TY 2023 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/1099-NEC)
(1) RONALD BURCHETT...................................................................... BOARD VICE-CHAIR	7.00 ................. 1.00	X	X	24,227	0
(2) WILLIAM D BLACKBURN...................................................................... BOARD CHAIR/PRESIDENT/CEO	40.00 ................. 1.00	X	X	1,137,244	50,061
(3) JOE DEAN ANDERSON...................................................................... BOARD SECRETARY/TREASURER	4.00 ................. 1.00	X	X	23,000	0
(4) DAVID COLLINS CPA...................................................................... BOARD MEMBER	4.00 ................. 1.00	X		23,000	0
(5) JOHN LABRECHE...................................................................... BOARD MEMBER	5.00 ................. 1.00	X		23,000	0
(6) JULIUS CLINTON MARTIN II...................................................................... BOARD MEMBER	4.00 ................. 1.00	X		23,000	0
(7) MARY SIMPSON PHD...................................................................... BOARD MEMBER	3.00 .................	X		23,000	0
(8) JYOTHI METTU MD...................................................................... BOARD MEMBER	3.00 .................	X		23,000	0
(9) DAVID BAIRD...................................................................... BOARD MEMBER	3.00 .................	X		0	33,944
(10) AARON CRUM MD...................................................................... EX-OFFICIO/CMO/ASSISTANT CEO	40.00 ................. 1.00	X		916,298	16,117
(11) ROBERT SHURTLEFF...................................................................... BOARD MEMBER	3.00 .................	X		23,000	0
(12) LINDA WAGNER-JUSTICE...................................................................... BOARD MEMBER	3.00 .................	X		23,000	0
(13) PHILLIP D REED...................................................................... BOARD MEMBER	3.00 .................	X		23,000	0
(14) ERICH BLACKBURN...................................................................... EX-OFFICIO/CHIEF LEGAL OFFICER-SR. VP	40.00 .................	X		565,923	50,061
(15) JOHN WATSON MD...................................................................... BOD/CHIEF OF STAFF/HOSPITALIST (END 12/23)	40.00 .................	X		372,583	34,997
(16) MICHELLE HAGY...................................................................... EX-OFFICIO/CFO/SR. VP FINANCE	40.00 .................	X	X	499,688	50,006
(17) JENNIFER ERIN MULLINS MD...................................................................... BOD/CHIEF OF STAFF/OBGYN (BEG 01/24)	40.00 .................	X		448,010	47,411

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MELISSA THACKER........................................................................ CHIEF QUALITY OFFICER-SR. VP	40.00 .......................	X			296,019	0	15,902
(19) KANSAS JUSTICE........................................................................ CHIEF OPERATING OFFICER-SR. VP	40.00 .......................	X			487,468	0	46,311
(20) CHERYL HICKMAN........................................................................ CHIEF REGULATORY OFFICER-SR. VP (END 07/24)	40.00 .......................	X			296,004	0	39,968
(21) MICHELLE RAINEY........................................................................ CHIEF NURSING OFFICER-SR. VP	40.00 .......................	X			390,690	0	48,581
(22) TONY DAMRON........................................................................ CHIEF INFORMATION OFFICER-SR. VP	40.00 .......................	X			310,391	0	42,939
(23) MARCUS CONLEY........................................................................ VP FINANCE	40.00 .......................	X			241,246	0	41,177
(24) KEITH HALL MD........................................................................ ORTHOPEDIC SURGEON	40.00 .......................		X		1,929,281	0	50,061
(25) KEVIN PUGH MD........................................................................ ORTHOPEDIC SURGEON	40.00 .......................		X		1,679,891	0	46,311
(26) CHRISTOPHER REYNOLDS MD........................................................................ ELECTROPHYSIOLOGIST	40.00 .......................		X		1,196,310	0	46,311
(27) KENNETH KOVAL MD........................................................................ ORTHOPEDIC TRAUMA SURGEON	40.00 .......................		X		1,270,116	0	50,061
(28) HAZIM BUKAMUR MD........................................................................ CRITICAL CARE PHYSICIAN	40.00 .......................		X		1,213,806	0	23,374
(29) DAVID HALCOMB........................................................................ FORMER ASSISTANT CFO	40.00 .......................			X	181,710	0	42,273

(A) Name and business address	(B) Description of services	(C) Compensation
QUALIVIS LLC 5930 CORNERSTONE COURT WEST STE 30 SAN DIEGO,CA92121	PROFESSIONAL SERVICES	7,430,767
CROTHALL HEALTHCARE INC 1500 LIBERTY RIDGE DRIVE STE 210 WAYNE,PA19087	HEALTHCARE SUPPORT SERVICES	4,492,711
CPS SOLUTIONS LLC 5050 BRADENTON AVE DUBLIN,OH43017	PROFESSIONAL SERVICES	4,479,713
ELLIOTT CONTRACTING INC PO BOX 3038 PIKEVILLE,KY41502	CONSTRUCTION SERVICES	3,954,357
LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON,NC27216	LABORATORY SERVICES	3,790,050
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 82

- TIN:

SCHEDULE A
(Form 990)

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 instructions and the latest information.

OMB No. 1545-0047

2023

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2023

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 5 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 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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—2022. 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 on 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 5 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 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2023

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2023

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 0.015 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 0.035	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) 2023

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

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) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2023

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) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization PIKEVILLE MEDICAL CENTER INC

Part I Contributors	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) (2023)

Schedule B (Form 990) (2023)

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) (2023)

Schedule B (Form 990) (2023)

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) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

right arrow

Complete if the organization is described below. 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

2022

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 .................................................................... right arrow

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

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

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.

Cat. No. 50084S

Schedule C (Form 990) 2022

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 right arrow

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 right arrow

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) 2019	(b) 2020	(c) 2021	(d) 2022	(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) 2022

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|No

(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

127,440

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

127,440

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) IN THE AMOUNT OF $18,463. $68,978 WAS PAID TO CORNERSTONE GOVERNMENT AFFAIRS AND $40,000 WAS PAID TO COMMONWEALTH ADVOCATE, LLC FOR CONSULTING SERVICES AND GOVERNMENT RELATIONS.

Schedule C (Form 990) 2022

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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

2022

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

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 FASB 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 FASB 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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

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	206,000	206,000	206,000	206,000
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	206,000	206,000	206,000	206,000	206,000

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

Board designated or quasi-endowment right arrow

0 %

Permanent endowment right arrow

100.000 %

Term endowment right arrow

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 .....	15,595,700		15,595,700
b	Buildings ....	336,263,474	150,203,028	186,060,446
c	Leasehold improvements	2,233,545	2,224,350	9,195
d	Equipment ....	231,269,353	164,014,357	67,254,996
e	Other .....	23,028,275	6,410,333	16,617,942
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				285,538,279

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other 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

Investments - Program 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)INVESTMENT - CUSTODY ACCOUNT				8,599,993
(2)ASSETS WHOSE USE IS LIMITED - SELF INSURED TRUST				37,089,418
(3)CTIC - INVESTMENT MANAGEMENT ACCOUNT				97,366,659
(4)ROU ASSET - FINANCE LEASE				1,492,152
(5)ROU ASSET - OPERATING LEASE				3,536,260
(6)RELATED PARTY RECEIVABLE				1,415,536
(7)ESTIMATE DUE FROM GOVERNMENT				496,741
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				149,996,759

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





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	9,289,668
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) 2022

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
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
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
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

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
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
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
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
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

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, 2024 AND 2023. THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2024 AND 2023 THAT WOULD REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. AT SEPTEMBER 30, 2024, TAX RETURNS FILED FOR 2021 THROUGH 2023 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.

Schedule D (Form 990) 2022

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 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2023

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? . . . . . .

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) . . .			3,422,951		3,422,951	0.510 %
b	Medicaid (from Worksheet 3, column a) . . . . .			159,818,381	157,646,247	2,172,134	0.320 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			163,241,332	157,646,247	5,595,085	0.830 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	160	3,324	409,988	680	409,308	0.060 %
f	Health professions education (from Worksheet 5) . . .	12	1,332	340,189	479,875	0	0 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	34		225,531		225,531	0.030 %
j	Total. Other Benefits . .	206	4,656	975,708	480,555	634,839	0.090 %
k	Total. Add lines 7d and 7j .	206	4,656	164,217,040	158,126,802	6,229,924	0.920 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

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	1		100,000		100,000	0.010 %
3	Community support	71	27,420	119,687	5,115	114,572	0.020 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	12	3,032	23,125		23,125	0 %
8	Workforce development	135	8,567	3,159,773	3,000	3,156,773	0.470 %
9	Other
10	Total	219	39,019	3,402,585	8,115	3,394,470	0.500 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

7,625,187

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).....

84,039,407

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

92,047,744

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

-8,008,337

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) 2023

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) 2023

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 21

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/2022-2025-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 21

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

Yes

If "Yes" (list url): WWW.PIKEVILLEHOSPITAL.ORG/2022-2025-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) 2023

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/FINANCIAL-ASSISTANCE-POLICY/

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

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

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.PIKEVILLEHOSPITAL.ORG/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) 2023

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2023

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) 2023

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, 20a, 20b, 20c, 20d, 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 CONDUCTED AN EXTENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY DURING FY 2022. A COMMITTEE ADVISORY BOARD COMPRISED OF 27 MEMBERS FROM THE BUSINESS SECTOR, EDUCATIONAL INSTITUTIONS AND VARIED CIVIC ORGANIZATIONS, IN ADDITION TO, 10 PMC STAFF MEMBERS, FROM POSITIONS WITHIN ADMINISTRATION AND CLINICAL SUPPORT SERVICES, AS WELL AS LICENSED PROVIDERS WERE ASSEMBLED TO PROVIDE OVERSIGHT FOR THE SURVEY AND REPORTING PROCESSES. PMC GATHERED DATA FROM THE LOCAL, STATE AND NATIONAL PATIENT POPULATIONS RELATED TO THEIR SOCIOECONOMIC AND HEALTH-RELATED ISSUES TO FOCUS ON ADDRESSING HEALTH DISPARITIES AND OTHER FACTORS AFFECTING PEOPLE OF THE REGION SERVED BY PMC. THE SURVEY WAS DISTRIBUTED TO ALL ADVISORY COMMITTEE MEMBERS; MEMBERS PROMOTED THE SURVEY TO THEIR EMPLOYEES, CUSTOMERS AND TO THE PUBLIC AT LARGE FOR ALL TO TAKE AND GIVE INPUT. ADDITIONALLY, THE SURVEY WAS MADE AVAILABLE ONLINE AND MARKETED PUBLICLY VIA MULTIPLE MEDIA PLATFORMS INCLUDING PRINT, SOCIAL MEDIA AND OTHER ON-SITE SIGNAGE AND PUBLICATIONS TO ACHIEVE A DIVERSIFIED DISTRIBUTION OF THE SURVEY. PMC'S COMMUNITY SURVEY RESPONSES WERE AGGREGATED WITH OTHER DATA AND STATISTICS TO PROVIDE A CLEAR AND DETAILED PICTURE OF THE HEALTHCARE INDUSTRY NEEDS WITHIN THE PMC MARKET AREA.
PIKEVILLE MEDICAL CENTER	PART V, SECTION B, LINE 7D: THE PMC BOARD-APPROVED CHNA REPORT WAS DISTRIBUTED TO THE ADVISORY BOARD MEMBERS WHO WERE ENCOURAGED TO DISTRIBUTE THE REPORT TO LOCAL BUSINESS/INDUSTRY LEADERS, PUBLIC OFFICIALS, AND CIVIC ORGANIZATION MEMBERS, THE REPORT WAS MADE AVAILABLE AT VARIOUS LOCATIONS ACROSS THE PMC CAMPUS AND IS AVAILABLE PUBLICLY ONLINE.
PIKEVILLE MEDICAL CENTER	PART V, SECTION B, LINE 11: PIKEVILLE MEDICAL CENTER ADDRESSES THE COMMUNITY NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA BY PROMOTING HEALTHY LIFESTYLES AND GOOD HABITS NECESSARY TO PREVENT OR ALLEVIATE DEVELOPMENT OF DISEASE THROUGH NUMEROUS COMMUNITY INFORMATION EVENTS AND BY CONTINUING INVOLVEMENT IN A WIDE ARRAY OF PUBLIC ACTIVITIES SUCH AS HEALTH FAIRS, REMOTE AREA MEDICAL (RAM) CLINICS, AND SPONSORED INITIATIVES ACROSS THE REGION. HEALTH SCREENINGS ARE CONDUCTED THROUGHOUT THE REGION TO DETECT EARLY WARNING SIGNS OF DISEASE INCLUDING, BUT NOT LIMITED TO, CANCER, DIABETES, AND HEART DISEASE. PMC IS CONTINUING TO INCREASE AVAILABILITY OF PRIMARY AND PEDIATRIC CARE SERVICES BY AGGRESSIVELY RECRUITING ADDITIONAL PROVIDERS TO THE AREA AND EXPANDING LOCATIONS WHERE THESE SERVICES ARE OFFERED. PMC'S FOCUS ON EXPANDING PEDIATRIC SERVICES HAS LED TO THE OPENING OF THE REGION'S ONLY CHILDREN'S HOSPITAL AND EMERGENCY DEPARTMENT PEDIATRIC WING THAT HAS EARNED THE PEDIATRIC READINESS DESIGNATION. THESE TWO NEW PEDIATRIC FACILITIES HAVE ALLOWED FOR THE LAUNCH OF A MULTI-SPECIALTY PEDIATRIC PROGRAM THAT INCLUDES CARDIOLOGY, PULMONOLOGY, BMI AND PLASTICS SERVICES THROUGH A COOPERATIVE AGREEMENT WITH THE UNIVERSITY OF KENTUCKY CHILDREN'S HOSPITAL. APPALACHIA REMAINS AS ONE OF THE NATION'S MOST PREVALENT REGIONS FOR HEART DISEASE, OBESITY, AND CANCER RELATED ILLNESS. PMC IS CONTINUING TO EXPAND THE AVAILABILITY OF ADVANCED CARDIOLOGY SERVICES BY OFFERING THE LATEST IN LIFE SAVING PROCEDURES AND STATE OF THE ART THERAPIES, IN ADDITION TO EXPANDING CARDIOLOGY SERVICE OFFERINGS TO OUTLYING AREAS THROUGH SATELLITE CLINICS. TO EXPAND ONCOLOGY SERVICE OFFERINGS AND PROVIDE THE MOST COMPREHENSIVE CANCER CARE, PMC COMPLETED ANOTHER EXPANSION PROJECT TO DESIGNATE AN ADDITIONAL 7,085 SQUARE FEET OF SPACE TO THE EXISTING LAWSON CANCER CENTER TO BE UTILIZED FOR EXPANDED DIAGNOSTIC AND CHEMOTHERAPY INFUSION SERVICES. PMC HAS ALSO PURCHASED TWO NEW RAPIDARC TRUE BEAM LINEAR ACCELERATORS TO MEET THE INCREASED DEMAND FOR RADIOTHERAPY ONCOLOGY SERVICES. SUBSTANCE ABUSE PLAGUES THE PMC SERVICE AREA; PMC IS CONTINUING TO IMPLEMENT STRATEGIES TO PREVENT IMPROPER USAGE OF MEDICATIONS OF ALL KINDS THROUGH ELECTRONIC PRESCRIPTIONS, HEPATITIS C CLINICS AND PATIENT EDUCATION. ECONOMIC STABILITY HAS A DIRECT CORRELATION TO AN INDIVIDUAL'S OVERALL HEALTH AND IS A SIGNIFICANT AREA OF CONCERN ACROSS THE REGION. PMC IS COLLABORATING WITH MULTIPLE ORGANIZATIONS TO DEVELOP PROGRAMS TO ASSIST IN PROVIDING IMPROVED ECONOMIC OPPORTUNITIES TO RESIDENTS ACROSS THE SERVICE AREA. THE PMC PROJECT HEART (HEALTHCARE EMPLOYMENT AROUND REGIONAL TRAINING) IS ONE SUCH PROGRAM THAT SUPPORTS JOB CREATION AND OPPORTUNITY THROUGH BRIDGING TOGETHER MANY ENTITIES, WHICH HAVE COMBINED FORCES TO PROVIDE FINANCIALLY ASSISTED TRAINING AND EDUCATION FOR SUSTAINABLE QUALITY HEALTHCARE CAREER OPPORTUNITIES ACROSS EASTERN KENTUCKY. PMC IS ALSO PARTNERING WITH MULTIPLE POST-SECONDARY EDUCATIONAL INSTITUTIONS TO IMPROVE THE REGISTRATION AND GRADUATION RATE OF NURSING AND OTHER HEALTHCARE RELATED STUDENTS TO ADDRESS THE CURRENT SHORTAGE OF AVAILABLE LICENSED STAFF IN THESE FIELDS DUE TO EXISTING AND GROWING DEMAND OF THE AGING PATIENT POPULATION. PMC HAS ALSO DEVELOPED SEVERAL IN-HOUSE TRAINING PROGRAMS FOR VARIOUS POSITIONS INCLUDING PHLEBOTOMISTS, PATIENT CARE TECHNICIANS AND MEDICAL ASSISTANTS ALLOWING STUDENTS TO OBTAIN THEIR CERTIFICATIONS IN THESE FIELDS WHILE WORKING AT PMC.
PIKEVILLE MEDICAL CENTER	PART V, SECTION B, LINE 19E: PMC UTILIZED AN EXTERNAL COLLECTION AGENCY BEGINNING IN FY 2022 TO ASSIST IN COLLECTIONS OF BAD DEBT. ALL REASONABLE EFFORTS WERE TAKEN TO DETERMINE THE INDIVIDUAL'S ELIGIBLILITY UNDER THE FAP PRIOR TO COLLECTION EFFORTS.
PIKEVILLE MEDICAL CENTER	PART V, SECTION B, LINE 24: PIKEVILLE MEDICAL CENTER FOLLOWS THE SAME CHARGING STRUCTURE FOR ALL PATIENTS; HOWEVER, PMC'S IN-HOUSE SLIDING SCALE FINANCIAL ASSISTANCE PROGRAM PROVIDES A RANGE OF DISCOUNTS UP TO FREE CARE FOR THOSE WHO QUALIFY. FOLLOWING A DETERMINATION THAT AN INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE UNINSURED PATIENT PORTION OF THE PROGRAM, PMC WILL NOT BILL THAT INDIVIDUAL FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IN AN AMOUNT IN EXCESS OF THE AMOUNT GENERALLY BILLED (UTILIZING THE MEDICARE LOOK-BACK METHOD). ADDITIONAL DISCOUNTS OF FREE OR 50% OF AGB ARE ALSO OFFERED BY PMC, DEPENDENT UPON THE PATIENT'S INCOME AND RESOURCE LEVEL AND FAMILY SIZE.

Schedule H (Form 990) 2023

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?11
Name and address		Type of Facility (describe)
1	1 - PMC URGENT CARE & FAMILY WELLNESS CENTER 238 CASSADY BLVD PIKEVILLE,KY41501	PHYSICIAN PRACTICE
2	2 - PMC APPALACHIAN VALLEY AUTISM CENTER 131 SUMMIT DRIVE PIKEVILLE,KY41501	AUTISM CENTER
3	3 - PMC PRESTONSBURG PRIMARY & URGENT CARE 723 SOUTH LAKE DRIVE PRESTONSBURG,KY41653	PHYSICIAN PRACTICE
4	4 - PMC PRIMARY CARE CLINIC 184 S MAYO TRAIL PIKEVILLE,KY41501	PHYSICIAN PRACTICE
5	5 - PMC APPALACHIAN VALLEY AUTISM CENTER-PRE 631 SOUTH LAKE DRIVE PRESTONBURG,KY41653	AUTISM CENTER
6	6 - PMC HOME MEDICAL EQUIPMENT 138 S MAYO TRAIL PIKEVILLE,KY41501	MEDICAL EQUIPMENT/SUPPLY RENTALS/SALES
7	7 - PMC SPECIALTY CLINIC-WHITESBURG 107 MEDICAL PLAZA LANE WHITESBURG,KY41858	PHYSICIAN PRACTICE
8	8 - PMC PRIMARY & SPECIALTY CLINIC 285 SOUTHSIDE MALL ROAD SOUTH WILLIAMSON,KY41503	PHYSICIAN PRACTICE
9	9 - PMC SPECIALTY CLINIC-PRESTONSBURG 311 NORTH ARNOLD AVE PRESTONSBURG,KY41653	PHYSICIAN PRACTICE
10	10 - PMC SPECIALTY CLINIC-GRUNDY 1520 SLATE CREEK ROAD STE 205 GRUNDY,VA24614	PHYSICIAN PRACTICE
11	11 - PMC SPECIALTY CLINIC-HAZARD 243 ROY CAMPBELL DRIVE STE B HAZARD,KY41701	PHYSICIAN PRACTICE

Schedule H (Form 990) 2023

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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 ADVANCE THE HEALTH AND WELL-BEING OF OUR REGION THROUGH COMPREHENSIVE CARE IN A CHRISTIAN ENVIRONMENT" PROVIDES THE FOUNDATION FOR PMC'S EFFORTS TO NOT ONLY ADDRESS THE HEALTHCARE NEEDS OF EASTERN KENTUCKY AND THE BROADER CENTRAL APPALACHIAN REGION BUT TO ALSO IMPROVE THE MENTAL AND SPIRITUAL WELL BEING OF THOSE WE SERVE, ALL VITAL COMPONENTS REQUIRED TO FURTHER DEVELOP THE REGION BOTH SOCIALLY AND ECONOMICALLY. DURING FY 2024, PIKEVILLE MEDICAL CENTER REPORTED PARTICIPATION IN 219 COMMUNITY BUILDING ACTIVITIES, SERVING MORE THAN 39,000 PEOPLE AND TOTALING MORE THAN $3,400,000. THESE ACTIVITIES FOCUSED ON IMPROVING THE HEALTH AND WELLNESS OF THOSE WE SERVE THROUGH HEALTH EDUCATION, AWARENESS, PREVENTION AND TREATMENT, AS WELL AS, WORKFORCE DEVELOPMENT. SOME OF THE EVENTS LISTED UNDER THE COMMUNITY BUILDING ACTIVITIES SECTION INCLUDE; BLOOD DONATION DRIVES, BEREAVEMENT SUPPORT, BIBLE DISTRIBUTION, REMOTE AREA MEDICAL EVENT SUPPORT, ECONOMIC DEVELOPMENT PROGRAM SUPPORT, HEALTH FAIRS, THE BRIDGE EVENT, CAREER FAIRS AND RECRUITMENT OF NEARLY 300 HEALTHCARE PROFESSIONALS.
PART III, LINE 3:	THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY AND MAKES EVERY EFFORT TO EDUCATE PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. IN ADDITION, PMC PATIENT FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST THROUGHOUT THE FINANCIAL ASSISTANCE APPLICATION PROCESS. FOR THIS REASON THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE. THE COST TO CHARGE FACTOR UTILIZED TO CALCULATE NET COMMUNITY BENEFIT EXPENSE IS 0.183245 FROM THE FYE 2024 COST REPORT WORKSHEET S-10.
SCHEDULE H, PART II, LINE 7	COMMUNITY HEALTH EDUCATION: PMC'S STAFF IS ACTIVELY INVOLVED IN EDUCATING THE COMMUNITY ON IMPORTANT HEALTHCARE TOPICS. THROUGHOUT FY 2024, HOSPITAL REPRESENTATIVES FROM VARIOUS DEPARTMENTS PRESENTED TO LOCAL CIVIC CLUBS, MEDICAL PROFESSIONALS, AND THE PUBLIC AT LARGE. THROUGH ITS COMMUNITY EDUCATION EFFORTS IN FY 2024, PMC REACHED MORE THAN 7,000 PARTICIPANTS.PMC EMPLOYEES PARTICIPATED IN THE FOLLOWING LECTURES/PRESENTATIONS AND COMMUNITY EVENTS DURING FY 2024:- BELFRY AREA READIFEST- BE THE BEAT/GRANDPA'S CROOKED SMILE- BIG SANDY SENIOR GAMES- COLORS OF COURAGE 5K RUN- COMMUNITY HELPERS DAY- COLON CANCER COMMUNITY OUTREACH - ELEVATE/BRIGHT EVENT- HILLBILLY DAYS EDUCATION BOOTH- LAWSON CANCER CENTER ICE CREAM SOCIAL- PMC BOOTH AT NIGHTMARE ON MAIN- RETIRED TEACHERS' HEALTH FAIR- SKIN CARE AWARENESS- SHAPING OUR APPALACHIAN REGION- SMOKING CESSATION TABLING EVENT- VALENTINE'S DAY CELEBRATION CANCER SURVIVORS- WILDWOOD GARDEN CLUB- YMCA BACK TO SCHOOL BASH- YMCA SAFE CHILD TRICK OR TREAT
PART III, LINE 4:	SEE PAGE 10-11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. CURRENT OPERATIONS INCLUDE AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ESTIMATED BASED UPON THE AGE OF THE PATIENT ACCOUNTS RECEIVABLE, HISTORICAL WRITEOFFS AND RECOVERIES AND ANY UNUSUAL CIRCUMSTANCES (SUCH AS LOCAL, REGIONAL OR NATIONAL ECONOMIC CONDITIONS) WHICH MAY AFFECT THE COLLECTIBILITY OF RECEIVABLES, INCLUDING MANAGEMENT'S ASSUMPTIONS ABOUT CONDITIONS IT EXPECTS TO EXIST AND COURSES OF ACTION IT EXPECTS TO TAKE.
PART III, LINE 8:	FY 2024 AS FILED MEDICARE COST REPORT DATA WAS USED AS THE SOURCE FOR THE TOTAL REVENUE AND MEDICARE ALLOWABLE COSTS REPORTED IN SECTION B, THEREFORE THE COMMUNITY BENEFIT REPORTABLE AMOUNT OF SHORTFALL IS $8,008,337. THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED SEPT. 30, 2024 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST.
PART III, LINE 9B:	PMC WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) AGAINST PATIENTS BEFORE MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER PMC'S FINANCIAL ASSISTANCE POLICY. PMC MAKES REASONABLE EFFORTS TO ORALLY NOTIFY THE PATIENT ABOUT PMC'S FINANCIAL ASSISTANCE POLICY AND HOW THEY MAY RECEIVE ASSISTANCE WITH THE APPLICATION PROCESS. EACH PATIENT BILLING STATEMENT AND ALL WRITTEN COMMUNICATIONS CONCERNING THE PATIENT'S BILL INCLUDE A CONSPICUOUS WRITTEN NOTICE THAT INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE, THE NOTICE INCLUDES THE TELEPHONE NUMBER OF PMC'S PATIENT FINANCIAL COUNSELING DEPARTMENT AS WELL AS THE WEB SITE ADDRESS WHERE COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL APPLICATION FORMS, AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY MAY BE OBTAINED. IN ADDITION, BILLING DEPARTMENT PERSONNEL INFORM EACH PATIENT ABOUT PMC'S FAP IN ORAL COMMUNICATIONS REGARDING AMOUNTS DUE. ONCE A PATIENT HAS BEEN DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE IN-HOUSE SLIDING SCALE PROGRAM, THEIR ELIGIBILITY WILL REMAIN INTACT FOR A TERM OF ONE (1) YEAR FROM THE DATE OF APPROVAL UNLESS PMC BECOMES AWARE OF A MATERIAL CHANGE IN THE PATIENT'S FINANCIAL CIRCUMSTANCES.
PART VI, LINE 2:	IN ORDER TO ASSESS OUR COMMUNITY'S HEALTH-RELATED NEEDS, PIKEVILLE MEDICAL CENTER UTILIZES SEVERAL REPORTS LOOKING AT THE SERVICES THEY PROVIDE, IN COMPARISON TO OTHER HOSPITALS, AS WELL AS, REPORTS INDICATING THE SPECIALTIES THAT ARE IMPACTED BY PHYSICIAN REFERRALS. PMC ALSO KEEPS A RECORD OF PREVIOUS COMMUNITY EVENTS HOSTED, TRACKING THEIR SUCCESS. FOR EXAMPLE: WHEN A FREE HEALTH SCREENING EVENT IS HELD, A RECORD IS KEPT OF THE NUMBER OF ATTENDEES INCLUDING THEIR RESULTS.
PART VI, LINE 3:	PIKEVILLE MEDICAL CENTER USES SEVERAL DIFFERENT MEANS TO COMMUNICATE AND EDUCATE OUR PATIENTS ON ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER FEDERAL, STATE AND LOCAL GOVERNMENTS, AS WELL AS THE PMC IN-HOUSE SLIDING SCALE PROGRAM. THE FINANCIAL ASSISTANCE PROGRAM POLICY, THE DSH PROGRAM APPLICATION FORM, THE IN-HOUSE SLIDING SCALE PROGRAM APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY OF THIS POLICY IS AVAILABLE FREE OF CHARGE ON PMC'S WEBSITE; PAPER COPIES OF THE POLICY, THE DSH PROGRAM APPLICATION FORM, THE IN-HOUSE SLIDING SCALE PROGRAM APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY OF THE POLICY ARE AVAILABLE FREE OF CHARGE UPON REQUEST IN PMC'S EMERGENCY, REGISTRATION AND BILLING DEPARTMENTS AND BY MAIL; A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY OF THE POLICY IS OFFERED TO PATIENTS AS PART OF THE INTAKE PROCESS UNLESS IT IS NOT FEASIBLE TO DO SO DUE TO AN EMERGENCY OR OTHER CIRCUMSTANCES IN WHICH CASE PMC WILL OFFER A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY AS PART OF THE DISCHARGE PROCESS; VISITORS TO PMC ARE INFORMED AND NOTIFIED ABOUT THE POLICY THROUGH CONSPICUOUS PUBLIC DISPLAYS AT PMC; RESIDENTS OF THE COMMUNITY THAT PMC SERVES ARE INFORMED AND NOTIFIED OF THE POLICY BY STATEMENTS ON PMC'S WEBSITE AND IN MESSAGES PLAYED TO CALLERS TO PMC WHO ARE PLACED ON HOLD THAT PMC OFFERS FINANCIAL ASSISTANCE UNDER A FINANCIAL ASSISTANCE POLICY AND INFORMING THE READER/LISTENER HOW TO OBTAIN MORE INFORMATION; AND BY INCLUDING A CONSPICUOUS WRITTEN NOTICE ON ALL BILLING STATEMENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISATNCE UNDER THIS POLICY AND INCLUDES THE TELEPHONE NUMBER OF PMC'S PATIENT FINANCIAL COUNSELING DEPARTMENT ALONG WITH THE WEB SITE ADDRESS WHERE COPIES OF THIS POLICY, THE APPLICATION FORMS, AND A PLAIN LANGUAGE SUMMARY OF THE POLICY MAY BE OBTAINED.
PART VI, LINE 4:	PIKEVILLE MEDICAL CENTER PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO RESIDENTS OF EASTERN KENTUCKY, SOUTHWEST VIRGINIA AND SOUTHWEST WEST VIRGINIA. PMC RECOGNIZES THE HEALTH AND ACCESS DISPARITIES ACROSS OUR APPALACHIAN MARKET AND IS COMMITTED TO OVERCOMING THESE BARRIERS TO BE THE PROVIDER OF CHOICE FOR HIGH QUALITY HEALTHCARE SERVICES TO MEET THE NEEDS OF THE RESIDENTS OF THE REGION IT SERVES. PMC USES THE MOST RECENT U.S. CENSUS BUREAU DATA IN ADDITION TO INFORMATION FROM THE KY STATE DATA CENTER AND CENTERS FOR DISEASE CONTROL WHEN ASSESSING THE GEOGRAPHIC AREA AND DEMOGRAPHIC POPULATION CHARACTERISTICS OF THE REGION. BASED ON THE LATEST AVAILABLE DATA, PMC'S SERVICE AREA CONTAINS A POPULATION ESTIMATE OF 215,976 INDIVIDUALS. THERE IS AN EVEN DISTRIBUTION OF MALES TO FEMALES. THE AVERAGE HOUSEHOLD SIZE IS 2.85 INDIVIDUALS AND 20% OF THE POPULATION IS AGE 65 AND OVER. THE AREA SERVED BY PIKEVILLE MEDICAL CENTER HAS A MEDIAN FAMILY INCOME OF $40,730 WITH 39% OF THE POPULATION LIVING BELOW THE 150% POVERTY LEVEL.
PART VI, LINE 6:	PIKEVILLE MEDICAL CENTER (PMC) IS A 348-BED TERTIARY CARE FACILITY DEDICATED TO DELIVERING HIGH-QUALITY, COMPREHENSIVE HEALTHCARE SERVICES TO EASTERN KENTUCKY AND THE BROADER CENTRAL APPALACHIAN REGION. FOR MANY YEARS, THIS REGION HAS FACED PERSISTENT CHALLENGES RELATED TO GEOGRAPHIC ISOLATION, ECONOMIC HARDSHIP AND A SHORTAGE OF HEALTHCARE PROVIDERS, WHICH HAVE LIMITED TIMELY ACCESS TO ADVANCED MEDICAL CARE. DESPITE THESE OBSTACLES, PMC HAS BECOME A VITAL HEALTHCARE RESOURCE, COMMITTED TO BRIDGING THESE GAPS BY PROVIDING COMPASSIONATE, ADVANCED TREATMENT TO THE COMMUNITIES IT SERVES.SINCE ITS FOUNDING IN 1924 AS A SMALL 50-BED RURAL HOSPITAL, PMC HAS GROWN SIGNIFICANTLY INTO A LEADING REGIONAL MEDICAL COMPLEX. THE CURRENT FACILITY INCLUDES 348 LICENSED BEDS, WITH SPECIALIZED UNITS SUCH AS 16 NEONATAL LEVEL II BASSINETS, 22 NURSERY BASSINETS, AND 20 INPATIENT PHYSICAL REHABILITATION BEDS. THE ORGANIZATION OPERATES 17 AMBULATORY CLINIC LOCATIONS OFFERING OVER 400 MEDICAL SERVICES ACROSS NUMEROUS SPECIALTIES AND SUBSPECIALTIES. THE TOTAL FOOTPRINT OF PMC'S FACILITIES, INCLUDING THE MAIN HOSPITAL, SATELLITE CLINICS AND SUPPORT SERVICES, COVERS NEARLY 1.5 MILLION SQUARE FEET. THE HOSPITAL ALSO MAINTAINS 11 CENTERS OF EXCELLENCE, FURTHER STRENGTHENING ITS ROLE AS A REGIONAL HUB FOR ADVANCED HEALTHCARE.PMC'S MISSION IS "TO ADVANCE THE HEALTH AND WELL-BEING OF OUR REGION THROUGH COMPREHENSIVE CARE IN A CHRISTIAN ENVIRONMENT." GUIDED BY THIS MISSION AND ITS VISION "TO BE THE PROVIDER AND EMPLOYER OF CHOICE FOR HEALTHCARE IN THE REGION WE SERVE," PMC EMPLOYS MORE THAN 3,400 INDIVIDUALS, INCLUDING OVER 600 LICENSED MEDICAL PROVIDERS, WHO WORK COLLABORATIVELY TO DELIVER EXCEPTIONAL CARE EACH DAY.AS ONE OF THE LARGEST EMPLOYERS IN EASTERN KENTUCKY, SOUTHWEST VIRGINIA, AND SOUTHWEST WEST VIRGINIA, PMC PLAYS A CRITICAL ROLE IN THE LOCAL ECONOMY. THE ORGANIZATION RECOGNIZES ITS RESPONSIBILITY IN SUPPORTING THE FINANCIAL STABILITY THAT UNDERPINS POSITIVE HEALTH, SOCIAL AND ECONOMIC OUTCOMES FOR THE REGION. THROUGH ONGOING FACILITY EXPANSIONS AND ENHANCED SPECIALTY SERVICES INCLUDING TRAUMA CARE AND PEDIATRIC SPECIALTIES PMC HAS ESTABLISHED ITSELF AS A KEY REFERRAL CENTER FOR SMALLER COMMUNITY HOSPITALS MANAGING COMPLEX CASES.PMC'S COMPREHENSIVE SERVICES INCLUDE:- A VERIFIED LEVEL II TRAUMA CENTER- A COMMISSION ON CANCER-ACCREDITED FULL-SERVICE CANCER TREATMENT CENTER- HEART & VASCULAR INSTITUTE WITH PRIMARY PCI ACCREDITATION- A 20-BED INPATIENT PHYSICAL REHABILITATION HOSPITAL- AN ACCREDITED GOLD PLUS NEUROSCIENCE CENTER AND NEUROSURGERY SERVICES- LEVEL II ADVANCED NEONATAL INTENSIVE CARE UNIT (NICU)- MBSAQIP ACCREDITED BARIATRIC & MINIMALLY INVASIVE SURGERY CENTER- JOINT COMMISSION GOLD SEAL CERTIFIED ORTHOPEDIC SURGERY & SPORTS MEDICINE PROGRAM- PULMONARY REHABILITATION- THE REGION'S ONLY CHILDREN'S HOSPITAL- SLEEP LAB AND DIAGNOSTIC CENTER- AUTISM CENTERS- URGENT CARE CENTERS - INTEGRATED FAMILY AND SPECIALTY PHYSICIAN PRACTICES WITH SATELLITE LOCATIONS IN PIKEVILLE, PRESTONSBURG, SOUTH WILLIAMSON, WHITESBURG (KY), AND GRUNDY (VA).PMC'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) GUIDES THE ORGANIZATION'S EFFORTS TO ALIGN CURRENT SERVICES AND DEVELOP FUTURE PROGRAMS THAT EFFECTIVELY ADDRESS COMMUNITY HEALTH PRIORITIES. THE LATEST CHNA IDENTIFIED HEART HEALTH, CANCER, OBESITY, PEDIATRIC SERVICES, SUBSTANCE ABUSE, AND ECONOMIC CONDITIONS AS THE MOST CRITICAL ISSUES IMPACTING THE POPULATION SERVED.PIKEVILLE MEDICAL CENTER'S HEART AND VASCULAR INSTITUTE (HVI) OF EASTERN KENTUCKY IS COMPRISED OF A TEAM OF CARDIAC SPECIALISTS WHO BRING A BROAD RANGE OF EXPERTISE TO THE PROGRAM. THAT EXPERTISE, COUPLED WITH THE BEST EQUIPMENT AND OPERATING ROOMS AVAILABLE, HAS RESULTED IN A COMPREHENSIVE HEART CARE PROGRAM FOR THE PEOPLE OF THE REGION, THAT IS SECOND TO NONE. HEART DISEASE HAS BEEN A PRIMARY FOCUS OF PMC FOR SEVERAL YEARS. THE HVI MULTI-DISCIPLINARY TEAM OF PHYSICIANS PROVIDES CARDIAC AND VASCULAR SPECIALTY SERVICES TO INCLUDE INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, INTERVENTIONAL RADIOLOGY, VASCULAR TREATMENTS, AND ENDOVASCULAR SURGERY. IN ADDITION TO THE MAIN CAMPUS SERVICE AREA, HVI CURRENTLY OFFERS LIFESAVING CARDIOLOGY SERVICES TO OUTLYING AREAS THROUGH SATELLITE CLINICS LOCATED IN PRESTONSBURG, KY, SOUTH WILLIAMSON, KY, WHITESBURG, KY, AND GRUNDY, VA. PMC'S COMMITMENT TO SERVE THE HEART HEALTH NEEDS OF THE COMMUNITY INCORPORATES STATE-OF-THE-ART THERAPIES AND CUTTING-EDGE TECHNOLOGY IN MINIMALLY INVASIVE INTERVENTIONS. NEW LIFE SAVING AND CURATIVE PROCEDURES THAT ARE PERFORMED AT PMC'S HVI INCLUDE THE AGIOVAC, MAZE, TACTI CATH, TAVR, WATCHMAN DEVICE, AND LEADLESS PACEMAKERS. WITH STATE-OF-THE-ART CARDIOLOGY CATHETERIZATION LABS, INTERVENTIONAL CARDIOLOGISTS AND CARDIOTHORACIC SURGEONS HAVE JOINED FORCES TO COMPLETE VALVE PROCEDURES UTILIZING PERCUTANEOUS APPROACHES OR MINIMALLY INVASIVE APPROACHES FOR VALVE REPLACEMENTS, ALLEVIATING THE NEED FOR PATIENTS TO TRAVEL HOURS AWAY FROM HOME FOR MULTIPLE DOCTOR'S VISITS TO RECEIVE ADVANCED HEART CARE. ADDITIONALLY, HVI'S CARDIAC REHABILITATION CENTER, AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR) CERTIFIED, OFFERS PATIENTS WITH HEART DISEASE LIFESTYLE MONITORING AND FITNESS PROGRAMS DESIGNED TO HELP RESTORE THEIR HEARTS TO MAXIMUM EFFICIENCY. PMC'S STAGE II AND STAGE III CARDIAC REHAB PROGRAMS HELP HEART PATIENTS INCORPORATE CHANGES INTO THEIR DAILY ROUTINES SUCH AS EXERCISING, TAKING MEDICATIONS AND EATING A HEART HEALTHY DIET TO ALLOW FOR AN ACTIVE LIFESTYLE RESULTING IN A BETTER QUALITY OF LIFE AND IMPROVED LONG TERM OUTCOMES. (CONTINUED)
SCHEDULE H PART VI, LINE 6	(CONTINUED) THE PMC LAWSON CANCER CENTER (LCC) PROVIDES ADVANCED CANCER CARE, HEALING, AND COMFORT CLOSE TO HOME FOR INDIVIDUALS AND FAMILIES NAVIGATING THE CHALLENGING JOURNEY OF A CANCER DIAGNOSIS AND TREATMENT. AS THE REGION'S ONLY HOSPITAL TO HAVE ACHIEVED THE COMMISSION ON CANCER'S OUTSTANDING ACHIEVEMENT AWARD WITH COMMENDATIONS FOR EXCEPTIONAL QUALITY, PIKEVILLE MEDICAL CENTER HAS MADE INVESTMENTS IN THE EXPERTISE AND LEADING-EDGE TECHNOLOGY TO FIGHT CANCER IMMEDIATELY UPON DIAGNOSIS. THE LCC AT PIKEVILLE MEDICAL CENTER IS CONVENIENTLY LOCATED ON PMC'S MAIN CAMPUS, WHERE PATIENTS HAVE ACCESS TO ALL SERVICES AND PROVIDERS IN ONE LOCATION INCLUDING IMAGING, DIAGNOSTICS, CHEMOTHERAPY, INFUSION, AND RADIATION THERAPY; AS WELL AS GENETIC COUNSELING, FINANCIAL COUNSELING AND PATIENT NAVIGATION. HAVING ALL SERVICES IN ONE LOCATION ALLOWS EFFICIENCY FOR CLINICIANS AND EASE OF ACCESS FOR PATIENTS, WHICH CAN IMPROVE OUTCOMES. PMC HAS RECENTLY PLACED IN SERVICE TWO NEW VARIAN RAPIDARC TRUE BEAM LINEAR ACCELERATORS WITH BRAINLAB TECHNOLOGY, ALLOWING LCC TO DELIVER LIFESAVING RADIATION THERAPY TREATMENT TWO TO EIGHT TIMES FASTER THAN CONVENTIONAL FORMS OF RADIOTHERAPY. LCC IS ALSO PURSUING ADDITIONAL CLINICAL TRIAL OPPORTUNITIES TO ADD TO OUR PORTFOLIO OF SERVICES TO CONTINUE PROVIDING THE LATEST TECHNOLOGICAL ADVANCEMENTS IN INTERVENTIONS TO OUR PATIENTS. MEDICAL TREATMENT IS ONLY PART OF THE BATTLE IN FIGHTING CANCER; THEREFORE, MULTIPLE AUXILIARY SERVICES TO APPROACH HEALING HOLISTICALLY ARE ALSO OFFERED. AUXILIARY SERVICE OFFERINGS INCLUDE CANCER SUPPORT GROUPS, LOOK GOOD-FEEL GOOD PROGRAM, PROVIDING FREE ACCESS TO WIGS, MAKE-UP AND SCARVES, AND THE ART OF HEALING PROGRAM, OFFERING ARTISTIC ACTIVITIES DESIGNED TO PROVIDE EMOTIONAL SUPPORT TO PEOPLE COPING WITH A CANCER DIAGNOSIS. AS AN ADVOCATE FOR EARLY CANCER DIAGNOSIS AND DISEASE PREVENTION PMC ALSO COMPLETED 792 LOW DOSE CT LUNG CANCER SCREENINGS DURING FY 2024, IN ADDITION TO PROVIDING TOBACCO AND VAPING CESSATION CLASSES TO HELP THOSE ADDICTED TO TOBACCO BREAK THE DANGEROUS HABIT AND HOPEFULLY PREVENT THEM FROM NEEDING FUTURE ONCOLOGY TREATMENT SERVICES. THE AVAILABILITY OF THESE LIFE CHANGING AND LIFESAVING TREATMENT SERVICES LOCALLY REDUCES THE BURDEN AND EXPENSE OF TRAVEL ON OUR PATIENTS AND THEIR FAMILIES. PIKEVILLE MEDICAL CENTER RECOGNIZES THAT PREVENTIVE CARE HAS LONG BEEN RECOGNIZED AS THE BEST FORM OF CARE. OBESITY WAS INDICATED TO BE THE NUMBER THREE CONCERN FOR ADULTS AND THE NUMBER ONE CONCERN FOR CHILDREN IN THE AREA ON PMC'S LATEST CHNA. TO HELP COMBAT THESE CONCERNS, PMC WILL CONTINUE TO BE THE COMMUNITY LEADER IN PROMOTING A HEALTHY LIFESTYLE. PMC'S BARIATRIC & MINIMALLY INVASIVE SURGERY CENTER SERVES PATIENTS WHO HAVE UNSUCCESSFULLY TRIED TO CONTROL THEIR WEIGHT BY OFFERING SEVERAL DIFFERENT PROCEDURE OPTIONS, COUNSELING, AND GROUP SUPPORT SESSIONS, ALONG WITH DIABETES AND NUTRITIONAL EDUCATION; SOME OF WHICH ARE CONDUCTED VIA REMOTE VIDEO VISITS, ALLOWING A BETTER OPPORTUNITY FOR PATIENTS TO SUCCEED IN THEIR WEIGHT LOSS PROGRAM. PMC OFFERS DIABETES MANAGEMENT APPOINTMENTS WITH OUR DIABETES SPECIALTY TEAM WHO WORK IN CONJUNCTION WITH OUR ENDOCRINOLOGY STAFF TO ADDRESS DIABETES MELLITUS, THYROID DISORDERS, PARATHYROID DISORDERS, PITUITARY DISORDERS, ADRENAL DISORDERS, METABOLIC SYNDROME, AND METABOLISM. PMC ALSO SPONSORS DIABETES SUPPORT GROUPS FOR PATIENTS AND THE COMMUNITY AT LARGE. ADDITIONALLY, PMC TAKES STEPS TO ASSIST EMPLOYEES WITH A HEALTHIER LIFESTYLE THROUGH A DISCOUNTED YMCA MEMBERSHIP OFFERING AND AN ONLINE EMPLOYEE HEALTH AND WELLNESS TRACKING TOOL THROUGH WELLABLE. PMC'S NUTRITIONAL TEAM ALSO OFFERS HEALTHY MEAL CHOICES IN THE CAFETERIA WHICH SERVES PATIENTS, VISITORS AND STAFF EACH DAY. MAKING A DYNAMIC SHIFT IN ONE'S LIFESTYLE REQUIRES A LONG-TERM MULTI-PRONGED APPROACH. PMC SUPPORTS THE COMMUNITY AT LARGE AND PROMOTES COMMUNITY ACTIVITIES TO ASSIST IN FIGHTING OBESITY BY SPONSORING EVENTS INCLUDING 5K WALKS/RUNS, COMMUNITY INFORMATION CAMPAIGNS TO PROMOTE GOOD HABITS NECESSARY TO PREVENT OR ALLEVIATE DEVELOPMENT OF DISEASE AND CONTINUING INVOLVEMENT IN A WIDE ARRAY OF PUBLIC ACTIVITIES SUCH AS HEALTH FAIRS, REMOTE AREA MEDICAL (RAM) CLINICS AND OTHER SPONSORED EVENTS.IN DECEMBER 2021, PIKEVILLE MEDICAL CENTER (PMC) PEDIATRICS REAFFIRMED ITS COMMITMENT TO ADVANCING PEDIATRIC HEALTHCARE, RECOGNIZING THAT A CHILD'S HEALTH IS A FUNDAMENTAL PRIORITY FOR FAMILIES. PMC PROVIDES COMPREHENSIVE PEDIATRIC SERVICES RANGING FROM ROUTINE WELLNESS VISITS TO INPATIENT CARE, ENSURING FAMILIES HAVE ACCESS TO EXPERT, COMPASSIONATE CARE CLOSE TO HOME.PMC PEDIATRICS IS TRUSTED FOR ITS MULTIDISCIPLINARY APPROACH ADDRESSING CHILDREN'S PHYSICAL, EMOTIONAL AND DEVELOPMENTAL NEEDS. FAMILIES BENEFIT FROM ACCESS TO PEDIATRIC SUBSPECIALISTS AND THE EXTENSIVE RESOURCES OF A FULL REGIONAL MEDICAL CENTER. CENTRAL TO THIS PEDIATRIC CARE INITIATIVE IS METTU CHILDREN'S HOSPITAL (MCH), A DEDICATED INPATIENT FACILITY DESIGNED EXCLUSIVELY FOR CHILDREN. MCH FEATURES PRIVATE ROOMS THAT ACCOMMODATE OVERNIGHT STAYS BY PARENTS AND A SPECIALIZED CARE TEAM INCLUDING PEDIATRICIANS, HOSPITALISTS AND CHILD LIFE SPECIALISTS. THE HOSPITAL OPERATES UNDER A FAMILY-CENTERED CARE MODEL WITH 24/7 SUPPORT, STAFFED BY THREE PEDIATRIC HOSPITALISTS. METTU CHILDREN'S HOSPITAL SERVES AS A PLACE OF HEALING AND HOPE FOR CHILDREN AND THEIR FAMILIES.IN ADDITION TO INPATIENT SERVICES, PMC OFFERS OUTPATIENT PEDIATRIC SPECIALTY CARE THROUGH THE PEDIATRIC SPECIALTY CLINIC LOCATED WITHIN THE MAIN HOSPITAL. RECENTLY, PMC EXPANDED ITS PEDIATRIC SERVICES TO INCLUDE GASTROENTEROLOGY, PROVIDING COMPREHENSIVE TREATMENT FOR CONDITIONS SUCH AS LIVER DISEASE, INFLAMMATORY BOWEL DISEASE (IBD), FOOD ALLERGIES AND FUNCTIONAL GASTROINTESTINAL DISORDERS. IN PARTNERSHIP WITH UK HEALTHCARE, PMC ALSO OFFERS PEDIATRIC SPECIALTY CARE IN CARDIOLOGY, PULMONOLOGY AND BARIATRIC MEDICINE.PMC'S PEDIATRIC-READY EMERGENCY DEPARTMENT IS FULLY CERTIFIED TO ADDRESS PEDIATRIC EMERGENCIES WITH SPECIALIZED CARE. FURTHER EXTENDING ACCESS TO HEALTHCARE, PMC OPERATES A ROBUST SCHOOL TELEHEALTH PROGRAM THAT SERVES EVERY PIKE COUNTY SCHOOL DISTRICT, ENSURING CHILDREN RECEIVE TIMELY MEDICAL ATTENTION WITHIN THEIR COMMUNITY.AT PMC PEDIATRICS, THE MISSION REMAINS CLEAR AND STEADFAST: TO DELIVER EXPERT, COMPASSIONATE CARE THAT IS THOUGHTFULLY TAILORED TO ADDRESS THE UNIQUE PHYSICAL, EMOTIONAL AND DEVELOPMENTAL NEEDS OF EVERY CHILD. RECOGNIZING THAT PEDIATRIC HEALTHCARE EXTENDS BEYOND CLINICAL TREATMENT, PMC IS DEDICATED TO SUPPORTING FAMILIES AT EVERY STAGE OF THEIR CHILD'S HEALTHCARE JOURNEYWHETHER THROUGH PREVENTIVE WELLNESS VISITS, MANAGEMENT OF CHRONIC CONDITIONS, OR ACUTE INPATIENT CARE. THIS COMMITMENT INCLUDES FOSTERING A NURTURING ENVIRONMENT WHERE FAMILIES ARE ACTIVELY ENGAGED AS PARTNERS IN CARE DECISIONS, ENSURING CHILDREN RECEIVE HOLISTIC SUPPORT THAT PROMOTES THEIR OVERALL WELL-BEING AND HEALTHY GROWTH. BY COMBINING ADVANCED MEDICAL EXPERTISE WITH EMPATHY AND UNDERSTANDING, PMC PEDIATRICS STRIVES TO BE A TRUSTED RESOURCE FOR FAMILIES, PROVIDING REASSURANCE AND HOPE THROUGHOUT THEIR CHILD'S HEALTH AND HEALING PROCESS.KENTUCKY IS AMONG THE TOP TEN STATES WITH THE HIGHEST OPIOID PRESCRIBING RATES. PMC'S LEADERSHIP AND CLINICIANS TAKE VERY SERIOUSLY THE RESPONSIBILITY IN PROTECTING THE PUBLIC BY PREVENTING SUBSTANCE ABUSE IN OUR PATIENTS. PMC HAS A STRICTLY ENFORCED POLICY RELATING TO THE PRESCRIBING OF CONTROLLED SUBSTANCES AND ROUTINELY ANALYZES NARCOTIC PRESCRIBING DATA, IMPLEMENTING STRATEGIES THAT PREVENT IMPROPER USAGE OF MEDICATIONS OF ALL KINDS. STRATEGIES CURRENTLY IN PLACE INCLUDE ELECTRONIC PRESCRIPTIONS WITHIN THE CLINIC AND HOSPITAL SETTING AND PATIENT EDUCATION AND PATIENT AUTHORIZATION FOR OPIOID TRACKING THROUGH REPORTABLE DATA. THERE HAS ALSO BEEN AN INCREASE IN NEONATAL ABSTINENCE SYNDROMES (NAS) AND NEONATAL OPIOID WITHDRAWAL SYMPTOMS (NOWS), BOTH NATIONALLY AND LOCALLY. PMC IS CONTINUING TO EXPLORE AND POSITION THE ORGANIZATION TO ADDRESS THIS UNIQUE SUBSTANCE ABUSE ISSUE AND IS PREPARED TO TAKE CARE OF THE SMALLEST AND MOST VULNERABLE OF OUR PATIENTS, THE NEWBORN BABY. TO SERVE THESE NEWBORN PATIENTS, PMC HAS INCREASED THE NEONATAL INTENSIVE CARE UNIT (NICU) TO INCLUDE 16 NEONATAL LEVEL II BASSINETS. PMC'S TENURED TEAM OF NEONATOLOGISTS AND HIGHLY SKILLED NURSES IS EQUIPPED TO BEGIN SPECIALIZED CARE WITHIN SECONDS OF BIRTH AND HAS ACHIEVED THE DESIGNATION OF ADVANCED CARE UNIT FOR PATIENTS BORN AT 28 WEEKS OF GESTATION OR WHO ARE RECOVERING FROM MORE SERIOUS CONDITIONS SUCH AS NAS OR NOWS. (CONTINUED)
SCHEDULE H PART VI, LINE 6	(CONTINUED)PIKEVILLE MEDICAL CENTER'S REGIONAL MARKET AREAS HAVE ECONOMICALLY DECLINED OVER THE PAST DECADE DUE TO VARIOUS REGULATORY AND OTHER ECONOMIC SITUATIONS ADVERSELY AFFECTING THE EMPLOYMENT RATE. THIS DECLINE HAS RESULTED IN A REDUCED OVERALL POPULATION ACROSS THE REGION DUE TO OUT-MIGRATION, IN ADDITION TO LOWER DISPOSABLE INCOME TO SPEND ON HEALTH CARE FOR THOSE REMAINING IN THE REGION. THE ECONOMIC DOWNTURN, WE BELIEVE, HAS RESULTED IN A SIGNIFICANT IMPACT ON THE OVERALL HEALTH OF THE GENERAL POPULATION OF THE REGION AND THE ORGANIZATIONS THAT DELIVER THEIR CARE. PMC IS NOT, HOWEVER, EXPERIENCING A PATIENT SHORTAGE BUT A SKILLED WORKFORCE SHORTAGE. AS A RESULT OF THIS SHORTAGE, FROM THE GROWING DEMAND OF THE AGING POPULATION FOR HEALTHCARE SERVICES, PMC SPEARHEADED AN INNOVATIVE INITIATIVE TO MEET THE NEED FOR A STRONG HEALTHCARE WORKFORCE ACROSS THE REGION. THE PMC PROJECT HEART (HEALTHCARE EMPLOYMENT AROUND REGIONAL TRAINING) INITIATIVE HAS FORMED AN EXCEPTIONAL TEAM OF COLLABORATIVE PARTNERS THAT CONSISTENTLY WORKS TOGETHER THROUGH INTEGRATED INITIATIVES THAT PRIORITIZE MOVING OUR REGION FORWARD, ON MULTIPLE FRONTS, TO MAXIMIZE THE TOTAL IMPACT WHILE BRIDGING TOGETHER THE STRENGTHS OF OTHERS TO CHALLENGE US TO THINK DIFFERENTLY ABOUT WHAT IS POSSIBLE WHEN WE UNITE AS ONE. PROJECT HEART IS THE LARGEST EFFORT TO SUPPORT JOB CREATION AND OPPORTUNITY IN EASTERN KENTUCKY SINCE THE EARLY 1970S AND HAS RESULTED IN THE DEVELOPMENT OF MULTIPLE STRATEGIES TO SERVE THE COMMUNITY, INCREASE TRAINING OPPORTUNITIES AND FURTHER DEVELOP OUR WORKFORCE, WITH THE ULTIMATE GOAL OF IMPROVING ACCESS TO ESSENTIAL HEALTHCARE SERVICES, RESULTING IN BETTER HEALTH, SOCIAL, AND ECONOMIC OUTCOMES FOR THE REGION. THE PROJECT PARTNERS HAVE MADE COMBINED INVESTMENTS TOTALING $26 MILLION IN PROGRAMS THAT WILL CREATE THOUSANDS OF SUSTAINABLE CAREER OPPORTUNITIES WITH GREAT BENEFITS HERE IN EASTERN KENTUCKY. PMC HAS WORKED WITH BIG SANDY COMMUNITY AND TECHNICAL COLLEGE, GALEN COLLEGE OF NURSING, UNIVERSITY OF PIKEVILLE'S ELLIOTT SCHOOL OF NURSING, AND AMERICAN NATIONAL UNIVERSITY TO EXPAND CAMPUS SPACE AND INCREASE CLASS SIZES, IN ADDITION TO OFFERING FELLOWSHIP PROGRAMS THAT PROVIDE FINANCIAL ASSISTANCE TO STUDENTS FOCUSING ON DEVELOPING MEDICAL SKILLS. PMC'S CONTINUED PARTNERSHIP WITH THESE POST-SECONDARY INSTITUTIONS ALONG WITH THE PMC IN-HOUSE TRAINING PROGRAMS DEVELOPED FOR CERTAIN POSITIONS INCLUDING PHLEBOTOMISTS, PATIENT CARE TECHNICIANS, AND MEDICAL ASSISTANTS, WHICH ALLOWS STUDENTS TO OBTAIN THEIR CERTIFICATIONS WHILE WORKING AT PMC, WILL SUBSTANTIALLY SOLVE THE PUBLIC HEALTH CRISIS OF INADEQUATE NURSING AND SKILLED HEALTHCARE STAFFING WHILE PROVIDING A PATH FOR THE YOUTH OF APPALACHIA TO PURSUE A REWARDING CAREER AND REMAIN IN THE AREA, WHICH IS CRITICAL FOR THE STABILITY OF OUR ENTIRE REGION. PIKEVILLE MEDICAL CENTER IS, AND WILL CONTINUE TO BE, THE CORPORATE LEADER TO DEVELOP EDUCATIONAL OPPORTUNITIES, ASSIST HEALTHCARE PROVIDERS AND CREATE HUNDREDS OF JOBS AROUND THE REGION. PIKEVILLE MEDICAL CENTER'S VISION TO BE THE REGION'S PROVIDER AND EMPLOYER OF CHOICE HAS NOT ONLY RESULTED IN THE EXPANSION OF HEALTH CARE SERVICES PROVIDED TO PATIENTS BUT HAS ALSO BEEN INTEGRAL IN ENHANCING THE HOSPITAL'S ABILITY TO PROVIDE COMMUNITY OUTREACH SERVICES. PMC PROVIDES A VARIETY OF EDUCATIONAL, WELLNESS, AND PREVENTIVE HEALTH SERVICES THAT ARE DERIVED FROM THE CORE OF PMC'S MISSION.

Schedule H (Form 990) 2023

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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

2023

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) CITY OF PIKEVILLE 234 MAIN STREET PIKEVILLE,KY41501	61-6001897	CITY OF PIKEVILLE	25,000	100,968	FMV	DONATION OF 3 LIFEPAK DEFIBRILLATORS & ACCESSORIES	SPONSOR EVENT
(2) SOUTHEAST KENTUCKY CHAMBER OF COMMERCE 178 COLLEGE STREET PIKEVILLE,KY41501	61-0544068	501(C)(6)	16,250	0			SPONSOR EVENTS
(3) CEDAR INC PO BOX 2152 PIKEVILLE,KY41501	61-1244951	501(C)(3)	15,545	0			SPONSOR PROGRAM
(4) PIKEVILLE INDEPENDENT SCHOOLS 148 SECOND STREET PIKEVILLE,KY41501	61-6001430	CITY OF PIKEVILLE	14,167	0			SPONSOR PROGRAMS
(5) KENTUCKY CHAMBER FOUNDATION 464 CHENAULT ROAD FRANKFORT,KY40601	61-1284992	501(C)(3)	12,500	0			SPONSOR EVENT
(6) SHAPING OUR APPALACHIAN REGION INC 134 MAIN STREET SUITE 300 PIKEVILLE,KY41501	37-1760428	501(C)(3)	100,000	0			SPONSOR PROGRAM

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) 2023

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	440	75,106	FMV	421 RECIPIENTS OF 139 PRESCRIPTIONS PROVIDED, 331 INSTANCES OF TRAVEL ASSISTANCE, 15 MEDICAL EQUIPMENT PURCHASES/RENTALS AND 19 RECIPIENTS OF LODGING OR OTHER FINANCIAL ASSISTANCE.
(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) 2023

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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
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

2023

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 on 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 on 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) 2023

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1KEITH HALL MD ORTHOPEDIC SURGEON	(i) (ii)	1,042,339 ------------- 0	854,150 ------------- 0	32,792 ------------- 0	15,000 ------------- 0	35,061 ------------- 0	1,979,342 ------------- 0	0 ------------- 0
2KEVIN PUGH MD ORTHOPEDIC SURGEON	(i) (ii)	1,016,908 ------------- 0	662,533 ------------- 0	450 ------------- 0	11,250 ------------- 0	35,061 ------------- 0	1,726,202 ------------- 0	0 ------------- 0
3KENNETH KOVAL MD ORTHOPEDIC TRAUMA SURGEON	(i) (ii)	1,267,906 ------------- 0	0 ------------- 0	2,210 ------------- 0	15,000 ------------- 0	35,061 ------------- 0	1,320,177 ------------- 0	0 ------------- 0
4CHRISTOPHER REYNOLDS MD ELECTROPHYSIOLOGIST	(i) (ii)	1,196,010 ------------- 0	0 ------------- 0	300 ------------- 0	11,250 ------------- 0	35,061 ------------- 0	1,242,621 ------------- 0	0 ------------- 0
5HAZIM BUKAMUR MD CRITICAL CARE PHYSICIAN	(i) (ii)	1,213,506 ------------- 0	0 ------------- 0	300 ------------- 0	0 ------------- 0	23,374 ------------- 0	1,237,180 ------------- 0	0 ------------- 0
6WILLIAM D BLACKBURN BOARD CHAIR/PRESIDENT/CEO	(i) (ii)	949,290 ------------- 0	0 ------------- 0	187,954 ------------- 0	15,000 ------------- 0	35,061 ------------- 0	1,187,305 ------------- 0	0 ------------- 0
7AARON CRUM MD EX-OFFICIO/CMO/ASSISTANT CEO	(i) (ii)	842,923 ------------- 0	0 ------------- 0	73,375 ------------- 0	15,000 ------------- 0	1,117 ------------- 0	932,415 ------------- 0	0 ------------- 0
8ERICH BLACKBURN EX-OFFICIO/CHIEF LEGAL OFFICER-SR. V	(i) (ii)	540,961 ------------- 0	0 ------------- 0	24,962 ------------- 0	15,000 ------------- 0	35,061 ------------- 0	615,984 ------------- 0	0 ------------- 0
9MICHELLE HAGY EX-OFFICIO/CFO/SR. VP FINANCE	(i) (ii)	458,274 ------------- 0	0 ------------- 0	41,414 ------------- 0	14,945 ------------- 0	35,061 ------------- 0	549,694 ------------- 0	0 ------------- 0
10KANSAS JUSTICE CHIEF OPERATING OFFICER-SR. VP	(i) (ii)	416,169 ------------- 0	0 ------------- 0	71,299 ------------- 0	11,250 ------------- 0	35,061 ------------- 0	533,779 ------------- 0	0 ------------- 0
11JENNIFER ERIN MULLINS MD BOD/CHIEF OF STAFF/OBGYN (BEG 01/24)	(i) (ii)	446,872 ------------- 0	0 ------------- 0	1,138 ------------- 0	12,350 ------------- 0	35,061 ------------- 0	495,421 ------------- 0	0 ------------- 0
12MICHELLE RAINEY CHIEF NURSING OFFICER-SR. VP	(i) (ii)	336,042 ------------- 0	0 ------------- 0	54,648 ------------- 0	13,520 ------------- 0	35,061 ------------- 0	439,271 ------------- 0	0 ------------- 0
13JOHN WATSON MD BOD/CHIEF OF STAFF/HOSPITALIST (END	(i) (ii)	342,283 ------------- 0	30,000 ------------- 0	300 ------------- 0	11,250 ------------- 0	23,747 ------------- 0	407,580 ------------- 0	0 ------------- 0
14TONY DAMRON CHIEF INFORMATION OFFICER-SR. VP	(i) (ii)	291,075 ------------- 0	0 ------------- 0	19,316 ------------- 0	7,897 ------------- 0	35,042 ------------- 0	353,330 ------------- 0	0 ------------- 0
15CHERYL HICKMAN CHIEF REGULATORY OFFICER-SR. VP (END	(i) (ii)	270,226 ------------- 0	5,000 ------------- 0	20,778 ------------- 0	10,764 ------------- 0	29,204 ------------- 0	335,972 ------------- 0	0 ------------- 0
16MELISSA THACKER CHIEF QUALITY OFFICER-SR. VP	(i) (ii)	272,656 ------------- 0	0 ------------- 0	23,363 ------------- 0	14,806 ------------- 0	1,096 ------------- 0	311,921 ------------- 0	0 ------------- 0
17MARCUS CONLEY VP FINANCE	(i) (ii)	239,714 ------------- 0	1,000 ------------- 0	532 ------------- 0	6,159 ------------- 0	35,018 ------------- 0	282,423 ------------- 0	0 ------------- 0
18DAVID HALCOMB FORMER ASSISTANT CFO	(i) (ii)	174,222 ------------- 0	1,000 ------------- 0	6,488 ------------- 0	7,463 ------------- 0	34,810 ------------- 0	223,983 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

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

Schedule J (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

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

OMB No. 1545-0047

2023

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 section 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 the organization managers or disqualified persons during the year under section 4958. ........................... $

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

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
(1) ELIZABETH BURCHETT	SPOUSE OF BOARD MEMBER	10,033	EMPLOYEE TUITION ASSISTANCE AGREEMENT REIMBURSEMENT	CONTINUING EDUCATION

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

Cat. No. 50056A

Schedule L (Form 990) 2023

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 ANDERSON	DAUGHTER OF BOARD MEMBER	61,736	COMPENSATION		No
(2) ASHLEY JOHNSON	DAUGHTER OF BOARD MEMBER	99,805	COMPENSATION		No
(3) KIERSTEN WOODS SHURTLEFF	DAUGHTER-IN-LAW OF BOARD MEMBER	52,492	COMPENSATION		No
(4) RHONDA BLACKBURN	SPOUSE OF CLO/EX-OFFICIO BOARD MEMBER	166,664	COMPENSATION		No
(5) ROBERT SHURTLEFF DO	SON OF BOARD MEMBER	209,000	COMPENSATION		No
(6) SARAH TAYLOR	DAUGHTER OF KEY EMPLOYEE	111,506	COMPENSATION		No
(7) SHELDON THACKER	SPOUSE OF KEY EMPLOYEE	123,898	COMPENSATION		No
(8) TRISTAN BLACKBURN	SON OF PMC PRESIDENT/CEO & BOARD CHAIRPERSON	133,748	COMPENSATION		No
(9) CHRISTIAN HAGY	SON OF PMC CFO/EX-OFFICIO BOARD MEMBER	82,538	COMPENSATION		No
(10) DEBRA BLACKBURN	SPOUSE OF PMC PRESIDENT/CEO & BOARD CHAIRPERSON	114,144	COMPENSATION		No
(11) AMY BLACKBURN	DAUGHTER-IN-LAW OF PMC PRESIDENT/CEO & BOARD CHAIRPERSON	39,464	COMPENSATION		No
(12) ANGELIA CRUM	SPOUSE OF CMO/EX-OFFICIO BOARD MEMBER	39,816	COMPENSATION		No
(13) BRAXTON DAMRON	SON OF KEY EMPLOYEE	29,344	COMPENSATION		No
(14) BROOKE SHURTLEFF	DAUGHTER-IN-LAW OF BOARD MEMBER	33,836	COMPENSATION		No
(15) ELIZABETH BURCHETT	SPOUSE OF BOARD MEMBER	111,795	COMPENSATION		No
(16) KETERAH WATSON	SPOUSE OF CHIEF OF STAFF/BOARD MEMBER	55,675	COMPENSATION		No
(17) MOUNTAIN TOP MEDIA LLC	SPOUSE OF BOARD MEMBER IS > 35% OWNER	105,033	COMPENSATION		No
(18) BIT SOURCE LLC	SPOUSE OF BOARD MEMBER IS > 35% OWNER	45,500	COMPENSATION		No
(19) GINA SALISBURY	SISTER-IN-LAW OF KEY EMPLOYEE	33,394	COMPENSATION		No

Part V

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

Return Reference	Explanation

Schedule L (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

OMB No. 1545-0047

2023

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 B, LINE 11B	THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE CFO PRIOR TO FILING. ADDITIONALLY, THE GOVERNING BODY WILL REVIEW THE FINAL FORM 990 INCLUDING REQUESTED SCHEDULES AT THE NEXT BOARD MEETING. THE FINAL FORM 990 IS PROVIDED ELECTRONICALLY TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 12C	AS TO BOARD MEMBERS, UPDATES TO THE CONFLICT OF INTEREST FORMS ARE COMPLETED ANNUALLY WITH VOLUNTARY DISCLOSURE OF CONFLICT ON ANY PARTICULAR ISSUE. THERE IS NO PARTICIPATION, DISCUSSION OR VOTE TAKEN ON THESE; HOWEVER, THE HOSPITAL ATTORNEY IS PROVIDED A COPY OF ALL INTERESTS OF EACH MEMBER TO ENSURE COMPLIANCE WITH THE POLICY. THESE ARE REGULARLY AND CONSISTENTLY MONITORED FOR ANY CHANGES. AS TO EMPLOYEES, THERE IS A WRITTEN CONFLICT OF INTEREST POLICY WHICH TOO IS REGULARLY AND CONSISTENTLY MONITORED AND ENFORCED BY HUMAN RESOURCES AND ADMINISTRATION AS NECESSARY. THIS POLICY IS INTENDED TO IDENTIFY AND RESOLVE CONFLICTS OF INTEREST WHICH MAY OCCUR RELATED TO FINANCIAL, BUSINESS, OR PROFESSIONAL INTERESTS. THE POLICY IS IN PLACE TO IDENTIFY AND RESOLVE A CONFLICT OF INTEREST WHICH MAY OCCUR ANY TIME THERE IS A SITUATION IN WHICH ONE'S ABILITY TO MAKE OBJECTIVE, JOB RELATED BUSINESS DECISIONS MAY BE INFLUENCED BY, OR HAVE THE APPEARANCE OF BEING INFLUENCED BY, OUTSIDE ACTIVITIES OR PERSONAL INTERESTS. POTENTIAL CONFLICTS OF INTEREST MAY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: 1. WORKING A SECOND JOB AT A COMPETING HEALTHCARE ENTITY WHICH MAY ALLOW THE TRANSFER OF CONFIDENTIAL BUSINESS INFORMATION OR INFLUENCE REFERRAL PATTERNS. 2. ALLOWING THE DEMANDS OF OUTSIDE ACTIVITIES TO HINDER OR DISTRACT YOU FROM THE PERFORMANCE OF YOUR JOB OR CAUSE YOU TO USE PIKEVILLE MEDICAL CENTER RESOURCES FOR OTHER THAN PIKEVILLE MEDICAL CENTER PURPOSES. 3. HOLDING AN OWNERSHIP INTEREST, MANAGEMENT, OR BOARD OF DIRECTORS POSITION IN A COMPANY WITH WHOM PIKEVILLE MEDICAL CENTER DOES BUSINESS WHICH MAY LEAD TO THE INDIVIDUAL'S PERSONAL GAIN/BENEFIT. "OWNERSHIP INTEREST" MEANS SERVING AS A BOARD DIRECTOR OR OFFICER OR OWNING MORE THAN 5% OF THE BUSINESS OR CORPORATION. 4. HAVING AN IMMEDIATE FAMILY MEMBER OR SIGNIFICANT OTHER WHO HOLDS AN OWNERSHIP INTEREST IN A COMPANY WITH WHOM PIKEVILLE MEDICAL CENTER DOES BUSINESS WHICH MAY LEAD TO THE INDIVIDUAL'S PERSONAL GAIN/BENEFIT. "OWNERSHIP INTEREST" MEANS SERVING AS A BOARD DIRECTOR OR OFFICER OR OWNING MORE THAN 5% OF THE BUSINESS OR CORPORATION. 5. HAVING AN IMMEDIATE FAMILY MEMBER OR SIGNIFICANT OTHER EMPLOYED BY THE PIKEVILLE MEDICAL CENTER AND WORKING WITHIN THE SAME DIRECT LINE OF AUTHORITY (ABOVE OR BELOW) AS THE FIRST EMPLOYEE. IMMEDIATE FAMILY MEMBERS INCLUDE SPOUSES, ANCESTORS, CHILDREN, GRANDCHILDREN, GREAT GRANDCHILDREN, BROTHERS AND SISTERS AND THE SPOUSES OF THOSE INDIVIDUALS. THE SCOPE OF THIS POLICY INCLUDES: PIKEVILLE MEDICAL CENTER AND ALL ITS DEPARTMENTS AND SERVICES WHEREVER LOCATED. THE COVERED INDIVIDUALS ARE TO FOLLOW THESE PROCEDURES: 1. ALL MANAGEMENT PERSONNEL SHALL COMPLETE A DUALITY AND CONFLICT OF INTEREST FORM AT THE TIME OF INITIAL EMPLOYMENT AND ANNUALLY THEREAFTER. 2. EMPLOYEE CONFLICT OF INTEREST FORMS SHALL BE FILED IN THEIR PERSONNEL FILES. 3. IN THE EVENT THAT AN EMPLOYEE'S JOB DESCRIPTION OR DUTIES REQUIRES A BUSINESS RELATED DECISION TO BE MADE IN AN AREA IN WHICH A PERSONAL CONFLICT OF INTEREST HAS BEEN IDENTIFIED, THE EMPLOYEE SHALL NOTIFY HIS/HER SUPERVISOR TO ARRANGE FOR AN ALTERNATIVE DECISION MAKING PROCESS WHICH WILL MAINTAIN OBJECTIVITY AND ELIMINATE PERSONAL BIAS, I.E. PERSONAL WITHDRAWAL FROM THE DECISION MAKING PROCESS, SOLICITATION OF CLOSED BIDS, OR UTILIZATION OF AN INDEPENDENT SELECTION COMMITTEE. 4. IF AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF ETHICS IS IDENTIFIED INVOLVING PATIENT CARE OR TREATMENT, THE EMPLOYEE SHOULD SEEK ASSISTANCE FROM THEIR SUPERVISOR TO FIND A RESOLUTION WHICH WOULD HAVE MINIMUM IMPACT ON PATIENT CARE, TREATMENT, OR SERVICES.
FORM 990, PART VI, SECTION B, LINE 15	LINE 15A: THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE SALARY OF THE ORGANIZATION'S CEO. THE COMMITTEE USES COMPARATIVE DATA FROM NATIONAL SALARY SURVEYS AND FORM 990 OF OTHER SIMILAR ORGANIZATIONS. MOTIONS AND APPROVALS FROM THE COMMITTEE ARE DOCUMENTED AND KEPT IN THE BOARD MINUTES. THE SALARY IS ALSO INDEPENDENTLY REVIEWED WITH AN OPINION RENDERED BY AN EXTERNAL CONSULTING FIRM. LINE 15B: THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE SALARY OF THE ORGANIZATION'S OTHER OFFICERS/SENIOR VICE PRESIDENTS. THE COMMITTEE USES COMPARATIVE DATA FROM NATIONAL SALARY SURVEYS. MOTIONS AND APPROVALS FROM THE COMMITTEE ARE DOCUMENTED AND KEPT IN THE BOARD MINUTES. THE SALARY INFORMATION IS ALSO INDEPENDENTLY REVIEWED WITH AN OPINION RENDERED BY AN EXTERNAL CONSULTING FIRM.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES THE FORM 990, WHICH INCLUDES THE ANNUAL AUDITED FINANCIAL STATEMENTS, AVAILABLE TO THE PUBLIC UPON REQUEST
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 36,656,856. MANAGEMENT AND GENERAL EXPENSES 3,827,409. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,484,265. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 19,459,260. MANAGEMENT AND GENERAL EXPENSES 2,031,776. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,491,036. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 7,753,800. MANAGEMENT AND GENERAL EXPENSES 809,588. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,563,388.
FORM 990, PART III, LINE 4D	(CONTINUED) EMERGENCY DEPARTMENT: LEADING THE REGION IN LIFESAVING, INCLUSIVE CARE WITH 45,513 PATIENT VISITS LAST YEAR, THE EMERGENCY DEPARTMENT (ED) REMAINS ONE OF THE BUSIEST IN THE REGION, SERVING AS A CRITICAL LIFELINE FOR EASTERN KENTUCKY AND SURROUNDING RURAL COMMUNITIES, WHERE ACCESS TO IMMEDIATE CARE IS OFTEN LIMITED. STAFFED BY BOARD-CERTIFIED EMERGENCY PHYSICIANS, TRAUMA SURGEONS, NURSES, AND SPECIALISTS, THE ED IS EQUIPPED TO MANAGE A WIDE RANGE OF EMERGENCIES, FROM STROKES AND HEART ATTACKS TO PEDIATRIC AND TRAUMA EMERGENCIES. RAPID TRIAGE, INTEGRATION WITH INPATIENT AND SPECIALTY SERVICES, AND CUTTING-EDGE DIAGNOSTICS ENSURE PATIENTS RECEIVE TIMELY, COORDINATED CARE WHEN EVERY SECOND COUNTS. A REGIONAL TRAUMA LEADER IN A LANDMARK ACHIEVEMENT, PMC BECAME KENTUCKY'S ONLY LEVEL II TRAUMA CENTER, ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS (ACS). THIS ELITE DESIGNATION CONFIRMS PMC'S CAPACITY TO DELIVER ADVANCED, IMMEDIATE CARE FOR THE MOST SEVERE AND COMPLEX INJURIESWITHOUT NEEDING TO TRANSFER PATIENTS OUT OF THE REGION. LAST YEAR, 1,164 TRAUMA CASES WERE TREATED THROUGH THIS PROGRAM, SUPPORTED BY A 24/7 TEAM OF TRAUMA SURGEONS, ORTHOPEDIC SPECIALISTS, NEUROSURGEONS, AND CRITICAL CARE PROFESSIONALS. EXPANDING TO MEET DEMAND TO SUPPORT THIS ELEVATED LEVEL OF CARE, PMC HAS COMPLETED A MULTI-MILLION-DOLLAR, 23,000-SQUARE-FOOT EXPANSION OF THE EMERGENCY DEPARTMENT. THE NEW LAYOUT ENHANCES PATIENT PRIVACY AND COMFORT AND, MOST IMPORTANTLY, REDUCES WAITING TIMES AND STREAMLINES CARE DELIVERY. FASTER TRIAGE AND TREATMENT MEAN PATIENTS ARE SEEN MORE QUICKLY BY EMERGENCY PHYSICIANS, TRANSLATING DIRECTLY INTO BETTER OUTCOMES AND SAVED LIVES. MEETING THE NEEDS OF AGING POPULATIONS PMC ALSO EARNED GERIATRIC EMERGENCY DEPARTMENT ACCREDITATION (GEDA) AT THE BRONZE LEVEL FROM THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS (ACEP). AS THE NUMBER OF OLDER ADULTS RISES, THIS CERTIFICATION ENSURES PMC MEETS NATIONAL STANDARDS FOR SENIOR-FRIENDLY EMERGENCY CARE REDUCING HOSPITAL ADMISSIONS, IMPROVING COMMUNICATION, AND PRIORITIZING SAFE, DIGNIFIED TREATMENT TAILORED TO OLDER PATIENTS' NEEDS. PEDIATRIC AND INCLUSIVE CARE INNOVATION THE ED IS ONE OF ONLY FOUR "PEDIATRIC READY" HOSPITALS IN KENTUCKY, RECOGNIZED BY THE KY EMERGENCY MEDICAL SERVICES FOR CHILDREN (KYEMSC) PROGRAM. THIS DESIGNATION ENSURES ACCESS TO CHILD-SPECIFIC PROTOCOLS, APPROPRIATELY SIZED EQUIPMENT, AND PROVIDERS TRAINED IN PEDIATRIC EMERGENCY CARE. A DEDICATED PEDIATRIC WING, FEATURING A CALMING, CHILD-FRIENDLY DESIGN, FURTHER ENHANCES THE EXPERIENCE FOR YOUNG PATIENTS AND THEIR FAMILIES. PMC BECAME KENTUCKY'S FIRST CERTIFIED AUTISM CENTER EMERGENCY DEPARTMENT, A DESIGNATION BY THE INTERNATIONAL BOARD OF CREDENTIALING AND CONTINUING EDUCATION STANDARDS (IBCCES). STAFF RECEIVE SPECIALIZED TRAINING TO ACCOMMODATE PATIENTS WITH AUTISM, SENSORY SENSITIVITIES, AND COMMUNICATION CHALLENGES, ENSURING A SAFER, MORE COMPASSIONATE EXPERIENCE FOR NEURODIVERSE PATIENTS. A HUB FOR TIME-CRITICAL INTERVENTIONS THE ED ALSO PLAYS A CENTRAL ROLE IN PMC'S PRIMARY STROKE CENTER, ENABLING THE RAPID DIAGNOSIS AND TREATMENT OF STROKE WITH ADVANCED CLOT-BUSTING THERAPIES. THE DEPARTMENT ACTS AS THE FRONT LINE FOR HIGH-STAKES EMERGENCIES TRAUMA, CARDIAC, STROKE, PEDIATRIC, AND MORE CONNECTING PATIENTS TO SPECIALIZED IN-HOUSE SERVICES 24/7. SETTING THE STANDARD FOR EMERGENCY CARE THESE MILESTONES REPRESENT MORE THAN JUST CLINICAL ACHIEVEMENT; THEY REFLECT PMC'S MISSION TO DELIVER EXCEPTIONAL, ACCESSIBLE AND INCLUSIVE EMERGENCY CARE TO EVERY CORNER OF EASTERN KENTUCKY. FROM SENIORS WITH CHRONIC CONDITIONS TO CHILDREN WITH AUTISM, FROM COMPLEX TRAUMA CASES TO STROKE INTERVENTIONS, PMC'S EMERGENCY DEPARTMENT IS SETTING THE STANDARD, NOT JUST MEETING IT. AS HEALTHCARE EVOLVES, PMC CONTINUES TO LEAD WITH BOLD INVESTMENTS, INCLUSIVE CARE MODELS, AND NATIONALLY RECOGNIZED EXCELLENCE, PROVING THAT WORLD-CLASS EMERGENCY CARE BELONGS IN EVERY COMMUNITY, ESPECIALLY THE ONES THAT NEED IT MOST. LABORATORY SERVICES: INFRASTRUCTURE DEVELOPMENT ALIGNS WITH GROWTH AND INNOVATION PMC CONTINUES TO SET A HIGH STANDARD IN CLINICAL DIAGNOSTICS BY INVESTING IN ITS PEOPLE AND INFRASTRUCTURE. THE LABORATORY AT PMC IS POWERED BY A HIGHLY SKILLED AND CERTIFIED TEAM OF 79 DEDICATED EMPLOYEES. AMONG THEM ARE 23 MEDICAL LABORATORY SCIENTISTS WITH BACHELOR'S DEGREES AND 19 MEDICAL LABORATORY TECHNICIANS WITH ASSOCIATE'S DEGREES FORMING THE BACKBONE OF THE LAB'S DIAGNOSTIC EXPERTISE. NOTABLY, 100% OF PHLEBOTOMISTS EMPLOYED AT PMC ARE CERTIFIED, A DEPARTMENT-WIDE STANDARD THAT REFLECTS A STEADFAST COMMITMENT TO QUALITY SPECIMEN COLLECTION AND EXCEPTIONAL PATIENT CARE. THE LABORATORY'S STRENGTH ALSO LIES IN ITS STABILITY AND INSTITUTIONAL KNOWLEDGE. SEVEN VETERAN EMPLOYEES BOAST OVER 25 YEARS OF SERVICE, BRINGING UNPARALLELED INSIGHT AND DEDICATION TO DAILY OPERATIONS AND LONG-TERM STRATEGIC DEVELOPMENT. UNDER THE GUIDANCE OF THE CURRENT LABORATORY DIRECTOR, THERE HAS BEEN A RENEWED FOCUS ON HIRING CERTIFIED, HIGHLY QUALIFIED PERSONNEL. THIS LEVEL OF PROFESSIONALISM IS MORE THAN A DEPARTMENT GOAL; IT IS A STANDARD PROTOCOL THROUGHOUT THE ORGANIZATION. THIS FOCUS ENSURES THE LAB REMAINS COMPLIANT AND COMPETITIVE IN A RAPIDLY EVOLVING HEALTHCARE ENVIRONMENT. PMC LABORATORY MAINTAINS THE HIGHEST STANDARDS OF QUALITY AND SAFETY. IT IS CURRENTLY WITHIN ITS COLLEGE OF AMERICAN PATHOLOGISTS (CAP) SURVEY WINDOW; CAP ACCREDITATION IS WIDELY REGARDED AS THE GOLD STANDARD IN LABORATORY QUALITY ASSURANCE, UNDERSCORING PMC'S COMMITMENT TO EXCELLENCE. ADDITIONALLY, THE LAB UNDERGOES ANNUAL INSPECTIONS BY THE OFFICE OF INSPECTOR GENERAL, SPECIFICALLY TARGETING BLOOD BANK COMPLIANCE TO ENSURE THE HIGHEST LEVELS OF REGULATORY ADHERENCE AND PATIENT SAFETY. PMC'S INFRASTRUCTURE DEVELOPMENT HAS CONSISTENTLY KEPT PACE WITH ITS STAFFING EXPANSION AND EVOLVING REGULATORY LANDSCAPE, ENSURING SEAMLESS SUPPORT FOR HIGH-QUALITY CARE. THE FOUNDATION FOR THIS GROWTH WAS LAID IN 2018 WITH THE UPGRADE OF THE MAIN LABORATORY, AN ESSENTIAL PROJECT THAT SET THE STAGE FOR ALL FUTURE ADVANCEMENTS. THAT SAME YEAR, PMC SIGNIFICANTLY EXPANDED ITS DIAGNOSTIC CAPABILITIES WITH THE COMPLETION OF A DEDICATED MICROBIOLOGY LAB. BUILDING ON THIS MOMENTUM, THE ORGANIZATION CONVERTED UNUSED SHELL SPACE INTO A FULLY FUNCTIONAL LABORATORY SUITE. THIS NEW SPACE NOW SUPPORTS A BROAD ARRAY OF SERVICES, INCLUDING BLOOD DRAWS, THERAPEUTIC PHLEBOTOMY, URINE DRUG SCREENS, BREATH ALCOHOL TESTING AND SPECIALIZED GENETIC TESTING. MOST RECENTLY, PMC LAUNCHED A COMPREHENSIVE LABORATORY RENOVATION & AUTOMATION OVERHAUL, A TRANSFORMATIVE PROJECT DESIGNED TO MEET RISING TEST VOLUMES AND IMPROVE OPERATIONAL EFFICIENCY. THE INITIATIVE INTRODUCED 13 UPGRADED INSTRUMENTS AND FIVE NEW ONES AND INTEGRATED A CUTTING-EDGE AUTOMATION LINE THAT CONNECTS PREVIOUSLY ISOLATED ANALYZERS, DRAMATICALLY REDUCING TURNAROUND TIMES. AT THE CORE OF THIS INNOVATION IS A NEW "COMMAND CENTRAL" WORKSTATION, ALLOWING TECHNICIANS TO MONITOR ALL INSTRUMENTS FROM A SINGLE POINT. THIS HUB HAS PROVEN ESPECIALLY VITAL DURING EVENING AND NIGHT SHIFTS, ENHANCING OVERSIGHT WHEN STAFFING IS LIMITED. THE RESULTS ARE PRECISE: STREAMLINED WORKFLOWS, REDUCED ERRORS, INCREASED EFFICIENCY, AND STRONGER, UNINTERRUPTED SUPPORT FOR PATIENT CARE. THE DEPARTMENT CURRENTLY PROCESSES 98% OF ALL LABS TESTING IN-HOUSE, EXCEEDING 1.3 MILLION TESTS LAST YEAR, AND RANKS SECOND ONLY TO THE PHARMACY IN HOSPITAL GROSS REVENUE. THE LAB IS ON TRACK FOR A 10% REVENUE INCREASE OVER THE PREVIOUS FISCAL YEAR. PMC LABORATORY SERVICES IS CAP-ACCREDITED, WITH REGULAR INSPECTIONS BY THE OFFICE OF THE INSPECTOR GENERAL, AND CONTINUES TO EXPAND ITS OUTPATIENT SERVICES, INCLUDING GENETIC TESTING, THERAPEUTIC DRAWS AND TOXICOLOGY. PMC LABORATORY'S ONGOING IMPROVEMENTS IN PERSONNEL, COMPLIANCE, AND TECHNOLOGY REFLECT A LONG-TERM VISION FOR INNOVATION AND QUALITY. WITH STRONG LEADERSHIP, EXPERIENCED STAFF, AND STATE-OF-THE-ART SYSTEMS, THE LAB IS WELL-POSITIONED TO MEET GROWING DEMAND WHILE MAINTAINING THE HIGHEST STANDARDS OF CLINICAL EXCELLENCE. (CONTINUED)
FORM 990, PART III, LINE 4D	COMMITTED TO CARE: CALLED TO SERVE PMC'S GROWTH IS ABOUT MORE THAN NEW BUILDINGS OR ADVANCED TECHNOLOGY; IT'S ABOUT PEOPLE. IT'S ABOUT THE MOTHER IN RURAL LETCHER COUNTY WHO NO LONGER HAS TO TRAVEL FOR HOURS FOR HER CHILD'S PEDIATRIC SPECIALTY CARE. THE GRANDFATHER IN FLOYD COUNTY IS RECEIVING CANCER TREATMENT CLOSE TO HOME. A JOHNSON COUNTY CHILD WITH AUTISM IS THRIVING IN A SENSORY-FRIENDLY THERAPEUTIC PLAYGROUND DESIGNED JUST FOR THEM. THESE AREN'T JUST STORIES, THEIR LIVES CHANGED BY A VISION BROUGHT TO LIFE. THROUGH INITIATIVES LIKE THE METTU CHILDREN'S HOSPITAL, AVA AUTISM CENTERS, A DEDICATED PEDIATRIC EMERGENCY DEPARTMENT, AN ACCREDITED HEART AND VASCULAR INSTITUTE, AND A NATIONALLY RECOGNIZED CANCER CENTER, PMC IS SHAPING A COMPREHENSIVE CONTINUUM OF CARE FOR EVERY AGE AND STAGE OF LIFE. NEW INVESTMENTS IN PREVENTIVE CARE, ENDOCRINOLOGY, BARIATRIC MEDICINE AND DIABETES EDUCATION ARE HELPING PATIENTS TAKE OWNERSHIP OF THEIR HEALTH, SUPPORTED BY COMPASSIONATE PROFESSIONALS AND MODERN, ACCESSIBLE SERVICES. AT EVERY STEP, PMC STAYS GROUNDED IN ITS MISSION: TO SERVE WITH COMPASSION IN A CHRISTIAN ENVIRONMENT AND TO BE BOTH THE PROVIDER AND EMPLOYER OF CHOICE ACROSS THE REGION. LOOKING AHEAD, OUR COMMITMENT REMAINS STRONG. PIKEVILLE MEDICAL CENTER WILL CONTINUE TO EXPAND ACCESS, BUILD TRUST AND DELIVER WORLD-CLASS CARE - NOT JUST BECAUSE IT'S NEEDED, BUT BECAUSE OUR COMMUNITIES DESERVE IT. WITH INNOVATION LED BY HEART AND PROGRESS POWERED BY PURPOSE, PMC ISN'T JUST ADVANCING HEALTHCARE; WE'RE CHANGING LIVES.

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

Cat. No. 51056K

Schedule O (Form 990) 2023

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

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 OF PIKEVILLE MEDICAL CENTER, INC.	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) 2023

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?		(k) Percentage ownership
(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	(k) Percentage ownership

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	(h) Percentage ownership	Yes	No
(1) LANDMARK PROPERTIES OF PIKEVILLE INC PO BOX 1259 PIKEVILLE,KY41502 46-2494613	LODGING	KY	PIKEVILLE MEDICAL CENTER INC	C	3,615,947	4,691,088	100.000 %	Yes

Schedule R (Form 990) 2023

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) ............................

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) ......................

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

Yes

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) ............................

Yes

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

Yes

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

Yes

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

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) LANDMARK PROPERTIES OF PIKEVILLE INC	J	25,243	COST
(2) LANDMARK PROPERTIES OF PIKEVILLE INC	M	1,439,512	COST
(3) LANDMARK PROPERTIES OF PIKEVILLE INC	P	59,199	COST
(4) LANDMARK PROPERTIES OF PIKEVILLE INC	Q	435,811	CASH
(5) PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE INC	C	457,158	CASH
(6) PIKEVILLE MEDICAL CENTER FOUNDATION FOR QUALITY HEALTHCARE INC	Q	164,180	CASH
(7) LANDMARK PROPERTIES OF PIKEVILLE INC	L	28,000	COST

Schedule R (Form 990) 2023

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2023

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) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE CENTER'S MISSION IS TO ADVANCE THE HEALTH AND WELL-BEING OF OUR REGION THROUGH COMPREHENSIVE CARE IN A CHRISTIAN ENVIRONMENT.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
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 2023 (Part V, line 2a) ......	5	4,001
6	Total number of volunteers (estimate if necessary) .............	6	191
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	5,785,174
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	1,063,089

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	6,667,394	5,255,828
9	Program service revenue (Part VIII, line 2g) .........	598,099,939	632,843,410
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	7,093,247	10,083,242
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	40,919,830	40,726,060
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	652,780,410	688,908,540
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	192,545	384,536
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)	327,557,003	355,111,083
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)....	295,502,376	313,233,812
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	623,251,924	668,729,431
19	Revenue less expenses. Subtract line 18 from line 12.......	29,528,486	20,179,109
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	671,107,372	706,319,723
21	Total liabilities (Part X, line 26).............	315,762,040	313,217,032
22	Net assets or fund balances. Subtract line 21 from line 20.....	355,345,332	393,102,691

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 168,284,949 including grants of $ ) (Revenue $ 69,404,055 )
	PHYSICIAN PRACTICES:OUTPATIENT SERVICES: EXPANDING ACCESS, DELIVERING CAREOUTPATIENT CARE REMAINS A CORNERSTONE OF PIKEVILLE MEDICAL CENTER'S MISSION, PROVIDING ESSENTIAL ACCESS POINTS FOR PREVENTION, EARLY DIAGNOSIS, CHRONIC DISEASE MANAGEMENT, AND ONGOING TREATMENT. IN THE PAST YEAR ALONE, PMC RECORDED AN IMPRESSIVE 327,228 CLINIC VISITS ACROSS ITS GROWING NETWORK OF PRIMARY CARE, SPECIALTY CARE, AND URGENT CARE LOCATIONS.THIS EXTRAORDINARY VOLUME REFLECTS THE REGION'S INCREASING DEMAND FOR ACCESSIBLE, HIGH-QUALITY CARE AND PMC'S ROLE IN MEETING THAT NEED WITH TIMELY, COMPASSIONATE SERVICE. WHETHER IN RURAL COMMUNITIES OR URBAN CENTERS, PMC'S OUTPATIENT NETWORK ENSURES PATIENTS CAN RECEIVE THE CARE THEY NEED WITHOUT THE BARRIERS OF LONG-DISTANCE TRAVEL OR DELAYED APPOINTMENTS.PMC'S TEAM OF EXPERT PROVIDERS SPANS A WIDE ARRAY OF MEDICAL SPECIALTIES, OFFERING CARE THAT RANGES FROM ROUTINE CHECK-UPS AND SCREENINGS TO THE MANAGEMENT OF COMPLEX DISEASES AND SPECIALTY INTERVENTIONS. THESE PRACTICES PLAY A VITAL ROLE IN SUPPORTING THE LONG-TERM HEALTH AND WELL-BEING OF PATIENTS ACROSS EASTERN KENTUCKY, ACTING AS THE FRONTLINE OF HEALTHCARE DELIVERY IN THE REGION.AS HEALTHCARE CONTINUES TO EVOLVE, PMC REMAINS COMMITTED TO GROWING ITS OUTPATIENT FOOTPRINT, INVESTING IN TECHNOLOGY, INFRASTRUCTURE, AND WORKFORCE DEVELOPMENT TO ENSURE THAT EVERY PATIENT REGARDLESS OF LOCATION HAS ACCESS TO THE CARE THEY NEED, WHEN THEY NEED IT.CARDIOLOGY PRACTICE: 23,295 VISITSPMC'S RENOWNED CARDIOVASCULAR TEAM CONTINUES TO PROVIDE COMPREHENSIVE HEART CARE, FROM PREVENTIVE SCREENINGS TO ADVANCED DIAGNOSTICS AND INTERVENTIONAL PROCEDURES. THE HIGH VOLUME REFLECTS A DEEP REGIONAL NEED FOR SPECIALIZED CARDIAC SERVICES.PEDIATRIC PRACTICE: 14,259 VISITSPMC'S PEDIATRIC PROVIDERS OFFER A TRUSTED, CHILD-CENTERED APPROACH TO CARE, HELPING FAMILIES WITH EVERYTHING FROM WELL-CHILD VISITS AND IMMUNIZATIONS TO THE MANAGEMENT OF CHRONIC PEDIATRIC CONDITIONS.PRIMARY CARE (PIKEVILLE): 11,746 VISITSAS A FIRST POINT OF CONTACT FOR MANY, PMC'S PRIMARY CARE PHYSICIANS SERVE AS LONG-TERM HEALTH PARTNERS FOR PATIENTS OF ALL AGES, PROVIDING PREVENTIVE CARE AND MANAGING ONGOING HEALTH ISSUES.ONCOLOGY PRACTICE: 11,240 VISITSTHE ONCOLOGY DEPARTMENT CONTINUES TO DELIVER CUTTING-EDGE CANCER CARE, OFFERING CHEMOTHERAPY, RADIATION, AND SUPPORT SERVICES CLOSE TO HOME. PMC'S COMMITMENT TO ONCOLOGY ENSURES PATIENTS RECEIVE COORDINATED CARE THROUGHOUT THEIR TREATMENT JOURNEY.RHEUMATOLOGY: 5,196 VISITSWITH RISING DEMAND FOR AUTOIMMUNE AND MUSCULOSKELETAL CARE, PMC'S RHEUMATOLOGY SPECIALISTS PROVIDE EXPERT DIAGNOSIS AND MANAGEMENT OF CONDITIONS SUCH AS ARTHRITIS, LUPUS, AND FIBROMYALGIA.PRIMARY CARE (PRESTONSBURG): 7,931 VISITSTHE EXPANSION OF SERVICES TO PRESTONSBURG REFLECTS PMC'S REGIONAL GROWTH AND DEDICATION TO IMPROVING ACCESS IN UNDERSERVED AREAS.PMC'S URGENT CARE LOCATIONS PROVIDE A CRITICAL LINK FOR PATIENTS NEEDING PROMPT, NON-EMERGENCY CARE. WITH WALK-IN AVAILABILITY AND EXTENDED HOURS, THESE CENTERS REDUCE STRAIN ON EMERGENCY SERVICES WHILE MEETING COMMUNITY NEEDS:- URGENT CARE PIKEVILLE: 20,218 VISITS- URGENT CARE PRESTONSBURG: 9,127 VISITSTHESE NUMBERS UNDERSCORE THE CRUCIAL ROLE OF URGENT CARE IN BRIDGING THE GAP BETWEEN PRIMARY CARE AND EMERGENCY SERVICES, PARTICULARLY FOR WORKING FAMILIES AND INDIVIDUALS IN RURAL COMMUNITIES.

4b	(Code: ) (Expenses $ 91,905,560 including grants of $ ) (Revenue $ 133,777,539 )
	SURGICAL SERVICES:SURGICAL EXPANSION: ADVANCING ACCESS AND EXCELLENCEPMC HAS REACHED A MAJOR MILESTONE IN ITS COMMITMENT TO SURGICAL EXCELLENCE WITH THE ADDITION OF FOUR NEW STATE-OF-THE-ART OPERATING SUITES, BRINGING THE TOTAL TO 24 FULLY EQUIPPED OPERATING ROOMS (OR) ON ITS MAIN CAMPUS. THIS EXPANSION MARKS A BOLD INVESTMENT IN THE HEALTH INFRASTRUCTURE OF EASTERN KENTUCKY AND CENTRAL APPALACHIA, STRENGTHENING PMC'S ABILITY TO MEET THE REGION'S GROWING DEMAND FOR SURGICAL CARE.DESIGNED WITH CUTTING-EDGE TECHNOLOGY AND MODERN WORKFLOW OPTIMIZATION, THE NEW OR SUITES IMPROVE EVERY ASPECT OF SURGICAL DELIVERY. ENHANCED STERILITY STANDARDS STREAMLINED ROOM TURNOVER, AND SEAMLESS COORDINATION AMONG SURGICAL, ANESTHESIA AND SUPPORT TEAMS ALLOWS PMC TO PROVIDE MORE TIMELY, EFFICIENT, AND ADVANCED CARE THAN EVER BEFORE.THIS GROWTH ALSO POSITIONS PMC AS A LEADING REGIONAL HUB FOR GENERAL AND SPECIALTY SURGERY. FROM URGENT PROCEDURES TO COMPLEX, ELECTIVE OPERATIONS, PMC'S GENERAL SURGERY TEAM LEVERAGES MINIMALLY INVASIVE TECHNIQUES, ADVANCED IMAGING AND MULTI-SPECIALTY COLLABORATION TO DELIVER EXCEPTIONAL PATIENT OUTCOMES. AS SURGICAL VOLUMES RISE AND CASE COMPLEXITY INCREASES, THIS EXPANSION ENSURES THAT PMC REMAINS FULLY EQUIPPED TO SERVE BOTH THE CURRENT AND FUTURE NEEDS OF THE COMMUNITIES IT SUPPORTS.GENERAL SURGERY SERVICES INCLUDE: EMERGENCY AND TRAUMA SURGERY LAPAROSCOPIC AND MINIMALLY INVASIVE PROCEDURES HERNIA REPAIRS GALLBLADDER AND APPENDECTOMY PROCEDURES ENDOCRINE SURGERY COLORECTAL, GI, AND SOFT TISSUE SURGERIESRAISING THE BAR IN RURAL SURGERY: PMC ACHIEVES NATIONAL RECOGNITION AND EXPANDS ACCESSIN 2025, PIKEVILLE MEDICAL CENTER (PMC) MADE HISTORY AS THE FIRST AND ONLY HOSPITAL IN KENTUCKY AND ONE OF JUST 12 NATION WIDE TO RECEIVE THE EMERGENCY GENERAL SURGERY VERIFICATION PROGRAM (EGS-VP) DESIGNATION FROM THE AMERICAN COLLEGE OF SURGEONS (ACS). THIS PRESTIGIOUS RECOGNITION AFFIRMS PMC'S UNWAVERING COMMITMENT TO DELIVERING TIMELY, SAFE, AND HIGH-QUALITY EMERGENCY GENERAL SURGERY, 24/7.THE EGS-VP DISTINCTION HIGHLIGHTS PMC'S ROBUST SURGICAL PROTOCOLS, SEAMLESS TRAUMA COORDINATION, AND PROVEN ABILITY TO MANAGE COMPLEX, LIFE-THREATENING EMERGENCIES WITH UNMATCHED CONSISTENCY. IT PLACES PMC AMONG A SELECT GROUP OF HOSPITALS, SETTING THE NATIONAL STANDARD FOR EMERGENCY SURGICAL CARE, A RARE ACHIEVEMENT FOR A RURAL MEDICAL CENTER.THIS MILESTONE COINCIDES WITH THE ADDITION OF FOUR NEW STATE-OF-THE-ART OPERATING SUITES, EXPANDING PMC'S TOTAL SURGICAL CAPACITY TO 24 FULLY EQUIPPED OPERATING ROOMS. MORE THAN JUST A FACILITIES UPGRADE, THIS EXPANSION ESTABLISHES PMC AS A REGIONAL ACCESS POINT FOR ADVANCED SURGICAL CARE, DRAWING REFERRALS FROM ACROSS COUNTY LINES AND NEIGHBORING STATES FOR PROCEDURES MANY LOCAL HOSPITALS CANNOT PERFORM.THE NEW OPERATING ROOMS ARE ENGINEERED FOR EFFICIENCY, ACCURACY, AND INNOVATION, EQUIPPED WITH ADVANCED TECHNOLOGY, ROBOTIC SYSTEMS, AND OPTIMIZED LAYOUTS THAT ENHANCE WORKFLOW, ENABLING QUICKER RESPONSE TIMES, HIGHER SURGICAL CAPACITY AND SMOOTH COLLABORATION BETWEEN SURGICAL, ANESTHESIA AND SUPPORT TEAMS. THEY ALSO STRENGTHEN PMC'S ROLE IN TRAINING THE NEXT GENERATION OF SURGICAL PROFESSIONALS, SUPPORTING WORKFORCE DEVELOPMENT, CLINICAL RESEARCH, AND ONGOING INNOVATION IN SURGICAL TECHNIQUES.WITH THESE ADVANCEMENTS, PMC IS DOING MORE THAN MEETING CURRENT DEMAND; IT IS DEFINING THE FUTURE OF RURAL SURGICAL CARE. THE COMBINATION OF THE EGS-VP DESIGNATION AND A MODERNIZED SURGICAL PLATFORM POSITIONS PMC AS BOTH A PROVIDER AND EMPLOYER OF CHOICE IN EASTERN KENTUCKY AND CENTRAL APPALACHIA.

4c	(Code: ) (Expenses $ 16,840,017 including grants of $ ) (Revenue $ 66,169,787 )
	DIAGNOSTIC SERVICES: TRANSFORMING HEALTHCARE THROUGH CUTTING-EDGE DIAGNOSTICSAT PMC, DIAGNOSTIC SERVICES ARE VITAL TO DELIVER TIMELY, ACCURATE, AND COMPASSIONATE CARE ACROSS EVERY DEPARTMENT, FROM TRAUMA AND STROKE RESPONSE TO ONCOLOGY AND CARDIOLOGY. OVER TIME, THE DEPARTMENT HAS BECOME A REGIONAL LEADER IN INNOVATION, EXPERTISE AND ACCESSIBILITY. WITH A DEDICATED TEAM OF OVER 86 CERTIFIED TECHNOLOGISTS OPERATING ACROSS DIVERSE IMAGING MODALITIES, PMC PROUDLY HOLDS FULL ACCREDITATION FROM THE AMERICAN COLLEGE OF RADIOLOGY (ACR) IN CT, MRI, MAMMOGRAPHY, PET, AND NUCLEAR MEDICINE. THESE NATIONALLY RECOGNIZED GOLD STANDARD CERTIFICATIONS UNDERSCORE PMC'S UNWAVERING COMMITMENT TO SAFETY, QUALITY CONTROL, AND DIAGNOSTIC PRECISION, BUILDING TRUST WITH PATIENTS AND CONFIDENCE AMONG CLINICIANS.DIAGNOSTIC SERVICES AT PMC ARE FULLY INTEGRATED INTO THE HOSPITAL'S COLLABORATIVE CARE MODEL. THE TEAM COLLABORATES CLOSELY WITH EMERGENCY PHYSICIANS, NEUROLOGISTS, ONCOLOGISTS, AND CARDIOLOGISTS TO SUPPORT COMPLEX, TIME-SENSITIVE CASES. IMAGING PLAYS A CRUCIAL ROLE IN TRAUMA AND STROKE CARE, WHERE MINUTES CAN DEFINE OUTCOMES. THE DEPARTMENT ALSO PARTNERS CLOSELY WITH PMC'S HEART & VASCULAR INSTITUTE TO PROVIDE ADVANCED CARDIOVASCULAR DIAGNOSTICS, SUCH AS CORONARY CT ANGIOGRAPHY (CTA) AND CARDIAC MRI, NON-INVASIVE TOOLS THAT DELIVER HIGH-RESOLUTION IMAGES ESSENTIAL FOR BOTH URGENT AND LONG-TERM TREATMENT PLANNING. IN AUGUST 2025, PMC WILL EXPAND PATIENT ACCESS AND CONVENIENCE BY OPENING A NEW MRI SCANNER AND RELOCATING CARDIAC MRI SERVICES TO AN OUTPATIENT SETTING. THIS WILL STREAMLINE WORKFLOWS, INCREASE AVAILABILITY, AND ENHANCE THE PATIENT EXPERIENCE BY MINIMIZING DELAYS AND REDUCING THE NEED FOR INPATIENT VISITS.BUILDING ON THE INNOVATIVE DRIVE-THRU DIAGNOSTIC MODEL LAUNCHED IN 2020 DURING THE COVID-19 PANDEMIC, PMC WILL SOON UNVEIL A TWO-BAY, FULLY ENCLOSED DRIVE-THRU DIAGNOSTIC CENTER. THIS WEATHER-PROTECTED FACILITY WILL OFFER LAB DRAWS AND VACCINATIONS FOR BOTH EMPLOYEES AND THE PUBLIC, MAINTAINING PMC'S POSITION AS A REGIONAL PIONEER IN SAFE, CONTACTLESS, AND COMMUNITY-FOCUSED CARE. PATIENTS CAN ENJOY FASTER, MORE ACCESSIBLE SERVICES ALL FROM THE COMFORT AND SAFETY OF THEIR VEHICLES.BREAST HEALTH HAS BECOME A CENTRAL FOCUS WITHIN PMC'S DIAGNOSTIC SERVICES. SIGNIFICANT INVESTMENTS HAVE ELEVATED BREAST IMAGING THROUGH THE ADDITION OF DR. CHERAH PRYCE, ONE OF THE REGION'S FEW BREAST-DEDICATED RADIOLOGISTS. HER EXPERTISE ENHANCES DIAGNOSTIC ACCURACY, SUPPORTS SAME-DAY EVALUATIONS, AND ACCELERATES TREATMENT DECISIONS. TO MEET GROWING DEMAND, PMC HAS ADDED A THIRD 3D MAMMOGRAPHY UNIT, SUBSTANTIALLY INCREASING SCREENING CAPACITY. PMC ALSO ADDED A NEW ULTRASOUND SYSTEM DEDICATED TO BREAST BIOPSIES, WHICH IMPROVES PRECISION AND EFFICIENCY IN TISSUE SAMPLING. ALL BIOPSY PROCEDURES, INCLUDING STEREOTACTIC, ULTRASOUND-GUIDED, AND SOON MRI-GUIDED, HAVE BEEN CENTRALIZED AT THE OUTPATIENT DIAGNOSTIC CENTER, CREATING A MORE PRIVATE, CALM ENVIRONMENT FOR PATIENTS. THE UPCOMING MRI UNIT WILL FURTHER STREAMLINE BREAST BIOPSY SERVICES, REDUCE PATIENT STRESS AND SIMPLIFY CARE.NUCLEAR MEDICINE AT PMC IS ALSO EXPANDING RAPIDLY, WITH CAPABILITIES EXTENDING WELL BEYOND TRADITIONAL ONCOLOGY IMAGING. THE DEPARTMENT NOW OFFERS SPECIALIZED SCANS FOR NEUROENDOCRINE TUMORS AND PROSTATE-SPECIFIC PET IMAGING, DELIVERING HIGHLY ACCURATE RESULTS THROUGH ADVANCED TARGETING TECHNIQUES. THESE SERVICES ARE CRUCIAL FOR EARLY DETECTION AND TREATMENT PLANNING OF RARE AND AGGRESSIVE CANCERS. ADDITIONALLY, PMC HAS IMPLEMENTED EARLY-ONSET ALZHEIMER'S IMAGING PROTOCOLS, PROVIDING PATIENTS AND FAMILIES WITH VALUABLE INSIGHTS TO INFORM CARE DECISIONS EARLIER IN THE DISEASE COURSE. LOOKING AHEAD, PMC PLANS TO INTRODUCE BREAST CANCER PET IMAGING, REINFORCING ITS COMMITMENT TO COMPREHENSIVE BREAST HEALTH CARE AND EARLY DETECTION.THESE ADVANCEMENTS FROM CUTTING-EDGE CARDIAC IMAGING AND DRIVE-THRU DIAGNOSTICS TO PIONEERING NUCLEAR MEDICINE EMBODY PMC'S BROADER VISION: ENSURING PATIENTS IN EASTERN KENTUCKY AND CENTRAL APPALACHIA RECEIVE WORLD-CLASS DIAGNOSTIC CARE WITHOUT LEAVING THE REGION. PMC'S DIAGNOSTIC APPROACH PRIORITIZES ACCESSIBILITY, INNOVATION, AND PATIENT COMFORT. CONTINUED INVESTMENTS IN EXPERT TALENT, STATE-OF-THE-ART TECHNOLOGY, AND FACILITY UPGRADES ENSURE THAT DIAGNOSTIC EXCELLENCE IS NOT LIMITED TO METROPOLITAN CENTERS BUT IS A STANDARD AVAILABLE TO EVERY COMMUNITY PMC SERVES.MEETING THE GROWING DEMAND FOR ADVANCED DIAGNOSTICS, PMC'S DIAGNOSTIC SERVICES ARE SHAPING THE FUTURE OF HEALTHCARE IN THE REGION. WITH FULL ACR ACCREDITATION IN FIVE KEY IMAGING AREAS, A MULTIDISCIPLINARY TEAM OF CERTIFIED TECHNOLOGISTS, AND EXPANDED OUTPATIENT AND DRIVE-THRU OPTIONS, PMC IS TRANSFORMING HOW AND WHERE PATIENTS RECEIVE CARE. FROM BREAST CANCER DETECTION TO ALZHEIMER'S IMAGING, TRAUMA SUPPORT TO ROUTINE LAB DRAWS, PMC REMAINS DEDICATED TO DELIVERING ACCURATE, EFFICIENT, AND COMPASSIONATE DIAGNOSTIC SERVICES, SETTING A NEW BENCHMARK FOR COMMUNITY-CENTERED HEALTHCARE INNOVATION NOW AND INTO THE FUTURE.

	(Code: ) (Expenses $ 311,206,223 including grants of $ 384,536 ) (Revenue $ 369,546,365 )
	ALL OTHER PROGRAMS: COMMITTED TO CARE. CALLED TO SERVEPIKEVILLE MEDICAL CENTER (PMC), A 348-BED TERTIARY CARE FACILITY, OFFERS HIGH-QUALITY, COMPREHENSIVE HEALTHCARE TO EASTERN KENTUCKY AND THE CENTRAL APPALACHIAN REGION. FOR DECADES, THE COMMUNITIES SERVED BY PIKEVILLE MEDICAL CENTER HAVE FACED PERSISTENT CHALLENGES IN ACCESSING HIGH-QUALITY HEALTHCARE. GEOGRAPHIC ISOLATION, ECONOMIC HARDSHIP, AND A SHORTAGE OF MEDICAL PROFESSIONALS HAVE ALL CONTRIBUTED TO SIGNIFICANT BARRIERS IN RECEIVING TIMELY AND COMPREHENSIVE MEDICAL TREATMENT. DESPITE THESE LONGSTANDING DIFFICULTIES, PMC HAS EMERGED AS A CRUCIAL LIFELINE, STEADILY WORKING TO BRIDGE THE GAP AND PROVIDE ADVANCED, COMPASSIONATE CARE TO THE PEOPLE OF EASTERN KENTUCKY AND THE SURROUNDING APPALACHIAN REGION. PMC HAS STRIVED TO CONTINUALLY EXPAND SERVICE OFFERINGS AND IMPROVE ACCESS TO HEALTHCARE ACROSS THE REGION IN PURSUIT OF THE ORGANIZATION'S GOAL TO BE THE PROVIDER OF CHOICE THROUGH ITS DEDICATED SERVICE TO THE COMMUNITY AND COMMITMENT TO PROVIDING THE MOST ADVANCED HEALTHCARE TREATMENT AND TECHNOLOGY AVAILABLE.THE MISSION OF PIKEVILLE MEDICAL CENTER IS "TO ADVANCE THE HEALTH AND WELL-BEING OF OUR REGION THROUGH COMPREHENSIVE CARE IN A CHRISTIAN ENVIRONMENT." PMC'S MISSION, ALONG WITH THE VISION OF THE ORGANIZATION: "TO BE THE PROVIDER AND EMPLOYER OF CHOICE FOR HEALTHCARE IN THE REGION WE SERVE", IS THE FOUNDATION FOR THE HIGH-QUALITY LEVEL OF CARE PROVIDED EACH DAY THROUGHOUT THE ORGANIZATION BY MORE THAN 3,400 EMPLOYEES, INCLUDING OVER 600 LICENSED MEDICAL PROVIDERS.THE HOSPITAL OPENED ITS DOORS IN DECEMBER 1924 AS A SMALL, RURAL HOSPITAL WITH JUST 50 BEDS. OVER THE PAST CENTURY, IT HAS GROWN INTO A LEADING REGIONAL MEDICAL COMPLEX. TODAY, THE FACILITY INCLUDES 348 LICENSED BEDS, FEATURING 16 NEONATAL LEVEL II BASSINETS, 22 NURSERY BASSINETS, AND 20 INPATIENT PHYSICAL REHABILITATION BEDS. THE HOSPITAL OPERATES 17 AMBULATORY CLINIC LOCATIONS, OFFERING MORE THAN 400 SERVICES, INCLUDING MOST MAJOR SPECIALTIES AND MANY SUBSPECIALTIES, AND ENCOMPASSES NEARLY 1.5 MILLION SQUARE FEET ACROSS ITS MAIN FACILITY, SATELLITE CLINICS AND SUPPORT SERVICE AREAS. IT ALSO HOUSES 11 CENTERS OF EXCELLENCE, POSITIONING IT AS A HUB FOR ADVANCED, COMPREHENSIVE HEALTHCARE IN THE REGION.PIKEVILLE MEDICAL CENTER IS A PILLAR OF THE REGIONAL ECONOMIC LANDSCAPE AS HEALTHCARE HAS EVOLVED INTO THE ECONOMY'S LARGEST SECTOR THROUGHOUT EASTERN KENTUCKY, SOUTHWEST VIRGINIA AND SOUTHWEST WEST VIRGINIA. PMC EMBRACES THE RESPONSIBILITY OF BEING ONE OF THE REGION'S LARGEST EMPLOYERS AND UNDERSTANDS THAT THE FUTURE HEALTH, SOCIAL AND ECONOMIC OUTCOMES FOR THE REGION DEPEND ON THE FINANCIAL STRENGTH OF THE ORGANIZATION. THE PROGRESSIVE PHYSICAL GROWTH AND EXPANSION OF SPECIALTY SERVICE OFFERINGS, INCLUDING TRAUMA SERVICES AND PEDIATRIC SPECIALTY SERVICES, HAVE TRANSFORMED PMC INTO A REGIONAL REFERRAL CENTER FOR SMALLER COMMUNITY HOSPITALS THAT HAVE PATIENTS WITH COMPLEX MEDICAL NEEDS WHOM THEY CANNOT SERVE.CURRENT SERVICES OFFERED AT PMC INCLUDE: A VERIFIED LEVEL II TRAUMA CENTER; A COMMISSION ON CANCER-ACCREDITED, FULL-SERVICE CANCER TREATMENT CENTER; A HEART & VASCULAR INSTITUTE WITH PRIMARY PCI ACCREDITATION; 20-BED INPATIENT PHYSICAL REHABILITATION HOSPITAL; AN ACCREDITED GOLD PLUS NEUROSCIENCE CENTER; NEUROSURGERY; LEVEL II ADVANCED NEONATAL INTENSIVE CARE UNIT; A MBSAQIP ACCREDITED BARIATRIC & MINIMALLY INVASIVE SURGERY CENTER; JOINT COMMISSION GOLD SEAL CERTIFIED ORTHOPEDIC SURGERY & SPORTS MEDICINE PROGRAM; PULMONARY REHABILITATION; THE REGION'S ONLY CHILDREN'S HOSPITAL; SLEEP LAB; A DIAGNOSTIC CENTER; AUTISM CENTERS; URGENT CARE CENTERS; INTEGRATED FAMILY AND SPECIALTY PHYSICIAN PRACTICES WITH SATELLITE LOCATIONS IN PIKEVILLE, PRESTONSBURG, SOUTH WILLIAMSON, WHITESBURG, KY AND GRUNDY, VA. REAFFIRMING OUR COMMITMENT TO PEDIATRIC EXCELLENCEIN DECEMBER 2021, PMC PEDIATRICS REAFFIRMED ITS COMMITMENT TO ADVANCING PEDIATRIC CARE, RECOGNIZING THAT A CHILD'S HEALTH IS A FAMILY'S TOP PRIORITY. FROM ROUTINE CHECKUPS TO ACUTE CARE, PMC OFFERS EXPERT PEDIATRIC SERVICES CLOSE TO HOME, ENSURING THAT FAMILIES RECEIVE COMPASSIONATE, HIGH-QUALITY SUPPORT AT EVERY STAGE. FAMILIES TRUST PMC PEDIATRICS FOR ITS MULTIDISCIPLINARY APPROACH TO CHILDREN'S PHYSICAL, EMOTIONAL, AND DEVELOPMENTAL HEALTH, ACCESS TO PEDIATRIC SUBSPECIALISTS WHEN NEEDED AND THE STRENGTH OF A FULL REGIONAL MEDICAL CENTER. AT THE HEART OF THE PEDIATRIC CARE INITIATIVE IS METTU CHILDREN'S HOSPITAL (MCH), A DEDICATED INPATIENT FACILITY SPECIFICALLY DESIGNED FOR CHILDREN. IT FEATURES PRIVATE ROOMS EQUIPPED FOR OVERNIGHT STAYS BY PARENTS AND A CARE TEAM THAT INCLUDES PEDIATRICIANS, HOSPITALISTS AND CHILD LIFE SPECIALISTS. WITH A FAMILY-CENTERED MODEL AND 24/7 SUPPORT, THE HOSPITAL HAS THREE PEDIATRIC HOSPITALISTS. METTU CHILDREN'S HOSPITAL IS A SPACE FOR HEALING AND HOPE. COMPLEMENTING INPATIENT CARE IS THE PEDIATRIC SPECIALTY CLINIC LOCATED IN THE MAIN HOSPITAL. ALSO, NOW PMC OFFERS SPECIALIZED CARE IN PEDIATRIC GASTROENTEROLOGY, PROVIDING COMPREHENSIVE TREATMENT FOR A RANGE OF CONDITIONS INCLUDING LIVER DISEASE, IBD, FOOD ALLERGIES AND FUNCTIONAL GI DISORDERS. IN PARTNERSHIP WITH UK HEALTHCARE, PMC ALSO OFFERS PEDIATRIC SPECIALTY SERVICES IN CARDIOLOGY, PULMONOLOGY, AND BARIATRIC MEDICINE. PMC HAS A CERTIFIED PEDIATRIC-READY EMERGENCY DEPARTMENT TO COVER PEDIATRIC EMERGENCIES. A ROBUST SCHOOL TELEHEALTH PROGRAM FURTHER EXTENDS ACCESS TO CARE, SERVING EVERY PIKE COUNTY DISTRICT SCHOOL. AT PMC PEDIATRICS, THE GOAL IS SIMPLE: TO PROVIDE EXPERT, COMPASSIONATE CARE THAT MEETS THE UNIQUE NEEDS OF CHILDREN AND SUPPORTS FAMILIES EVERY STEP OF THE WAY.DELIVERING CARE WHERE IT'S NEEDED MOST (INPATIENT AND OUTPATIENT) PMC CONTINUES TO REAFFIRM ITS LEADERSHIP ROLE IN HEALTHCARE ACROSS EASTERN KENTUCKY AND THE CENTRAL APPALACHIAN REGION. WITH A STEADFAST COMMITMENT TO DELIVERING ADVANCED, COMPASSIONATE, AND PATIENT-CENTERED CARE, PMC SERVED A SUBSTANTIAL NUMBER OF PATIENTS ACROSS A BROAD SPECTRUM OF SERVICES, DEMONSTRATING BOTH CAPACITY AND EXCELLENCE IN MEDICAL CARE DELIVERY. AT PMC, EVERY PATIENT INTERACTION REPRESENTS A COMMITMENT TO IMPROVING LIVES ACROSS EASTERN KENTUCKY AND THE CENTRAL APPALACHIAN REGION. AS A CORNERSTONE OF HEALTH IN THE COMMUNITY, PMC HAS EXPERIENCED CONTINUED GROWTH AND DIVERSIFICATION IN CARE DELIVERY, ENSURING THAT HIGH-QUALITY, SPECIALIZED MEDICAL SERVICES ARE AVAILABLE WHEN AND WHERE THEY ARE NEEDED MOST. IN THE PAST YEAR, PMC SERVED AN EXCEPTIONAL VOLUME OF PATIENTS ACROSS INPATIENT, OUTPATIENT, SPECIALTY, AND EMERGENCY SETTINGS, REFLECTING THE ORGANIZATION'S OPERATIONAL STRENGTH AND THE TRUST PLACED IN IT BY THE REGION.DURING FY 2024, 11,305 PATIENTS WERE ADMITTED FOR INPATIENT CARE. THIS VOLUME REFLECTS PMC'S ABILITY TO MANAGE A BROAD RANGE OF HEALTH CONDITIONS, FROM SURGICAL RECOVERY AND CHRONIC DISEASE MANAGEMENT TO CRITICAL CARE AND SPECIALTY TREATMENTS. THE HIGH INPATIENT NUMBERS ALSO REFLECT THE HOSPITAL'S REPUTATION AS A REGIONAL REFERRAL CENTER, ATTRACTING PATIENTS FROM SURROUNDING COUNTIES WHO REQUIRE ADVANCED DIAGNOSTICS, SPECIALIZED PROCEDURES, AND LONG-TERM MONITORING.PMC'S INPATIENT SERVICES INCLUDE MEDICAL-SURGICAL, CARDIOLOGY, ONCOLOGY, ORTHOPEDICS, NEUROLOGY, WOMEN'S HEALTH, AND INTENSIVE CARE UNITS ALL STAFFED BY HIGHLY TRAINED MEDICAL PROFESSIONALS AND SUPPORTED BY CUTTING-EDGE TECHNOLOGY. THE HOSPITAL'S CONTINUOUS INVESTMENT IN MODERN INFRASTRUCTURE AND EVIDENCE-BASED PRACTICES ENSURES THAT EVERY INPATIENT RECEIVES HIGH-QUALITY CARE TAILORED TO THEIR INDIVIDUAL NEEDS.COMMITMENT TO EXCELLENCE AND COMMUNITY HEALTHAS ONE OF THE LARGEST EMPLOYERS AND HEALTHCARE PROVIDERS IN THE REGION, PIKEVILLE MEDICAL CENTER CONTINUES TO INVEST IN CLINICAL EXCELLENCE, COMMUNITY OUTREACH, AND STAFF DEVELOPMENT. THE HOSPITAL REMAINS FOCUSED ON:- EXPANDING ACCESS TO CARE THROUGH TELEMEDICINE AND OUTREACH CLINICS- IMPROVING PATIENT OUTCOMES THROUGH CONTINUOUS QUALITY IMPROVEMENT INITIATIVES- SUPPORTING THE LOCAL ECONOMY WITH JOB CREATION AND COMMUNITY PARTNERSHIPS- EDUCATING FUTURE HEALTHCARE PROFESSIONALS THROUGH RESIDENCY AND TRAINING PROGRAMSWITH OVER 11,000 INPATIENT ADMISSIONS, 45,000 EMERGENCY VISITS, AND MORE THAN 380,000 OUTPATIENT CLINIC VISITS, PIKEVILLE MEDICAL CENTER REMAINS A CORNERSTONE OF HEALTH AND HEALING FOR EASTERN KENTUCKY. THE NUMBERS REFLECT MORE THAN VOLUME. THEY REPRESENT LIVES TOUCHED, FAMILIES HELPED, AND A COMMUNITY STRENGTHENED BY THE PRESENCE OF A TRUSTED HEALTHCARE PROVIDER.(CONTINUED ON SCHEDULE O)

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 311,206,223 including grants of $ 384,536 ) (Revenue $ 369,546,365 )
4e	Total program service expenses588,236,749

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	13,663,905	0	775,866

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	457,158
e	Government grants (contributions)		1e	4,055,551

f	All other contributions, gifts, grants, and similar amounts not included above		1f	743,119

g	Noncash contributions included in lines 1a - 1f:$		1g	450

h Total. Add lines 1a-1f.......		5,255,828

		Business Code
2a	NET PATIENT SERVICE RE	621999	632,843,410	632,843,410
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		632,843,410

3 Investment income (including dividends, interest, and othersimilar amounts) ......			9,849,187			9,849,187
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			2,990			2,990
			(i) Real	(ii) Personal
6a	Gross rents	6a	246,162	1,306,797
b	Less: rental expenses	6b	287,722	0
c	Rental income or (loss)	6c	-41,560	1,306,797
d	Net rental income or (loss).......			1,265,237	-46,994
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a		264,173
b	Less: cost or other basis and sales expenses	7b		30,118
c	Gain or (loss)	7c		234,055
d	Net gain or (loss).........			234,055			234,055
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	79,195,650
b	Less: cost of goods sold ..		10b	47,485,923
c	Net income or (loss) from sales of inventory..			31,709,727		4,119,894	27,589,833

Business Code
11a	CAFETERIA		722310	3,949,659	2,889,745	353,049	706,865
b	REBATE INCOME		900099	2,337,195	2,337,195
c	GIFT SHOP SALES		900099	586,862			586,862
d	All other revenue ....			874,390	874,390
e	Total. Add lines 11a–11d ......			7,748,106
12	Total revenue. See instructions.....			688,908,540	638,897,746	5,785,174	38,969,792

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	309,430	309,430
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	75,106	75,106
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	9,113,962	7,788,884	1,325,078
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	1,498,853	1,280,935	217,918
7	Other salaries and wages........	256,206,944	218,957,030	37,249,914
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,768,241	3,220,377	547,864
9	Other employee benefits .......	69,118,916	59,069,721	10,049,195
10	Payroll taxes ...........	15,404,167	13,164,556	2,239,611
11	Fees for services (non-employees):
a	Management ......	2,214,215	2,004,882	209,333
b	Legal .........	200,253		200,253
c	Accounting ...........	95,794		95,794
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	70,538,689	63,869,916	6,668,773
12	Advertising and promotion ....	2,315,389	2,096,491	218,898
13	Office expenses .......	2,700,916	2,445,570	255,346
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	7,050,104	6,383,583	666,521
17	Travel ............	721,760	653,524	68,236
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	494,169	447,450	46,719
20	Interest ...........	4,682,119	4,673,215	8,904
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	32,820,000	28,033,687	4,786,313
23	Insurance ...	14,162,054	12,823,164	1,338,890
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	MEDICAL SUPPLIES/DRUGS	109,390,953	99,049,062	10,341,891
b	PROVIDER TAX EXPENSE	23,989,915	23,989,915
c	DUES AND SUBSCRIPTIONS	15,442,780	13,982,810	1,459,970
d	EQUIPMENT RENTAL & MAIN	15,425,386	13,967,060	1,458,326
e	All other expenses	10,989,316	9,950,381	1,038,935
25	Total functional expenses. Add lines 1 through 24e	668,729,431	588,236,749	80,492,682	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 ........			16,245	1	16,068
2	Savings and temporary cash investments .........			102,997,799	2	108,418,107
3	Pledges and grants receivable, net ......			12,016,123	3	16,935,917
4	Accounts receivable, net .............			103,157,063	4	101,695,769
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			21,531,155	8	23,599,414
9	Prepaid expenses and deferred charges ......			7,376,130	9	7,552,442
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	608,390,347
b	Less: accumulated depreciation	10b	322,852,068	290,258,578	10c	285,538,279
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			11,171,322	12	12,561,769
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			12,997	14	5,199
15	Other assets. See Part IV, line 11 ...........			122,569,960	15	149,996,759
16	Total assets. Add lines 1 through 15 (must equal line 33)...			671,107,372	16	706,319,723

17	Accounts payable and accrued expenses .....	95,945,769	17	91,120,130
18	Grants payable ...		18
19	Deferred revenue .........	14,767,834	19	24,403,999
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	194,226,777	23	188,403,235
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	10,821,660	25	9,289,668
26	Total liabilities. Add lines 17 through 25..	315,762,040	26	313,217,032

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	355,139,332	27	392,896,691
28	Net assets with donor restrictions ...........	206,000	28	206,000
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	355,345,332	32	393,102,691
33	Total liabilities and net assets/fund balances ........	671,107,372	33	706,319,723