2026-08-10T12:44:59+00:00 2025-09-30 440160260 FORVIS MAZARS LLP 312 WALNUT STREET SUITE 3000 CINCINNATI OH 45202 990 2024-10-01 611324736 EPHRAIM MCDOWELL HEALTH INC EPHR 8592392424 217 SOUTH THIRD STREET DANVILLE KY 40422 DANIEL MCKAY PRESIDENT & CEO 8592392424 2026-08-10 true AARON HERSHBERGER P00961884 5136218300 2026-07-31 2024 2025-03-06 01:10:19Z DANIEL MCKAY 217 SOUTH THIRD STREET DANVILLE KY 40422 11751750 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. 21 19 30 0 0 0 43502 0 3202491 5235563 8290033 6483538 22120 5149 11558146 11724250 40924 59600 0 0 2754190 3444473 0 0 0 4869884 5244123 7664998 8748196 3893148 2976054 260372005 313973465 247789212 294712204 12582793 19261261 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 6382240 59600 5235563 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. 6382240 true false false true 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 44 0 true 30 true false false false false false false false false false false false false X 21 19 false false false false false false false true true false false false true true true true true true true true true true KY X STEVE FRANTZ 8592392424 217 SOUTH THIRD STREET DANVILLE KY 40422 CHRIS WHITWORTH TREASURER 5.0 16.5 X X 4350 0 0 DANIEL MCKAY PRESIDENT & CEO 20.0 40.0 X X 915838 0 62214 DAVID GRIGSON CHAIR 5.0 9.0 X X 3300 0 0 DAVID MONTGOMERY MD MEDICAL STAFF VICE PRESIDENT 5.0 9.0 X X 11300 0 0 ERIC GUERRANT MD VICE CHAIR 5.0 9.0 X X 6150 0 0 JUSTIN LANDE MD BOARD MEMBER 5.0 36.5 X X 0 548249 52812 REBECCA CHATHAM MD MEDICAL STAFF PRESIDENT 5.0 4.5 X X 3300 0 0 SCOTT BOTTOMS PAST CHAIR 5.0 9.0 X X 3300 0 0 TIFFANY YEAST VICE CHAIR 5.0 15.0 X X 3300 0 0 BRIAN LITTLE BOARD MEMBER 2.0 3.5 X 0 0 0 CHRIS DAVIS EM HEALTH CARE FOUNDATION CHAIR 2.0 7.5 X 750 0 0 DAVID MEADE BOARD MEMBER 2.0 3.5 X 750 0 0 JAMES DUNN BOARD MEMBER 2.0 8.0 X 5100 0 0 JEREMY TARTER MD BOARD MEMBER 2.0 3.5 X 3300 0 0 JOETTA WICKLIFFE BOARD MEMBER 2.0 8.0 X 5250 0 0 LINDA TILLMAN BOARD MEMBER 2.0 3.5 X 3300 0 0 MIKE TAYLOR BOARD MEMBER 2.0 3.5 X 2550 0 0 SHAWN MARKHAM BOARD MEMBER 2.0 8.0 X 4050 0 0 SHAY PENDYGRAFT BOARD MEMBER 2.0 7.5 X 1950 0 0 THOMAS HAGER BOARD MEMBER 2.0 3.5 X 3300 0 0 WOODS ADAMS BOARD MEMBER 2.0 3.5 X 750 0 0 AMANDA KINMAN CFO 40.0 20.0 X 355157 0 44105 LIBBY MAYES ASSISTANT VP COMMUNITY ENGAGEMENT 40.0 20.0 X 229788 0 41159 NICHOLAS SPOONMORE VP STRATEGIC INITIATIVES 40.0 20.0 X 323513 0 40886 RICKEY JANSEN VP SYSTEM OPERATIONS 40.0 20.0 X 170770 0 22471 TAMMY ENSSLIN CHIEF LEGAL OFFICER 40.0 22.0 X 324412 0 59913 JEREMY COCANOUGHER DIRECTOR MARKETING 40.0 0.0 X 95724 0 39884 MARILYN PETERSON DIRECTOR RISK MANAGEMENT 40.0 0.0 X 104263 0 11333 WILLIAM STAPLES DIRECTOR RISK / LEGAL 40.0 0.0 X 144338 0 38167 2729853 548249 412944 9 false true false WYATT TARRANT & COMBS LLP 400 WEST MARKET STREET SUITE 2000 LOUISVILLE KY 40202 LEGAL SERVICES 406279 PIPER & BOWERS PSC 562 W SHORT STREET LEXINGTON KY 40507 LEGAL SERVICES 116809 2 0 0 0 0 0 0 0 0 INTERCOMPANY SHARED SERVICES REVENUE 900004 5235563 5235563 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5235563 6511038 0 0 6511038 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27500 0 -27500 0 -27500 0 0 -27500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 OTHER INCOME 900099 5149 0 0 5149 0 0 0 0 0 0 0 0 0 0 0 0 5149 11724250 5235563 0 6488687 X 41600 41600 18000 18000 0 0 0 0 2735887 2354591 381296 0 0 0 0 0 1082850 931935 150915 0 -342687 -294927 -47760 0 -222821 -191767 -31054 0 191244 164591 26653 0 0 0 0 0 908330 0 908330 0 56500 0 56500 0 0 0 0 0 0 0 0 0 0 0 1324119 1030653 293466 0 617402 480566 136836 0 1089305 847881 241424 0 26105 20319 5786 0 0 0 0 0 553467 430801 122666 0 14662 11412 3250 0 0 0 0 0 74020 57615 16405 0 206179 179003 27176 0 0 0 0 0 40532 40379 153 0 70589 54944 15645 0 DUES 105723 82291 23432 0 PHYSICIAN RECRUITMENT 137030 106660 30370 0 ADMINISTRATION MISCELLANEOUS 20160 15693 4467 0 0 0 0 0 8748196 6382240 2365956 0 0 400 141473938 190773942 0 0 -16706 -565825 0 0 0 0 0 0 0 0 962195 1209300 1101178 1095904 10106516 5274 107499472 114426543 0 223555 190490 0 0 123035 7933341 260372005 313973465 5572725 5783196 0 0 0 0 33010856 123978280 0 0 0 0 0 0 0 0 209205631 164950728 247789212 294712204 X 12582793 19261261 0 0 0 0 0 0 0 0 12582793 19261261 260372005 313973465 2976054 3702414 0 0 0 0 X false true 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. false false false false false false false false true 6004 6004 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION (KHA) ARE USED FOR LOBBYING. 0 0 0 0 0 0 0 0 10375 5101 5274 0 1090803 1090803 0 0 0 0 0 5274 FEDERAL INCOME TAXES DUE TO RELATED PARTIES 156227994 LEASE LIABILITIES 8722734 164950728 0 0 0 0 0 0 0 0 0 0 0 0 true SCHOLARSHIPS 18 18000 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 false false false false false true false false false DANIEL MCKAY PRESIDENT & CEO 675229 0 211094 0 29515 0 27600 0 34614 0 978052 0 0 0 JUSTIN LANDE MD BOARD MEMBER 0 242032 0 266282 0 39935 0 23000 0 29812 0 601061 0 0 AMANDA KINMAN CFO 296924 0 54855 0 3378 0 23011 0 21094 0 399262 0 0 0 TAMMY ENSSLIN CHIEF LEGAL OFFICER 261755 0 47515 0 15142 0 26611 0 33302 0 384325 0 0 0 NICHOLAS SPOONMORE VP STRATEGIC INITIATIVES 265677 0 45760 0 12076 0 23093 0 17793 0 364399 0 0 0 LIBBY MAYES ASSISTANT VP COMMUNITY ENGAGEMENT 181329 0 32622 0 15837 0 18743 0 22416 0 270947 0 0 0 RICKEY JANSEN VP SYSTEM OPERATIONS 165321 0 0 0 5449 0 8390 0 14081 0 193241 0 0 0 WILLIAM STAPLES DIRECTOR RISK / LEGAL 135002 0 0 0 9336 0 8299 0 29868 0 182505 0 0 0 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 2025-06-01 125000000 2025 SERIES A & B false false false A 125000000 31716409 6040232 true false false true A false false false false false false 0 0 0.0 false false 0 false true A false true false false false false 0 false false false 0 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://EMHEALTH.ORG/SERVICE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/. 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. 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 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 IX, LINE 11G OTHER FEES OTHER FEES FOR SERVICES - TOTAL EXPENSE: 1324119, PROGRAM SERVICE EXPENSE: 1030653, MANAGEMENT AND GENERAL EXPENSES: 293466, FUNDRAISING EXPENSES: 0; 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 false COOPERATIVECARE INC 217 SOUTH THIRD STREET DANVILLE KY 40422 611265715 CONTRACTING KY EMH C CORPORATION -5441 20405 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 TRANSACTION TYPES HAS NOT BEEN PERFORMED.