Pikeville Medical Center Inc

Nonprofit profile at a glance

EIN
610458376
IRS 990 coverage
2009–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Pikeville, KY, USA
Phone
6064303501
Rating
77
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General
Affiliation
Christianity

Official website

Reported finances

Revenue
$789,640,637
Expenses
$706,641,708
Assets
$812,937,738
Liabilities
$332,111,837

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

27 people listed

Executive titles in this filing

  • WILLIAM D BLACKBURN (BOARD CHAIR/PRESIDENT/CEO)
  • AARON CRUM MD (EX-OFFICIO/CMO/ASST CEO)

Highest reported compensation

  • KEITH HALL MD (ORTHOPEDIC SURGEON): $1,969,159 total reported compensation
  • KEVIN PUGH MD (ORTHOPEDIC SURGEON): $1,845,759 total reported compensation
  • WILLIAM D BLACKBURN (BOARD CHAIR/PRESIDENT/CEO): $1,738,038 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The center's mission is to advance the health and well-being of our region through comprehensive care in a christian environment.

What it reported doing in 2024

All other programs: committed to care. Called to servepikeville medical center (pmc), a 348-bed tertiary care center, provides high-quality, comprehensive healthcare for eastern Kentucky and the central appalachian region. For decades, the region served by pmc battled many challenges related to limited access to quality medical care; pmc has strived to continually expand service offerings and improve access to healthcare across the region in pursuit of the organization's goal to be the provider of choice through its dedicated service to the community and commitment to providing the most advanced healthcare treatment and technology available.the mission of pikeville medical center is "to advance the health and well-being of our region through comprehensive care in a christian environment." pmc's mission, along with the vision of the organization: "to be the provider and employer of choice for healthcare in the region we serve," is the foundation for the high-quality level of care provided each day throughout the organization, with more than 400 services and more than 3,200 employees, including over 600 credentialed healthcare providers.from its origins as a small, rural, 50-bed facility in 1924, pmc has grown into a comprehensive regional medical complex. Today, pmc operates 11 centers of excellence and 348 licensed beds - including 328 acute care inpatient beds (16 of which are neonatal level ii bassinets) and 20 inpatient physical rehabilitation beds - plus 22 nursery bassinets, alongside 17 ambulatory clinic locations offering 34 specialties, spanning more than 1.72 million sqare feet across its main campus, satellite clinics, and support service areas.pikeville medical center is a pillar of the regional economic landscape as healthcare has evolved into the economy's largest sector throughout eastern Kentucky, southwest Virginia and southwest West Virginia. Pmc embraces the responsibility of being one of the region's largest employers and understands that the future health, social and economic outcomes for the region depend on the financial strength of the organization. The hospital is committed to continually improving the health and well-being of the region and now offers more than 400 services, including most major specialties and many subspecialties. In 2025, this commitment to its workforce was recognized nationally and statewide. The progressive physical growth and expansion of specialty service offerings including trauma services, cardiac services, cancer services, and now pediatric specialty services with the area's first pediatric gastroenterologist, have transformed pmc into a regional referral center for smaller community hospitals that have patients with complex medical needs whom they cannot serve.current services offered at pmc include: a verified level ii trauma center which is the only one of its kind in Kentucky; a commission on cancer-accredited, full-service cancer treatment center; a heart & vascular institute with primary pci accreditation and, as of january 2026, an affiliate site of the university of Kentucky gill heart & vascular institute affiliate network; a 20-bed inpatient physical rehabilitation hospital; an accredited gold plus neuroscience center; neurosurgery; a level ii advanced neonatal intensive care unit; a mbsaqip accredited bariatric & minimally invasive surgery center; joint commission gold seal certified orthopedic surgery & sports medicine program; pulmonary rehabilitation; pediatric specialty services including cardiology, pulmonology, bmi, and plastics; the region's only children's hospital; a sleep lab; a diagnostic center; autism centers; urgent care centers; integrated family and specialty physician practices with satellite locations in pikeville, prestonsburg, south williamson, whitesburg, ky and grundy, va, along with a school tele-health program serving every pike county district and pikeville independent district school location.pmc continues to reaffirm its leadership role i

Operating model

Revenue model
Earned-program. 96% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 75
  • Transparency & Controls: 92
  • Accountability: 59
  • Sustainability: 59
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 82.3%; rating input score 82
  • Program expense ratio: 87.7%; rating input score 88
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 98.2%; rating input score 98; 34th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 37.5%; rating input score 38; 11th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 10.5%; rating input score 74; 74th percentile among comparable filings
  • Total-asset coverage ratio: 1.15; rating input score 44; 44th percentile among comparable filings
  • Liabilities to assets ratio: 0.41; rating input score 44; 44th percentile among comparable filings
  • Officer compensation ratio: 2.2%; rating input score 51; 51st percentile among comparable filings

Growth

  • Program expense growth: 5.2% per year; rating input score 100; 42nd percentile among comparable filings
  • Revenue growth: 5.7% per year; rating input score 100; 49th percentile among comparable filings
  • Asset growth: 5.1% per year; rating input score 100; 37th percentile among comparable filings

Details

  • Where the money goes: 82.3% of revenue deployed · 87.7% of spending went to programs
  • Governance: 6 of 16 board members independent · 8 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $620M in reported program spending
  • Leadership: top reported pay $2M · 27 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $36.5M reported
  • Consistency: 36 of 37 current checks pass · 1 finding to review
  • Schedules: 10 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 36 filed money-flow records
  • Related organizations: 10 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Moderate — Accountability: Independent voting board scored 38/100.
  • Review — Accountability: Governance controls: Form 990 shared with the board not reported.
  • Moderate — Sustainability: Total-asset coverage ratio scored 44/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Moderate — Sustainability: Liabilities to assets ratio scored 44/100.
  • Review — Sustainability: Officer compensation ratio scored 51/100.