2025-11-01T11:20:23+00:00 2024-09-30 440160260 Forvis Mazars LLP 1222 Demonbreun St Suite 950 Nashville TN 372033357 990 2023-10-01 311545520 Ephraim McDowell Health Resource Inc EPHR 8592392424 217 SOUTH THIRD STREET DANVILLE KY 40422 Amanda Kinman CFO 8592392424 2025-11-01 true Jeff Smith P00289876 6154549800 2025-10-30 2023 2025-03-06 01:10:19Z DANIEL MCKAY 217 SOUTH THIRD STREET DANVILLE KY 40422 10240984 false X www.emhealth.org X 1997 KY TO PROVIDE HIGH QUALITY, COST EFFECTIVE, INTEGRATED HEALTH CARE TO THOSE 124,000 INDIVIDUALS RESIDING WITHIN ITS SERVICE AREA. 19 17 446 0 0 0 0 0 3685075 4542202 143650 0 3439933 5698782 7268658 10240984 0 0 0 0 6208991 9420834 0 0 0 2384296 2532363 8593287 11953197 -1324629 -1712213 3035507 2759768 28301749 29738223 -25266242 -26978455 TO PROVIDE HIGH QUALITY, COST EFFECTIVE, INTEGRATED HEALTH CARE TO THOSE 124,000 INDIVIDUALS RESIDING WITHIN ITS SERVICE AREA. false false 10144968 4542202 EPHRAIM MCDOWELL HEALTH RESOURCE (EMHR) IS RESPONSIBLE FOR ATTRACTING PHYSICIANS AND OTHER MEDICAL PROVIDERS FOR SERVICE DELIVERY TO APPROXIMATELY 124,000 INDIVIDUALS IN BOYLE, CASEY, LINCOLN, GARRARD, MERCER, RUSSELL, AND WASHINGTON COUNTIES - THE PRIMARY SERVICE AREA OF EPHRAIM MCDOWELL HEALTH (EMH). CLINICAL SERVICES ARE AS APPROPRIATE, AVAILABLE ON A REDUCED FEE OR SLIDING SCALE BASIS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 10144968 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 false true false false false false false false false false false false false false false true true false false false true 37 0 true 446 true false false false false false false false false false false false false X 19 17 false false false false true true false true true false false true true true true true true false false false KY X AMANDA KINMAN 8592392424 217 SOUTH THIRD STREET DANVILLE KY 40422 DANIEL MCKAY PRESIDENT & CEO 3.0 60.0 X X 0 846887 62774 DAVID GRIGSON TREASURER 2.0 18.0 X X 0 3300 0 DAVID MONTGOMERY MD MEDICAL STAFF VICE PRESIDENT 2.0 18.0 X X 0 750 0 ERIC GURRANT MD VICE CHAIR 2.0 18.0 X X 0 7300 0 JULIAN GANDER CHAIR 2.0 18.0 X X 0 3300 0 REBECCA CHATHAM MD MEDICAL STAFF PRESIDENT 2.0 18.0 X X 0 12800 0 TIFFANY YEAST SECRETARY 2.0 18.0 X X 0 3300 0 BRIAN ELLIS BOARD MEMBER 33.5 6.5 X 468771 0 46259 CHRIS WHITWORTH BOARD MEMBER 1.0 6.5 X 0 4500 0 ERIC CALDWELL BOARD MEMBER 1.0 6.5 X 0 4350 0 JAMES W DUNN BOARD MEMBER 1.0 6.5 X 0 4800 0 JEREMY TARTER MD BOARD MEMBER 1.0 6.5 X 0 3300 0 JOETTA WICKLIFFE BOARD MEMBER 1.0 6.5 X 0 4800 0 KAY RICHARDSON BOARD MEMBER 1.0 6.5 X 0 4950 0 LINDA TILLMAN BOARD MEMBER 1.0 6.5 X 0 4050 0 MIKE W TAYLOR CPA BOARD MEMBER 1.0 6.5 X 0 3300 0 SCOTT BOTTOMS BOARD MEMBER 1.0 6.5 X 0 3300 0 SHAWN MARKHAM BOARD MEMBER 1.0 6.5 X 0 0 0 THOMAS HAGER BOARD MEMBER 2.0 18.0 X 0 3300 0 AMANDA KINMAN CFO 3.0 60.0 X 0 342641 44044 LIBBY MAYES ASST. VP COMMUNITY ENGAGEMENT 3.0 60.0 X 0 222726 38298 NICHOLAS SPOONMORE VP STRATEGIC INITIATIVE 3.0 60.0 X 0 259921 31331 TAMMY ENSSLIN CHIEF LEGAL OFFICER 3.0 60.0 X 0 315543 60111 ASLAM AHMAD MD PHYSICIAN 40.0 0.0 X 811090 0 60142 CHARLES GRIGSBY MD PHYSICIAN 40.0 0.0 X 1191557 0 38297 EDGAR SALAS MD PHYSICIAN 40.0 0.0 X 1142713 0 59036 JARED HAGAMAN MD PHYSICIAN 40.0 0.0 X 852368 0 43174 JONATHAN DOTY MD PHYSICIAN 40.0 0.0 X 712942 0 62709 5179441 2059118 546175 75 false true false 0 0 PATIENT SERVICES 621110 290764 290764 WELLNESS CENTER 713940 771717 771717 MCDOWELL PLACE (ASSISTED LIVING) 623000 3479721 3479721 0 0 0 0 4542202 0 0 0 0 SHARED SERVICES PROVIDED TO AFFILIATE 446199 5698782 5698782 0 0 0 0 5698782 10240984 4542202 0 5698782 550475 550475 3984166 3341738 642428 2078222 1783798 294424 2480949 2129470 351479 327022 280692 46330 669842 492999 176843 0 3261 2493 768 217709 166446 51263 213234 163025 50209 12736 9737 2999 11047 8446 2601 173946 173946 428578 428443 135 160004 122329 37675 MEDICAL SUPPLIES 449636 343762 105874 REPAIRS & MAINTENANCE 192370 147169 45201 0 0 0 0 11953197 10144968 1808229 0 57583 81945 61531 59230 0 16394 -83978 0 0 0 0 0 0 101217 182642 14524984 12005055 2798782 2519929 0 0 0 0 3035507 2759768 2297202 3879602 0 0 0 0 0 0 0 0 26004547 25858621 28301749 29738223 X -25266242 -26978455 -25266242 -26978455 3035507 2759768 -1712213 0 X false true X true false X 0 0 0 0 0 0 Schedule A, Part I, Line 3 SUPPLEMENTAL INFORMATION EPHRAIM MCDOWELL HEALTH RESOURCE IS NOT A LICENSED HOSPITAL FACILITY, THEREFORE NO SCHEDULE H HAS BEEN PREPARED, AND AUDITED FINANCIAL STATEMENTS ARE NOT REQUIRED TO BE ATTACHED TO THE FORM 990. 642354 642354 11804792 10157871 1646921 5498 3800 1698 1743424 1615975 127449 328916 227409 101507 2519929 DUE TO RELATED PARTY 25858621 DUE TO THIRD PARTY 25858621 10240984 0 0 10240984 0 0 10240984 11953197 0 0 11953197 0 0 11953197 Schedule D, Part XI RECONCILIATION TO AUDIT REPORT SCH 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. TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. false false false false false false true false false DANIEL MCKAY PRESIDENT & CEO 0 653236 0 164448 0 29203 0 26400 0 36374 0 909661 0 0 BRIAN ELLIS BOARD MEMBER 215363 0 182301 0 71107 0 26400 0 19859 0 515030 0 0 0 TAMMY ENSSLIN CHIEF LEGAL OFFICER 0 254486 0 46130 0 14927 0 25873 0 34238 0 375654 0 0 AMANDA KINMAN CFO 0 288988 0 50423 0 3230 0 22500 0 21544 0 386685 0 0 NICHOLAS SPOONMORE VP STRATEGIC INITIATIVE 0 230665 0 0 0 29256 0 20779 0 10552 0 291252 0 0 LIBBY MAYES ASST. VP COMMUNITY ENGAGEMENT 0 176149 0 31670 0 14907 0 15689 0 22609 0 261024 0 0 EDGAR SALAS MD PHYSICIAN 656045 0 436590 0 50078 0 22500 0 36536 0 1201749 0 0 0 ASLAM AHMAD MD PHYSICIAN 617896 0 104364 0 88830 0 26400 0 33742 0 871232 0 0 0 CHARLES GRIGSBY MD PHYSICIAN 656404 0 452163 0 82990 0 26400 0 11897 0 1229854 0 0 0 JARED HAGAMAN MD PHYSICIAN 548530 0 249240 0 54598 0 22500 0 20674 0 895542 0 0 0 JONATHAN DOTY MD PHYSICIAN 437391 0 248564 0 26987 0 26400 0 36309 0 775651 0 0 0 Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organization EPHRAIM MCDOWELL HEALTH RESOURCE, INC. IS AN AFFILIATE OF EPHRAIM MCDOWELL HEALTH, INC., WHO HAS 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. Schedule J, Part I, Line 3 ESTABLISHING CEO COMPENSATION THE CEO IS COMPENSATED BY EPHRAIM MCDOWELL HEALTH, INC. (EMH), A RELATED ORGANIZATION. EMH USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Schedule J, Part II PHYSICIAN COMPENSATION EACH PHYSICIAN EMPLOYEE OF EPHRAIM MCDOWELL RESOURCE WHO PROVIDES MEDICAL SERVICES DOES SO PURSUANT TO A PHYSICIAN EMPLOYMENT AGREEMENT. PHYSICIAN COMPENSATION LEVELS UNDER THE EMPLOYMENT AGREEMENT ARE BASED ON NATIONAL INDUSTRY STANDARDS (MEDICAL GROUP MANAGEMENT ASSOCIATION). IN ADDITION, CERTAIN BONUSES PAID TO EPHRAIM MCDOWELL RESOURCE PHYSICIANS TAKE INTO ACCOUNT THE PRODUCTIVITY OF EACH INDIVIDUAL PHYSICIAN. PHYSICIANS REPORTED IN SCHEDULE J, PART II MAY REPORT PRODUCTIVITY BONUSES IN COLUMN (B)(II). 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 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS ELEVEN FAMILY MEDICAL AND IMMEDIATE CARE CENTERS OFFER CLINIC SERVICES IN BOYLE AND EACH OF THE OTHER FIVE SURROUNDING COUNTIES IN THE EMH SERVICE AREA, IN FY 2024 TOTALING OVER 240,000 VISITS. THESE FACILITIES PROVIDE PHYSICAL EXAMINATIONS, WELL-CHILD CHECKUPS, AND TREATMENT OF ACUTE ILLNESSES AS WELL AS LABORATORY AND X-RAY SERVICES ON-SITE, INCLUDING EKG. THE IMMEDIATE CARE CENTERS PROVIDE MORE URGENT AMBULATORY CARE THAN THE STANDARD CLINIC SERVICES, IN FACILITIES DEDICATED TO THE DELIVERY OF MEDICAL CARE OUTSIDE OF A HOSPITAL EMERGENCY DEPARTMENT, AND PROVIDE THESE SERVICES ON AN UNSCHEDULED, WALK-IN BASIS, OVER EXTENDED HOURS AND ON THE WEEKENDS WHEN PRIMARY CARE SERVICES ARE NOT AVAILABLE AND EMERGENCY CARE SERVICES ARE NOT NECESSARY. ALONG WITH OUR VAST PRIMARY CARE SERVICE LINE, WE ALSO OFFER SEVERAL SPECIALTY CLINICS: CARDIOLOGY, VASCULAR, BEHAVIORAL HEALTH, ENT, INFECTIOUS DISEASE, GENERAL SURGERY, GASTROENTEROLOGY, OBGYN/WOMEN'S HEALTH, SLEEP MEDICINE, UROLOGY, OPHTHALMOLOGY, AND PULMONOLOGY SERVICES ARE OFFERED IN COORDINATION WITH RESOURCES PROVIDED BY EMRMC. IN FY 2024, EPHRAIM MCDOWELL HEALTH RESOURCES SPECIALTY SERVICES PROVIDED CARE FOR OVER 110,000 VISITS. -EMH CARDIOLOGY TREATS PATIENTS WITH CAROTID DISEASE, AORTIC ANEURYSMS, LOWER EXTREMITY VASCULAR DISEASE, HEMODIALYSIS COMPLICATIONS AND VENOUS DISEASE. EPHRAIM MCDOWELL NOW OPERATES TWO FULLY SERVICEABLE CATH LAB SUITES. THE CATH LAB USES EQUIPMENT THAT PROVIDES THREE-DIMENSIONAL IMAGING TECHNOLOGY ALONG WITH X-RAY TECHNOLOGY TO OFFER EXCEPTIONAL IMAGE CLARITY FOR DIAGNOSING AND TREATING CARDIOVASCULAR DISEASE. -EMH VASCULAR SERVICE PROGRAM OFFERS A FULL RANGE OF SERVICES FOR DIAGNOSING AND TREATING DISEASES OF THE HEART AND CIRCULATORY SYSTEM AS WELL AS THE BODY'S ENTIRE VASCULAR SYSTEM WITH ALL SERVICES PROVIDED BY A BOARD-CERTIFIED INTERVENTIONAL CARDIOLOGIST. -EMH BEHAVIORAL HEALTH SERVICE LINE PROVIDES PSYCHIATRY, ADOLESCENT PSYCHIATRY, GERIATRIC PSYCHIATRY, NEUROPSYCHIATRY TO ALL AGE GROUPS. -EMH GENERAL SURGERY SERVICE PROGRAM OFFERS A BROAD RANGE OF PROCEDURES INCLUDING EGD, AND COLONOSCOPY; STEREOTACTIC BREAST BIOPSY AND SURGERY; LAPAROSCOPIC ABDOMINAL SURGERIES INCLUDING GALLBLADDER AND APPENDIX; HERNIA REPAIRS, INTESTINAL SURGERIES AND BARIATRIC SURGERY. -EMH ENT SERVICE IS A FULL SERVICE LINE OF EAR NOSE AND THROAT CASE FEATURING SURGICAL INTERVENTION WHEN NECESSARY. -EMH SLEEP MEDICINE IS A FULL RANGE OF SERVICES FOCUSED AND THE DIAGNOSIS AND REMEDY OF SLEEP AILMENTS. -EMH SLEEP CENTER DIAGNOSE AND TREAT SLEEP-RELATED PROBLEMS IN CHILDREN (AGE 4 AND OVER) AND ADULTS, INCLUDING CIRCADIAN RHYTHM DISORDERS, INSOMNIA, NARCOLEPSY, RESTLESS LEGS, SHIFT-WORK PROBLEMS AND SLEEP APNEA -EMH GASTROENTEROLOGY IS A COMPREHENSIVE GI SERVICE LINE WHICH PROVIDES DIAGNOSTIC AS WELL AS INTERVENTIONAL SERVICES. -EMH UROLOGY OFFERS A FULL RANGE OF SERVICES IN THE TREATMENT OF DISORDERS AND DISEASES OF THE GENITOURINARY SYSTEM. THEY TREAT SURGICAL AND MEDICAL DISORDERS OF THE KIDNEY, BLADDER, AND URETHRA IN BOTH MEN AND WOMEN, AS WELL AS THE PROSTATE AND GENITAL SYSTEM IN MEN. -EMH PULMONOLOGY OFFERS A COMPREHENSIVE APPROACH TO TREATING AND MANAGING LUNG CONDITIONS INCLUDING INTERSTITIAL LUNG DISEASES, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), INFECTIOUS LUNG DISEASE, DRUG-RELATED PULMONARY DISORDERS, AND CARCINOMA OF THE LUNG. -EMH PODIATRY OFFERS A FULL RANGE OF PODIATRY AND WOUND HEALING SERVICES. FOCUSED ON LIMB PRESERVATION THE GROUP WORKS WITH A VARIETY OF COMPLICATED WOULD HEALING CASES. -EMH OPHTHALMOLOGY SERVICE IS A FULL SERVICE LINE OF EYE AND VISION SERVICES FEATURING SURGICAL INTERVENTION WHEN NECESSARY. -EMH OPTICAL SERVICE PROVIDES GLASSES AND CONTACTS BASED ON REFRACTIVE PRESCRIPTIONS. EACH OF THESE SPECIALTIES PROVIDE CARE TO INDIVIDUALS EXPERIENCING ILLNESSES ALL CONSISTENT WITH OR POTENTIAL CO-MORBIDITIES TO CONDITIONS EFFECTING PATIENTS MEETING THE CRITERIA TARGETED BY OBJECTIVES 1 AND 2 IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT. FINALLY, EPHRAIM MCDOWELL HEALTH, THROUGH EMH OFFERS WELLNESS LIVING RESOURCES THROUGH EPHRAIM MCDOWELL WELLNESS CENTER (EMWC) AND MCDOWELL PLACE OF DANVILLE. EMWC, A COMMUNITY WELLNESS CENTER, PROVIDES FITNESS EQUIPMENT, AQUATICS, A FULL SPECTRUM OF FITNESS AND CONDITIONING CLASSES, AND CHILDCARE SERVICES TO OVER 3,800 MEMBERS FROM SCHOOL-AGED CHILDREN TO SENIOR CITIZENS. THE ASSISTED LIVING CENTER, MCDOWELL PLACE OFFERS ASSISTED LIVING FACILITIES TO APPROXIMATELY 66 ASSISTED LIVING RESIDENTS AND MEMBERSHIP TO EMWC LOCATED NEXT DOOR. FORM 990, PART V, LINE 2A COMMON PAYMASTER EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER IS THE COMMON PAYMASTER FOR EPHRAIM MCDOWELL HEALTH RESOURCE, 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, SECTION B, LINE 15A AND 15B PROCESS FOR DETERMINING COMPENSATION EPHRAIM MCDOWELL HEALTH RESOURCE, INC. IS PART OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM WHOSE PARENT IS EPHRAIM MCDOWELL HEALTH, INC. COMPENSATION FOR ALL AFFILIATES IS OVERSEEN AND COORDINATED THROUGH EPHRAIM MCDOWELL HEALTH, INC. 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 EMPLOYEES FOR THE SYSTEM, THE ORGANIZATION ALSO UTILIZED COMPENSATION STUDIES. 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. EMHFL INC 217 SOUTH THIRD STREET DANVILLE KY 40422 611388556 CRITICAL HOSP 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 EPHRAIM MCDOWELL HEALTH INC 217 SOUTH THIRD STREET DANVILLE KY 40422 611324736 MGT SERVICES KY 501(c)(3) Type II NA 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 464 Linden Avenue Harrodsburg KY 40330 610510934 CRITICAL HOSP KY 501(c)(3) 3 EM HEALTH false COOPERATIVECARE INC 217 SOUTH THIRD STREET DANVILLE KY 40422 611265715 CONTRACTING SVCS KY NA C Corporation 0 0 false false false false false false false false false false true false false false true false false true false false