EPHRAIM MCDOWELL REGIONAL MEDICAL C ENTER: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- EPHRAIM MCDOWELL REGIONAL MEDICAL C ENTER (EIN 61-0492356)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-13
- IRS object ID
- 201502259349301925
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-13T14:29:23-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 E 8TH AVE STE 201 PO BOX 1196 | AddressLine1 |
| City | BOWLING GREEN | City |
| State | KY | State |
| ZIP Code | 421021196 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 610492356 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % WILLIAM SNAPP III | InCareOfNm |
| Business Name Control | EPHR | BusinessNameControlTxt |
| Phone | 8592392424 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 217 SOUTH THIRD STREET | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | DANVILLE | City |
| State | KY | State |
| ZIP Code | 40422 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM SNAPP III | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8592392424 | PhoneNum |
| Signature | 2015-08-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JESSICA FREEMAN | PreparerPersonNm |
| PTIN | P01261457 | PTIN |
| Phone | 8592392424 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | VICKI A DARNELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 217 SOUTH THIRD STREET | AddressLine1 |
| City | DANVILLE | City |
| State | KY | State |
| ZIP Code | 40422 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $167,328,283 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.EMHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION'S PRIMARY MISSION IS TO PRIVIDE HEALTH CARE AND RELATED SERVICES TO THE 140,000 INDIVIDUALS RESIDING WITHIN ITS SERVICE REGION IN SOUTH CENTRAL KENTUCKY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 1181 | TotalEmployeeCnt |
| Total Volunteers | 250 | TotalVolunteersCnt |
| Total Gross UBI | $3,270,502 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $56,267 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $255,183 | PYContributionsGrantsAmt |
| CY Contributions Grants | $109,523 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $154,301,638 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $165,479,655 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,468 | PYInvestmentIncomeAmt |
| CY Investment Income | $53,842 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,002,013 | PYOtherRevenueAmt |
| CY Other Revenue | $1,640,710 | CYOtherRevenueAmt |
| PY Total Revenue | $156,562,302 | PYTotalRevenueAmt |
| CY Total Revenue | $167,283,730 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $60,798,555 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $62,401,009 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $83,448,867 | PYOtherExpensesAmt |
| CY Other Expenses | $90,272,953 | CYOtherExpensesAmt |
| PY Total Expenses | $144,247,422 | PYTotalExpensesAmt |
| CY Total Expenses | $152,673,962 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $12,314,880 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,609,768 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $201,364,111 | TotalAssetsBOYAmt |
| Total Assets EOY | $216,585,521 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,658,400 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,270,042 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $190,705,711 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $205,315,479 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION'S PRIMARY MISSION IS TO PROVIDE HEALTH CARE AND RELATED SERVICES TO THE 140,000 INDIVIDUALS RESIDING WITHIN ITS SERVICE REGION IN SOUTH CENTRAL KENTUCKY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $136,660,243 | ExpenseAmt |
| Revenue | $162,209,153 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $136,660,243 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 107 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1181 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM SNAPP III | PersonNm |
| Phone | 8592392424 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 217 SOUTH THIRD STREET | AddressLine1 |
| City | DANVILLE | City |
| State | KY | State |
| ZIP Code | 40422 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Kryder E VanBuskirk III MD | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| JUDY HAMMONS | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | Yes (X) | $0 | $2,400 | $0 | |||
| DAVID HOPPER MD | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | Yes (X) | $0 | $2,400 | $0 | |||
| CLIFF ED IRVIN | |||||||||
| BOARD MEMEBER | 3.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| MARK MORGAN | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | Yes (X) | $0 | $2,700 | $0 | |||
| SUSIE ROUSH | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| AARON ROWLAND | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM RUTH III | |||||||||
| PAST CHAIR | 3.0 | 4.0 | Yes (X) | $0 | $2,700 | $0 | |||
| REV QUENTIN SCHOLTZ III | |||||||||
| TREASURER | 3.0 | 4.0 | Yes (X) | $0 | $2,550 | $0 | Yes (X) | ||
| DALE KIHLMAN | |||||||||
| CHAIR | 3.0 | 4.0 | Yes (X) | $0 | $2,250 | $0 | Yes (X) | ||
| DONALD HAMNER MD | |||||||||
| BOARD MEMBER | 3.0 | 37.0 | Yes (X) | $0 | $171,295 | $10,950 | |||
| ERIC GUERRANT MD | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | Yes (X) | $10,500 | $2,700 | $0 | |||
| RODNEY BATES MD | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | Yes (X) | $0 | $2,550 | $0 | |||
| JOHN D TRISLER | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT BOTTOMS | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | Yes (X) | $0 | $2,400 | $0 | |||
| BILL DEMROW | |||||||||
| VICE CHAIR | 3.0 | 4.0 | Yes (X) | $0 | $3,000 | $0 | Yes (X) | ||
| ALLEN WHITE | |||||||||
| SECRETARY | 3.0 | 4.0 | Yes (X) | $0 | $900 | $0 | Yes (X) | ||
| WILLIAM SNAPP | |||||||||
| VP & CFO | 30.0 | 29.0 | $0 | $329,220 | $98,765 | Yes (X) | |||
| VICKI DARNELL | |||||||||
| CEO | 30.0 | 29.0 | $0 | $610,609 | $209,585 | Yes (X) | |||
| CARL METZ | |||||||||
| VP HUMAN RESOURCES | 40.0 | $232,942 | $0 | $56,165 | Yes (X) | ||||
| STEPHANIE STONE | |||||||||
| PHARMACIST | 40.0 | $152,892 | $0 | $12,773 | Yes (X) | ||||
| JOAN HALTOM | |||||||||
| PHARMACY DIRECTOR | 40.0 | $180,314 | $0 | $40,055 | Yes (X) | ||||
| RONALD BARBATO | |||||||||
| REHAB DIRECTOR | 40.0 | $155,661 | $0 | $37,111 | Yes (X) | ||||
| ANDREW LOSCH | |||||||||
| PHARMACIST | 40.0 | $145,751 | $0 | $19,048 | Yes (X) | ||||
| TINA COOLEY | |||||||||
| PHARMACIST | 40.0 | $148,329 | $0 | $12,822 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,026,389 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,137,674 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $497,274 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 38 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MARSHALL MEDICAL MANAGEMENT LLC | |||||
| 1792 ALYSHEBA WAY STE 150 | LEXINGTON | KY | 40509 | PHYSICIAN SERVICES | $2,251,230 |
| KENTUCKY BLOOD CENTER | |||||
| 3121 BEAUMONT CENTER CIRCLE | LEXINGTON | KY | 40512 | BLOOD SERVICES | $705,367 |
| LOGAN HEALTHCARE LINEN DIVISION | |||||
| PO BOX 643958 | CINCINNATI | OH | 45264 | LINEN SERVICES | $463,357 |
| COMPUTER INFORMATION SERVICES | |||||
| 513 S MAIN ST SUITE A | CORBIN | KY | 40508 | COMPUTER SERVICES | $1,369,167 |
| MESSER CONSTRUCTION | |||||
| 854 W MAIN STREET | LEXINGTON | KY | 40508 | CONSTRUCTION SERVICE | $727,754 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $102,444 | RelatedOrganizationsAmt |
| All Other Contributions | $7,079 | AllOtherContributionsAmt |
| Total Contributions | $109,523 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT REVENUE | 621110 | $160,553,929 | $157,538,826 | $3,015,103 |
| PHARMACY REVENUE | 446110 | $2,352,658 | $2,301,608 | $51,050 |
| JOINT VENTURE INCOME | 621110 | $2,064,968 | $2,064,968 | |
| OTHER OPERATING | 621110 | $303,751 | $303,751 | |
| REFERENCE LAB | 621400 | $204,349 | $204,349 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $165,479,655 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,331 | TotalRevenueColumnAmt |
| Exclusion | $40,331 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $84,028 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $84,028 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $84,028 | TotalRevenueColumnAmt |
| Exclusion | $84,028 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $58,064 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $44,553 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $13,511 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,511 | TotalRevenueColumnAmt |
| Exclusion | $13,511 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| VENDING COMMISSION | 722210 | $14,664 | $14,664 |
| CAFETERIA | 722210 | $702,388 | $702,388 |
| All Other Misc Revenue | 900099 | $839,630 | $839,630 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,556,682 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $167,283,730 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $162,209,153 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,270,502 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,694,552 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $453,565 | TotalAmt |
| Management And General | $453,565 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,385,779 | TotalAmt |
| Program Services | $41,535,384 | ProgramServicesAmt |
| Management And General | $4,850,395 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,558,258 | TotalAmt |
| Program Services | $2,269,479 | ProgramServicesAmt |
| Management And General | $288,779 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,549,913 | TotalAmt |
| Program Services | $8,471,907 | ProgramServicesAmt |
| Management And General | $1,078,006 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,453,494 | TotalAmt |
| Program Services | $3,063,659 | ProgramServicesAmt |
| Management And General | $389,835 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,395 | TotalAmt |
| Management And General | $73,395 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,711,632 | TotalAmt |
| Program Services | $16,342,331 | ProgramServicesAmt |
| Management And General | $3,369,301 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,043 | TotalAmt |
| Program Services | $3,969 | ProgramServicesAmt |
| Management And General | $74 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,206,921 | TotalAmt |
| Program Services | $3,990,173 | ProgramServicesAmt |
| Management And General | $1,216,748 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,488,629 | TotalAmt |
| Program Services | $334,618 | ProgramServicesAmt |
| Management And General | $1,154,011 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,392,926 | TotalAmt |
| Program Services | $2,267,178 | ProgramServicesAmt |
| Management And General | $125,748 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,338 | TotalAmt |
| Program Services | $46,828 | ProgramServicesAmt |
| Management And General | $26,510 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,868 | TotalAmt |
| Program Services | $36,363 | ProgramServicesAmt |
| Management And General | $16,505 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,155,472 | TotalAmt |
| Program Services | $1,150,487 | ProgramServicesAmt |
| Management And General | $4,985 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,432,078 | TotalAmt |
| Program Services | $7,432,078 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $390,907 | TotalAmt |
| Management And General | $390,907 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $32,241,851 | $32,241,851 | |
| BAD DEBTS | $12,304,229 | $12,304,229 | |
| TAXES & LICENSES | $2,331,823 | $2,309,853 | $21,970 |
| REPAIRS & MAINTENANCE | $3,382,751 | $2,742,264 | $640,487 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,030,090 | TotalAmt |
| Program Services | $117,592 | ProgramServicesAmt |
| Management And General | $1,912,498 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,673,962 | TotalAmt |
| Program Services | $136,660,243 | ProgramServicesAmt |
| Management And General | $16,013,719 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,286 | BOYAmt |
| EOY | $5,610 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,431 | BOYAmt |
| EOY | $184,313 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,844,686 | BOYAmt |
| EOY | $19,069,010 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,530,232 | BOYAmt |
| EOY | $4,139,108 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,286,579 | BOYAmt |
| EOY | $1,370,907 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $171,608,256 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $113,307,942 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,623,935 | BOYAmt |
| EOY | $58,300,314 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,489,977 | BOYAmt |
| EOY | $1,402,350 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,467,985 | BOYAmt |
| EOY | $132,113,909 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $201,364,111 | BOYAmt |
| EOY | $216,585,521 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,658,400 | BOYAmt |
| EOY | $11,270,042 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,658,400 | BOYAmt |
| EOY | $11,270,042 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,688,421 | BOYAmt |
| EOY | $205,298,689 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,290 | BOYAmt |
| EOY | $16,790 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,705,711 | BOYAmt |
| EOY | $205,315,479 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $201,364,111 | BOYAmt |
| EOY | $216,585,521 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $14,609,768 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $13,727 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $13,727 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCH. C, PART III-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | --------------------- A PORTION OF DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION (KHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA) ARE USED FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,353,765 | OtherCostOrOtherBasisAmt |
| Book Value | $2,353,765 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $70,316,896 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,587,507 | DepreciationAmt |
| Book Value | $34,729,389 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,992,190 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,231,220 | DepreciationAmt |
| Book Value | $760,970 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $89,856,788 | OtherCostOrOtherBasisAmt |
| Depreciation | $73,423,260 | DepreciationAmt |
| Book Value | $16,433,528 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,088,617 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,065,955 | DepreciationAmt |
| Book Value | $4,022,662 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $58,300,314 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Scholarship Account | $17,515 |
| Physician Income Guarantee | $176,270 |
| Due from Related Parties | $130,230,537 |
| DUE FROM THIRD PARTIES | $1,689,587 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $132,113,909 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $154,856,467 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$12,304,229 | OtherRevenueAmt |
| Revenue Not Reported | -$12,304,229 | RevenueNotReportedAmt |
| Revenue Subtotal | $167,160,696 | RevenueSubtotalAmt |
| Other Revenues Not Included | $123,034 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $123,034 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $167,283,730 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $140,246,699 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$123,034 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$123,034 | ExpensesNotReportedAmt |
| Expenses Subtotal | $140,369,733 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $12,304,229 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $12,304,229 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $152,673,962 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCH D, PART XI & XII | RECONCILIATION TO AUDIT REPORT ------------------------------ PART XI LINE 2D OTHER ITEMS INCLUDED ON LINE 1 BUT NOT ON 990 PART VIII: -------------- BAD DEBT EXPENSE NETTED AGAINST REVENUE PER AUDIT (12,304,229) PART XI LINE 4B AMOUNTS INCLUDED IN 990 PART VIII BUT NOT ON LINE 1: --------------- CONTRIBUTION REV INCLUDED IN EXPENSE PER AUDIT 109,523 GAIN ON SALE OF ASSETS INCLUDED IN EXPENSE PER AUDIT 13,511 -------- 123,034 PART XII LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON 990 PART IX: --------------- CONTRIBUTION REV INCLUDED IN EXPENSE PER AUDIT 109,523 GAIN ON SALE OF ASSETS INCLUDED IN EXPENSE PER AUDIT 13,511 -------- 123,034 PART XII LINE 4B AMOUNTS INCLUDED ON 990 PART IX BUT NOT ON LINE 1: --------------- BAD DEBT EXPENSE NETTED AGAINST REVENUE PER AUDIT 12,304,229 |
| 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. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 125. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,578,935 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,578,935 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01140 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $22,571,341 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,305,648 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,265,693 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02350 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $24,150,276 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,305,648 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,844,628 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03490 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 280 | ActivitiesOrProgramsCnt |
| Persons Served | 8741 | PersonsServedCnt |
| Total Community Benefit Expns | $653 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$347 | NetCommunityBenefitExpnsAmt |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 18 | ActivitiesOrProgramsCnt |
| Persons Served | 240 | PersonsServedCnt |
| Total Community Benefit Expns | $2,126,335 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,126,335 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01530 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 302 | ActivitiesOrProgramsCnt |
| Persons Served | 9056 | PersonsServedCnt |
| Total Community Benefit Expns | $2,126,988 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,125,988 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01530 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 304 | ActivitiesOrProgramsCnt |
| Persons Served | 9056 | PersonsServedCnt |
| Total Community Benefit Expns | $26,277,264 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,306,648 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,970,616 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $12,304,229 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $10,797,643 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $50,575,856 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $56,356,256 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,780,400 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| CNTL KY SURGERY CTR | ||
| ASC | 0.60000 | 0.40000 |
| BLUEGRASS IMM CARE | ||
| URGENT TREATMENT CLINIC | 0.73000 | 0.27000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EPHRAIM MCDOWELL REGIONAL MEDICAL CEN | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 217 SOUTH THIRD STREET | AddressLine1 |
| City | DANVILLE | City |
| State | KY | State |
| ZIP Code | 40422 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EPHRAIM MCDOWELL REGIONAL MEDICAL CEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 11 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.EMHEALTH.ORG/INDEX/PHP/SERVICES | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 125. | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B | COMMUNITY HEALTH NEEDS ASSESSMENT --------------------------------- LINE 1J: THE COMMUNITY HEALTH NEEDS ASSESSMENT ALSO DESCRIBES THE ASSESSMENT OF MODIFIABLE HEALTH RISKS, ASSESSMENT OF HEALTH EDUCATION AND OUTREACH AND PERCEPTIONS OF HEALTHCARE. LINE 3: THE HOSPITAL CONSULTED WITH EMS DIRECTORS, JUDGE EXECUTIVES, HEALTH DEPARTMENT DIRECTORS, SCHOOL NURSES, SCHOOL SUPERINTENDENTS, FAITH COMMUNITY NURSES, SALVATION ARMY COMMANDER, HEART OF KY UNITED WAY, COUNTY EXTENSION OFFICES, SOCIAL WORKERS, LEGISLATORS, CLERGY, PHYSICIANS AND FREE CLINIC STAFF. LINE 4: THE NEEDS ASSESSMENT WAS CONDUCTED WITH EPHRAIM MCDOWELL FORT LOGAN HOSPITAL DUE TO OVERLAP OF POPULATION SERVED. LINE 5: THE NEEDS ASSESSMENT WAS ALSO PROVIDED TO VARIOUS EDUCATION FACILITIES - CENTRE COLLEGE, EASTERN KENTUCKY UNIVERSITY SCHOOL OF NURSING, UNIVERSITY OF KENTUCKY SCHOOL OF NURSING AND SCHOOL OF PUBLIC HEALTH. LINE 7: Deferred needs from the Health Risk Assessment of Boyle and the surrounding Counties based upon resources and/or expertise included the following: Arthritis/rheumatism is an issue. This links to the high obesity rate and the lack of a built environment that facilities mobility. This issue is deferred by EMRMC due to resources but the factors to decrease cardiovascular (CV) risks will assist with mobility, i.e. weight reduction, improved nutrition, decreased inflammatory markers, etc. Both Lincoln and Garrard County Health Departments offer a self-help program for managing arthritis. Lincoln County has plans to expand the offering. The McDowell Wellness Center offers pool exercises for those with arthritis and silver snickers as options to assist in managing both mobility and pain. There is a rheumatologist at the specialty clinic in Boyle County. The closest arthritis support group is in Lexington, Kentucky. Osteoporosis is addressed as a nutritional issue. This links with the high consumption of carbonated beverages and poor nutrition in the region. This is being deferred due to resources but is part of the farm to school dialogue in the school coalitions. Migraine headaches are treated by primary care physicians and referred as needed. A neurologist is on the physician recruitment plan to make access for evaluation and specialty care easier to access and closer to home. Twenty-five percent of the population suffers from chronic back pain or sciatica. There are pain centers in Boyle County. Chiropractic and physical therapy services are available in all six counties. Obesity, inactivity, and a diet high in fat and calories compound the issues related to arthritis, back and sciatica pain. Addiction to pain-killers and other drugs 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. 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. Moderate exercise, a healthier diet, and weigh reduction can prevent the development of type 2 diabetes in persons at risk (Diabetes Prevention Program funded by NIH). The free screenings will provide early detection and possibly prevention when addressing nutrition, body mass index and exercise. The health departments collaborate with the kidney foundation to conduct screening and education related to kidney health. Disabilities and activity limitations correlates with the poverty of resources. Those with a disability report not getting preventative care, i.e., annual dental visit, mammogram, pap smear, additional findings include lifestyle issues, such as use of tobacco and inactive; health issues such as obesity, high blood pressure, high stress and poor mental health, lower employment rates, lower income, and less social support. This area will be deferred, but the work with school age children related to diet, activity, and self-esteem has preventative value (DPP). The screening for obesity, diabetes, high blood pressure, tobacco use, high cholesterol and the risk factor reduction education for adults provides early detection and can be preventative. For those individuals with one of the chronic diseases the RN consult can improve self-care health management. 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 Danville. Also there is mental evaluation and medication management available by a psychiatrist at the medical center. James B. Haggin Hospital offers adult day care that serves some clients. Danville Health & Rehabilitation Center has an Alzheimer 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 collations. The Lincoln County Health Department has a 5-year grant to address self-esteem and character building in 6th grade through middle school. The Lincoln and Boyle County school nurses and Community Service staff conduct the Perkins Assessment in middle school through high school as part of the effort to help youth make fewer high risk behavior choices. Both school systems have contracts with the University of Kentucky for the services of an adolescent medicine specialist for on-site services. The Pregnancy Resource Center supports all six counties. Fair/poor mental health and major depression was cited by the county residents as a major issue. The health system does have mental health providers on their recruitment plan. Community Service does conduct depression screening for adults and refer if needed. For children in middle school and high school the Community Service department works with the school nurses to conduct the Perkins Assessment. High school students have the option to participate in the High School Artist project annually. No leisure time physical activity, not meeting physical activity guidelines, links to the lack of built environment - bike & walking paths/trails in a large rural environment. Boyle County has ongoing dialogue about the need for a biking/walking path to connect the county both for health and economic reasons. There is no public transportation system to make it easy to access a central gym/wellness faculty for families living in the counties. The Stanford Rotary Club talked about the need for a Wellness Center in Stanford for access by the community and the youth after school. The Lincoln County Fiscal Court is funding a walking track in Lincoln County. One of the Lincoln County elementary schools uses jump ropes from Community Service as an opportunity for brief activity breaks for students. Boyle County School System will be implementing the SPARK curriculum. Camp Dick Robinson Elementary has created an exercise room for students that is highly utilized. Chronic lung/respiratory disease is being addressed with tobacco education, stop smoking classes at the health departments, pulmonary rehab at the Wellness Center in Danville and public policy. The Community Service department screens for tobacco use in all venues and refers to the health departments. The health departments offer Cooper Clayton classes to help residents stop smoking. The health departments also conduct tobacco education in the school systems. Respiratory disease has a genetic, environmental and a cultural component in the six county region. The exposure to tobacco smoke, agrichemicals, dust and pollen all contribute to asthma and chronic lower respiratory disease. The health departments address smoking cessation. The extension offices address safe handling of agrichemicals. The school health nurses are addressing childhood asthma. Community Service provided peek flow meters for children with asthma in the Lincoln County School System so the nurses can assist the children in self-management of their asthma symptoms. The goal was to reduce lost days from school for the children with asthma and fewer emergency room visits for the child and their family related to respiratory distress. Asthma care was a high priority in the Lincoln County School Health Index. Community Service also provided the competency education for the Lincoln County School Nurses related to childhood asthma. The 2014 report from Lincoln County School System reflects improved attendance. Community Service screens for tobacco use and refers at all screening events. Community Service screens for obesity using a calculated BMI for both children and adults. Starting in middle school, Community Services staff and volunteers help map student BMI and chart against the norms. Upon request education is provide |
| Schedule H,Part V, Line 19d | Individuals Eligible for Financial Assistance --------------------------------------------- The maximum amount that can be charged to FAP-Eligible individuals for emergency or other medically necessary care is based upon income guidelines stated in the Hospital's Financial Assistance Policy. |
| SCHEDULE H, PART V, SECTION B | IMPLEMENTATION STRATEGY ----------------------- THE IMPLEMENTATION STRATEGY MAY BE OBTAINED AT http://www.emhealth.org/index.php/services/community-services |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| CENTRAL KY SURGERY CENTER | ||||
| 230 WEST MAIN STREET | DANVILLE | KY | 40422 | OUTPATIENT SURGERY CENTER |
| EPHRAIM MCDOWELL DIAGNOSTIC CENTER | ||||
| 101 DANIEL DRIVE | DANVILLE | KY | 40422 | DIAGNOSTIC IMAGING & TEST/LAB |
| MEDSOURCE HOME MEDICAL | ||||
| 150 SOUTH THIRD STREET | DANVILLE | KY | 40422 | DUREABLE MEDICAL EQUIPMENT |
| EPHRAIM MCDOWELL SLEEP DISORDERS | ||||
| 440 WHIRL-A-WAY DR | DANVILLE | KY | 40422 | SLEEP DISORDER CENTER |
| EPHRAIM MCDOWELL SPINE PHYSICAL THERAPY | ||||
| 236 WEST MAIN ST | DANVILLE | KY | 40422 | OUTPATIENT REHAB FACILITY |
| EPHRAIM MCDOWELL CANCER SUPPORT CENTER | ||||
| 520 TECHWOOD DR | DANVILLE | KY | 40422 | OUTPATIENT SERVICES |
| EM DIABETES & ENDOCRINOLOGY CENTER | ||||
| 440 WHIRL-A-WAY DR | DANVILLE | KY | 40422 | DIABETES CENTER |
| CASEY COUNTY REHABILITATION | ||||
| 513 MIDDLEBURG ST | LIBERTY | KY | 42539 | OUTPATIENT REHAB FACILITY |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 | COSTING METHODOLOGY ------------------- Amounts reported on Lines 5 and 6 were based on the corporation's Medicare Cost Report. |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT ---------------- In 2008, Professional Research Consultants (PRC) was engaged to conduct a needs assessment of Boyle County. The scope of the assessment was only Boyle County due to financial limitations and similarities of the other counties. Three years later, PRC was again engaged to re-assess the service area that includes Boyle and the surrounding counties. The 2011 survey consisted of a telephone interview process and a community focus group. Telephone interviews were stratified by ethnicity, age, gender and economic status proportionate to the population base. The focus group were comprised of invitees from all six counties, including representation from the medical staff leadership of Ephraim McDowell Health (EMH), health department directors, county judge executives, educators, the Salvation Army, Heart of Kentucky United Way and other social agencies. Self report data, mortality, moridity, lifestyle, incidence of chronic disease, injury data and disability data are part of the assessment process. The bench mark 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 decision to serve with free screenings at key gathering places such as churches and schools, etc. Insurance coverage is another issue. There are large numbers of uninsured or underinsured in this service area, and their numbers have increased as some industries have moved out. There is also literacy issues linked to high drop-out rates within the school systems. Literacy issues translate to poverty and poor health. The 2011 community health risk behavior assessment of need exceeded the resources of Ephraim McDowell Health system. The entire report was made available to anyone upon request, shared, discussed and prioritized with input from the Boyle County Health Department, The Salvation Army, Heart of Kentucky United Way and EMH leaders. The focus of resources has been on cardiovascular disease since this is the number-one killer in the world, the US, our state and our region. In fact, the local incidence exceeds state levels. Second priority has been education, early detection and prevention related to skin, colorectal and prostate cancer - again due to local incidence exceeding the state rate. Because of a federal grant, there has been funding for personnel as well as for free mammograms and cervical cancer screening for all six counties. This was done in collaboration with the county health departments. The third priority has been obesity. Again Kentucky is the least active state, and rates of obesity are rising faster here than in the nation generally. Priority groups to reach are low income, uninsured, minority populations, elderly, school age children, and rural populations. We take our screening services to the communities served rather than being hospital or clinic based in an effort to increase access. Schools, county extension offices, health departments, churches and stockyards are the most common venues for services. Much work has been done in collaboration with the school systems to measure body mass index (BMI) starting in middle school and track through to graduation. Course materials to address how to alter BMI have been addressed within the school systems. EMH's Community Service staff collaborated with the Coordinated School Health Committees that were formed in Lincoln and Boyle counties to address the health needs of students and staff. The Basic Faith Community Nursing Course is taught by EMH's Community Service staff to assist churches with establishing health ministries, which help monitor the health of their congregation and act as health advocates for their members. An Alzheimer's Support Group is led by an adult psychiatric and mental nurse practitioner at McDowell Place on a monthly basis to support our dementia patients and their families. Given that Kentucky has an older-than-normal population, the incidence is higher and growing. Reduced-fee clinics are available for those meeting the federal guidelines. We also work with the local health departments for assistance for those that meet guidelines. The Hope Clinic & Pharmacy was founded to provide free care for uninsured clients with diagnoses that most frequently use emergency departments for management of their chronic disease(s) type II diabetes, hypertension, hyperlipidemia, GERDs and obesity. Those that are at 150% or less of the federal poverty guidelines are provided free primary care services and medications as the result of a collaboration among EMH, The Salvation Army, Heart of Kentucky United Way, The Presbyterian Church of Danville, the Boyle County Health Department and the Ephraim McDowell Health Care Foundation. Other needs are often impacted and improved by addressing the top priorities. The advisory group has met annually to assess progress and discuss the next year's work plan. Priorities have not changed since the establishment of the community service department due to the region's vast need. Case finding and early intervention have increased. For those needs identified within the survey that are not directly addressed by our plan due to resource limitations (both financial and human), referrals are made on a case-by-case basis in collaboration with social agencies and other health systems. Also, many of the needs are met through the charity care program. |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH ----------------------------- Officers and staff of EMRMC are engaged in leadership positions with the following: Boyle County Relay for Life; Boyle County Health Department; Mercer County Health Department; Chamber of Commerce and Economic Development agencies in Boyle, Lincoln and Garrard counties; Boyle County School System; 4-H Council; Danville Rotary Club; Heart of Danville; McDowell House; Christian Care Communities; Foundation for Healthy Kentucky; Kentucky Hospital Association and Danville Kiwanis. Staff has also given testimony at local, state, and federal levels related to our service area's health, education and economic issues. EMRMC has an open medical staff comprised of primary care, specialists and subspecialists. Physician recruitment is based upon community need with approval from the governing board. The EMRMC and EMH system boards are comprised of community members with representation from the medical staff and senior leadership and the Fort Logan Hospital Board. The governing board approved the establishment and funding of the Community Service department and the funding of the health risk behavior assessment of Boyle County. They also approved the charity care policy. There is never a fee for services provided by the Community Service department. With H1N1 outbreak, the Community Service department approached churches in the six-county area with hand-washing signs, "Cover your Cough" posters and floor-stand hand sanitizers to help reduce the risk of the spread of flu within congregations and communities. Preventative care, such as flu shots, are taken to the community. So, too, are annual skin cancer checks, monthly blood pressure checks, semi-annual glucose and cholesterol checks, along with nurse consults. Such services are offered in schools, churches, and other public entities in the region, including the stockyards in Lincoln County. |
| 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, 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. |
| Schedule H, Part I, Line 7, column (f) | % OF TOTAL EXPENSE CALCULATION ------------------------------ The amount of bad debt expense included on Form 990, Part IX, Line 25, column(A), but subtracted for purposes of calculating the percentage of total expense is $12,304,229. |
| Schedule H, Part III, Line 9b | Written Debt Collection Policy and Financial Assistance ------------------------------------------------------- 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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DONALD HAMNER MD | ||||||||||||||
| BOARD MEMBER | $0 | $90,510 | $0 | $77,962 | $0 | $2,823 | $0 | $10,835 | $0 | $115 | $0 | $182,245 | $0 | $0 |
| WILLIAM SNAPP | ||||||||||||||
| VP & CFO | $0 | $277,420 | $0 | $45,179 | $0 | $6,621 | $0 | $74,016 | $0 | $24,749 | $0 | $427,985 | $0 | $45,179 |
| VICKI DARNELL | ||||||||||||||
| CEO | $0 | $495,833 | $0 | $80,104 | $0 | $34,672 | $0 | $176,655 | $0 | $32,930 | $0 | $820,194 | $0 | $80,104 |
| CARL METZ | ||||||||||||||
| VP HUMAN RESOURCES | $193,241 | $0 | $21,105 | $0 | $18,596 | $0 | $40,353 | $0 | $15,812 | $0 | $289,107 | $0 | $21,105 | $0 |
| STEPHANIE STONE | ||||||||||||||
| PHARMACIST | $152,316 | $0 | $0 | $576 | $0 | $12,185 | $0 | $588 | $0 | $165,665 | $0 | $0 | $0 | |
| JOAN HALTOM | ||||||||||||||
| PHARMACY DIRECTOR | $170,146 | $0 | $8,206 | $0 | $1,962 | $0 | $24,585 | $0 | $15,470 | $0 | $220,369 | $0 | $8,206 | $0 |
| RONALD BARBATO | ||||||||||||||
| REHAB DIRECTOR | $139,660 | $0 | $7,601 | $0 | $8,400 | $0 | $21,160 | $0 | $15,951 | $0 | $192,772 | $0 | $7,601 | $0 |
| ANDREW LOSCH | ||||||||||||||
| PHARMACIST | $138,796 | $0 | $0 | $0 | $6,955 | $0 | $11,532 | $0 | $7,516 | $0 | $164,799 | $0 | $0 | $0 |
| TINA COOLEY | ||||||||||||||
| PHARMACIST | $147,880 | $0 | $0 | $0 | $449 | $0 | $11,892 | $0 | $930 | $0 | $161,151 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Question 6a | MANAGEMENT INCENTIVE PLANS -------------------------- 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. |
| SCH J, PART I, LINE 4B | SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ----------------------------------------- VICKI DARNELL PARTICIPATED IN A 457(F) PLAN DURING THE YEAR. THE INCREASE IN THE ACTUARIAL VALUE OF HER NONQUALIFIED RETIREMENT PLAN WAS $48,288. NOTE: THIS AMOUNT REPRESENTS THE ACCRUED BENEFIT AMOUNT AND IS SUBJECT TO RISK OF FORFEITURE. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 AND 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 OF VOTE ON ACTIVITIES WHERE A CONFLICT OF INTEREST IS PRESENT. |
| FORM 990, PART VI, SECTION B, LINE 15A AND 15B | PROCESS FOR DETERMINING COMPENSATION ------------------------------------ EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER IS PART OF AN INTERGRATED 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 IN 2012 FOR ESTABLISHING REASONABLE COMPENSATION OF 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 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 RESOURCE, INC. EPHRAIM MCDOWELL HEALTH CARE FOUNDATION, INC. JOHN HILL BAILEY CHILDREN'S LEARNING CENTER, INC. EMHFL, INC. COOPERATIVECARE, 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 A, 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 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. EMRMC 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, orthopedic/neuro, volunteer/auxiliary, women's health services and wound healing center. Ephraim McDowell Regional Medical Center for Fiscal Year 2014 experienced 7,713 admissions including nursery, and 38,753 patient days for all services including nursery and observation days. Observation patient days for FY 2014 totaled 3,022 verses 3,303 for a -9% percent decrease over FY 2013 volume. Outpatient registrations (including ER visits) increased by four percent to 139,064 as compared to 133,428 in FY 2013. Surgical procedures at EMRMC fell six percent in FY 2014 to 4,537 as compared to 4,830 in FY 2013. The ambulatory surgical center volume decreased in FY 2014 by one percent to 6,510 procedures verses 6,569 in FY 2013. Community Health Education -------------------------- Cancer Eduction - Over 1,000 individuals participated in skin cancer awareness events at InterCounty Energy; 250 each at Lincoln and Boyle County Relay for Life events, 500 at Casey County Apple Festival, and 150 at the Garrard County Tobacco Cutting Contest. Approximately 900 regional 4-H campers received sun screen, lip balm and sun safety education. Additionally various sports groups received sun safety products and education. EPA sun safety literature, sun screen and lip balm with sun screen was distributed to re-enforce the message of sun safety. Over three thousand sun safety items were distributed at twenty sites. All funded by Ephraim McDowell Health Care Foundation (EMHCF). CPR/First Aid - CPR/first aid training was also provided to teen leaders as part of their leadership training at Camp Feltner, at no charge. Another event provided CPR/first aid for 4-H leaders. CPR/first aid training was provided at Mercer County 9th Grade Academy for 155 students. A total of 225 community members from the service area, spanning in age from teens to senior citizens, were trained in CPR/first aid at no cost to the individuals or host organization. This service was funded by the EMHCF. Education Website/Community Publication - Eleven editions of the Health Ministry/Faith Community Nursing newsletter were produced, and distributed in Kentucky, Indiana, Ohio, Virginia, and North Carolina. The intent is to provide relevant and current information to the congregations. All information can be reproduced and used for congregation information/education. Exercise/Fitness - In collaboration with the regional 4-H chapter, Wilderness Trace YMCA, The Salvation Army, Boyle, Lincoln, and Danville school systems and McDowell Wellness Center 5,173 children school age through teens were served. Venues included, but were not limited to: Mercer County horse camp, Healthy Kids Day Bunny Davis Center, The Salvation Army day camp and Feltner 4H camp. The focus was developing leadership skills, promoting physical activity, and encouraging healthy life style habits. Health Fairs - Services were offered at 112 events at 87 sites in Boyle, Lincoln, Garrard, Mercer, Casey, Washington, and Madison Counties with focus on reaching at risk and vulnerable populations. Including all programs, 28,131 community contacts occurred (screenings, education, support groups, etc.). Thirty-four percent of participants were male (an 11 percent decrease from the prior year); 66 percent were female. Ninety percent of clients served were Caucasian, six percent were African America, four percent Hispanic, and less than one percent were other; this reflects the population of the region. Forty-three percent of participants served by community benefit programs had a household income below $35,000. Twelve percent of participants served were unemployed; a six percent decrease in unemployment from FY 2013. Twenty-six percent in the population served were retired; compared to 36 percent in 2013. The uninsured served decreased by fifty percent: 11 percent in FY 2014 compared 22 percent in 2013. Those reporting a primary care provider (PCP) increased by 14 percent in FY 2014; to sixty-eight percent with a PCP. A registered nurse (RN) met with each client to develop a written plan to decrease their life style associated health risk behaviors. At each screening referral options were provided including Hope Clinic, reduced fee program and primary care provider (PCP) listing for the region for the uninsured participant or those without a PCP. Forty-four percent of screening tests were abnormal with 11 percent requiring a referral for follow-up. One explanation for the decrease in referrals for follow-up relates to the decrease in high risk values seen, i.e. reduction in stage two hypertension, uncontrolled blood sugar or lipid ranges in the high risk category. Parish Nursing Program - Grant funding from Ephraim McDowell Health Care Foundation and Margaret T. Stoeckinger Foundation made possible the Faith Community Nursing educational programs. The Faith Community Nursing Foundation Course in the spring of 2014 produced eight graduates. A partnership with University of Kentucky (UK) College of Nursing made possible both KBN and ANCC credits for the course participants. Faith Community Nursing (FCN) faculty provided consultation to the Manchester Hospital chaplaincy group regarding health ministry/faith community nursing within congregations to bridge care for at risk individuals. There were 16 volunteer chaplains representing multiple denominations in Clay County. Consultation was also provided to Centennial Baptist Church in Mercer County regarding establishing a health ministry. FCN faculty also served as faculty for the Tri-State Foundation Course in Southern Indiana in collaboration with the University of Southern Indiana. Eighty-seven participants have completed the faith community nursing foundations course since its inception at EMRMC in 2008 and serve as volunteers within their congregations. These community partners serve in 23 counties within the Commonwealth of Kentucky and support persons of all denominations. Eleven health ministry newsletters were created and disseminated to health ministry partners in Kentucky, Ohio, Illinois, Indiana, Virginia and North Carolina. Volunteer Faith Community Nursing services were active at Lexington Avenue Baptist Church, St. Andrews Catholic Church, Saints Peter & Paul Catholic Church, Gethsemane Baptist Church, Indian Hills Christian Church, and Centenary United Methodist Church-Danville. Actives include but are not limited to home visits, nursing home visits, blood pressure checks, health and wellness educational programs, support groups referrals for follow care and emergency assistance (seizures, chest pain, fainting, hypertensive crisis, etc). School-Based Programs - High school aged students were involved in the building of a canvas, selection of a famous painting, reproducing a painting, and an opening night at the Community Art Center culminating in the auction of their painting. This is both a skill building project and a self-esteem enhancing project (Rosenbum). Students from Boyle County, Danville, and Bruce Hall Day Treatment Center participated in the program, producing 94 paintings. The exhibit was viewed by 1,036 community visitors during the showing at the Community Art Center in month of May, 2014. Staff served as a leader at 4H camp sessions, Kentucky State Issues Conference, State Teen Conference and Teen Leadership Retreat at Jabez. The Children's Program Coordinator also completed year two of a longitudinal BMI project with 4-H District IV. Other children's activities included working summer groups in coordination with Bunny Davis Day Camp, YMCA, The Salvation Army and other area agencies to provide physical activity, and educational programming for kids as part of one hour a day out-of-doors play. Summer student interns from area colleges assisted with this project. Community Service Department staff worked with Danville School System to implement the PEP Grant requirement for body mass index on 1,200 students in the school system and staff. A total of 5,173 youth from Mercer, Boyle, Casey, Garrard, Lincoln, Powell, Estill, Jessamine Counties were served through these venues. Speakers Bureau (Health Topics) - The speakers' bureau reached 3,352 individuals, through venues including service clubs, churche |
| PROGRAM SERVICE ACCOMPLISHMENTS (CONT) | This was the sixth year to be part of the Centre Expo to recruit student volunteers to work in the community to decrease stroke risk. This is an excellent event for meeting students and introducing them to the concept of population health. Community Health Education -Self Help ------------------------------------- Fitness/Exercise - One hundred and fifty jump ropes donated by the Ephraim McDowell Regional Medical Center Auxiliary were provided to The Salvation Army - Day Camp and A Children's Place for a summer fitness project with school aged children. Four hundred twenty Nerf footballs were also provided for the Boyle County Healthy Kids Day as part of the student fitness project. Tobacco/Smoking Cessation - There was a 64 percent decrease in the number for individuals referred to the area health departments for smoking cessation assistance: 90 in FY 2014 verses 144 the prior year. The continued decline in adults reporting tobacco use is believed to be attributed to the passage of no smoking ordinance in some of the communities served and massive public awareness campaign. A statewide ordinance has been drafted by some of the agencies (FHK, SoAHEC, etc.) for consideration by the legislature during the 2015 session. Stress Management - Ninety nine individuals were screened using the perceived stress scale: a 45 percent decrease. Community Health Education - Support Groups ------------------------------------------- Alzheimer's - Ten Alzheimer's Support Group meetings were facilitated by an advanced practice mental health nurse practitioner. The group serves both patients and care-givers/family. Given the incidence rate of stroke and the aging of the population it is anticipated the need for this service will continue to grow in this region. Community-Based Clinical Services-Health Screenings --------------------------------------------------- Blood Pressure Screening - Blood pressure screenings were offered at 37 sites, serving 1,451 individuals an 8 percent increase. There was a five percent decrease of clients with a blood pressure reading that exceeded the recommended range by the American Heart Association (AHA): 77 percent versus 82 percent in FY 2013. Those classified as pre-hypertension received instructions for monitoring and recording as well as dietary instructions related to low sodium diet. Those that were on medications but exceed the recommend range were instructed to share the finding with their primary care provider (PCP). Those at stroke level were transported for immediate follow-up by a physician. Blood pressure control is a major factor in cardiovascular risk reduction. The intense focus on blood pressure monitoring, self-care education, and follow-up may be a contributing factor in the improved blood pressure readings given a significant number of clients have been followed for an extended period of time. Cancer -Colorectal Screening - The Ephraim McDowell Health Care Foundation (EMHCF) funded colorectal screening at 21 sites for a total distribution 171 kits with a 43 percent return rate. Kits were distributed in six counties. Sites included churches, senior citizen centers, wellness center, assisted living facilities, health departments, clinics, hospital lobbies, and the county extension service offices. There was a five percent referral rate for follow-up. Cancer- Skin Screening - The Ephraim McDowell Health Care Foundation (EMHCF) funded skin cancer screening by a licensed independent practitioner May thru July. Forty-eight individuals were seen. Fifty-eight percent were female; 42 percent male (an 11 percent increase in males seen from FY 2013). Sixty-three percent had never been screened for skin cancer. Fifty- five percent stated on an exit survey that they would not have seen their doctor for a skin cancer screen; a five percent increase from FY 2013. Ninety-four percent had a primary care provider; compared to 82 percent the prior year. Forty-six percent were referred to a specialist for follow-up care compared to 36 percent in FY school-age children and continues across the life span and has been a consistent message and focus of the community service work plan since inception in 2008. Cholesterol Testing - Total cholesterol was measured for 1,438 clients in seven counties at 37 sites within health ministries and community settings with 30-36 percent of participants exceeding the recommend range as set by AHA. Thirty six percent was seen in the Healthy People: Healthy Community study group that seeks to reduce cardiovascular disease risk by client education and life-style changes compared to 30 percent seen in the general population. We attribute the change to the focus on cardiovascular risk reduction work being done with the HRSA Outreach Grant to help clients track and improve their cardiovascular (CV) risk profile. Within the lipid panel 49 percent of participants had one or more measure outside the recommended range; this is down from 60 percent in FY 2013 and includes all clients. Effective FY 2013, with support for area pediatricians, the department began offering lipid screening for children age 12 and above, if accompanied by a parent. We have not seen a statistically significant number of participants in the pediatric age range. Derma Scan for Sun Damage - EMHCF funded the purchase of the DermaView equipment for screening for sun damage in the region due to the increase in skin cancer and the agrarian lifestyle in the region. Fifty individuals were screened with 38 percent of participants being referred to their primary care provider for follow-up care; a 12 percent increase in referrals for FY 2013. Diabetes Screening - Blood glucose testing conducted on 1,438 participants. Eleven percent exceeded the recommended range as set by the American Diabetes Association (ADA) compared to 28 percent in FY 2012 prior to the focus on cardiovascular risk reduction. No one was below the recommended range. This represents a 15 percent increase in the number of individuals screened diabetes between FY 2013 and FY 2014. Glucose testing was offered to children age 12-18, if accompanied by a custodial parent. Again the number of pediatric participants was not statistically significant. Nutrition/Obesity Screening - Height, weight, percent body fat, calculated body mass index (BMI) was offered at 37 sites in seven counties with 1,447 adult participants. Seventy-one percent of the participants exceeded the recommend range; compared to 75 percent in 2013. Body Mass Index is a major contributor to CVD risk factors and diabetes this is the first year we have seen a decline in BMI. We attribute the change to the CVD risk reduction focus in FY 2013 and 2014. Eighty percent of life style change is implementation of the change; twenty percent is the knowledge. The HRSA Outreach Grant is focusing on providing the knowledge and for those that choose also encouragement/feedback in the implementation of the change. Stroke Screening - The American Stroke Association Stroke Risk Scorecard became the standard tool for screening for stroke risk within the department in fiscal year 2012. Stroke risk screening was conducted at 20 events in seven counties involving 899 participants with a 18 percent referral rate; which reflects a five percent decrease in referrals. This is one of three screening tests that has resulted in direct referral and transport to emergency care: the others being blood pressure in stroke range, extreme elevation of lab values. |
| PROGRAM SERVICE ACCOMPLISHMENTS (CONT) | Community-Based Clinical Services-Immunizations ----------------------------------------------- Flu Shots - Flu shots were administered at 15 sites in Mercer, Lincoln, Boyle, Garrard, and Washington Counties to 279 individuals age 12 and above. Primary sites were churches and the stockyards. Community-Based Clinical Services-Nonbilled/Reduced -fee Clinic (Hospital Based) ---------------------------------------------------------------- Hope Clinic & Pharmacy - Hope Clinic and Pharmacy provided 282 client visits compared to 1,001 clients visits in FY 2013 for chronic disease management. To qualify for Hope Clinic & Pharmacy an individual must have one or more of the following diagnoses: hypertension, diabetes, obesity, hyperlipidemia, and/or gastro esophageal reflux disease, be uninsured and with a household income below 150% of the federal poverty level. All staff members are volunteers except the part-time LIP and part-time office manager. The clinic is managed by a community advisory board with members from the Boyle County Health Department, Danville Presbyterian Church, Ephraim McDowell Health Care Foundation, Ephraim McDowell Regional Medical Center, Heart of Kentucky United Way, and the Salvation Army. The clinic was started due to community need by a collaboration of the key board members and is a department of EMRMC. The Affordable Care Act has made possible access to expanded Medicaid in Kentucky, resulting in many former Hope clients having insurance and access to both chronic and acute care. Blood Drive - Ninety-eight persons signed up to donate blood. Eighty-eight units of blood were donated through blood drives at the health system in FY 2014 compared to 119 units in FY 2013. Staff that are on duty are paid during the time they are involved in the donation process with an estimated salary value of $3,080. Health Professions Education ---------------------------- Continuing Health Professions Education - The Director for Rehabilitation Services Department serves on Physical Therapy Health Professions Board Meeting for the Commonwealth of Kentucky. Issues of the profession were addressed including educational requirements, licensure, reimbursement, scope of service and professional practice standards. Interns, Residents and Fellows - EMRMC had seven Emergency Medicine Residents in FY 2014; compared to 2 ER Residents in FY 2013. Medical Students - Twenty-three medical students rotated through emergency services, anesthesia, OB, pediatrics, family medicine and/or surgical services with EMRMC medical staff mentors. Students were from University of Kentucky or University of Pikeville Nine physician assistant (PA) students rotated though emergency, orthopedics, surgery, and/or internal medicine services with a mentor. Affiliated programs included: University of Louisville, University of Kentucky, and University of the Cumberland's Three advanced practice nurses (APRNs) rotated through emergency services or primary care clinics in FY 2014 with a LIP mentor. Schools included: Frontier Nursing, Eastern Kentucky University, and Indiana Wesleyan University. Nursing - Four hundred fifty one nursing students completed their clinical experience and/or practicum at EMRMC in FY 2014. Educational partners included Campbellsville University, University of Kentucky, Eastern Kentucky University, Midway College, Bluegrass Community & Technical College, Beckfield College, and Somerset College. Other Allied Health Professions - The Certified Nursing Assistant Course had 43 students enrolled, five no show and 38 individuals completed the course. The pass rate was 97 percent on the state Medicare CNA exam. EMRMC served as a clinical site for students from multiple disciplines from the following institutions: Bluegrass Community & Technical College - Lexington, St. Catharine's College - Springfield, Utah State, Spaulding University, Bellarmine University, Jefferson Community College, Eastern Kentucky University, University of Kentucky, Midway College, Lindsey Wilson College, Kentucky State University, Indiana Wesleyan, Campbellsville University, Marietta College, Murray State, Somerset Community College, Centre College, University of Cincinnati, Union College, Cumberland University, Spaulding and University of Louisville Health Sciences. One hundred sixty nine area students had a job shadowing experience in 43 different areas of EMRMC in FY 2014. This reflects over a two hundred percent increase in the number of students job shadowing within the organization. Research -------- Community Health Research - HRSA Outreach Grant: Healthy People: Healthy Communities targeted cardiovascular disease (CVD) risk factor reduction in a rural population. Lincoln, Garrard, Mercer and Boyle County Health Departments and Boyle County Extension Office collaborate with EMRMC on this grant. In 2014 there were 631 participants compared to 419 in FY 2013 screened by this grant funded project. Screening included cholesterol (either total or lipid panel), glucose (either fasting or non-fasting), body mass index, blood pressure, pulse check for atrial fibrillation, family history of stroke, tobacco use, and activity level. Results of testing are recorded on the Stroke Risk Scorecard. The Healthy People: Healthy Communities study has institutional review board approval. Enrollment for the study opened in September 1, 2012. One hundred fourteen individuals (18%) were referred for follow-up. Two hundred thirty-seven individuals (46%) consented to participate in the study with follow-up by an RN; this is down from 52 percent in the study in FY 2013. These services were funded by HRSA at a cost of $165.436. In FY 2014 there were 3,221 contacts made with those enrolled in the Healthy People:Healthy Communities research program by the RN case managers. The monthly contacts were designed to assist in removing barrier to making the necessary life style changes to reduce cardiovascular risk factor related behaviors. The program was evaluated by client feedback at each screening and an outside reviewer for the biometrics/outcomes component of the study. Good Samaritan Foundation- Group Visits for Management of Chronic Disease in a Rural Free Clinic - The extended pilot to assess the effectiveness of shared health care visits for low-income, uninsured individuals who have uncontrolled chronic Type II Diabetes Mellitus or Hypertension early. due to the impact of ACA implementation and uncertainty about eligibility for Hope Clinic services verses expanded Medicaid coverage. There was not sufficient data to report findings and conclusions. UCLA -RNs Referring Quitlines (RNRQ) ------------------------------------ All nurses at EMRMC were offered the opportunity to participate in the RNRQ study sponsored by UCLA School of Nursing. There was a $1,000 contribution to cover time and cost of communications with staff. The intent was to a base line study then a web based educational intervention to then re-assess the nurse to client education related to tobacco use during acute care stay. Thirty one nurses completed the baseline survey, 17 completed the 3-month, and 18 completed the 6-month follow-up survey. Fourteen nurses viewed the educational webcast and received CE certificates. Financial Donations for the Community - In Kind ---------------------------------------------- Personnel/Administrative Support - A staff member serves on the Boyle County 4-H Counsel. Community Service staff participate in both the Boyle and Lincoln Counties Integrated School Health Committees. This all volunteer group works to improve the School Health Index issues that have community impact. Staff also served on the Danville PEP grant implementation team. An advanced practice nurse serves on the Mercer County Health Department Board. A staff member serves on the Foundation for Healthy Kentucky Board and subcommittees. A staff member serves on the governing board for Christian Care Communities, addressing affordable, safe housing for the elderly in the commonwealth. A staff member serves on the Foundation for Healthy Kentucky governing board. The rehabilitation services director serves on the Physical Therapy Board. A staff member from marketing serves on The Salvation Army Board. |
| PROGRAM SERVICE ACCOMPLISHMENTS (CONT) | Community Building Activities ----------------------------- Coalition Building - Heroin overdose and deaths in the service area have increased at an alarming rate. A mental health professional from the Centre College has put together a broad community coalition to address the many faucets of this public health issue. The emergency department nursing and medical directors have worked with this group. An Ephraim McDowell administrative assistant services as the recording secretary for the task force. A case manager also serves on the task force. Community Service staff served in two statewide planning sessions with District 4-H leaders related to the annual Kentucky youth leadership conference. There were a total of 75 community members involved in the conference planning process. Community Health Improvement Advocacy - Community Service staff served on the board of the Foundation for Healthy Kentucky(FHK) and served on the executive, finance and ambassador committees in addition to their board membership advocating for improved access to care, better built environment and improved nutrition. FHK endowed chairs at the University of Kentucky and University of Louisville to focus on public health issues in rural Kentucky. Community Service staff served on the governance, and workforce committees for Christian Care Communities Board advocating for safe housing and care for the elderly. Community Service staff supported the education of health care professionals by serving on the board of the Southern Area Health Education Council. Community Service staff served as community faculty for University of Kentucky with participation in community research, education and performance improvement. Community Service staff served on the board of the Mercer County Health Department. Rehabilitation Services staff served on the Physical Therapy Board and participated at the Legislative Day in Frankfort to address rehabilitation needs in the Commonwealth. Leadership Development/Training for Community Members - Community Service staff collaborated with 4-H staff related to three events to provide leadership and skill development for a total of 40 students within the district. Workforce Development - The Southern Area Health Education Council is involved in the education of healthcare professionals in rural South-Central Kentucky and health policy. Community Benefit Operations ---------------------------- Community Health Needs Assessment- Professional Research Consultants of Omaha, Nebraska was engaged to conduct a scientifically valid six county CHNA for the system, including EMRMC, at a cost of $84,537. The confidence level is 95 percent for a sample of 1,000 area residents. A community focus group was convened for input from key informants from the six counties, with finding included in the report. The results were made available to the governing board in hard copy along with a summary presentation and implementation plan for 2015-2018. Once reviewed by the board, the report and implementation plan were posted on the website for public access. Findings were shared with community partners and speaking engagements were set up to share the findings throughout the service area during the FY 2015. Dedicated Staff - There was a dedicated staff of two full time, two part time individuals and flex RNs and Technicians that work as needed within the community service department and are funded by the health system. The staff was comprised of children's program coordinator, faith community nursing coordinator, a part-time community benefit coordinator and part time project coordinator all reporting to System Director, Nursing Administration, Regulatory Compliance, Associate Education, and Community Services. Total salary expense for dedicated community benefit staff was $2754,143 for FY 2014; with the decrease reflecting the reduction in hours within the department. Community Services total expense was $373,437. There was a part-time RN project director dedicated to the Healthy People: Health Community research and outreach program funded by the HRSA outreach grant. The cardiovascular risk reduction grant expended $165,436 in HRSA funds during FY 2014. There was a part time nurse practitioner and office manager for the Hope Clinic. Salary expenses were $12,526 for FY 2014. The reporting structure is that all department functions report to the system director and share space and resources. The system director then reports to the Ephraim McDowell Health System CNO/COO who reports to the governing board with annual work plan and budget approved by the governing board. In FY 2014, the new Community Health Needs Assessment and implementation plan were presented to the governing board for approval. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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) | 11-II | EM HEALTH | false |
| EPHRAIM MCDOWELL HEALTH INC | ||||||||||
| 217 SOUTH THIRD STREET | DANVILLE | KY | 40422 | 611324736 | MGT SERVICES | KY | 501(C)(3) | 11-II | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CKSC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 217 S 3RD | AddressLine1 |
| City | DANVILLE | City |
| State | KY | State |
| ZIP Code | 40422 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371509373 | EIN |
| Primary Activities | MEDICAL SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | KY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $2,364,498 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $2,466,692 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| UBI Code V | $0 | UBICodeVAmt |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.60000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COOPERATIVECARE INC | |||||||||||
| 217 SOUTH THIRD STREET | DANVILLE | KY | 40422 | 611265715 | CONTRACTING SERV | KY | NA | C | $0 | $0 | false |
| EPHRAIM MCDOWELL SERVICES INC | |||||||||||
| 217 SOUTH THIRD STREET | DANVILLE | KY | 40422 | 611339437 | MGT SERVICES | KY | NA | C | $0 | $0 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL KENTUCKY SURGERY CENTER LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | P | TransactionTypeTxt |
| Involved | $10,578,254 | InvolvedAmt |
| Method Of Amount Determination | fmv | MethodOfAmountDeterminationTxt |