PIKEVILLE MEDICAL CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PIKEVILLE MEDICAL CENTER INC (EIN 61-0458376)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201242289349302704
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-15T12:56:12-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN610458376EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PIKEVILLE MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPIKENameControl
Phone6062183501Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1911 BYPASS ROADAddressLine1
CityPIKEVILLECity
StateKYState
ZIP Code41501ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHELLE HAGYName
TitleCFOTitle
Phone6062183974Phone
Date Signed2012-08-15DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWALTER E MAYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1911 BYPASS ROADAddressLine1
CityPIKEVILLECity
StateKYState
ZIP Code41501ZIPCode
FieldValueIRS element (for citing)
Gross Receipts360165528GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PIKEVILLEHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1923YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionTHE CENTER'S MISSION IS TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENTActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees2684TotalNbrEmployees
Total Nbr Volunteers215TotalNbrVolunteers
Total Gross UBI1008615TotalGrossUBI
Net Unrelated Business Txbl Income-455572NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year442444ContributionsGrantsPriorYear
Contributions Grants Current Year352146ContributionsGrantsCurrentYear
Program Service Revenue Prior Year291879557ProgramServiceRevenuePriorYear
Program Service Revenue CY338216599ProgramServiceRevenueCY
Investment Income Prior Year1085265InvestmentIncomePriorYear
Investment Income Current Year1236269InvestmentIncomeCurrentYear
Other Revenue Prior Year4978100OtherRevenuePriorYear
Other Revenue Current Year11631548OtherRevenueCurrentYear
Total Revenue Prior Year298385366TotalRevenuePriorYear
Total Revenue Current Year351436562TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year215250GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY94068GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year135921312SalariesEtcPriorYear
Salaries Etc Current Year160481295SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year8229TotalFundrsngExpCurrentYear
Other Expense Prior Year137663189OtherExpensePriorYear
Other Expenses Current Year159881424OtherExpensesCurrentYear
Total Expenses Prior Year273799751TotalExpensesPriorYear
Total Expenses Current Year320456787TotalExpensesCurrentYear
Revenues Less Expenses Prior Year24585615RevenuesLessExpensesPriorYear
Revenues Less Expenses CY30979775RevenuesLessExpensesCY
Total Assets BOY263525600TotalAssetsBOY
Total Assets EOY384559071TotalAssetsEOY
Total Liabilities BOY84228459TotalLiabilitiesBOY
Total Liabilities EOY174114008TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY179297141NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY210445063NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPIKEVILLE MEDICAL CENTER'S MISSION IS TO PROVIDE QUALITY REGIONAL HEALTHCARE IN A CHRISTIAN ENVIRONMENT.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense52093837Expense
Grants0Grants
Revenue30713250Revenue
DescriptionPHYSICIAN PRACTICES:DURING FY 2011, PIKEVILLE MEDICAL CENTER (PMC) WELCOMED 26 NEW PHYSICIANS, SIX NEW NURSE PRACTITIONERS AND ONE PHYSICIAN ASSISTANT TO ITS PHYSICIAN PRACTICE TEAM. THEY INCLUDED: ONE NEPHROLOGIST, ONE INTENSIVIST, ONE OTOLARYNGOLOGIST, ONE UROLOGIST, TWO GENERAL SURGEONS, TWO RHEUMATOLOGISTS, ONE VASCULAR SURGEON, ONE CRITICAL CARE PHYSICIAN, TWO OBSTETRICIANS, ONE GYNECOLOGICAL ONCOLOGIST, SIX HOSPITALISTS, ONE HAND SURGEON, ONE PEDIATRIC ENDOCRINOLOGIST, ONE FAMILY PRACTICE PHYSICIAN, ONE INTERVENTIONAL CARDIOLOGIST, ONE PHYSIATRIST, ONE PULMONOLOGIST AND ONE SPORTS MEDICINE PHYSICIAN.WITH THE ADDITION OF THE NEW DOCTORS, PIKEVILLE MEDICAL CENTER HAS A TEAM OF MORE THAN 270 FULL-TIME EMPLOYEES STAFFING ITS PHYSICIAN PRACTICE OFFICES.THESE NEWLY RECRUITED PHYSICIANS, ALONG WITH OUR EXISTING EMPLOYED PHYSICIANS COMPLETED MORE THAN 112,700 PATIENT VISITS/CONSULTATIONS.PIKEVILLE MEDICAL CENTER'S PHYSICIAN PRACTICE NETWORK INCLUDES: FAMILY PHYSICIAN PRACTICES IN HAROLD, PIKEVILLE, MOUTHCARD, AND SHELBY VALLEY (KENTUCKY); UROLOGY, GYNECOLOGICAL ONCOLOGY; GENERAL SURGERY; OBSTETRICS AND GYNECOLOGY; CARDIOTHORACIC SURGERY; INFECTIOUS DISEASE; NEPHROLOGY; PULMONOLOGY; PLASTIC SURGERY; INTERVENTIONAL CARDIOLOGY; COUMADIN/CONGESTIVE HEART FAILURE; CARDIOLOGY PRACTICES IN GRUNDY (VIRGINIA), PAINTSVILLE, WHITESBURG AND SOUTH WILLIAMSON (KENTUCKY); BARIATRIC SURGERY; ORTHOPAEDIC REHABILITATION; NEUROSURGERY; OTOLARYNGOLOGY; ORTHOPAEDIC SURGERY; SPORTS MEDICINE; RHEUMATOLOGY; ADULT AND PEDIATRIC ENDOCRINOLOGY; PAIN MANAGEMENT; ONCOLOGY PRACTICES IN PIKEVILLE, PAINTSVILLE AND SOUTH WILLIAMSON (KENTUCKY); PULMONARY REHABILITATION; AND OPHTHALMOLOGY-RETINA SPECIALIST.PIKEVILLE MEDICAL CENTER BEGAN THE RELOCATION OF ITS LEONARD LAWSON CANCER CENTER IN SEPTEMBER 2011. OUR PATIENTS NOW ENJOY EASY ACCESS, CONVENIENT PARKING AND A FACILITY DESIGNED WITH THE PATIENT IN MIND. THE NEW FACILITY INCLUDES 18 STATE-OF-THE-ART EXAM ROOMS, 18 CHEMOTHERAPY STATIONS, A TEAM OF 10 EXPERIENCED ONCOLOGISTS, PHYSICIAN OFFICES, AN ONCOLOGY LABORATORY, INFUSION ROOM AND AN ON-SITE PHARMACY. THE TOTAL RELOCATION COST WAS MORE THAN FOUR MILLION DOLLARS.FOR THE SECOND CONSECUTIVE TIME, THE LEONARD LAWSON CANCER CENTER RECEIVED THE COMMISSION ON CANCER'S "OUTSTANDING ACHIEVEMENT AWARD." PMC IS THE ONLY HOSPITAL IN KENTUCKY TO BE HONORED TWICE AND CONSECUTIVELY BY THIS DISTINCTION. PIKEVILLE MEDICAL CENTER OPENED TWO NEW GYNECOLOGY CENTERS, IN PIKEVILLE AND HAROLD (KENTUCKY). AS WE CONTINUE TO OPTIMIZE OUR OPPORTUNITIES TO SERVE, WE HAVE BEEN HONORED WITH THE WOMEN'S CERTIFIED AWARD FOR EXCELLENCE IN WOMEN'S CARE.THE HOSPITAL ALSO COMPLETED RENOVATION FOR A NEW ORTHOPEDIC/TRAINING CENTER AND ADDED A HAND SURGEON SPECIALIST AND SPORTS MEDICINE SPECIALIST TO THE PMC ORTHOPEDIC TEAM.RECENTLY IMPLEMENTING NEXTGEN, A NEW ELECTRONIC MEDICAL RECORDS SYSTEM, PIKEVILLE MEDICAL CENTER IS WELL ON ITS WAY TO BEING PAPERLESS WHERE ALL MEDICAL RECORDS ARE DOCUMENTED IN THE COMPUTER. THIS NEW, MORE EFFICIENT, FASTER SYSTEM ALLOWS EVERYONE INVOLVED IN THE PATIENT'S CARE TO RECEIVE IMMEDIATE DOCUMENTATION.IN FEBRUARY 2011, PIKEVILLE MEDICAL CENTER BEGAN CONSTRUCTION ON A MEDICAL OFFICE BUILDING AND PARKING GARAGE THAT WHEN COMPLETE WILL HAVE 10 FLOORS OF PARKING IN THE GARAGE WITH A TOTAL OF 1,162 PARKING SPACES AND 10 FLOORS IN THE MEDICAL OFFICE BUILDING WITH THE FIRST FLOOR BEING PARKING AND MECHANICAL ROOMS, TWO FLOORS FOR SURGICAL FUNCTIONS, SIX AND ONE-HALF FLOORS OF PHYSICIAN EXAM SPACE, AND ONE-HALF FLOOR OF CONFERENCE SPACE. THE ANTICIPATED COST OF THIS TOTAL PROJECT WILL BE APPROXIMATELY $112 MILLION. UPON COMPLETION, PMC WILL CONCENTRATE ITS EMPLOYED PHYSICIANS IN A SINGLE VENUE. FOLLOWING THE MAYO CLINIC MODEL OF HOSPITAL-PHYSICIAN INTEGRATION, THIS WILL ALLOW EASY PATIENT ACCESS TO PHYSICIAN OFFICES AS WELL AS THE MAIN HOSPITAL FACILITY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense12078524Expense
Grants0Grants
Revenue39504631Revenue
DescriptionIMAGING SERVICES:PIKEVILLE MEDICAL CENTER'S DIAGNOSTIC IMAGING SERVICES ARE KNOWN AS ONE OF THE BEST EQUIPPED IN THE NATION. THE HOSPITAL'S BOARD CERTIFIED RADIOLOGISTS ARE EXPERTS WHO CONSULT WITH SPECIALISTS IN OTHER DEPARTMENTS TO PROVIDE PATIENT CARE. RADIOLOGISTS WORK WITH THE BEST EQUIPMENT AVAILABLE, AS WELL AS SKILLED TECHNOLOGISTS AND NURSES TO PERFORM TESTS AND INTERPRET RESULTS IN THE IMAGING AND TREATMENT OF DISEASES AFFECTING PATIENTS OF ALL AGES. OVERALL, PMC DIAGNOSTICS COMPLETED NEARLY 721,900 TESTS DURING FY 2011. THE DIFFERENT AREAS/TESTS OUR PATIENTS WERE REFERRED TO INCLUDED; CT, ULTRASOUND, PET SCAN, MRI (LOCATED ON TWO DIFFERENT CAMPUSES), ORTHOPEDIC DIAGNOSTIC RADIOLOGY, GENERAL DIAGNOSTIC RADIOLOGY AND NUCLEAR MEDICINE.DURING FY 2011, THE HOSPITAL COMPLETED MORE THAN $793,400 IN RENOVATIONS TO CURRENT DIAGNOSTIC IMAGING AREAS AND THE ADDITION OF NEW STATE-OF-THE-ART TECHNOLOGY IN FIVE LOCATIONS. AMONG THE NEW EQUIPMENT PIKEVILLE MEDICAL CENTER PURCHASED WERE: ULTRASOUND SYSTEM - PHILLIPS IE33 (TEE) VISION SYSTEM W/QLAB, TWO TOSHIBA AQUILION ONE DYNAMIC VOLUME CT SCANNERS, TOSHIBA AQUILION LARGE BORE (64) CT SCANNER AND ONE TOSHIBA TITAN X HIGH FIELD MRI SYSTEM. THE TOSHIBA AQUILION LARGE BORE (64) CT SCANNER WAS INSTALLED IN PMC'S RADIATION ONCOLOGY DEPARTMENT. THIS MACHINE IS HELPFUL FOR CLAUSTROPHOBICS AND THE OBESE, ACCOMMODATING PATIENTS UP TO 650 LBS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense16491505Expense
Grants0Grants
Revenue29482926Revenue
DescriptionCARDIAC SERVICES:ONE OF THE NATION'S MOST PREVALENT HEALTH PROBLEMS IS HEART DISEASE, AND OUR REGION IS NO EXCEPTION. PIKEVILLE MEDICAL CENTER, AFFILIATED WITH CLEVELAND CLINIC'S HEART SURGERY PROGRAM, MADE A COMMITMENT 13 YEARS AGO TO BUILD A WORLD CLASS HEART PROGRAM. PMC IS THE FIRST HOSPITAL IN THE STATE OF KENTUCKY AND THE FIFTH IN THE NATION TO BE RECOGNIZED AS A LEVEL IV CHEST PAIN ACCREDITED HEART & VASCULAR INSTITUTE.FY 2011 WAS ANOTHER SUCCESSFUL YEAR FOR RECRUITMENT, WITH THE EMPLOYMENT OF AN ADDITIONAL VASCULAR SURGEON AND THE ADDITION OF A FORMER CLEVELAND CLINIC INTERVENTIONAL CARDIOLOGIST. THESE NEW PHYSICIANS JOINED AN ALREADY ESTABLISHED CARDIOLOGY TEAM INCLUDING: TWO APRNS; TWO PA-CS; TWO CARDIOTHORACIC SURGEONS; SIX CARDIOLOGISTS; AND AN ELECTROPHYSIOLOGIST. ALL OF OUR SURGEONS IN THE HEART & VASCULAR INSTITUTE ARE CREDENTIALED AT CLEVELAND CLINIC, ALLOWING THEM TO MIRROR CLEVELAND'S BEST PRACTICES WHILE EXCHANGING INFORMATION AND RESEARCH. PIKEVILLE MEDICAL CENTER IS COMMITTED TO PROVIDING THE MOST ADVANCED TOOLS AND FACILITIES AVAILABLE ANYWHERE. PMC PROVIDES HEART PATIENTS WITH DIAGNOSTIC CATHS, STENTS AND ANGIOPLASTY, INTRAVASCULAR ULTRASOUND AND MINIMALLY INVASIVE CLOSURE OF HEART DEFECTS, JUST TO NAME A FEW. DURING FY 2011, PIKEVILLE MEDICAL CENTER'S HEART AND VASCULAR INSTITUTE COMPLETED A NEW CATH LAB HOLDING AREA RENOVATION, AND ADDED TWO NEW PIECES OF EQUIPMENT (THE CARDIAC CRYOBLATION SYSTEM AND THE TOSHIBA INFINIX VF-I/S VASCULAR SYSTEM), AN INVESTMENT OF MORE THAN $1,367,300. DURING THIS YEAR WE HAVE ADDED AN EP LAB TO BETTER SERVE OUR PATIENTS. PMC HAS ALSO RECEIVED ECHO CERTIFICATION.AS WE LOOK FOR WAYS TO IMPROVE, PMC HAS AGAIN MOVED OUTSIDE THE WALLS OF ITS MAIN CAMPUS. WE'VE OPENED MULTI-PURPOSE REGIONAL CLINICS IN THE OUTLYING COMMUNITIES OF PAINTSVILLE, WHITESBURG AND SOUTH WILLIAMSON (KENTUCKY) AND GRUNDY (VIRGINIA) WITH THE EXPANSION OF HEART-RELATED SERVICES, THE HOSPITAL HAS BEEN ABLE TO COMPLETE NEARLY 24,000 GENERAL CARDIAC CASES INCLUDING INPATIENT CARDIOLOGY CARE, CARDIAC REHAB, CARDIOPULMONARY, EDG, EEG AND CARDIAC CATHLAB SERVICES. PMC ALSO COMPLETED 140 OPEN HEART CASES.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense200317686Expense
Grants94068Grants
Revenue245331335Revenue
DescriptionOTHER:PIKEVILLE MEDICAL CENTER HAS BEEN RECOGNIZED AS THE NATION'S ONLY REPEAT WINNER FOR THREE CONSECUTIVE YEARS OF THE NATIONAL HOSPITAL OF THE YEAR BY THE AMERICAN ALLIANCE OF HEALTHCARE PROVIDERS. PMC HAS ALSO BEEN NAMED A HOSPITAL OF CHOICE EMERITUS.PMC IS LICENSED FOR 261 BEDS AND PROVIDES MORE THAN 400 HEALTH CARE SERVICES THROUGHOUT MULTIPLE COUNTIES. PMC'S COMPASSIONATE EMPLOYEES AND DEDICATED DOCTORS PROVIDE UNSURPASSED SERVICE WITH STATE-OF-THE-ART TECHNOLOGY AND UNMATCHED GENEROSITY TO THE COMMUNITY. KNOWN AS THE PREMIER HOSPITAL IN A MULTI-STATE REGION, PMC IS CONTINUALLY GROWING AND LOOKING FOR NEW WAYS TO PROVIDE THE MOST ADVANCED HEALTH CARE AVAILABLE. PHYSICAL INPATIENT REHABILITATION HOSPITALPIKEVILLE MEDICAL CENTER'S INPATIENT PHYSICAL REHABILITATION (IPR) HOSPITAL, A STATE-OF-THE-ART FACILITY CONSISTS OF 40 LICENSED BEDS AND COVERS 23,000 SQUARE FEET OF SPACE INCLUDING A DINING HALL, FULLY EQUIPPED KITCHEN AND LAUNDRY FACILITIES. BEING RANKED #1 IN PATIENT SATISFACTION OUT OF MORE THAN 400 HOSPITALS SURVEYED BY HEALTHSTREAM RESEARCH, PMC'S INPATIENT PHYSICAL REHABILITATION HOSPITAL IS DEDICATED TO HELPING PATIENTS WHO ARE DISABLED BY DISEASE OR INJURY. FOR PATIENTS NEEDING INTENSIVE REHABILITATION, PIKEVILLE MEDICAL CENTER'S INPATIENT REHABILITATION PHYSICIAN LED TEAM OFFERS A FULL RANGE OF SERVICES FROM PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS, REHABILITATION NURSES, CASE MANAGERS, SOCIAL WORKERS, DIETITIANS AND OTHER PROFESSIONALS. THE TEAM WORKS WITH PATIENTS AND THEIR FAMILIES TO DESIGN AND EXECUTE A CAREFULLY MONITORED TREATMENT PLAN THAT MEETS EACH INDIVIDUAL PATIENT'S NEEDS. THE GOAL OF PMC'S INPATIENT REHABILITATION HOSPITAL IS TO RETURN THE PATIENT HOME OR BACK TO WORK AS SOON AS POSSIBLE FOLLOWING AN ILLNESS OR ACCIDENT, ALLOWING THEM TO REGAIN THE HIGHEST LEVEL OF INDEPENDENCE POSSIBLE.PMC IS ONE OF ONLY 70 HOSPITALS IN THE U.S. TO OFFER LOKOMAT THERAPY. THE LOKOMAT USES A COMPUTER PROGRAM TO GUIDE THE PATIENT'S LEGS IN A NATURAL PATTERN ALLOWING FOR A MORE INTENSE TRAINING. BY USING THIS EQUIPMENT, THE PATIENT ACHIEVES A NATURAL GAIT AND RE-LEARNS HOW TO WALK. PMC IS ONE OF ONLY 17 REHABILITATION HOSPITALS IN THE COUNTRY TO OFFER PEDIATRIC EXTENSIONS FOR CHILDREN.STROKE CENTERPIKEVILLE MEDICAL CENTER HAS RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES -STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD. ONLY 10 HOSPITALS IN KENTUCKY HAVE EARNED THIS ACCREDITATION, AND NO OTHER KENTUCKY HOSPITAL EAST OF LEXINGTON HAS EARNED THIS PRESTIGIOUS DISTINCTION. THE AWARD RECOGNIZES PMC'S COMMITMENT AND SUCCESS IN IMPLEMENTING EXCELLENT CARE FOR STROKE PATIENTS, ACCORDING TO EVIDENCE-BASED GUIDELINES. TO RECEIVE THE AWARD, PMC ACHIEVED 85 PERCENT OR HIGHER ADHERENCE TO ALL GET WITH THE GUIDELINES-STROKE QUALITY ACHIEVEMENT INDICATORS FOR TWO OR MORE CONSECUTIVE 12-MONTH INTERVALS AND ACHIEVED 75 PERCENT OR HIGHER COMPLIANCE WITH SIX OF TEN GET WITH THE GUIDELINES-STROKE QUALITY MEASURES, WHICH ARE REPORTING INITIATIVES TO MEASURE QUALITY OF CARE.EMERGENCY DEPARTMENTIN PREPARATION FOR ACHIEVING LEVEL II TRAUMA CENTER CERTIFICATION, PIKEVILLE MEDICAL CENTER COMPLETED A $10 MILLION EXPANSION AND RENOVATION TO ITS EMERGENCY DEPARTMENT. THIS NEW FACILITY ENCOMPASSES NEARLY 23,000 SQUARE FEET AND INCLUDES TWO TRAUMA BAYS AND THREE TRIAGE BAYS, AS WELL AS ON-SITE CT SCANNING AND DIGITAL X-RAY. TRAUMA:TRAUMA CARE IS NOW AVAILABLE AT PMC. IN THE IMMEDIATE FUTURE WE WILL BE CERTIFIED AS A LEVEL II TRAUMA CENTER BY THE AMERICAN COLLEGE OF SURGEONS. WE HAVE ALREADY TREATED APPROXIMATELY 500 TRAUMA CASES. THIS SERVICE ALLOWS PMC TO PROVIDE THE HIGHEST LEVEL OF CARE TO TRAUMA PATIENTS WHO DEPEND ON IMMEDIATE CARE FOR SURVIVAL.TRANSLATION SERVICES:THE POPULATION IN EASTERN KENTUCKY IS QUICKLY BECOMING MORE DIVERSE CREATING SPECIAL COMMUNICATION NEEDS. PIKEVILLE MEDICAL CENTER HAS LAUNCHED A NEW WEB BASED VIDEO TRANSLATION SERVICE WITH INTERPRETERS SKILLED IN MEDICAL TERMINOLOGY IN OVER 180 LANGUAGES. THIS IMPORTANT NEW SERVICE MINIMIZES MANY COMMUNICATION BARRIERS WHICH MIGHT EXIST WITH OUR PATIENTS.THE JOURNEY OF EXCELLENCE CONTINUESTHE HOSPITAL'S BOARD OF DIRECTORS, MORE THAN 250 CREDENTIALED PHYSICIANS AND NEARLY 2,600 EMPLOYEES BELIEVE AND CARRY OUT THE HOSPITAL'S MISSION STATEMENT EVERYDAY "TO PROVIDE QUALITY, REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT." IT IS PRIMARILY BECAUSE OF THIS WORK ETHIC THAT PIKEVILLE MEDICAL CENTER REGULARLY RECEIVES RECOGNITION AND AWARDS SUCH AS: -JUNE 2012 - NATIONAL HOSPITAL OF THE YEAR FOR AN UNPRECEDENTED THIRD CONSECUTIVE TIME AND HOSPITAL OF CHOICE EMERITUS -APRIL 2012 - BEST PLACES TO WORK IN KENTUCKY TOP HOSPITAL -FEBRUARY 2012 - U.S. NEWS & WORLD REPORT BEST REGIONAL HOSPITAL -FEBRUARY 2012 - HOSPITAL OF CHOICE AWARD. PMC IS IN THE TOP 10 OF MORE THAN 400 HOSPITALS THAT WERE CONSIDERED. PMC IS THE ONLY KENTUCKY HOSPITAL TO BE A HOSPITAL OF CHOICE. -FEBRUARY 2012 - PMC'S RADIOLOGY SERVICES HAS RECEIVED THREE-YEAR ACCREDITATION FROM THE AMERICAN COLLEGE OF RADIOLOGY. -5TH IN THE NATION AND 1ST IN KENTUCKY IN MODERN HEALTHCARE MAGAZINE'S BEST PLACES TO WORK. THIS IS THE FOURTH CONSECUTIVE YEAR OF NATIONAL RECOGNITION BY MODERN HEALTHCARE. -BEST REGIONAL HOSPITAL IN THREE SPECIALTY AREAS (GYNECOLOGY, EAR NOSE & THROAT AND NEPHROLOGY) BY U.S. NEWS AND WORLD REPORT FOR 2011-2012. -ONE OF "AMERICA'S BEST HOSPITALS FOR PATIENT EXPERIENCE" BY WOMEN CERTIFIED. -IN 2011, PMC'S IT DEPARTMENT WAS RANKED 7TH IN THE NATION IN HEALTHCARE IT NEWS WHERE TO WORK: BEST HOSPITAL IT DEPARTMENTS. -IN 2011, WE WERE AWARDED THE GET WITH THE GUIDELINES GOLD PLUS AWARD BY THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION FOR MAINTAINING STRICT ADHERENCE TO NATIONALLY ACCEPTED BEST PRACTICES FOR STROKE CARE. THIS IS THEIR HIGHEST AWARD OFFERED FOR STROKE CARE. -3 PMC PHYSICIANS; A CARDIOTHORACIC SURGEON, AN INTERVENTIONAL CARDIOLOGIST AND A RHEUMATOLOGIST WERE NAMED TO THE 2011-2012 BEST DOCTORS IN AMERICA LIST. -EXCELLENCE THROUGH INSIGHT AWARD FOR RATING #1 NATIONALLY FOR PATIENT SATISFACTION IN INPATIENT ONCOLOGY AND INPATIENT REHABILITATION. -COMMISSION ON CANCER'S OUTSTANDING ACHIEVEMENT AWARD PRESENTED BY THE AMERICAN COLLEGE OF SURGEONS (GIVEN TO THE TOP 7 PERCENT OF CANCER PROGRAMS IN THE NATION EACH YEAR) -WE WERE AWARDED THE BALDRIDGE CRITERIA BASED LEVEL 4 EXCELLENCE AWARD BY THE KENTUCKY CENTER FOR PERFORMANCE EXCELLENCE -AMERICAN CANCER SOCIETY'S COMMUNITY VOLUNTEER OF THE YEAR AWARD TO THE LEONARD LAWSON CANCER CENTER -AMERICAN DIABETES ASSOCIATION'S RECOGNITION AWARD TO PMCS DIABETES EDUCATION DEPARTMENT -CENTRAL KENTUCKY BLOOD CENTER'S LIFETIME ACHIEVEMENT AWARD PRESENTED TO PMC PRESIDENT & CEO WALTER E. MAY -CHAMBER OF COMMERCE AWARD FOR COMMUNITY INVOLVEMENT -KENTUCKY'S FIRST LEVEL 3 ACCREDITED CHEST PAIN CENTER, THE HIGHEST RECOGNITION GIVEN BY THE SOCIETY OF CHEST PAIN CENTERS -MCKESSON NATIONAL VIP AWARD FOR SUPPORTING ORGANIZATIONAL GROWTH AND TECHNOLOGY AT PIKEVILLE MEDICAL CENTER WE ARE NOT JUST STRIVING TO BE THE BEST HEALTH CARE PROVIDER WE CAN BE, WE ARE STRIVING TO BE THE MODEL HEALTH CARE ORGANIZATION THAT BENEFITS EVERYONE. PMC WILL CONTINUE TO IMPROVE AND GROW, AND WILL ALWAYS PURSUE EXCELLENCE. TECHNOLOGY WILL EVOLVE AND WE WILL CONTINUE TO RECRUIT THE COUNTRY'S BEST PHYSICIANS AND ADD SPECIALTY SERVICES TO ASSURE THE BEST HEALTH CARE POSSIBLE FOR OUR PATIENTS. PMC REFUSES TO ACCEPT STATUS QUO, BY ALWAYS OFFERING THE BEST TO PATIENTS.PIKEVILLE MEDICAL CENTER IS CONFIDENT ITS APPROACH TO HEALTH CARE IS ONE OF THE BEST. THROUGH HARD WORK, A FIRM COMMITMENT TO ALL THE PATIENTS WHO ENTER THE HOSPITAL'S DOORS AND SUCCESSFULLY LIVING OUT OUR MISSION STATEMENT EVERY DAY "TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A CHRISTIAN ENVIRONMENT" PMC WILL CONTINUE TO GROW AND REDEFINE THE HEALTH CARE MODEL.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp200317686TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt94068TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev245331335TotalOfOtherProgramServiceRev
Total Program Service Expense280981552TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
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Number Forms Transmitted With1096131NumberFormsTransmittedWith1096
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Number Of Employees2684NumberOfEmployees
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Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHELLE HAGY CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6062183974TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1911 BYPASS ROADAddressLine1
CityPIKEVILLECity
StateKYState
ZIP Code41501ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
WALTER BLANKENSHIP
BOARD MEMBER2.00X000
TT COLLEY
BOARD MEMBER2.00X0014235
DAVID COLLINS CPA
BOARD MEMBER2.00X000
DENNIS HALBERT MD
BOARD MEMBER4.00X0014235
JUDITH HINKLE
BOARD MEMBER2.00X000
HOBART CLAY JOHNSON
BOARD MEMBER2.00X000
JOHN LABRECHE
BOARD MEMBER4.00X00280
ALEX POULOS MD
BOARD MEMBER4.00X0014235
JO NELL ROBINSON
BOARD MEMBER4.00X005532
MARY SIMPSON PHD
BOARD MEMBER2.00X000
SUE SMALLWOOD
BOARD MEMBER4.00X005532
JOE DEAN ANDERSON
BOARD MEMBER - SECRETARY4.00X0014235X
RONALD BURCHETT
BOARD MEMBER -VICE-PRESIDENT4.00X000X
WILLIAM GAUNT MD
BOARD-CHIEF OF STAFF2.00X000
LACY PUCKETT
EMERITUS BOARD MEMBER0.00X000
BURLIN COLEMAN
EMERITUS BOARD MEMBER0.00X000
WALTER E MAY
PRESIDENT/CEO40.00X617007029029X
MICHELLE HAGY
CFO-VP FINANCE40.00230442021852X
SUSAN SCHELL
ACFO-PHYSICIAN NETWORK40.00163615018509X
CHERYL HICKMAN
ASSISTANT TO PRESIDENT40.00214733028719X
WILLIAM JOHNSON
CHIEF MEDICAL OFFICER40.00268871027744X
DEBRA HAMPTON
CHIEF NURSING OFFICER40.00233022024882X
JUANITA DESKINS
CHIEF OPERATING OFFICER40.00231410021579X
PEGGY JUSTICE
VP PHYSICIAN NETWORK40.00164907026540X
TERENCE FARRELL
VP PROF/SUPPORT SERVICES40.00212572021482X
DEBORAH PUCKETT
VP REHAB/WOUND CARE SERVIC40.00156761021553X
BILL HARRIS MD
INTERVENTIONAL CARDIOLOGIS40.00803104029341X
DUANE DENSLER MD
NEUROSURGEON40.00895945026265X
NORMAN MAYER MD
NEUROSURGEON40.00972491025739X
KEITH HALL MD
ORTHOPEDIC SURGEON40.001079783025725X
KEVIN PUGH MD
ORTHOPEDIC SURGEON40.00914171025725X
DANNY HARRIS
FORMER CFO-VP FINANCE40.00103727013342X
JERRY JOHNSON
FORMER COO40.00263084021521X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7525645TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation477831TotalOtherCompensation
Number Individuals GT100 K127NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ROSE BUILDERS
7 STACY STREETHAROLDKY41635CONSTRUCTION SERVICES5931518
PRECYSE SOLUTIONS LLC
1275 DRUMMERS LANEWAYNEPA19087HIM SERVICES2242433
STENGEL HILL ARCHITECTURE INC
613 W MAIN STREETLOUISVILLEKY40202PROFESSIONAL SERVICES2194413
MCKESSON HBOC
PO BOX 98347CHICAGOIL60693PROFESSIONAL SERVICES1971319
GENERAL ELECTRIC
PO BOX 96483CHICAGOIL60693PROFESSIONAL SERVICES1119902
FieldValueIRS element (for citing)
Number Of Contractors GT100 K49NumberOfContractorsGT100K
Fundraising Events331842FundraisingEvents
All Other Contributions20304AllOtherContributions
Total Contributions352146TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUDescription
Business Code621110BusinessCode
Total Revenue Column338216599TotalRevenueColumn
Related Or Exempt Function Income338216599RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue338216599TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1215521TotalRevenueColumn
Exclusion$1,215,521ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column14082TotalRevenueColumn
Exclusion$14,082ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real410411Real
Personal347527Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real570935Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-160524Real
Personal347527Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column187003TotalRevenueColumn
Related Or Exempt Function Income-160524RelatedOrExemptFunctionIncome
Unrelated Business Revenue347527UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1694908Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1674160Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other20748Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column20748TotalRevenueColumn
Exclusion$20,748ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events97141GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events331842CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses155779FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-58638TotalRevenueColumn
Exclusion-$58,638ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory8346445GrossSalesOfInventory
Cost Of Goods Sold6328092CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2018353TotalRevenueColumn
Unrelated Business Revenue318547UnrelatedBusinessRevenue
Exclusion$1,699,806ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
INSURANCE SETTLEMENT90009962338146233814
CAFETERIA90009921521400$2,152,140
OTHER REVENUE900099742253742253

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column342541TotalRevenueColumn
Unrelated Business Revenue342541UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue9470748TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column351436562TotalRevenueColumn
Related Or Exempt Function Income345032142RelatedOrExemptFunctionIncome
Unrelated Business Revenue1008615UnrelatedBusinessRevenue
Exclusion$5,043,659ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total73026Total
Program Services73026ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total21042Total
Program Services21042ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2812814Total
Management And General2812814ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total118043944Total
Program Services101901463ProgramServices
Management And General16141222ManagementAndGeneral
Fundraising1259Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1612224Total
Program Services1391753ProgramServices
Management And General220454ManagementAndGeneral
Fundraising17Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total30454528Total
Program Services26289880ProgramServices
Management And General4164323ManagementAndGeneral
Fundraising325Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7557785Total
Program Services6322885ProgramServices
Management And General1234804ManagementAndGeneral
Fundraising96Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total443904Total
Program Services310921ProgramServices
Management And General132983ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1392675Total
Management And General1392675ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total121421Total
Management And General121421ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total61803Total
Management And General61803ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total53841Total
Management And General53841ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9440630Total
Program Services7379687ProgramServices
Management And General2060943ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2448030Total
Program Services195090ProgramServices
Management And General2252940ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total888162Total
Program Services602999ProgramServices
Management And General284502ManagementAndGeneral
Fundraising661Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2590521Total
Program Services2184221ProgramServices
Management And General406273ManagementAndGeneral
Fundraising27Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3561216Total
Program Services2875801ProgramServices
Management And General685379ManagementAndGeneral
Fundraising36Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total418765Total
Program Services269425ProgramServices
Management And General149247ManagementAndGeneral
Fundraising93Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total156642Total
Program Services95526ProgramServices
Management And General60916ManagementAndGeneral
Fundraising200Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total3908425Total
Program Services3295424ProgramServices
Management And General612960ManagementAndGeneral
Fundraising41Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16681073Total
Program Services14064798ProgramServices
Management And General2616101ManagementAndGeneral
Fundraising174Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total3623270Total
Program Services3582764ProgramServices
Management And General40468ManagementAndGeneral
Fundraising38Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES & DRUGS5494571854633251312467
BAD DEBT EXPENSE3857601538576015
MISCELLANEOUS8298425502311632700475262
EQUIPMENT RENTAL & MAIN60723885693965378423
PROVIDER TAX EXPENSE32563593256359

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2942141Total
Program Services2942141ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total320456787Total
Program Services280981552ProgramServices
Management And General39467006ManagementAndGeneral
Fundraising8229Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10554BOY
EOY12255EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY83406653BOY
EOY120750346EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY31348306BOY
EOY40695824EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY130995BOY
EOY31995EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY10156400BOY
EOY10703096EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2676369BOY
EOY2867950EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis250459527LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec107746213LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY126569200BOY
EOY142713314EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1448001BOY
EOY1741318EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7779122BOY
EOY65042973EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY263525600BOY
EOY384559071EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY29484308BOY
EOY31417884EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY34920000BOY
EOY135795572EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY13238252BOY
EOY209362EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6585899BOY
EOY6691190EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY84228459BOY
EOY174114008EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY179070296BOY
EOY210239063EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY20845BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY206000BOY
EOY206000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY179297141BOY
EOY210445063EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY263525600BOY
EOY384559071EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses30979775ReconcilationRevenueExpenses
Reconcilation Other Changes168147ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$61,803RalliesDemonstrationsAmount
Other Activities1OtherActivities
Other Activities$13,126OtherActivitiesAmount
Total Lobbying Expenditures IIB74929TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationOTHER ACTIVITY COSTS ARE THE CORPORATION'S PORTION OF TRADE DUES (I.E. KENTUCKY HOSPITAL ASSOCIATION)Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance226845BeginningOfYearBalance
Other Expenditures20845OtherExpenditures
End Of Year Balance206000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance226346BeginningOfYearBalance
Contributions25000Contributions
Other Expenditures24501OtherExpenditures
End Of Year Balance226845EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance331000BeginningOfYearBalance
Contributions479000Contributions
Other Expenditures583654OtherExpenditures
End Of Year Balance226346EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5495937OtherCostOrOtherBasis
Book Value5495937BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis5499265InvestmentCostOrOtherBasis
Other Cost Or Other Basis105661357OtherCostOrOtherBasis
Depreciation38050496Depreciation
Book Value73110126BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3179896OtherCostOrOtherBasis
Depreciation1327213Depreciation
Book Value1852683BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis103937092OtherCostOrOtherBasis
Depreciation68368504Depreciation
Book Value35568588BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis26685980OtherCostOrOtherBasis
Book Value26685980BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings142713314TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
INDENTURE62118875
GOODWILL229624
BOND ISSUANCE COSTS1551370
LONG TERM PREPAID ASSET1143104
FieldValueIRS element (for citing)
Total Book Value Other Assets65042973TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
RESERVE FOR RECIPROCAL OF AMER CLAIMS$3,645,630
ESTIMATED COST REPORT SETTLEMENTS$1,385,910
DEFERRED COMPENSATION LIABILITY$900,440
RESERVES FOR WORKERS COMPENSATION CLAIMS$759,210
FieldValueIRS element (for citing)
Total Of Amounts6691190TotalOfAmounts
Total Revenue351436562TotalRevenue
Total Expenses320456787TotalExpenses
Excess Or Deficit For Year30979775ExcessOrDeficitForYear
Net Unrealized GL On Investments168151NetUnrealizedGLOnInvestments
Other-$4OtherAmount
Total Adjustments168147TotalAdjustments
Excess Or Deficit Per FS31147922ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt358712670TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments168151NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities53153DonatedSrvcAndUseOfFacilities
Other Revenues7054806OtherRevenues
Revenue Not Rptd F9907276110RevenueNotRptdF990
Revenue Subtotal351436560RevenueSubtotal
Other Revenues Not Included2OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2RevenueNotRptdOnFinStmt
Total Revenue Per Form990351436562TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt327564746TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities53153DonatedServicesUseOfFacilities
Other Expenses Included7054806OtherExpensesIncluded
Expenses Not Rptd F9907107959ExpensesNotRptdF990
Expenses Subtotal320456787ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990320456787TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE AMOUNT OF $206,000 IS A PERMANENT RESTRICTED ENDOWMENT-HERBERT FABER ENDOWMENT FUND. THE BALANCE OF THE RAY OF HOPE FOUNDATION DONATION IN THE AMOUNT OF $20,845 WAS USED TO PROVIDE INDIGENT PATIENTS WITH FINANCIAL ASSISTANCE FOR TRAVEL AND MEDICATION RELATED EXPENSES DURING FY 2011.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE HOSPITAL HAS RECEIVED A DETERMINATION LETTER FROM THE IRS THAT IT IS A NOT-FOR-PROFIT ORGNAIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2011 AND 2012.
PART XII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES RECLASSED TO REVENUE SECTION 6,899,027. FUNDRAISING EXPENSES 155,779.
PART XII, LINE 4B - OTHER ADJUSTMENTS:ROUNDING 2.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES RECLASSED TO REVENUE SECTION 6,899,027. FUNDRAISING EXPENSES 155,779.
FORM 990, PART IV LINE 12 HAS BEEN CHECKED NO PER 990 INSTRUCTIONS. PART XI, XII, AND XIII ARE NOT REQUIRED AS THE ORGANIZATION IS PART OF A CONSOLIDATED FINANCIAL STATEMENT. THE CONSOLIDATED FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM AND PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. HOWEVER, THE ORGANIZATION OPTED TO VOLUNTARILY COMPLETE THESE SECTIONS.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1NEW YEARS EVE GALANameOfEvent1
Gross Receipts Event1428983GrossReceiptsEvent1
Charitable Contributions Event1331842CharitableContributionsEvent1
Gross Revenue Event197141GrossRevenueEvent1
Rent Facility Costs Event150060RentFacilityCostsEvent1
Food And Beverage Event173259FoodAndBeverageEvent1
Entertainment Event111748EntertainmentEvent1
Other Direct Expenses Event120712OtherDirectExpensesEvent1
Gross Receipts Total428983GrossReceiptsTotal
Charitable Contributions Total331842CharitableContributionsTotal
Gross Revenue Total Events97141GrossRevenueTotalEvents
Rent Facility Costs Total Events50060RentFacilityCostsTotalEvents
Food And Beverage Total Events73259FoodAndBeverageTotalEvents
Entertainment Total Events11748EntertainmentTotalEvents
Other Direct Expenses Total Events20712OtherDirectExpensesTotalEvents
Direct Expense Summary Events155779DirectExpenseSummaryEvents
Net Income Summary-58638NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense12510973TotalCommunityBenefitExpense
Direct Offsetting Revenue2728747DirectOffsettingRevenue
Net Community Benefit Expense9782226NetCommunityBenefitExpense
Percent Of Total Expense0.03050PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense50147857TotalCommunityBenefitExpense
Direct Offsetting Revenue36814060DirectOffsettingRevenue
Net Community Benefit Expense13333797NetCommunityBenefitExpense
Percent Of Total Expense0.04160PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense62658830TotalCommunityBenefitExpense
Direct Offsetting Revenue39542807DirectOffsettingRevenue
Net Community Benefit Expense23116023NetCommunityBenefitExpense
Percent Of Total Expense0.07210PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs276NumberOfActivitiesOrPrograms
Persons Served2606PersonsServed
Total Community Benefit Expense216613TotalCommunityBenefitExpense
Net Community Benefit Expense216613NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Total Community Benefit Expense1007024TotalCommunityBenefitExpense
Direct Offsetting Revenue433769DirectOffsettingRevenue
Net Community Benefit Expense573255NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs42NumberOfActivitiesOrPrograms
Persons Served110PersonsServed
Total Community Benefit Expense73518TotalCommunityBenefitExpense
Net Community Benefit Expense73518NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs327NumberOfActivitiesOrPrograms
Persons Served2716PersonsServed
Total Community Benefit Expense1297155TotalCommunityBenefitExpense
Direct Offsetting Revenue433769DirectOffsettingRevenue
Net Community Benefit Expense863386NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs327NumberOfActivitiesOrPrograms
Persons Served2716PersonsServed
Total Community Benefit Expense63955985TotalCommunityBenefitExpense
Direct Offsetting Revenue39976576DirectOffsettingRevenue
Net Community Benefit Expense23979409NetCommunityBenefitExpense
Percent Of Total Expense0.07480PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs69NumberOfActivitiesOrPrograms
Persons Served4114PersonsServed
Total Community Building Expense38567TotalCommunityBuildingExpense
Direct Offsetting Revenue2259DirectOffsettingRevenue
Net Community Building Expense36308NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served129PersonsServed
Total Community Building Expense1806TotalCommunityBuildingExpense
Net Community Building Expense1806NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served269PersonsServed
Total Community Building Expense6748TotalCommunityBuildingExpense
Net Community Building Expense6748NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs33NumberOfActivitiesOrPrograms
Total Community Building Expense733137TotalCommunityBuildingExpense
Net Community Building Expense733137NetCommunityBuildingExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs108NumberOfActivitiesOrPrograms
Persons Served4512PersonsServed
Total Community Building Expense780258TotalCommunityBuildingExpense
Direct Offsetting Revenue2259DirectOffsettingRevenue
Net Community Building Expense777999NetCommunityBuildingExpense
Percent Of Total Expense0.00240PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$9,294,377BadDebtExpenseAmount
Amount Attributable To464719AmountAttributableTo
Amount Reimbursed By Medicare90699695AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare79076915CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall11622780MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1PIKEVILLE MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1911 BYPASS ROADAddressLine1
CityPIKEVILLECity
StateKYState
ZIP Code41501ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PIKEVILLE MEDICAL CENTER - NOT REQUIREDBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities32NumberOfOtherFacilities

Other Facilities OtherFacilities (32 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
ORTHOPEDIC PHYSICIAN PRACTICE
184 S MAYO TRAILPIKEVILLEKY41501PHYSICIAN PRACTICE
CARDIOTHORACIC PHYSICIAN PRACTICE
119 WEDDINGTON BR RDPIKEVILLEKY41501PHYSICIAN PRACTICE
HOME HEALTH SERVICES
1370 S MAYO TRAILPIKEVILLEKY41501HOME HEALTH SERVICES
OPTHALMOLOGY PHYS PRACTICE
1098 S MAYO TRAIL STE 305PIKEVILLEKY41501PHYSICIAN PRACTICE
GENERAL SURGERY PHYSICIAN PRACTICE
1098 S MAYO TRAIL STE 305PIKEVILLEKY41501PHYSICIAN PRACTICE
HOME MEDICAL EQUIPMENT
1370 S MAYO TRAILPIKEVILLEKY41501MEDICAL EQUIPMENT CENTER
UROLOGY PHYSICIAN PRACTICE
255 CHURCH ST STE 202PIKEVILLEKY41501PHYSICIAN PRACTICE
GYNECOLOGY PRACTICE
246 KY RT 979HAROLDKY41635PHYSICIAN PRACTICE
GENERAL SURGERY PHYSICIAN PRACTICE
387 TOWN MTN RD STE 106PIKEVILLEKY41501PHYSICIAN PRACTICE
BARIATRIC SURGERY PHYSICIAN PRACTICE
1098 S MAYO TRAIL STE 301PIKEVILLEKY41501PHYSICIAN PRACTICE
ONCOLOGY PHYSICIAN PRACTICE
439 HAMBLEY BLVDPIKEVILLEKY41501PHYSICIAN PRACTICE
PRESTONSBURG RADIOLOGY
126 COLLINS CIR UNIT KPRESTONSBURGKY41653IMAGING CENTER
ENDOCRINOLOGY PRACTICE
1098 S MAYO TRAILPIKEVILLEKY41501PHYSICIAN PRACTICE
WHITESBURG SLEEP LAB
60 MAIN STREETWHITESBURGKY41858SLEEP LAB
WOMENS CARE CENTER
387 TOWN MTN RD STE 206PIKEVILLEKY41501PHYSICIAN PRACTICE
PRIMARY CARE PRACTICE - PIKEVILLE WALMAR
251 CASSIDY BLVDPIKEVILLEKY41501PHYSICIAN PRACTICE
PRESTONSBURG SLEEP LAB
206 COLLINS CIR UNIT 3PRESTONSBURGKY41653SLEEP LAB
NEPHROLOGY PHYSICIAN PRACTICE
126 TRIVETTE DR STE 202PIKEVILLEKY41501PHYSICIAN PRACTICE
ENT PHYSICIAN PRACTICE
1098 S MAYO TRAIL STE 304PIKEVILLEKY41501PHYSICIAN PRACTICE
PRIMARY CARE PRACTICE - SHELBY VALLEY
6800 US HWY 23 S STE 3PIKEVILLEKY41501PHYSICIAN PRACTICE
PRIMARY CARE PRACTICE - WHITESBURG WALMA
350 IRONWOOD DRIVEWHITESBURGKY41858PHYSICIAN PRACTICE
ULTRASOUND-OBGYN PHYSICIAN PRACTICE
246 KY RT 979HAROLDKY41635PHYSICIAN PRACTICE
PRIMARY CARE PRACTICE - MOUTHCARD
137 N LEVISA RDMOUTHCARDKY41548PHYSICIAN PRACTICE
PRIMARY CARE PRACTICE - HAROLD
246 KY RT 979HAROLDKY41635PHYSICIAN PRACTICE
SPORTS MEDICINE PHYSICIAN PRACTICE
184 S MAYO TRAILPIKEVILLEKY41501PHYSICIAN PRACTICE
PRIMARY CARE PRACTICE- NORTON WALMART
780 COMMONWEALTH DRNORTONVA24273PHYSICIAN PRACTICE
ONCOLOGY PHYSICIAN PRACTICE -PAINTSVILLE
830 SOUTH MAYO TRAILPAINTSVILLEKY41240PHYSICIAN PRACTICE
RHEUMATOLOGY PHYSICIAN PRACTICE
1370 S MAYO TRAILPIKEVILLEKY41501PHYSICIAN PRACTICE
RHEUMATOLOGY PHYSICIAN PRACTICE - PAIN
830 SOUTH MAYO TRAILPAINTSVILLEKY41240PHYSICIAN PRACTICE
PEDIATRIC ENDOCRINOLOGY PRACTICE
140 ADAMS LANE STE 600PIKEVILLEKY41501PHYSICIAN PRACTICE
OPTHALMOLOGY PHYS PRACTICE - GRUNDY
1193 PLAZA DRIVEGRUNDYVA24614PHYSICIAN PRACTICE
CARDIOLOGY PRACTICE-HAZARD
474 VILLAGE LANEHAZARDKY41701PHYSICIAN PRACTICE

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

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

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
JENNY WILEY THEATRE
PO BOX 22PRESTONSBURGKY41653610667976501C311200SPONSORSHIP FOR "RAGS TO RICHES" AND "A CHRISTMAS STORY"
WILLOWBROOK COUNTRY CLUB
PO BOX 165GRUNDYVA2416454083754010000GRAND SPONSOR YOUTH GOLF PROGRAM
AMERICAN HEART ASSOCIATION
545 NORTH HIGH STCOLUMBUSOH43214135613797501C310000DONATION FOR 2011 CENTRAL KY HEART BALL
PIKEVILLE MAIN STREET PROGRAM INC
178 COLLEGE STREETPIKEVILLEKY41501611273907501C310000DONATION FOR EAST KY LEADERSHIP CONFERENCE
SOUTHEAST KENTUCKY CHAMBER OF COMMERCE
787 HAMBLEY BLVDPIKEVILLEKY41501610544068501C36000PREMIERE SPONSORSHIP FOR ANNUAL AWARDS CEREMONY & BANQUET
KENTUCKY CHAMBER OF COMMERCE
464 CHENAULT ROADFRANKFORTKY406016104057185000SILVER SPONSOR FOR ANNUAL MEETING AND AWARDS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantASSISTANCE FOR UNINSURED PATIENTS FOR PRESCRIPTIONS, CAFE VOUCHERS, AND CANCER TRAVEL ASSISTANCE. THERE WERE 355 PRESCRIPTIONS PROVIDED, 501 CAFE VOUCHERS PROVIDED, AND 55 RECIPIENTS OF TRAVEL ASSISTANCE.TypeOfGrant
Number Of Recipients911NumberOfRecipients
Amount Of Cash Grant21041AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: ALL GRANTS ARE PROVIDED TO PUBLIC CHARITIES FOR GENERAL SUPPORT. PIKEVILLE MEDICAL CENTER, INC. DOES NOT MONITOR THE USE OF THESE FUNDS BY THESE PUBLIC CHARITIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WALTER E MAY
515827095000061800110000180290646036000
MICHELLE HAGY
2172130125320697046030172490252294032490
SUSAN SCHELL
155000079240691017470167620182124012910
CHERYL HICKMAN
187418025770015450114130173060243452030190
WILLIAM JOHNSON
2635060100052650101310176130296615000
DEBRA HAMPTON
206006011891015125073850174970257904033330
JUANITA DESKINS
2194000110500960038930176860252989026660
PEGGY JUSTICE
155000092160691094970170430191447025830
TERENCE FARRELL
2000000118910681039850174970234054033330
DEBORAH PUCKETT
1470140874101006011948096050178314024500
BILL HARRIS MD
8005000624019800110000183410832445000
DUANE DENSLER MD
7001920183795011958082500180150922210000
NORMAN MAYER MD
70019201607780111521082500174890998230000
KEITH HALL MD
565300051421302700825001747501105508000
KEVIN PUGH MD
62512402887770270082500174750939896000
DANNY HARRIS
100384027240619016910116510117069000
JERRY JOHNSON
57840041770201067038560176650284605041770

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

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

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF PIKEVILLE KY
61600189772134PAR32011-04-2790370651SEE BELOW000
CITY OF PIKEVILLE KY
61600189772134PAS12011-04-2745615542SEE BELOW000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapitalized InterestCapitalizedInterest
90370651356367113285862113297244236511201089111001
45615542297917129556853190107300013597734

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
011010.012900.000000.012901
000010.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000

Form990 Schedule K Part V Form990ScheduleKPartV

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

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonNORMAN MAYER MDNamePerson
Purpose Of LoanLOAN TO DR MAYER FROM PMC FOR REPAYMENT OF FINANCIAL OBLIGATIONPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$331,995OriginalPrincipalAmount
Balance Due31995BalanceDue
Default0Default
Approved By Board0ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due31995TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (30 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
A&M DISTRIBUTING
ENTITY OF WHICH WALTER E. MAY'S SON IS AN OFFICER432PIKEVILLE MEDICAL CENTER PURCHASES BEVERAGE PRODUCTS FROM ENTITY FOR RESALE IN ITS GRILL0
VICKI BELL
DAUGHTER-IN-LAW OF HOBART JOHNSON, PMC BOARD MEMBER11370PIKEVILLE MEDICAL CENTER PURCHASES CATERING SERVICES FOR HOSPITAL FUNCTIONS FROM THIS VENDOR.0
COMMUNITY TRUST BANK
ENTITY OF WHICH BOARD MEMBERS HAVE BUSINESS RELATIONSHIPS3663762HOBART JOHNSON AND DAVID COLLINS SERVE AS BOARD MEMBERS OF BOTH ENTITIES. SERVICES PROVIDED BY COMMUNITY TRUST BANK TO PIKEVILLE MEDICAL CENTER: -INTEREST INCOME BANKING SERVICES & FUNDS IN TRUST, $996,269 -SAVINGS BONDS PURCHASED FOR EMPLOYEES, $3,400 -SAFE DEPOSIT BOX FEES/LINE OF CREDIT FEES/BOND ACCT MGMT FEES, $5,065 -INSTALLMENT LOAN PAYMENTS, $2,643,277 -ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $15,751.0
EAST KY BROADCASTING AND EAST KY RADIO NETWORK (TOTAL OF NINE RADIO STATION
ENTITIES MORE THAN 35% OWNED BY WALTER E. MAY, PMC PRESIDENT/CEO621659ENTITIES PROVIDE ADVERTISING SERVICES TO PMC, $605,915 -ENTITIES PROVIDE ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $15,744.0
TINA GAUNT MD
WIFE OF WILLIAM GAUNT, M.D., PMC BOARD MEMBER23288TINA GAUNT, M.D. RENTS PHYSICIAN OFFICE SPACE FROM PIKEVILLE MEDICAL CENTER0
KVWV TRAFFIC CONTROL
ENTITY OF WHICH T.T. COLLEY'S SON IS THE OWNER14600ENTITY PROVIDES PARKING LOT STRIPING SERVICES TO PIKEVILLE MEDICAL CENTER0
MESA-ER PHYSICIAN GROUP
ENTITY OF WHICH SUE SMALLWOOD'S STEP GRANDSON IS THE MEDICAL DIRECTOR.490018THE STEP GRANDSON OF PMC BOARD MEMBER SUE SMALLWOOD IS PIKEVILLE MEDICAL CENTER EMERGENCY DEAPARTMENT MEDICAL DIRECTOR AND AN EMPLOYEE FOR MESA. MESA PROVIDES EMERGENCY DEPARTMENT PHYSICIAN SERVICES FOR PIKEVILLE MEDICAL CENTER.0
PAM MAY LAW FIRM PSC
ENTITY MORE THAN 35% OWNED BY WIFE OF WALTER E. MAY, PMC PRESIDENT/CEO1152258FIRM PROVIDES LEGAL SERVICES TO PIKEVILLE MEDICAL CENTER.0
PIKEVILLE RADIOLOGY
ENTITY MORE THAN 35% OWNED BY TWO PMC BOARD MEMBERS40796ALEX POULOS, M.D. & DENNIS HALBERT, M.D. ARE PARTNERS OF PIKEVILLE RADIOLOGY WITH WHOM PIKEVILLE MEDICAL CENTER CONTRACTS WITH FOR RADIOLOGY SERVICES.0
T&C CONSTRUCTION
ENTITY OWNED BY T.T. COLLEY, PMC BOARD MEMBER7200ENTITY RENTS OFFICE SPACE FROM PIKEVILLE MEDICAL CENTER0
US BANK
ENTITY OF WHICH ALEX POULOS, M.D. IS A BOARD MEMBER285290SERVICES PROVIDED BY US BANK TO PIKEVILLE MEDICAL CENTER: -INSTALLMENT LOAN PAYMENTS, 198,023 -RENT, $87,078 -ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PMC, $189.0
ANDREA ALLARA
DAUGHTER OF JOE DEAN ANDERSON, PMC BOARD MEMBER42956EMPLOYED BY PIKEVILLE MEDICAL CENTER AS RADIOLOGY COORDINATOR.0
ROBERT BELL
STEP SON OF HOBART JOHNSON, PMC BOARD MEMBER79281EMPLOYED BY PIKEVILLE MEDICAL CENTER AS NUTRITIONAL SERVICES HEAD CHEF.0
CAMILLA DAMRON
DAUGHTER OF JO NELL ROBINSON, PMC BOARD MEMBER76089EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A SPEECH LANGUAGE PATHOLOGIST.0
LIAM FARRELL
SON OF TERENCE FARRELL, PMC KEY EMPLOYEE22326EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A REGISTRAR0
SARAH HARRIS
DAUGHTER OF CHERYL HICKMAN, PMC KEY EMPLOYEE46142EMPLOYED BY PIKEVILLE MEDICAL CENTER AS IT- PRACTICE PROJECT MANAGER.0
ASHLEY COLLINS JOHNSON
DAUGHTER OF DAVID COLLINS, PMC BOARD MEMBER62909EMPLOYED BY PIKEVILLE MEDICAL CENTER AS MANAGER-EMPLOYEE RELATIONS.0
CINDY MAY JOHNSON
DAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO94987EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-MEDICAL LEADER/PUBLIC RELATIONS.0
RANDY L JOHNSON
SON IN LAW OF WALTER E. MAY, PMC PRESIDENT/CEO60879EMPLOYED BY PIKEVILLE MEDICAL CENTER AS CHAPLAIN0
BRANDI MAY
DAUGHTER IN LAW OF WALTER E. MAY, PMC PRESIDENT/CEO50354EMPLOYED BY PIKEVILLE MEDICAL CENTER AS PI OUTCOME SPECIALIST.0
KAMINSKI ROBINSON
HUSBAND OF JO NELL ROBINSON, PMC BOARD MEMBER67613EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-CHAPLAIN SERVICES0
ANDREA ROBINETTE SHOWALTER
STEP DAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO16527EMPLOYED BY PIKEVILLE MEDICAL CENTER AS PHYSICIAN RECRUITER.0
COLLEY STEVENS
GRANDSON OF T.T. COLLEY, PMC BOARD MEMBER35631EMPLOYED BY PIKEVILLE MEDICAL CENTER AS ASSISTANT DIRECTOR - VALET SERVICES.0
CORDELL WEATHERFORD
GRANDSON IN LAW OF WLATER E MAY, PMC PRESIDENT/CEO52993EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-CUSTOMER SERVICE/EMPLOYEE DEVELOPMENT.0
CAROLINA WEATHERFORD DBA CLW EDITIN
GRANDDAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO10000ENTITY PROVIDES PROOFREADING SERVICES FOR PIKEVILLE MEDICAL CENTER'S MEDICAL LEADER PUBLICATION0
CORNERSTONE REAL ESTATE GROUP LLC
ENTITY OF WHICH PEGGY JUSTICE, PMC KEY EMPLOYEE IS BROKER3300ENTITY PROVIDES REAL ESTATE SERVICES TO PIKEVILLE MEDICAL CENTER0
ALEX POULOS MD
PMC BOARD MEMBER36029PIKEVILLE MEDICAL CENTER PURCHASED OFFICE SUITE PARTIALLY OWNED BY BOARD MEMBER.0
DENNIS HALBERT MD
PMC BOARD MEMBER36029PIKEVILLE MEDICAL CENTER PURCHASED OFFICE SUITE PARTIALLY OWNED BY BOARD MEMBER.0
SUMMIT ENGINEERING
ENTITY OF WHICH PEGGY JUSTICE'S BROTHER IS A PARTNER12460ENTITY PROVIDES ENGINEERING SERVICES TO PMC, $12,262 -ENTITY PROVIDES ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $1980
UNIVERSITY OF PIKEVILLE
ENTITY OF WHICH MARY R. SIMPSON IS CHAIR OF THE DIVISION OF NURSING13249PMC BOARD MEMBER MARY R. SIMPSON PHD IS CHAIR OF THE UNIVERSITY OF PIKEVILLE DIVISION OF NURSING. SERVICES PROVIDED BY UNIVERSITY OF PIKEVILLE TO PIKEVILLE MEDICAL CENTER: -ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PMC, $1,249.00. RENT PAYMENTS TO UNIVERSITY OF PIKEVILLE FOR STORAGE LOT, $12,000.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2DR ALEX POULOS & DR DENNIS HALBERT PARTNERS IN PIKEVILLE RADIOLOGY. HOBERT JOHNSON & DAVID COLLINS MEMBERS OF COMMUNITY TRUST BANK BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE CFO AND HOSPITAL ATTORNEY PRIOR TO FILING. ADDITIONALLY, THE GOVERNING BODY REVIEWS AND APPROVES THE FINAL FORM 990 INCLUDING REQUESTED SCHEDULES. COPIES ARE PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY UPON REQUEST.
AS TO BOARD MEMBERS, UPDATES TO THE CONFLICT OF INTEREST FORMS ARE COMPLETED ANNUALLY WITH VOLUNTARY DISCLOSURE OF CONFLICT ON ANY PARTICULAR ISSUE. THERE IS NO PARTICIPATION, DISCUSSION OR VOTE TAKEN ON THESE; HOWEVER, THE BOARD ATTORNEY IS PROVIDED A COPY OF ALL INTERESTS OF EACH MEMBER TO ENSURE COMPLIANCE WITH THE POLICY. THESE ARE REGULARLY AND CONSISTENTLY MONITORED FOR ANY CHANGES. AS TO EMPLOYEES, THERE IS A WRITTEN CONFLICT OF INTEREST POLICY WHICH TOO IS REGULARLY AND CONSISTENTLY MONITORED AND ENFORCED BY HUMAN RESOURCES AND ADMINISTRATION AS NECESSARY. THIS POLICY IS INTENDED TO IDENTIFY AND RESOLVE CONFLICTS OF INTEREST WHICH MAY OCCUR RELATED TO FINANCIAL, BUSINESS, OR PROFESSIONAL INTERESTS. THE POLICY IS IN PLACE TO IDENTIFY AND RESOLVE A CONFLICT OF INTEREST WHICH MAY OCCUR ANY TIME THERE IS A SITUATION IN WHICH ONE'S ABILITY TO MAKE OBJECTIVE, JOB RELATED BUSINESS DECISIONS MAY BE INFLUENCED BY, OR HAVE THE APPEARANCE OF BEING INFLUENCED BY, OUTSIDE ACTIVITIES OR PERSONAL INTERESTS. POTENTIAL CONFLICTS OF INTEREST MAY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: 1. WORKING A SECOND JOB AT A COMPETING HEALTHCARE ENTITY WHICH MAY ALLOW THE TRANSFER OF CONFIDENTIAL BUSINESS INFORMATION OR INFLUENCE REFERRAL PATTERNS. 2. ALLOWING THE DEMANDS OF OUTSIDE ACTIVITIES TO HINDER OR DISTRACT YOU FROM THE PERFORMANCE OF YOUR JOB OR CAUSE YOU TO USE PIKEVILLE MEDICAL CENTER RESOURCES FOR OTHER THAN PIKEVILLE MEDICAL CENTER PURPOSES. 3. HOLDING AN OWNERSHIP INTEREST, MANAGEMENT, OR BOARD OF DIRECTORS POSITION IN A COMPANY WITH WHOM PIKEVILLE MEDICAL CENTER DOES BUSINESS WHICH MAY LEAD TO THE INDIVIDUAL'S PERSONAL GAIN/BENEFIT. "OWNERSHIP INTEREST" MEANS SERVING AS A BOARD DIRECTOR OR OFFICER OR OWNING MORE THAN 5% OF THE BUSINESS OR CORPORATION. 4. HAVING AN IMMEDIATE FAMILY MEMBER OR SIGNIFICANT OTHER WHO HOLDS AN OWNERSHIP INTEREST IN A COMPANY WITH WHOM PIKEVILLE MEDICAL CENTER DOES BUSINESS WHICH MAY LEAD TO THE INDIVIDUAL'S PERSONAL GAIN/BENEFIT. "OWNERSHIP INTEREST" MEANS SERVING AS A BOARD DIRECTOR OR OFFICER OR OWNING MORE THAN 5% OF THE BUSINESS OR CORPORATION. 5. HAVING AN IMMEDIATE FAMILY MEMBER OR SIGNIFICANT OTHER EMPLOYED BY THE PIKEVILLE MEDICAL CENTER AND WORKING WITHIN THE SAME DIRECT LINE OF AUTHORITY (ABOVE OR BELOW) AS THE FIRST EMPLOYEE. IMMEDIATE FAMILY MEMBERS INCLUDE SPOUSES, CHILDREN, GRANDCHILDREN, BROTHERS AND SISTERS AND THE SPOUSES OF THOSE INDIVIDUALS. THE SCOPE OF THIS POLICY INCLUDES: PIKEVILLE MEDICAL CENTER AND ALL ITS DEPARTMENTS AND SERVICES WHEREVER LOCATED. THE COVERED INDIVIDUALS ARE TO FOLLOW THESE PROCEDURES: 1. ALL LICENSED CLINICAL STAFF, SUPERVISORS, AND MANAGEMENT PERSONNEL SHALL COMPLETE A DUALITY AND CONFLICT OF INTEREST FORM AT THE TIME OF INITIAL EMPLOYMENT AND ANNUALLY THEREAFTER. 2. EMPLOYEE CONFLICT OF INTEREST FORMS SHALL BE FILED IN THEIR PERSONNEL FILES. 3. IN THE EVENT THAT AN EMPLOYEE'S JOB DESCRIPTION OR DUTIES REQUIRES A BUSINESS RELATED DECISION TO BE MADE IN AN AREA IN WHICH A PERSONAL CONFLICT OF INTEREST HAS BEEN IDENTIFIED, THE EMPLOYEE SHALL NOTIFY HIS/HER SUPERVISOR TO ARRANGE FOR AN ALTERNATIVE DECISION MAKING PROCESS WHICH WILL MAINTAIN OBJECTIVITY AND ELIMINATE PERSONAL BIAS, I.E. PERSONAL WITHDRAWAL FROM THE DECISION MAKING PROCESS, SOLICITATION OF CLOSED BIDS, OR UTILIZATION OF A INDEPENDENT SELECTION COMMITTEE. 4. IF AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF ETHICS IS IDENTIFIED INVOLVING PATIENT CARE OR TREATMENT, THE EMPLOYEE SHOULD SEEK ASSISTANCE FROM THEIR SUPERVISOR TO FIND A RESOLUTION WHICH WOULD HAVE MINIMUM IMPACT ON PATIENT CARE, TREATMENT, OR SERVICES.FORM 990, PART VI, SECTION B, LINE 12C
THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE SALARY OF THE ORGANIZATION'S CEO AND KEY EMPLOYEES. THE COMMITTEE USES COMPARATIVE DATA FROM NATIONAL SALARY SURVEYS. MOTION AND APPROVALS FROM THE COMMITTEE ARE KEPT IN THE MINUTES.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION DOES MAKE THE FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 168,151. ROUNDING -4. TOTAL TO FORM 990, PART XI, LINE 5: 168,147.FORM 990, PART XI, LINE 5:
OVERSIGHT OF AUDITTHE BOARD OF DIRECTORS ASSUMES RESPONSIBLITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR.FORM 990, PART XI, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
PIKEVILLE MEDICAL CENTER FOUNDATION INC
911 BYPASS ROADPIKEVILLEKY41501611274046INACTIVEKYN/AC-306473471.00000
PIKEVILLE MEDICAL DEVELOPMENT CORPORATION
911 BYPASS ROADPIKEVILLEKY41501202487928INACTIVEKYN/AC-17377891.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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