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.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
PIKEVILLE MEDICAL CENTER INC
 
Employer identification number

61-0458376
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the 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
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2019
Page 2
Schedule L (Form 990 or 990-EZ) 2019
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) ALYSSA KIDD SISTER OF PHILLIP REED, PMC BOARD MEMBER 39,990 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS STAFF RN   No
(2) ANDREA ANDERSON DAUGHTER OF JOE DEAN ANDERSON, PMC BOARD MEMBER 44,122 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS RADIOLOGY COORDINATOR.   No
(3) ASHLEY JOHNSON DAUGHTER OF DAVID COLLINS, CPA, PMC BOARD MEMBER 77,816 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-HUMAN RESOURCES   No
(4) BART DAVIS GRANDSON OF JO NELL ROBINSON, PMC BOARD MEMBER 85,061 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS MANAGER-FURNITURE & SURPLUS   No
(5) CAMILLA DAMRON DAUGHTER OF JO NELL ROBINSON, PMC BOARD MEMBER 77,578 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A SPEECH LANGUAGE PATHOLOGIST.   No
(6) COMMUNITY TRUST BANK
  		ENTITY OF WHICH PMC BOARD MEMBER HAS BUSINESS RELATIONSHIP 8,362,131 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, $3,034,403.82 -SAFE DEPOSIT BOX FEES/LINE OF CREDIT FEES/BOND ACCT MGMT FEES, $17,535 - INSTALLMENT PAYMENTS, $5,310,192.66   No
(7) EASTERN TELEPHONE & TECHNOLOGIES INC
  		ENTITY OF WHICH PMC BOARD MEMBER'S SPOUSE HAS BUSINESS RELATIONSHIP 308,824 LINDA WAGNER-JUSTICE'S SPOUSE HAS A FINANCIAL INTEREST IN ENTITY. PIKEVILLE MEDICAL CENTER PURCHASES TELECOMMUNICATION PARTS AND SERVICES FROM EASTERN TELEPHONE.   No
(8) ELLIOTT COMPANIES
  		ENTITY OF WHICH BOARD MEMBER HAS BUSINESS RELATIONSHIP 2,600,511 DAVID BAIRD SERVES AS BOARD MEMBER OF BOTH ENTITIES. PIKEVILLE MEDICAL CENTER PURCHASES CONSTRUCTION SERVICES AND MAINTENANCE MATERIALS FROM ELLIOTT COMPANIES.   No
(9) JAMES MATTHEW CRUM BROTHER OF AARON CRUM, M.D., PMC BOARD MEMBER 21,195 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS TRANSPORTER   No
(10) KIERSTEN WOODS SHURTLEFF DAUGHTER IN LAW OF ROBERT SHURTLEFF, PMC BOARD MEMBER 33,199 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS A CERTIFIED RESPIRATORY THERAPIST   No
(11) MICHAEL CRUM MD BROTHER OF AARON CRUM, M.D., PMC BOARD MEMBER 248,560 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS PHYSICIAN   No
(12) MIRANDA FORSYTH SISTER OF WILLIAM D. BLACKBURN, PMC BOARD VP/CEO 58,498 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS STAFF RN   No
(13) RAMANARAO METTU MD SPOUSE OF JYOTHI METTU, M.D., PMC BOARD MEMBER 55,385 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS PHYSICIAN   No
(14) RHONDA BLACKBURN SPOUSE OF ERICH BLACKBURN, PMC KEY EMPLOYEE 186,931 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS ASSOCIATE GENERAL COUNSEL   No
(15) RITA CRUM SISTER IN LAW OF AARON CRUM, M.D., PMC BOARD MEMBER 81,681 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS CMS SPECIALIST   No
(16) ROBERT SHURTLEFF DO SON OF ROBERT SHURTLEFF, PMC BOARD MEMBER 200,000 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS PHYSICIAN   No
(17) SARAH TAYLOR DAUGHTER OF CHERYL HICKMAN, PMC KEY EMPLOYEE 102,491 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS IT PROGRAM MANAGER   No
(18) SHELDON THACKER SPOUSE OF MELISSA THACKER, PMC KEY EMPLOYEE 100,341 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS EXECUTIVE DIRECTOR - BUSINESS OPERATIONS   No
(19) SHURTLEFF'S DRY CLEANING & LAUNDRY INC
  		ENTITY OWNED BY FAMILY OF PMC BOARD MEMBER 814,942 ROBERT SHURTLEFF'S PARENT IS OWNER OF ENTITY FROM WHICH PIKEVILLE MEDICAL CENTER PURCHASES LAUNDRY SERVICES.   No
(20) TRISTAN BLACKBURN SON OF WILLIAM D. BLACKBURN, PMC BOARD VP/CEO 105,457 EMPLOYED BY PIKEVILLE MEDICAL CENTER AS DIRECTOR-INFORMATION TECHNOLOGY   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) 2019


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