Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public Inspection
Name of the organization
Pikeville Medical Center Inc
 
Employer identification number

61-0458376
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
(1) BRANDI MAY Daughter in law of Walter E. May 1,308 employee educational assistance employee educational assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2016
Page 2
Schedule L (Form 990 or 990-EZ) 2016
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) ADRIENNE ADKINS STEP GRANDDAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO 66,463 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS STAFF REGISTERED NURSE.   No
(2) ANDREA ALLARA DAUGHTER OF JOE DEAN ANDERSON, PMC BOARD MEMBER 43,758 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS RADIOLOGY COORDINATOR.   No
(3) ANDREA ROBINETTE LOWE STEP DAUGHTER OF WALTER E. MAY, PMC PRESIDENT/CEO 150,192 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS VP- Human Resources.   No
(4) BART DAVIS Grandson of Jo Nell Robinson, PMC Board Member 59,770 Employed By Pikeville Medical Center as Director of Fleet.   No
(5) BRANDI MAY DAUGHTER IN LAW OF WALTER E. MAY, PMC PRESIDENT/CEO 19,446 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A Clinic NURSE PRACTITIONER.   No
(6) CAMILLA DAMRON DAUGHTER OF JO NELL ROBINSON, PMC BOARD MEMBER 77,378 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A SPEECH LANGUAGE PATHOLOGIST.   No
(7) City of Pikeville
  		ENTITY OF WHICH SPOUSE of DEBra BLACKBURN HAS BUSINESS relationship 743,662 SPOUSE OF PMC BOARD MEMBER, Debra BLACKBURN, EMPLOYED AS CITY MANAGER OF CITY OF PIKEVILLE. SERVICES PROVIDED BY CITY OF PIKEVILLE TO PIKEVILLE MEDICAL CENTER: GAS, TRASH, WATER, AND SEWER UTILITY PAYMENTS, $742,718.14 -ADVERTISING INCOME MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $944.00.   No
(8) COMMUNITY TRUST BANK
  		ENTITY OF WHICH BOARD MEMBER HAs BUSINESS RELATIONSHIP 8,363,291 DAVID COLLINS SERVES AS BOARD MEMBER OF BOTH ENTITIES. SERVICES PROVIDED BY COMMUNITY TRUST BANK TO PIKEVILLE MEDICAL CENTER: -INTEREST INCOME BANKING SERVICES & FUNDS IN TRUST, $821,864.80 -SAFE DEPOSIT BOX FEES/LINE OF CREDIT FEES/BOND ACCT MGMT FEES, $25,216.79 -INSTALLMENT LOAN PAYMENTS, $7,497,770.79 -ADVERTISING INCOME MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $18,438.20   No
(9) Cordell Weatherford Grandson in law of Walter E May, PMC President/CEO 100,416 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS ASSISTANT VICE PRESIDENT-ADMINISTRATION.   No
(10) EAST KY BROADCASTING & EAST KY RADIO NETWORK (TOTAL OF NINE RADIO STATIONs)
  		ENTITIES MORE THAN 35% OWNED BY WALTER E. MAY, PMC PRESIDENT/CEO 1,601,377 ENTITIES PROVIDE ADVERTISING SERVICES TO PMC, $1,508,849.60 -ENTITIES PROVIDE ADVERTISING INCOME-MEDICAL LEADER: PUBLICATION SOLELY OWNED BY PIKEVILLE MEDICAL CENTER, $92,527.45   No
(11) KAMINSKI ROBINSON SPOUSE OF JO NELL ROBINSON, PMC BOARD MEMBER 66,145 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-CHAPLAIN SERVICES.   No
(12) Miranda Forsyth SISTER IN LAW OF Debra Blackburn, PMC BOARD MEMBER 71,264 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS STAFF REGISTERED NURSE.   No
(13) RANDY L JOHNSON SON IN LAW OF WALTER E. MAY, PMC PRES;SPOUSE OF CINDY JOHNSON, PMC BD MEM 61,653 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-CHAPLAIN SERVICEs.   No
(14) Rhonda Coleman SISTER IN LAW OF Debra Blackburn, PMC BOARD MEMBER 54,120 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS SENIOR COMPLIANCE CODING AUDITOR   No
(15) Rita Crum SISTER IN LAW OF AARON CRUM, M.D., PMC BOARD MEMBER 39,160 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR of EMPLOYEE DEVELOPMENT/EDUCATION.   No
(16) ROBERT BELL STEP SON OF HOBART JOHNSON, PMC BOARD MEMBER 102,551 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS Nutritional Services Head Chef.   No
(17) SARAH Taylor DAUGHTER OF CHERYL HICKMAN, PMC KEY EMPLOYEE 82,278 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS IT- Project Manager.   No
(18) TRISTAN BLACKBURN Son of Debra Blackburn, PMC Board Member 73,217 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS Network Administrator.   No
(19) US BANK
  		ENTITY OF WHICH KEY EMPLOYEE HAS A BUSINESS RELATIONASHIP 795,871 AARON CRUM, M.D., SERVES ON THE BOARD AT US BANK. SERVICES PROVIDED BY US BANK TO PIKEVILLE MEDICAL CENTER: INSTALLMENT LOAN PAYMENTS, $788,954.41 - RENT, $9,916.16   No
(20) East Kentucky Law Group PSC
  		Entity more than 35% owned by spouse of Walter E. May, PMC President/CEO 1,090,403 FIRM PROVIDES LEGAL SERVICES TO PIKEVILLE MEDICAL CENTER.   No
(21) PIKEVILLE RADIOLOGY
  		ENTITY MORE THAN 35% OWNED BY TWO PMC BOARD MEMBERS 26,658 ALEX POULOS, MD AND DENNS HALBERT, MD ARE PARTNERS OF PIKEVILLE RADIOLOGY WITH WHOM PIKEVILLE MEDICAL CENTER CONTRACTS WITH FOR RADIOLOGY SERVICES   No
(22) WILLIAM BLACKBURN SPOUSE OF DEBRA BLACKBURN, PMC BOARD MEMBER 82,385 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS ASSISTANT CEO   No
(23) BRAD LOWE STEP SON IN LAW OF WALTER E MAY, PMC PRESIDENT/CEO 47,111 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS EXECUTIVE DIRECTOR PHYSICIAN REFERRAL   No
(24) CAROLINA WEATHERFORD DBA CLW EDITING
  		GRANDDAUGHTER OF WALTER E MAY, PMC PRESIDENT/CEO: DAUGHTER OF CINDY JOHNSON 17,175 ENTITY PROVIDES PROOFREADING SERVICES FOR PIKEVILLE MEDICAL CENTER'S MEDICAL LEADER PUBLICATION   No
(25) SUMMITT ENGINEERING
  		ENTITY WHICH PMC FORMER KEY EMPLOYEE, PEGGY JUSTICE'S BROTHER IS A PARTNer 68,047 ENTITY PROVIDES ENGINERING SERVICES TO PIKEVILLE MEDICAL CENTER   No
(26) JORDAN ELIZABETH PUGH GRANDDAUGHTER OF SUE SMALLWOOD, PMC BOARD MEMBER 55,600 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS RECRUITER   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2016


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