2024-08-15T18:46:38+00:00 2023-09-30 440160260 Forvis Mazars LLP 1222 Demonbreun St Suite 950 Nashville TN 372033357 990 2022-10-01 610492356 EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER EPHR 8592392424 217 SOUTH THIRD STREET DANVILLE KY 40422 DANIEL MCKAY PRESIDENT/CEO 8592392424 2024-08-16 true true Jeff Smith P00289876 6154549800 2022 2024-08-08 14:25:15Z DANIEL MCKAY 217 SOUTH THIRD STREET DANVILLE KY 40422 257245928 false X WWW.EMHEALTH.ORG X 1972 KY THE ORGANIZATION'S PRIMARY MISSION IS TO BE THE LEADING PROVIDER OF QUALITY HEALTH CARE SERVICES IN THE CENTRAL KENTUCKY COMMUNITIES WE SERVE. 19 17 1243 56 966630 10414 8121228 256391 232065449 255495347 113915 85422 1467867 1408768 241768459 257245928 0 0 89137489 99179927 0 0 149872782 155110070 239010271 254289997 2758188 2955931 314104640 316571457 26175939 25404941 287928701 291166516 THE ORGANIZATION'S PRIMARY MISSION IS TO BE THE LEADING PROVIDER OF QUALITY HEALTH CARE SERVICES IN THE CENTRAL KENTUCKY COMMUNITIES WE SERVE. false false 219103860 255495347 EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER IS A LEADING HEALTH CARE PROVIDER IN KENTUCKY. CARRYING ON THE INNOVATIVE AND TRANSFORMATIONAL CARE EMBODIED BY OUR NAMESAKE, DR. EPHRAIM MCDOWELL, THE REGIONAL MEDICAL CENTER HAS BEEN NAMED AS ONE OF THE 100 GREATEST COMMUNITY HOSPITALS IN AMERICA. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 219103860 true true false true false false false false false true false false true true false false true false false false false false false false false true true false false true false false false false false false false true false false false false false true true true false false true X 192 0 true 1243 true true true false false false false false false false false false false false X 19 17 false false false false true true true true true false false true true true true true true false false true true KY X AMANDA KINMAN 8592392424 217 SOUTH THIRD STREET DANVILLE KY 40422 DANIEL MCKAY PRESIDENT & CEO 30.0 30.0 X X 0 792327 59957 ERIC GUERRANT MD VICE CHAIR 6.0 14.0 X X 0 7450 0 JULIAN GANDER CHAIR 6.0 14.0 X X 0 3450 0 SHEREE GILLIAM SECRETARY 6.0 14.0 X X 0 3450 0 THOMAS HAGER TREASURER 6.0 14.0 X X 0 3600 0 ANNE TURCEA MD BOARD MEMBER 2.0 5.5 X 0 25150 0 BRIAN ELLIS MD BOARD MEMBER 2.0 38.0 X 0 401294 48907 CHRIS WHITWORTH BOARD MEMBER 2.0 5.5 X 0 1950 0 DAVID GRIGSON BOARD MEMBER 2.0 5.5 X 0 3450 0 ERIC CALDWELL BOARD MEMBER 2.0 5.5 X 0 4500 0 JAMES DUNN BOARD MEMBER 2.0 5.5 X 0 4950 0 JEREMY TARTER MD BOARD MEMBER 2.0 5.5 X 0 7300 0 JOETTA WICKLIFFE BOARD MEMBER 2.0 5.5 X 0 5100 0 KAY RICHARDSON EM HEALTH CARE FOUNDATION CHAIR 2.0 5.5 X 0 2400 0 LINDA TILLMAN BOARD MEMBER 2.0 5.5 X 0 2400 0 MIKE W TAYLOR BOARD MEMBER 2.0 5.5 X 0 3450 0 REBECCA CHATHAM MD BOARD MEMBER 2.0 5.5 X 0 11450 0 SCOTT BOTTOMS BOARD MEMBER 2.0 5.5 X 0 3450 0 TIFFANY YEAST BOARD MEMBER 2.0 5.5 X 0 3450 0 AMANDA KINMAN CFO 10.0 50.0 X 0 329991 53238 GARY BUNCH CMO 15.0 45.0 X 0 338399 31522 GARY NEAT CHIEF INFORMATION OFFICER 40.0 X 211808 0 49470 JASON DEAN VP CLINICAL EFFECTIVENESS 20.0 20.0 X 104837 104837 50314 LIBBY MAYES EXECUTIVE DIRECTOR OF HR 40.0 X 219202 0 39994 LYNNE WARNER-LYNN VP CLINICAL EFFECT; JBH ADMIN 20.0 20.0 X 135850 135850 55372 TAMMY ENSSLIN LEGAL COUNSEL 10.0 50.0 X 0 309450 57613 ANDREW LOSCH PHARMACIST 40.0 X 174408 0 9735 DEBORAH BOSLEY REGISTERED NURSE 40.0 X 188461 0 24118 DONNA LONGMIRE DIRECTOR SURGICAL SERVICES 40.0 X 182597 0 48696 JOAN HALTOM PHARMACY DIRECTOR 40.0 X 240691 0 42814 MICHELLE FRALEY PHARMACIST 40.0 X 185108 0 35816 WILLIAM SNAPP III PART-YEAR CFO UNTIL 06/30/21 60.0 X 0 295271 20200 1642962 2804369 627766 81 true true false QUALIVIS DEPT 3847 PO BOX 12387 DALLAS TX 75312 STAFFING AGENCY 17489227 CENTRAL KENTUCKY SURGEONS PO BOX 129 DANVILLE KY 40422 PHYSICIAN SERVICES 4062793 IN COMPASS HEALTH INC 318 MAXWELL ROAD ALPHARETTA GA 30009 PHYSICIAN SERVICES 2835792 LOCUMTENENSCOMLLC 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 STAFFING 2627174 MESSER CONSTRUCTION 854 W MAIN STREET LEXINGTON KY 40508 CONSTRUCTION SERVICES 2506171 41 256391 256391 PATIENT REVENUE 621110 231378598 231345962 32636 PHARMACY REVENUE 446110 7208604 7208604 JOINT VENTURE INCOME 621110 1650877 1650877 MEDSOURCE REVENUE 621110 14552149 13618155 933994 OTHER OPERATING 621400 705119 705119 0 0 0 0 255495347 85422 85422 650366 650366 0 650366 650366 0 0 CAFETERIA 722514 600318 600318 ALL OTHER MISC REVENUE 900099 144172 144172 VENDING COMMISSION 900099 13912 13912 0 0 0 0 758402 257245928 254528717 966630 1494190 X 815827 815827 80878407 69733736 11144671 3481668 2975544 506124 8594137 6541634 2052503 5409888 4527355 882533 138211 138211 49079187 41258053 7821134 0 26425 22593 3832 6074815 4255058 1819757 3535877 515308 3020569 3404409 1303394 2101015 64747 42175 22572 185637 161950 23687 1552171 1552171 8635413 8635413 1589242 16310 1572932 MEDICAL SUPPLIES 63383288 63383288 PROVIDER TAXES 8149719 8149719 REPAIRS & MAINTENANCE 5198713 3459500 1739213 SHARED RESOURCE ALLOCATION 2103904 2103904 1988312 466755 1521557 0 254289997 219103860 35186137 0 72055 65485 131006 132359 23237371 26338311 0 0 0 0 9842713 10759009 2690219 3149151 209959959 155773614 53326879 54186345 0 1362622 1498714 223441775 220442083 314104640 316571457 15785520 16515113 0 0 10390419 8889828 26175939 25404941 287913911 291151726 14790 14790 287928701 291166516 314104640 316571457 X 2955931 281882 2 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true 6004 6004 Schedule C, Part III-B, Line 1 LOBBYING EXPENDITURES A PORTION OF DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION (KHA) ARE USED FOR LOBBYING. 4189025 4189025 93749574 61947588 31801986 3961620 3668878 292742 103102231 85943800 17158431 4957509 4213348 744161 54186345 SCHOLARSHIP ACCOUNT 15012 PHYSICIAN INCOME GUARANTEE 138331 DUE FROM RELATED PARTIES 212598160 DUE FROM THIRD PARTIES 7690580 220442083 DUE TO THIRD PARTY PAYERS 8889828 8889828 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 true X true X 125 true X true true false true true 2538979 2538979 0.0100 43927408 53453333 0 0.0 0 0.0 0 0 46466387 53453333 2538979 0.0100 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 0 0 46466387 53453333 2538979 0.0100 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 13341319 2449270 41357584 44900424 -3542840 X true true CNTL KY SURGERY CTR ASC 0.006 0.004 1 1 EPHRAIM MCDOWELL REGIONAL MEDICAL CEN 217 SOUTH THIRD STREET DANVILLE KY 40422 WWW.EMHEALTH.ORG 100034 X X X EPHRAIM MCDOWELL REGIONAL MEDICAL CEN 1 false false true X X X X X X X X X 20 true false false true X HTTP://EMHEALTH.ORG/INDEX.PHP/SERVICES/COMMUNITY-SERVICES X true 20 true HTTP://EMHEALTH.ORG/INDEX.PHP/SERVICES/COMMUNITY-SERVICES false true X 125.0 300.0 X X X X X true true X X X X true X HTTPS://WWW.EMHEALTH.ORG/FOR-PATIENTS/GOING-HOME/BILLING-INSURANCE/ X HTTPS://WWW.EMHEALTH.ORG/FOR-PATIENTS/GOING-HOME/BILLING-INSURANCE/ X HTTPS://WWW.EMHEALTH.ORG/FOR-PATIENTS/GOING-HOME/BILLING-INSURANCE/ X X X X X X true X false X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - EPHRAIM MCDOWELL REGIONAL MEDICAL CEN. THROUGH THE FOCUS GROUP AND ONLINE SURVEY, PARTICIPATION AND INPUT WAS GATHERED FROM REPRESENTATIVES OF PUBLIC HEALTH, AS WELL AS SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY (INCLUDING HISPANIC, AFRICAN AMERICAN), OR OTHER MEDICALLY UNDERSERVED POPULATIONS (SPECIFICALLY, THE ELDERLY, DISABLED, YOUNG ADULTS, LGBT COMMUNITY, THE MENTALLY ILL, INMATES, HEARING IMPAIRED, MEDICAID RECIPIENTS, AND THE UNINSURED). Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER. THE INTERNAL STAKEHOLDERS OF EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER DETERMINED THE FOLLOWING TO BE THE TOP HEALTH PRIORITIES FOR THE HOSPITAL TO ADDRESS IN THE COMMUNITY FOR THE COMING YEARS: - CARDIOVASCULAR DISEASE (CVD) RELATED RISK FACTORS (E.G., HYPERTENSION, BMI, GLUCOSE, TOBACCO USE, PHYSICAL ACTIVITY, NUTRITION) - CANCER EARLY DETECTION AND PREVENTION - CHILDHOOD OBESITY - ACCESS TO HEALTH SERVICES - DEMENTIAS, INCLUDING ALZHEIMER'S DISEASE - MENTAL HEALTH & MENTAL DISORDERS THESE PRIORITY AREAS, AND PLANS TO ADDRESS THESE, WILL BE INTEGRATED INTO THE HOSPITAL'S IMPLEMENTATION STRATEGY. THE RATIONALE FOR SELECTING THESE AREAS IS AN UNDERSTANDING THAT IMPACTING THESE WOULD ALSO IMPACT MANY OTHER AREAS OF NEED IDENTIFIED IN THE ASSESSMENT, SUCH AS DIABETES, DEMENTIA, MENTAL HEALTH, SENSORY IMPAIRMENT, KIDNEY DISEASE, RESPIRATORY DISEASE, AND DISABILITY. THESE AREAS ALSO REPRESENT A CONTINUATION OF EXISTING WORK AND ALLOW THE HOSPITAL TO BUILD ON PAST SUCCESSES. THERE ARE ADDITIONAL NEEDS IDENTIFIED WITHIN THE CHNA REPORT THAT ARE NOT SPECIFICALLY ADDRESSED BY EMRMC, DUE TO NO EXPERTISE OR LIMITED RESOURCES, BUT ARE BEING ADDRESSED BY OTHER AGENCIES WITHIN THE COMMUNITY. DEFERRED NEEDS FROM THE CHNA OF BOYLE AND THE SURROUNDING COUNTIES BASED UPON RESOURCES AND/OR EXPERTISE INCLUDED THE FOLLOWING: SUBSTANCE ABUSE IS AN ISSUE IN THE STATE AND REGION. ADDICTION SERVICES ARE OFFERED BY PRIVATE PROVIDERS, COMPREHENSIVE CARE, AND SELF-REFINED IN THE REGION. EMRMC BEHAVIORAL MEDICINE UNIT DOES TREAT DUAL DIAGNOSIS PATIENTS AND THE PSYCHIATRISTS AND COUNSELORS TREAT OUT PATIENTS. THERE IS AN ACTIVE ALCOHOLICS ANONYMOUS CHAPTER. CELEBRATE RECOVERY IS OFFERED AT VARIOUS SITES IN THE SERVICE AREA. SUBSTANCE ABUSE TASK FORCE RESOURCES AND COMMITTEES ARE IN THE SURROUNDING SERVICE AREA, AND COLLABORATION OCCURS AS NEEDED. DUE TO LACK OF EXPERTISE AND RESOURCES, ADDICTION WILL BE DEFERRED AS PART OF THE WORK PLAN BY EMRMC. CHRONIC KIDNEY DISEASE AND END STAGE RENAL FAILURE LINKS TO DIABETES. FREE SCREENINGS WILL PROVIDE EARLY DETECTION AND POSSIBLY PREVENTION WHEN ADDRESSING NUTRITION, BODY MASS INDEX AND EXERCISE. SOME FAITH COMMUNITY NURSES IN CONGREGATIONS ASSESS BLOOD PRESSURES AND MEDICATION ADHERENCE AS WELL AS PROVIDE EDUCATION. RENAL SPECIALISTS AND DIALYSIS CENTERS SERVE THIS POPULATION AS WELL. DEMENTIA LINKS TO CV HEALTH AND STROKE INCIDENCE AND VASCULAR ISSUES. IT ALSO LINKS TO THE AGING OF THE POPULATION IN THE REGION. THERE IS AN ALZHEIMER'S SUPPORT GROUP IN BOYLE AND MERCER COUNTIES. ALSO, MENTAL EVALUATION AND MEDICATION MANAGEMENT IS AVAILABLE BY A PSYCHIATRIST AT THE MEDICAL CENTER. DANVILLE HEALTH & REHABILITATION CENTER AS WELL AS MORNING POINT HAS AN ALZHEIMER'S LONG-TERM CARE UNIT. THE SANDERS BROWN CENTER AT THE UNIVERSITY OF KENTUCKY HAS ON-GOING ALZHEIMER'S RELATED RESEARCH AND SERVES AS A REFERRAL CENTER FOR THE REGION. BIRTHS TO TEENAGERS AND UNWED MOTHERS, AND LOW BIRTH-WEIGHT BIRTHS ARE BEING ADDRESSED BY THE HEALTH DEPARTMENTS AND THE SCHOOL HEALTH COALITIONS. THE HAVEN CARE CENTER PROVIDES PREGNANCY RESOURCES AND SUPPORTS ALL SIX COUNTIES. CHRONIC LUNG/RESPIRATORY DISEASE IS BEING ADDRESSED WITH TOBACCO EDUCATION, STOP SMOKING CLASSES AT THE HEALTH DEPARTMENTS, PULMONARY REHAB AT EPHRAIM MCDOWELL SPECIALTY CENTER AND THROUGH PUBLIC POLICY. THE COMMUNITY SERVICE DEPARTMENT SCREENS FOR TOBACCO USE AT ALL VENUES AND REFERS CLIENTS TO THE HEALTH DEPARTMENTS. THE HEALTH DEPARTMENT OFFERS FREEDOM FROM SMOKING CLASSES TO HELP RESIDENTS STOP SMOKING. THE HEALTH DEPARTMENTS ALSO CONDUCT TOBACCO EDUCATION IN THE SCHOOL SYSTEMS. IN THE AREAS OF INFECTIOUS DISEASE, THE COUNTY HEALTH DEPARTMENTS WILL CONTINUE TO ADDRESS HIV EDUCATION AND TESTING. HEPATITIS C VACCINE IS AVAILABLE AT THE HEALTH DEPARTMENTS. EMRMC WILL DEFER DUE TO RESOURCE ALLOCATION - BOTH PERSONNEL AND TIME. INJURY AND VIOLENCE EDUCATION IS IN THE HEALTH DEPARTMENTS, COUNTY EXTENSION OFFICES, SCHOOL RESOURCE CENTERS, FAMILY COURT, AND LAW ENFORCEMENT IN ALL COUNTIES. EMRMC AND EMFLH OFFER THE SERVICES OF A SANE NURSE FOR RAPE VICTIMS. THE RAPE CRISIS CENTER SERVES THE REGION. EMRMC WILL DEFER FOCUS ON INJURY AND VIOLENCE AT THIS TIME DUE TO OTHER AGENCIES COVERING ALL ASPECTS, HAVING GREATER EXPERTISE AND DEPARTMENTAL RESOURCE LIMITATIONS. ORAL HEALTH INCLUDING REGULAR DENTAL CARE AND DENTAL INSURANCE IS A REGIONAL ISSUE. EPHRAIM MCDOWELL HEALTH BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. 13 CENTRAL KY SURGERY CENTER 230 WEST MAIN STREET DANVILLE KY 40422 OUTPATIENT SURGERY CENTER EPHRAIM MCDOWELL MULTI SPECIALTY CLINIC 216 W WALNUT STE A DAVILLE KY 40422 OUTPATIENT SERVICES MEDSOURCE HOME MEDICAL 150 SOUTH THIRD STREET DANVILLE KY 40422 DURABLE MEDICAL EQUIPMENT EPHRAIM MCDOWELL HEART VASCULAR INSTITUT 216 W WALNUT STE B DANVILLE KY 40422 OUTPATIENT SERVICES EPHRAIM MCDOWELL BEHAVIORAL HEALTH 120 DANIEL DRIVE DANVILLE KY 40422 OUTPATIENT SERVICES EPHRAIM MCDOWELL CANCER SUPPORT CENTER 520 TECHWOOD DR DANVILLE KY 40422 OUTPATIENT SERVICES EPHRAIM MCDOWELL NEUROSCIENCES MD 102 CITATION DR DANVILLE KY 40422 OUTPATIENT SERVICES EPHRAIM MCDOWELL EAR NOSE AND THROAT 1250 BEN ALI DR DANVILLE KY 40422 OUTPATIENT SERVICES EPHRAIM MCDOWELL UROLOGY MD 230 W MAIN STREET DANVILLE KY 40422 OUTPATIENT SERVICES EPHRAIM MCDOWELL CENTRAL KY SURGEONS 130 DANIEL DR DANVILLE KY 40422 OUTPATIENT SERVICES EPHRAIM MCDOWELL EYE AND VISION CENTER 1541 LEBANON RD STE 2 DANVILLE KY 40422 OUTPATIENT SERVICES EPHRAIM MCDOWELL OPTICAL 1541 LEBANON RD STE 2 DANVILLE KY 40422 OUTPATIENT SERVICES EPHRAIM MCDOWELL BARIATRIC CENTER 102 CITATION CT DANVILLE KY 40422 OUTPATIENT SERVICES Schedule H, Part I, Line 7 COSTING METHODOLOGY THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEET 1. COST COMPUTED ON IRS WORKSHEET 3 WAS COMPUTED FROM THE MEDICARE COST REPORT, INCLUDING DIRECT COSTS PLUS OVERHEAD ALLOCATIONS COMPUTED IN THE COST REPORT STEP-DOWN PROCESS. Schedule H, Part I, Line 7f PERCENT OF TOTAL EXPENSE TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2022. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. A DETAILED REVIEW OF PATIENT ACCOUNTS WAS PERFORMED AND THIS AMOUNT REFLECTS ACTUAL WRITE-OFFS OF BAD DEBT EXPENSE DURING THE PERIOD. Schedule H, Part III, Line 3 Bad Debt Expense Methodology BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS REPORTED PER THE MEDICARE COST REPORT WORKSHEET S-10. THIS AMOUNT IS THE RESULT OF A DETAILED REVIEW OF PATIENT ACCOUNTS AND ACTUAL WRITE-OFFS OF BAD DEBT EXPENSE DURING THE PERIOD. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE CORPORATION REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE CORPORATION PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE CORPORATION BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs AMOUNTS REPORTED ON LINES 5 AND 6 WERE BASED ON THE CORPORATION'S MEDICARE COST REPORT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IF IT IS DETERMINED THAT A PATIENT OR RESPONSIBLE PARTY IS ELIGIBLE FOR FINANCIAL ASSISTANCE, EMH WILL: - SEND WRITTEN NOTIFICATION TO THE RESPONSIBLE INDIVIDUAL OF THE ASSISTANCE DETERMINATION, AND - IF THE DISCOUNT IS LESS THAN 100%, EMH WILL: * PROVIDE THE RESPONSIBLE INDIVIDUAL WITH A BILLING STATEMENT SHOWING THE AMOUNT OWED, HOW THE AMOUNT WAS DETERMINED, AND DESCRIBE HOW THE INDIVIDUAL CAN LEARN MORE ABOUT HOW THE HOSPITAL CALCULATES AGB; * ISSUE REFUNDS TO THE RESPONSIBLE INDIVIDUAL IF HE OR SHE PREVIOUSLY PAID AN AMOUNT TO EMH EXCEEDING WHAT HE OR SHE IS PERSONALLY RESPONSIBLE TO PAY; AND * TAKE ALL REASONABLE MEASURES TO REVERSE ANY ECAS (WITH THE EXCEPTION OF A SALE OF A DEBT OR DEFERRING OR DENYING CARE FOR NON-PAYMENT OF AMOUNTS FOR PREVIOUS CARE) TAKEN AGAINST THE RESPONSIBLE INDIVIDUAL TO THE EXTENT POSSIBLE. IF A PATIENT CANNOT SATISFY STANDARD PAYMENT EXPECTATIONS, A FINANCIAL ASSISTANCE SCREENING PROCESS FOR ALTERNATIVE SOURCES OF BALANCE RESOLUTION IS COMPLETED. THOSE RESOLUTIONS MAY INCLUDE A DISCOUNT ON CHARGES, MEDICAID ENROLLMENT OR APPLICATION FOR CHARITY CARE. Schedule H, Part V, Section B, Line 16a FAP website - EPHRAIM MCDOWELL REGIONAL MEDICAL CEN: Line 16a URL: HTTPS://WWW.EMHEALTH.ORG/FOR-PATIENTS/GOING-HOME/BILLING-INSURANCE/; Schedule H, Part V, Section B, Line 16b FAP Application website - EPHRAIM MCDOWELL REGIONAL MEDICAL CEN: Line 16b URL: HTTPS://WWW.EMHEALTH.ORG/FOR-PATIENTS/GOING-HOME/BILLING-INSURANCE/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - EPHRAIM MCDOWELL REGIONAL MEDICAL CEN: Line 16c URL: HTTPS://WWW.EMHEALTH.ORG/FOR-PATIENTS/GOING-HOME/BILLING-INSURANCE/; Schedule H, Part VI, Line 2 Needs assessment IN 2020, PROFESSIONAL RESEARCH CONSULTANTS (PRC) WAS ENGAGED TO CONDUCT A NEEDS ASSESSMENT OF EMRMC'S COMMUNITY, WHICH IS DEFINED AS THE PRINCIPAL RESIDENTIAL ZIP CODES IN BOYLE, CASEY, GARRARD, LINCOLN, MERCER, AND WASHINGTON COUNTIES IN KENTUCKY. A SURVEY AND A COMMUNITY FOCUS GROUP WERE COMPLETED TO OBTAIN PRIMARY DATA FROM INDIVIDUALS WITHIN THE COMMUNITY. THE FOCUS GROUP WAS COMPRISED OF REPRESENTATIVES FROM PUBLIC HEALTH, SOCIAL SERVICE PROVIDERS, EMPLOYERS, AND OTHER COMMUNITY LEADERS. SELF REPORT DATA, MORTALITY, MORBIDITY, LIFESTYLE, INCIDENCE OF CHRONIC DISEASE, INJURY DATA, AND DISABILITY DATA ARE PART OF THE ASSESSMENT PROCESS. THE BENCHMARK IS ESTABLISHED USING HEALTHY PEOPLE 2020 DATA. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance EMRMC'S CHARITY CARE POLICY IS POSTED ON THE WWW.EMHEALTH.ORG WEBSITE. AT REGISTRATION OF SELF-PAY CLIENTS, INFORMATION IS GIVEN ON REDUCED FEE, CHARITY APPLICATION, AND A REFERRAL TO A FINANCIAL COUNSELOR. THE FREE COMMUNITY SCREENINGS ARE POSTED ON THE WEBSITE AND IN AREA NEWSPAPERS IF THE HOSTING ORGANIZATION INVITES COMMUNITY PARTICIPATION. SOME EVENTS ARE DISCUSSED ON LOCAL RADIO. INFORMATION REGARDING THE FREE CLINIC IS ALSO GIVEN BY HEALTHCARE PROVIDERS, FAITH COMMUNITY NURSES, CASE WORKERS AND OTHER MEDICAL PROFESSIONALS. Schedule H, Part VI, Line 4 Community information THE HEALTH SYSTEM SERVES BOYLE, MERCER, CASEY, LINCOLN, GARRARD, AND WASHINGTON COUNTIES, WHICH HAVE A RURAL POPULATION OF APPROXIMATELY 124,000. ACCESS IS AN ISSUE, DUE TO TRAVEL BARRIERS SUCH AS OUT-OF-DATE HIGHWAYS AND LACK OF PUBLIC TRANSPORTATION. THESE ACCESS ISSUES INFLUENCED THE DECISIONS TO SERVE WITH FREE SCREENINGS AT KEY GATHERING PLACES SUCH AS CHURCHES AND SCHOOLS, ETC. INSURANCE COVERAGE IS ANOTHER ISSUE. THE NUMBERS OF UNINSURED CONTINUES TO EXCEED THE NATIONAL AVERAGE AND THE UNDERINSURED IN THIS SERVICE AREA CONTINUES TO INCREASE POST ACA. Schedule H, Part VI, Line 5 Promotion of community health EMRMC LEADERS HOLD BOTH MEMBERSHIP AND LEADERSHIP POSITIONS WITHIN VARIOUS SERVICE ORGANIZATIONS IN THE COMMUNITY, ROLE MODELING GOOD CITIZENSHIP. EMRMC STAFF VOLUNTEERED IN AREA CHURCHES AND CHILDREN'S MINISTRY PROGRAMS WITHIN THE SERVICE AREA THAT FOCUSED ON SPIRITUAL DEVELOPMENT AND WELL-BEING, APPROXIMATELY 800 CHILDREN WERE SERVED. OTHER SERVICES INCLUDE VOLUNTEER FAITH COMMUNITY NURSES SERVING WITHIN MANY OF THE LOCAL CONGREGATIONS. THE RESULT BEING BLOOD PRESSURE SCREENING, COORDINATION OF CARE, REFERRALS, AND EDUCATION RELATED TO HEALTH RISK, MEDICATIONS, MENTAL HEALTH, STROKE RISK EDUCATION, AND OTHER ISSUES. OTHERS SERVED IN MUSIC MINISTRY, VISITATION, OR CHURCH BASED COMMITTEES. MANY SERVED IN YOUTH SPORT LEAGUES AS VOLUNTEERS, EITHER COACHING OR RAISING FUNDS. OTHERS VOLUNTEERED WITH THE SCHOOL SYSTEM SERVING AS ROOM SPONSORS, BOOSTERS, PTA OFFICERS, MENTORING STUDENTS, OR OTHER NEEDED FUNCTIONS. EMRMC ASSOCIATES VOLUNTEERED AT THE LOCAL FESTIVALS INCLUDING, BUT NOT LIMITED TO: HARVEST FEST ON MAIN, KENTUCKY STATE BBQ FESTIVAL, GREAT AMERICAN BRASS BAND FESTIVAL, SOUL ON SECOND STREET, DANVILLE'S LAWN CHAIR THEATRE, APPLE FESTIVAL IN CASEY COUNTY, BEEF FESTIVAL IN MERCER COUNTY, PARTY ON THE SQUARE IN GARRARD COUNTY, FORKLAND HERITAGE FESTIVAL AND REVUE, BATTLE OF PERRYVILLE COMMEMORATION, CRUISE, BLUES & BAR-B-QUE, AND RAILROAD DAYS. THESE HOURS WERE NOT PAID HOURS, THEREFORE NOT INCLUDED IN THE COMMUNITY BENEFIT CALCULATIONS. NEVERTHELESS, THIS INVESTMENT OF TIME AND LABOR CONTRIBUTED SIGNIFICANTLY TO THE QUALITY OF LIFE IN THE REGION - IMPACTING PHYSICAL, MENTAL, AND ECONOMIC WELL-BEING OF THE POPULACE OF THE SIX COUNTY SERVICE AREAS. STAFF HAS ALSO GIVEN TESTIMONY AT LOCAL, STATE, AND FEDERAL LEVELS RELATED TO OUR SERVICE AREA'S HEALTH, EDUCATION, AND ECONOMIC ISSUES. Schedule H, Part VI, Line 6 Affiliated health care system EMRMC IS A 222 LICENSED BED ACUTE CARE HOSPITAL SERVING THE COMMUNITY FOR NEARLY A CENTURY AS PART OF EPHRAIM MCDOWELL HEALTH (EMH). EMH IS A COMPREHENSIVE, INTEGRATED HEALTHCARE DELIVERY SYSTEM THAT SERVES 124,000 RESIDENTS FROM SIX COUNTIES IN SOUTH CENTRAL KENTUCKY. THE EMH BOARD IS COMPRISED OF COMMUNITY MEMBERS AND REPRESENTATION FROM FT LOGAN HOSPITAL, JAMES B. HAGGIN MEMORIAL HOSPITAL, MEDICAL STAFF, AND EMRMC LEADERSHIP. FT LOGAN HOSPITAL IS A CRITICAL ACCESS HOSPITAL LOCATED IN LINCOLN COUNTY. HEALTH RESOURCE IS COMPRISED OF CLINICS, AN EARLY CHILDHOOD DEVELOPMENT CENTER, ASSISTED LIVING FACULTY, AND DURABLE MEDICAL EQUIPMENT OUTLETS. THERE ARE REPRESENTATIVES FROM OUR SIX COUNTIES, MEDICAL STAFF, AND LEADERSHIP ON THE COMMUNITY BOARD THAT OVERSEES AND COORDINATES THE SERVICES OF EPHRAIM MCDOWELL HEALTH. ON DECEMBER 1, 2017, EMH ACQUIRED JAMES B. HAGGIN HOSPITAL, A CRITICAL ACCESS HOSPITAL LOCATED IN MERCER COUNTY. X X X X X true false false false false true true false false DANIEL MCKAY PRESIDENT & CEO 0 604355 0 172218 0 15754 0 24400 0 35557 0 852284 0 0 BRIAN ELLIS MD BOARD MEMBER 0 195779 0 143794 0 61721 0 24400 0 24507 0 450201 0 0 GARY BUNCH CMO 0 270774 0 27921 0 39704 0 24400 0 7122 0 369921 0 0 TAMMY ENSSLIN LEGAL COUNSEL 0 251856 0 47771 0 9823 0 24400 0 33213 0 367063 0 0 LYNNE WARNER-LYNN VP CLINICAL EFFECT; JBH ADMIN 107484 107484 20722 20722 7644 7644 10398 10398 17288 17288 163536 163536 0 0 AMANDA KINMAN CFO 0 272139 0 49003 0 8849 0 20500 0 32738 0 383229 0 0 LIBBY MAYES EXECUTIVE DIRECTOR OF HR 177496 0 33858 0 7848 0 17702 0 22292 0 259196 0 0 0 GARY NEAT CHIEF INFORMATION OFFICER 176567 0 26075 0 9166 0 17389 0 32081 0 261278 0 0 0 JASON DEAN VP CLINICAL EFFECTIVENESS 104837 104837 0 0 0 0 8087 8087 17070 17070 129994 129994 0 0 JOAN HALTOM PHARMACY DIRECTOR 216039 0 20141 0 4511 0 19210 0 23604 0 283505 0 0 0 DONNA LONGMIRE DIRECTOR SURGICAL SERVICES 153685 0 14605 0 14307 0 15053 0 33643 0 231293 0 0 0 MICHELLE FRALEY PHARMACIST 183936 0 0 0 1172 0 14851 0 20965 0 220924 0 0 0 DEBORAH BOSLEY REGISTERED NURSE 182697 0 0 0 5764 0 14954 0 9164 0 212579 0 0 0 ANDREW LOSCH PHARMACIST 166984 0 0 0 7424 0 0 0 9735 0 184143 0 0 0 WILLIAM SNAPP III PART-YEAR CFO UNTIL 06/30/21 0 -5847 0 49457 0 251661 0 0 0 20200 0 315471 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE CEO IS COMPENSATED BY EPHRAIM MCDOWELL HEATH, 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 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 EMRMC IS AN AFFILIATE OF EPHRAIM MCDOWELL HEALTH, INC. WHICH 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 6b Compensation contingent on net earnings of a related organization EMRMC IS AN AFFILIATE OF EPHRAIM MCDOWELL HEALTH, INC. WHICH 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. SCOTT BOTTOMS SEE PART V 571317 SEE PART V false Schedule L, Part IV, Column (b) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION SCOTT IS A BOARD MEMBER FOR EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER. Schedule L, Part IV, Column (d) DESCRIPTION OF TRANSACTION SCOTT BOTTOMS OWNS DANVILLE OFFICE EQUIPMENT, A COMPANY FROM WHICH EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER PURCHASED EQUIPMENT AND SUPPLIES IN THE AMOUNT OF $571,317. Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS Ephraim McDowell Regional Medical Center (EMRMC) is a not-for-profit, 222-bed licensed level III trauma center dedicated to serving the health and wellness needs of the populations of Boyle, Lincoln, Mercer, Garrard, Casey and Washington Counties. The facility is Joint Commission accredited. Ephraim McDowell Regional Medical Center strives to set the standard for high quality health care. It has received three Gold Seals of Excellence from The Joint Commission for total hip and knee replacement and spine surgery and also has earned a Gold Seal of Approval for hip fractures, one of only two hospitals in the state to receive that distinction. EMRMC's scope of services include: behavioral health, cancer care center, outpatient cancer care, cardiac care services, critical care, diagnostic services, level III trauma/emergency care center, Kids Can Do pediatric therapy center, laboratory services, medical-surgical services, orthopedic/spine care, pastoral care, pain management center, pulmonology, thoracic surgery, rehabilitation, respiratory therapy, surgical services, vascular services, volunteer/auxiliary, women's health services, women's breast & health center, wound healing center, sleep disorders center, ear, nose, and throat services, urology, home health, neurology, podiatry, gastroenterology and durable medical equipment. In fiscal year 2023, outpatient registrations were 112,617 and emergency room services were provided for 27,851 visits. There were 14,244 surgical procedures, 6,648 admissions (including swing and nursery), and the facility recorded 31,485 total patient days (including observation and swing). Expanded service modalities have been continued in order to increase access to care needed for the elderly, frail, or those with cancer (all high volume populations within the six counties) to receive care close to home. In FY 2023, Ephraim McDowell Regional Medical Center invested $2,938,510 in community benefit including financial assistance and means-tested programs. The financial investment was above and beyond the hours of volunteer time in leadership roles by EMRMC staff to improve health, education, environment, economic development and legislative endeavors within the community, state and at the national level. Form 990, Part V, Line 2a COMMON PAYMASTER EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER IS THE COMMON PAYMASTER FOR THE FOLLOWING RELATED ORGANIZATIONS: EPHRAIM MCDOWELL HEALTH, INC., EPHRAIM MCDOWELL HEALTH RESOURCES, INC., EPHRAIM MCDOWELL HEALTH CARE FOUNDATION, INC., EMHFL, INC., COOPERATIVECARE, INC., AND JAMES B. HAGGIN MEMORIAL HOSPITAL, 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 EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER 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 KEY 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. Form 990, Part VI, Line 6 Classes of members or stockholders MEMBERS OF THE ORGANIZATION --------------------------- EPHRAIM MCDOWELL HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER. EPHRAIM MCDOWELL HEALTH, INC., A RELATED 501(C)(3) ENTITY, IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. EPHRAIM MCDOWELL HEALTH, INC. ELECTS BOARD MEMBERS OF EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER ON AN ANNUAL BASIS. THE BYLAWS OF EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER REQUIRE APPROVAL OF CERTAIN TRANSACTIONS BY EPHRAIM MCDOWELL HEALTH, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body MEMBERS OF THE ORGANIZATION --------------------------- EPHRAIM MCDOWELL HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER. EPHRAIM MCDOWELL HEALTH, INC., A RELATED 501(C)(3) ENTITY, IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. EPHRAIM MCDOWELL HEALTH, INC. ELECTS BOARD MEMBERS OF EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER ON AN ANNUAL BASIS. THE BYLAWS OF EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER REQUIRE APPROVAL OF CERTAIN TRANSACTIONS BY EPHRAIM MCDOWELL HEALTH, INC. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders MEMBERS OF THE ORGANIZATION --------------------------- EPHRAIM MCDOWELL HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER. EPHRAIM MCDOWELL HEALTH, INC., A RELATED 501(C)(3) ENTITY, IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. EPHRAIM MCDOWELL HEALTH, INC. ELECTS BOARD MEMBERS OF EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER ON AN ANNUAL BASIS. THE BYLAWS OF EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER REQUIRE APPROVAL OF CERTAIN TRANSACTIONS BY EPHRAIM MCDOWELL HEALTH, INC. 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 EXISTS, 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 FEES FOR MEDICAL SERVICES - Total Expense: 49079187, Program Service Expense: 41258053, Management and General Expenses: 7821134, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Rounding - 2; 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 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 AVE HARRODSBURG KY 40330 610510934 CRITICAL HOSP KY 501(c)(3) 3 EM HEALTH false CENTRAL KENTUCKY SURGERY CENTER 217 S 3RD DANVILLE KY 40422 MEDICAL SERVICES KY NA Related 1900678 2105771 false COOPERATIVECARE INC 217 SOUTH THIRD STREET DANVILLE KY 40422 611265715 CONTRACTING SVCS KY NA C Corporation 0 0 false false false true false false false false false false false false false false false false true true false true CENTRAL KENTUCKY SURGERY CENTER LLC P 12801074 FMV