184,080	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$46,027	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$176,737,215	OtherCostOrOtherBasisAmt
Depreciation	$119,300,479	DepreciationAmt
Book Value	$57,482,763	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,235,014	OtherCostOrOtherBasisAmt
Book Value	$12,235,014	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$262,213,893	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
BOND ISSUANCE COSTS	$792,173
GRANT RECEIVABLE	$1,813,055
INDENTURE	$11,106,802
OTHER RECEIVABLES	$15,279,768

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$28,991,798	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
RESERVE FOR RECIPROCAL OF AMER CLAIMS	$2,180,611
DEFERRED COMPENSATION LIABILITY	$5,056,584
RESERVES FOR WORKERS COMPENSATION CLAIMS	$3,058,979
ESTIMATED AMOUNTS DUE TO 3RD PARTY PAYERS	$4,091,281

Field	Value	IRS element (for citing)
Total Liability	$14,387,455	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$524,940,295	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$133,453	NetUnrealizedGainsInvstAmt
Other Revenue	$7,006,616	OtherRevenueAmt
Revenue Not Reported	$7,140,069	RevenueNotReportedAmt
Revenue Subtotal	$517,800,226	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$517,800,226	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$537,909,241	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$7,006,615	OtherExpensesIncludedAmt
Expenses Not Reported	$7,006,615	ExpensesNotReportedAmt
Expenses Subtotal	$530,902,626	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$530,902,626	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 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, 2018 AND 2017. THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2018 AND 2017. AT SEPTEMBER 30, 2018, TAX RETURNS FOR 2015 THROUGH 2017 ARE SUBJECT TO EXAMINATION BY THE IRS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	EXPENSES RECLASSED TO REVENUE SECTION 6,992,611. FUNDRAISING EXPENSES 14,004. ROUNDING 1.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	EXPENSES RECLASSED TO REVENUE SECTION 6,992,611. FUNDRAISING EXPENSES 14,004.
FORM 990, PART IV LINE 12	FORM 990, PART IV LINE 12 HAS BEEN CHECKED NO PER 990 INSTRUCTIONS. PART XI, XII, AND XIII ARE NOT REQUIRED AS THE ORGANIZATION IS PART OF A CONSOLIDATED FINANCIAL STATEMENT. THE CONSOLIDATED FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM AND PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. HOWEVER, THE ORGANIZATION OPTED TO VOLUNTARILY COMPLETE THESE SECTIONS.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	COLORS OF COURAGE 5K RUN/WALK	Event1Nm
Gross Receipts Event1	$24,970	GrossReceiptsEvent1Amt
Charitable Contri Event1	$15,585	CharitableContriEvent1Amt
Gross Revenue Event1	$9,385	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$2,014	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$176	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$30	FoodAndBeverageEvent1Amt
Entertainment Event1	$1,799	EntertainmentEvent1Amt
Other Direct Expenses Event1	$4,477	OtherDirectExpensesEvent1Amt
Event2	RECLAIM YOUR LIFE 5K RUN/WALK	Event2Nm
Gross Receipts Event2	$17,743	GrossReceiptsEvent2Amt
Charitable Contri Event2	$9,643	CharitableContriEvent2Amt
Gross Revenue Event2	$8,100	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$1,522	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$146	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$63	FoodAndBeverageEvent2Amt
Entertainment Event2	$1,334	EntertainmentEvent2Amt
Other Direct Expenses Event2	$2,443	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$42,713	GrossReceiptsTotalAmt
Charitable Contributions Tot	$25,228	CharitableContributionsTotAmt
Gross Revenue Total Events	$17,485	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$3,536	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$322	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$93	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$3,133	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$6,920	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$14,004	DirectExpenseSummaryEventsAmt
Net Income Summary	$3,481	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,955,416	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,955,416	NetCommunityBenefitExpnsAmt
Total Expense	0.01120	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$100,175,093	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$91,504,033	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,671,060	NetCommunityBenefitExpnsAmt
Total Expense	0.01630	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,130,509	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$91,504,033	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,626,476	NetCommunityBenefitExpnsAmt
Total Expense	0.02750	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	376	ActivitiesOrProgramsCnt
Persons Served	1220	PersonsServedCnt
Total Community Benefit Expns	$255,633	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,300	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$250,333	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	90	ActivitiesOrProgramsCnt
Persons Served	1977	PersonsServedCnt
Total Community Benefit Expns	$1,449,687	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$895,297	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$554,390	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$31,412	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$31,412	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	477	ActivitiesOrProgramsCnt
Persons Served	3197	PersonsServedCnt
Total Community Benefit Expns	$1,736,732	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$900,597	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$836,135	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	477	ActivitiesOrProgramsCnt
Persons Served	3197	PersonsServedCnt
Total Community Benefit Expns	$107,867,241	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$92,404,630	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,462,611	NetCommunityBenefitExpnsAmt
Total Expense	0.02910	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	175	ActivitiesOrProgramsCnt
Persons Served	18926	PersonsServedCnt
Total Community Benefit Expns	$152,345	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,835	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$150,510	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	45	ActivitiesOrProgramsCnt
Persons Served	3109	PersonsServedCnt
Total Community Benefit Expns	$105,189	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,713	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,476	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$324,325	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$324,325	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	232	ActivitiesOrProgramsCnt
Persons Served	22035	PersonsServedCnt
Total Community Benefit Expns	$581,859	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,548	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$537,311	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$42,739,212	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$145,804,572	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$132,262,521	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$13,542,051	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	15	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/2016-2019-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	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.PIKEVILLEHOSPITAL.ORG/2016-2019-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/BILLING/FINANCIAL-ASSISTANCE-POLICY/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.PIKEVILLEHOSPITAL.ORG/BILLING/FINANCIAL-ASSISTANCE-POLICY/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://WWW.PIKEVILLEHOSPITAL.ORG/BILLING/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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PIKEVILLE MEDICAL CENTER	PART V, SECTION B, LINE 5: PIKEVILLE MEDICAL CENTER IN COLLABORATION WITH AN ADVISORY COMMITTEE COMPRISED OF COMMUNITY LEADERS FROM PIKE AND FLOYD COUNTIES, WHOM ARE INVOLVED WITH LOCAL HEALTH DEPARTMENTS, SCHOOL SYSTEMS, SENIOR CITIZENS PROGRAMS, SOCIAL WORK, POST-SECONDARY EDUCATION, VOLUNTEER GROUPS, AND LOCAL BUSINESS/INDUSTRY DEVELOPED A SURVEY TO OBTAIN INPUT CONCERNING THE NEEDS OF OUR COMMUNITY. THE SURVEY WAS MADE AVAILABLE ONLINE, PUBLISHED IN PIKEVILLE MEDICAL CENTER'S NEWSPAPER, THE MEDICAL LEADER, AND DISTRIBUTED AT LOCAL HEALTH DEPARTMENTS, SENIOR CITIZENS CENTERS, APARTMENT COMPLEXES, BANKS AND CHURCHES. THE SURVEY WAS ALSO DISTRIBUTED ELECTRONICALLY TO ALL STUDENTS AND FACULTY AT THE UNIVERSITY OF PIKEVILLE AND TO ALL PATIENTS AT VARIOUS PMC CLINICS. PMC'S COMMUNITY SURVEY WAS AN OVERWHELMING SUCCESS AS THE HOSPITAL RECEIVED OVER 1,000 RESPONSES.
PIKEVILLE MEDICAL CENTER	PART V, SECTION B, LINE 7D: HTTPS://WWW.PIKEVILLEHOSPITAL.ORG/2016-2019-COMMUNITY-HEALTH-NEEDS-ASSESSMENT/PMC MAILED THE CHNA REPORT TO THE CHAMBER OF COMMERCE, CIVIC ORGANIZATION MEMBERS, AND LOCAL BUSINESS PEOPLE.
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	22	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - OBGYN PHYSICIAN PRACTICE - HAROLD
246 KY ROUTE 979	HAROLD	KY	41635	PHYSICIAN PRACTICE
2 - PMC-LEONARD LAWSON CANCER CENTER
172 SOUTH MAYO TRAIL	PIKEVILLE	KY	41501	PHYSICIAN PRACTICE
3 - HOME HEALTH SERVICES
1370 S MAYO TRAIL	PIKEVILLE	KY	41501	HOME HEALTH SERVICES
4 - PMC SPECIALTY CLINIC-WHITESBURG
255 MAIN ST	WHITESBURG	KY	41858	PHYSICIAN PRACTICE
5 - PMC WEIGHT LOSS SURGERY CENTER
1098 S MAYO TRAIL STE 103	PIKEVILLE	KY	41501	PHYSICIAN PRACTICE
6 - PMC SPECIALTY CLINIC-PRESTONSBURG
311 NORTH ARNOLD AVE	PRESTONSBURG	KY	41653	PHYSICIAN PRACTICE
7 - PMC CLINIC - WALMART PIKEVILLE
251 CASSIDY BLVD	PIKEVILLE	KY	41501	PHYSICIAN PRACTICE
8 - PMC SPECIALTY CLINIC-GRUNDY
1520 SLATE CREEK ROAD STE 205	GRUNDY	VA	24614	PHYSICIAN PRACTICE
9 - SLEEP LAB - WHITESBURG
60 MAIN STREET	WHITESBURG	KY	41858	SLEEP LAB
10 - PRIMARY CARE PRACTICE - SHELBY VALLEY
6800 US HWY 23 S STE 3	PIKEVILLE	KY	41501	PHYSICIAN PRACTICE
11 - PRIMARY CARE PRACTICE - HAROLD
246 KY RT 979	HAROLD	KY	41635	PHYSICIAN PRACTICE
12 - PIKEVILLE FAMILY PRACTICE CLINIC
184 S MAYO TRAIL	PIKEVILLE	KY	41501	PHYSICIAN PRACTICE
13 - PMC SPECIALTY CLINIC-SOUTH WILLIAMSON
411 CENTRAL AVE STE 7	SOUTH WILLIAMSON	KY	41503	PHYSICIAN PRACTICE
14 - OPTHALMOLOGY - HAZARD
101 TOWN COUNTRY DRIVE STE 100	HAZARD	KY	41701	PHYSICIAN PRACTICE
15 - SLEEP LAB - PIKEVILLE
190 S MAYO TRAIL	PIKEVILLE	KY	41501	SLEEP LAB
16 - PMC CLINIC-PIKE CO SCHOOLS BELFRY ELEMEN
170 KY-319	BELFRY	KY	41514	PHYSICIAN PRACTICE
17 - PMC CLINIC-PIKE CO SCHOOLS ELKHORN ELEM
180 COUGAR DRIVE	ELKHORN CITY	KY	41522	PHYSICIAN PRACTICE
18 - PMC CLINIC-PIKE CO SCHOOLS MILLARD ELEM
5492 E SHELBIANA ROAD	PIKEVILLE	KY	41501	PHYSICIAN PRACTICE
19 - PMC CLINIC-PIKE CO SCHOOLS MULLINS ELEM
101 TIGER WAY	PIKEVILLE	KY	41501	PHYSICIAN PRACTICE
20 - PMC CLINIC-PIKE CO SCHOOLS PIKE CENTRAL
100 WINNERS CIRCLE DRIVE	PIKEVILLE	KY	41501	PHYSICIAN PRACTICE
21 - PMC CLINIC-PIKE CO SCHOOLS SHELBY VALLEY
125 DOUGLAS PARKWAY	PIKEVILLE	KY	41501	PHYSICIAN PRACTICE
22 - PRIMARY CARE PRACTICE - MARTIN
265 KY ROUTE 122	MARTIN	KY	41649	PHYSICIAN PRACTICE

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, COMMUNITY BUILDING ACTIVITIES:	PIKEVILLE MEDICAL CENTER'S MISSION STATEMENT, "TO PROVIDE WORLD CLASS QUALITY HEALTH CARE IN A CHRISTIAN ENVIRONMENT" IS THE DRIVING FORCE BEHIND PMC'S EFFORTS TO IMPROVE THE PHYSICAL, MENTAL AND SPIRITUAL WELL BEING OF THE REGION'S RESIDENTS. DURING FY 2018, PIKEVILLE MEDICAL CENTER REPORTED TAKING PART IN 232 COMMUNITY BUILDING ACTIVITIES, SERVING MORE THAN 22,000 PEOPLE AND TOTALING MORE THAN $530,000. THESE ACTIVITIES FOCUSED ON PROMOTING THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE THROUGH HEALTH EDUCATION, AWARENESS, PREVENTION AND TREATMENT, AS WELL AS, WORKFORCE DEVELOPMENT, ECONOMIC DEVELOPMENT AND FUTURE PLANNING. SOME OF THESE EVENTS LISTED UNDER THE COMMUNITY BUILDING ACTIVITIES SECTION INCLUDED: RECLAIM YOUR LIFE 5K RUN/WALK, FIRST-AID BOOTH AT HILLBILLY DAYS, COLORS OF COURAGE 5K RUN/WALK, SMOKING CESSATION CLASSES, A COMMUNITY CHILDREN'S CHRISTMAS EVENT, VETERAN'S DAY CEREMONY SUPPORT, OVER 500 MEALS PER MONTH PROVIDED TO MEALS ON WHEELS, AND RECRUITMENT OF MORE THAN 100 HEALTHCARE PROFESSIONALS.
PART III, LINE 4:	SEE PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.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 THOSE IN NEED THROUGHOUT THE FINANCIAL ASSISTANCE APPLICATION PROCESS. FOR THIS REASON THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES 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.
PART III, LINE 8:	NO SHORTFALL EXISTED IN FY 2018. 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, 2018 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 PATIENTS' 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 PATIENTS ABOUT PMC'S FAP IN ORAL COMMUNICATIONS REGARDING AMOUNTS DUE. ONCE A PATIENT HAS BEEN DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE IN-HOUSE SLIDING SCALE PROGRAM, THEIR ELIGIBILITY WILL REMAIN INTACT FOR A TERM OF ONE (1) YEAR FROM THE DATE OF APPROVAL UNLESS PMC BECOMES AWARE OF A MATERIAL CHANGE IN THE PATIENT'S FINANCIAL CIRCUMSTANCES.
PART VI, LINE 2:	IN ORDER TO ASSESS OUR COMMUNITY'S HEALTH-RELATED NEEDS, PIKEVILLE MEDICAL CENTER UTILIZES SEVERAL REPORTS LOOKING AT THE SERVICES THEY PROVIDE, IN COMPARISON TO OTHER HOSPITALS, AS WELL AS, REPORTS INDICATING THE SPECIALTIES THAT ARE IMPACTED BY PHYSICIAN REFERRALS. PMC ALSO KEEPS A RECORD OF PREVIOUS COMMUNITY EVENTS HOSTED, TRACKING THEIR SUCCESS. FOR EXAMPLE: WHEN A FREE HEALTH SCREENING EVENT IS HELD, A RECORD IS KEPT OF THE NUMBER OF ATTENDEES INCLUDING THEIR RESULTS.
PART VI, LINE 3:	PIKEVILLE MEDICAL CENTER USES SEVERAL DIFFERENT MEANS TO COMMUNICATE AND EDUCATE OUR PATIENTS ON ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER FEDERAL, STATE AND LOCAL GOVERNMENTS, AS WELL AS THE PMC IN-HOUSE SLIDING SCALE PROGRAM. THE FINANCIAL ASSISTANCE PROGRAM POLICY, THE DSH PROGRAM APPLICATION FORM, THE IN-HOUSE SLIDING SCALE PROGRAM APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY OF THIS POLICY IS AVAILABLE FREE OF CHARGE ON PMC'S WEBSITE; PAPER COPIES OF THE POLICY, THE DSH PROGRAM APPLICATION FORM, THE IN-HOUSE SLIDING SCALE PROGRAM APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY OF THE POLICY ARE AVAILABLE FREE OF CHARGE UPON REQUEST IN PMC'S EMERGENCY, REGISTRATION AND BILLING DEPARTMENTS AND BY MAIL; A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY OF THE POLICY IS OFFERED TO PATIENTS AS PART OF THE INTAKE PROCESS UNLESS IT IS NOT FEASIBLE TO DO SO DUE TO AN EMERGENCY OR OTHER CIRCUMSTANCES IN WHICH CASE PMC WILL OFFER A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY AS PART OF THE DISCHARGE PROCESS; VISITORS TO PMC ARE INFORMED AND NOTIFIED ABOUT THE POLICY THROUGH CONSPICUOUS PUBLIC DISPLAYS AT PMC; RESIDENTS OF THE COMMUNITY THAT PMC SERVES ARE INFORMED AND NOTIFIED OF THE POLICY BY STATEMENTS ON PMC'S WEBSITE AND IN MESSAGES PLAYED TO CALLERS TO PMC WHO ARE PLACED ON HOLD THAT PMC OFFERS FINANCIAL ASSISTANCE UNDER A FINANCIAL ASSISTANCE POLICY AND INFORMING THE READER/LISTENER HOW TO OBTAIN MORE INFORMATION; AND BY INCLUDING A CONSPICUOUS WRITTEN NOTICE ON ALL BILLING STATEMENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISATNCE UNDER THIS POLICY AND INCLUDES THE TELEPHONE NUMBER OF PMC'S PATIENT FINANCIAL COUNSELING DEPARTMENT ALONG WITH THE WEB SITE ADDRESS WHERE COPIES OF THIS POLICY, THE APPLICATION FORMS, AND A PLAIN LANGUAGE SUMMARY OF THE POLICY MAY BE OBTAINED.
PART VI, LINE 4:	PIKEVILLE MEDICAL CENTER PROVIDES HEALTHCARE SERVICES TO RESIDENTS OF PIKE, FLOYD, JOHNSON, MAGOFFIN, MARTIN, KNOTT AND LETCHER COUNTIES IN KENTUCKY, MINGO COUNTY IN WEST VIRGINIA AND BUCHANAN COUNTY IN VIRGINIA. PMC IS COMMITTED TO MEETING THE NEEDS OF ITS PATIENTS BY PROVIDING HIGH QUALITY SPECIALTY SERVICES WITHIN THE REGION. PMC USES THE MOST RECENT U.S. CENSUS BUREAU DATA AND INFORMATION FROM THE KY STATE DATA CENTER WHEN TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC POPULATION IT SERVES. BASED ON 2018 DATA AVAILABLE, PMC'S SERVICE AREA CONTAINS A POPULATION OF APPROXIMATELY 222,349 INDIVIDUALS. THERE IS A RELATIVELY EVEN DISTRIBUTION OF MALES (49.49%) TO FEMALES (50.51%). THE AVERAGE HOUSEHOLD SIZE IS 2 INDIVIDUALS AND 18.9% OF THE POPULATION IS AGE 65 AND OVER. THE IMPOVERISHED AREA SERVED BY PIKEVILLE MEDICAL CENTER HAS A MEDIAN FAMILY INCOME OF $31,274 WITH 30% OF THE POPULATION LIVING BELOW THE POVERTY LINE.
PART VI, LINE 6:	PIKEVILLE MEDICAL CENTER (PMC), A 340 BED TERTIARY CARE CENTER, NESTLED IN THE PICTURESQUE MOUNTAINS OF APPALACHIA, IS RECOGNIZED AS THE REGION'S LEADER IN HEALTHCARE. PMC PROVIDES UNPARALLELED SERVICE, ADVANCED TECHNOLOGY, AND UNMATCHED GENEROSITY TO THE COMMUNITY. PMC IS CONTINUALLY EXPANDING SERVICE OFFERINGS AND DEVELOPING INNOVATIVE PROCESSES TO OFFER THE BEST IN HEALTH CARE TO ITS PATIENTS AND THE BROADER POPULATION. THIS VISIONARY APPROACH TO HEALTHCARE, WHICH IS FOCUSED ON SERVING THE NEEDS OF THE PATIENT FIRST, HAS ELEVATED THE FACILITY TO THE STATUS OF REGIONAL REFERRAL CENTER WITHIN A MULTI-STATE REGION.THE MISSION OF PIKEVILLE MEDICAL CENTER IS "TO PROVIDE WORLD-CLASS QUALITY HEALTHCARE IN A CHRISTIAN ENVIRONMENT." THIS MISSION IS FULFILLED DAILY, AS THE DEDICATED STAFF EMBRACES THE VISION AND CORE VALUES OF THE ORGANIZATION: CHRISTIAN-TREAT OTHERS AS YOU WOULD LIKE TO BE TREATED; QUALITY-WHATEVER YOU DO, DO IT WELL AND STRIVE FOR PERFECTION; SERVICE-CONTINUALLY LOOK FOR WAYS TO IMPROVE AND GO ABOVE AND BEYOND.PMC HAS UNDERGONE SUBSTANTIAL GROWTH THROUGHOUT ITS 94-YEAR HISTORY. BEGINNING AS A SMALL, RURAL, 50-BED FACILITY AT ITS INCEPTION IN 1924, THE MEDICAL CENTER IS TODAY A COMPREHENSIVE MEDICAL COMPLEX COMPRISED OF A 340-BED FACILITY ENCOMPASSING OVER ONE MILLION SQUARE FEET WITH BOTH THE MAIN FACILITY AND SURROUNDING SUPPORTIVE SERVICES. THE HOSPITAL OFFERS OVER 400 SERVICES, INCLUDING EVERY MAJOR SPECIALTY AND MANY SUBSPECIALTIES. THE TREMENDOUS PHYSICAL GROWTH AND EXPANSION IN SCOPE OF SPECIALTY SERVICE CAPABILITIES, INCLUDING TRAUMA SERVICES, HAS TRANSFORMED PMC IN TO A REGIONAL REFERRAL CENTER FOR SMALLER COMMUNITY HOSPITALS THAT HAVE PATIENTS WITH COMPLEX MEDICAL NEEDS WHOM THEY CANNOT SERVE. ADDITIONALLY, PMC SERVES AS A DESTINATION OF CHOICE FOR PATIENTS REQUIRING ADVANCED TERTIARY CARE SERVICES INCLUDING CANCER MANAGEMENT, NEUROSURGERY, CARDIAC SURGERY, PLASTIC SURGERY AND ADVANCED NEONATOLOGY SERVICES.CURRENT SERVICES OFFERED AT PMC INCLUDE: A VERIFIED LEVEL II TRAUMA CENTER; AN AWARD-WINNING, FULL-SERVICE CANCER TREATMENT CENTER; CHEST PAIN CENTER WITH PRIMARY PCI; 20-BED INPATIENT PHYSICAL REHABILITATION HOSPITAL; AN ACCREDITED GOLD PLUS STROKE CENTER: NEUROSURGERY; LEVEL II NEONATAL INTENSIVE CARE UNIT; BARIATRIC SURGERY CENTER OF EXCELLENCE, JOINT COMMISSION GOLD SEAL CERTIFIED ORTHOPEDIC PROGRAM, PAIN MANAGEMENT, PULMONARY REHABILITATION, SLEEP LAB, A DIAGNOSTIC CENTER; INTEGRATED FAMILY AND SPECIALTY PHYSICIAN PRACTICES, ALONG WITH A RETAIL CLINIC AT WAL-MART.PIKEVILLE MEDICAL CENTER IS DEDICATED TO PROVIDING PATIENTS WITH STATE-OF-THE-ART TREATMENT TECHNOLOGY. PMC'S DIAGNOSTIC AND THERAPEUTIC RADIOLOGY SERVICES CONSISTS OF TWO LINEAR ACCELERATORS, ONE 32-SLICE LARGE BORE CT SCANNER, TWO 64-SLICE CT SCANNERS, TWO DUAL-SOURCE 128-SLICE CT SCANNERS, A PET/CT SCANNER, A SPECT/CT SCANNER, TWO 1.5T OPEN MRI'S, A 3.0T OPEN MRI, AS WELL AS THREE FULLY EQUIPPED INTERVENTIONAL RADIOLOGY SUITES. THE HOSPITAL RECENTLY COMPLETED ONE OF THE LATEST ADVANCEMENTS FOR HEALTH CARE IN EASTERN KENTUCKY WITH AN EXTENSIVE EXPANSION OF CRITICAL CARE UNIT SERVICES. THE ADDITION OF 36,849 SQUARE FEET TO THE CCU INCREASED THE AVAILABLE BED COUNT TO 72 AND WAS NECESSARY DUE IN PART TO PMC SERVING AS KENTUCKY'S ONLY LEVEL II TRAUMA CENTER, COVERING A POPULATION OF MORE THAN 400,000, IN ADDITION TO AN INCREASE OF PATIENT TRANSFERS TO PMC FROM NEIGHBORING COMMUNITY HOSPITALS. THE CCU FEATURES THE LATEST STATE-OF-THE-ART EQUIPMENT AND A HIGHLY SKILLED BOARD CERTIFIED TEAM OF PHYSICIANS TO PROVIDE COMPREHENSIVE CARE AND CONSTANT MONITORING TO THOSE WITH LIFE-THREATENING CONDITIONS.THE PMC LABORATORY PHASE ONE EXPANSION WAS COMPLETED DURING FY 2018. THE EXPANSION INCLUDES A NEW AUTOMATION LINE, EXTENDED BLOOD BANK, HEMATOLOGY, AND CHEMISTRY AREA. PMC IS THE ONLY FACILITY IN THE REGION TO IMPLEMENT THIS NEW CUTTING EDGE AUTOMATED LAB TECHNOLOGY WHICH INCREASES PRODUCTIVITY, ALLOWING FOR THE EXPANSION OF THE IN HOUSE TESTING MENU, IN ADDITION TO DECREASING THE TURNAROUND TIME FOR PATIENT TEST RESULT DELIVERY TO THE ORDERING PHYSICIAN. THE PIKEVILLE MEDICAL CENTER DATA CENTER CONSTRUCTION WAS ALSO RECENTLY FINALIZED. THE NEW DATA CENTER IS A TECHNICAL MARVEL, BUILT WITH UPGRADED WIRING, LEAK DETECTION AND ENVIRONMENTAL CONTROLS TO MAINTAIN A PROPER ENVIRONMENT FOR THE TECHNOLOGICALLY ADVANCED EQUIPMENT. ADDITIONALLY, THE CENTER WAS CONSTRUCTED WITH THE CAPABILITY TO PROVIDE CONTINUAL MONITORING OF THE EQUIPMENT AND POWER STATISTICS NECESSARY TO ENSURE UNINTERRUPTED NETWORK SERVICES VITAL TO PMC'S DAILY OPERATIONS. IN ADDITION TO PHYSICAL EXPANSION, PMC, ACCREDITED BY THE JOINT COMMISSION, HAS EXPERIENCED SIGNIFICANT GROWTH IN OUTPATIENT VOLUMES. TOTAL OUTPATIENT VISITS INCREASED TO 478,817 IN FY 2018 FROM 468,703 IN FY 2017; EMERGENCY DEPARTMENT VISITS INCREASED TO 54,677 IN FY 2018 FROM 53,029 IN FY 2017; CARDIAC SERVICE PROCEDURES INCREASED TO 69,104 IN FY 2018 FROM 66,914 IN FY 2017; AND PHYSICIAN OUTPATIENT VISITS INCREASED TO 216,478 IN FY 2018 FROM 202,115 IN FY 2017.PMC CONTINUES TO RECRUIT HIGHLY-QUALIFIED PROFESSIONALS ASPIRING TO PRACTICE IN A PROGRESSIVE, SUPPORTIVE, GROWING MEDICAL COMMUNITY THAT DEMANDS QUALITY AND STRIVES FOR EXCELLENCE. CURRENTLY, PMC EMPLOYS NEARLY 3,000 PEOPLE. MORE THAN 450 PROVIDERS ARE CREDENTIALED TO PRACTICE AT PMC. DURING FY 2018 THE HOSPITAL WELCOMED 25 NEW EMPLOYED PHYSICIANS AND CONTRACTED 6 ADDITIONAL WITH START DATES RANGING FROM NOVEMBER 2018 TO AUGUST 2019.PIKEVILLE MEDICAL CENTER'S GROWTH HAS NOT ONLY FACILITATED THE EXPANSION OF THE RANGE AND SCOPE OF HEALTH CARE SERVICES PROVIDED TO PATIENTS IN THE REGION, BUT HAS ALSO PLAYED AN ESSENTIAL ROLE IN ENHANCING THE HOSPITAL'S ABILITY TO PROVIDE COMMUNITY OUTREACH SERVICES. PMC PROVIDES A VARIETY OF EDUCATIONAL, WELLNESS, AND PREVENTIVE HEALTH SERVICES THAT ARE FUNDAMENTAL TO PMC'S MISSION "TO PROVIDE WORLD-CLASS QUALITY HEALTHCARE IN A CHRISTIAN ENVIRONMENT." CHARITY CARE: THROUGH DEFINED POLICIES AND PROCEDURES, PMC RECORDED UNCOMPENSATED CHARITY OF MORE THAN $18,349,000 DURING FY 2018 (SERVICES AT HOSPITAL'S ESTABLISHED RATES). HEALTH CARE SUPPORT SERVICES:BLOOD DRIVES - PMC WAS HOST TO FOUR BLOOD DRIVES DURING FY 2018. PREPARATION FOR BLOOD DRIVES INCLUDES PUBLICITY BEFORE AND AFTER THE EVENT, OBTAINING GIVE-AWAY ITEMS FOR DONORS; RESERVING A LOCATION, HELPING WITH SET-UP AND TAKE-DOWN, AND PRE-REGISTERING DONORS. BLOOD DRIVES ARE CONDUCTED IN ACCORDANCE WITH THE KENTUCKY BLOOD CENTER. IN FY 2018, 252 DONORS PARTICIPATED IN PMC'S FOUR BLOOD DRIVES, PROVIDING LIFE-SAVING BLOOD PRODUCTS TO AN ESTIMATED 756 RECIPIENTS. THESE EVENTS COST PMC $959.MEALS ON WHEELS - IN FY 2018, PMC PROVIDED 6,013 MEALS AT A COST OF $43,263.GUEST MEALS - PMC DONATED 4,415 FOOD TRAYS TO GUESTS AT A COST OF $33,113 IN FY 2018.INDIGENT SUPPORT SERVICES - MANY PATIENTS NEED FINANCIAL ASSISTANCE WITH PRESCRIBED MEDICATIONS, IN-HOME MEDICAL EQUIPMENT, TRANSPORTATION, AND OTHER ITEMS OR SERVICES. TO ASSIST IN RELIEVING FINANCIAL BURDEN, PMC'S CHAPLAIN SERVICES, CASE MANAGEMENT, AND LEONARD LAWSON CANCER CENTER DEPARTMENTS PROVIDED ASSISTANCE TO 429 PATIENTS TOTALING $33,290 IN FY 2018. ASSISTANCE WENT TO PATIENTS NEEDING PRESCRIBED MEDICATIONS AND TRANSPORTATION UPON DISCHARGE. TRANSPORTATION SUPPORT WAS ALSO PROVIDED TO PATIENTS NEEDING TO TRAVEL TO AND FROM THE HOSPITAL TO RECEIVE CARE. IN ADDITION, THE HOSPITAL PURCHASED CHILD CAR SEATS, HOME MEDICAL EQUIPMENT, AND MEDICAL SUPPLIES FOR PATIENTS IN NEED.SPIRITUAL - PMC'S CHAPLAINCY DEPARTMENT MAKES AN ARDUOUS EFFORT TO ENSURE PATIENTS' SPIRITUAL NEEDS ARE MET. THE STAFF ROUNDS DAILY WITH PATIENTS, OFFERING WORDS OF ENCOURAGEMENT AND PRAYER. IN FY 2018, 768 BIBLES FOR NEWBORNS WERE DISTRIBUTED AND 61 COMMUNITY EVENTS, INCLUDING FUNERALS, WEDDINGS AND MINISTERIAL ASSOCIATION MEETINGS WERE SERVICED BY PMC CHAPLAINS. EASTER SUNRISE AND HOLY WEEK SERVICES, WHICH INCLUDED FIVE EVENTS WITH NEARLY 500 PARTICIPANTS, WERE ALSO CONDUCTED DURING FY 2018. THESE SERVICES PROVIDED A COMMUNITY BENEFIT OF MORE THAN $21,180.COMMUNITY FINANCIAL DONATIONS: IN FY 2018, PMC CONTINUED TO EMBRACE ITS CORPORATE SOCIAL RESPONSIBILITY THROUGH BOTH FINANCIAL AND IN-KIND DONATIONS TO COMMUNITY ORGANIZATIONS, IN ADDITION TO SUPPORTING EMPLOYEE PARTICIPATION IN COMMUNITY ACTIVITIES AND EVENTS WITH A COMMON GOAL OF SERVING OTHERS. THE HOSPITAL PROVIDED $31,412 IN FINANCIAL AND IN-KIND SUPPORT TO SUCH ENTITIES AS:APPALACHIAN PREGNANCY CARE CENTERBRYNLEE E. HAMILTON SCHOLARSHIP FUNDSHAPING OUR APPALACHIAN REGION, INC. (SOAR)PHELPS HIGH SCHOOLUNIVERSITY OF PIKEVILLEPIKEVILLE MAIN STREET PROGRAMEASTERN KENTUCKY STRONGPIKE COUNTY FIREFIGHTERS ASSOCIATIONPIKEVILLE UNITED METHODIST CHURCHPANTHER EXCELLENCE FOUNDATION
PART VI LINE 5	PROMOTION OF COMMUNITY HEALTH (CONTINUED)PMC IS AN AVID SUPPORTER OF SOAR, A NON-PARTISAN APPALACHIAN KENTUCKY NETWORK COMMITTED TO THE COMMON PURPOSE OF IMPROVING EDUCATION, HEALTH, AND THE ECONOMY FOR ALL CITIZENS OF THE REGION THROUGH INNOVATION AND COLLABORATION. PMC EXECUTIVES AND STAFF PARTICIPATE IN ANNUAL CONFERENCES TO ASSIST IN SHAPING A BETTER FUTURE FOR THE REGION.FUNDRAISING: DURING AUGUST 2018, PMC HOSTED ITS FIFTH ANNUAL "COLORS OF COURAGE" 5K FUNDRAISER IN PIKEVILLE TO BENEFIT UNDERINSURED CANCER PATIENTS OF THE HOSPITAL'S LEONARD LAWSON CANCER CENTER AND BRING AWARENESS TO ALL TYPES OF CANCER. MORE THAN 500 RUNNERS AND WALKERS CAME TOGETHER FOR THIS COMMON CAUSE. HOSPITAL EMPLOYEES ORGANIZED, PUBLICIZED, AND WORKED THE EVENT. THE TOTAL COMMUNITY BENEFIT WAS $11,390. THE COST OF FUNDRAISING WAS $13,580.PIKEVILLE MEDICAL WELLNESS AND WEIGHT LOSS SURGERY CENTER'S THIRD ANNUAL "RECLAIM YOUR LIFE" 5K RUN/1-MILE WALK WAS HELD IN APRIL 2018. OBESITY IS AN EPIDEMIC IN APPALACHIA; PMC STRIVES TO EDUCATE THE COMMUNITY AND PROMOTE PHYSICAL ACTIVITY TO COMBAT THE DISEASE. PROCEEDS FROM THE EVENT, WHICH HAD MORE THAN 250 PARTICIPANTS, ASSIST WEIGHT LOSS SURGERY PATIENTS IN THEIR JOURNEY TO BETTER HEALTH. HOSPITAL EMPLOYEES VOLUNTEERED TO MAKE THE EVENT A SUCCESS. THE EVENT GENERATED OVER $12,234 IN COMMUNITY BENEFIT. HEALTH SCREENINGS: PMC PARTICIPATED IN 10 FREE COMMUNITY HEALTH FAIRS/SCREENINGS DURING FY 2018 INCLUDING TWO DIABETES SCREENING EVENTS, A WORLD HEPATITIS DAY HEALTH SCREENING EVENT AND STROKE AWARENESS DAY EVENT. HEALTH EDUCATION MATERIALS WERE DISTRIBUTED AT THE EVENTS, WHICH WERE ATTENDED BY MORE THAN 1,100 PEOPLE. ALL SCREENINGS WERE HOSTED BY PMC PHYSICIANS, NURSES AND/OR SUPPORT STAFF. THE EVENTS PROVIDED A COMMUNITY BENEFIT OF $17,124.OTHER EVENTS DURING WHICH PMC HOSTED FREE HEALTH SCREENINGS INCLUDED: - FIRST-AID BOOTH HILLBILLY DAYS FESTIVAL- BIG SANDY SENIOR GAMES BANQUET- PIKEVILLE FARMER'S MARKET ANNUAL PIG ROAST- MOUNTAIN HERITAGE FESTIVAL- MARROWBONE SENIOR CITIZENS CENTER HEALTH FAIRCOMMUNITY HEALTH EDUCATION: PMC'S STAFF IS ACTIVELY INVOLVED IN EDUCATING THE COMMUNITY ON IMPORTANT HEALTH CARE TOPICS. THROUGHOUT FY 2018, HOSPITAL REPRESENTATIVES FROM VARIOUS DEPARTMENTS PRESENTED TO LOCAL CIVIC CLUBS, SCHOOLS, MEDICAL PROFESSIONALS, AND THE PUBLIC AT LARGE. THROUGH ITS 113 COMMUNITY EDUCATION EFFORTS IN FY 2018, PMC CONTRIBUTED $301,186.PMC EMPLOYEES PARTICIPATED IN THE FOLLOWING LECTURES/PRESENTATIONS/PUBLICATIONS DURING FY 2018:- WORLD OBESITY DAY EVENT- NATIONAL MAMMOGRAPHY DAY- TRAUMA OUTREACH EMS WEEK EVENTS- WOUND HEALING RECOGNITION- WILDWOOD GARDEN CLUB MEETING- STOP THE BLEED TRAUMA DEMONSTRATION (6)- INFLUENZA EDUCATION PROGRAM- HEART MONTH EDUCATION PROGRAM- HEALTH MINUTE/MEDICAL JOURNAL- HEALTH TALK PROGRAMS (9)- MAYO MINUTE PROGRAMS (9)- MEDICAL LEADER COMMUNITY PUBLICATION AND WEBSITE- STROKE AWARENESS DAY- WEIGHT LOSS SURGERY EDUCATION SEMINARS (9)- WORLD HEPATITIS DAY EVENTHEALTH TALK - PMC'S PUBLIC RELATIONS DEPARTMENT RELEASED A 30-MINUTE RADIO SHOW THAT WAS AIRED ON LOCAL RADIO STATIONS COVERING PIKE, FLOYD, LETCHER, JOHNSON, KNOTT, MAGOFFIN, AND MARTIN COUNTIES IN KENTUCKY AND MINGO COUNTY, WEST VIRGINIA DURING FY 2018. THROUGH THIS SHOW, PMC INFORMED LISTENERS OF NEW HEALTH SERVICES, PHYSICIANS, AND TECHNOLOGY AT THE HOSPITAL. THE PROGRAM EDUCATED THE PUBLIC ON HEALTH TOPICS OF INTEREST WHICH HAVE INCLUDED FAMILY MEDICINE; FLU; PULMONARY REHABILITATION; CANCER SYMPTOMS, PREVENTION AND TREATMENT; AND DIABETES. IN FY 2018, THE TOTAL COST FOR THIS PROGRAM WAS MORE THAN $48,100.MAYO MINUTE - PMC SPONSORED MAYO MINUTE RADIO SPOTS FROM MAYO CLINIC DURING FY 2018. THE 60-SECOND RADIO SPOTS WERE AIRED ON LOCAL RADIO STATIONS COVERING PIKE, FLOYD, LETCHER, JOHNSON, KNOTT, MAGOFFIN AND MARTIN COUNTIES IN KENTUCKY AND MINGO COUNTY, WEST VIRGINIA. THE MAYO MINUTE INFORMATIONAL SPOTS COVERED A VARIETY OF HEALTH TOPICS. IN FY 2018, THE TOTAL COST FOR THIS PROGRAM WAS $45,800.MEDICAL LEADER - PMC PUBLISHED A WEEKLY NEWSPAPER, MEDICAL LEADER, IN WHICH HEALTH INFORMATION WAS PRINTED ALONG WITH CONTENT ABOUT PMC SERVICES, PHYSICIANS, AND TECHNOLOGY. DURING FY 2018 THE HOSPITAL RELEASED 26 WEEKLY ISSUES OF MEDICAL LEADER AND DISTRIBUTED THEM, FREE OF CHARGE, THROUGHOUT THE SERVICE AREA. THIS COMMUNITY BENEFIT EXCEEDED $112,350 IN FY 2018.WEIGHT LOSS SURGERY EDUCATION SEMINARS - PMC'S WEIGHT LOSS SURGERY CENTER STAFF EDUCATES THE PUBLIC ON VARIOUS BARIATRIC SURGERY, WEIGHT MANAGEMENT, AND NUTRITION TOPICS. DURING FY 2018, THIS COMMUNITY BENEFIT TOTALED $3,796.COMMUNITY SELF-HELP EDUCATION: SMOKING CESSATION CLASSES WERE OFFERED BY PMC DURING FY 2018, REACHING 30 PARTICIPANTS AT A COST OF $390.HEALTH PROFESSIONS EDUCATION: DURING FY 2018, PMC INVESTED $554,390 IN HEALTH PROFESSIONS EDUCATION. IN AFFILIATION WITH MORE THAN 30 ACADEMIC INSTITUTIONS, PMC TRAINED MORE THAN 400 STUDENTS DURING 2018, IN NEARLY 20 DIFFERENT SPECIALTIES INCLUDING: NURSING, PHYSICAL THERAPY, RESPIRATORY THERAPY, PHARMACY, PHLEBOTOMY, RADIOLOGY AND SPEECH THERAPY. SCHOOLS AFFILIATED WITH PMC INCLUDE:AMERICAN NATIONAL UNIVERSITYBELLARMINE UNIVERSITYBIG SANDY COMMUNITY AND TECHNICAL COLLEGECHAMBERLAIN COLLEGEEASTERN KENTUCKY UNIVERSITYEAST TENNESSEE STATE UNIVERSITYFRONTIER SCHOOL OF MIDWIFERY AND FAMILY NURSINGHAZARD COMMUNITY AND TECHNICAL COLLEGEINDIANA WESLEYAN UNIVERSITYKENTUCKY CHRISTIAN UNIVERSITYKENTUCKY COMMUNITY TECHNICAL COLLEGE SYSTEMLINCOLN MEMORIAL UNIVERSITYMARYVILLE UNIVERSITYMERIDIAN INSTITUTE OF SURGICAL ASSISTINGMOREHEAD STATE UNIVERSITYNOVA SOUTH EASTERN UNIVERSITYSOUTH UNIVERSITYSOUTHEAST COMMUNITY COLLEGESOUTHERN WEST VIRGINIA COMMUNITY & TECHNICAL COLLEGESOUTHWEST VIRGINIA COMMUNITY COLLEGESPALDING UNIVERSITYUNION UNIVERSITYUNIVERSITY OF APPALACHIA COLLEGE OF PHARMACYUNIVERSITY OF CHARLESTONUNIVERSITY OF CINCINNATIUNIVERSITY OF KENTUCKYUNIVERSITY OF LOUISVILLEUNIVERSITY OF PIKEVILLEVIRGINIA COMMONWEALTH UNIVERSITYWALDEN UNIVERSITYWESTERN KENTUCKY UNIVERSITYRESIDENCY PROGRAM - PMC'S RESIDENCY PROGRAM IS ACCREDITED BY THE AMERICAN OSTEOPATHIC ASSOCIATION AND IS SPONSORED BY THE APPALACHIAN OSTEOPATHIC POSTGRADUATE TRAINING INSTITUTE CONSORTIUM. AS THE REGION'S MOST SOUGHT AFTER RESIDENCY PROGRAM, IT IS THE ONLY INTEGRATED OSTEOPATHIC FAMILY MEDICINE AND MANIPULATIVE TREATMENT/NEUROMUSCULOSKELETAL MEDICINE RESIDENCY PROGRAM IN KENTUCKY, THE ONLY PLUS-ONE NEUROMUSCULOSKELETAL AND OSTEOPATHIC MANIPULATIVE MEDICINE RESIDENCY PROGRAM IN KENTUCKY, AND ONE OF ONLY SIX FAMILY MEDICINE AND OSTEOPATHIC MANIPULATIVE TREATMENT MEDICINE RESIDENCY PROGRAMS IN KENTUCKY. THE HOSPITAL, IN CONJUNCTION WITH THE RESIDENCY PROGRAM, OPERATES A FAMILY PRACTICE CLINIC WHICH TREATS MORE THAN 13,500 PATIENTS ANNUALLY. THIS SERVICE ALLOWS PMC TO EDUCATE AND RETAIN COMPETENT, SKILLED PHYSICIANS IN THE REGION. DURING THE RESIDENCY YEAR OF JULY 2017 TO JUNE 2018, PMC TRAINED 13 RESIDENTS. THIS PROGRAM PROVIDED A COMMUNITY BENEFIT OF $526,690.PIKEVILLE MEDICAL CENTER HAS ALSO PARTNERED WITH THE UNIVERSITY OF PIKEVILLE - KENTUCKY COLLEGE OF OPTOMETRY, A NOT-FOR-PROFIT OPTOMETRIC EDUCATION INSTITUTION ENGAGED IN EDUCATING OPTOMETRIC STUDENTS AND ADVANCING OPTOMETRIC EDUCATION TO PROVIDE CLINICAL CARE SPACE AND EQUIPMENT AS A CORE SITE TO ACCOMMODATE OPTOMETRY PATIENT CARE FOR THE EDUCATION AND TRAINING OF OPTOMETRIC STUDENTS.
PART VI LINE 5	PROMOTION OF COMMUNITY HEALTH (CONTINUED)CONTINUING HEALTH PROFESSIONALS EDUCATION - PMC'S MEDICAL LIBRARY STAFF COORDINATES AND OVERSEES CONTINUING MEDICAL EDUCATION (CME) HOURS OFFERED AT THE HOSPITAL. MOST CMES ARE OPEN TO NOT ONLY PMC STAFF, BUT TO OTHER MEDICAL PROFESSIONALS THROUGHOUT THE REGION. IN FY 2018, PMC OFFERED 89 CME PRESENTATIONS, REACHING NEARLY 2,000 ATTENDEES. THIS SERVICE PROVIDED A COMMUNITY BENEFIT OF $27,700. THE EDUCATIONAL OPPORTUNITIES OFFERED BY THE HOSPITAL DURING FY 2018 RELATED TO THE FOLLOWING TOPICS:- ADVANCED CARDIOVASCULAR LIFE SUPPORT (15 EVENTS) - BLADDER CANCER: DIAGNOSIS AND TREATMENT CONFERENCE- CARDIOLOGY GRAND ROUNDS (12 EVENTS) - CANCER CASE CONFERENCE (12 EVENTS)- DIABETES SYMPOSIUM- HEART AND VASCULAR SYMPOSIUM- INFECTIOUS DISEASE CONFERENCE (3 EVENTS)- PEDIATRIC ADVANCED LIFE SUPPORT (15 EVENTS)- STROKE CASE CONFERENCE (3 EVENTS)- STROKE GRAND ROUNDS (9 EVENTS)- STROKE SYMPOSIUM- TRAUMA SYMPOSIUM- TRAUMA GRAND ROUNDS (12 EVENTS)- ULTRASOUND IN THE EMERGENCY SETTING (2 EVENTS)- WOUND CARE SYMPOSIUMPHYSICIAN, MIDLEVEL AND NURSING PROFESSIONAL RECRUITMENT: PMC'S RECRUITMENT PROGRAM IS FOCUSED ON PROVIDING PATIENTS WITHIN THE SERVICE AREA WITH QUALITY MEDICAL CARE BY RECRUITING AN ADEQUATE NUMBER OF PRIMARY CARE PHYSICIANS ALONG WITH A DESIRED MIX OF SPECIALTY PHYSICIANS. PHYSICIAN RECRUITMENT IS A FUNDAMENTAL ELEMENT REQUIRED TO MEET THE HEALTHCARE NEEDS OF THE SERVICE AREA. PMC IS A REGIONAL REFERRAL CENTER FOR SPECIALTY AND SUB-SPECIALTY SERVICES NOT PROVIDED BY OTHER LOCAL HOSPITALS. DURING FY 2018, TWENTY-FIVE PHYSICIANS, SIXTEEN MIDLEVEL PROFESSIONALS AND SIXTY-SEVEN REGISTERED NURSES WERE ADDED TO PMC'S TEAM OF HEALTHCARE PROVIDERS. THE TOTAL COMMUNITY BENEFIT ASSOCIATED WITH RECRUITMENT OF THESE PROVIDERS DURING FY 2018 WAS $324,325. THE RECRUITED PHYSICIANS PRACTICE IN THE FOLLOWING SPECIALTIES: - ANESTHESIOLOGY- CARDIOLOGY- CARDIOTHORACIC SURGERY- ENDOCRINOLOGY- EMERGENCY MEDICINE- HEMATOLOGY/ONCOLOGY- HOSPITALIST MEDICINE- ORTHOPEDIC SURGERY- ORTHOPEDIC TRAUMA SURGERY- PODIATRY- PRIMARY CARE MEDICINE- RHEUMATOLOGY- SURGICAL ONCOLOGYSUPPORT GROUPS: IN FY 2018, PMC HOSTED/SPONSORED 22 SUPPORT GROUP MEETINGS, REACHING MORE THAN 150 PEOPLE AND PROVIDING $5,495 IN COMMUNITY BENEFITS. BELOW IS A LIST OF THE SUPPORT GROUPS PMC HOSTED/SPONSORED: - AFTER BREAST CANCER (ABC) SUPPORT GROUP- CURE BLOOD CANCER SUPPORT GROUP- MAN TO MAN PROSTATE CANCER SUPPORT GROUP- THYROID CANCER SUPPORT GROUP- DIABETES SUPPORT GROUP- WEIGHT LOSS SURGERY SUPPORT GROUPOTHER COMMUNITY SUPPORT: THROUGHOUT FY 2018, PMC HOSTED, SPONSORED, OR PARTICIPATED IN SEVERAL EVENTS TO SUPPORT THE COMMUNITY INCLUDING: - FIRST-AID BOOTH HILLBILLY DAYS FESTIVAL--A NATIONALLY KNOWN ANNUAL EVENT HELD IN DOWNTOWN PIKEVILLE TO BENEFIT THE SHRINERS' CHILDREN'S HOSPITAL- MILLARD ELEMENTARY SAFE TRICK OR TREAT- PIKEVILLE AREA VETERAN'S DAY CEREMONY- PMC BOOTH AT NIGHTMARE ON MAIN- PRAY FOR VEGAS COMMUNITY EVENT- CHILDREN'S COMMUNITY CHRISTMAS PARTY WITH SANTA- COMMUNITY CHRISTMAS PARADE - REASON FOR THE SEASON COMMUNITY SERVICE- VIRTUAL BRIDAL SHOW EVENT- YMCA HEALTHY KIDS DAY & EASTER EGG HUNT- YMCA HEALTHY MONDAYTHE TOTAL COMMUNITY BENEFIT FOR THE OTHER COMMUNITY SUPPORT EVENTS WAS $52,900.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
PIKEVILLE UNITED METHODIST CHURCH
PO BOX 311	PIKEVILLE	KY	41502	610500827	501C3	$13,371	FMV	COMMERCIAL KITCHEN EQUIPMENT-USED	FOOD ASSISTANCE PROGRAM SUPPORT
PIKEVILLE UNITED METHODIST CHURCH
PO BOX 311	PIKEVILLE	KY	41502	610500827	501C3	$4,659	WHOLESALE	FOOD PRODUCT-SHAKES, PUDDING, ENTREES, ETC	FOOD ASSISTANCE PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceDesc
ASSISTANCE FOR UNINSURED PATIENTS FOR PRESCRIPTIONS, CAFE VOUCHERS, TRANSPORTATION, MEDICAL EQUIPMENT AND CANCER TREATMENT TRAVEL ASSISTANCE.	410	$33,297	410 RECIPIENTS OF 257 PRESCRIPTIONS PROVIDED, 535 INSTANCES OF TRAVEL ASSISTANCE AND 7 MEDICAL EQUIPMENT PURCHASES/RENTALS.
BRYNLEE E. HAMILTON SCHOLARSHIP FUND		$10,000	SCHOLARSHIP FUND DONATION IN HONOR OF CITY OF PIKEVILLE FALLEN OFFICER SCOTTY HAMILTON

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)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	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 (22 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
AARON CRUM MD
BOARD MEMBER/CMO (EFFECTIVE 1/18)	$627,450	$0	$0	$0	$416	$0	$9,000	$0	$24,118	$0	$660,984	$0	$0	$0
FADI AL AKHRASS MD
BOARD MEMBER/CHIEF OF STAFF	$438,704	$0	$0	$0	$277	$0	$5,460	$0	$24,118	$0	$468,559	$0	$0	$0
WALTER E MAY
BOARD PRESIDENT/CEO (ENDING 1/18)	$572,322	$0	$0	$0	$209	$0	$11,938	$0	$15,757	$0	$600,226	$0	$0	$0
MICHELLE HAGY
CFO - SENIOR VP FINANCE	$294,142	$0	$0	$0	$400	$0	$7,449	$0	$24,116	$0	$326,107	$0	$0	$0
JUANITA DESKINS
CHIEF OPERATING OFFICER	$313,410	$0	$0	$0	$1,796	$0	$12,000	$0	$24,110	$0	$351,316	$0	$0	$0
WILLIAM D BLACKBURN
CHIEF EXECUTIVE OFFICER	$144,846	$0	$0	$0	$2,853	$0	$0	$0	$4,878	$0	$152,577	$0	$0	$0
CHERYL HICKMAN
CHIEF REGULATORY OFFICER - SENIOR VP	$177,048	$0	$0	$0	$1,127	$0	$8,657	$0	$23,866	$0	$210,698	$0	$0	$0
MICHELLE RAINEY
CHIEF NURSING OFFICER - SENIOR VP	$193,607	$0	$0	$0	$239	$0	$5,861	$0	$23,935	$0	$223,642	$0	$0	$0
TONY DAMRON
CHIEF INFORMATION OFFICER -SENIOR VP	$160,254	$0	$0	$0	$203	$0	$4,038	$0	$23,786	$0	$188,281	$0	$0	$0
CATHERINE JORGENSEN
VP CORPORATE COMPLIANCE	$183,808	$0	$0	$0	$1,066	$0	$9,285	$0	$23,885	$0	$218,044	$0	$0	$0
DAVID HALCOMB
ASSISTANT CHIEF FINANCIAL OFFICER	$153,246	$0	$0	$0	$3,133	$0	$0	$0	$23,735	$0	$180,114	$0	$0	$0
DEBRA PARSONS
CHIEF NURSING OFFICER	$242,429	$0	$0	$0	$3,361	$0	$1,222	$0	$824	$0	$247,836	$0	$0	$0
MARCUS CONLEY
ASSISTANT CHIEF FINANCIAL OFFICER	$179,291	$0	$0	$0	$218	$0	$2,716	$0	$23,885	$0	$206,110	$0	$0	$0
RALPH LOMMA
VP FACILITIES	$181,419	$0	$0	$0	$14,167	$0	$9,128	$0	$9,560	$0	$214,274	$0	$0	$0
ANITA WILSON
VP SURGICAL SERVICES	$266,200	$0	$0	$0	$0	$0	$0	$0	$0	$0	$266,200	$0	$0	$0
DERMOT HALPIN MD
CARDIOTHORACIC SURGEON	$948,204	$0	$0	$0	$637	$0	$0	$0	$24,118	$0	$972,959	$0	$0	$0
AMY JOHNSON MD
BARIATRIC & GENERAL SURGEON	$473,744	$0	$512,558	$0	$637	$0	$12,000	$0	$24,118	$0	$1,023,057	$0	$0	$0
KEVIN PUGH MD
ORTHOPEDIC SURGEON	$1,022,722	$0	$0	$0	$277	$0	$9,000	$0	$24,118	$0	$1,056,117	$0	$0	$0
KEITH HALL MD
ORTHOPEDIC SURGEON	$1,027,921	$0	$0	$0	$277	$0	$9,000	$0	$24,118	$0	$1,061,316	$0	$0	$0
WILLIAM B WEBB DO
EMERGENCY DEPARTMENT PHYSICIAN	$898,165	$0	$30,000	$0	$239	$0	$4,680	$0	$8,956	$0	$942,040	$0	$0	$0
RUSSELL SHANKLIN
FORMER-ASSISTANT CIO	$170,356	$0	$0	$0	$651	$0	$8,596	$0	$23,811	$0	$203,414	$0	$0	$0
PEGGY JUSTICE
FORMER - VP PHYSICIAN NETWORK	$157,560	$0	$0	$0	$280	$0	$7,982	$0	$23,760	$0	$189,582	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 4A	DEBRA PARSONS RECEIVED SEVERANCE PAYMENTS TOTALING $77,885.
PART I, LINE 7	DR. JOHNSON EARNS QUARTERLY BONUSES BASED ON THE WORK RELATIVE VALUE UNIT PRODUCTION WITHIN HER PRACTICE. DR. WEBB EARNED A PHYSICIAN RECRUITMENT BONUS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF PIKEVILLE KY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	616001897	BondIssuerEIN
CUSIP	72134PAR3	CUSIPNum
Bond Issued	2011-04-27	BondIssuedDt
Issue Price	$90,370,651	IssuePriceAmt
Purpose	SEE BELOW	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Bond Defeased	$6,945,000	BondDefeasedAmt
Total Proceeds	$90,370,651	TotalProceedsAmt
In Reserve Fund	$3,563,671	InReserveFundAmt
Issuance Costs From Proceeds	$1,328,586	IssuanceCostsFromProceedsAmt
Capital Expenditures	$41,241,831	CapitalExpendituresAmt
Other Spent Proceeds	$44,236,563	OtherSpentProceedsAmt
Substantial Completion	2014	SubstantialCompletionYr
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	Yes (1)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (1)	EngageBondCounselResearchInd
Private Bus Use By Others	0.00920	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00100	PrivateBusConcerningUBIPct
Total Private Business Use	0.01020	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCH K	FormAndLineReferenceDesc
Explanation	THE BONDS WERE ISSUED FOR THE PURPOSES OF PROVIDING FUNDS TO BE USED TO 1.) FINANCE A PORTION OF THE COSTS OF CERTAIN ADDITIONS, RENOVATIONS, IMPROVEMENTS AND EQUIPMENT FOR PIKEVILLE MEDICAL CENTER 2.) REFUND KY ECONOMIC DEVELOPMENT FINANCE AUTHORITY HOSPITAL REVENUE AND REFUND REVENUE BONDS, SERIES 1997 3.) RETIRE CERTAIN OUTSTANDING TAXABLE DEBT 4.) FUND A DEBT SERVICE RESERVE FUND 5.) FUND CAPITALIZED INTEREST DURING CONSTRUCTION OF THE PROJECT AND 6.) PAY COST OF ISSUANCE OF THE BONDS.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (21 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ADRIENNE ADKINS
STEP GRANDDAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO	$64,174	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS STAFF REGISTERED NURSE.	0
ANDREA ALLARA
DAUGHTER OF JOE DEAN ANDERSON, PMC BOARD MEMBER	$43,458	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS RADIOLOGY COORDINATOR.	0
ASHLEY JOHNSON
DAUGHTER OF DAVID COLLINS, CPA, PMC BOARD MEMBER	$67,541	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS MANAGER RECRUITING	0
BART DAVIS
GRANDSON OF JO NELL ROBINSON, PMC BOARD MEMBER	$78,322	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR OF FLEET & SURPLUS MAINTENANCE	0
CAMILLA DAMRON
DAUGHTER OF JO NELL ROBINSON, PMC BOARD MEMBER	$76,378	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A SPEECH LANGUAGE PATHOLOGIST.	0
COMMUNITY TRUST BANK
ENTITY OF WHICH BOARD MEMBER HAS BUSINESS RELATIONSHIP	$8,919,100	DAVID COLLINS SERVES AS BOARD MEMBER OF BOTH ENTITIES. SERVICES PROVIDED BY COMMUNITY TRUST BANK TO PIKEVILLE MEDICAL CENTER: -INTEREST INCOME BANKING SERVICES & FUNDS IN TRUST, $1,385,442 -SAFE DEPOSIT BOX FEES/LINE OF CREDIT FEES/BOND ACCT MGMT FEES, $13,234 - INSTALLMENT PAYMENTS, $7,507,940 -ADVERTISING INCOME MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $12,484	0
CORDELL WEATHERFORD
FAMILY MEMBER OF WALTER E. MAY, PMC PRES/CEO & CINDY JOHNSON, PMC BOARD MEM	$111,789	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS VICE PRESIDENT SUPPORT SERVICES	0
EAST KY BROADCASTING & EAST KY RADIO NETWORK (TOTAL OF NINE RADIO STATIONS)
ENTITIES > 35% OWNED BY WALTER MAY, PMC PRES/CEO & CINDY JOHNSON BOARD MEM	$762,871	ENTITIES PROVIDE ADVERTISING SERVICES TO PMC, $700,501 -ENTITIES PROVIDE ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $62,370	0
KAMINSKI ROBINSON
SPOUSE OF JO NELL ROBINSON, PMC BOARD MEMBER	$55,411	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-CHAPLAIN SERVICES.	0
MIRANDA FORSYTH
FAMILY MEMBER OF DEBRA BLACKBURN, PMC BOARD MEM & WILLIAM BLACKBURN PMC CEO	$57,797	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS EMPLOYEE HEALTH NURSE	0
RANDY L JOHNSON
FAMILY MEMBER OF WALTER E. MAY, PMC PRES/CEO & CINDY JOHNSON, PMC BOARD MEM	$64,896	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-CHAPLAIN SERVICES.	0
RHONDA COLEMAN
FAMILY MEMBER OF DEBRA BLACKBURN, PMC BOARD MEM & WILLIAM BLACKBURN PMC CEO	$67,095	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS MANAGER PHYSICIAN CODING & REVENUE CYCLE	0
ROBERT BELL
STEP SON OF HOBART JOHNSON, PMC BOARD MEMBER	$102,908	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS NUTRITIONAL SERVICES HEAD CHEF.	0
SARAH TAYLOR
DAUGHTER OF CHERYL HICKMAN, PMC KEY EMPLOYEE	$80,968	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS IT- PROJECT MANAGER.	0
TRISTAN BLACKBURN
FAMILY MEMBER OF DEBRA BLACKBURN, PMC BOARD MEM & WILLIAM BLACKBURN PMC CEO	$72,800	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS NETWORK ADMINISTRATOR.	0
WILLIAM B LOWE
STEP SON IN LAW OF WALTER E MAY, PMC PRESIDENT/CEO	$32,027	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS EXECUTIVE DIRECTOR PHYSICIAN REFERRAL	0
JORDAN ELIZABETH PUGH
GRANDDAUGHTER OF SUE SMALLWOOD, PMC BOARD MEMBER	$39,931	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS RECRUITER	0
ELLIOTT COMPANIES
ENTITY OF WHICH BOARD MEMBER HAS BUSINESS RELATIONSHIP	$575,477	DAVID BAIRD SERVES AS BOARD MEMBER OF BOTH ENTITIES. PIKEVILLE MEDICAL CENTER PURCHASES CONSTRUCTION AND MAINTENANCE MATERIALS FROM ELLIOTT COMPANIES.	0
LINA ABDALLAH
SPOUSE OF FADI AL AKHRASS M.D., PMC BOARD MEMBER	$59,486	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS PHARMACIST	0
DWIGHT BUCKLEY
FAMILY MEMBER OF DEBRA BLACKBURN, PMC BOARD MEM & WILLIAM BLACKBURN PMC CEO	$53,654	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR RESPIRATORY/SLEEP LAB	0
ANDREA ROBINETTE LOWE
STEP DAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO	$100,918	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS VICE PRESIDENT HUMAN RESOURCES	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	DR ALEX POULOS & DR DENNIS HALBERT PARTNERS IN PIKEVILLE RADIOLOGY.
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. COPIES ARE PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY UPON REQUEST.
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, CHILDREN, 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 LICENSED CLINICAL STAFF, SUPERVISORS, AND 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 15A	THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE SALARY OF THE ORGANIZATION'S CEO. THE COMMITTEE USES COMPARATIVE DATA FROM NATIONAL SALARY SURVEYS. MOTION AND APPROVALS FROM THE COMMITTEE ARE KEPT IN THE MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION DOES MAKE THE FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	INTEREST IN CHARITABLE REMAINDER TRUST 10,234. ROUNDING -1. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -490,173.
FORM 990, PART XII, LINE 2C.	OVERSIGHT OF AUDIT PROCESS THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR.
PART III, LINE 4D, OTHER PROGRAM SERVICES:	CONTINUED FROM PART III, LINE 4D, OTHER PROGRAM SERVICES: NATIONAL RECOGNITION PIKEVILLE MEDICAL CENTER (PMC) STRIVES TO BE NATIONALLY RECOGNIZED AS A LEADER IN HEALTHCARE. THE DEDICATION OF PMC'S LEADERSHIP TEAM, PHYSICIANS, AND STAFF TO FULFILL THE HOSPITAL'S MISSION "TO PROVIDE WORLD-CLASS QUALITY HEALTH CARE IN A CHRISTIAN ENVIRONMENT" LED TO NOTABLE RECOGNITION AND AWARDS DURING FY 2018 INCLUDING: OCTOBER '18 PMC RECEIVED THE GOLD SEAL OF DISTINCTION FOR HIP FRACTURE, JOINT REPLACEMENT HIP AND JOINT REPLACEMENT KNEE BY THE JOINT COMMISSION; PMC IS THE ONLY HOSPITAL IN KENTUCKY TO RECEIVE ALL THREE CERTIFICATIONS. SEPTEMBER '18 THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S HEART-CHECK MARK FOR ADVANCED CERTIFICATION FOR PRIMARY STROKE CENTER. THE GOLD SEAL OF APPROVAL AND THE HEART-CHECK MARK REPRESENT SYMBOLS OF QUALITY FROM THEIR RESPECTIVE ORGANIZATIONS. AUGUST '18 PMC RECEIVED THE PLATINUM AWARD FROM THE KENTUCKY ORGAN DONOR ASSOCIATION. JUNE '18 THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD WITH TARGET: STROKE HONOR ROLL ELITE. MARCH '18 LEVEL II TRAUMA CERTIFICATION & DESIGNATION FROM THE AMERICAN COLLEGE OF SURGEONS. OCTOBER '17 THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD WITH TARGET: STROKE HONOR ROLL ELITE. PMC'S COMMITMENT TO PROVIDE WORLD-CLASS QUALITY HEALTHCARE IN A PASSIONATE, INNOVATIVE, AND VISIONARY ENVIRONMENT, WHERE PATIENTS' NEEDS ARE PLACED FIRST, WILL DRIVE THE ORGANIZATION FORWARD TO CONTINUED GROWTH AND EXPANSION, FOREVER MEETING THE EVOLVING HEALTHCARE NEEDS OF THE REGION.

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	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LINE 12B, II	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

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

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
PIKEVILLE MEDICAL DEVELOPMENT CORPORATION
911 BYPASS ROAD	PIKEVILLE	KY	41501	202487928	INACTIVE	KY	N/A	C	-$350	$6,571	1.00000	0
LANDMARK PROPERTIES OF PIKEVILLE INC
PO BOX 1259	PIKEVILLE	KY	41502	462494613	LODGING	KY		C	-$770,332	$4,867,592	1.00000	Yes (1)	PIKEVILLE MEDICAL CENTER

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	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	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
LANDMARK PROPERTIES
B	$223,530	CASH
LANDMARK PROPERTIES
D	$403,285	COST
LANDMARK PROPERTIES
J	$12	COST
LANDMARK PROPERTIES
M	$612,081	COST
LANDMARK PROPERTIES
K	$84,000	COST
PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE INC
C	$293,391	CASH