2021-08-11T10:26:56-05:00 2020-09-30 BKD LLP 3102 WEST END AVENUE SUITE 1050 NASHVILLE TN 372031301 990 2019-10-01 610492356 EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER % AMANDA KINMAN EPHR 8592392424 217 SOUTH THIRD STREET DANVILLE KY 40422 AMANDA KINMAN INTERIM CFO 8592392424 2021-08-15 true JESSICA FREEMAN P01261457 6159883600 2019 2022-09-23 18:48:47Z DANIEL MCKAY 217 SOUTH THIRD STREET DANVILLE KY 40422 196548341 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. 18 16 1201 225 1328085 147628 189005 43114 188130483 195537149 381015 85408 737874 847146 189438377 196512817 1000 0 0 0 78796183 76869909 0 0 0 101106190 103308413 179903373 180178322 9535004 16334495 256872318 293988269 14982119 35763575 241890199 258224694 X 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 152713251 195537149 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. 152713251 true true false true false 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 false false false false false false true true true false false true X 190 0 true 1201 true true true false false false false false false false false false false false X 18 16 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 0 582661 54108 BURT PIPER FORMER VP & COO 0.0 0.0 X 0 345364 38990 WILLIAM SNAPP III EXECUTIVE VICE PRESIDENT & CFO 10.0 50.0 X 0 330459 49715 BRIAN ELLIS MD BOARD MEMBER 2.0 38.0 X 0 276103 53324 LYNNE WARNER-LYNN CHIEF NURSING OFFICER 20.0 20.0 X 106336 106336 50696 JOAN HALTOM PHARMACY DIRECTOR 40.0 0.0 X 201532 0 38426 LIBBY MAYES EXECUTIVE DIRECTOR OF HR 40.0 0.0 X 175435 0 35577 RONALD BARBATO REHAB DIRECTOR 40.0 0.0 X 171593 0 33899 MICHELLE FRALEY PHARMACIST 40.0 0.0 X 158715 0 35357 SARAH VICKEY PHARMACIST 40.0 0.0 X 154011 0 33596 CHRISTINA COOLEY PHARMACIST 40.0 0.0 X 161719 0 8449 JAMES TURPIN MD BOARD MEMBER 2.0 5.5 X 0 12200 0 ERIC GUERRANT MD SECRETARY 6.0 14.0 X X 0 7300 0 DOUGLAS GREENBURG BOARD MEMBER 2.0 16.5 X 0 6450 0 JAMES W DUNN BOARD MEMBER 2.0 10.0 X 0 6150 0 JULIAN GANDER VICE CHAIR 6.0 14.0 X X 0 4500 0 CHRIS WHITWORTH BOARD MEMBER 2.0 5.5 X 0 4500 0 SCOTT BOTTOMS CHAIR 6.0 14.0 X X 0 3300 0 THOMAS HAGER TREASURER 6.0 14.0 X X 0 3300 0 ALLEN WHITE BOARD MEMBER 2.0 5.5 X 0 3300 0 SHEREE GILLIAM BOARD MEMBER 2.0 5.5 X 0 3300 0 CLIFF ED IRVIN BOARD MEMBER 2.0 5.5 X 0 3300 0 SUSIE ROUSH BOARD MEMBER 2.0 5.5 X 0 3300 0 REBECCA CHATHAM MD BOARD MEMBER 2.0 5.5 X 0 3150 0 AARON ROWLAND BOARD MEMBER 2.0 5.5 X 0 3000 0 MIKE W TAYLOR BOARD MEMBER 2.0 5.5 X 0 2850 0 ANNE TURCEA MD BOARD MEMBER 2.0 5.5 X 0 750 0 DAVID GRIGSON BOARD MEMBER 2.0 10.5 X 0 750 0 1129341 1707973 432137 51 true true false IN COMPASS HEALTH INC 318 MAXWELL ROAD SUITE 500 ALPHARETTA GA 30009 PHYSICIAN SERVICES 3312941 KENTUCKY BLOOD CENTER 3121 BEAUMONT CENTER CIRCLE LEXINGTON KY 40513 BLOOD SERVICES 825812 CENTRAL KENTUCKY SURGEONS PO BOX 129 DANVILLE KY 40422 PHYSICIAN SERVICES 2466875 LOGAN'S HEALTHCARE LINEN DIVISION PO BOX 643958 CINCINNATI OH 45264 LINEN SERVICES 478214 MESSER CONSTRUCTION 854 W MAIN STREET LEXINGTON KY 40508 CONSTRUCTION SERVICE 491795 25 43114 43114 PATIENT REVENUE 621110 176148146 176148146 PHARMACY REVENUE 446110 3811318 3811318 JOINT VENTURE INCOME 621110 1628609 1628609 MEDSOURCE REVENUE 621110 13490442 12312838 1177604 REFERENCE LAB 621400 150481 150481 308153 308153 195537149 57026 57026 0 0 248778 248778 0 248778 248778 63906 35524 28382 28382 28382 0 0 0 0 0 0 0 0 0 VENDING COMMISSION 900099 16669 16669 CAFETERIA 722514 533984 533984 ALL OTHER MISC REVENUE 900099 47715 47715 598368 196512817 194209064 1328085 932554 0 0 0 0 400881 400881 0 63565408 54328940 9236468 2827765 2401726 426039 8832328 7501647 1330681 1243527 533567 709960 0 0 73361 2051 71310 12725 12725 0 0 23930540 18468920 5461620 7276 5806 1470 5548887 3480208 2068679 3183458 437472 2745986 0 2919261 1300774 1618487 67208 52524 14684 0 153206 138383 14823 1067393 1067393 0 8164812 8164812 778525 11480 767045 MEDICAL SUPPLIES 48209586 48209586 SHARED RESOURCE ALLOCATION 1508008 1508008 PROVIDER TAXES 2220973 2220973 REPAIRS & MAINTENANCE 3787482 2584639 1202843 1675712 294342 1381370 180178322 152713251 27465071 0 60989 56423 160531 150164 0 0 24664913 25758304 0 0 0 0 0 0 7159343 8174844 2041962 2236030 184005919 131210511 57239408 52795408 0 0 0 0 1277245 1083910 0 0 164267927 203733186 256872318 293988269 13146856 11587512 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1835263 24176063 14982119 35763575 X 241875409 258209904 14790 14790 241890199 258224694 256872318 293988269 16334495 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 12725 12725 false SCH. C, PART III-B, LINE 1I LOBBYING EXPENDITURES --------------------- A PORTION OF DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION (KHA) ARE USED FOR LOBBYING. 3116232 3116232 82484386 52744710 29739676 3858657 3445081 413576 89470514 71374400 18096114 5076130 3646320 1429810 52795408 SCHOLARSHIP ACCOUNT 15548 PHYSICIAN INCOME GUARANTEE 215013 DUE FROM RELATED PARTIES 203502625 203733186 0 DUE TO THIRD PARTY PAYERS 3714194 CARES ACT PAYABLE 20461869 24176063 196441321 196441321 71496 71496 196512817 180106826 -71496 -71496 180178322 180178322 SCH D, PART XI & XII RECONCILIATION TO AUDIT REPORT ------------------------------ PART XI LINE 4B AMOUNTS INCLUDED IN 990 PART VIII BUT NOT ON LINE 1: --------------- CONTRIBUTION REV INCLUDED IN EXPENSE PER AUDIT 43,114 GAIN ON SALE OF ASSETS INCLUDED IN EXPENSE PER AUDIT 28,382 PART XII LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON 990 PART IX: --------------- CONTRIBUTION REV INCLUDED IN EXPENSE PER AUDIT (43,114) GAIN ON SALE OF ASSETS INCLUDED IN EXPENSE PER AUDIT (28,382) 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. true true X true X 125. true X true true false true true 1342592 1342592 0.00750 31093641 25647864 5445777 0.03020 32436233 25647864 6788369 0.03770 32436233 25647864 6788369 0.03770 true 8728666 2605189 52007343 48750907 3256436 X true true CNTL KY SURGERY CTR ASC 0.6 0.4 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 SEE PART V, SECTION C X true 20 true SEE PART V, SECTION C false true X 125. 300. X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT --------------- 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 CHNA / IMPLEMENTATION STRATEGY ---------------------------- THE CHNA REPORT AND THE IMPLEMENTATION STRATEGY CAN BE OBTAINED AT: HTTP://EMHEALTH.ORG/INDEX.PHP/SERVICES/COMMUNITY-SERVICES SCHEDULE H, PART V, SECTION B, LINE 22 ADDRESSING THE NEEDS OF THE COMMUNITY ------------------------------------- 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. SCHEDULE H, PART V, SECTION B, LINE 16 PUBLICATION OF FAP -------------------- https://www.emhealth.org/for-patients/going-home/billing-insurance/ 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 DANVILLE KY 40422 OUTPATIENT SERVICES MEDSOURCE HOME MEDICAL 150 SOUTH THIRD STREET DANVILLE KY 40422 DURABLE MEDICAL EQUIPMENT EPHRAIM MCDOWELL HEART VASCULAR INSTITUT 1250 BEN ALI DR DANVILLE KY 40422 OUTPATIENT SERVICES EPHRAIM MCDOWELL SPECIALTY CENTER ANNEX 222 SOUTH 3RD STREET 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 ST 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 DR 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 7, COLUMN F 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 --------------- 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, 2020. 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 ATTRIBUTABLE TO CHARITY CARE ---------------------------------------------- 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 -------------- 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 MEDICARE SHORTFALL -------------------- AMOUNTS REPORTED ON LINES 5 AND 6 WERE BASED ON THE CORPORATION'S MEDICARE COST REPORT. SCHEDULE H, PART III, LINE 9B WRITTEN DEBT COLLECTION POLICY AND 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 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 113,000. 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. **DURING FY20, SOME ACTIVITIES MAY HAVE BEEN CANCELLED DUE TO COVID-19. 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 113,000 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. true false false false false true true false false BRIAN ELLIS MD BOARD MEMBER 0 174707 0 46576 0 54820 0 22253 0 31071 0 329427 0 0 DANIEL MCKAY PRESIDENT & CEO 0 544850 0 22500 0 15311 0 22400 0 31708 0 636769 0 0 WILLIAM SNAPP III EXECUTIVE VICE PRESIDENT & CFO 0 313558 0 0 0 16901 0 22400 0 27315 0 380174 0 0 BURT PIPER FORMER VP & COO 0 222787 0 0 0 122577 0 18880 0 20110 0 384354 0 0 LYNNE WARNER-LYNN CHIEF NURSING OFFICER 94886 94886 0 0 11450 11450 8659 8659 16689 16689 131684 131684 0 0 LIBBY MAYES EXECUTIVE DIRECTOR OF HR 157967 0 0 0 17468 0 14195 0 21382 0 211012 0 0 0 JOAN HALTOM PHARMACY DIRECTOR 196959 0 0 0 4573 0 16110 0 22316 0 239958 0 0 0 SARAH VICKEY PHARMACIST 152683 0 0 0 1328 0 12643 0 20953 0 187607 0 0 0 RONALD BARBATO REHAB DIRECTOR 159980 0 0 0 11613 0 14080 0 19819 0 205492 0 0 0 CHRISTINA COOLEY PHARMACIST 160699 0 0 0 1020 0 8449 0 0 0 170168 0 0 0 MICHELLE FRALEY PHARMACIST 156876 0 0 0 1839 0 13267 0 22090 0 194072 0 0 0 SCHEDULE J, PART I, LINE 3 ESTABLISHING CEO 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 PAYMENTS -------------------- BURT PIPER LEFT EPHRAIM MCDOWELL IN JULY 2019. HIS SEVERANCE OF $111,800 WAS REPORTED IN HIS W-2. SCHEDULE J, PART I, LINE 6A & 6B MANAGEMENT INCENTIVE PLANS -------------------------- 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. 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, DIABETES AND ENDOCRINOLOGY, 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, 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. 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 2020, EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INVESTED $6,788,369 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., JOHN HILL BAILEY CHILDREN'S LEARNING CENTER, 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, SECTION B, LINE 6, 7A, & 7B 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, SECTION B, LINE 11 PROCESS TO REVIEW FORM 990 --------------------------- COPIES OF THE FORM 990 ARE SUBMITTED TO THE FULL BOARD VIA EMAIL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12B & 12C MONITORING THE 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, SECTION B, LINE 15A & 15B 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, SECTION C, 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 IX LINE 11G DESCRIPTION:PURCHASED MEDICAL SERVICES TOTAL FEES:15586169 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:8344371 JOHN HILL BAILEY CHILDREN'S LEARNING CTR 217 SOUTH THIRD STREET DANVILLE KY 40422 611186005 DAYCARE CTR KY 501(C)(3) 2 EM HEALTH false 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) 12B-II EM HEALTH false EPHRAIM MCDOWELL HEALTH INC 217 SOUTH THIRD STREET DANVILLE KY 40422 611324736 MGT SERVICES KY 501(C)(3) 12B-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 CENTRAL KENTUCKY SURGERY CENTER 217 SOUTH THIRD STREET DANVILLE KY 40422 371509373 MEDICAL SERVICES KY EMRMC RELATED 2078108 2312420 false 0 false 0.60000 COOPERATIVECARE INC 217 SOUTH THIRD STREET DANVILLE KY 40422 611265715 CONTRACTING SVCS KY NA C 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 10036450 fmv