Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Kentucky · Ranked 225 of 1033 by CEO pay.

Pikeville Medical Center

William D Blackburn, Board Chair/President/CEO. Fiscal year ending 2025-09.

$1.7M
CEO total compensation
Form 990 Part VII, columns D+E+F
0.51%
of expenses spent on charity care
Schedule H Part I line 7a
48.1%
CEO pay as a share of all charity care
William D Blackburn’s pay of $1,738,038 equals 48.1 percent of the $3,616,990 the system spent on charity care in the same year.

Also listed with a chief executive title in the same filings: Aaron Crum MD, Ex-Officio/CMO/Asst CEO, $1,331,440. Where a chief executive retired during the year, the filing reports the final-year payout.

§1The filing

Total revenue
$789,640,637
Total expenses
$706,641,708
Net assets
$480,825,901
Employees
4,144
Hospitals covered
1 facilities across 1 filing
Charity care, net
$3,616,990
Bad debt
$8,956,572
Medicare surplus (shortfall), as filed
($6,600,155)
CEO pay from the organization (Part VII col. D)
$1,685,555
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$52,483
CEO total compensation (D+E+F)
$1,738,038 to William D Blackburn

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Pikeville Medical Center, EIN 61-0458376, fiscal year ending 2025-09, as published by the IRS. CEO identification: ceo title multiple.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$44.5M Of which charity care to patients who could not pay (line 7a)$3.6M (8%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($9.0M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Pikeville Medical Center: CEO pay $1.7M, charity care 0.51% of expenses