2024-08-15T18:53:28+00:00 2023-09-30 440160260 Forvis Mazars LLP 1222 Demonbreun St Suite 950 Nashville TN 372033357 990 2022-10-01 611324736 EPHRAIM MCDOWELL HEALTH INC EPHR 8592392424 217 SOUTH THIRD STREET DANVILLE KY 40422 DANIEL MCKAY PRESIDENT & CEO 8592392424 2024-08-16 true true Jeff Smith P00289876 6154549800 2023-08-14 2022 2024-08-08 14:25:15Z DANIEL MCKAY 217 SOUTH THIRD STREET DANVILLE KY 40422 11125327 false X www.emhealth.org X 1997 KY EPHRAIM MCDOWELL HEALTH IS COMMITTED TO HELPING PEOPLE LIVE HEALTHIER THROUGH QUALITY HEALTH CARE, TRUSTING RELATIONSHIPS, AND PROVIDING VALUE TO THE PEOPLE WE SERVE. 19 17 28 0 0 0 7179 0 5745467 4275171 3088199 5237191 54755 46938 8895600 9559300 26621 17603 0 3737092 3271550 0 0 3157754 3875147 6921467 7164300 1974133 2395000 234389398 238402380 239372984 237587973 -4983586 814407 EPHRAIM MCDOWELL HEALTH IS COMMITTED TO HELPING PEOPLE LIVE HEALTHIER THROUGH QUALITY HEALTH CARE, TRUSTING RELATIONSHIPS, AND PROVIDING VALUE TO THE PEOPLE WE SERVE. false false 7164300 4321181 THE EPHRAIM MCDOWELL HEALTH SYSTEM IS A COMPREHENSIVE, INTEGRATED HEALTHCARE DELIVERY SYSTEM THAT SERVICES MORE THAN 119,000 RESIDENTS FROM SIX COUNTIES IN CENTRAL KENTUCKY. OUR COMPREHENSIVE RANGE OF MEDICAL SERVICES INCLUDES THE REGION'S MOST ADVANCED TECHNOLOGY AND SKILLED HEALTH CARE PROVIDERS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 7164300 true false false false false false false false false true false false false true false false true false false false false false false false false false false true true true false false false false false false false false false false false false false false false true true false false false true X 37 0 true 28 true false false false false false false false false false false false false X 19 17 false false false false false false false true true false false true true true true true true true true true true KY X Amanda Kinman 8592392424 217 South Third Street Danville KY 40422 DANIEL MCKAY PRESIDENT & CFO 20.0 40.0 X X 792327 0 59957 ERIC GURRANT MD VICE CHAIR 5.0 15.0 X X 7450 0 0 JULIAN GANDER CHAIR 5.0 15.0 X X 3450 0 0 SHEREE GILLIAM SECRETARY 5.0 15.0 X X 3450 0 0 THOMAS HAGER TREASURER 5.0 15.0 X X 3600 0 0 ANNE TURCEA MD BOARD MEMBER 2.0 5.5 X 25150 0 0 BRIAN ELLIS MD BOARD MEMBER 2.0 38.0 X 0 401294 48907 CHRIS WHITWORTH BOARD MEMBER 2.0 5.5 X 1950 0 0 DAVID GRIGSON BOARD MEMBER 2.0 5.5 X 3450 0 0 ERIC CALDWELL BOARD MEMBER 2.0 5.5 X 4500 0 0 JAMES W DUNN BOARD MEMBER 2.0 5.0 X 4950 0 0 JEREMY TARTER MD BOARD MEMBER 2.0 5.5 X 7300 0 0 JOETTA WICKLIFFE BOARD MEMBER 2.0 5.5 X 5100 0 0 KAY RICHARDSON BOARD MEMBER 2.0 5.5 X 2400 0 0 LINDA TILLMAN BOARD MEMBER 2.0 5.5 X 0 0 0 MIKE TAYLOR BOARD MEMBER 2.0 5.5 X 3450 0 0 REBECCA CHATHAM MD BOARD MEMBER 2.0 5.5 X 11450 0 0 SCOTT BOTTOMS BOARD MEMBER 2.0 5.5 X 3450 0 0 TIFFANY YEAST BOARD MEMBER 2.0 5.5 X 3450 0 0 AMANDA KINMAN CFO 40.0 20.0 X 329991 0 53238 DR GARY BUNCH CMO 15.0 45.0 X 338399 0 31522 TAMMY ENSSLIN GENERAL COUNCIL 40.0 20.0 X 309450 0 57613 JEREMY COCANOUGHER DIRECTOR OF MARKETING 40.0 0.0 X 93161 0 38655 JOSH GREEMAN DIRECTOR PRACTICE MGMT 40.0 0.0 X 113323 0 24754 WILLIAM SNAPP III VP & CFO UNTIL 6/30/21 60.0 0.0 X 295271 0 20200 2366472 401294 334846 7 true true false MOORE LAW GROUP LLC 1473 S 4TH STREET LOUISVILLE KY 40208 LEGAL SERVICES 200000 BENSON LAW OFFICES 450 OLD VINE STREET SUITE 200 LOUISVILLE KY 40207 LEGAL SERVICES 180660 STOLL KEENON & OGDEN PLLC 300 WEST VINE STREET SUITE 200 LEXINGTON KY 40507 LEGAL SERVICES 153434 WYATT TARRANT & COMBS LLP 400 WEST MARKET STREET SUITE 2000 LOUISVILLE KY 40202 LEGAL SERVICES 126430 ROSE GRASHCH CAMENISCH MAINS PLLC 326 SOUTH BROADWAY LEXINGTON KY 40508 LEGAL SERVICES 125000 5 0 SHARED SVCS PROVIDED TO AFFILIATED ORGS 900004 4275171 4275171 0 0 0 0 4275171 4253046 4253046 928 928 0 928 928 2550172 1566027 984145 0 984145 984145 Other Income 900099 46010 46010 0 0 0 0 46010 9559300 4321181 0 5238119 1603 1603 16000 16000 1323720 1323720 1221577 1221577 135443 135443 474534 474534 116276 116276 757282 757282 47000 47000 129251 129251 304104 304104 0 0 490387 490387 956774 956774 3375 3375 550602 550602 16826 16826 76245 76245 3459 3459 150592 150592 Physician Recruitment 165625 165625 Employee Recruitment 83796 83796 Dues 57118 57118 Administration Misc 46937 46937 35774 35774 0 0 7164300 7164300 0 0 907537 935505 132046803 128963996 0 -15285 -16004 0 0 0 0 0 0 963727 1027118 11776714 1082739 9218172 10693975 78632799 94274201 0 10229053 334363 0 2406592 2189226 234389398 238402380 10223734 10149569 0 0 36510856 34880856 0 0 0 0 0 192638394 192557548 239372984 237587973 X -4983586 814407 0 -4983586 814407 234389398 238402380 2395000 3402993 0 X false true X true false X X 5 EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER 610492356 3 true 0 0 EMHFL 611388556 3 true 0 0 EPHRAIM MCDOWELL HEALTH RESOURCE 311545520 3 true 0 0 MCDOWELL HOME HEALTH AGENCY INC 610715227 3 true 0 0 JAMES B HAGGIN MEMORIAL HOSPITAL 610510934 3 true 0 0 5 0 0 true false false false false false false false false false false false false false false true Schedule A, Part IV, Section C, Line 1 BOARD MEMBERS EPHRAIM MCDOWELL HEALTH'S DIRECTORS AND TRUSTEES ARE THE SAME DIRECTORS AND TRUSTEES THAT SIT ON THE BOARD OF ITS SUPPORTED ORGANIZATIONS, EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, EMHR, AND MCDOWELL HOME HEALTH. EPHRAIM MCDOWELL HEALTH ALSO SUPPORTS EMHFL AND JAMES B. HAGGIN MEMORIAL HOSPITAL. THESE ENTITIES HAVE SEPARATE BOARDS OF DIRECTORS, BUT EACH OF THOSE INCLUDES REPRESENTATION FROM EPHRAIM MCDOWELL HEALTH'S BOARD OF DIRECTORS. 10375 3026 7349 1079713 1079713 0 10686626 10686626 10693975 INT. RATE SWAP AGREEMENT LIAB. 741776 DUE TO RELATED PARTIES 180579754 OPERATING LEASES 8558807 ACCRUED INTEREST PAYABLE 0 FINANCE LEASE LIABILITY 2677211 192557548 Schedule D, Part X, Line 2 INCOME TAXES THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DID NOT INCLUDE A FOOTNOTE THAT ADDRESSED THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN48 (ASC 740). MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true Scholarships 16 16000 Schedule I, Part I, Line 2 MONITORING THE USE OF GRANT FUNDS IN ORDER TO QUALIFY FOR A SCHOLARSHIP, STUDENTS MUST FIRST MEET CERTAIN CRITERIA ESTABLISHED BY THE ORGANIZATION. IF A STUDENT MEETS ALL CRITERIA, THEY ARE BROUGHT IN TO INTERVIEW WITH THE SCHOLARSHIP COMMITTEE AND SELECTIONS ARE MADE FROM THE INTERVIEWS. THE SCHOLARSHIPS ARE PAID TO THE UNIVERSITIES THAT THE RECIPIENTS ATTEND X X X X X true false false false false true false false false DANIEL MCKAY PRESIDENT & CFO 604355 0 172218 0 15754 0 24400 0 35557 0 852284 0 0 0 BRIAN ELLIS MD BOARD MEMBER 0 195779 0 143794 0 61721 0 24400 0 24507 0 450201 0 0 DR GARY BUNCH CMO 270774 0 27921 0 39704 0 24400 0 7122 0 369921 0 0 0 TAMMY ENSSLIN GENERAL COUNCIL 251856 0 47771 0 9823 0 24400 0 33213 0 367063 0 0 0 AMANDA KINMAN CFO 272139 0 49003 0 8849 0 20500 0 32738 0 383229 0 0 0 WILLIAM SNAPP III VP & CFO UNTIL 6/30/21 -5847 0 49457 0 251661 0 0 0 20200 0 315471 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment WILLIAM SNAPP, III LEFT EPHRAIM MCDOWELL IN JUNE 2021. HIS SEVERANCE OF $241,786 WAS REPORTED IN HIS W-2. Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization EPHRAIM MCDOWELL HEALTH, INC. AND ITS AFFILIATES HAVE MANAGEMENT INCENTIVE PLANS FOR CORPORATE OFFICERS, SENIOR VICE-PRESIDENTS, VICE-PRESIDENTS, AND DIRECTORS. ANNUAL PAYOUTS RELATED TO THESE INCENTIVE PLANS HAVE TWO COMPONENTS. 30% OF THE ANNUAL PAYOUT IS BASED ON NET OPERATING INCOME GOALS COMPARED TO BUDGET. THE OTHER 70% IS BASED ON QUALITY MEASURES, PATIENT SATISFACTION GOALS, ASSOCIATE SATISFACTION GOALS, AND SAFETY MEASURES. A County of Boyle Kentucky 616000752 2014-06-04 61751924 Refunding series 2014A & 2014B false false false A 61751934 55626702 85000 6040232 true false false true A false false false false 0.0 false false true A false true false false true false false false true A true Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS WE PROVIDE A NUMBER OF SPECIALTY SERVICES FOR PATIENTS WHO SEEK THEIR CARE FROM OUR HEALTH CARE SYSTEM. OUR SYSTEM ALSO INCLUDES AN ASSISTED LIVING COMMUNITY FOR OUR SENIOR POPULATION AND A WELLNESS FACILITY. AT THE CORE OF THE SYSTEM IS EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, A NON-PROFIT, 222-BED LICENSED HOSPITAL. OUR OTHER HOSPITALS ARE EPHRAIM MCDOWELL FORT LOGAN HOSPITAL, A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN NEIGHBORING LINCOLN COUNTY (STANFORD) AND EPHRAIM MCDOWELL JAMES B. HAGGIN HOSPITAL, A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN NEIGHBORING MERCER COUNTY (HARRODSBURG). THE EPHRAIM MCDOWELL HEALTH CARE FOUNDATION PROVIDES PHILANTHROPIC SUPPORT TO OUR SYSTEM, ALLOWING EPHRAIM MCDOWELL HEALTH TO PROVIDE THE MOST ADVANCED COMPREHENSIVE AND COMPASSIONATE CARE TO OUR PATIENTS. THE FOUNDATION HAS BEEN INSTRUMENTAL IN PROVIDING RESOURCES FOR CARDIOLOGY, CANCER, NEWBORN CARE AND INFECTION REDUCTION, AMONG OTHERS. ALL MONIES RAISED THROUGH THE FOUNDATION'S FUNDRAISING EFFORTS ARE RETURNED TO THE COMMUNITIES WE SERVE. OUR COMMUNITY SERVICE DEPARTMENT HAS A MISSION TO MAKE A MEASURABLE DIFFERENCE IN THE HEALTH AND WELLNESS OF THE INDIVIDUALS WHO LIVE IN OUR SIX-COUNTY SERVICE AREA. TO ACCOMPLISH THAT MISSION, REGULAR HEALTH SCREENINGS ARE OFFERED IN THE COMMUNITIES WE SERVE TO DETECT FOR THE RISKS OF HEART DISEASE AND STROKE AS WELL AS DIABETES, CANCER AND OBESITY. MANY TIMES, THESE SCREENINGS SAVE LIVES. WE ALSO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS TO IDENTIFY THE PRIMARY HEALTH RISK FACTORS IN THE COMMUNITIES WE SERVE. YOU CAN VIEW THE RESULTS OF THOSE ASSESSMENTS ON OUR WEBSITE AT HTTPS://WWW.EMHEALTH.ORG/SERVICES/COMMUNITY-HEALTH/. SENIOR LEADERSHIP SERVES IN MANY CAPACITIES WITHIN THE LARGER COMMUNITY TO IMPROVE THE LIVES OF THOSE WE SERVE. NOT REPORTED ARE THE MANY HOURS SPENT AS A VOLUNTEER AT LOCAL EVENTS AND THE EFFORTS IN ADVOCACY AND GIVING TESTIMONY AT THE LOCAL, STATE AND NATIONAL LEVEL TO IMPROVE ACCESS TO CARE OR ENVIRONMENTAL IMPACT AND/OR ECONOMIC IMPROVEMENT. DURING FY2023, THE EPHRAIM MCDOWELL HEALTH SYSTEM PROVIDED $6,753,292 IN FINANCIAL ASSISTANCE AND MEANS-TESTED PROGRAMS WITHIN THE THREE HOSPITALS TO IMPROVE THE HEALTH OF THE COMMUNITY WE SERVE. Form 990, Part V, Line 2a COMMON PAYMASTER EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER IS THE COMMON PAYMASTER FOR EPHRAIM MCDOWELL HEALTH, INC. ALL SALARIES AND PAYROLL TAXES ARE REPORTED ON A CONSOLIDATED FORM 941. THE EIN ON THE FORM 941 IS 61-0492356. Form 990, Part VI, Line 15a PROCESS FOR DETERMINING COMPENSATION EPHRIAM MCDOWELL HEALTH, INC. IS THE PARENT COMPANY OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE MERCER GROUP, INDEPENDENT CONSULTANTS, CONDUCTED A REVIEW AND PROVIDED MARKET DATA IN 2018 FOR ESTABLISHING REASONABLE COMPENSATION OF THE CEO. FOR OTHER OFFICERS AND KEY EMPLOYEES FOR THE SYSTEM, THE ORGANIZATION ALSO UTILIZED COMPENSATION STUDIES. THE ORGANIZATION ALSO PARTICIPATES IN AND RECEIVES ANNUAL KHA SALARY SURVEY DATA WHICH IS REVIEWED TO DETERMINE REASONABLE COMPENSATION LEVELS. THE COMPENSATION IS APPROVED BY THE COMPENSATION COMMITTEE OF THE EPHRAIM MCDOWELL HEALTH, INC. BOARD OF DIRECTORS. THE DECISION AND PROCESS IS DOCUMENTED BY THE COMMITTEE. Form 990, Part VI, Line 19 MAKING FORMS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VI, Line 11b Review of form 990 by governing body COPIES OF THE FORM 990 ARE SUBMITTED TO THE FULL BOARD VIA EMAIL PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy ANNUALLY, BOARD OF DIRECTORS, SENIOR LEADERSHIP AND MEDICAL STAFF LEADERS COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. COMPLETION OF THE ANNUAL QUESTIONNAIRE IS COORDINATED BY GENERAL COUNSEL AND EPHRAIM MCDOWELL'S CORPORATE COMPLIANCE OFFICER. THE COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE SENIOR LEADERSHIP AND THE CORPORATE COMPLIANCE OFFICER. THE CHAIRMAN OF THE BOARD OF DIRECTORS IS MADE AWARE OF CONFLICTS WHICH HAVE BEEN DISCLOSED ON ANNUAL STATEMENTS. IF CONFLICTS EXIST, THE CONFLICT IS DISCLOSED AND THE INDIVIDUAL WITH THE CONFLICT DOES NOT PARTICIPATE OR VOTE ON ACTIVITIES WHERE A CONFLICT OF INTEREST IS PRESENT. Form 990, Part VI, Line 19 Required documents available to the public MAKING FORMS AVAILABLE TO THE PUBLIC ------------------------------------- THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. EMHFL INC 217 South Third Street Danville KY 40422 611388556 CRITICAL HOSP KY 501(c)(3) 3 EM HEALTH false EPHRAIM MCDOWELL HEALTH RESOURCE INC 217 SOUTH THIRD STREET DANVILLE KY 40422 311545520 HEALTHCARE KY 501(c)(3) 3 EM HEALTH false EPHRAIM MCDOWELL HEALTH CARE FOUNDATION 217 SOUTH THIRD STREET DANVILLE KY 40422 611229333 FUNDRAISING KY 501(c)(3) Type II EM HEALTH false EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER 217 SOUTH THIRD STREET DANVILLE KY 40422 610492356 ACUTE HOSP KY 501(c)(3) 3 EM HEALTH false MCDOWELL HOME HEALTH AGENCY INC 217 SOUTH THIRD STREET DANVILLE KY 40422 610715227 HOME HEALTH KY 501(c)(3) 3 EM HEALTH false JAMES B HAGGIN MEMORIAL HOSPITAL 217 SOUTH THIRD STREET DANVILLE KY 40220 610510934 CIRITCAL HOSP KY 501(c)(3) 3 EM HEALTH false CTRL KY SURGERY CTR 217 SOUTH THIRD STREET DANVILLE KY 40422 371509373 MEDICAL SERVICES KY EM REG MED CTR Related 0 0 false 0 false COOPERATIVECARE INC 217 SOUTH THIRD STREET DANVILLE KY 40422 611265715 CONTRACTING KY NA C Corporation 6000 20505 1 false false false false false false false false false false false false true true true true true true false false Schedule R, Part V, Line 1l TRANSACTIONS WITH RELATED ORGANIZATIONS TRANSACTIONS OCCURRED BETWEEN EPHRAIM MCDOWELL HEALTH AND ITS AFFILIATED ORGANIZATIONS. AMOUNTS ARE RECORDED IN INTERCOMPANY ACCOUNTS. DUE TO THE QUANTITY OF TRANSACTIONS, CLASSIFICATION OF THESE AMOUNTS TO THE VARIOUS TRANSACTIONS TYPES HAS NOT BEEN PERFORMED.