TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) WALTER BLANKENSHIP BOARD MEMBER	2.00	X		0	0
(2) TT COLLEY BOARD MEMBER	2.00	X		0	14,235
(3) DAVID COLLINS CPA BOARD MEMBER	2.00	X		0	0
(4) DENNIS HALBERT MD BOARD MEMBER	4.00	X		0	14,235
(5) JUDITH HINKLE BOARD MEMBER	2.00	X		0	0
(6) HOBART CLAY JOHNSON BOARD MEMBER	2.00	X		0	0
(7) JOHN LABRECHE BOARD MEMBER	4.00	X		0	280
(8) ALEX POULOS MD BOARD MEMBER	4.00	X		0	14,235
(9) JO NELL ROBINSON BOARD MEMBER	4.00	X		0	5,532
(10) MARY SIMPSON PHD BOARD MEMBER	2.00	X		0	0
(11) SUE SMALLWOOD BOARD MEMBER	4.00	X		0	5,532
(12) JOE DEAN ANDERSON BOARD MEMBER - SECRETARY	4.00	X	X	0	14,235
(13) RONALD BURCHETT BOARD MEMBER -VICE-PRESIDENT	4.00	X	X	0	0
(14) WILLIAM GAUNT MD BOARD-CHIEF OF STAFF	2.00	X		0	0
(15) LACY PUCKETT EMERITUS BOARD MEMBER	0.00	X		0	0
(16) BURLIN COLEMAN EMERITUS BOARD MEMBER	0.00	X		0	0
(17) WALTER E MAY PRESIDENT/CEO	40.00	X	X	617,007	29,029

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MICHELLE HAGY CFO-VP FINANCE	40.00	X				230,442	21,852
(19) SUSAN SCHELL ACFO-PHYSICIAN NETWORK	40.00		X			163,615	18,509
(20) CHERYL HICKMAN ASSISTANT TO PRESIDENT	40.00		X			214,733	28,719
(21) WILLIAM JOHNSON CHIEF MEDICAL OFFICER	40.00		X			268,871	27,744
(22) DEBRA HAMPTON CHIEF NURSING OFFICER	40.00		X			233,022	24,882
(23) JUANITA DESKINS CHIEF OPERATING OFFICER	40.00		X			231,410	21,579
(24) PEGGY JUSTICE VP PHYSICIAN NETWORK	40.00		X			164,907	26,540
(25) TERENCE FARRELL VP PROF/SUPPORT SERVICES	40.00		X			212,572	21,482
(26) DEBORAH PUCKETT VP REHAB/WOUND CARE SERVIC	40.00		X			156,761	21,553
(27) BILL HARRIS MD INTERVENTIONAL CARDIOLOGIS	40.00			X		803,104	29,341
(28) DUANE DENSLER MD NEUROSURGEON	40.00			X		895,945	26,265
(29) NORMAN MAYER MD NEUROSURGEON	40.00			X		972,491	25,739
(30) KEITH HALL MD ORTHOPEDIC SURGEON	40.00			X		1,079,783	25,725
(31) KEVIN PUGH MD ORTHOPEDIC SURGEON	40.00			X		914,171	25,725
(32) DANNY HARRIS FORMER CFO-VP FINANCE	40.00				X	103,727	13,342
(33) JERRY JOHNSON FORMER COO	40.00				X	263,084	21,521

(A) Name and business address	(B) Description of services	(C) Compensation
ROSE BUILDERS 7 STACY STREET HAROLD,KY41635	CONSTRUCTION SERVICES	5,931,518
PRECYSE SOLUTIONS LLC 1275 DRUMMERS LANE WAYNE,PA19087	HIM SERVICES	2,242,433
STENGEL HILL ARCHITECTURE INC 613 W MAIN STREET LOUISVILLE,KY40202	PROFESSIONAL SERVICES	2,194,413
MCKESSON HBOC PO BOX 98347 CHICAGO,IL60693	PROFESSIONAL SERVICES	1,971,319
GENERAL ELECTRIC PO BOX 96483 CHICAGO,IL60693	PROFESSIONAL SERVICES	1,119,902
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 49

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	73,026	73,026
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	21,042	21,042
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	2,812,814		2,812,814
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	118,043,944	101,901,463	16,141,222	1,259
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	1,612,224	1,391,753	220,454	17
9	Other employee benefits .......	30,454,528	26,289,880	4,164,323	325
10	Payroll taxes ...........	7,557,785	6,322,885	1,234,804	96
11	Fees for services (non-employees):
a	Management ......	443,904	310,921	132,983
b	Legal .........	1,392,675		1,392,675
c	Accounting ...........	121,421		121,421
d	Lobbying ...........	61,803		61,803
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......	53,841		53,841
g	Other ..........	9,440,630	7,379,687	2,060,943
12	Advertising and promotion ....	2,448,030	195,090	2,252,940
13	Office expenses .......	888,162	602,999	284,502	661
14	Information technology ......	2,590,521	2,184,221	406,273	27
15	Royalties ..
16	Occupancy ...........	3,561,216	2,875,801	685,379	36
17	Travel ............	418,765	269,425	149,247	93
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	156,642	95,526	60,916	200
20	Interest ...........	3,908,425	3,295,424	612,960	41
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	16,681,073	14,064,798	2,616,101	174
23	Insurance ..............	3,623,270	3,582,764	40,468	38
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	SUPPLIES & DRUGS	54,945,718	54,633,251	312,467
b	BAD DEBT EXPENSE	38,576,015	38,576,015
c	MISCELLANEOUS	8,298,425	5,023,116	3,270,047	5,262
d	EQUIPMENT RENTAL & MAIN	6,072,388	5,693,965	378,423
e	PROVIDER TAX EXPENSE	3,256,359	3,256,359
f	All other expenses	2,942,141	2,942,141
25	Total functional expenses. Add lines 1 through 24f	320,456,787	280,981,552	39,467,006	8,229
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	10,554	1	12,255
2	Savings and temporary cash investments .......	83,406,653	2	120,750,346
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	31,348,306	4	40,695,824
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........	130,995	5	31,995
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	10,156,400	8	10,703,096
9	Prepaid expenses and deferred charges ............	2,676,369	9	2,867,950
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	250,459,527
b	Less: accumulated depreciation. .....	10b	107,746,213	126,569,200	10c	142,713,314
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 ......	1,448,001	12	1,741,318
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	7,779,122	15	65,042,973
16	Total assets. Add lines 1 through 15 (must equal line 34)...	263,525,600	16	384,559,071
	17	Accounts payable and accrued expenses .	29,484,308	17	31,417,884
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........	34,920,000	20	135,795,572
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	13,238,252	23	209,362
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	6,585,899	25	6,691,190
26	Total liabilities. Add lines 17 through 25.....	84,228,459	26	174,114,008
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	179,070,296	27	210,239,063
28	Temporarily restricted net assets .....	20,845	28	0
29	Permanently restricted net assets .....	206,000	29	206,000
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	179,297,141	33	210,445,063
34	Total liabilities and net assets/fund balances .....	263,525,600	34	384,559,071

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

PIKEVILLE MEDICAL CENTER INC

Employer identification number

61-0458376

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

PIKEVILLE MEDICAL CENTER INC

Employer identification number

61-0458376

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization PIKEVILLE MEDICAL CENTER INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization PIKEVILLE MEDICAL CENTER INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
PIKEVILLE MEDICAL CENTER INC

Employer identification number

61-0458376

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

PIKEVILLE MEDICAL CENTER INC

Employer identification number

61-0458376

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Yes

61,803

Other activities? If "Yes," describe in Part IV ..........................

Yes

13,126

Total. lines 1c through 1i ...................................

74,929

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES:	PART II-B, LINE 1I:	OTHER ACTIVITY COSTS ARE THE CORPORATION'S PORTION OF TRADE DUES (I.E. KENTUCKY HOSPITAL ASSOCIATION)

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

PIKEVILLE MEDICAL CENTER INC

Employer identification number

61-0458376

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back
1a	Beginning of year balance ....	226,845	226,346	331,000
b	Contributions ........		25,000	479,000
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	20,845	24,501	583,654
f	Administrative expenses ....
g	End of year balance ......	206,000	226,845	226,346

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

100.000 %

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................		5,495,937		5,495,937
b	Buildings ................	5,499,265	105,661,357	38,050,496	73,110,126
c	Leasehold improvements ............		3,179,896	1,327,213	1,852,683
d	Equipment ................		103,937,092	68,368,504	35,568,588
e	Other .................		26,685,980		26,685,980
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........					142,713,314

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) INDENTURE				62,118,875
(2) GOODWILL				229,624
(3) BOND ISSUANCE COSTS				1,551,370
(4) LONG TERM PREPAID ASSET				1,143,104





Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........				65,042,973

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
RESERVE FOR RECIPROCAL OF AMER CLAIMS		3,645,630
ESTIMATED COST REPORT SETTLEMENTS		1,385,910
DEFERRED COMPENSATION LIABILITY		900,440
RESERVES FOR WORKERS COMPENSATION CLAIMS		759,210





Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		6,691,190
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	351,436,562
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	320,456,787
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	30,979,775
4	Net unrealized gains (losses) on investments ..........................	4	168,151
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8	-4
9	Total adjustments (net). Add lines 4 - 8 .............................	9	168,147
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	31,147,922

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	358,712,670
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	168,151
b	Donated services and use of facilities .........	2b	53,153
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d	7,054,806
e	Add lines 2a through 2d .....................			2e	7,276,110
3	Subtract line 2e from line 1.....................			3	351,436,560
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b	2
c	Add lines 4a and 4b.......................			4c	2
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......			5	351,436,562

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	327,564,746
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a	53,153
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d	7,054,806
e	Add lines 2a through 2d......................			2e	7,107,959
3	Subtract line 2e from line 1.....................			3	320,456,787
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................			4c	0
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......			5	320,456,787

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	THE AMOUNT OF $206,000 IS A PERMANENT RESTRICTED ENDOWMENT-HERBERT FABER ENDOWMENT FUND. THE BALANCE OF THE RAY OF HOPE FOUNDATION DONATION IN THE AMOUNT OF $20,845 WAS USED TO PROVIDE INDIGENT PATIENTS WITH FINANCIAL ASSISTANCE FOR TRAVEL AND MEDICATION RELATED EXPENSES DURING FY 2011.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	THE HOSPITAL HAS RECEIVED A DETERMINATION LETTER FROM THE IRS THAT IT IS A NOT-FOR-PROFIT ORGNAIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2011 AND 2012.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		EXPENSES RECLASSED TO REVENUE SECTION 6,899,027. FUNDRAISING EXPENSES 155,779.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		ROUNDING 2.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		EXPENSES RECLASSED TO REVENUE SECTION 6,899,027. FUNDRAISING EXPENSES 155,779.
		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 D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization
PIKEVILLE MEDICAL CENTER INC

Employer identification number

61-0458376

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and e-mail solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.

(i) Name and address of individual or entity (fundraiser)	(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
	(ii) Activity	Yes	No	(iv) Gross receipts from activity		(vi) Amount paid to (or retained by) organization
Total .................

List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2010

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.

		(a) Event #1 NEW YEARS EVE GALA (event type)	(d) Total Events (Add col. (a) through col. (c))
1	Gross receipts . . .	428,983	428,983
2	Less: Charitable contributions . . .	331,842	331,842
3	Gross income (line 1 minus line 2) . . .	97,141	97,141
4	Cash prizes . . .
5	Non-cash prizes . .
6	Rent/facility costs . .	50,060	50,060
7	Food and beverages . .	73,259	73,259
8	Entertainment . . .	11,748	11,748
9	Other direct expenses .	20,712	20,712
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........		155,779
11	Net income summary. Combine lines 3 and 10 in column (d)............		-58,638

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (Add col. (a) through col. (c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," Explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," Explain:

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ...........................

YesNo

Schedule G (Form 990 or 990-EZ) 2010

Page 3

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Provide the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)

Identifier	ReturnReference	Explanation

Schedule G (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

PIKEVILLE MEDICAL CENTER INC

Employer identification number

61-0458376

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..			12,510,973	2,728,747	9,782,226	3.050 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .			50,147,857	36,814,060	13,333,797	4.160 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....			62,658,830	39,542,807	23,116,023	7.210 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	276	2,606	216,613		216,613	0.070 %
f Health professions education (from Worksheet 5) ..	9		1,007,024	433,769	573,255	0.180 %
g Subsidized health services (from Worksheet 6) ..
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	42	110	73,518		73,518	0.020 %
jTotal Other Benefits ...	327	2,716	1,297,155	433,769	863,386	0.270 %
kTotal. Add lines 7d and 7j. ..	327	2,716	63,955,985	39,976,576	23,979,409	7.480 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	69	4,114	38,567	2,259	36,308	0.010 %
4	Environmental improvements
5	Leadership development and training for community members	4	129	1,806		1,806	0 %
6	Coalition building
7	Community health improvement advocacy	2	269	6,748		6,748	0 %
8	Workforce development	33		733,137		733,137	0.230 %
9	Other
10	Total	108	4,512	780,258	2,259	777,999	0.240 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

9,294,377

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

464,719

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

90,699,695

Enter Medicare allowable costs of care relating to payments on line 5.....

79,076,915

Subtract line 6 from line 5. This is the surplus or (shortfall)........

11,622,780

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	PIKEVILLE MEDICAL CENTER 911 BYPASS ROAD PIKEVILLE,KY41501	X	X	X	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:PIKEVILLE MEDICAL CENTER - NOT REQUIRED

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?32
Name and address		Type of Facility (Describe)
1	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
2	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
3	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
4	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
5	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
6	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
7	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
8	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
9	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
10	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
11	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
12	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
13	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
14	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
15	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
16	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
17	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
18	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
19	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
20	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
21	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
22	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
23	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
24	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
25	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
26	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
27	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
28	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
29	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
30	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
31	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
32	ORTHOPEDIC PHYSICIAN PRACTICE 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
		PART II: THE HOSPITAL'S MISSION STATEMENT, "TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT" DRIVES PMC'S EFFORTS AS WE CONCENTRATE ON THE PHYSICAL, MENTAL AND SPIRITUAL WELL BEING OF THE PUBLIC. DURING FY 2011, PIKEVILLE MEDICAL CENTER REPORTED TAKING PART IN 106 DIFFERENT COMMUNITY BUILDING ACTIVITIES, AFFECTING OVER 4,243 PEOPLE AND TOTALING MORE THAN $770,000. 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: CELEBRATION OF HOPE FOR BREAST CANCER SURVIVORS, FAMILY AND CONSUMER SCIENCES MEETING, PROFESSIONAL DEVELOPMENT DAY AT HARRY M. CAUDILL LIBRARY, EASTER SUNRISE SERVICE AND HOLY WEEK SERVICES, A CHRISTMAS LIVE NATIVITY AND OVER 300 MEALS PER MONTH PROVIDED TO MEALS ON WHEELS.
		PART III, LINE 4: THE HOSPITAL HAS A POLICY OF PROVIDING CHARITY CARE TO PATIENTS WHO ARE UNABLE TO PAY. SUCH PATIENTS ARE IDENTIFIED BASED ON FINANCIAL INFORMATION OBTAINED FROM THE PATIENT AND SUBSEQUENT ANALYSIS. SINCE THE HOSPITAL DOES NOT EXPECT PAYMENT, ESTIMATED CHARGES FOR CHARITY ARE NOT REPORTED IN REVENUE. THE COST TO CHARGE FACTOR USED IS 0.242 FROM WORKSHEET 2.
		PART III, LINE 8: NO SHORTFALL EXISTED IN FY 2011. 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, 2011 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST.
		PART III, LINE 9B: IF DETERMINED THAT A PATIENT MIGHT QUALIFY FOR AN INDIGENT PROGRAM, THE PATIENT IS SENT THE REQUIRED FORMS (FINANCIAL ASSISTANCE APPLICATION) TO APPLY FOR CHARITY ASSISTANCE. WHEN THE PAPERWORK IS RETURNED BY THE PATIENT, THE APPLICATION IS SENT THROUGH THE ELIGIBILITY DETERMINATION REVIEW PROCESS. IF THE APPLICATION IS APPROVED, THE ACCOUNT BALANCE IS THEN ADJUSTED BY THE AMOUNT ALLOWED BY THE CHARITY ELIGIBILITY GUIDELINES.
		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. FIRST, A HANDOUT LABELED, "FINANCIAL SERVICES AND CONSULTATIONS" IS AVAILABLE TO EVERY PATIENT UPON REGISTRATION. SECOND, THE MANDATORY CONSENT FORM HAS THE PATIENT'S ACKNOWLEDGEMENT STATEMENT, "I ACKNOWLEDGE RECEIPT OF INFORMATION ON DSH, KCHIP, BILLING AND INSURANCE PROCEDURES AND AIDS QUESTIONS / ANSWERS." THIRD, THE FIRST BILL A PATIENT RECEIVES INCLUDES A STATEMENT REGARDING HOW ONE CAN CONTACT A COUNSELOR, IF THE FINANCIAL ASSISTANCE IS NEEDED. LASTLY, THE PATIENT ACCOUNTS STAFF AND PATIENT FINANCIAL COUNSELORS REGULARLY MAIL OUT DSH/PMC CHARITY APPLICATIONS. THESE APPLICATIONS, ALONG WITH DIRECTIONS, ARE ALSO AUTOMATICALLY PRINTED OFF WHEN REGISTERING A SELF-PAY PATIENT. THE PATIENT IS THEN DIRECTED TO OUR FINANCIAL COUNSELORS FOR FURTHER ASSISTANCE. IN THE EVENT A PATIENT IS ADMITTED TO THE FACILITY, FINANCIAL COUNSELORS MEET WITH EACH TO DISCUSS POSSIBLE FINANCIAL ASSISTANCE OPPORTUNITIES. ASSISTANCE FROM THE COUNSELORS BEGINS WITH THE APPLICATION AND CONTINUES THROUGH THE VERIFICATION PROCESS TO ALLOW EACH PATIENT TO TAKE ADVANTAGE OF THE AVAILABLE PROGRAMS.
		PART VI, LINE 4: PIKEVILLE MEDICAL CENTER 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 CONSTITUENTS IT SERVES. INFORMATION IS PULLED FROM OUR IMMEDIATE SERVICE AREA ENCOMPASSING A SEVEN COUNTY REGION - PIKE, FLOYD, LETCHER, JOHNSON, MAGOFFIN AND MARTIN COUNTIES IN KENTUCKY AND WEST VIRGINIA'S MINGO COUNTY. ALL DATA PRESENTED HERE IS CURRENT AS OF THE 2010 U.S. CENSUSTHE SEVEN COUNTY AREA CONTAINS A TOTAL POPULATION OF 205,451 INDIVIDUALSWITH A RELATIVELY EVEN DISTRIBUTION OF MALES (101,543) TO FEMALES (103,908). THE MEDIAN POPULATION AGE IS 39.8 YEARS OLD AND THE AVERAGE HOUSEHOLD SIZE IS 2.4 INDIVIDUALS.PIKEVILLE MEDICAL CENTER RESIDES IN A MEDICALLY UNDERSERVED AND IMPOVERISHED AREA. THE MEDIAN FAMILY INCOME FOR OUR REGION WAS $30,212 IN 2009 WITH 16,695 OF THE 43,202 CHILDREN UNDER AGE 18 LIVING UNDER THE POVERTY LINE. THE NUMBER OF HOUSEHOLDS WITH AN INCOME LOWER THAN $25,000 WAS 37,820.PIKEVILLE MEDICAL CENTER SERVES AS A BEACON OF HOPE AND AN ECONOMIC BOOST TO THE MOUNTAIN COMMUNITY IN WHICH IT RESIDES. THE CITY OF PIKEVILLE, KY WHERE THE HOSPITAL IS CENTERED IS HOME TO 6,361 INDIVIDUALS. OVER 35% OF THE CITY'S RESIDENTS POSSESS A BACHELORS DEGREE OR HIGHER. 32.9% OF THE CITY'S POPULATION WORKS IN EDUCATION, HEALTH CARE OR SOCIAL SERVICES.
		PART VI, LINE 6: PIKEVILLE MEDICAL CENTER (PMC), NOW AFFILIATED WITH THE CLEVELAND CLINIC HEART SURGERY PROGRAM, IS KNOWN FOR ITS COMPASSIONATE EMPLOYEES, UNSURPASSED SERVICE, STATE-OF-THE-ART TECHNOLOGY AND UNMATCHED GENEROSITY TO THE COMMUNITY. KNOWN AS THE PREMIER HOSPITAL IN A MULTI-STATE REGION, PMC IS CONTINUALLY GROWING AND LOOKING FOR NEW WAYS TO OFFER THE VERY BEST IN HEALTH CARE TO ITS PATIENTS AND THE BROADER POPULATION. PIKEVILLE MEDICAL CENTER'S MISSION "TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT" IS FULFILLED ON A DAILY BASIS AS THE STAFF EMPLOYS TEAMWORK WITH A SINCERE PASSION TO HELP OTHERS.THROUGHOUT PIKEVILLE MEDICAL CENTER'S 87-YEAR HISTORY, THE HOSPITAL HAS UNDERGONE SUBSTANTIAL CHANGE. STARTING AS A SMALL, RURAL, 50-BED FACILITY IN 1924, THE MEDICAL CENTER HAS UNDERGONE MANY PHYSICAL CHANGES. TODAY, THE HOSPITAL IS A COMPREHENSIVE 261-BED FACILITY ENCOMPASSING 959,000 SQUARE FEET INCLUDING BOTH THE MAIN FACILITY AND SURROUNDING SUPPORTIVE SERVICES. CURRENTLY PMC EMPLOYS NEARLY 2,600 PEOPLE, HAVING HIRED MORE THAN 700 EMPLOYEES DURING THE PAST YEAR. PMC OFFERS MORE THAN 400 SERVICES. THIS TREMENDOUS PHYSICAL GROWTH, ALONG WITH SOUND FINANCIAL LEADERSHIP, HAS ALLOWED PMC TO SIGNIFICANTLY EXPAND THE HEALTH CARE SERVICES OFFERED TO OUR REGION. CURRENT SERVICES INCLUDE: AN AWARD-WINNING, FULL-SERVICE CANCER TREATMENT CENTER; A LEVEL IIII CHEST PAIN ACCREDITED HEART AND VASCULAR INSTITUTE; A 40-BED INPATIENT PHYSICAL REHABILITATION HOSPITAL; AN ACCREDITED STROKE CENTER; STATE-OF-THE-ART EMERGENCY DEPARTMENT; TRAUMA CENTER; NEUROSCIENCE CENTER; LEVEL III NEONATAL INTENSIVE CARE UNIT; WOUND CARE CENTER; ORTHOPEDIC CENTER; WEIGHT LOSS SURGERY CENTER; TWO SATELLITE SLEEP LAB FACILITIES; AN OUTPATIENT DIAGNOSTIC CENTER, SEVERAL FAMILY PHYSICIAN PRACTICES, AND A VARIETY OF SPECIALTY PHYSICIAN PRACTICES. AS WELL AS AUGMENTING THE RANGE AND COMPLEXITY OF HEALTH CARE SERVICES PROVIDED TO PATIENTS IN THE AREA, PIKEVILLE MEDICAL CENTER'S GROWTH HAS PLAYED AN INTEGRAL PART IN ENHANCING THE HOSPITAL'S OUTREACH TO THE LOCAL COMMUNITY. PMC TAKES PRIDE IN KEEPING THE PUBLIC INFORMED ABOUT INNOVATIVE MEDICAL ADVANCEMENTS THROUGH THE PUBLICATION OF A WEEKLY NEWSPAPER CALLED THE MEDICAL LEADER - THE REGION'S ONLY "GOOD NEWS" COMMUNITY NEWSPAPER. MORE THAN 8,500 PAPERS ARE DISTRIBUTED WEEKLY TO 150+ LOCATIONS THROUGHOUT THE COUNTIES OF PIKE, FLOYD, LETCHER (KENTUCKY) AND MINGO (WEST VIRGINIA). THE PAPER ALSO HAS NEARLY 4,000 EMAIL SUBSCRIBERS AND 2,000 SOCIAL MEDIA FOLLOWERS. THIS FREE FULL-SERVICE NEWSPAPER ALLOWED PMC TO GIVE OVER $180,833 COMMUNITY BENEFIT EXPENSE DURING FY 2011. PMC ALSO PROVIDES A VARIETY OF EDUCATIONAL, WELLNESS AND PREVENTIVE HEALTH SERVICES. SUCH ACTIVITIES AND EVENTS INCLUDE: INDIGENT CARE ASSISTANCE, EDUCATIONAL/TRAINING SESSIONS, SUPPORT GROUPS, HEALTH FAIRS, FREE HEALTH SCREENINGS AND OTHER COMMUNITY EVENTS. PIKEVILLE MEDICAL CENTER CONSIDERS ITS OUTREACH EFFORTS TO THE PUBLIC AN ESSENTIAL PART OF ITS CHRISTIAN MISSION, AS IT SEEKS NOT ONLY TO TREAT THE SICK AND INJURED DURING THEIR TIME OF NEED, BUT ALSO TO IMPROVE THE REGION'S HEALTH CARE. CHARITY CARE:PIKEVILLE MEDICAL CENTER SET A NEW RECORD FOR CHARITY CARE IN FY 2011. THROUGH DEFINED POLICIES AND PROCEDURES, PMC RECORDED UNCOMPENSATED CHARITY OF $38,410,981(SERVICES AT HOSPITAL'S ESTABLISHED RATES). HEALTH CARE SUPPORT SERVICES: BLOOD DRIVES - PIKEVILLE MEDICAL CENTER HAS A GROUP OF DEDICATED EMPLOYEES WHO PARTICIPATE ON THE HOSPITAL'S BLOOD DRIVE COMMITTEE. PREPARATION FOR BLOOD DRIVES INCLUDE: RESERVING A LOCATION, PLACING SET-UP AND TAKE-DOWN WORK ORDERS, REGISTERING DONORS AND ASSURING THE EVENT IS A SUCCESS. BLOOD DRIVES ARE HELD QUARTERLY AND CONDUCTED IN ACCORDANCE WITH THE KENTUCKY BLOOD CENTER (KBC). IN FY 2011, PMC HELD SIX BLOOD DRIVES AND DONATED 292 UNITS OF BLOOD. THESE GENEROUS DONATIONS ALLOWED PMC DONORS TO SAVE NEARLY 876 LIVES. MEALS ON WHEELS - PIKEVILLE MEDICAL CENTER PROVIDED 4,014 MEALS DURING FY 2011 AND INCURRED MORE THAN $23,000 IN EXPENSES RELATED TO THIS PROGRAM. FOOD DONATIONS - PMC PROVIDED MORE THAN 500 LUNCH AND DINNER GUEST TRAY VOUCHERS TO PATIENTS OR CAREGIVERS DURING FY 2011. THIS SERVICE ALLOWED PMC TO GIVE BACK OVER $3,000 TO ITS PATRONS. INDIGENT SUPPORT SERVICES - SEVERAL PATIENTS NEED FINANCIAL ASSISTANCE WITH PRESCRIBED MEDICATIONS OR HEALTH CARE EQUIPMENT AT THE TIME OF DISCHARGE. IN HOPES OF RELIEVING ANY FINANCIAL BURDEN, PIKEVILLE MEDICAL CENTER'S CHAPLAIN SERVICES AND CASE MANAGEMENT DEPARTMENTS PROVIDED 355 PRESCRIPTIONS AT A VALUE OF MORE THAN $15,300.COMMUNITY FINANCIAL DONATIONSIN 2011, PIKEVILLE MEDICAL CENTER ONCE AGAIN PROVED TO BE AN ESTABLISHED COMMUNITY LEADER. ENCOURAGING EMPLOYEE PARTICIPATION IN LOCAL ACTIVITIES AND EVENTS, PMC ALSO OFFERED FINANCIAL SUPPORT TO AREA ORGANIZATIONS AND IMPORTANT CAUSES, GIVING MORE THAN $73,000. PIKEVILLE MEDICAL CENTER WAS PROUD TO HELP THE FOLLOWING ORGANIZATIONS:AFTER BREAST CANCER SUPPORT GROUPALZHEIMER'S ASSOCIATIONAMERICAN CANCER SOCIETYAMERICAN HEART ASSOCIATIONFLOYD COUNTY CHAMBER OF COMMERCEFLOYD COUNTY EMERGENCY AND RESCUE SQUADGOD'S FOOD PANTRYHILLBILLY CHRISTMAS IN JULY INC. JENNY WILEY THEATREJOHNS CREEK DISABLED AMERICAN VETERANSTHE KENNY HUFFMAN TENNIS CLASSICKENTUCKY CHAMBER OF COMMERCEKENTUCKY REGIONAL MEN'S CHORUSMARCH OF DIMESOUR LADY OF THE MOUNTAINS SCHOOLUNIVERSITY OF PIKEVILLE PIKEVILLE MAIN STREETPIKEVILLE ROTARY CLUBSOUTHEAST KENTUCKY CHAMBER OF COMMERCEUNIVERSITY OF KENTUCKY SUMMIT SCHOLARSHIP FUNDWILLOWBROOK YOUTH GOLF PROGRAMWYMT-TV MT CLASSIC SCHOLARSHIP FUNDHEALTH SCREENINGS: PIKEVILLE MEDICAL CENTER HELD SEVERAL TYPES OF HEALTH SCREENINGS FOR THE COMMUNITY IN 2011. AMONG THE SERVICES WERE BLOOD PRESSURE, BLOOD SUGAR, OXYGEN SATURATION AND CHOLESTEROL CHECKS. DIFFERENT FORMS OF FREE EDUCATIONAL LITERATURE WERE ALSO DISTRIBUTED. ALL SCREENINGS WERE HOSTED BY PMC PHYSICIANS, NURSES AND SUPPORT STAFF. IN FY 2011, MORE THAN 544 PEOPLE PARTICIPATED IN PMC RELATED SCREENINGS, COSTING THE HOSPITAL NEARLY $10,000. PMC HEALTH SCREENINGS INCLUDED: - HILLBILLY DAYS FIRST AID BOOTH & SCREENING STATION- DIABETES ALERT DAY- ELKHORN CITY PUBLIC LIBRARY STREET FAIR- FLOYD, PIKE AND MARROWBONE SENIOR CITIZEN CENTERS SCREENING- PROSTATE & COLON CANCER SCREENING- SKIN CANCER SCREENING- STROKE AWARENESS SCREENINGCOMMUNITY HEALTH EDUCATION:LECTURES - PIKEVILLE MEDICAL CENTER'S STAFF REMAINS ACTIVE IN PRESENTING SEVERAL TOPICS TO THE COMMUNITY. REPRESENTATIVES FROM DIFFERENT DEPARTMENTS SPEAK ON REQUEST TO LOCAL CIVIC CLUBS, SCHOOLS, AND MEDICAL PROFESSIONALS. AMONG THE DIFFERENT LECTURES /PRESENTATIONS PMC EMPLOYEES TOOK PART IN DURING FY 2011 WERE: -SENIOR CITIZEN CENTER DIABETES CLASSES IN MARTIN AND PIKE COUNTIES -HEART HEALTH AWARENESS EDUCATION PRESENTED AT THE HOSPITAL'S ANNUAL HEART HEALTHY FASHION SHOW & HEALTH FAIR -STROKE & TRAUMA EDUCATION -HEALTH TALKS, AIRED ON LOCAL RADIO AND TV STATIONS, HIGHLIGHTING SELECTED PMC HEALTH CARE PROFESSIONALS AND COVERING TOPICS SUCH AS: MEDICAL CONCERNS, PREVENTION AND VARIOUS SERVICES OFFERED AT PMC. -4-WEEK PREPARED CHILDBIRTH CLASSESOTHER EDUCATIONAL PROGRAMS PMC PARTICIPATES IN ARE FLOYD/PIKE ASAP, HEALTHY STEPS/HEC, LOCAL PRIDE MEETINGS AND STROKE/SEPSIS EDUCATION. THROUGH THEIR 120 COMMUNITY EDUCATION EFFORTS, PIKEVILLE MEDICAL CENTER REACHED MORE THAN 800 PEOPLE AT A COST OF MORE THAN $18,000.
		PART VI, LINE 7: HEALTH PROFESSIONS EDUCATION:STUDENT ROTATIONS - PIKEVILLE MEDICAL CENTER SERVES AS A CLINICAL TRAINING SITE FOR STUDENTS IN HEALTH CARE RELATED FIELDS FROM REGIONAL UNIVERSITIES AND COLLEGES. DURING FY 2011, PMC CONTRACTED OR AFFILIATED WITH 48 INSTITUTIONS AND RECEIVED 528 STUDENTS IN CLINICAL ROTATION. THE SCHOOLS CONTRACTED BY PMC INCLUDED: APPALACHIA COLLEGE OF PHARMACYBELFRY AREA TECHNOLOGY CENTERBELLARMINE UNIVERSITYDEVRY UNIVERSITYDUKE UNIVERSITYEASTERN KENTUCKY UNIVERSITYEMERGENCY MEDICAL EDUCATORSFRONTIER SCHOOL OF MIDWIFERY AND FAMILY NURSINGHUNTINGTON JUNIOR COLLEGEHUTCHINSON COMMUNITY COLLEGEIOWA COLLEGE ACQUISITION CORP. KAPLAN UNIVERSITY JEFFERSON COLLEGE OF HEALTH SERVICES KENTUCKY COMMUNITY TECHNICAL COLLEGE SYSTEM - WHITESBURG CAMPUSLINCOLN MEMORIAL UNIVERSITY LINDSEY WILSON COLLEGEMARSHALL UNIVERSITY MERIDIAN INSTITUTE OF SURGICAL ASSISTING MIDWAY COLLEGE SCHOOL OF PHARMACY MILLIGAN COLLEGE MOREHEAD STATE UNIVERSITY NATIONAL COLLEGE OF BUSINESS - LEXINGTON CAMPUS NATIONAL COLLEGE OF BUSINESS NORTHERN KENTUCKY UNIVERSITY NOVA SOUTHEASTERN UNIVERSITY PHELPS VOCATIONAL SCHOOLPHLEBOTOMY EDUCATION, INC. SAINT LOUIS UNIVERSITY SHAWNEE STATE UNIVERSITY SOUTH DAKOTA STATE UNIVERSITY OF NURSING SOUTH UNIVERSITY SCHOOL OF PHARMACY SOUTHERN WEST VIRGINIA COMMUNITY AND TECHNICAL COLLEGESOUTHWEST VIRGINIA COMMUNITY COLLEGE SPENCERIAN COLLEGE TENNESSEE TECHNOLOGY CENTER AT ELIZABETHTON
DESCRIPTION OF AFFILIATED HEALTH CARE (CONTINUED)	SCH H PART VI LINE 6	UNION UNIVERSITY UNIVERSITY OF CHARLESTON UNIVERSITY OF CINCINNATI UNIVERSITY OF KENTUCKY UNIVERSITY OF NORTH CAROLINA UNIVERSITY OF LOUISVILLE UNIVERSITY OF PIKEVILLEVIRGINIA COMMONWEALTH UNIVERSITY AL WASHBURN UNIVERSITY WEBER STATE UNIVERSITY WEST VIRGINIA UNIVERSITY WESTERN KENTUCKY UNIVERSITY WHEELING JESUIT UNIVERSITYDURING FY 2011, PIKEVILLE MEDICAL CENTER OFFERED SEVEN DIFFERENT CONTINUING MEDICAL EDUCATION CLASSES COSTING MORE THAN $11,000. THESE PRESENTATIONS BENEFIT HEALTH CARE PROFESSIONALS THROUGHOUT THE REGION. AMONG THE CLASSES OFFERED WERE A HEART SYMPOSIUM, MELANOMA CARE CONFERENCE AND A NEUROSCIENCE SYMPOSIUM. RESIDENCY PROGRAM-A-OPTIC: (APPALACHIAN OSTEOPATHIC POSTGRADUATE TRAINING INSTITUTE CONSORTIUM) - PIKEVILLE MEDICAL CENTER IS A MEMBER OF A GROUP OF MEDICAL FACILITIES AND EDUCATIONAL INSTITUTIONS THAT HAVE JOINED TOGETHER TO BRING INTERN AND RESIDENCY PROGRAMS TO THE AREA. BY ALLOWING MEDICAL STUDENTS TO PRACTICE AT ITS HOSPITAL-RUN FAMILY CLINIC, PMC IS COMMITTED TO HELP EDUCATE AND RETAIN COMPETENT/SKILLED PHYSICIANS IN OUR COMMUNITY AND REGION. PMC'S TOTAL COMMUNITY BENEFIT EXPENSE IN FY 2011 FOR TRAINING INTERNS, RESIDENTS AND FELLOWS TOTALED MORE THAN $562,000.PHYSICIAN RECRUITMENT: PIKEVILLE MEDICAL CENTER MAINTAINS AN ACTIVE PHYSICIAN RECRUITMENT PROGRAM BY LOCATING HIGH QUALITY PHYSICIANS AND MAKING THEM A PART OF THE PMC TEAM. THE HOSPITAL'S RECRUITMENT EFFORTS ARE ESSENTIAL TO ENHANCING THE HEALTH AND WELL BEING OF OUR COMMUNITY AND REGION. SURROUNDING COMMUNITY HOSPITALS LOOK TO OUR HOSPITAL TO OFFER THE SPECIALTIES AND SUB-SPECIALTIES THEIR FACILITIES DO NOT PROVIDE. DURING FY 2011, PMC PHYSICIAN RECRUITERS ATTENDED A TOTAL OF 14 RECRUITMENT CONFERENCES LOCATED ALL OVER THE U.S. PIKEVILLE MEDICAL CENTER RECRUITED AND SIGNED A TOTAL OF 26 NEW PHYSICIANS. THE HOSPITAL ALSO WELCOMED SIX NEW NURSE PRACTITIONERS AND ONE PHYSICIAN ASSISTANT. AMONG THE DIFFERENT SPECIALTIES THE RECRUITED PHYSICIANS PRACTICE ARE: - CARDIOVASCULAR SURGERY- CRITICAL CARE- FAMILY PRACTICE- GENERAL SURGERY - GYNECOLOGICAL ONCOLOGY- HAND SURGERY- INTERNAL MEDICINE (HOSPITALISTS)- INTERVENTIONAL CARDIOLOGY- NEPHROLOGY- OTOLARYNGOLOGY- OBSTETRICS/GYNECOLOGY- PEDIATRIC ENDOCRINOLOGY- PHYSIATRY- PULMONOLOGY- RHEUMATOLOGY- SPORTS MEDICINE- UROLOGYCONTINUING HEALTH PROFESSIONALS EDUCATION:PIKEVILLE MEDICAL CENTER HAS AN ACTIVE MEDICAL LIBRARY STAFF THAT COORDINATES AND OVERSEES MANY OF THE CONTINUING MEDICAL EDUCATION (CME) HOURS OFFERED AT THE HOSPITAL. MOST CMES ARE OPEN TO NOT ONLY OUR STAFF, BUT TO OTHER MEDICAL PROFESSIONALS IN THE COMMUNITY. THESE EDUCATIONAL OPPORTUNITIES ARE FREE OF CHARGE TO ALL WHO ATTEND. IN FY 2011, PMC OFFERED SEVEN DIFFERENT CMES COSTING MORE THAN $11,000.THE EDUCATION OPPORTUNITIES OFFERED BY THE HOSPITAL LAST YEAR COVERED NUMEROUS TOPICS, INCLUDING:- CARDIOTHORACIC & VASCULAR UPDATE- BASICS OF CRITICAL CARE NUTRITION- MELANOMA- PALLIATIVE CARE- HIPPA UPDATE- ESSENTIALS FOR YOUR NEUROSCIENCE PRACTICESUPPORT GROUPS: PMC SPONSORS AND PARTICIPATES IN SEVERAL SUPPORT GROUPS WITHIN OUR COMMUNITY. IN FY 2011, PMC TOOK PART IN 60 EVENTS, GIVING NEARLY $4,500 TOWARDS BENEFITING THE FOLLOWING GROUPS: - AFTER BREAST CANCER SUPPORT GROUP- COPING WITH DIABETES SUPPORT GROUP- HEC/HEALTHY STEPS: TEACHING THE IMPORTANCE OF HEALTHY EATING HABITS & EXERCISE TO REDUCE CHILDHOOD OBESITY- LIFELINE SUPPORT GROUP- MAN TO MAN SUPPORT GROUP FOR PROSTATE CANCER PATIENTS AND SUPPORT PERSONS- WEIGHT LOSS SURGERY SUPPORT GROUP

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
PIKEVILLE MEDICAL CENTER INC

Employer identification number
61-0458376

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) JENNY WILEY THEATREPO BOX 22 PRESTONSBURG,KY41653	61-0667976	501C3	11,200	SPONSORSHIP FOR "RAGS TO RICHES" AND "A CHRISTMAS STORY"
(2) WILLOWBROOK COUNTRY CLUBPO BOX 165 GRUNDY,VA24164	54-0837540		10,000	GRAND SPONSOR YOUTH GOLF PROGRAM
(3) AMERICAN HEART ASSOCIATION545 NORTH HIGH ST COLUMBUS,OH43214	13-5613797	501C3	10,000	DONATION FOR 2011 CENTRAL KY HEART BALL
(4) PIKEVILLE MAIN STREET PROGRAM INC178 COLLEGE STREET PIKEVILLE,KY41501	61-1273907	501C3	10,000	DONATION FOR EAST KY LEADERSHIP CONFERENCE
(5) SOUTHEAST KENTUCKY CHAMBER OF COMMERCE787 HAMBLEY BLVD PIKEVILLE,KY41501	61-0544068	501C3	6,000	PREMIERE SPONSORSHIP FOR ANNUAL AWARDS CEREMONY & BANQUET
(6) KENTUCKY CHAMBER OF COMMERCE464 CHENAULT ROAD FRANKFORT,KY40601	61-0405718		5,000	SILVER SPONSOR FOR ANNUAL MEETING AND AWARDS

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant
(1) ASSISTANCE FOR UNINSURED PATIENTS FOR PRESCRIPTIONS, CAFE VOUCHERS, AND CANCER TRAVEL ASSISTANCE. THERE WERE 355 PRESCRIPTIONS PROVIDED, 501 CAFE VOUCHERS PROVIDED, AND 55 RECIPIENTS OF TRAVEL ASSISTANCE.	911	21,041

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	PART I, LINE 2:	SCHEDULE I, PART I, LINE 2: 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.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

PIKEVILLE MEDICAL CENTER INC

Employer identification number

61-0458376

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Yes

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) WALTER E MAY	(i) (ii)	515,827 0	95,000 0	6,180 0	11,000 0	18,029 0	646,036 0	0 0
(2) MICHELLE HAGY	(i) (ii)	217,213 0	12,532 0	697 0	4,603 0	17,249 0	252,294 0	3,249 0
(3) SUSAN SCHELL	(i) (ii)	155,000 0	7,924 0	691 0	1,747 0	16,762 0	182,124 0	1,291 0
(4) CHERYL HICKMAN	(i) (ii)	187,418 0	25,770 0	1,545 0	11,413 0	17,306 0	243,452 0	3,019 0
(5) WILLIAM JOHNSON	(i) (ii)	263,506 0	100 0	5,265 0	10,131 0	17,613 0	296,615 0	0 0
(6) DEBRA HAMPTON	(i) (ii)	206,006 0	11,891 0	15,125 0	7,385 0	17,497 0	257,904 0	3,333 0
(7) JUANITA DESKINS	(i) (ii)	219,400 0	11,050 0	960 0	3,893 0	17,686 0	252,989 0	2,666 0
(8) PEGGY JUSTICE	(i) (ii)	155,000 0	9,216 0	691 0	9,497 0	17,043 0	191,447 0	2,583 0
(9) TERENCE FARRELL	(i) (ii)	200,000 0	11,891 0	681 0	3,985 0	17,497 0	234,054 0	3,333 0
(10) DEBORAH PUCKETT	(i) (ii)	147,014 0	8,741 0	1,006 0	11,948 0	9,605 0	178,314 0	2,450 0
(11) BILL HARRIS MD	(i) (ii)	800,500 0	624 0	1,980 0	11,000 0	18,341 0	832,445 0	0 0
(12) DUANE DENSLER MD	(i) (ii)	700,192 0	183,795 0	11,958 0	8,250 0	18,015 0	922,210 0	0 0
(13) NORMAN MAYER MD	(i) (ii)	700,192 0	160,778 0	111,521 0	8,250 0	17,489 0	998,230 0	0 0
(14) KEITH HALL MD	(i) (ii)	565,300 0	514,213 0	270 0	8,250 0	17,475 0	1,105,508 0	0 0
(15) KEVIN PUGH MD	(i) (ii)	625,124 0	288,777 0	270 0	8,250 0	17,475 0	939,896 0	0 0
(16) DANNY HARRIS	(i) (ii)	100,384 0	2,724 0	619 0	1,691 0	11,651 0	117,069 0	0 0
(17) JERRY JOHNSON	(i) (ii)	57,840 0	4,177 0	201,067 0	3,856 0	17,665 0	284,605 0	4,177 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
	PART I, LINE 4A	JERRY JOHNSON RECEIVED SEVERANCE PAYMENTS TOTALING $57,840, AND DEBRA HAMPTON RECEIVED SEVERANCE PAYMENTS TOTALING $13,846 DURING THE 2010 CALENDAR YEAR.
	PART I, LINE 5	DR. HALL AND DR. PUGH EARN QUARTERLY BONUSES BASED ON A PERCENTAGE OF THE NET COLLECTIONS OF THE PHYSICIANS PRACTICES OVER 150% OF THEIR BASE COMPENSATION.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
PIKEVILLE MEDICAL CENTER INC

Employer identification number
61-0458376

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	CITY OF PIKEVILLE KY	61-6001897	72134PAR3	04-27-2011	90,370,651	SEE BELOW		X		X		X
B	CITY OF PIKEVILLE KY	61-6001897	72134PAS1	04-27-2011	45,615,542	SEE BELOW		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .
2 Amount of bonds defeased . . . .
3 Total proceeds of issue . . . .	90,370,651		45,615,542
4 Gross proceeds in reserve funds . .	3,563,671
5 Capitalized interest from proceeds.	3,597,734		3,597,734
6 Proceeds in refunding escrow. . . . .
7 Issuance costs from proceeds . . .	1,328,586		297,917
8 Credit enhancement from proceeds.
9 Working capital expenditures from proceeds . .
10 Capital expenditures from proceeds . .	21,132,972		12,955,685
11 Other spent proceeds . .	44,236,511
12 Other unspent proceeds. . .	20,108,911		31,901,073
13 Year of substantial completion . . .
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?	X			X
15 Were the bonds issued as part of an advance refunding issue?		X		X
16 Has the final allocation of proceeds been made? . .		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .	X			X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?	X			X
b Are there any research agreements that may result in private business use of bond-financed property? . .		X		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .	X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .	1.290 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .	0 %		0 %
6 Total of lines 4 and 5 . . .. . . . . .	1.290 %		0 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X
2 Is the bond issue a variable rate issue?		X		X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?		X		X
b Name of provider .
c Term of hedge . .
d Was the hedge superintegrated? .
e Was a hedge terminated? .
4a Were gross proceeds invested in a GIC? .		X		X
b Name of provider .
c Term of GIC . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .
5 Were any gross proceeds invested beyond an available temporary period? .		X		X
6 Did the bond issue qualify for an exception to rebate? . . .		X		X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
		THE BONDS AND NOTES 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.

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

PIKEVILLE MEDICAL CENTER INC

Employer identification number

61-0458376

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No
(1) NORMAN MAYER MD LOAN TO DR MAYER FROM PMC FOR REPAYMENT OF FINANCIAL OBLIGATION		X	331,995	31,995		No		No	Yes





Total ............... $				31,995

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) A&M DISTRIBUTING	ENTITY OF WHICH WALTER E. MAY'S SON IS AN OFFICER	432	PIKEVILLE MEDICAL CENTER PURCHASES BEVERAGE PRODUCTS FROM ENTITY FOR RESALE IN ITS GRILL		No
(2) VICKI BELL	DAUGHTER-IN-LAW OF HOBART JOHNSON, PMC BOARD MEMBER	11,370	PIKEVILLE MEDICAL CENTER PURCHASES CATERING SERVICES FOR HOSPITAL FUNCTIONS FROM THIS VENDOR.		No
(3) COMMUNITY TRUST BANK	ENTITY OF WHICH BOARD MEMBERS HAVE BUSINESS RELATIONSHIPS	3,663,762	HOBART JOHNSON AND DAVID COLLINS SERVE AS BOARD MEMBERS OF BOTH ENTITIES. SERVICES PROVIDED BY COMMUNITY TRUST BANK TO PIKEVILLE MEDICAL CENTER: -INTEREST INCOME BANKING SERVICES & FUNDS IN TRUST, $996,269 -SAVINGS BONDS PURCHASED FOR EMPLOYEES, $3,400 -SAFE DEPOSIT BOX FEES/LINE OF CREDIT FEES/BOND ACCT MGMT FEES, $5,065 -INSTALLMENT LOAN PAYMENTS, $2,643,277 -ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $15,751.		No
(4) EAST KY BROADCASTING AND EAST KY RADIO NETWORK (TOTAL OF NINE RADIO STATION	ENTITIES MORE THAN 35% OWNED BY WALTER E. MAY, PMC PRESIDENT/CEO	621,659	ENTITIES PROVIDE ADVERTISING SERVICES TO PMC, $605,915 -ENTITIES PROVIDE ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $15,744.		No
(5) TINA GAUNT MD	WIFE OF WILLIAM GAUNT, M.D., PMC BOARD MEMBER	23,288	TINA GAUNT, M.D. RENTS PHYSICIAN OFFICE SPACE FROM PIKEVILLE MEDICAL CENTER		No
(6) KVWV TRAFFIC CONTROL	ENTITY OF WHICH T.T. COLLEY'S SON IS THE OWNER	14,600	ENTITY PROVIDES PARKING LOT STRIPING SERVICES TO PIKEVILLE MEDICAL CENTER		No
(7) MESA-ER PHYSICIAN GROUP	ENTITY OF WHICH SUE SMALLWOOD'S STEP GRANDSON IS THE MEDICAL DIRECTOR.	490,018	THE STEP GRANDSON OF PMC BOARD MEMBER SUE SMALLWOOD IS PIKEVILLE MEDICAL CENTER EMERGENCY DEAPARTMENT MEDICAL DIRECTOR AND AN EMPLOYEE FOR MESA. MESA PROVIDES EMERGENCY DEPARTMENT PHYSICIAN SERVICES FOR PIKEVILLE MEDICAL CENTER.		No
(8) PAM MAY LAW FIRM PSC	ENTITY MORE THAN 35% OWNED BY WIFE OF WALTER E. MAY, PMC PRESIDENT/CEO	1,152,258	FIRM PROVIDES LEGAL SERVICES TO PIKEVILLE MEDICAL CENTER.		No
(9) PIKEVILLE RADIOLOGY	ENTITY MORE THAN 35% OWNED BY TWO PMC BOARD MEMBERS	40,796	ALEX POULOS, M.D. & DENNIS HALBERT, M.D. ARE PARTNERS OF PIKEVILLE RADIOLOGY WITH WHOM PIKEVILLE MEDICAL CENTER CONTRACTS WITH FOR RADIOLOGY SERVICES.		No
(10) T&C CONSTRUCTION	ENTITY OWNED BY T.T. COLLEY, PMC BOARD MEMBER	7,200	ENTITY RENTS OFFICE SPACE FROM PIKEVILLE MEDICAL CENTER		No
(11) US BANK	ENTITY OF WHICH ALEX POULOS, M.D. IS A BOARD MEMBER	285,290	SERVICES PROVIDED BY US BANK TO PIKEVILLE MEDICAL CENTER: -INSTALLMENT LOAN PAYMENTS, 198,023 -RENT, $87,078 -ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PMC, $189.		No
(12) ANDREA ALLARA	DAUGHTER OF JOE DEAN ANDERSON, PMC BOARD MEMBER	42,956	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS RADIOLOGY COORDINATOR.		No
(13) ROBERT BELL	STEP SON OF HOBART JOHNSON, PMC BOARD MEMBER	79,281	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS NUTRITIONAL SERVICES HEAD CHEF.		No
(14) CAMILLA DAMRON	DAUGHTER OF JO NELL ROBINSON, PMC BOARD MEMBER	76,089	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A SPEECH LANGUAGE PATHOLOGIST.		No
(15) LIAM FARRELL	SON OF TERENCE FARRELL, PMC KEY EMPLOYEE	22,326	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A REGISTRAR		No
(16) SARAH HARRIS	DAUGHTER OF CHERYL HICKMAN, PMC KEY EMPLOYEE	46,142	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS IT- PRACTICE PROJECT MANAGER.		No
(17) ASHLEY COLLINS JOHNSON	DAUGHTER OF DAVID COLLINS, PMC BOARD MEMBER	62,909	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS MANAGER-EMPLOYEE RELATIONS.		No
(18) CINDY MAY JOHNSON	DAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO	94,987	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-MEDICAL LEADER/PUBLIC RELATIONS.		No
(19) RANDY L JOHNSON	SON IN LAW OF WALTER E. MAY, PMC PRESIDENT/CEO	60,879	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS CHAPLAIN		No
(20) BRANDI MAY	DAUGHTER IN LAW OF WALTER E. MAY, PMC PRESIDENT/CEO	50,354	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS PI OUTCOME SPECIALIST.		No
(21) KAMINSKI ROBINSON	HUSBAND OF JO NELL ROBINSON, PMC BOARD MEMBER	67,613	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-CHAPLAIN SERVICES		No
(22) ANDREA ROBINETTE SHOWALTER	STEP DAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO	16,527	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS PHYSICIAN RECRUITER.		No
(23) COLLEY STEVENS	GRANDSON OF T.T. COLLEY, PMC BOARD MEMBER	35,631	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS ASSISTANT DIRECTOR - VALET SERVICES.		No
(24) CORDELL WEATHERFORD	GRANDSON IN LAW OF WLATER E MAY, PMC PRESIDENT/CEO	52,993	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-CUSTOMER SERVICE/EMPLOYEE DEVELOPMENT.		No
(25) CAROLINA WEATHERFORD DBA CLW EDITIN	GRANDDAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO	10,000	ENTITY PROVIDES PROOFREADING SERVICES FOR PIKEVILLE MEDICAL CENTER'S MEDICAL LEADER PUBLICATION		No
(26) CORNERSTONE REAL ESTATE GROUP LLC	ENTITY OF WHICH PEGGY JUSTICE, PMC KEY EMPLOYEE IS BROKER	3,300	ENTITY PROVIDES REAL ESTATE SERVICES TO PIKEVILLE MEDICAL CENTER		No
(27) ALEX POULOS MD	PMC BOARD MEMBER	36,029	PIKEVILLE MEDICAL CENTER PURCHASED OFFICE SUITE PARTIALLY OWNED BY BOARD MEMBER.		No
(28) DENNIS HALBERT MD	PMC BOARD MEMBER	36,029	PIKEVILLE MEDICAL CENTER PURCHASED OFFICE SUITE PARTIALLY OWNED BY BOARD MEMBER.		No
(29) SUMMIT ENGINEERING	ENTITY OF WHICH PEGGY JUSTICE'S BROTHER IS A PARTNER	12,460	ENTITY PROVIDES ENGINEERING SERVICES TO PMC, $12,262 -ENTITY PROVIDES ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $198		No
(30) UNIVERSITY OF PIKEVILLE	ENTITY OF WHICH MARY R. SIMPSON IS CHAIR OF THE DIVISION OF NURSING	13,249	PMC BOARD MEMBER MARY R. SIMPSON PHD IS CHAIR OF THE UNIVERSITY OF PIKEVILLE DIVISION OF NURSING. SERVICES PROVIDED BY UNIVERSITY OF PIKEVILLE TO PIKEVILLE MEDICAL CENTER: -ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PMC, $1,249.00. RENT PAYMENTS TO UNIVERSITY OF PIKEVILLE FOR STORAGE LOT, $12,000.		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

PIKEVILLE MEDICAL CENTER INC

Employer identification number

61-0458376

Identifier	Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2		DR ALEX POULOS & DR DENNIS HALBERT PARTNERS IN PIKEVILLE RADIOLOGY. HOBERT JOHNSON & DAVID COLLINS MEMBERS OF COMMUNITY TRUST BANK BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11		THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE CFO AND HOSPITAL ATTORNEY PRIOR TO FILING. ADDITIONALLY, THE GOVERNING BODY REVIEWS AND APPROVES THE FINAL FORM 990 INCLUDING REQUESTED SCHEDULES. 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 BOARD 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 A INDEPENDENT SELECTION COMMITTEE. 4. IF AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF ETHICS IS IDENTIFIED INVOLVING PATIENT CARE OR TREATMENT, THE EMPLOYEE SHOULD SEEK ASSISTANCE FROM THEIR SUPERVISOR TO FIND A RESOLUTION WHICH WOULD HAVE MINIMUM IMPACT ON PATIENT CARE, TREATMENT, OR SERVICES.
	FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE SALARY OF THE ORGANIZATION'S CEO AND KEY EMPLOYEES. 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.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 168,151. ROUNDING -4. TOTAL TO FORM 990, PART XI, LINE 5: 168,147.
OVERSIGHT OF AUDIT	FORM 990, PART XI, LINE 2C	THE BOARD OF DIRECTORS ASSUMES RESPONSIBLITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

PIKEVILLE MEDICAL CENTER INC

Employer identification number

61-0458376

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) PIKEVILLE MEDICAL CENTER FOUNDATION INC 911 BYPASS ROAD PIKEVILLE,KY41501 61-1274046	INACTIVE	KY	N/A	C	-306	47,347	100.000 %
(2) PIKEVILLE MEDICAL DEVELOPMENT CORPORATION 911 BYPASS ROAD PIKEVILLE,KY41501 20-2487928	INACTIVE	KY	N/A	C	-173	7,789	100.000 %

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1)
(2)
(3)
(4)
(5)
(6)

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE CENTER'S MISSION IS TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	4
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	2,684
6	Total number of volunteers (estimate if necessary) ....	6	215
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	1,008,615
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	-455,572

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	442,444	352,146
9	Program service revenue (Part VIII, line 2g) .........	291,879,557	338,216,599
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,085,265	1,236,269
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,978,100	11,631,548
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	298,385,366	351,436,562
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	215,250	94,068
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	135,921,312	160,481,295
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 8,229
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	137,663,189	159,881,424
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	273,799,751	320,456,787
19	Revenue less expenses. Subtract line 18 from line 12......	24,585,615	30,979,775
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	263,525,600	384,559,071
21	Total liabilities (Part X, line 26)............	84,228,459	174,114,008
22	Net assets or fund balances. Subtract line 21 from line 20 .....	179,297,141	210,445,063

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 52,093,837 including grants of $ 0 ) (Revenue $ 30,713,250 )
	PHYSICIAN PRACTICES:DURING FY 2011, PIKEVILLE MEDICAL CENTER (PMC) WELCOMED 26 NEW PHYSICIANS, SIX NEW NURSE PRACTITIONERS AND ONE PHYSICIAN ASSISTANT TO ITS PHYSICIAN PRACTICE TEAM. THEY INCLUDED: ONE NEPHROLOGIST, ONE INTENSIVIST, ONE OTOLARYNGOLOGIST, ONE UROLOGIST, TWO GENERAL SURGEONS, TWO RHEUMATOLOGISTS, ONE VASCULAR SURGEON, ONE CRITICAL CARE PHYSICIAN, TWO OBSTETRICIANS, ONE GYNECOLOGICAL ONCOLOGIST, SIX HOSPITALISTS, ONE HAND SURGEON, ONE PEDIATRIC ENDOCRINOLOGIST, ONE FAMILY PRACTICE PHYSICIAN, ONE INTERVENTIONAL CARDIOLOGIST, ONE PHYSIATRIST, ONE PULMONOLOGIST AND ONE SPORTS MEDICINE PHYSICIAN.WITH THE ADDITION OF THE NEW DOCTORS, PIKEVILLE MEDICAL CENTER HAS A TEAM OF MORE THAN 270 FULL-TIME EMPLOYEES STAFFING ITS PHYSICIAN PRACTICE OFFICES.THESE NEWLY RECRUITED PHYSICIANS, ALONG WITH OUR EXISTING EMPLOYED PHYSICIANS COMPLETED MORE THAN 112,700 PATIENT VISITS/CONSULTATIONS.PIKEVILLE MEDICAL CENTER'S PHYSICIAN PRACTICE NETWORK INCLUDES: FAMILY PHYSICIAN PRACTICES IN HAROLD, PIKEVILLE, MOUTHCARD, AND SHELBY VALLEY (KENTUCKY); UROLOGY, GYNECOLOGICAL ONCOLOGY; GENERAL SURGERY; OBSTETRICS AND GYNECOLOGY; CARDIOTHORACIC SURGERY; INFECTIOUS DISEASE; NEPHROLOGY; PULMONOLOGY; PLASTIC SURGERY; INTERVENTIONAL CARDIOLOGY; COUMADIN/CONGESTIVE HEART FAILURE; CARDIOLOGY PRACTICES IN GRUNDY (VIRGINIA), PAINTSVILLE, WHITESBURG AND SOUTH WILLIAMSON (KENTUCKY); BARIATRIC SURGERY; ORTHOPAEDIC REHABILITATION; NEUROSURGERY; OTOLARYNGOLOGY; ORTHOPAEDIC SURGERY; SPORTS MEDICINE; RHEUMATOLOGY; ADULT AND PEDIATRIC ENDOCRINOLOGY; PAIN MANAGEMENT; ONCOLOGY PRACTICES IN PIKEVILLE, PAINTSVILLE AND SOUTH WILLIAMSON (KENTUCKY); PULMONARY REHABILITATION; AND OPHTHALMOLOGY-RETINA SPECIALIST.PIKEVILLE MEDICAL CENTER BEGAN THE RELOCATION OF ITS LEONARD LAWSON CANCER CENTER IN SEPTEMBER 2011. OUR PATIENTS NOW ENJOY EASY ACCESS, CONVENIENT PARKING AND A FACILITY DESIGNED WITH THE PATIENT IN MIND. THE NEW FACILITY INCLUDES 18 STATE-OF-THE-ART EXAM ROOMS, 18 CHEMOTHERAPY STATIONS, A TEAM OF 10 EXPERIENCED ONCOLOGISTS, PHYSICIAN OFFICES, AN ONCOLOGY LABORATORY, INFUSION ROOM AND AN ON-SITE PHARMACY. THE TOTAL RELOCATION COST WAS MORE THAN FOUR MILLION DOLLARS.FOR THE SECOND CONSECUTIVE TIME, THE LEONARD LAWSON CANCER CENTER RECEIVED THE COMMISSION ON CANCER'S "OUTSTANDING ACHIEVEMENT AWARD." PMC IS THE ONLY HOSPITAL IN KENTUCKY TO BE HONORED TWICE AND CONSECUTIVELY BY THIS DISTINCTION. PIKEVILLE MEDICAL CENTER OPENED TWO NEW GYNECOLOGY CENTERS, IN PIKEVILLE AND HAROLD (KENTUCKY). AS WE CONTINUE TO OPTIMIZE OUR OPPORTUNITIES TO SERVE, WE HAVE BEEN HONORED WITH THE WOMEN'S CERTIFIED AWARD FOR EXCELLENCE IN WOMEN'S CARE.THE HOSPITAL ALSO COMPLETED RENOVATION FOR A NEW ORTHOPEDIC/TRAINING CENTER AND ADDED A HAND SURGEON SPECIALIST AND SPORTS MEDICINE SPECIALIST TO THE PMC ORTHOPEDIC TEAM.RECENTLY IMPLEMENTING NEXTGEN, A NEW ELECTRONIC MEDICAL RECORDS SYSTEM, PIKEVILLE MEDICAL CENTER IS WELL ON ITS WAY TO BEING PAPERLESS WHERE ALL MEDICAL RECORDS ARE DOCUMENTED IN THE COMPUTER. THIS NEW, MORE EFFICIENT, FASTER SYSTEM ALLOWS EVERYONE INVOLVED IN THE PATIENT'S CARE TO RECEIVE IMMEDIATE DOCUMENTATION.IN FEBRUARY 2011, PIKEVILLE MEDICAL CENTER BEGAN CONSTRUCTION ON A MEDICAL OFFICE BUILDING AND PARKING GARAGE THAT WHEN COMPLETE WILL HAVE 10 FLOORS OF PARKING IN THE GARAGE WITH A TOTAL OF 1,162 PARKING SPACES AND 10 FLOORS IN THE MEDICAL OFFICE BUILDING WITH THE FIRST FLOOR BEING PARKING AND MECHANICAL ROOMS, TWO FLOORS FOR SURGICAL FUNCTIONS, SIX AND ONE-HALF FLOORS OF PHYSICIAN EXAM SPACE, AND ONE-HALF FLOOR OF CONFERENCE SPACE. THE ANTICIPATED COST OF THIS TOTAL PROJECT WILL BE APPROXIMATELY $112 MILLION. UPON COMPLETION, PMC WILL CONCENTRATE ITS EMPLOYED PHYSICIANS IN A SINGLE VENUE. FOLLOWING THE MAYO CLINIC MODEL OF HOSPITAL-PHYSICIAN INTEGRATION, THIS WILL ALLOW EASY PATIENT ACCESS TO PHYSICIAN OFFICES AS WELL AS THE MAIN HOSPITAL FACILITY.

4b	(Code: ) (Expenses $ 12,078,524 including grants of $ 0 ) (Revenue $ 39,504,631 )
	IMAGING SERVICES:PIKEVILLE MEDICAL CENTER'S DIAGNOSTIC IMAGING SERVICES ARE KNOWN AS ONE OF THE BEST EQUIPPED IN THE NATION. THE HOSPITAL'S BOARD CERTIFIED RADIOLOGISTS ARE EXPERTS WHO CONSULT WITH SPECIALISTS IN OTHER DEPARTMENTS TO PROVIDE PATIENT CARE. RADIOLOGISTS WORK WITH THE BEST EQUIPMENT AVAILABLE, AS WELL AS SKILLED TECHNOLOGISTS AND NURSES TO PERFORM TESTS AND INTERPRET RESULTS IN THE IMAGING AND TREATMENT OF DISEASES AFFECTING PATIENTS OF ALL AGES. OVERALL, PMC DIAGNOSTICS COMPLETED NEARLY 721,900 TESTS DURING FY 2011. THE DIFFERENT AREAS/TESTS OUR PATIENTS WERE REFERRED TO INCLUDED; CT, ULTRASOUND, PET SCAN, MRI (LOCATED ON TWO DIFFERENT CAMPUSES), ORTHOPEDIC DIAGNOSTIC RADIOLOGY, GENERAL DIAGNOSTIC RADIOLOGY AND NUCLEAR MEDICINE.DURING FY 2011, THE HOSPITAL COMPLETED MORE THAN $793,400 IN RENOVATIONS TO CURRENT DIAGNOSTIC IMAGING AREAS AND THE ADDITION OF NEW STATE-OF-THE-ART TECHNOLOGY IN FIVE LOCATIONS. AMONG THE NEW EQUIPMENT PIKEVILLE MEDICAL CENTER PURCHASED WERE: ULTRASOUND SYSTEM - PHILLIPS IE33 (TEE) VISION SYSTEM W/QLAB, TWO TOSHIBA AQUILION ONE DYNAMIC VOLUME CT SCANNERS, TOSHIBA AQUILION LARGE BORE (64) CT SCANNER AND ONE TOSHIBA TITAN X HIGH FIELD MRI SYSTEM. THE TOSHIBA AQUILION LARGE BORE (64) CT SCANNER WAS INSTALLED IN PMC'S RADIATION ONCOLOGY DEPARTMENT. THIS MACHINE IS HELPFUL FOR CLAUSTROPHOBICS AND THE OBESE, ACCOMMODATING PATIENTS UP TO 650 LBS.

4c	(Code: ) (Expenses $ 16,491,505 including grants of $ 0 ) (Revenue $ 29,482,926 )
	CARDIAC SERVICES:ONE OF THE NATION'S MOST PREVALENT HEALTH PROBLEMS IS HEART DISEASE, AND OUR REGION IS NO EXCEPTION. PIKEVILLE MEDICAL CENTER, AFFILIATED WITH CLEVELAND CLINIC'S HEART SURGERY PROGRAM, MADE A COMMITMENT 13 YEARS AGO TO BUILD A WORLD CLASS HEART PROGRAM. PMC IS THE FIRST HOSPITAL IN THE STATE OF KENTUCKY AND THE FIFTH IN THE NATION TO BE RECOGNIZED AS A LEVEL IV CHEST PAIN ACCREDITED HEART & VASCULAR INSTITUTE.FY 2011 WAS ANOTHER SUCCESSFUL YEAR FOR RECRUITMENT, WITH THE EMPLOYMENT OF AN ADDITIONAL VASCULAR SURGEON AND THE ADDITION OF A FORMER CLEVELAND CLINIC INTERVENTIONAL CARDIOLOGIST. THESE NEW PHYSICIANS JOINED AN ALREADY ESTABLISHED CARDIOLOGY TEAM INCLUDING: TWO APRNS; TWO PA-CS; TWO CARDIOTHORACIC SURGEONS; SIX CARDIOLOGISTS; AND AN ELECTROPHYSIOLOGIST. ALL OF OUR SURGEONS IN THE HEART & VASCULAR INSTITUTE ARE CREDENTIALED AT CLEVELAND CLINIC, ALLOWING THEM TO MIRROR CLEVELAND'S BEST PRACTICES WHILE EXCHANGING INFORMATION AND RESEARCH. PIKEVILLE MEDICAL CENTER IS COMMITTED TO PROVIDING THE MOST ADVANCED TOOLS AND FACILITIES AVAILABLE ANYWHERE. PMC PROVIDES HEART PATIENTS WITH DIAGNOSTIC CATHS, STENTS AND ANGIOPLASTY, INTRAVASCULAR ULTRASOUND AND MINIMALLY INVASIVE CLOSURE OF HEART DEFECTS, JUST TO NAME A FEW. DURING FY 2011, PIKEVILLE MEDICAL CENTER'S HEART AND VASCULAR INSTITUTE COMPLETED A NEW CATH LAB HOLDING AREA RENOVATION, AND ADDED TWO NEW PIECES OF EQUIPMENT (THE CARDIAC CRYOBLATION SYSTEM AND THE TOSHIBA INFINIX VF-I/S VASCULAR SYSTEM), AN INVESTMENT OF MORE THAN $1,367,300. DURING THIS YEAR WE HAVE ADDED AN EP LAB TO BETTER SERVE OUR PATIENTS. PMC HAS ALSO RECEIVED ECHO CERTIFICATION.AS WE LOOK FOR WAYS TO IMPROVE, PMC HAS AGAIN MOVED OUTSIDE THE WALLS OF ITS MAIN CAMPUS. WE'VE OPENED MULTI-PURPOSE REGIONAL CLINICS IN THE OUTLYING COMMUNITIES OF PAINTSVILLE, WHITESBURG AND SOUTH WILLIAMSON (KENTUCKY) AND GRUNDY (VIRGINIA) WITH THE EXPANSION OF HEART-RELATED SERVICES, THE HOSPITAL HAS BEEN ABLE TO COMPLETE NEARLY 24,000 GENERAL CARDIAC CASES INCLUDING INPATIENT CARDIOLOGY CARE, CARDIAC REHAB, CARDIOPULMONARY, EDG, EEG AND CARDIAC CATHLAB SERVICES. PMC ALSO COMPLETED 140 OPEN HEART CASES.

	(Code: ) (Expenses $ 200,317,686 including grants of $ 94,068 ) (Revenue $ 245,331,335 )
	OTHER:PIKEVILLE MEDICAL CENTER HAS BEEN RECOGNIZED AS THE NATION'S ONLY REPEAT WINNER FOR THREE CONSECUTIVE YEARS OF THE NATIONAL HOSPITAL OF THE YEAR BY THE AMERICAN ALLIANCE OF HEALTHCARE PROVIDERS. PMC HAS ALSO BEEN NAMED A HOSPITAL OF CHOICE EMERITUS.PMC IS LICENSED FOR 261 BEDS AND PROVIDES MORE THAN 400 HEALTH CARE SERVICES THROUGHOUT MULTIPLE COUNTIES. PMC'S COMPASSIONATE EMPLOYEES AND DEDICATED DOCTORS PROVIDE UNSURPASSED SERVICE WITH STATE-OF-THE-ART TECHNOLOGY AND UNMATCHED GENEROSITY TO THE COMMUNITY. KNOWN AS THE PREMIER HOSPITAL IN A MULTI-STATE REGION, PMC IS CONTINUALLY GROWING AND LOOKING FOR NEW WAYS TO PROVIDE THE MOST ADVANCED HEALTH CARE AVAILABLE. PHYSICAL INPATIENT REHABILITATION HOSPITALPIKEVILLE MEDICAL CENTER'S INPATIENT PHYSICAL REHABILITATION (IPR) HOSPITAL, A STATE-OF-THE-ART FACILITY CONSISTS OF 40 LICENSED BEDS AND COVERS 23,000 SQUARE FEET OF SPACE INCLUDING A DINING HALL, FULLY EQUIPPED KITCHEN AND LAUNDRY FACILITIES. BEING RANKED #1 IN PATIENT SATISFACTION OUT OF MORE THAN 400 HOSPITALS SURVEYED BY HEALTHSTREAM RESEARCH, PMC'S INPATIENT PHYSICAL REHABILITATION HOSPITAL IS DEDICATED TO HELPING PATIENTS WHO ARE DISABLED BY DISEASE OR INJURY. FOR PATIENTS NEEDING INTENSIVE REHABILITATION, PIKEVILLE MEDICAL CENTER'S INPATIENT REHABILITATION PHYSICIAN LED TEAM OFFERS A FULL RANGE OF SERVICES FROM PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS, REHABILITATION NURSES, CASE MANAGERS, SOCIAL WORKERS, DIETITIANS AND OTHER PROFESSIONALS. THE TEAM WORKS WITH PATIENTS AND THEIR FAMILIES TO DESIGN AND EXECUTE A CAREFULLY MONITORED TREATMENT PLAN THAT MEETS EACH INDIVIDUAL PATIENT'S NEEDS. THE GOAL OF PMC'S INPATIENT REHABILITATION HOSPITAL IS TO RETURN THE PATIENT HOME OR BACK TO WORK AS SOON AS POSSIBLE FOLLOWING AN ILLNESS OR ACCIDENT, ALLOWING THEM TO REGAIN THE HIGHEST LEVEL OF INDEPENDENCE POSSIBLE.PMC IS ONE OF ONLY 70 HOSPITALS IN THE U.S. TO OFFER LOKOMAT THERAPY. THE LOKOMAT USES A COMPUTER PROGRAM TO GUIDE THE PATIENT'S LEGS IN A NATURAL PATTERN ALLOWING FOR A MORE INTENSE TRAINING. BY USING THIS EQUIPMENT, THE PATIENT ACHIEVES A NATURAL GAIT AND RE-LEARNS HOW TO WALK. PMC IS ONE OF ONLY 17 REHABILITATION HOSPITALS IN THE COUNTRY TO OFFER PEDIATRIC EXTENSIONS FOR CHILDREN.STROKE CENTERPIKEVILLE MEDICAL CENTER HAS RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES -STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD. ONLY 10 HOSPITALS IN KENTUCKY HAVE EARNED THIS ACCREDITATION, AND NO OTHER KENTUCKY HOSPITAL EAST OF LEXINGTON HAS EARNED THIS PRESTIGIOUS DISTINCTION. THE AWARD RECOGNIZES PMC'S COMMITMENT AND SUCCESS IN IMPLEMENTING EXCELLENT CARE FOR STROKE PATIENTS, ACCORDING TO EVIDENCE-BASED GUIDELINES. TO RECEIVE THE AWARD, PMC ACHIEVED 85 PERCENT OR HIGHER ADHERENCE TO ALL GET WITH THE GUIDELINES-STROKE QUALITY ACHIEVEMENT INDICATORS FOR TWO OR MORE CONSECUTIVE 12-MONTH INTERVALS AND ACHIEVED 75 PERCENT OR HIGHER COMPLIANCE WITH SIX OF TEN GET WITH THE GUIDELINES-STROKE QUALITY MEASURES, WHICH ARE REPORTING INITIATIVES TO MEASURE QUALITY OF CARE.EMERGENCY DEPARTMENTIN PREPARATION FOR ACHIEVING LEVEL II TRAUMA CENTER CERTIFICATION, PIKEVILLE MEDICAL CENTER COMPLETED A $10 MILLION EXPANSION AND RENOVATION TO ITS EMERGENCY DEPARTMENT. THIS NEW FACILITY ENCOMPASSES NEARLY 23,000 SQUARE FEET AND INCLUDES TWO TRAUMA BAYS AND THREE TRIAGE BAYS, AS WELL AS ON-SITE CT SCANNING AND DIGITAL X-RAY. TRAUMA:TRAUMA CARE IS NOW AVAILABLE AT PMC. IN THE IMMEDIATE FUTURE WE WILL BE CERTIFIED AS A LEVEL II TRAUMA CENTER BY THE AMERICAN COLLEGE OF SURGEONS. WE HAVE ALREADY TREATED APPROXIMATELY 500 TRAUMA CASES. THIS SERVICE ALLOWS PMC TO PROVIDE THE HIGHEST LEVEL OF CARE TO TRAUMA PATIENTS WHO DEPEND ON IMMEDIATE CARE FOR SURVIVAL.TRANSLATION SERVICES:THE POPULATION IN EASTERN KENTUCKY IS QUICKLY BECOMING MORE DIVERSE CREATING SPECIAL COMMUNICATION NEEDS. PIKEVILLE MEDICAL CENTER HAS LAUNCHED A NEW WEB BASED VIDEO TRANSLATION SERVICE WITH INTERPRETERS SKILLED IN MEDICAL TERMINOLOGY IN OVER 180 LANGUAGES. THIS IMPORTANT NEW SERVICE MINIMIZES MANY COMMUNICATION BARRIERS WHICH MIGHT EXIST WITH OUR PATIENTS.THE JOURNEY OF EXCELLENCE CONTINUESTHE HOSPITAL'S BOARD OF DIRECTORS, MORE THAN 250 CREDENTIALED PHYSICIANS AND NEARLY 2,600 EMPLOYEES BELIEVE AND CARRY OUT THE HOSPITAL'S MISSION STATEMENT EVERYDAY "TO PROVIDE QUALITY, REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT." IT IS PRIMARILY BECAUSE OF THIS WORK ETHIC THAT PIKEVILLE MEDICAL CENTER REGULARLY RECEIVES RECOGNITION AND AWARDS SUCH AS: -JUNE 2012 - NATIONAL HOSPITAL OF THE YEAR FOR AN UNPRECEDENTED THIRD CONSECUTIVE TIME AND HOSPITAL OF CHOICE EMERITUS -APRIL 2012 - BEST PLACES TO WORK IN KENTUCKY TOP HOSPITAL -FEBRUARY 2012 - U.S. NEWS & WORLD REPORT BEST REGIONAL HOSPITAL -FEBRUARY 2012 - HOSPITAL OF CHOICE AWARD. PMC IS IN THE TOP 10 OF MORE THAN 400 HOSPITALS THAT WERE CONSIDERED. PMC IS THE ONLY KENTUCKY HOSPITAL TO BE A HOSPITAL OF CHOICE. -FEBRUARY 2012 - PMC'S RADIOLOGY SERVICES HAS RECEIVED THREE-YEAR ACCREDITATION FROM THE AMERICAN COLLEGE OF RADIOLOGY. -5TH IN THE NATION AND 1ST IN KENTUCKY IN MODERN HEALTHCARE MAGAZINE'S BEST PLACES TO WORK. THIS IS THE FOURTH CONSECUTIVE YEAR OF NATIONAL RECOGNITION BY MODERN HEALTHCARE. -BEST REGIONAL HOSPITAL IN THREE SPECIALTY AREAS (GYNECOLOGY, EAR NOSE & THROAT AND NEPHROLOGY) BY U.S. NEWS AND WORLD REPORT FOR 2011-2012. -ONE OF "AMERICA'S BEST HOSPITALS FOR PATIENT EXPERIENCE" BY WOMEN CERTIFIED. -IN 2011, PMC'S IT DEPARTMENT WAS RANKED 7TH IN THE NATION IN HEALTHCARE IT NEWS WHERE TO WORK: BEST HOSPITAL IT DEPARTMENTS. -IN 2011, WE WERE AWARDED THE GET WITH THE GUIDELINES GOLD PLUS AWARD BY THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION FOR MAINTAINING STRICT ADHERENCE TO NATIONALLY ACCEPTED BEST PRACTICES FOR STROKE CARE. THIS IS THEIR HIGHEST AWARD OFFERED FOR STROKE CARE. -3 PMC PHYSICIANS; A CARDIOTHORACIC SURGEON, AN INTERVENTIONAL CARDIOLOGIST AND A RHEUMATOLOGIST WERE NAMED TO THE 2011-2012 BEST DOCTORS IN AMERICA LIST. -EXCELLENCE THROUGH INSIGHT AWARD FOR RATING #1 NATIONALLY FOR PATIENT SATISFACTION IN INPATIENT ONCOLOGY AND INPATIENT REHABILITATION. -COMMISSION ON CANCER'S OUTSTANDING ACHIEVEMENT AWARD PRESENTED BY THE AMERICAN COLLEGE OF SURGEONS (GIVEN TO THE TOP 7 PERCENT OF CANCER PROGRAMS IN THE NATION EACH YEAR) -WE WERE AWARDED THE BALDRIDGE CRITERIA BASED LEVEL 4 EXCELLENCE AWARD BY THE KENTUCKY CENTER FOR PERFORMANCE EXCELLENCE -AMERICAN CANCER SOCIETY'S COMMUNITY VOLUNTEER OF THE YEAR AWARD TO THE LEONARD LAWSON CANCER CENTER -AMERICAN DIABETES ASSOCIATION'S RECOGNITION AWARD TO PMCS DIABETES EDUCATION DEPARTMENT -CENTRAL KENTUCKY BLOOD CENTER'S LIFETIME ACHIEVEMENT AWARD PRESENTED TO PMC PRESIDENT & CEO WALTER E. MAY -CHAMBER OF COMMERCE AWARD FOR COMMUNITY INVOLVEMENT -KENTUCKY'S FIRST LEVEL 3 ACCREDITED CHEST PAIN CENTER, THE HIGHEST RECOGNITION GIVEN BY THE SOCIETY OF CHEST PAIN CENTERS -MCKESSON NATIONAL VIP AWARD FOR SUPPORTING ORGANIZATIONAL GROWTH AND TECHNOLOGY AT PIKEVILLE MEDICAL CENTER WE ARE NOT JUST STRIVING TO BE THE BEST HEALTH CARE PROVIDER WE CAN BE, WE ARE STRIVING TO BE THE MODEL HEALTH CARE ORGANIZATION THAT BENEFITS EVERYONE. PMC WILL CONTINUE TO IMPROVE AND GROW, AND WILL ALWAYS PURSUE EXCELLENCE. TECHNOLOGY WILL EVOLVE AND WE WILL CONTINUE TO RECRUIT THE COUNTRY'S BEST PHYSICIANS AND ADD SPECIALTY SERVICES TO ASSURE THE BEST HEALTH CARE POSSIBLE FOR OUR PATIENTS. PMC REFUSES TO ACCEPT STATUS QUO, BY ALWAYS OFFERING THE BEST TO PATIENTS.PIKEVILLE MEDICAL CENTER IS CONFIDENT ITS APPROACH TO HEALTH CARE IS ONE OF THE BEST. THROUGH HARD WORK, A FIRM COMMITMENT TO ALL THE PATIENTS WHO ENTER THE HOSPITAL'S DOORS AND SUCCESSFULLY LIVING OUT OUR MISSION STATEMENT EVERY DAY "TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT" PMC WILL CONTINUE TO GROW AND REDEFINE THE HEALTH CARE MODEL.

4d	Other program services. (Describe in Schedule O.)
	(Expenses $ 200,317,686 including grants of $ 94,068 ) (Revenue $ 245,331,335 )
4e	Total program service expenses$ 280,981,552

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	7,525,645	0	477,831

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		331,842
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		20,304
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			352,146
			Business Code
2a	PATIENT SERVICE REVENU		621,110	338,216,599	338,216,599
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			338,216,599
3	Investment income (including dividends, interest
	and other similar amounts).....			1,215,521			1,215,521
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............			14,082			14,082
		(i) Real	(ii) Personal
6a	Gross Rents	410,411	347,527
b	Less: rental expenses	570,935
c	Rental income or (loss)	-160,524	347,527
d	Net rental income or (loss).......			187,003	-160,524	347,527
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		1,694,908
b	Less: cost or other basis and sales expenses		1,674,160
c	Gain or (loss)		20,748
d	Net gain or (loss)..........			20,748			20,748
8a	Gross income from fundraising events (not including $ 331,842 of contributions reported on line 1c). See Part IV, line 18 ...
	a		97,141
b	Less: direct expenses ...b		155,779
c	Net income or (loss) from fundraising events..			-58,638			-58,638
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a		8,346,445
b	Less: cost of goods sold ..b		6,328,092
c	Net income or (loss) from sales of inventory..			2,018,353		318,547	1,699,806
Miscellaneous Revenue			Business Code
11a	INSURANCE SETTLEMENT		900,099	6,233,814	6,233,814
b	CAFETERIA		900,099	2,152,140	0		2,152,140
c	OTHER REVENUE		900,099	742,253	742,253
d	All other revenue ....			342,541		342,541
e	Total. Add lines 11a–11d ......			9,470,748
12	Total revenue. See Instructions....			351,436,562	345,032,142	1,008,615	5,043,659


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			10,554	1	12,255
2	Savings and temporary cash investments .......			83,406,653	2	120,750,346
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			31,348,306	4	40,695,824
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........			130,995	5	31,995
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			10,156,400	8	10,703,096
9	Prepaid expenses and deferred charges ............			2,676,369	9	2,867,950
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	250,459,527
b	Less: accumulated depreciation. .....	10b	107,746,213	126,569,200	10c	142,713,314
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 ......			1,448,001	12	1,741,318
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			7,779,122	15	65,042,973
16	Total assets. Add lines 1 through 15 (must equal line 34)...			263,525,600	16	384,559,071
17	Accounts payable and accrued expenses .			29,484,308	17	31,417,884
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........			34,920,000	20	135,795,572
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			13,238,252	23	209,362
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			6,585,899	25	6,691,190
26	Total liabilities. Add lines 17 through 25.....			84,228,459	26	174,114,008
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			179,070,296	27	210,239,063
28	Temporarily restricted net assets .....			20,845	28	0
29	Permanently restricted net assets .....			206,000	29	206,000
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			179,297,141	33	210,445,063
34	Total liabilities and net assets/fund balances .....			263,525,600	34	384,559,071