EPHRAIM MCDOWELL REGIONAL MEDICAL C ENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- EPHRAIM MCDOWELL REGIONAL MEDICAL C ENTER (EIN 61-0492356)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-15
- IRS object ID
- 201412279349301531
- Schema version
- 2012v2.3
- 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) |
|---|---|---|
| Timestamp | 2014-08-15T09:32:03-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 E MAIN ST STE 200 PO BOX 1196 | AddressLine1 |
| City | BOWLING GREEN | City |
| State | KY | State |
| ZIP Code | 421021196 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 610492356 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % EPHRAIM MCDOWELL HEALTH | InCareOfName |
| Name Control | EPHR | NameControl |
| Phone | 8592392424 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WILLIAM M SNAPP III | Name |
| Title | CFO | Title |
| Phone | 8592392424 | Phone |
| Date Signed | 2014-08-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JESSICA FREEMAN | Name |
| Phone | 2707810111 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | VICKI A DARNELL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 156562302 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.EMHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1972 | YearFormation |
| State Legal Domicile | KY | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1183 | TotalNbrEmployees |
| Total Nbr Volunteers | 255 | TotalNbrVolunteers |
| Total Gross UBI | 3044315 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 94927 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 303408 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 255183 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 149925684 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 154301638 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1514 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3468 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3351698 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2002013 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 153582304 | TotalRevenuePriorYear |
| Total Revenue Current Year | 156562302 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 61586322 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 60798555 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 78521375 | OtherExpensePriorYear |
| Other Expenses Current Year | 83448867 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 140107697 | TotalExpensesPriorYear |
| Total Expenses Current Year | 144247422 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 13474607 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 12314880 | RevenuesLessExpensesCY |
| Total Assets BOY | 187847906 | TotalAssetsBOY |
| Total Assets EOY | 201364111 | TotalAssetsEOY |
| Total Liabilities BOY | 9457075 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 10658400 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 178390831 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 190705711 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 129781693 | Expense |
| Revenue | 151257323 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 129781693 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 103 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1183 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | KY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | EPHRAIM MCDOWELL HEALTH | NamePerson |
| Telephone Number | 8592392424 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| DENA DEMAREE | |||||||||
| SECRETARY | 3.0 | 4.0 | X | X | 0 | 3450 | 0 | ||
| JUDY HAMMONS | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | X | 0 | 3000 | 0 | |||
| DAVID HOPPER MD | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | X | 0 | 2700 | 0 | |||
| JAMES JACOBUS | |||||||||
| CHAIR | 3.0 | 4.0 | X | X | 0 | 3300 | 0 | ||
| MARK MORGAN | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | X | 0 | 3150 | 0 | |||
| KIM RAGLAND PH D | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | X | 0 | 2700 | 0 | |||
| BOB ROWLAND | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | X | 0 | 3150 | 0 | |||
| WILLIAM RUTH III | |||||||||
| PAST CHAIR | 3.0 | 4.0 | X | 0 | 3300 | 0 | |||
| REV QUENTIN SCHOLTZ III | |||||||||
| TREASURER | 3.0 | 4.0 | X | X | 0 | 3450 | 0 | ||
| DALE KIHLMAN | |||||||||
| VICE CHAIR | 3.0 | 4.0 | X | X | 0 | 3150 | 0 | ||
| DONALD HAMNER MD | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | X | 4622 | 1800 | 0 | |||
| ERIC GUERRANT MD | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | X | 8000 | 3150 | 0 | |||
| RODNEY BATES MD | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | X | 0 | 3150 | 0 | |||
| GARY AHNQUIST MD | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | X | 22500 | 3450 | 0 | |||
| SCOTT BOTTOMS | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | X | 0 | 750 | 0 | |||
| BILL DEMROW | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | X | 0 | 1800 | 0 | |||
| ALLEN WHITE | |||||||||
| BOARD MEMBER | 3.0 | 4.0 | X | 0 | 0 | 0 | |||
| WILLIAM SNAPP | |||||||||
| VP & CFO | 30.0 | 29.0 | X | 0 | 302870 | 85404 | |||
| VICKI DARNELL | |||||||||
| CEO | 30.0 | 29.0 | X | 0 | 539237 | 136627 | |||
| SALLY DAVENPORT | |||||||||
| VP & CNO | 40.0 | 227544 | 0 | 52346 | X | ||||
| CARL METZ | |||||||||
| VP HUMAN RESOURCES | 40.0 | 211289 | 0 | 52975 | X | ||||
| JIMMIE TUNE | |||||||||
| VP CLINICAL EFFECTIVENESS | 40.0 | 152166 | 0 | 17275 | X | ||||
| MICHELLE FRALEY | |||||||||
| PHARMACIST | 40.0 | 133168 | 0 | 37752 | X | ||||
| JOAN HALTOM | |||||||||
| PHARMACY DIRECTOR | 40.0 | 166853 | 0 | 38413 | X | ||||
| RONALD BARBATO | |||||||||
| REHAB DIRECTOR | 40.0 | 146902 | 0 | 35057 | X | ||||
| ANDREW LOSCH | |||||||||
| PHARMACIST | 40.0 | 138623 | 0 | 18233 | X | ||||
| TINA COOLEY | |||||||||
| PHARMACIST | 40.0 | 143047 | 0 | 12872 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1354714 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 887557 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 486954 | TotalOtherCompensation |
| Number Individuals GT100 K | 36 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MARSHALL MEDICAL MANAGEMENT LLC | |||||
| 1792 ALYSHEBA WAY STE 150 | LEXINGTON | KY | 40509 | PHYSICIAN SERVICES | 837055 |
| KENTUCKY BLOOD CENTER | |||||
| 3121 BEAUMONT CENTER CIRCLE | LEXINGTON | KY | 40512 | BLOOD SERVICES | 705020 |
| LOGAN HEALTHCARE LINEN DIVISION | |||||
| PO BOX 643958 | CINCINNATI | OH | 45264 | LINEN SERVICES | 471367 |
| MMODAL SERVICES LTD | |||||
| PO BOX 102467 | ATLANTA | GA | 30368 | TRANSCRIPTION SERVIC | 240680 |
| EMDEON | |||||
| PO BOX 572490 | MURRAY | UT | 841572490 | CLAIMS SUBMISSION | 220143 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 17 | NumberOfContractorsGT100K |
| Related Organizations | 250663 | RelatedOrganizations |
| All Other Contributions | 4520 | AllOtherContributions |
| Total Contributions | 255183 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT REVENUE | 621110 | 149301458 | 146496527 | 2804931 |
| PHARMACY REVENUE | 446110 | 2351716 | 2326817 | 24899 |
| JOINT VENTURE INCOME | 621110 | 2124627 | 2124627 | |
| OTHER OPERATING | 621110 | 309352 | 309352 | |
| REFERENCE LAB | 621400 | 214485 | 214485 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 154301638 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14 | TotalRevenueColumn |
| Exclusion | $14 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 72625 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 72625 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 72625 | TotalRevenueColumn |
| Exclusion | $72,625 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 3454 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 3454 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3454 | TotalRevenueColumn |
| Exclusion | $3,454 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| VENDING COMMISSION | 722210 | 17382 | $17,382 |
| CAFETERIA | 722210 | 720720 | $720,720 |
| All Other Misc Revenue | 900099 | 1191286 | $1,191,286 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1929388 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 156562302 | TotalRevenueColumn |
| Related Or Exempt Function Income | 151257323 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 3044315 | UnrelatedBusinessRevenue |
| Exclusion | $2,005,481 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 788195 | Total |
| Management And General | 788195 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46964610 | Total |
| Program Services | 42082985 | ProgramServices |
| Management And General | 4881625 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2647375 | Total |
| Program Services | 2334446 | ProgramServices |
| Management And General | 312929 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6813276 | Total |
| Program Services | 6007923 | ProgramServices |
| Management And General | 805353 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3585099 | Total |
| Program Services | 3161328 | ProgramServices |
| Management And General | 423771 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48149 | Total |
| Management And General | 48149 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18540254 | Total |
| Program Services | 15753346 | ProgramServices |
| Management And General | 2786908 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17335 | Total |
| Program Services | 16359 | ProgramServices |
| Management And General | 976 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5717771 | Total |
| Program Services | 4714539 | ProgramServices |
| Management And General | 1003232 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1480218 | Total |
| Program Services | 330395 | ProgramServices |
| Management And General | 1149823 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2114481 | Total |
| Program Services | 1992440 | ProgramServices |
| Management And General | 122041 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 116977 | Total |
| Program Services | 89456 | ProgramServices |
| Management And General | 27521 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74226 | Total |
| Program Services | 53328 | ProgramServices |
| Management And General | 20898 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1191240 | Total |
| Program Services | 1191240 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7472025 | Total |
| Program Services | 7472025 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 722598 | Total |
| Program Services | 527 | ProgramServices |
| Management And General | 722071 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 26714724 | 26714724 | |
| BAD DEBTS | 13189450 | 13189450 | |
| TAXES & LICENSES | 2310795 | 2308825 | 1970 |
| REPAIRS & MAINTENANCE | 2889039 | 2268977 | 620062 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 849585 | Total |
| Program Services | 99380 | ProgramServices |
| Management And General | 750205 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 144247422 | Total |
| Program Services | 129781693 | ProgramServices |
| Management And General | 14465729 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2515 | BOY |
| EOY | 5286 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102180 | BOY |
| EOY | 115431 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13656051 | BOY |
| EOY | 17844686 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3521506 | BOY |
| EOY | 3530232 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1185148 | BOY |
| EOY | 1286579 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 166665440 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 106041505 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62611993 | BOY |
| EOY | 60623935 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1036350 | BOY |
| EOY | 1489977 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105732163 | BOY |
| EOY | 116467985 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 187847906 | BOY |
| EOY | 201364111 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9457075 | BOY |
| EOY | 10658400 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9457075 | BOY |
| EOY | 10658400 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 178373041 | BOY |
| EOY | 190688421 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17790 | BOY |
| EOY | 17290 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 178390831 | BOY |
| EOY | 190705711 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 187847906 | BOY |
| EOY | 201364111 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 12314880 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $14,241 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 14241 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING EXPENDITURES | Identifier |
| Return Reference | SCH. C, PART III-B, LINE 1I | ReturnReference |
| Explanation | A PORTION OF DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION (KHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA) ARE USED FOR LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2353765 | OtherCostOrOtherBasis |
| Book Value | 2353765 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 69429573 | OtherCostOrOtherBasis |
| Depreciation | 33124815 | Depreciation |
| Book Value | 36304758 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2977990 | OtherCostOrOtherBasis |
| Depreciation | 2000784 | Depreciation |
| Book Value | 977206 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 87012835 | OtherCostOrOtherBasis |
| Depreciation | 69095671 | Depreciation |
| Book Value | 17917164 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4891277 | OtherCostOrOtherBasis |
| Depreciation | 1820235 | Depreciation |
| Book Value | 3071042 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 60623935 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Scholarship Account | 18008 |
| Physician Income Guarantee | 219934 |
| Due from Related Parties | 113300142 |
| DUE FROM THIRD PARTY PAYERS | 2929901 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 116467985 | TotalBookValueOtherAssets |
| Tot Revenue Etc Audited Fincl Stmt | 143114215 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -13189450 | OtherRevenues |
| Revenue Not Rptd F990 | -13189450 | RevenueNotRptdF990 |
| Revenue Subtotal | 156303665 | RevenueSubtotal |
| Other Revenues Not Included | 258637 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 258637 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 156562302 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 130799335 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | -258637 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | -258637 | ExpensesNotRptdF990 |
| Expenses Subtotal | 131057972 | ExpensesSubtotal |
| Other Expenses Not Included | 13189450 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 13189450 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 144247422 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION TO AUDIT REPORT | SCH D, PART XI & XII | --------------------------- PART XI LINE 2D OTHER ITEMS INCLUDED ON LINE 1 BUT NOT ON 990 PART VIII: ---------------- BAD DEBT EXPENSE NETTED AGAINST REVENUE PER AUDIT (13,189,450) PART XI LINE 4B AMOUNTS INCLUDED IN 990 PART VIII BUT NOT ON LINE 1: ---------------- CONTRIBUTION REV INCLUDED IN EXPENSE PER AUDIT 255,183 GAIN ON SALE OF ASSETS INCLUDED IN EXPENSE PER AUDIT 3,454 --------- 258,637 PART XII LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON 990 PART IX: ---------------- CONTRIBUTION REV INCLUDED IN EXPENSE PER AUDIT 255,183 GAIN ON SALE OF ASSETS INCLUDED IN EXPENSE PER AUDIT 3,454 --------- 258,637 PART XII LINE 4B AMOUNTS INCLUDED ON 990 PART IX BUT NOT ON LINE 1: ---------------- BAD DEBT EXPENSE NETTED AGAINST REVENUE PER AUDIT 13,189,450 |
| INCOME TAXES | SCH D, PART X, LINE 2 | -------------------- 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) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 125. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | false | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 830 | NumberOfActivitiesOrPrograms |
| Persons Served | 830 | PersonsServed |
| Total Community Benefit Expense | 5206661 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5206661 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03990 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 17260701 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13151007 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4109694 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03150 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 831 | NumberOfActivitiesOrPrograms |
| Persons Served | 830 | PersonsServed |
| Total Community Benefit Expense | 22467362 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13151007 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9316355 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07140 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 428 | NumberOfActivitiesOrPrograms |
| Persons Served | 13864 | PersonsServed |
| Total Community Benefit Expense | 808915 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 55411 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 753504 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00580 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 27 | NumberOfActivitiesOrPrograms |
| Persons Served | 307 | PersonsServed |
| Total Community Benefit Expense | 4749 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4749 | NetCommunityBenefitExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 874 | NumberOfActivitiesOrPrograms |
| Persons Served | 2565 | PersonsServed |
| Total Community Benefit Expense | 293455 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 293455 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1336 | NumberOfActivitiesOrPrograms |
| Persons Served | 16736 | PersonsServed |
| Total Community Benefit Expense | 1107119 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 55411 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1051708 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00800 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2167 | NumberOfActivitiesOrPrograms |
| Persons Served | 17566 | PersonsServed |
| Total Community Benefit Expense | 23574481 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13206418 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10368063 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07940 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 466 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 466 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Persons Served | 891 | PersonsServed |
| Total Community Building Expense | 466 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 466 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $13,189,450 | BadDebtExpenseAmount |
| Amount Attributable To | 11574474 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 48299376 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 51852604 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3553228 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| 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) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EPHRAIM MCDOWELL REGIONAL MEDICAL CEN | BusinessNameLine1 |
Address Address
| 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 | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
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) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Other | X | Other |
| Needs Assessment Conducted | 11 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | false | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 125. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 300. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 8 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (8 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| 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 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| BAD DEBT EXPENSE | SCHEDULE H, PART III, LINE 4 | ------------------- 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. |
| COSTING METHODOLOGY | SCHEDULE H, PART III, LINE 8 | ------------------- Amounts reported on Lines 5 and 6 were based on the corporation's Medicare Cost Report. |
| NEEDS ASSESSMENT | SCHEDULE H, PART VI, LINE 2 | ------------------- 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. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | SCHEDULE H, PART VI, LINE 3 | ------------------- 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. |
| COMMUNITY INFORMATION | SCHEDULE H, PART VI, LINE 4 | ------------------- 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. |
| PROMOTION OF COMMUNITY HEALTH | SCHEDULE H, PART VI, LINE 5 | ------------------- 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. |
| AFFILIATED HEALTH CARE SYSTEM | SCHEDULE H, PART VI, LINE 6 | ------------------- 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. |
| % OF TOTAL EXPENSE CALCULATION | Schedule H, Part I, Line 7, column (f) | ------------------- 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 $13,189,450. |
| Written Debt Collection Policy and Financial Assistance | Schedule H, Part III, Line 9b | ------------------- 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. |
| COMMUNITY HEALTH NEEDS ASSESSMENT | SCHEDULE H, PART V, SECTION B | ------------------- 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, 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 the peek flow meters for the Lincoln County School System given the School Health Index priority. Community Service also provided the competency education for the Lincoln County School Nurses related to childhood asthma. 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 provided for the class regarding how to impact BMI by nutrition, exercise and sleep. Screening for lung capacity occurs in high risk populations given the link between respiratory disease and CV disease. Community Services has given testimony related to smoking in public places at the local and state level. Model legislation was drafted and sent to the legislator in Frankfort by AHEC with EMRMC staff serving on that board and input from the c |
| Individuals Eligible for Financial Assistance | Schedule H,Part V, Line 19d | ------------------- 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. |
| IMPLEMENTATION STRATEGY | SCHEDULE H, PART V, SECTION B | -------------------- THE INPLEMENTATION STRATEGY MAY BE OBTAINED AT http://www.emhealth.org/index.php/services/community-services |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM SNAPP | ||||||||||||||
| VP & CFO | 0 | 239065 | 0 | 48475 | 0 | 15330 | 0 | 58766 | 0 | 26638 | 0 | 388274 | 0 | 48475 |
| VICKI DARNELL | ||||||||||||||
| CEO | 0 | 429812 | 0 | 80552 | 0 | 28873 | 0 | 101929 | 0 | 34698 | 0 | 675864 | 0 | 80552 |
| SALLY DAVENPORT | ||||||||||||||
| VP & CNO | 196932 | 0 | 24251 | 0 | 6361 | 0 | 34203 | 0 | 18143 | 0 | 279890 | 0 | 24251 | 0 |
| CARL METZ | ||||||||||||||
| VP HUMAN RESOURCES | 172098 | 0 | 22578 | 0 | 16613 | 0 | 34663 | 0 | 18312 | 0 | 264264 | 0 | 22578 | 0 |
| MICHELLE FRALEY | ||||||||||||||
| PHARMACIST | 128036 | 0 | 0 | 0 | 5132 | 0 | 11167 | 0 | 26585 | 0 | 170920 | 0 | 0 | 0 |
| JOAN HALTOM | ||||||||||||||
| PHARMACY DIRECTOR | 154915 | 0 | 8064 | 0 | 3874 | 0 | 22362 | 0 | 16051 | 0 | 205266 | 0 | 8064 | 0 |
| RONALD BARBATO | ||||||||||||||
| REHAB DIRECTOR | 129613 | 0 | 9439 | 0 | 7850 | 0 | 18982 | 0 | 16075 | 0 | 181959 | 0 | 9439 | 0 |
| ANDREW LOSCH | ||||||||||||||
| PHARMACIST | 132088 | 0 | 0 | 0 | 6535 | 0 | 11135 | 0 | 7098 | 0 | 156856 | 0 | 0 | 0 |
| TINA COOLEY | ||||||||||||||
| PHARMACIST | 142759 | 0 | 0 | 0 | 288 | 0 | 11483 | 0 | 1389 | 0 | 155919 | 0 | 0 | 0 |
| JIMMIE TUNE | ||||||||||||||
| VP CLINICAL EFFECTIVENESS | 126405 | 0 | 17229 | 0 | 8532 | 0 | 532 | 0 | 16743 | 0 | 169441 | 0 | 17229 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| MANAGEMENT INCENTIVE PLANS | Schedule J, Part I, Question 6a | ------------------------- 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. |
| SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | SCH J, PART I, LINE 4B | --------------------- VICKI DARNELL PARTICIPATED IN A 457(F) PLAN DURING THE YEAR. THE INCREASE IN THE ACTUARIAL VALUE OF HER NONQUALIFIED RETIREMENT PLAN WAS $48,063. NOTE: THIS AMOUNT REPRESENTS THE ACCRUED BENEFIT AMOUNT AND IS SUBJECT TO RISK OF FORFEITURE. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROCESS TO REVIEW FORM 990 | FORM 990, PART VI, SECTION B, LINE 11 | --------------------------- COPIES OF THE FORM 990 ARE SUBMITTED TO THE FULL BOARD VIA EMAIL PRIOR TO FILING. |
| MONITORING THE CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINE 12B AND 12C | --------------------------- 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. |
| PROCESS FOR DETERMINING COMPENSATION | FORM 990, PART VI, SECTION B, LINE 15A AND 15B | --------------------------- 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. |
| MAKING FORMS AVAILABLE TO THE PUBLIC | FORM 990, PART VI, SECTION C, LINE 19 | --------------------------- THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| COMMON PAYMASTER | FORM 990, PART V, LINE 2A | --------------------------- 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. |
| MEMBERS OF THE ORGANIZATION | FORM 990, PART VI, SECTION A, LINE 6, 7A & 7B | --------------------------- 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. |
| PROGRAM SERVICE ACCOMPLISHMENTS | FORM 990, PART III, LINE 4A | --------------------------- 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 2013 experienced 7,940 admissions including nursery, and 42,043 patient days for all services including nursery and observation days. Observation patient days for FY 2013 totaled 3,303 verses 2,429 for 36 percent increase over FY 2012 volume. Outpatient registrations (including ER visits) increased by nine percent to 133,428 as compared to 122,536 in FY 2012. Surgical procedures at EMRMC fell six percent in FY 2013 to 4,830 as compared to 5,155 in FY 2012. The ambulatory surgical center volume decrease in FY 2013 by one percent to 6,569 procedures verses 6,614 in FY 2012. Community Health Education --------------------------- Cancer Eduction - Over 1,000 individuals participated in skin cancer awareness events at InterCounty Energy; 250 at Lincoln County Relay for Life; 250 at Mercer County Beef Festival; and over 500 at Casey County Apple Festival. 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. Seven thousand two hundred and forty sun safety items were distributed at twelve sites. All funded by Ephraim McDowell Health Care Foundation (EMHCF). CPR/First Aid - Ephraim McDowell Health Care Foundation (EMHCF) funded CPR/AED/First Aid education for thirty-five 9th Grade Academy students in Mercer County. One student performed CPR on a sibling that was not breathing and saved his life CPR/first aid was also provided for eight congregates from the health ministries supported by Community Service. CPR/first aid training was also provided to thirty-five teen leaders as part of their leadership training at Camp Feltner, at no charge. Another event provided CPR/first aid for 105 4-H leaders. A total of 142 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. 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, and McDowell Wellness Center 3,292 children school age through teens were served. Venues included Mercer County horse camp, Healthy Kids Day 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 176 events at 87 sites in Boyle, Lincoln, Garrard, Mercer, Casey, and Washington Counties with focus on reaching at risk and vulnerable populations. Including all programs, over 26,407 community contacts occurred (screenings, education, support groups, etc.). Forty-five percent of participants were male; 55 percent were female. Ninety-three percent of clients served were Caucasian, five percent were African America, one percent Hispanic, and less than one percent were other; this reflects the population of the region. Sixty-three percent of participants served within our health ministry programs had a household income below $35,000; of the total population served by community service 65 percent had a household income less than $35, 000. Twenty-two percent were unemployed that were served within the health ministry program; 18 percent of the total population served by the department were unemployed. Thirty-five percent of the participants within the health ministry programs were retired, compared to 36 percent in the total population served. Twenty-one percent of those served were uninsured. Forty-six percent of those served through the health ministry programs did not have a primary care provider compared to 33 percent of all participants served. A registered nurse (RN) met with each client to develop a written plan to decrease their life style associated health risk factors. At each screening, referral options were provided including Hope Clinic, reduced fee program and primary provider listing for the region for the uninsured participant. Forty-seven percent of screening tests were abnormal (very similar to 2012 ) with 22 percent requiring a referral to primary care; down from 25 percent in 2012. Parish Nursing Program - Grant funding from Ephraim McDowell Health Care Foundation, O'Donnell Scholars, and Margaret T. Stoeckinger Foundation made possible the Faith Community Nursing educational programs. The Faith Community Nursing Foundation Course in the spring of 2013 produced eight graduates and an Advanced Faith Community Nursing Module offered in Danville, August 2013 had 24 participants that completed the 12 hour course. A partnership with Eastern Kentucky University (EKU) 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. FCN faculty also served as faculty for the Tri-State Foundations 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 disseated to health ministry partners in Kentucky, Ohio, Illinois, Indiana, Virginia and North Carolina. 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 74 paintings. There were 726 community patrons on opening night; an additional 785 community visitors viewed the showing at the Community Art Center during the month of May. In collaboration with the Boyle County School District nurses, height/weight/body mass index was completed for 716 middle school students. The Perkins risk assessment was completed for 850 high school students. Approximately 30 percent of students were referred for follow-up. Nine hundred Boyle County High School students participated in the spring safety fair. The focus was the role of alcohol and driving impaired using the breathalyzer to demonstrate. Seventy area teens participated in the District 4-H Teen Summit. Community Service staff collaborated with Boyle County 4-H on this project. A total of 4,077 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, churches, professional groups, teen programs, governing boards and colleges. Topics included heart health, stroke risk, leadership, health ministry, care for the care giver, end of life decisions, and skin cancer prevention and warning signs. There were twenty-three sites across the commonwealth. |
| PROGRAM SERVICE ACCOMPLISHMENTS (CONT) | This was the fifth year to be part of the Centre Expo to recruit student volunteers for 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. A new offering in FY 2013 was "Violence in the Health Care Setting" presented to the Kentucky Hospital Association Safety Officers and engineers presented in Louisville by the Ephraim McDowell Health System Safety Director. Other new programs included a T'weens program for twenty-three middle school children and a senior adult program related to use of compression stockings by a physical therapist. Community Health Education -Self Help -------------------------------------- Fitness/Exercise - Fifty jump ropes donated by the Ephraim McDowell Regional Medical Center Auxiliary were provided to the Hogsett Elementary School for a fitness project with the students. One hundred balls were also provided to the Hogsett Elementary students as part of the student fitness project. This is a volunteer led after school program with an at risk student population. Tobacco/Smoking Cessation - One hundred forty four individuals were referred to the area health departments for smoking cessation assistance. This is a eight percent referral rate; down from 16 percent the prior year. The decline in adults reporting tobacco use is believed to be attributed to the passage of no smoking ordinance in some of the communities served. A statewide ordinance has been drafted by some of the agencies (FHK, SoAHEC, etc.) for consideration by the legislature during the 2014 session. Stress Management - Two hundred nineteen individuals were screened using the perceived stress scale or the stress vulnerability scale at six sites. Community Health Education - Support Groups ------------------------------------------ Alzheimer's - Ten Alzheimer's Support Group meetings were facilitated by an advanced practice mental health 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 --------------------------------------------------- Asthma Screening - Lung capacity was used to screen for lung function at five sites. Two hundred-ninety individuals were screened. Thirty-three percent were referred for further evaluation. Blood Pressure Screening - Blood pressure screenings were offered at 32 sites, serving 1,342 individuals. Eighty-two percent of clients had a blood pressure reading that exceeded the recommended range by the American Heart Association (AHA). 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. Those at stroke level were transported for immediate follow-up by a physician. Blood pressure control is a factor in cardiovascular risk reduction. This factor continues to increase, as does body mass index, in spite of client education. Cancer -Colorectal Screening - The Ephraim McDowell Health Care Foundation (EMHCF) funded colorectal screening at 24 sites for a total distribution 267 kits with a 50 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 up from two percent the prior year. We attribute the increase in the outreach in Casey, Garrard and Washington Counties. Even though 100 fewer kits were distributed, the return rate was up eight percent and referral rate was up 3 percent. We attribute the change to reaching a more at risk population. Cancer -Mammography/Breast - A HRSA Outreach grant funded education, screening and early detection of breast cancer through the Woman to Woman program in the six county service area. There were 109 mammograms provided through the outreach service during the wrap of this grant. Cancer- Skin Screening - The Ephraim McDowell Health Care Foundation (EMHCF) funded skin cancer screening by a licensed independent practitioner during May and June. Seventy-seven individuals were seen. Sixty-nine percent were female; 30 percent male. Fifty percent stated on an exit survey that they would not have seen their doctor for a skin cancer screen; down from sixty-two response in 2012. Eighty-two percent had a primary care provider; compared to 89 percent the prior year. Thirty-six percent were referred to a specialist for follow-up care compared to 42 percent in 2012. Sun safety school age children and continues across the life span and has been a consistent message and focus of the community service work plan since 2008. Cholesterol Testing - Total cholesterol was measured for 1,251 clients in six counties at 39 sites within health ministries and community settings with 35 percent of participants exceeding the recommend range as set by AHA; down from 42 percent in 2012. 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 60 percent of participants had one or more measure outside the recommended range. 2013 was the first year we have offered cholesterol testing to children age 12-18, if accompanied by a custodial parent. We did not have 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. Seventy individuals were screened at 4 sites with 26 percent of participants were referred to their primary care provider for follow-up care down from a 36 percent referral rate in FY 2012. Diabetes Screening - Blood glucose testing conducted on 1,251 participants. Thirteen percent exceeded the recommended range as set by the American Diabetes Association compared to 28 percent in FY 2012. No one was below the recommended range. This represents a 24 percent increase in the number of individuals screened between FY 2012 and FY 2013. This is the first year that 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. Mental Health/Depression Screening - The Beck Depression Scale was used to screen for depression in at risk groups at two sites involving 109 individuals. Twelve individuals (11%) were referred for follow-up by a mental health provider. This reflects a three percent increase in the referral rate and may be a function of our aging baby boomer population. The Caucasian male at retirement is very vulnerable for depression and this fits our population demographics. Nutrition/Obesity Screening - Height, weight, percent body fat, calculated body mass index (BMI) was offered at 43 sites in six counties with 1,220 adult participants. Seventy-nine percent of the participants exceeded the recommend range; compared to 75 percent in 2012. Again, BMI and blood pressure are two CVD risk factors that continue to increase. 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 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 33 sites in six counties involving 913 participants with a 23 percent referral rate. This is one of three screening tests that has resulted in direct referral and transport to emergency care. Five hundred ninety nine clients were screened for signs and symptoms of sleep apnea or sleepiness at 24 sites using the Kentucky Sleep Society assessment tool. Twelve percent reported sleepiness in the moderate or above category; 31percent reported three or more symptoms of obstructive sleep apnea and were provide information for further evaluation. | |
| PROGRAM SERVICE ACCOMPLISHMENTS (CONT) | Women's Health Screening - Funding by HRSA Outreach grant contributed $31,987 for women's health screenings for the purpose of prevention and early detection. Services offered included: - Mammograms - Pap smears - Lipid panel - Glucose - Dexa scan for osteoporosis - Lung function - Body Mass Index - DermaView for sun damage - Blood pressure - Stress vulnerability scale - Patient education material - Sleep disturbance - Stroke Risk ScoreCard - RN consult The goal of this event was for the women we served to realize that the well-being of both body and mind was something often overlooked. We reached out to local business to see if they would like to be a participant in this endeavor and the response was overwhelming. Presentations were given by Ephraim McDowell Wellness Center; Cooking on a budget; ROC Martial Art, Danville Chiropractic, Ephraim McDowell out-patient pharmacy; Essentials Yoga Studio and Hair by Rhonda. One hundred ninety-six participants were served during this 8 hour event hosted by the Boyle County Extension. Community-Based Clinical Services-Immunizations -------------------------------------------------- Flu Shots - Flu shots were administered at 18 sites in Mercer, Lincoln, Boyle, Garrard, and Washington Counties to 496 individuals age 12 and above; representing a 34 percent increase in the number immunized. Primary sites were churches and the stockyards. Community-Based Clinical Services-Nonbilled/Reduced -fee Clinic (Hospital Based) -------------------------------------- Hope Clinic & Pharmacy - Hope Clinic and Pharmacy served 213 patients (a 16 percent decrease from 2012) and provided 1,001 clients visits for chronic disease management; a new record high. This eleven percent increase in visits was possible in part due to a pilot project to test the effectiveness of shared visits in a free rural health clinic to manage chronic disease. Eighty-six individuals were screened by The Salvation Army for Hope Clinic; 82 were seen. 2013 had a six percent increase in the number of individuals screened for Hope Clinic. 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. Blood Drive - One hundred nineteen units of blood were donated through blood drives at the health system. Staff that are on duty are paid during the time they are involved in the donation process. are involved in the donation process. 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 two Emergency Medicine Residents in FY 2013; up from none in FY 2012. Both were from the University of Kentucky. Medical Students - Twenty-two medical students rotated through emergency services, anesthesia, OB or surgical services with EMRMC medical staff mentors. Students were from UK or University of Pikeville. Eleven PA students rotated though emergency, pediatrics, surgical, or internal medicine services. Three advanced practice nurses rotated through emergency services or primary care clinic in FY 2013. Nursing - Three hundred ninety two completed their clinical experience or practicum at EMRMC in FY 2013. Educational partners included Campbellsville University, University of Kentucky, Eastern Kentucky University, Midway College, Kentucky State University, Northern Kentucky University, Bluegrass Community & Technical College, Loyola University, and Frontier Nursing Programs. Other Allied Health Professions - Fifty nine individuals enrolled and 52 completed the Medicare CNA course with a pass rate of 100 percent. For individuals not completing the CNA course, causes of withdrawal from the class were either health issues or family crisis. EMRMC served as a clinical site for students from multiple disciplines from the following institutions: Utah State, Spaulding University, Bellarmine University, Jefferson Community College, Eastern Kentucky University, University of Kentucky, St. Catherine's College, Midway College, Central Kentucky Technical 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, and University of Louisville health sciences. Thirty-two high school students had a shadowing experience at EMRMC in FY 2013. 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. Four hundred and nineteen individuals were screened by this project in FY 2013. 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 with 3,175 tests completed; 49% (1616) of test results exceeding the recommended range. One hundred twenty-seven individuals (30%) were referred to a primary care provider for follow-up. Two hundred eighteen individuals (52%) consented to participate in the study with follow-up by an RN. These services were funded by HRSA at a cost of $100,329. Good Samaritan Foundation- Group Visits for Management of Chronic Disease in a Rural Free Clinic - The one year pilot to determine the effectiveness of shared health care visits for low-income, uninsured individuals who have uncontrolled chronic Type II Diabetes Mellitus or Hypertension ended August 30, 2013. This was a nurse led intervention related to self-management of chronic disease with free clinic patients. There were 43 participants from a small convenience sample. There were a total of 30 group meetings addressing self-care and self-management for those with chronic disease. This was an IRB approved study. The intervention was moderately effective in achieving the goal of reducing HbA1c 0.05 or greater with the diabetic population: 43% met goal, 2 individuals maintained; and 2 showed slight increase. The hypertension management group outcomes showed: 56% met the goal of reducing systolic blood pressure 10 mmHg or more; 1 individual maintained; and 2 individuals increased. Other findings included that 26% of the participants reduced their diastolic blood pressure 10 mmHg or more. Of the Diabetes Group there was improvement in HbA1c, blood pressure and weight; all positive health risk reduction measures. Financial Donations for the Community - In Kind ---------------------------------------------- Personnel/Administrative Support - Community Service staff served on the planning committee for the Kentucky Volunteer Forum. Some of this work was then replicate at the regional level. 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 Committee. This all volunteer group works to improve the School Health Index issues that have community impact. An advanced practice nurse serves on the Lincoln 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. 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 - Community Service staff served in two statewide planning sessions with District 4-H leaders related to the annual Kentucky youth leadership conference. There was a total of 75 individuals involved in the conference planning process. Community Health Improvement Advocacy - Community Service staff served on the board of the Foundation for Healthy Kentucky and served on the finance and ambassador committees in addition to their board membership advocating for improve 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 executive, 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 health professionals in rural South-Central Kentucky and health policy. Staff participated in two regional board meetings and the screening and selection for the Youth Health Careers Camp (an on campus emergence in health science experience for high school age students) at the University of Kentucky. Community Services staff presented the "Brain Saver" program at the Black & Gold Academy. This was a summer enrichment program focused on health careers and science conducted in collaboration with the Boyle County School System, SoAHEC, and the medical center. Community Benefit Operations ----------------------------- Dedicated Staff - There was a dedicated staff of four full time staff plus 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 a grant writer, children's program coordinator, faith community nursing coordinator and the executive director. Total salary expense for dedicated community benefit staff was $322,845 for FY 2013. Community Service total expense was $360,224. 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 $100,329 in HRSA funds during FY 2013. There was a part time project director for the Woman to Woman HRSA Outreach grant. There was a final massive outreach related to Women's Health in FY 2013 with grant expenditures of $31,987. There was a part time nurse practitioner and office manager for the Hope Clinic. Salary expenses were $8,712 for FY 2013. The reporting structure is that all report to community services and share space and office and resources. The department then reports to the Ephraim McDowell Health System CNO/COO with reports to the governing board with annual work plan and budget approved by the governing board. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CKSC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
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| City | DANVILLE | City |
| State | KY | State |
| ZIP Code | 40422 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371509373 | EIN |
| Primary Activity | MEDICAL SERVICES | PrimaryActivity |
| Legal Domicile State | KY | LegalDomicileState |
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 | PredominantIncomeType |
| Share Of Total Income | 2407540 | ShareOfTotalIncome |
| Share Of EOY Assets | 2759987 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| Code V | $0 | CodeVAmount |
| General Or Managing Partner | false | GeneralOrManagingPartner |
| Percentage Ownership | 0.60000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL KENTUCKY SURGERY CENTER LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | P | TransactionType |
| Amount Involved | 10608252 | AmountInvolved |
| Method Of Amt Determination | fmv | MethodOfAmtDetermination |