TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) RONALD BURCHETT...................................................................... BOARD PRESIDENT	5.00 ................. 1.00	X	X	0	0
(2) ALEX POULOS MD...................................................................... BOARD VICE PRES. (ENDING 3/19)	4.00 ................. 1.00	X	X	0	24,724
(3) WILLIAM D BLACKBURN...................................................................... BOARD VICE PRES/CEO	40.00 ................. 1.00	X	X	642,020	25,598
(4) JOE DEAN ANDERSON...................................................................... BOARD SECRETARY/TREASURER	4.00 ................. 1.00	X	X	0	24,724
(5) DEBRA BLACKBURN...................................................................... BOARD MEMBER (ENDING 3/19)	2.00 ................. 0.00	X		2,867	9,279
(6) DAVID COLLINS CPA...................................................................... BOARD MEMBER	2.00 ................. 0.00	X		0	24,724
(7) DENNIS HALBERT MD...................................................................... BOARD MEMBER (ENDING 12/18)	2.00 ................. 0.00	X		0	24,724
(8) JOHN LABRECHE...................................................................... BOARD MEMBER	6.00 ................. 1.00	X		0	224
(9) JULIUS CLINTON MARTIN II...................................................................... BOARD MEMBER	3.00 ................. 1.00	X		0	0
(10) JO NELL ROBINSON...................................................................... BOARD MEMBER	4.00 ................. 1.00	X		0	17,001
(11) MARY SIMPSON PHD...................................................................... BOARD MEMBER	3.00 ................. 0.00	X		0	2,320
(12) MICHAEL MCCOY...................................................................... BOARD MEMBER	3.00 ................. 0.00	X		0	8,241
(13) JYOTHI METTU MD...................................................................... BOARD MEMBER	4.00 ................. 0.00	X		0	0
(14) DAVID BAIRD...................................................................... BOARD MEMBER	3.00 ................. 0.00	X		0	8,241
(15) AARON CRUM MD...................................................................... BOARD MEMBER/CMO/ASST CEO	40.00 ................. 1.00	X		700,776	33,086
(16) FADI AL AKHRASS MD...................................................................... BD MEMBER/CHIEF OF STAFF (ENDING 11/18)	40.00 ................. 0.00	X		423,022	34,100
(17) PHILIP LEIPPRANDT JR MD...................................................................... BD MEMBER/CHIEF OF STAFF	40.00 ................. 0.00	X		908,681	33,085

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) ROBERT SHURTLEFF........................................................................ BOARD MEMBER (BEG 03/19)	2.00 .......................0.00	X					0	0
(19) LINDA WAGNER-JUSTICE........................................................................ BOARD MEMBER (BEG 1/19)	3.00 .......................0.00	X					0	0
(20) MICHELLE HAGY........................................................................ CFO - SENIOR VP FINANCE	40.00 .......................0.00		X				353,263	31,285
(21) ERICH BLACKBURN........................................................................ CHIEF LEGAL OFFICER-SENIOR VP	40.00 .......................0.00			X			287,892	17,373
(22) MELISSA THACKER........................................................................ COO PHYSICIAN PRACTICE-SENIOR VP	40.00 .......................0.00			X			175,241	9,649
(23) KANSAS JUSTICE........................................................................ CHIEF OPERATING OFFICER-SENIOR VP	40.00 .......................0.00			X			192,183	31,396
(24) CHERYL HICKMAN........................................................................ CHIEF REGULATORY OFFICER-SENIOR VP	40.00 .......................0.00			X			244,680	32,633
(25) MICHELLE RAINEY........................................................................ CHIEF NURSING OFFICER-SENIOR VP	40.00 .......................0.00			X			268,841	31,883
(26) TONY DAMRON........................................................................ CHIEF INFORMATION OFFICER-SENIOR VP	40.00 .......................0.00			X			166,309	28,183
(27) MARCUS CONLEY........................................................................ VP FINANCE	40.00 .......................0.00			X			185,975	31,282
(28) RALPH LOMMA........................................................................ VP FACILITIES	40.00 .......................0.00			X			202,846	18,537
(29) DAVID HALCOMB........................................................................ ASST CHIEF FINANCIAL OFFICER	40.00 .......................0.00			X			182,079	28,727
(30) KEVIN PUGH MD........................................................................ ORTHOPEDIC SURGEON	40.00 .......................0.00				X		1,064,323	33,085
(31) JOHN RIEHL MD........................................................................ ORTHOPEDIC TRAUMA SURGEON	40.00 .......................0.00				X		1,037,787	23,835
(32) KEITH HALL MD........................................................................ ORTHOPEDIC SURGEON	40.00 .......................0.00				X		982,467	33,086
(33) DERMOT HALPIN MD........................................................................ CARDIOTHORACIC SURGEON	40.00 .......................0.00				X		946,827	36,086
(34) MICHAEL ANTIMISIARIS MD........................................................................ CARDIOLOGIST/ELECTROPHYSIOLOGIST	40.00 .......................0.00				X		948,335	21,425
(35) JUANITA DESKINS........................................................................ FORMER CHIEF OPERATING OFFICER	40.00 .......................0.00					X	270,269	36,062
(36) PEGGY JUSTICE........................................................................ FORMER - VP PHYSICIAN NETWORK	40.00 .......................0.00					X	157,033	31,927
(37) RUSSELL SHANKLIN........................................................................ FORMER-ASSISTANT CIO	40.00 .......................0.00					X	169,748	32,461

(A) Name and business address	(B) Description of services	(C) Compensation
ROSE BUILDERS LLC 7 STACY STREET HAROLD,KY41635	CONSTRUCTION SERVICES	9,958,937
PHILIPS HEALTHCARE INC 22100 BOTHELL EVERETT HIGHWAY BOTHELL,WA98041	PROFESSIONAL SERVICES	5,209,520
NTHRIVE INC PO BOX 733492 DALLAS,TX75373	HIM SERVICES	3,299,492
LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON,NC27216	LABORATORY SERVICES	2,853,990
MTBC ACQUISITION CORP DBA MEDIGAIN PRACT 7 CLYDE ROAD SOMERSET,NJ81395	PROFESSIONAL SERVICES	2,622,951
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 56

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 12, check only one box.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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. See section 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 in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. If the organization did not check a 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—2018. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. 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 VI 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the 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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization PIKEVILLE MEDICAL CENTER INC

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization PIKEVILLE MEDICAL CENTER INC		Employer identification number 61-0458376

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization PIKEVILLE MEDICAL CENTER INC			Employer identification number 61-0458376
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(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) (2018)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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 in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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 function 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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

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)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(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? ..................

Other activities? ...................................................................................................................

Yes

24,040

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

24,040

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 carry over 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) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

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

Section 162(e) nondeductible 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

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

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

Schedule C (Form 990 or 990EZ) 2018

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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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 can 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" on 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 education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 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 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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 section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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)

Revenue included on 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 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

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

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	206,000	685,939	652,368	624,622	705,176
b	Contributions ...
c	Net investment earnings, gains, and losses		20,061	33,571	27,746	-80,554
d	Grants or scholarships ...		500,000
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	206,000	206,000	685,939	652,368	624,622

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

0 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

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

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	1,268,888	9,857,890		11,126,778
b	Buildings ....	5,712,553	280,105,185	97,295,261	188,522,477
c	Leasehold improvements		1,850,389	789,750	1,060,639
d	Equipment ....	16,735	179,510,668	123,634,762	55,892,641
e	Other .....		14,820,968		14,820,968
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					271,423,503

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) BOND ISSUANCE COSTS				728,617
(2) GRANT RECEIVABLE				1,543,932
(3) INDENTURE				11,656,219
(4) OTHER RECEIVABLES				20,968,693
(5) SELF INSURED TRUST				7,201,358
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				42,098,819

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
RESERVE FOR RECIPROCAL OF AMER CLAIMS	2,064,562
DEFERRED COMPENSATION LIABILITY	5,039,687
RESERVES FOR WORKERS COMPENSATION CLAIMS	3,211,375
ESTIMATED AMOUNTS DUE TO 3RD PARTY PAYERS	3,026,229
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	13,341,853
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	546,874,727
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-232,244
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	13,081,647
e	Add lines 2a through 2d .....................			2e	12,849,403
3	Subtract line 2e from line 1..................			3	534,025,324
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 XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	534,025,324

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	540,931,125
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	13,081,646
e	Add lines 2a through 2d....................			2e	13,081,646
3	Subtract line 2e from line 1...................			3	527,849,479
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 XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	527,849,479

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART V, LINE 4:	THE AMOUNT OF $206,000 IS A PERMANENT RESTRICTED ENDOWMENT-HERBERT FABER ENDOWMENT FUND. THE ENDOWMENT FUND IS UTILIZED TO SUPPORT THE CHARITABLE AND HEALTH ACTIVITES OF PIKEVILLE MEDICAL CENTER, INC.
PART X, LINE 2:	THE HOSPITAL AND PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE, INC. ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PIKEVILLE MEDICAL CENTER DEVELOPMENT CORPORATION AND LANDMARK PROPERTIES OF PIKEVILLE, INC. ARE TAXABLE ENTITIES TO WHICH APPLICABLE CORPORATE INCOME TAXES APPLY. NO INCOME TAXES WERE OWED BY PIKEVILLE MEDICAL CENTER DEVELOPMENT CORPORATION OR LANDMARK PROPERTIES OF PIKEVILLE, INC. FOR THE YEARS ENDED SEPTEMBER 30, 2019 AND 2018. THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2019 AND 2018 THAT WOULD REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANACIAL STATEMENTS. AT SEPTEMBER 30, 2019, TAX RETURNS FILED FOR 2016 THROUGH 2018 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	EXPENSES RECLASSED TO REVENUE SECTION 12,845,715. FUNDRAISING EXPENSES 10,014. RENTAL EXPENSE 225,917. ROUNDING 1.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	EXPENSES RECLASSED TO REVENUE SECTION 12,845,715. FUNDRAISING EXPENSES 10,014. RENTAL EXPENSES 225,917.
FORM 990, PART IV LINE 12	FORM 990, PART IV LINE 12 HAS BEEN CHECKED NO PER 990 INSTRUCTIONS. PART XI, XII, AND XIII ARE NOT REQUIRED AS THE ORGANIZATION IS PART OF A CONSOLIDATED FINANCIAL STATEMENT. THE CONSOLIDATED FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM AND PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. HOWEVER, THE ORGANIZATION OPTED TO VOLUNTARILY COMPLETE THESE SECTIONS.

Schedule D (Form 990) 2018

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" on 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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

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 email 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?

YesNo

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.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










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

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

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2018

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 COLORS OF COURAGE 5K RUN/WALK (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	27,067	27,067
2	Less: Contributions . . . .	17,236	17,236
3	Gross income (line 1 minus line 2) . . . . . .	9,831	9,831

4	Cash prizes . . . . .
5	Noncash prizes . . . .	1,703	1,703
6	Rent/facility costs . . . .	175	175
7	Food and beverages . . .	74	74
8	Entertainment . . . .	3,282	3,282
9	Other direct expenses . . .	4,780	4,780
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		10,014
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .		-183

Part III

Gaming. Complete if the organization answered "Yes" on 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))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	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. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

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

Is the organization licensed to conduct 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:

Schedule G (Form 990 or 990-EZ) 2018

Page 3

Does the organization conduct 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

Indicate the percentage of gaming activity conducted in:

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

13a

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

13b

Enter 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 of the third party:

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

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2018

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

PIKEVILLE MEDICAL CENTER INC

Employer identification number

61-0458376

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

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

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

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

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance 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 discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did 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.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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	Financial Assistance at cost (from Worksheet 1) . . .			6,507,856		6,507,856	1.230 %
b	Medicaid (from Worksheet 3, column a) . . . . .			93,354,568	65,158,472	28,196,096	5.340 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			99,862,424	65,158,472	34,703,952	6.570 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	375	4,638	98,288		98,288	0.020 %
f	Health professions education (from Worksheet 5) . . .	101	1,409	2,006,963	990,062	1,016,901	0.190 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	27		122,860		122,860	0.020 %
j	Total. Other Benefits . .	503	6,047	2,228,111	990,062	1,238,049	0.230 %
k	Total. Add lines 7d and 7j .	503	6,047	102,090,535	66,148,534	35,942,001	6.800 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(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	88	11,733	76,066	2,845	73,221	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	4	5,512	19,338	27,067	0	0 %
8	Workforce development	12		357,634		357,634	0.070 %
9	Other
10	Total	104	17,245	453,038	29,912	430,855	0.080 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did 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. Explain in Part VI the methodology used by the organization to estimate this amount. ......

7,404,334

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

149,669,848

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

126,999,014

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

22,670,834

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

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(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) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	PIKEVILLE MEDICAL CENTER 911 BYPASS ROAD PIKEVILLE,KY41501 WWW.PIKEVILLEHOSPITAL.ORG 100366	X	X	X	X

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	PIKEVILLE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.PIKEVILLEHOSPITAL.ORG/2019-2022-COMMUNITY-HEALTH-NEEDS-ASSESSMENT

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.PIKEVILLEHOSPITAL.ORG/2019-2022-COMMUNITY-HEALTH-NEEDS-ASSESSMENT

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PIKEVILLE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://WWW.PIKEVILLEHOSPITAL.ORG/BILLING/FINANCIAL-ASSISTANCE-POLICY/

The FAP application form was widely available on a website (list url):

HTTP://WWW.PIKEVILLEHOSPITAL.ORG/BILLING/FINANCIAL-ASSISTANCE-POLICY/

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.PIKEVILLEHOSPITAL.ORG/BILLING/FINANCIAL-ASSISTANCE-POLICY/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	PIKEVILLE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	PIKEVILLE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PIKEVILLE MEDICAL CENTER	PART V, SECTION B, LINE 5: PIKEVILLE MEDICAL CENTER IN COLLABORATION WITH AN ADVISORY COMMITTEE COMPRISED OF COMMUNITY LEADERS FROM PIKE, FLOYD AND LETCHER COUNTIES, WHOM ARE INVOLVED WITH LOCAL HEALTH DEPARTMENTS, SCHOOL SYSTEMS, SENIOR CITIZENS PROGRAMS, POST SECONDARY EDUCATION, RURAL HEALTH PROGRAMS, VOLUNTEER GROUPS, AND LOCAL BUSINESS/INDUSTRY DEVELOPED A SURVEY TO OBTAIN INPUT CONCERNING THE NEEDS OF OUR COMMUNITY. THE SURVEY WAS MADE AVAILABLE ONLINE, IT WAS PUBLISHED TO A LINK WHICH WAS WIDELY PUBLICIZED TO ALL PMC EMPLOYEES AND PROMOTED TO PMC PATIENTS VIA SOCIAL MEDIA, PRINT AND FLYERS WHICH WERE DISTRIBUTED THROUGHOUT PMC FACILITIES INCLUDING CLINICS, INPATIENT ROOMS AND CAFETERIA. MEMBERS OF THE ADVISORY COMMITTEE WERE ALSO GIVEN THE LINK AND ASKED TO DISTRIBUTE IT AMONGST THEIR STAFF, ASSOCIATES, CUSTOMERS AND BUSINESS COMMUNITY AFFILIATES. PMC'S COMMUNITY SURVEY WAS A TREMENDOUS SUCCESS AS MORE THAN 1,100 RESPONSES WERE RECEIVED.
PIKEVILLE MEDICAL CENTER	PART V, SECTION B, LINE 7D: HTTPS://WWW.PIKEVILLEHOSPITAL.ORG/2019-2022-COMMUNITY-HEALTH-NEEDS-ASSESSMENT/PMC MAILED THE BOARD APPROVED CHNA REPORT TO LOCAL BUSINESS/INDUSTRY LEADERS, PUBLIC OFFICIALS, AND CIVIC ORGANIZATION MEMBERS.
PIKEVILLE MEDICAL CENTER	PART V, SECTION B, LINE 11: PIKEVILLE MEDICAL CENTER ADDRESSES THE COMMUNITY NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA BY ACTIVELY PROMOTING HEALTHY LIFESTYLES AND GOOD HABITS NECESSARY TO PREVENT OR ALLEVIATE DEVELOPMENT OF DISEASE THROUGH NUMEROUS COMMUNITY INFORMATION EVENTS AND BY CONTINUING INVOLVEMENT IN A WIDE ARRAY OF PUBLIC ACTIVITIES SUCH AS HEALTH FAIRS, REMOTE AREA MEDICAL (RAM) CLINICS, AND SPONSORED RACE EVENTS AROUND THE REGION. HEALTH SCREENINGS ARE CONDUCTED TO LOOK FOR THE EARLY WARNING SIGNS OF DISEASE INCLUDING, BUT NOT LIMITED TO, CANCER, DIABETES AND HEART DISEASE. PMC IS WORKING TO AGGRESSIVELY GROW PRIMARY AND PEDIATRIC CARE SERVICE AVAILABILITY BY RECRUITING ADDITIONAL PROVIDERS TO THE AREA AND PLACING CLINICS IN COMMUNITIES THAT ARE CURRENTLY UNDERSERVED. PMC IS CONTINUING TO DEVELOP, EXPAND AND ENHANCE CARDIOLOGY SERVICES THROUGH RENOVATIONS AND EXPANSIONS OF THE EXISTING HEART INSTITUTE TO OFFER NEW LIFE SAVING PROCEDURES AND STATE OF THE ART THERAPIES. CANCER CARE IS THE #1 HEALTH ISSUE IN THE REGION. TO EXPAND ONCOLOGY SERVICE OFFERINGS AND PROVIDE COMPREHENSIVE CARE, PMC IS ENABLING PATIENTS TO ENROLL IN CLINICAL TRIALS TO PROVIDE POTENTIALLY LIFE CHANGING MEDICATIONS. IN ADDITION, PMC PLANS TO PURCHASE TWO NEW STATE OF THE ART RAPID ARC LINEAR ACCELERATORS TO IMPROVE RADIATION ONCOLOGY TREATMENT PRECISION AND MINIMIZE RADIATION EXPOSURE. PMC ALSO PROVIDES SUPPORT GROUP SERVICES TO AREA RESIDENTS AND THEIR FAMILIES COPING WITH DIABETES, BREAST CANCER, PROSTRATE CANCER, STROKE, AND OBESITY.
PIKEVILLE MEDICAL CENTER	PART V, SECTION B, LINE 24: PIKEVILLE MEDICAL CENTER FOLLOWS THE SAME CHARGING STRUCTURE FOR ALL PATIENTS; HOWEVER, PMC'S IN-HOUSE SLIDING SCALE FINANCIAL ASSISTANCE PROGRAM PROVIDES A RANGE OF DISCOUNTS UP TO FREE CARE FOR THOSE WHO QUALIFY. FOLLOWING A DETERMINATION THAT AN INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE UNINSURED PATIENT PORTION OF THE PROGRAM, PMC WILL NOT BILL THAT INDIVIDUAL FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IN AN AMOUNT IN EXCESS OF THE AMOUNT GENERALLY BILLED (UTILIZING THE MEDICARE LOOK-BACK METHOD). ADDITIONAL DISCOUNTS OF FREE OR 50% OF AGB ARE ALSO OFFERED BY PMC, DEPENDENT UPON THE PATIENT'S INCOME AND RESOURCE LEVEL AND FAMILY SIZE.

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?14
Name and address		Type of Facility (describe)
1	1 - PMC CLINIC - WALMART PIKEVILLE 251 CASSIDY BLVD PIKEVILLE,KY41501	PHYSICIAN PRACTICE
2	2 - PMC OBGYN PHYSICIAN PRACTICE - HAROLD 246 KY ROUTE 979 HAROLD,KY41635	PHYSICIAN PRACTICE
3	3 - PMC WEIGHT LOSS SURGERY CENTER 1098 S MAYO TRAIL STE 103 PIKEVILLE,KY41501	PHYSICIAN PRACTICE
4	4 - PMC PLASTIC SURGERY CENTER 1098 S MAYO TRAIL 2ND FLOOR PIKEVILLE,KY41501	PLASTIC SURGERY CENTER
5	5 - PIKEVILLE FAMILY PRACTICE CLINIC 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
6	6 - PMC SPECIALTY CLINIC-GRUNDY 1520 SLATE CREEK ROAD STE 205 GRUNDY,VA24614	PHYSICIAN PRACTICE
7	7 - PMC CLINIC - SHELBY VALLEY 6800 US HWY 23 S STE 3 PIKEVILLE,KY41501	PHYSICIAN PRACTICE
8	8 - PMC SPECIALTY CLINIC-PRESTONSBURG 311 NORTH ARNOLD AVE PRESTONSBURG,KY41653	PHYSICIAN PRACTICE
9	9 - PMC PRIMARY CARE PRACTICE - HAROLD 246 KY RT 979 HAROLD,KY41635	PHYSICIAN PRACTICE
10	10 - PMC PRIMARY & SPECIALTY CLINIC-S WILLIA 285 SOUTH SIDE MALL ROAD SOUTH WILLIAMSON,KY41503	PHYSICIAN PRACTICE
11	11 - PMC SPECIALTY CLINIC-WHITESBURG 107 MEDICAL PLAZA LANE WHITESBURG,KY41858	PHYSICIAN PRACTICE
12	12 - PMC CLINIC - MARTIN 265 KY ROUTE 122 MARTIN,KY41649	PHYSICIAN PRACTICE
13	13 - PMC COLORECTAL SURGERY PRACTICE 1098 S MAYO TRAIL 1ST FLR PIKEVILLE,KY41501	PHYSICIAN PRACTICE
14	14 - PMC PRESTONSBURG PRIMARY CARE & URGENT 723 SOUTH LAKE DRIVE PRESTONSBURG,KY41653	PHYSICIAN PRACTICE

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
PART II, COMMUNITY BUILDING ACTIVITIES:	PIKEVILLE MEDICAL CENTER'S MISSION STATEMENT, "TO PROVIDE WORLD CLASS QUALITY HEALTH CARE IN A CHRISTIAN ENVIRONMENT" IS THE CATALYST BEHIND PMC'S EFFORTS TO IMPROVE THE PHYSICAL, MENTAL AND SPIRITUAL WELL BEING OF THE REGION'S RESIDENTS. DURING FY 2019, PIKEVILLE MEDICAL CENTER REPORTED TAKING PART IN 104 COMMUNITY BUILDING ACTIVITIES, SERVING MORE THAN 17,000 PEOPLE AND TOTALING MORE THAN $430,000. 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: FIRST-AID BOOTH AT HILLBILLY DAYS, COLORS OF COURAGE 5K RUN/WALK, SMOKING CESSATION CLASSES, A COMMUNITY CHILDREN'S CHRISTMAS EVENT, VETERAN'S DAY CEREMONY SUPPORT, OVER 400 MEALS PER MONTH PROVIDED TO MEALS ON WHEELS, AND RECRUITMENT OF MORE THAN 100 HEALTHCARE PROFESSIONALS.
PART III, LINE 4:	SEE PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY AND MAKES EVERY EFFORT TO EDUCATE PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE, IN ADDITION, PMC PATIENT FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST THOSE IN NEED THROUGHOUT THE FINANCIAL ASSISTANCE APPLICATION PROCESS. FOR THIS REASON THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE.
PART III, LINE 8:	NO SHORTFALL EXISTED IN FY 2019. 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, 2019 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST.
PART III, LINE 9B:	PMC WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) AGAINST PATIENTS BEFORE MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER PMC'S FINANCIAL ASSISTANCE POLICY. PMC MAKES REASONABLE EFFORTS TO ORALLY NOTIFY THE PATIENT ABOUT PMC'S FINANCIAL ASSISTANCE POLICY AND HOW THEY MAY RECEIVE ASSISTANCE WITH THE APPLICATION PROCESS. EACH PATIENT BILLING STATEMENT AND ALL WRITTEN COMMUNICATIONS CONCERNING THE PATIENTS' BILL INCLUDE A CONSPICUOUS WRITTEN NOTICE THAT INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE, THE NOTICE INCLUDES THE TELEPHONE NUMBER OF PMC'S PATIENT FINANCIAL COUNSELING DEPARTMENT AS WELL AS THE WEB SITE ADDRESS WHERE COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL APPLICATION FORMS, AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY MAY BE OBTAINED. IN ADDITION, BILLING DEPARTMENT PERSONNEL INFORM PATIENTS ABOUT PMC'S FAP IN ORAL COMMUNICATIONS REGARDING AMOUNTS DUE. ONCE A PATIENT HAS BEEN DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE IN-HOUSE SLIDING SCALE PROGRAM, THEIR ELIGIBILITY WILL REMAIN INTACT FOR A TERM OF ONE (1) YEAR FROM THE DATE OF APPROVAL UNLESS PMC BECOMES AWARE OF A MATERIAL CHANGE IN THE PATIENT'S FINANCIAL CIRCUMSTANCES.
PART VI, LINE 2:	IN ORDER TO ASSESS OUR COMMUNITY'S HEALTH-RELATED NEEDS, PIKEVILLE MEDICAL CENTER UTILIZES SEVERAL REPORTS LOOKING AT THE SERVICES THEY PROVIDE, IN COMPARISON TO OTHER HOSPITALS, AS WELL AS, REPORTS INDICATING THE SPECIALTIES THAT ARE IMPACTED BY PHYSICIAN REFERRALS. PMC ALSO KEEPS A RECORD OF PREVIOUS COMMUNITY EVENTS HOSTED, TRACKING THEIR SUCCESS. FOR EXAMPLE: WHEN A FREE HEALTH SCREENING EVENT IS HELD, A RECORD IS KEPT OF THE NUMBER OF ATTENDEES INCLUDING THEIR RESULTS.
PART VI, LINE 3:	PIKEVILLE MEDICAL CENTER USES SEVERAL DIFFERENT MEANS TO COMMUNICATE AND EDUCATE OUR PATIENTS ON ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER FEDERAL, STATE AND LOCAL GOVERNMENTS, AS WELL AS THE PMC IN-HOUSE SLIDING SCALE PROGRAM. THE FINANCIAL ASSISTANCE PROGRAM POLICY, THE DSH PROGRAM APPLICATION FORM, THE IN-HOUSE SLIDING SCALE PROGRAM APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY OF THIS POLICY IS AVAILABLE FREE OF CHARGE ON PMC'S WEBSITE; PAPER COPIES OF THE POLICY, THE DSH PROGRAM APPLICATION FORM, THE IN-HOUSE SLIDING SCALE PROGRAM APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY OF THE POLICY ARE AVAILABLE FREE OF CHARGE UPON REQUEST IN PMC'S EMERGENCY, REGISTRATION AND BILLING DEPARTMENTS AND BY MAIL; A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY OF THE POLICY IS OFFERED TO PATIENTS AS PART OF THE INTAKE PROCESS UNLESS IT IS NOT FEASIBLE TO DO SO DUE TO AN EMERGENCY OR OTHER CIRCUMSTANCES IN WHICH CASE PMC WILL OFFER A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY AS PART OF THE DISCHARGE PROCESS; VISITORS TO PMC ARE INFORMED AND NOTIFIED ABOUT THE POLICY THROUGH CONSPICUOUS PUBLIC DISPLAYS AT PMC; RESIDENTS OF THE COMMUNITY THAT PMC SERVES ARE INFORMED AND NOTIFIED OF THE POLICY BY STATEMENTS ON PMC'S WEBSITE AND IN MESSAGES PLAYED TO CALLERS TO PMC WHO ARE PLACED ON HOLD THAT PMC OFFERS FINANCIAL ASSISTANCE UNDER A FINANCIAL ASSISTANCE POLICY AND INFORMING THE READER/LISTENER HOW TO OBTAIN MORE INFORMATION; AND BY INCLUDING A CONSPICUOUS WRITTEN NOTICE ON ALL BILLING STATEMENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISATNCE UNDER THIS POLICY AND INCLUDES THE TELEPHONE NUMBER OF PMC'S PATIENT FINANCIAL COUNSELING DEPARTMENT ALONG WITH THE WEB SITE ADDRESS WHERE COPIES OF THIS POLICY, THE APPLICATION FORMS, AND A PLAIN LANGUAGE SUMMARY OF THE POLICY MAY BE OBTAINED.
PART VI, LINE 4:	PIKEVILLE MEDICAL CENTER PROVIDES HEALTHCARE SERVICES TO RESIDENTS OF PIKE, FLOYD, JOHNSON, MAGOFFIN, MARTIN, KNOTT AND LETCHER COUNTIES IN KENTUCKY, MINGO COUNTY IN WEST VIRGINIA AND BUCHANAN COUNTY IN VIRGINIA. PMC IS COMMITTED TO MEETING THE NEEDS OF ITS PATIENTS BY PROVIDING HIGH QUALITY SPECIALTY SERVICES WITHIN THE REGION. PMC USES THE MOST RECENT U.S. CENSUS BUREAU DATA AND INFORMATION FROM THE KY STATE DATA CENTER WHEN TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC POPULATION IT SERVES. BASED ON 2019 DATA AVAILABLE, PMC'S SERVICE AREA CONTAINS A POPULATION OF APPROXIMATELY 219,796 INDIVIDUALS. THERE IS A RELATIVELY EVEN DISTRIBUTION OF MALES (49.52%) TO FEMALES (50.48%). THE AVERAGE HOUSEHOLD SIZE IS 2 INDIVIDUALS AND 18.9% OF THE POPULATION IS AGE 65 AND OVER. THE IMPOVERISHED AREA SERVED BY PIKEVILLE MEDICAL CENTER HAS A MEDIAN FAMILY INCOME OF $32,093 WITH 29% OF THE POPULATION LIVING BELOW THE POVERTY LINE.
PART VI, LINE 6:	PIKEVILLE MEDICAL CENTER (PMC), A 340 BED TERTIARY CARE CENTER, NESTLED IN THE HEART OF APPALACHIA, IS RECOGNIZED AS THE REGION'S LEADER IN HEALTHCARE. PMC PROVIDES ADVANCED TECHNOLOGY, UNPARALLELED SERVICE AND UNRIVALED GENEROSITY TO THE COMMUNITY. PMC IS CONTINUALLY EXPANDING SERVICE OFFERINGS AND DEVELOPING INNOVATIVE PROCESSES TO OFFER THE BEST IN HEALTH CARE TO THOSE WE SERVE. THIS PROGRESSIVE APPROACH TO HEALTHCARE, WHICH IS FOCUSED ON THE ORGANIZATION'S CORE VALUE TO SERVE THE NEEDS OF THE PATIENT FIRST, HAS ELEVATED THE FACILITY TO THE STATUS OF REGIONAL REFERRAL CENTER WITHIN A MULTI-STATE REGION.THE MISSION OF PIKEVILLE MEDICAL CENTER IS "TO PROVIDE WORLD-CLASS QUALITY HEALTHCARE IN A CHRISTIAN ENVIRONMENT." THIS MISSION IS EMBRACED BY THE DEDICATED STAFF WHO SHARE THE VISION OF THE ORGANIZATION: CHRISTIAN-TREAT OTHERS AS YOU WOULD LIKE TO BE TREATED; QUALITY-WHATEVER YOU DO, DO IT WELL AND STRIVE FOR PERFECTION; SERVICE-CONTINUALLY LOOK FOR WAYS TO IMPROVE AND GO ABOVE AND BEYOND.PMC HAS UNDERGONE EXTRAORDINARY GROWTH THROUGHOUT ITS 95-YEAR HISTORY. BEGINNING AS A SMALL, RURAL, 50-BED FACILITY AT ITS INCEPTION IN 1924, THE MEDICAL CENTER IS TODAY A COMPREHENSIVE MEDICAL COMPLEX COMPRISED OF A 340-BED FACILITY ENCOMPASSING OVER 1.3 MILLION SQUARE FEET WITH BOTH THE MAIN FACILITY AND SURROUNDING SUPPORTIVE SERVICES. HEALTHCARE IS THE ECONOMIC DRIVER IN THE EASTERN KENTUCKY, SOUTHWEST VIRGINIA AND SOUTHWEST WEST VIRGINIA REGION SERVED BY PMC. AS THE INDUSTRY'S REGIONAL HEALTHCARE LEADER, THE HOSPITAL OFFERS MORE THAN 400 SERVICES, INCLUDING EVERY MAJOR SPECIALTY AND MANY SUBSPECIALTIES. THE TREMENDOUS PHYSICAL GROWTH AND EXPANSION IN SCOPE OF SPECIALTY SERVICE CAPABILITIES, INCLUDING TRAUMA SERVICES, HAS TRANSFORMED PMC IN TO A REGIONAL REFERRAL CENTER FOR SMALLER COMMUNITY HOSPITALS THAT HAVE PATIENTS WITH COMPLEX MEDICAL NEEDS WHOM THEY CANNOT SERVE. ADDITIONALLY, PMC SERVES AS A DESTINATION OF CHOICE FOR PATIENTS REQUIRING ADVANCED TERTIARY CARE SERVICES INCLUDING CANCER MANAGEMENT, NEUROSURGERY, CARDIAC SURGERY, PLASTIC SURGERY, AND ADVANCED NEONATOLOGY SERVICES.CURRENT SERVICES OFFERED AT PMC INCLUDE: A VERIFIED LEVEL II TRAUMA CENTER; AN AWARD-WINNING, FULL-SERVICE CANCER TREATMENT CENTER; CHEST PAIN CENTER WITH PRIMARY PCI; 20-BED INPATIENT PHYSICAL REHABILITATION HOSPITAL; AN ACCREDITED GOLD PLUS STROKE CENTER: NEUROSURGERY; LEVEL II NEONATAL INTENSIVE CARE UNIT; BARIATRIC SURGERY CENTER OF EXCELLENCE, JOINT COMMISSION GOLD SEAL CERTIFIED ORTHOPEDIC PROGRAM, PAIN MANAGEMENT, PULMONARY REHABILITATION, SLEEP LAB, A DIAGNOSTIC CENTER; INTEGRATED FAMILY AND SPECIALTY PHYSICIAN PRACTICES WITH SATELLITE LOCATIONS IN HAROLD, MARTIN, PRESTONSBURG, SHELBY VALLEY, SOUTH WILLIAMSON AND WHITESBURG, KY AND GRUNDY, VA, ALONG WITH A RETAIL CLINIC AT WAL-MART, PIKEVILLE, KY.PIKEVILLE MEDICAL CENTER IS RECOGNIZED AS HAVING ONE OF THE TOP HEART PROGRAMS IN KENTUCKY. PMC HAS INSTALLED THREE NEW STATE-OF-THE-ART INTERVENTIONAL CARDIAC CATHERIZATION (CATH) LABS, IN ADDITION TO THE PHILIPS AZURION CARDIAC IMAGING SYSTEM. THIS ADVANCED TECHNOLOGY OPTIMIZES PATIENT COMFORT AND ENABLES PHYSICIANS TO PROVIDE AN ADVANCED LEVEL OF CARE. TO ACHIEVE PMC'S VISION OF BECOMING THE LEADING HEART PROGRAM IN THE STATE, A MONUMENTAL CAPITAL RENOVATION IS UNDERWAY TO FURTHER EXPAND THE PMC HEART & VASCULAR INSTITUTE TO ENCOMPASS 49,000 SQUARE FEET OF SPACE. THIS EXPANSION WILL ALLOW FOR THE CONTINUED GROWTH OF PROCEDURAL SERVICES THAT OFFER LIFESAVING CARDIAC DIAGNOSTIC AND PROCEDURAL CARE ALONG WITH NEW CURATIVE PROCEDURES NOT PREVIOUSLY OFFERED WITHIN THE REGION, WHICH INCLUDE MAZE, TAVR, WATCHMAN DEVICE AND LEADLESS PACEMAKERS. PMC IS COMMITTED TO PROVIDING COMPREHENSIVE CANCER CARE IN THE MOST CONVENIENT MANNER TO ITS PATIENTS. AS THE REGIONS ONLY HOSPITAL TO HAVE ACHIEVED THE COMMISSION ON CANCER'S 2018 OUTSTANDING ACHIEVEMENT AWARD FOR EXCEPTIONAL QUALITY, OUR GOAL IS TO WIN THE BATTLE AGAINST CANCER ONE PATIENT AT A TIME. TO ENHANCE SERVICE INTEGRATION AND CONTINUITY OF CARE, THE LEONARD LAWSON CANCER CENTER (LLCC) WAS RECENTLY RELOCATED TO PMC'S MAIN CAMPUS, THE NEW LOCATION INCLUDES AN ONCOLOGY PHARMACY LOCATED ADJACENT TO LLCC WHICH ALLOWS FOR DELIVERY OF MEDICATIONS AND CHEMOTHERAPY TO PATIENTS WITHOUT DELAY. ADDITIONALLY, THE INPATIENT ONCOLOGY NURSING UNIT WAS RELOCATED AND REMODELED TO INCLUDE 15 LARGE PRIVATE SUITES TO ACCOMMODATE PATIENTS AND FAMILIES. IN CONTINUED PURSUIT OF THE TREATMENT OF CANCER, PMC IS NOW OFFERING ENROLLMENT IN CLINICAL TRIALS TO ONCOLOGY PATIENTS BATTLING LUNG, BREAST, BLADDER, AND PANCREATIC CANCER. THESE TRIALS PROVIDE THE PATIENT ACCESS TO POTENTIALLY LIFE CHANGING MEDICATIONS. THE PMC LABORATORY EXPANSION WAS COMPLETED DURING FY 2019. THE EXPANSION INCLUDES A NEW AUTOMATION LINE, EXTENDED BLOOD BANK, HEMATOLOGY, AND CHEMISTRY AREA. PMC IS THE ONLY FACILITY IN THE REGION TO IMPLEMENT THIS NEW CUTTING EDGE AUTOMATED LAB TECHNOLOGY WHICH INCREASES PRODUCTIVITY, ALLOWING FOR THE EXPANSION OF THE IN HOUSE TESTING MENU, IN ADDITION TO DECREASING THE TURNAROUND TIME FOR PATIENT TEST RESULT DELIVERY TO THE ORDERING PHYSICIAN. NEW GROSSING STATIONS ALONG WITH A SPECIALIZED SLIDE STAINER AND IMMUNE STAINER PROVIDES THE PATHOLOGY DEPARTMENT WITH THE ABILITY TO COMPLETE TESTING THAT IS GENERALLY ONLY PERFORMED AT SPECIALTY REFERENCE LABS AND RESEARCH CENTERS. THESE ADVANCES HAVE SIGNIFICANTLY DECREASED THE TURNAROUND TIME FOR PATIENTS AND PHYSICIANS AWAITING PATHOLOGY REPORTS WHICH HAS AIDED OUR ONCOLOGY TEAM IN QUICKLY DIAGNOSING TYPES OF CANCER AND DETERMINING THE COURSE OF TREATMENT. THE FINAL PHASE OF THE LABORATORY EXPANSION PROVIDED THE MICROBIOLOGY DEPARTMENT WITH NEW STATE-OF-ART ANALYZERS TO IDENTIFY BACTERIA AND VIRUSES IN A REMARKABLY REDUCED TIME FRAME.PIKEVILLE MEDICAL CENTER HAS CONTINUED TO BROADEN ITS COMMUNITY OUTREACH THROUGH A NETWORK OF MEDICAL CLINICS THAT ARE DIRECTLY ACCESSIBLE IN KEY COMMUNITIES, WHICH WERE PREVIOUSLY UNDERSERVED, WITHIN THE HOSPITAL'S SERVICE AREA. DURING FY 2019 CONSTRUCTION ON THE NEW PMC PRIMARY CARE AND URGENT CARE CLINIC LOCATED IN PRESTONSBURG, KY WAS FINALIZED. THIS FIRST URGENT CARE ENDEAVOR FOR PMC FURTHER ADVANCED ACCESS TO BOTH PRIMARY AND URGENT CARE SERVICES FOR THE RESIDENTS OF FLOYD COUNTY AND THE SURROUNDING AREA. THE FIRST PHASE OF THE NEW PMC PRIMARY AND SPECIALTY CLINIC LOCATED IN THE SOUTH SIDE MALL, SOUTH WILLIAMSON, KY OPENED DURING FY 2019. THE NEW LOCATION WILL OCCUPY APPROXIMATELY 20,000 SQUARE FEET OF SPACE, PROVIDING A MODERN, CONVENIENT, AND COMFORTABLE LOCATION WITH INCREASED OPTIONS FOR PRIMARY CARE IN ADDITION TO MORE SPECIALIZED MEDICAL SERVICES TO RESIDENTS OF THE SOUTH WILLIAMSON, KY COMMUNITY, IN ADDITION TO THOSE RESIDENTS OF NEIGHBORING MINGO COUNTY, WV. PMC, ACCREDITED BY THE JOINT COMMISSION, HAS ALSO CONTINUED TO EXPERIENCE SIGNIFICANT GROWTH IN OUTPATIENT VOLUMES. TOTAL OUTPATIENT VISITS INCREASED TO 500,431 IN FY 2019 FROM 478,817 IN FY 2018; OPEN HEART SURGERY CASES INCREASED TO 387 IN FY 2019 FROM 357 IN FY 2018; CARDIAC CATH LAB PROCEDURES INCREASED TO 4,307 IN FY 2019 FROM 3,620 IN FY 2018; AND PHYSICIAN OUTPATIENT VISITS INCREASED TO 242,533 IN FY 2019 FROM 216,478 IN FY 2018.PMC CONTINUES TO ANSWER THE CALL FOR ADDITIONAL PHYSICIANS IN STRATEGICALLY POSITIONED CLINIC LOCATIONS THROUGH RECRUITMENT OF HIGHLY-QUALIFIED PROFESSIONALS ASPIRING TO PRACTICE IN A PROGRESSIVE, COMPASSIONATE, GROWING MEDICAL COMMUNITY THAT DEMANDS QUALITY AND STRIVES FOR EXCELLENCE. CURRENTLY, PMC EMPLOYS NEARLY 3,000 TEAM MEMBERS, INCLUDING 140 PHYSICIANS IN ADDITION TO 108 ADVANCED PRACTICE REGISTERED NURSES, CERTIFIED REGISTERED NURSE ANESTHETISTS AND PHYSICIAN ASSISTANTS. MORE THAN 450 PROVIDERS ARE CREDENTIALED TO PRACTICE AT PMC. DURING FY 2019 THE HOSPITAL WELCOMED 19 NEW EMPLOYED PHYSICIANS WITH AN ADDITIONAL 5 PHYSICIANS CONTRACTED WITH START DATES DURING FY 2020.PIKEVILLE MEDICAL CENTER'S VISION AND GROWTH HAS NOT ONLY RESULTED IN THE EXPANSION OF THE RANGE AND SCOPE OF HEALTH CARE SERVICES PROVIDED TO PATIENTS IN THE REGION, BUT HAS ALSO PLAYED AN INTEGRAL ROLE IN ENHANCING THE HOSPITAL'S ABILITY TO PROVIDE COMMUNITY OUTREACH SERVICES. PMC PROVIDES A VARIETY OF EDUCATIONAL, WELLNESS, AND PREVENTIVE HEALTH SERVICES THAT ARE FUNDAMENTAL TO PMC'S MISSION "TO PROVIDE WORLD-CLASS QUALITY HEALTHCARE IN A CHRISTIAN ENVIRONMENT." CHARITY CARE: THROUGH DEFINED POLICIES AND PROCEDURES, PMC RECORDED UNCOMPENSATED CHARITY OF MORE THAN $22,698,000 DURING FY 2019 (SERVICES AT HOSPITAL'S ESTABLISHED RATES).
PART VI LINE 5	PROMOTION OF COMMUNITY HEALTH (CONTINUED)HEALTH CARE SUPPORT SERVICES:BLOOD DRIVES- PMC WAS HOST TO TWO BLOOD DRIVES DURING FY 2019. PREPARATION FOR BLOOD DRIVES INCLUDES PUBLICITY BEFORE AND AFTER THE EVENT, OBTAINING GIVE-AWAY ITEMS FOR DONORS; RESERVING A LOCATION, HELPING WITH SET-UP AND TAKE-DOWN, AND PRE-REGISTERING DONORS. BLOOD DRIVES ARE CONDUCTED IN CONJUNCTION WITH THE KENTUCKY BLOOD CENTER. IN FY 2019, 111 DONORS PARTICIPATED IN PMC'S BLOOD DRIVES, PROVIDING LIFE-SAVING BLOOD PRODUCTS TO AN ESTIMATED 333 RECIPIENTS. THESE EVENTS COST PMC $1,355.MEALS ON WHEELS - IN FY 2019, PMC PROVIDED 5,156 MEALS AT A COST OF $35,825.GUEST MEALS - PMC DONATED 3,846 FOOD TRAYS TO GUESTS AT A COST OF $28,845 IN FY 2019.INDIGENT SUPPORT SERVICES - MANY PATIENTS NEED FINANCIAL ASSISTANCE WITH PRESCRIBED MEDICATIONS, IN-HOME MEDICAL EQUIPMENT, TRANSPORTATION, AND OTHER ITEMS OR SERVICES. TO ASSIST IN RELIEVING FINANCIAL BURDEN, PMC'S CHAPLAIN SERVICES, CASE MANAGEMENT, AND LEONARD LAWSON CANCER CENTER DEPARTMENTS PROVIDED ASSISTANCE TO 576 PATIENTS TOTALING $57,983 IN FY 2019. ASSISTANCE WENT TO PATIENTS NEEDING PRESCRIBED MEDICATIONS AND TRANSPORTATION UPON DISCHARGE. TRANSPORTATION SUPPORT WAS ALSO PROVIDED TO PATIENTS NEEDING TO TRAVEL TO AND FROM THE HOSPITAL TO RECEIVE CARE. IN ADDITION, THE HOSPITAL PURCHASED CHILD CAR SEATS, HOME MEDICAL EQUIPMENT, AND MEDICAL SUPPLIES FOR PATIENTS IN NEED.SPIRITUAL - PMC'S CHAPLAINCY DEPARTMENT MAKES EVERY EFFORT TO ENSURE PATIENTS' SPIRITUAL NEEDS ARE MET. THE STAFF ROUNDS DAILY ON PATIENTS, OFFERING WORDS OF ENCOURAGEMENT AND PRAYER. IN FY 2019, 520 BIBLES FOR NEWBORNS WERE DISTRIBUTED AND 50 COMMUNITY EVENTS, INCLUDING FUNERALS, WEDDINGS AND MINISTERIAL ASSOCIATION MEETINGS WERE SERVICED BY PMC CHAPLAINS. THESE SERVICES PROVIDED A COMMUNITY BENEFIT OF MORE THAN $7,195.COMMUNITY FINANCIAL DONATIONS: IN FY 2019, PMC PROUDLY EXTENDED ITS CORPORATE SOCIAL RESPONSIBILITY THROUGH BOTH FINANCIAL AND IN-KIND DONATIONS TO COMMUNITY ORGANIZATIONS, IN ADDITION TO SUPPORTING EMPLOYEE PARTICIPATION IN COMMUNITY ACTIVITIES AND EVENTS WITH A COMMON GOAL OF SERVING OTHERS. THE HOSPITAL PROVIDED $122,860 IN FINANCIAL AND IN-KIND SUPPORT TO SUCH ENTITIES AS:APPALACHIAN PREGNANCY CARE CENTERAPPALACHIAN HOSPICE CAREBLESSED BEYOND MEASURE, INCCITY OF PIKEVILLECITY OF PRESTONSBURG JENNY WILEY FESTIVALEAST KENTUCKY DREAM CENTER, INC.ELKHORN CITY HERITAGE COUNCILKENTUCKY CHAMBER FOUNDATIONSHAPING OUR APPALACHIAN REGION, INC. (SOAR)LETCHER COUNTY CARES, INC.COWAN COMMUNITY ACTION GROUP, INC. NATIONAL FIRE SAFETY COUNCIL, INC.UNIVERSITY OF PIKEVILLEMARCH OF DIMESPIKEVILLE HIGH SCHOOLPIKE COUNTY BOARD OF EDUCATIONPIKE COUNTY FIREFIGHTERS ASSOCIATIONPIKEVILLE MAIN STREET PROGRAM, INC.THOMAS G LABRECQUE FOUNDATIONWHITESBURG LITTLE LEAGUEPIKE COUNTY TOURISM, CONVENTION AND VISITORS BUREAUSOUTHEAST KENTUCKY CHAMBER OF COMMERCEPMC IS AN AVID SUPPORTER OF SOAR, A NON-PARTISAN APPALACHIAN KENTUCKY NETWORK COMMITTED TO THE COMMON PURPOSE OF EXPANDING JOB CREATION, ENHANCING REGIONAL OPPORTUNITY AND IDENTITY, AND IMPROVING THE QUALITY OF LIFE ALL CITIZENS OF THE REGION THROUGH COLLABORATION AND INNOVATION. PMC EXECUTIVES AND STAFF PARTICIPATE IN ANNUAL CONFERENCES TO ASSIST IN SHAPING A BETTER FUTURE FOR THE REGION.FUNDRAISING: DURING AUGUST 2019, PMC HOSTED ITS SIXTH ANNUAL "COLORS OF COURAGE" 5K FUNDRAISER IN PIKEVILLE TO BENEFIT UNDERINSURED CANCER PATIENTS OF THE HOSPITAL'S LEONARD LAWSON CANCER CENTER AND BRING AWARENESS TO ALL TYPES OF CANCER. MORE THAN 500 RUNNERS AND WALKERS CAME TOGETHER FOR THIS COMMON CAUSE. HOSPITAL EMPLOYEES ORGANIZED, PUBLICIZED, AND WORKED THE EVENT. THE TOTAL COMMUNITY BENEFIT WAS $17,014. THE COST OF FUNDRAISING WAS $10,013.HEALTH SCREENINGS: PMC PARTICIPATED IN 11 FREE COMMUNITY HEALTH FAIRS/SCREENINGS DURING FY 2019 INCLUDING TWO BETSY LAYNE SENIOR CITIZEN HEALTH SCREENING EVENTS, A VETERANS DAY SCREENING EVENT, A COMMUNITY HEALTH FAIR EVENT AND THE COMMUNITY TRUST BANK CPR MOBILE TOUR EVENT. HEALTH EDUCATION MATERIALS WERE DISTRIBUTED AT THE EVENTS, WHICH WERE ATTENDED BY MORE THAN 1,100 PEOPLE. ALL SCREENINGS WERE HOSTED BY PMC PHYSICIANS, NURSES AND/OR SUPPORT STAFF. THE EVENTS PROVIDED A COMMUNITY BENEFIT OF $12,767.OTHER EVENTS DURING WHICH PMC HOSTED FREE HEALTH SCREENINGS INCLUDED: - FIRST-AID BOOTH HILLBILLY DAYS FESTIVAL- APPALACHIAN WIRELESS HEALTH FAIR- FOOD CITY DIABETES SCREENING EVENT- JENNY WILEY FESTIVAL- HEART HEALTH FAIR EVENT- APPLE DAYS FESTIVAL- PIKEVILLE FARMER'S MARKET SCREENING EVENT- REMOTE AREA MEDICAL (RAM) EVENT- SHELBY VALLEY HEALTH FAIR- STROKE AWARENESS DAY- GEARHEART COMMUNICATION HEALTH FAIR- HERITAGE DAYS FESTIVAL- MARROWBONE SENIOR CITIZENS CENTER HEALTH FAIRPMC JOINED FORCES WITH REMOTE AREA MEDICAL (RAM) TO PROVIDE FREE HEALTH CARE TO MORE THAN 350 PEOPLE DURING A TWO DAY WEEKEND EVENT HELD IN PIKE COUNTY, KY. RAM PROVIDES SAME-DAY SERVICES ON A FIRST COME FIRST SERVED BASIS, SERVICES RENDERED AT THE EVENT INCLUDE ROUTINE CHECK-UPS, ULTRASOUNDS, DENTAL WORK AND VISION CARE. 25 PMC EMPLOYEES VOLUNTEERED TO WORK THE EVENT PROVIDING A VARIETY OF SUPPORT AND MEDICAL SERVICES TO ASSIST IN MAKING THE EVENT A SUCCESS. SERVICES PROVIDED BY STAFF FROM LEONARD LAWSON CANCER CENTER AND WOMEN'S SERVICES DEPARTMENTS INCLUDED SCREENINGS FOR LUNG, SKIN, ORAL, AND BREAST CANCER. RAM PROVIDED MORE THAN $190,000 OF FREE MEDICAL, DENTAL AND VISION CARE TO THOSE RECEIVING CARE AT THE EVENT.COMMUNITY HEALTH EDUCATION: PMC'S STAFF IS ACTIVELY INVOLVED IN EDUCATING THE COMMUNITY ON IMPORTANT HEALTH CARE TOPICS. THROUGHOUT FY 2019, HOSPITAL REPRESENTATIVES FROM VARIOUS DEPARTMENTS PRESENTED TO LOCAL CIVIC CLUBS, MEDICAL PROFESSIONALS, AND THE PUBLIC AT LARGE. THROUGH ITS 17 COMMUNITY EDUCATION EFFORTS IN FY 2019, PMC CONTRIBUTED $28,200.PMC EMPLOYEES PARTICIPATED IN THE FOLLOWING LECTURES/PRESENTATIONS DURING FY 2019:- NATIONAL MAMMOGRAPHY DAY- PAINT PIKEVILLE PIKE- RED, WHITE AND BLUE EVENT- PIKEVILLE WOMEN'S CLUB MEETING- MLT ADVISORY COMMITTEE- STROKE AWARENESS DAY- SHAPING OUR APPALACHIAN REGION- WILDWOOD GARDEN CLUB MEETING (5)COMMUNITY SELF-HELP EDUCATION: SMOKING CESSATION CLASSES WERE OFFERED BY PMC DURING FY 2019, REACHING 11 PARTICIPANTS AT A COST OF $455.HEALTH PROFESSIONS EDUCATION: DURING FY 2019, PMC INVESTED $1,016,901 IN HEALTH PROFESSIONS EDUCATION. IN AFFILIATION WITH TWENTY-FIVE ACADEMIC INSTITUTIONS, PMC TRAINED MORE THAN 160 STUDENTS DURING 2019, IN SPECIALTIES INCLUDING: NURSING, PHYSICAL THERAPY, RESPIRATORY THERAPY, PHARMACY, PHLEBOTOMY, RADIOLOGY AND SPEECH THERAPY. SCHOOLS AFFILIATED WITH PMC INCLUDE:AMERICAN NATIONAL UNIVERSITYBELLARMINE UNIVERSITYBIG SANDY COMMUNITY AND TECHNICAL COLLEGECHAMBERLAIN COLLEGEEASTERN KENTUCKY PHLEBOTOMY SCIENCESEASTERN KENTUCKY UNIVERSITYFRONTIER SCHOOL OF MIDWIFERY AND FAMILY NURSINGHAZARD COMMUNITY AND TECHNICAL COLLEGEINDIANA WESLEYAN UNIVERSITYINSTITUTE OF ULTRASOUND DIAGNOSTICSKENTUCKY COMMUNITY TECHNICAL COLLEGE SYSTEMLINCOLN MEMORIAL UNIVERSITYMARSHALL UNIVERSITYMEDQUEST COLLEGEMOREHEAD STATE UNIVERSITYPURDUE GLOBALSOUTHEAST COMMUNITY COLLEGESOUTHERN WEST VIRGINIA COMMUNITY & TECHNICAL COLLEGESPALDING UNIVERSITYSAINT CATHERINE UNIVERSITYSULLIVAN UNIVERSITYUNIVERSITY OF APPALACHIA COLLEGE OF PHARMACYUNIVERSITY OF KENTUCKYUNIVERSITY OF PIKEVILLEWALDEN UNIVERSITYRESIDENCY PROGRAM - PMC'S RESIDENCY PROGRAM IS ACCREDITED BY THE AMERICAN OSTEOPATHIC ASSOCIATION AND IS SPONSORED BY THE APPALACHIAN OSTEOPATHIC POSTGRADUATE TRAINING INSTITUTE CONSORTIUM. AS THE REGION'S MOST SOUGHT AFTER RESIDENCY PROGRAM, IT IS THE ONLY INTEGRATED OSTEOPATHIC FAMILY MEDICINE AND MANIPULATIVE TREATMENT/NEUROMUSCULOSKELETAL MEDICINE RESIDENCY PROGRAM IN KENTUCKY, THE ONLY PLUS-ONE NEUROMUSCULOSKELETAL AND OSTEOPATHIC MANIPULATIVE MEDICINE RESIDENCY PROGRAM IN KENTUCKY, AND ONE OF ONLY SIX FAMILY MEDICINE AND OSTEOPATHIC MANIPULATIVE TREATMENT MEDICINE RESIDENCY PROGRAMS IN KENTUCKY. THE HOSPITAL, IN CONJUNCTION WITH THE RESIDENCY PROGRAM, OPERATES A FAMILY PRACTICE CLINIC WHICH TREATS MORE THAN 13,000 PATIENTS ANNUALLY. THIS SERVICE ALLOWS PMC TO EDUCATE AND RETAIN COMPETENT, SKILLED PHYSICIANS IN THE REGION. DURING THE RESIDENCY YEAR OF JULY 2018 TO JUNE 2019, PMC TRAINED 16 RESIDENTS..OPTOMETRY PROGRAM - PIKEVILLE MEDICAL CENTER HAS ALSO PARTNERED WITH THE UNIVERSITY OF PIKEVILLE KENTUCKY COLLEGE OF OPTOMETRY, A NOT-FOR-PROFIT OPTOMETRIC EDUCATION INSTITUTION ENGAGED IN EDUCATING OPTOMETRIC STUDENTS AND ADVANCING OPTOMETRIC EDUCATION TO PROVIDE CLINICAL CARE SPACE AND EQUIPMENT AS A CORE SITE TO ACCOMMODATE OPTOMETRY PATIENT CARE FOR THE EDUCATION AND TRAINING OF OPTOMETRIC STUDENTS.
PART VI LINE 5	PROMOTION OF COMMUNITY HEALTH (CONTINUED)CONTINUING HEALTH PROFESSIONALS EDUCATION - PMC'S MEDICAL LIBRARY STAFF COORDINATES AND OVERSEES CONTINUING MEDICAL EDUCATION (CME) HOURS OFFERED AT THE HOSPITAL. MOST CMES ARE OPEN TO NOT ONLY PMC STAFF, BUT TO OTHER MEDICAL PROFESSIONALS THROUGHOUT THE REGION. IN FY 2019, PMC OFFERED 100 CME PRESENTATIONS, REACHING NEARLY 1,400 ATTENDEES. THE EDUCATIONAL OPPORTUNITIES OFFERED BY THE HOSPITAL DURING FY 2019 RELATED TO THE FOLLOWING TOPICS:- ADVANCED CARDIOVASCULAR LIFE SUPPORT (12 EVENTS) - AN UPDATE REGARDING SKIN CANCER- CARDIOLOGY GRAND ROUNDS (24 EVENTS) - CANCER CASE CONFERENCE (6 EVENTS)- HEART AND VASCULAR SYMPOSIUM- HEALTHCARE WELLNESS SYMPOSIUM- PEDIATRIC ADVANCED LIFE SUPPORT (12 EVENTS)- STROKE GRAND ROUNDS (12 EVENTS)- TRAUMATIC INJURY HAS NO AGE LIMIT- TRAUMA GRAND ROUNDS (12 EVENTS)- TUMOR BOARD (18 EVENTS)PHYSICIAN, MIDLEVEL AND NURSING PROFESSIONAL RECRUITMENT: PMC'S RECRUITMENT PROGRAM IS FOCUSED ON PROVIDING PATIENTS WITHIN THE SERVICE AREA WITH QUALITY MEDICAL CARE BY RECRUITING AN ADEQUATE NUMBER OF PRIMARY CARE PHYSICIANS ALONG WITH A DESIRED MIX OF SPECIALTY PHYSICIANS. PHYSICIAN RECRUITMENT IS A FUNDAMENTAL ELEMENT REQUIRED TO MEET THE HEALTHCARE NEEDS OF THE SERVICE AREA. PMC IS A REGIONAL REFERRAL CENTER FOR SPECIALTY AND SUB-SPECIALTY SERVICES NOT PROVIDED BY OTHER LOCAL HOSPITALS. DURING FY 2019, NINETEEN PHYSICIANS, EIGHT MIDLEVEL PROFESSIONALS AND NINETY-EIGHT REGISTERED NURSES WERE ADDED TO PMC'S TEAM OF HEALTHCARE PROVIDERS. THE TOTAL COMMUNITY BENEFIT ASSOCIATED WITH RECRUITMENT OF THESE PROVIDERS DURING FY 2019 WAS $357,634. THE RECRUITED PHYSICIANS PRACTICE IN THE FOLLOWING SPECIALTIES: - ANESTHESIOLOGY- EMERGENCY MEDICINE- GENERAL/COLORECTAL SURGERY- HOSPITALIST MEDICINE- INTERVENTIONAL CARDIOLOGY- INTERVENTIONAL RADIOLOGY- NEPHROLOGY- PEDIATRIC MEDICINE- PRIMARY CARE MEDICINESUPPORT GROUPS: IN FY 2019, PMC HOSTED/SPONSORED 33 SUPPORT GROUP MEETINGS, REACHING MORE THAN 340 PEOPLE AND PROVIDING $8,207 IN COMMUNITY BENEFITS. BELOW IS A LIST OF THE SUPPORT GROUPS PMC HOSTED/SPONSORED: - ART OF HEALING CANCER SUPPORT GROUP- CONGESTIVE HEART FAILURE SUPPORT GROUP- LOOK GOOD FEEL BETTER CANCER SUPPORT GROUP- NUTRITION CANCER SUPPORT GROUP- STROKE SUPPORT GROUP- DIABETES SUPPORT GROUP- WEIGHT LOSS SURGERY SUPPORT GROUPOTHER COMMUNITY SUPPORT: THROUGHOUT FY 2019, PMC HOSTED, SPONSORED, OR PARTICIPATED IN SEVERAL EVENTS TO SUPPORT THE COMMUNITY INCLUDING: - FIRST-AID BOOTH HILLBILLY DAYS FESTIVAL--A NATIONALLY KNOWN ANNUAL EVENT HELD IN DOWNTOWN PIKEVILLE TO BENEFIT THE SHRINERS' CHILDREN'S HOSPITAL- PIKEVILLE AREA VETERAN'S DAY CEREMONY- PMC BOOTH AT NIGHTMARE ON MAIN- ICE CREAM SOCIAL FOR CANCER SURVIVORS- JENNY WILEY FESTIVAL, PRESTONSBURG, KY- JOHN M. STUMBO ELEMENTARY SAFE TRICK-OR-TREAT- NATIONAL EMS WEEK RECOGNITION- HERITAGE DAYS, WHITESBURG, KY- VETERANS STAND DOWN EVENT- APPLE DAYS, PAINTSVILLE, KY- RED, WHITE & BLUE MARTIN, KY- MARCH OF DIMES- CHILDREN'S COMMUNITY CHRISTMAS PARTY WITH SANTA

Schedule H (Form 990) 2018

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) PIKE COUNTY BOARD OF EDUCATION 316 S MAYO TRAIL PIKEVILLE,KY41501	61-6001345	501(C)(3)	75,000				DONATION
(2) CITY OF PIKEVILLE KENTUCKY 243 MAIN STREET PIKEVILLE,KY41501	61-6001897		2,000				FIREFIGHTER'S MEMORIAL SILVER SPONSORSHIP
(3) CITY OF PIKEVILLE KENTUCKY 243 MAIN STREET PIKEVILLE,KY41501	61-6001897			9,650	CASH	COURTYARD STREET CLOCK	COURTYARD STREET CLOCK SPONSORSHIP
(4) COWAN COMMUNITY ACTION GROUP INC 81 STURGILL BRANCH WHITESBURG,KY41858	61-1396831	501(C)(3)	5,000				LEVITT AMP WHITESBURG MUSIC SERIES GOLD SPONSORSHIP
(5) ELKHORN CITY HERITAGE COUNCIL INC PO BOX 1332 ELKHORN CITY,KY41522	61-1355835	501(C)(3)	5,000				REMOTE AREA MEDICAL DONATION

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) ASSISTANCE TO UNINSURED PATIENTS FOR PRESCRIPTIONS, TRANSPORTATION, MEDICAL EQUIPMENT, CANCER TREATMENT TRAVEL ASSISTANCE	576	57,983	576 RECIPIENTS OF 296 PRESCRIPTIONS PROVIDED, 432 INSTANCES OF TRAVEL ASSISTANCE AND 8 MEDICAL EQUIPMENT PURCHASES/RENTALS.
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
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) 2018

Additional Data

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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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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 on 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 or provision of all of 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
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

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 on 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? .............

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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

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

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

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

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Yes

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 in column (B) reported as deferred on prior Form 990
(A) Name and Title		(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)
1WILLIAM D BLACKBURN BOARD VICE PRES/CEO	(i) (ii)	636,348 ------------- 0	0 ------------- 0	5,672 ------------- 0	12,250 ------------- 0	13,348 ------------- 0	667,618 ------------- 0	0 ------------- 0
2AARON CRUM MD BOARD MEMBER/CMO/ASST CEO	(i) (ii)	700,361 ------------- 0	0 ------------- 0	415 ------------- 0	9,250 ------------- 0	23,836 ------------- 0	733,862 ------------- 0	0 ------------- 0
3FADI AL AKHRASS MD BD MEMBER/CHIEF OF STAFF (ENDING 11/	(i) (ii)	422,745 ------------- 0	0 ------------- 0	277 ------------- 0	9,250 ------------- 0	24,850 ------------- 0	457,122 ------------- 0	0 ------------- 0
4PHILIP LEIPPRANDT JR MD BD MEMBER/CHIEF OF STAFF	(i) (ii)	866,463 ------------- 0	0 ------------- 0	42,218 ------------- 0	9,250 ------------- 0	23,835 ------------- 0	941,766 ------------- 0	0 ------------- 0
5MICHELLE HAGY CFO - SENIOR VP FINANCE	(i) (ii)	352,258 ------------- 0	0 ------------- 0	1,005 ------------- 0	7,449 ------------- 0	23,836 ------------- 0	384,548 ------------- 0	0 ------------- 0
6ERICH BLACKBURN CHIEF LEGAL OFFICER-SENIOR VP	(i) (ii)	287,080 ------------- 0	0 ------------- 0	812 ------------- 0	0 ------------- 0	17,373 ------------- 0	305,265 ------------- 0	0 ------------- 0
7MELISSA THACKER COO PHYSICIAN PRACTICE-SENIOR VP	(i) (ii)	174,541 ------------- 0	0 ------------- 0	700 ------------- 0	8,819 ------------- 0	830 ------------- 0	184,890 ------------- 0	0 ------------- 0
8KANSAS JUSTICE CHIEF OPERATING OFFICER-SENIOR VP	(i) (ii)	191,538 ------------- 0	0 ------------- 0	645 ------------- 0	7,680 ------------- 0	23,716 ------------- 0	223,579 ------------- 0	0 ------------- 0
9CHERYL HICKMAN CHIEF REGULATORY OFFICER-SENIOR VP	(i) (ii)	242,667 ------------- 0	0 ------------- 0	2,013 ------------- 0	8,871 ------------- 0	23,762 ------------- 0	277,313 ------------- 0	0 ------------- 0
10MICHELLE RAINEY CHIEF NURSING OFFICER-SENIOR VP	(i) (ii)	264,440 ------------- 0	0 ------------- 0	4,401 ------------- 0	8,093 ------------- 0	23,790 ------------- 0	300,724 ------------- 0	0 ------------- 0
11TONY DAMRON CHIEF INFORMATION OFFICER-SENIOR VP	(i) (ii)	165,616 ------------- 0	0 ------------- 0	693 ------------- 0	4,212 ------------- 0	23,971 ------------- 0	194,492 ------------- 0	0 ------------- 0
12MARCUS CONLEY VP FINANCE	(i) (ii)	185,249 ------------- 0	0 ------------- 0	726 ------------- 0	7,489 ------------- 0	23,793 ------------- 0	217,257 ------------- 0	0 ------------- 0
13RALPH LOMMA VP FACILITIES	(i) (ii)	188,144 ------------- 0	0 ------------- 0	14,702 ------------- 0	9,522 ------------- 0	9,015 ------------- 0	221,383 ------------- 0	0 ------------- 0
14DAVID HALCOMB ASST CHIEF FINANCIAL OFFICER	(i) (ii)	174,199 ------------- 0	0 ------------- 0	7,880 ------------- 0	4,920 ------------- 0	23,807 ------------- 0	210,806 ------------- 0	0 ------------- 0
15KEVIN PUGH MD ORTHOPEDIC SURGEON	(i) (ii)	1,064,046 ------------- 0	0 ------------- 0	277 ------------- 0	9,250 ------------- 0	23,835 ------------- 0	1,097,408 ------------- 0	0 ------------- 0
16JOHN RIEHL MD ORTHOPEDIC TRAUMA SURGEON	(i) (ii)	1,026,538 ------------- 0	0 ------------- 0	11,249 ------------- 0	0 ------------- 0	23,835 ------------- 0	1,061,622 ------------- 0	0 ------------- 0
17KEITH HALL MD ORTHOPEDIC SURGEON	(i) (ii)	982,052 ------------- 0	0 ------------- 0	415 ------------- 0	9,250 ------------- 0	23,836 ------------- 0	1,015,553 ------------- 0	0 ------------- 0
18DERMOT HALPIN MD CARDIOTHORACIC SURGEON	(i) (ii)	946,190 ------------- 0	0 ------------- 0	637 ------------- 0	12,250 ------------- 0	23,836 ------------- 0	982,913 ------------- 0	0 ------------- 0
19MICHAEL ANTIMISIARIS MD CARDIOLOGIST/ELECTROPHYSIOLOGIST	(i) (ii)	897,144 ------------- 0	50,000 ------------- 0	1,191 ------------- 0	12,250 ------------- 0	9,175 ------------- 0	969,760 ------------- 0	0 ------------- 0
20JUANITA DESKINS FORMER CHIEF OPERATING OFFICER	(i) (ii)	268,661 ------------- 0	0 ------------- 0	1,608 ------------- 0	12,250 ------------- 0	23,812 ------------- 0	306,331 ------------- 0	0 ------------- 0
21PEGGY JUSTICE FORMER - VP PHYSICIAN NETWORK	(i) (ii)	156,009 ------------- 0	0 ------------- 0	1,024 ------------- 0	7,982 ------------- 0	23,945 ------------- 0	188,960 ------------- 0	0 ------------- 0
22RUSSELL SHANKLIN FORMER-ASSISTANT CIO	(i) (ii)	168,676 ------------- 0	0 ------------- 0	1,072 ------------- 0	8,596 ------------- 0	23,865 ------------- 0	202,209 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 7	DR. ANTIMISIARIS EARNED A PHYSICIAN SIGNING BONUS.
SCHEDULE J, HIGHLY COMPENSATED EMPLOYEES	REMUNERATION OVER $1 MILLION IS PAYMENT TO PHYSICIANS FOR PROVIDING MEDICAL SERVICES. THERE WERE NO SEVERANCE PAYMENTS MADE TO ANY OFFICERS, DIRECTORS, KEY EMPLOYEES OR HIGHEST COMPENSATED EMPLOYEES.

Schedule J (Form 990) 2018

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............	6,945,000
3 Total proceeds of issue ..................	90,370,651
4 Gross proceeds in reserve funds .............	3,563,671
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,328,586
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	41,241,831
11 Other spent proceeds .............	44,236,563
12 Other unspent proceeds .............
13 Year of substantial completion .............	2014
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X
15 Were the bonds issued as part of an advance refunding issue? .....		X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	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
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X

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

Cat. No. 50193E

Schedule K (Form 990) 2018

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 of bond-financed property? .............	X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	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 ....	0.920 %
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 .........	0.110 %
6 Total of lines 4 and 5 .............	1.030 %
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X
b Exception to rebate? ........		X
c No rebate due? .........		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		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? ........
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

FORM 990, SCH K

THE BONDS WERE ISSUED FOR THE PURPOSES OF PROVIDING FUNDS TO BE USED TO 1.) FINANCE A PORTION OF THE COSTS OF CERTAIN ADDITIONS, RENOVATIONS, IMPROVEMENTS AND EQUIPMENT FOR PIKEVILLE MEDICAL CENTER 2.) REFUND KY ECONOMIC DEVELOPMENT FINANCE AUTHORITY HOSPITAL REVENUE AND REFUND REVENUE BONDS, SERIES 1997 3.) RETIRE CERTAIN OUTSTANDING TAXABLE DEBT 4.) FUND A DEBT SERVICE RESERVE FUND 5.) FUND CAPITALIZED INTEREST DURING CONSTRUCTION OF THE PROJECT AND 6.) PAY COST OF ISSUANCE OF THE BONDS.

Schedule K (Form 990) 2018

Additional Data

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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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting 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 assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2018

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) ANDREA ALLARA	DAUGHTER OF JOE DEAN ANDERSON, PMC BOARD MEMBER	43,458	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS RADIOLOGY COORDINATOR.		No
(2) ASHLEY JOHNSON	DAUGHTER OF DAVID COLLINS, CPA, PMC BOARD MEMBER	75,700	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS MANAGER RECRUITING		No
(3) BART DAVIS	GRANDSON OF JO NELL ROBINSON, PMC BOARD MEMBER	83,290	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR OF FLEET & SURPLUS MANAGEMENT		No
(4) BROOKE SHURTLEFF	DAUGHTER IN LAW OF ROBERT SHURTLEFF, PMC BOARD MEMBER	15,334	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A SPEECH LANGUAGE PATHOLOGIST		No
(5) CAMILLA DAMRON	DAUGHTER OF JO NELL ROBINSON, PMC BOARD MEMBER	77,078	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A SPEECH LANGUAGE PATHOLOGIST.		No
(6) COMMUNITY TRUST BANK	ENTITY OF WHICH PMC BOARD MEMBER HAS BUSINESS RELATIONSHIP	10,223,859	DAVID COLLINS SERVES AS BOARD MEMBER OF BOTH ENTITIES. SERVICES PROVIDED BY COMMUNITY TRUST BANK TO PIKEVILLE MEDICAL CENTER: -INTEREST INCOME BANKING SERVICES & FUNDS IN TRUST, $2,616,939 -SAFE DEPOSIT BOX FEES/LINE OF CREDIT FEES/BOND ACCT MGMT FEES, $15,293 - INSTALLMENT PAYMENTS, $7,591,627		No
(7) DWIGHT BUCKLEY	BROTHER IN LAW OF DEBRA BLACKBURN, PMC BOARD MEMBER	101,846	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR RESPIRATORY/SLEEP LAB		No
(8) EASTERN TELEPHONE & TECHNOLOGIES INC	ENTITY OF WHICH PMC BOARD MEMBER'S SPOUSE HAS BUSINESS RELATIONSHIP	219,745	LINDA WAGNER-JUSTICE'S SPOUSE HAS A FINANCIAL INTEREST IN ENTITY. PIKEVILLE MEDICAL CENTER PURCHASES TELECOMMUNICATION PARTS AND SERVICES FROM EASTERN TELEPHONE.		No
(9) ELLIOTT COMPANIES	ENTITY OF WHICH BOARD MEMBER HAS BUSINESS RELATIONSHIP	4,635,378	DAVID BAIRD SERVES AS BOARD MEMBER OF BOTH ENTITIES. PIKEVILLE MEDICAL CENTER PURCHASES CONSTRUCTION SERVICES AND MAINTENANCE MATERIALS FROM ELLIOTT COMPANIES.		No
(10) JIGSAW ENTERPRISES LLC	ENTITY OF WHICH PMC BOARD MEMBER'S SPOUSE HAS BUSINESS RELATIONSHIP	65,550	LINDA WAGNER-JUSTICE'S SPOUSE HAS A FINANCIAL INTEREST IN ENTITY. PIKEVILLE MEDICAL CENTER PURCHASES CONSTRUCTION SERVICES FROM JIGSAW ENTERPRISES.		No
(11) KIERSTEN WOODS SHURTLEFF	DAUGHTER IN LAW OF ROBERT SHURTLEFF, PMC BOARD MEMBER	33,601	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A CERTIFIED RESPIRATORY THERAPIST		No
(12) LINA ABDALLAH	SPOUSE OF FADI AL AKHRASS M.D., PMC BOARD MEMBER	129,998	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR OUTPATIENT PHARMACY		No
(13) MIRANDA FORSYTH	SISTER OF WILLIAM D. BLACKBURN, PMC BOARD VP/CEO	45,008	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS STAFF RN		No
(14) RHONDA BLACKBURN	SPOUSE OF ERICH BLACKBURN, PMC KEY EMPLOYEE	165,525	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS ASSOCIATE GENERAL COUNSEL		No
(15) RHONDA COLEMAN	SISTER IN LAW OF DEBRA BLACKBURN, PMC BOARD MEMBER	80,008	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR PHYSICIAN CODING & REVENUE CYCLE		No
(16) RITA CRUM	SISTER IN LAW OF AARON CRUM, M.D., PMC BOARD MEMBER	81,213	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS HOUSE MANAGER		No
(17) ROBERT SHURTLEFF DO	SON OF ROBERT SHURTLEFF, PMC BOARD MEMBER	200,000	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS PHYSICIAN		No
(18) SARAH TAYLOR	DAUGHTER OF CHERYL HICKMAN, PMC KEY EMPLOYEE	95,885	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS IT PROGRAM MANAGER		No
(19) SHELDON THACKER	SPOUSE OF MELISSA THACKER, PMC KEY EMPLOYEE	85,700	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR BUSINESS OPERATIONS		No
(20) SHURTLEFF'S DRY CLEANING & LAUNDRY INC	ENTITY OWNED BY FAMILY OF PMC BOARD MEMBER	505,762	ROBERT SHURTLEFF'S PARENT IS OWNER OF ENTITY FROM WHICH PIKEVILLE MEDICAL CENTER PURCHASES LAUNDRY SERVICES.		No
(21) TRISTAN BLACKBURN	SON OF WILLIAM D. BLACKBURN, PMC BOARD VP/CEO	90,907	EMPLOYED BY PIKEVILLE MEDICAL CENTER AS NETWORK ADMINISTRATOR.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2018

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

PIKEVILLE MEDICAL CENTER INC

Employer identification number

61-0458376

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	WILLIAM D. BLACKBURN BOARD VICE PRESIDENT/CEO IS THE SPOUSE OF DEBRA BLACKBURN, FORMER BOARD MEMBER.
FORM 990, PART VI, SECTION A, LINE 4	PIKEVILLE MEDICAL CENTER AMENDED AND RESTATED ITS ARTICLES OF INCORPORATION ON DECEMBER 27, 2018. THE SIGNIFICANT CHANGES INCLUDED: (I) ADDING GENERAL AND CONTROLLING EXEMPT PURPOSES THAT RECITE THE LANGUAGE FROM SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; (II) ADDING A NUMBER OF POWERS SET FORTH IN CHAPTER 273 OF KENTUCKY REVISED STATUTES TO THE EXEMPT OBJECTS AND PURPOSES; (III) CHANGING THE NUMBER OF DIRECTORS ON THE BOARD OF DIRECTORS FROM 15 TO A RANGE BETWEEN 11 TO 15 AS SET BY THE BOARD OF DIRECTORS; (IV) ADDING A PROVISION FOR THE DISTRIBUTION OF ASSETS UPON DISSOLUTION THAT IS CONSISTENT WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CHAPTER 273 OF KENTUCKY REVISED STATUTES; (V) CHANGING THE NUMBER OF DIRECTORS REQUIRED TO AMEND THE ARTICLES OF INCORPORATION FROM TWO-THIRDS OF ALL PRESENT AND VOTING TO A VOTE OF A MAJORITY IN OFFICE; AND (VI) ADDING A LIMITATION ON THE LIABILITY OF DIRECTORS FOR MONETARY DAMAGES THAT IS CONSISTENT WITH CHAPTER 273 OF KENTUCKY REVISED STATUTES. PIKEVILLE MEDICAL CENTER ADOPTED NEW BYLAWS ON NOVEMBER 27, 2018. THE SIGNIFICANT CHANGES INCLUDED: (I) CHANGING THE NUMBER OF DIRECTORS ON THE BOARD OF DIRECTORS FROM 15 TO A RANGE BETWEEN 11 TO 15 AS SET BY THE BOARD OF DIRECTORS; (II) ADDING THE ABILITY TO REMOVE A DIRECTOR FOR ANY REASON UPON TWO-THIRDS VOTE OF THE DIRECTORS PRESENT AND VOTING AT ANY MEETING OF THE BOARD OF DIRECTORS; (III) ADDING THE ABILITY TO REMOVE AN OFFICER FOR ANY REASON UPON TWO-THIRDS VOTE OF THE DIRECTORS PRESENT AND VOTING AT ANY MEETING OF THE BOARD OF DIRECTORS; AND (IV) DELETING CERTAIN PURPOSES THAT ARE ALREADY SPELLED OUT IN THE ARTICLES OF INCORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE CFO PRIOR TO FILING. ADDITIONALLY, THE GOVERNING BODY WILL REVIEW THE FINAL FORM 990 INCLUDING REQUESTED SCHEDULES AT THE NEXT BOARD MEETING. COPIES ARE PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 12C	AS TO BOARD MEMBERS, UPDATES TO THE CONFLICT OF INTEREST FORMS ARE COMPLETED ANNUALLY WITH VOLUNTARY DISCLOSURE OF CONFLICT ON ANY PARTICULAR ISSUE. THERE IS NO PARTICIPATION, DISCUSSION OR VOTE TAKEN ON THESE; HOWEVER, THE HOSPITAL ATTORNEY IS PROVIDED A COPY OF ALL INTERESTS OF EACH MEMBER TO ENSURE COMPLIANCE WITH THE POLICY. THESE ARE REGULARLY AND CONSISTENTLY MONITORED FOR ANY CHANGES. AS TO EMPLOYEES, THERE IS A WRITTEN CONFLICT OF INTEREST POLICY WHICH TOO IS REGULARLY AND CONSISTENTLY MONITORED AND ENFORCED BY HUMAN RESOURCES AND ADMINISTRATION AS NECESSARY. THIS POLICY IS INTENDED TO IDENTIFY AND RESOLVE CONFLICTS OF INTEREST WHICH MAY OCCUR RELATED TO FINANCIAL, BUSINESS, OR PROFESSIONAL INTERESTS. THE POLICY IS IN PLACE TO IDENTIFY AND RESOLVE A CONFLICT OF INTEREST WHICH MAY OCCUR ANY TIME THERE IS A SITUATION IN WHICH ONE'S ABILITY TO MAKE OBJECTIVE, JOB RELATED BUSINESS DECISIONS MAY BE INFLUENCED BY, OR HAVE THE APPEARANCE OF BEING INFLUENCED BY, OUTSIDE ACTIVITIES OR PERSONAL INTERESTS. POTENTIAL CONFLICTS OF INTEREST MAY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: 1. WORKING A SECOND JOB AT A COMPETING HEALTHCARE ENTITY WHICH MAY ALLOW THE TRANSFER OF CONFIDENTIAL BUSINESS INFORMATION OR INFLUENCE REFERRAL PATTERNS. 2. ALLOWING THE DEMANDS OF OUTSIDE ACTIVITIES TO HINDER OR DISTRACT YOU FROM THE PERFORMANCE OF YOUR JOB OR CAUSE YOU TO USE PIKEVILLE MEDICAL CENTER RESOURCES FOR OTHER THAN PIKEVILLE MEDICAL CENTER PURPOSES. 3. HOLDING AN OWNERSHIP INTEREST, MANAGEMENT, OR BOARD OF DIRECTORS POSITION IN A COMPANY WITH WHOM PIKEVILLE MEDICAL CENTER DOES BUSINESS WHICH MAY LEAD TO THE INDIVIDUAL'S PERSONAL GAIN/BENEFIT. "OWNERSHIP INTEREST" MEANS SERVING AS A BOARD DIRECTOR OR OFFICER OR OWNING MORE THAN 5% OF THE BUSINESS OR CORPORATION. 4. HAVING AN IMMEDIATE FAMILY MEMBER OR SIGNIFICANT OTHER WHO HOLDS AN OWNERSHIP INTEREST IN A COMPANY WITH WHOM PIKEVILLE MEDICAL CENTER DOES BUSINESS WHICH MAY LEAD TO THE INDIVIDUAL'S PERSONAL GAIN/BENEFIT. "OWNERSHIP INTEREST" MEANS SERVING AS A BOARD DIRECTOR OR OFFICER OR OWNING MORE THAN 5% OF THE BUSINESS OR CORPORATION. 5. HAVING AN IMMEDIATE FAMILY MEMBER OR SIGNIFICANT OTHER EMPLOYED BY THE PIKEVILLE MEDICAL CENTER AND WORKING WITHIN THE SAME DIRECT LINE OF AUTHORITY (ABOVE OR BELOW) AS THE FIRST EMPLOYEE. IMMEDIATE FAMILY MEMBERS INCLUDE SPOUSES, CHILDREN, GRANDCHILDREN, BROTHERS AND SISTERS AND THE SPOUSES OF THOSE INDIVIDUALS. THE SCOPE OF THIS POLICY INCLUDES: PIKEVILLE MEDICAL CENTER AND ALL ITS DEPARTMENTS AND SERVICES WHEREVER LOCATED. THE COVERED INDIVIDUALS ARE TO FOLLOW THESE PROCEDURES: 1. ALL LICENSED CLINICAL STAFF, SUPERVISORS, AND MANAGEMENT PERSONNEL SHALL COMPLETE A DUALITY AND CONFLICT OF INTEREST FORM AT THE TIME OF INITIAL EMPLOYMENT AND ANNUALLY THEREAFTER. 2. EMPLOYEE CONFLICT OF INTEREST FORMS SHALL BE FILED IN THEIR PERSONNEL FILES. 3. IN THE EVENT THAT AN EMPLOYEE'S JOB DESCRIPTION OR DUTIES REQUIRES A BUSINESS RELATED DECISION TO BE MADE IN AN AREA IN WHICH A PERSONAL CONFLICT OF INTEREST HAS BEEN IDENTIFIED, THE EMPLOYEE SHALL NOTIFY HIS/HER SUPERVISOR TO ARRANGE FOR AN ALTERNATIVE DECISION MAKING PROCESS WHICH WILL MAINTAIN OBJECTIVITY AND ELIMINATE PERSONAL BIAS, I.E. PERSONAL WITHDRAWAL FROM THE DECISION MAKING PROCESS, SOLICITATION OF CLOSED BIDS, OR UTILIZATION OF AN INDEPENDENT SELECTION COMMITTEE. 4. IF AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF ETHICS IS IDENTIFIED INVOLVING PATIENT CARE OR TREATMENT, THE EMPLOYEE SHOULD SEEK ASSISTANCE FROM THEIR SUPERVISOR TO FIND A RESOLUTION WHICH WOULD HAVE MINIMUM IMPACT ON PATIENT CARE, TREATMENT, OR SERVICES.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE SALARY OF THE ORGANIZATION'S CEO AND SENIOR VICE PRESIDENTS. THE COMMITTEE USES COMPARATIVE DATA FROM NATIONAL SALARY SURVEYS. MOTION AND APPROVALS FROM THE COMMITTEE ARE KEPT IN THE MINUTES. THE SALARY OF THE ASSISTANT CEO/CMO IS ALSO INDEPENDENTLY REVIEWED WITH AN OPINION RENDERED BY AN EXTERNAL CONSULTING FIRM.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION DOES MAKE THE FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	ROUNDING 2.
FORM 990, PART XII, LINE 2C.	OVERSIGHT OF AUDIT PROCESS THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR.
PART VI, LINE 9	ALEX POULOS, M.D. IS DECEASED.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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 (if applicable) 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 entity?
(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
(1)PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE 911 BYPASS ROAD PIKEVILLE,KY41501 47-2020718	SUPPORT	KY	501(C)(3)	LINE 12B, II	PIKEVILLE MEDICAL CENTER INC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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 V-UBI 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 V-UBI 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	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) PIKEVILLE MEDICAL DEVELOPMENT CORPORATION 911 BYPASS ROAD PIKEVILLE,KY41501 20-2487928	INACTIVE	KY	N/A	C	-274	6,472	100.000 %		No
(2) LANDMARK PROPERTIES OF PIKEVILLE INC PO BOX 1259 PIKEVILLE,KY41502 46-2494613	LODGING	KY	PIKEVILLE MEDICAL CENTER	C	-175,863	4,212,362	100.000 %	Yes

Schedule R (Form 990) 2018

Page 3

Part V

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

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

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, or (iv) rent from a controlled entity .....................

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

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

Yes

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

Yes

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

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

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

Yes

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

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

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

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) LANDMARK PROPERTIES	D	71,854	COST
(2) LANDMARK PROPERTIES	M	467,250	COST
(3) LANDMARK PROPERTIES	S	535,770	COST
(4) PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE INC	C	325,783	CASH

Schedule R (Form 990) 2018

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

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE CENTER'S MISSION IS TO PROVIDE WORLD CLASS QUALITY 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	6
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	3,570
6	Total number of volunteers (estimate if necessary) .............	6	254
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,262,363
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,411,549	740,832
9	Program service revenue (Part VIII, line 2g) .........	494,378,829	510,967,111
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,789,169	3,463,505
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	17,220,679	18,853,876
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	517,800,226	534,025,324
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	64,708	181,260
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)	316,809,229	303,628,967
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	214,028,689	224,039,252
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	530,902,626	527,849,479
19	Revenue less expenses. Subtract line 18 from line 12.......	-13,102,400	6,175,845
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	542,977,796	573,004,928
21	Total liabilities (Part X, line 26).............	266,013,122	290,096,651
22	Net assets or fund balances. Subtract line 21 from line 20.....	276,964,674	282,908,277

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 135,713,808 including grants of $ ) (Revenue $ 57,669,781 )
	PHYSICIAN PRACTICES:CURRENTLY, MORE THAN 450 CREDENTIALED PROVIDERS ARE MEMBERS OF PIKEVILLE MEDICAL CENTER'S MEDICAL STAFF.DURING FY 2019, PMC WELCOMED 19 PHYSICIANS, TWO CERTIFIED REGISTERED NURSE ANESTHETISTS, AND 8 NURSE PRACTITIONERS TO THE ORGANIZATION.THE PHYSICIANS RECRUITED DURING THIS TIME PERIOD CONSIST OF ONE ANESTHESIOLOGIST, FOUR PRIMARY CARE PHYSICIANS, ONE EMERGENCY MEDICINE PHYSICIAN, ONE GENERAL/COLORECTAL SURGEON, EIGHT HOSPITALISTS, ONE INTERVENTIONAL CARDIOLOGIST, ONE INTERVENTIONAL RADIOLOGIST, ONE NEPHROLOGIST, AND ONE PEDIATRICIAN.PMC OFFERS MORE THAN 400 SERVICES, INCLUDING EVERY MAJOR SPECIALTY AND MOST SUB-SPECIALTIES. WITH A PROGRESSIVE, SUPPORTIVE ADMINISTRATION AND BOARD OF DIRECTORS, COMMITTED TO ELIMINATING THE BARRIERS TO HEALTHCARE ACCESS WITHIN THE APPALACHIAN REGION, PMC'S PHYSICIANS HAVE THE TOOLS AND TRAINING NECESSARY TO PROVIDE WORLD-CLASS QUALITY HEALTHCARE TO THE REGION. PMC'S 11-STORY CLINIC BUILDING HOUSES THE MAJORITY OF THE ORGANIZATION'S PHYSICIAN PRACTICES INCLUDING CARDIOTHORACIC SURGERY, VASCULAR SURGERY, TRAUMA SURGERY, GENERAL SURGERY, ENDOCRINOLOGY, INTERVENTIONAL RADIOLOGY, GASTROENTEROLOGY, UROLOGY, ORTHOPEDIC TRAUMA SURGERY, ORTHOPEDIC SURGERY, HAND SURGERY, PODIATRY, SPORTS MEDICINE, OBSTETRICS/GYNECOLOGY, PEDIATRICS, INFECTIOUS DISEASE, NEPHROLOGY, NEUROLOGY, NEUROSURGERY, PHYSIATRY, PULMONOLOGY, OPHTHALMOLOGY, OPTOMETRY, OTOLARYNGOLOGY, RHEUMATOLOGY, MEDICAL ONCOLOGY, HEMATOLOGY AND SURGICAL ONCOLOGY. A 10-STORY PARKING GARAGE ON THE MAIN CAMPUS WITH 1,162 PARKING SPACES, DIRECTLY CONNECTED TO THE CLINIC BUILDING, DELIVERS IMPROVED ACCESS TO HEALTH CARE AS THE PATIENTS CONVENIENTLY PARK ON THE SAME FLOOR AS THEIR PHYSICIAN'S OFFICE.IN ADDITION TO PHYSICIAN PRACTICES FOUND IN THE CLINIC, PMC OFFERS: BARIATRIC AND WEIGHT LOSS SURGERY SERVICES IN PIKEVILLE (KY); GENERAL/COLORECTAL SURGERY SERVICES IN PIKEVILLE (KY); PLASTIC SURGERY IN PIKEVILLE (KY); CARDIOLOGY --GENERAL/INVASIVE/INTERVENTIONAL/ELECTROPHYSIOLOGY IN PIKEVILLE, WHITESBURG, PRESTONSBURG, SOUTH WILLIAMSON (KY) AND GRUNDY (VA); RADIATION ONCOLOGY IN PIKEVILLE (KY); NEUROLOGY IN WHITESBURG, SOUTH WILLIAMSON, AND PRESTONSBURG (KY); FAMILY MEDICINE IN HAROLD, MARTIN, PIKEVILLE, PRESTONSBURG, SHELBY VALLEY, AND SOUTH WILLIAMSON (KY); OBSTETRICS/GYNECOLOGY IN HAROLD (KY); PAIN MANAGEMENT; PSYCHOLOGY; WOUND CARE; CARDIAC REHABILITATION AND PULMONARY REHABILITATION IN PIKEVILLE (KY).PMC ALSO OFFERS EMERGENCY MEDICINE SERVICES AND UTILIZES AROUND-THE-CLOCK HOSPITALISTS, INTENSIVISTS AND NEONATOLOGISTS WHO DEVOTE THEIR PROFESSIONAL TIME TO THE CARE OF HOSPITALIZED PATIENTS.PMC PHYSICIANS COMPLETED 398,596 PATIENT VISITS DURING FY 2019, AN INCREASE OF 2 PERCENT FROM THE PREVIOUS YEAR. MANY EXISTING PHYSICIAN PRACTICES EXPERIENCED SIGNIFICANT GROWTH DURING THE YEAR: PEDIATRICS (87% VOLUME INCREASE), SURGICAL ONCOLOGY (105% VOLUME INCREASE), PULMONOLOGY (12% VOLUME INCREASE), MEDICAL ONCOLOGY (16% VOLUME INCREASE), UROLOGY (7% VOLUME INCREASE), AND ORTHOPEDICS (10% VOLUME INCREASE). THE NEW PRIMARY CARE PRACTICE LOCATIONS IN PIKEVILLE, PRESTONSBURG, AND SOUTH WILLIAMSON, KY RECORDED 4,575 PATIENT VISITS DURING THE FISCAL YEAR.PMC STRIVES TO ENSURE THERE IS ADEQUATE AVAILABILITY AND ACCESS TO PRIMARY CARE PHYSICIANS FOR THE RURAL REGION IN WHICH IT SERVES AND IS A FOUNDING MEMBER OF THE APPALACHIAN OSTEOPATHIC POST GRADUATE TRAINING CONSORTIUM. TO PROMOTE THE EDUCATION OF PRIMARY CARE PHYSICIANS, PMC OPERATES THE ONLY INTEGRATED OSTEOPATHIC FAMILY MEDICINE AND MANIPULATIVE TREATMENT/ NEUROMUSCULOSKELETAL MEDICINE RESIDENCY PROGRAM IN KENTUCKY, THE ONLY PLUS-ONE NEUROMUSCULOSKELETAL AND OSTEOPATHIC MANIPULATIVE MEDICINE RESIDENCY PROGRAM IN KENTUCKY, AND ONE OF ONLY SIX FAMILY MEDICINE AND OSTEOPATHIC MANIPULATIVE TREATMENT MEDICINE RESIDENCY PROGRAMS IN KENTUCKY. PMC'S RESIDENCY PROGRAM TRAINED 16 RESIDENTS DURING THE 2018-2019 PROGRAM YEAR. THE FAMILY PRACTICE CLINIC IN CONJUNCTION WITH THE RESIDENCY PROGRAM HAD MORE THAN 13,000 PATIENT VISITS DURING FY 2019. THE NETWORK OF PIKEVILLE MEDICAL CENTER CLINICS THAT ARE DIRECTLY ACCESSIBLE IN KEY COMMUNITIES WITHIN THE HOSPITAL'S SERVICE AREA WAS EXPANDED DURING FY 2019. CONSTRUCTION ON THE NEW PMC PRIMARY CARE AND URGENT CARE CLINIC LOCATED IN PRESTONSBURG, KY WAS FINALIZED AT A CAPITAL INVESTMENT OF $2.0M. THIS FIRST URGENT CARE ENDEAVOR FOR PMC FURTHER ADVANCED ACCESS TO BOTH PRIMARY AND URGENT CARE SERVICES FOR THE RESIDENTS OF FLOYD COUNTY AND THE SURROUNDING AREA. THE FIRST PHASE OF THE NEW PMC PRIMARY AND SPECIALTY CLINIC LOCATED IN THE SOUTH SIDE MALL, SOUTH WILLIAMSON, KY OPENED DURING FY 2019. THE NEW LOCATION WILL OCCUPY APPROXIMATELY 20,000 SQUARE FEET OF SPACE, PROVIDING A MODERN, CONVENIENT, AND COMFORTABLE LOCATION WITH INCREASED OPTIONS FOR PRIMARY CARE IN ADDITION TO MORE SPECIALIZED MEDICAL SERVICES TO RESIDENTS OF THE SOUTH WILLIAMSON, KY COMMUNITY, IN ADDITION TO THOSE RESIDENTS OF NEIGHBORING MINGO COUNTY, WV. THE RENOVATION COST FOR PHASE ONE TOTALED $910,000. TWO NEW PMC PRIMARY CARE PRACTICE LOCATIONS OPENED IN PIKEVILLE, KY DURING FY 2019, PROVIDING CONVENIENT ACCESS TO FOUR PRIMARY CARE PROVIDERS ON PMC'S MAIN CAMPUS, RENOVATION COSTS FOR THE PIKEVILLE PRIMARY CARE LOCATIONS TOTALED $633,444.THE CONTINUED EXPANSION OF PIKEVILLE MEDICAL CENTER'S TERTIARY CARE SPECIALTY CAPABILITIES, INCLUDING TRAUMA SERVICES, CARDIAC SERVICES, ONCOLOGY SERVICES, AND NEUROSURGERY SERVICES HAS RESULTED IN FEWER PATIENTS BEING TRANSFERRED OUT OF PMC TO LARGER HOSPITALS LOCATED OUTSIDE THE REGION.

4b	(Code: ) (Expenses $ 14,930,311 including grants of $ ) (Revenue $ 63,789,584 )
	IMAGING SERVICES:PIKEVILLE MEDICAL CENTER IS CONTINUALLY INVESTING IN TECHNOLOGY OF THE HIGHEST LEVEL WITHIN THE IMAGING SERVICES DIVISION TO DETECT AND TREAT DISEASES EARLIER, WHILE PROVIDING QUALITY DIAGNOSTIC AND INTERVENTIONAL SERVICES IN A COMPASSIONATE AND EFFICIENT MANNER. PMC'S IMAGING MODALITIES OF NUCLEAR MEDICINE, MAGNETIC RESONANCE IMAGING (MRI), COMPUTED TOMOGRAPHY (CT), POSITRON EMISSION TOMOGRAPHY (PET), AND MAMMOGRAPHY HAVE RECEIVED THREE-YEAR ACCREDITATION FROM THE AMERICAN COLLEGE OF RADIOLOGY, RECOGNIZED AS THE GOLD STANDARD IN DIAGNOSTIC IMAGING.PMC'S RADIOLOGY DEPARTMENT IS DIGITALLY ACCREDITED BY THE NATIONAL INSTITUTE FOR OCCUPATION SAFETY AND HEALTH (NIOSH) AND CONTINUALLY WORKS TO PROVIDE THE BEST POSSIBLE CARE TO THE COAL MINING POPULATION OF EASTERN KENTUCKY. TWO DEDICATED BLACK LUNG EXAM ROOMS ARE LOCATED ON THE MAIN CAMPUS OF PMC ALLOWING FOR EIGHT TO TEN PATIENTS TO BE SCHEDULED PER EXAM DAY. WITH ONE OF ONLY ELEVEN PHYSICIANS CERTIFIED BY NIOSH IN THE STATE OF KENTUCKY PROVIDING BLACK LUNG SCREEN READING SERVICES TO PMC PATIENTS, THE TURNAROUND TIME ON TEST RESULTS IS LESS THAN 16 HOURS FOR FINAL REPORT RESULTS. THE INTERVENTIONAL RADIOLOGY (IR) DEPARTMENT AT PMC SPECIALIZES IN MINIMALLY INVASIVE, IMAGE-GUIDED PROCEDURES THAT DIAGNOSE AND TREAT DISEASES IN MOST EVERY ORGAN SYSTEM IN THE BODY. PATIENTS FROM ACROSS THE REGION ARE REFERRED TO PMC'S IR DEPARTMENT TO RECEIVE THE MOST ADVANCED TREATMENT AND SPECIALIZED PROCEDURES WITHIN THE RECENTLY RENOVATED SPACE THAT CONTAINS THREE IR SUITES, NINE PRE-OPERATIVE AND POST-OPERATIVE BAYS, TWO OUTPATIENT ROOMS AND A CENTRAL NURSE'S STATION. THE RENOVATION OF 3,328 SQUARE FEET OF SPACE TO HOUSE THE 3RD IR SUITE WAS COMPLETED DURING FY 19 AT A COST OF $1,519,024.THE STATE-OF-THE-ART TECHNOLOGY CURRENTLY UTILIZED WITHIN IMAGING SERVICES INCLUDES TWO LINEAR ACCELERATORS, ONE 32-SLICE LARGE BORE CT SCANNER, TWO 64-SLICE CT SCANNERS, TWO DUAL-SOURCE 128-SLICE CT SCANNERS, A PET/CT SCANNER, A SPECT/CT SCANNER, TWO 1.5T OPEN MRIS, A 3.0T OPEN MRI, A D-SPECT CARDIAC IMAGING SYSTEM, AND THREE FULLY EQUIPPED INTERVENTIONAL RADIOLOGY SUITES.PMC PURCHASED TWO HOLOGIC SELENIA 3D MAMMOGRAPHY SYSTEMS DURING FY 2019 AT A COST OF $784,470. THIS REVOLUTIONARY SCREENING AND DIAGNOSTIC BREAST IMAGING EQUIPMENT IS DESIGNED TO IMPROVE THE EARLY DEECTION OF BREAST CANCER BY PROVIDING SHARPER 3D IMAGES AND SMARTER TECHNOLOGY TO FIND INVASIVE CANCERS REGARDLESS OF PATIENT AGE. A GE OEC ELITE CFD DIGITAL MOBILE ERGO C-ARM WITH VASCULAR PLATFORM WAS PURCHASED DURING FY 2019. THE ERGO IS CONSIDERED THE FUTURE OF MOBILE SURGICAL IMAGING AND IS SUITED FOR A RANGE OF SURGICAL APPLICATIONS INCLUDING VASCULAR, ORTHOPEDICS, NEUROLOGIC AND EMERGENCY PROCEDURES. THE EQUIPMENT COST $231,183 AND PROVIDES STUNNING IMAGE QUALITY AT A LOW RADIATION DOSE WITH MORE DETAILED ANATOMY REGARDLESS OF PATIENT DENSITY.

4c	(Code: ) (Expenses $ 23,089,378 including grants of $ ) (Revenue $ 42,711,676 )
	CARDIAC SERVICES:PIKEVILLE MEDICAL CENTER (PMC) IS RECOGNIZED AS HAVING ONE OF THE TOP HEART PROGRAMS IN KENTUCKY. THE PMC HEART AND VASCULAR INSTITUTE IS A COMPREHENSIVE HEART AND VASCULAR PROGRAM FOR THE REGION, PROVIDING A FULL RANGE OF CARDIAC SERVICES AND PERFORMING ADVANCED CARDIAC PROCEDURES LOCALLY TO SERVE OUR PATIENTS THROUGHOUT THE CONTINUUM OF CARE. CARDIAC SERVICES OFFERED BY PMC INCLUDE GENERAL CARDIOLOGY, INVASIVE CARDIOLOGY, INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, CARDIOTHORACIC SURGERY, VASCULAR SURGERY, ECHOCARDIOGRAPHY AND CARDIAC REHABILITATION.PMC HAS BEEN NAMED ONE OF THE TOP 100 HOSPITALS IN THE NATION IN PATIENT SAFETY FOR HEART ATTACK TREATMENT BY CARECHEX (R). THIS RANKING COMPARES CLINICAL QUALITY, PATIENT SAFETY AND PERFORMANCE OF NEARLY ALL ACUTE CARE HOSPITALS ACROSS THE COUNTRY PROVIDING THIS LIFE-SAVING SERVICE. PMC ALSO RECEIVED THE AMERICAN COLLEGE OF CARDIOLOGY'S NCDR CHEST PAIN-MI REGISTRY PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR 2019. THIS HONOR RECOGNIZES THE PMC HEART INSTITUTE'S COMMITMENT TO PROVIDING A HIGH LEVEL OF CARE FOR HEART ATTACK PATIENTS THROUGH DEMONSTRATION OF SUSTAINED ACHIEVEMENT IN QUALITY CARDIAC CARE. PMC'S CARDIAC CATH LAB HAS RECEIVED THE AMERICAN COLLEGE OF CARDIOLOGY PERCUTANEOUS CORONARY INTERVENTION ACCREDITATION. PMC IS ONLY THE SECOND MEDICAL CENTER IN KENTUCKY TO OBTAIN THIS ACCREDITATION, WHICH SIGNIFIES PMC'S COMMITMENT TO CONTINUALLY IMPROVE AND EXPAND THE CARDIAC SERVICES PROVIDED TO THE REGION.THE PMC HEART AND VASCULAR INSTITUTE IS CURRENTLY UNDERGOING A MONUMENTAL $35.2 MILLION CAPITAL RENOVATION AND EXPANSION. THE FIRST PHASE OF THE PROJECT INCLUDED THE RECENT INSTALLATION OF THREE NEW STATE-OF-THE-ART INTERVENTIONAL CARDIAC CATHETERIZATION (CATH) LABS, BRINGING THE HOSPITAL'S CATH LAB COUNT TO MORE THAN ANY OTHER HOSPITAL IN KENTUCKY. THE EXISTING 26,000 SQUARE FEET OF SPACE OCCUPIED BY THE HEART AND VASCULAR INSTITUTE WILL BE FULLY RENOVATED ALLOWING FOR FUNCTIONAL FLOW OF A NEW REGISTRATION AREA FOR IMPROVED PATIENT ACCESS, AN ADDITIONAL 14,000 SQUARE FEET OF SPACE LOCATED ON THE 2ND FLOOR WILL BE RENOVATED AND A TWO-STORY ADDITION OF SPACE THAT EXCEEDS 9,000 SQUARE FEET WILL BE ADDED AND OCCUPIED BY CARDIAC SUPPORT SERVICES. THE PROJECT WILL ALSO INCLUDE CONSTRUCTION OF THREE ADDITIONAL EP/CATH LABS, TWO OF WHICH WILL BE HYBRID LABS, WHICH ALLOW THE ROOMS TO BE QUICKLY CONVERTED INTO SURGICAL SUITES IF THE PATIENT'S CONDITION REQUIRES. IN ADDITION, THE RENOVATED SPACE WILL HOUSE SIX PRE/POST-OPERATIVE BAYS ALONG WITH A MULTIPURPOSE ROOM FOR CASE CONFERENCES.THE PMC HEART & VASCULAR INSTITUTE TEAM WORKS CONTINUOUSLY TO BRING THE MOST ADVANCED TREATMENT OPTIONS TO THE REGION. DURING FY 2019 PMC WAS SELECTED TO BECOME ONE OF ONLY FIVE HOSPITALS IN KENTUCKY TO IMPLANT THE WATCHMAN DEVICE, A NEW TREATMENT DESIGNED FOR PATIENTS WITH ATRIAL FIBRILLATION (AFIB). MORE THAN 70 WATCHMAN DEVICE PROCEDURES HAVE BEEN PERFORMED AT PMC TO DATE, PLACING THE MEDICAL CENTER IN THE TOP 30 PERCENT OF HOSPITALS IN THE MIDWEST THAT PERFORM THE PROCEDURE. IN ADDITION, THE HEART AND VASCULAR INSTITUTE RECENTLY DELIVERED THE REGION'S FIRST TAVR, A MINIMALLY INVASIVE TRANS-AORTIC VALVE REPLACEMENT PROCEDURE TO REPAIR THE VALVE WITHOUT REMOVING THE OLD, DAMAGED VALVE; KENTUCKY'S FIRST TATCICATH CONTACT FORCE ABLATION CATHETER FOR AFIB; AND IS ONE OF THE FIRST HOSPITALS IN THE NATION TO IMPLANT THE MICRA LEADLESS PACEMAKER TO REDUCE THE AFIB PATIENT'S RISK OF STROKE AND HEART ATTACK.

	(Code: ) (Expenses $ 294,542,698 including grants of $ 181,260 ) (Revenue $ 350,268,324 )
	PIKEVILLE MEDICAL CENTER IS A REGIONAL PROVIDER OF TERTIARY HEALTH CARE SERVICES THROUGH ITS LICENSED 340-BED ACUTE CARE AND INPATIENT REHABILITATION HOSPITAL, LEVEL II TRAUMA CENTER, OUTPATIENT DIAGNOSTIC CENTER, ORTHOPEDIC AND REHABILITATION CENTER, SLEEP LAB, HOME MEDICAL EQUIPMENT, FAMILY PRACTICE RESIDENCY PROGRAM, LEVEL II NEONATAL INTENSIVE CARE UNIT, CANCER TREATMENT CENTER, PAIN MANAGEMENT CLINIC, AND MULTI-SPECIALTY PHYSICIAN PRACTICES. PMC OFFERS MORE THAN 400 SERVICES, INCLUDING EVERY MAJOR SPECIALTY AND MANY SUBSPECIALTIES. WITH NEARLY 3,000 EMPLOYEES AND OVER 450 CREDENTIALED PROVIDERS, PMC STANDS AS THE LARGEST HOSPITAL PROVIDING WORLD-CLASS QUALITY PATIENT CARE IN THE EASTERN KENTUCKY COUNTIES OF PIKE, FLOYD, JOHNSON, LETCHER, MAGOFFIN, AND MARTIN. IN ADDITION, PMC ALSO SERVES A SIGNIFICANT NUMBER OF PATIENTS FROM MINGO COUNTY, WEST VIRGINIA. PMC'S ROLE IN THE HEALTH CARE DELIVERY SYSTEM IN EASTERN KENTUCKY HAS TRANSFORMED TO THAT OF A REGIONAL REFERRAL CENTER FOR SMALLER COMMUNITY HOSPITALS THAT HAVE PATIENTS WITH COMPLEX NEEDS WHOM THEY CANNOT SERVE. PMC'S RECORDED TOTAL INPATIENT ADMISSIONS DURING FY 2019 OF 14,338 AND RECEIVED 5,466 TRANSFERS IN FROM SMALLER HOSPITALS THROUGHOUT THE REGION DURING THE YEAR.AS THE PREEMINENT HOSPITAL IN A MULTI-STATE REGION, PMC IS HOME TO SOME OF THE MOST SOPHISTICATED, TECHNOLOGICALLY ADVANCED MEDICAL EQUIPMENT IN EASTERN KENTUCKY AND IS CONTINUALLY TURNING IDEAS INTO ACTIONS AND LOOKING FOR NEW WAYS TO PROVIDE THE VERY BEST IN HEALTHCARE TO ITS PATIENTS. THE HOSPITAL'S COMPASSIONATE, DEDICATED EMPLOYEES AND PHYSICIANS ARE FOCUSED ON PROVIDING WORLD CLASS PATIENT CARE IN A CHRISTIAN ENVIRONMENT WHILE CONTINUALLY STRIVING FOR EXCELLENCE.PMC IS A CERTIFIED KENTUCKY CABINET OF HEALTH AND FAMILY SERVICES' DEPARTMENT OF PUBLIC HEALTH LEVEL II TRAUMA CENTER AND HAS ALSO RECEIVED LEVEL II TRAUMA VERIFICATION FROM THE AMERICAN COLLEGE OF SURGEONS. PMC IS THE ONLY LEVEL II TRAUMA CENTER IN THE COMMONWEALTH OF KENTUCKY AND IS THE DESIGNATED HOSPITAL FOR ALL TRAUMA CASES IN EASTERN KENTUCKY. AS A VERIFIED TRAUMA CENTER, PMC IS EQUIPPED AND STAFFED TO PROVIDE COMPREHENSIVE EMERGENCY CARE TO PATIENTS SUFFERING TRAUMATIC INJURIES. PMC PROVIDES PATIENTS 24-HOUR IMMEDIATE COVERAGE BY TRAUMA SURGEONS, ORTHOPEDIC SURGEONS, NEUROSURGEONS, ANESTHESIOLOGY, EMERGENCY MEDICINE, CRITICAL CARE AND OTHER SURGEONS SPECIALIZING IN TRAUMATIC INJURIES. THE CONTINUUM OF CARE ENCOMPASSES THE PRE-HOSPITAL PHASE THROUGH THE REHABILITATION PROCESS. PMC'S TRAUMA CENTER SERVES MORE THAN 400,000 PEOPLE; SIGNIFICANTLY INCREASING THOSE INDIVIDUALS' CHANCE OF SURVIVAL SHOULD THEY BE INJURED. THE NUMBER OF TRAUMA PATIENTS PMC SERVED DURING FY 2019 EXCEEDED 1,300.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 294,542,698 including grants of $ 181,260 ) (Revenue $ 350,268,324 )
4e	Total program service expenses468,276,195

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	10,513,464	0	778,986

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	17,236
d	Related organizations		1d	325,783
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	397,813

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		740,832

		Business Code
2a	PATIENT SERVICE REVENUE	621110	510,967,111	510,967,111
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		510,967,111

3 Investment income (including dividends, interest, and othersimilar amounts) ......			3,726,419			3,726,419
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			127,865			127,865
		(ii) Personal	(i) Real
6a	Gross rents	724,600	269,556
b	Less: rental expenses	0	225,917
c	Rental income or (loss)	724,600	43,639
d	Net rental income or (loss)......			768,239	-50,437	818,676
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	733,228
b	Less: cost or other basis and sales expenses	996,142
c	Gain or (loss)	-262,914
d	Net gain or (loss).....			-262,914			-262,914
8a	Gross income from fundraising events (not including $ 17,236of contributions reported on line 1c). See Part IV, line 18 ....
	a		9,831
b	Less: direct expenses ...b		10,014
c	Net income or (loss) from fundraising events..			-183			-183
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		23,208,902
b	Less: cost of goods sold ..b		12,845,715
c	Net income or (loss) from sales of inventory..			10,363,187		1,210,286	9,152,901
Business Code			Miscellaneous Revenue
11a	CAFETERIA		900099	3,838,676			3,838,676
b	REBATE INCOME		900099	1,636,402	1,636,402
c	EHR REVENUE		900099	68,000	68,000
d	All other revenue ....			2,051,690	1,818,289	233,401
e	Total. Add lines 11a–11d ......			7,594,768
12	Total revenue. See Instructions......			534,025,324	514,439,365	2,262,363	16,582,764

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	120,085	120,085
2	Grants and other assistance to domestic individuals. See Part IV, line 22	61,175	61,175
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	5,920,304	1,147,199	4,773,105
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	215,440,053	195,947,653	19,492,400
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,660,351	3,259,104	401,247
9	Other employee benefits .......	65,568,248	58,380,662	7,187,586
10	Payroll taxes ...........	13,040,011	11,183,700	1,856,311
11	Fees for services (non-employees):
a	Management ......	531,152		531,152
b	Legal .........	419,461		419,461
c	Accounting ...........	87,828		87,828
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	202,882		202,882
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	25,938,580	18,289,746	7,648,834
12	Advertising and promotion ....	2,358,746	16,339	2,342,407
13	Office expenses .......	3,772,441	739,954	3,032,487
14	Information technology ......	5,982,983	5,327,129	655,854
15	Royalties ..
16	Occupancy ...........	5,367,550	4,796,250	571,300
17	Travel ............	1,121,599	814,931	306,668
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	244,517	171,233	73,284
20	Interest ...........	6,797,202	6,052,093	745,109
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	24,501,253	21,815,428	2,685,825
23	Insurance ...	16,497,234	16,385,316	111,918
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	SUPPLIES & DRUGS	100,550,808	99,723,683	827,125
b	EQUIPMENT RENTAL & MAIN	8,721,033	8,430,032	291,001
c	PROFESSIONAL FEES	7,190,534	7,177,029	13,505
d	PROVIDER TAX EXPENSE	3,235,462	3,235,462
e	All other expenses	10,517,987	5,201,992	5,315,995
25	Total functional expenses. Add lines 1 through 24e	527,849,479	468,276,195	59,573,284	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			11,964	1	14,602
2	Savings and temporary cash investments .........			148,205,446	2	144,836,480
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			74,912,194	4	85,619,608
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			14,929,025	8	15,527,689
9	Prepaid expenses and deferred charges ......			3,226,714	9	3,606,205
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	493,143,276
b	Less: accumulated depreciation	10b	221,719,773	262,213,893	10c	271,423,503
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			10,384,776	12	9,833,834
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			101,986	14	44,188
15	Other assets. See Part IV, line 11 ...........			28,991,798	15	42,098,819
16	Total assets. Add lines 1 through 15 (must equal line 34)...			542,977,796	16	573,004,928

17	Accounts payable and accrued expenses .....	59,536,842	17	77,274,068
18	Grants payable ...		18
19	Deferred revenue .........	362,368	19	1,540,767
20	Tax-exempt bond liabilities .........	67,243,445	20	64,325,919
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other 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 ..	124,483,012	23	133,614,044
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	14,387,455	25	13,341,853
26	Total liabilities. Add lines 17 through 25..	266,013,122	26	290,096,651

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	276,758,674	27	282,702,277
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets	206,000	29	206,000
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........	276,964,674	33	282,908,277
34	Total liabilities and net assets/fund balances ........	542,977,796	34	573,004,928