EPHRAIM MCDOWELL REGIONAL MEDICAL C ENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: EPHRAIM MCDOWELL REGIONAL MEDICAL C ENTER (EIN 61-0492356)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-12
IRS object ID: 201312249349301971
Schema version: 2011v1.5
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	2013-08-12T13:32:45-05:00	Timestamp
Tax Period End Date	2012-09-30	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	2011-10-01	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
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
Date Signed	2013-08-10	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	KIM SCIFRES	Name
Phone	2707810111	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	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	153582751	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	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	1229	TotalNbrEmployees
Total Nbr Volunteers	243	TotalNbrVolunteers
Total Gross UBI	3208258	TotalGrossUBI
Net Unrelated Business Txbl Income	314682	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	408898	ContributionsGrantsPriorYear
Contributions Grants Current Year	303408	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	140782861	ProgramServiceRevenuePriorYear
Program Service Revenue CY	149925684	ProgramServiceRevenueCY
Investment Income Prior Year	30740	InvestmentIncomePriorYear
Investment Income Current Year	1514	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1615876	OtherRevenuePriorYear
Other Revenue Current Year	3351698	OtherRevenueCurrentYear
Total Revenue Prior Year	142838375	TotalRevenuePriorYear
Total Revenue Current Year	153582304	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2000	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	57901595	SalariesEtcPriorYear
Salaries Etc Current Year	61586322	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	73599063	OtherExpensePriorYear
Other Expenses Current Year	78521375	OtherExpensesCurrentYear
Total Expenses Prior Year	131502658	TotalExpensesPriorYear
Total Expenses Current Year	140107697	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	11335717	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	13474607	RevenuesLessExpensesCY
Total Assets BOY	175439921	TotalAssetsBOY
Total Assets EOY	187847906	TotalAssetsEOY
Total Liabilities BOY	10523697	TotalLiabilitiesBOY
Total Liabilities EOY	9457075	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	164916224	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	178390831	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	125594256	Expense
Revenue	146717426	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	125594256	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	true	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	87	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1229	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	16	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
DENA DEMAREE
BOARD MEMBER	3.0	X	0	3450	0
JUDY HAMMONS
BOARD MEMBER	3.0	X	0	3150	0
DAVID HOPPER MD
BOARD MEMBER	3.0	X	0	3000	0
JAMES JACOBUS
VICE CHAIR	3.0	X	0	3600	0	X
MARK MORGAN
BOARD MEMBER	3.0	X	0	3600	0
KIM RAGLAND PH D
BOARD MEMBER	3.0	X	0	3150	0
JOHN CUNY
BOARD MEMBER	3.0	X	0	3450	0
BOB ROWLAND
TREASURER	3.0	X	0	3600	0	X
WILLIAM RUTH III
CHAIR	3.0	X	0	3600	0	X
REV QUENTIN SCHOLTZ III
BOARD MEMBER	3.0	X	0	3600	0
SHEREE GILLIAM
BOARD MEMBER	3.0	X	0	4950	0
DALE KIHLMAN
SECRETARY	3.0	X	0	3150	0	X
DONALD HAMNER MD
BOARD MEMBER	3.0	X	7825	3450	0
ERIC GUERRANT MD
BOARD MEMBER	3.0	X	2000	900	0
RODNEY BATES MD
BOARD MEMBER	3.0	X	0	3450	0
GARY AHNQUIST MD
BOARD MEMBER	3.0	X	3334	2550	0
WILLIAM SNAPP
VP & CFO	30.0		0	274413	92837	X
VICKI DARNELL
CEO	30.0		0	458504	144173	X
SALLY DAVENPORT
VP & CNO	40.0		196767	0	91976		X
CARL METZ
VP HUMAN RESOURCES	40.0		193797	0	56471		X
MICHELLE FRALEY
PHARMACIST	40.0		125483	0	35948			X
JOAN HALTOM
PHARMACY DIRECTOR	40.0		162038	0	38482			X
RONALD BARBATO
REHAB DIRECTOR	40.0		140718	0	37030			X
ANDREW LOSCH
PHARMACIST	40.0		142982	0	17657			X
TINA COOLEY
PHARMACIST	40.0		139424	0	12116			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1114368	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	785567	TotalReportableCompFrmRltdOrgs
Total Other Compensation	526690	TotalOtherCompensation
Number Individuals GT100 K	34	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	1013890
KENTUCKY BLOOD CENTER
3121 BEAUMONT CENTER CIRCLE	LEXINGTON	KY	40512	BLOOD SERVICES	739665
LOGAN HEALTHCARE LINEN DIVISION
PO BOX 643958	CINCINNATI	OH	45264	LINEN SERVICES	484073
MARSHALL EMERGENCY SERVICES
4104 TATES CREEK CTR STE 194	LEXINGTON	KY	40517	PHYSICIAN SERVICES	811776
EMPIRE CONSTRUCTION
3611 GENTRY LANE	DANVILLE	KY	40422	CONSTRUCTION SERVICE	399431

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	19	NumberOfContractorsGT100K
Related Organizations	297756	RelatedOrganizations
All Other Contributions	5652	AllOtherContributions
Total Contributions	303408	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUE	621110	144690936	141853329	2837607
PHARMACY REVENUE	446110	2392524	2369031	23493
JOINT VENTURE INCOME	621110	2199637	2199637
OTHER OPERATING	621110	295429	295429
REFERENCE LAB	621400	347158		347158

Field	Value	IRS element (for citing)
Total Program Service Revenue	149925684	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	68212	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	68212	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	68212	TotalRevenueColumn
Exclusion	$68,212	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	1947	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	447	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	1500	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1500	TotalRevenueColumn
Exclusion	$1,500	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
EHR INCENTIVE	900099	2200000	$2,200,000
VENDING COMMISSION	722210	15335	$15,335
CAFETERIA	722210	668301	$668,301

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	399850	TotalRevenueColumn
Exclusion	$399,850	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	3283486	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	153582304	TotalRevenueColumn
Related Or Exempt Function Income	146717426	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3208258	UnrelatedBusinessRevenue
Exclusion	$3,353,212	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	582429	Total
Management And General	582429	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	45752674	Total
Program Services	40653979	ProgramServices
Management And General	5098695	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2474981	Total
Program Services	2173141	ProgramServices
Management And General	301840	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	9085285	Total
Program Services	7977275	ProgramServices
Management And General	1108010	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3690953	Total
Program Services	3240817	ProgramServices
Management And General	450136	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	59656	Total
Management And General	59656	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	17682015	Total
Program Services	15419627	ProgramServices
Management And General	2262388	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	11179	Total
Program Services	7705	ProgramServices
Management And General	3474	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5316937	Total
Program Services	4314224	ProgramServices
Management And General	1002713	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1424745	Total
Program Services	301226	ProgramServices
Management And General	1123519	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2057276	Total
Program Services	1922927	ProgramServices
Management And General	134349	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	116714	Total
Program Services	78068	ProgramServices
Management And General	38646	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	97407	Total
Program Services	43816	ProgramServices
Management And General	53591	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1375612	Total
Program Services	1363944	ProgramServices
Management And General	11668	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	7648636	Total
Program Services	7648636	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	683053	Total
Program Services	3896	ProgramServices
Management And General	679157	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	21863497	21863497
BAD DEBTS	13742891	13742891
TAXES & LICENSES	2358603	2303533	55070
REPAIRS & MAINTENANCE	3058966	2460665	598301

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1024188	Total
Program Services	74389	ProgramServices
Management And General	949799	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	140107697	Total
Program Services	125594256	ProgramServices
Management And General	14513441	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2240	BOY
EOY	2515	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	105535	BOY
EOY	102180	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	12528065	BOY
EOY	13656051	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	3192815	BOY
EOY	3521506	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1190808	BOY
EOY	1185148	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	161189393	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	98577400	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	65517075	BOY
EOY	62611993	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	1431712	BOY
EOY	1036350	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	91471671	BOY
EOY	105732163	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	175439921	BOY
EOY	187847906	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	9784580	BOY
EOY	9457075	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	739117	BOY
EOY	0	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	10523697	BOY
EOY	9457075	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	164897934	BOY
EOY	178373041	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	18290	BOY
EOY	17790	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	164916224	BOY
EOY	178390831	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	175439921	BOY
EOY	187847906	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	13474607	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	$13,189	OtherActivitiesAmount
Total Lobbying Expenditures IIB	13189	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

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	69070973	OtherCostOrOtherBasis
Depreciation	30727832	Depreciation
Book Value	38343141	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2829252	OtherCostOrOtherBasis
Depreciation	1698983	Depreciation
Book Value	1130269	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	82113950	OtherCostOrOtherBasis
Depreciation	64778023	Depreciation
Book Value	17335927	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4821453	OtherCostOrOtherBasis
Depreciation	1372562	Depreciation
Book Value	3448891	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	62611993	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
Scholarship Account	18501
Physician Income Guarantee	312885
Due from Related Parties	105341517
DUE FROM THIRD PARTY PAYERS	59260

Field	Value	IRS element (for citing)
Total Book Value Other Assets	105732163	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability
Total Of Amounts	0	TotalOfAmounts
Total Revenue	153582304	TotalRevenue
Total Expenses	140107697	TotalExpenses
Excess Or Deficit For Year	13474607	ExcessOrDeficitForYear
Excess Or Deficit Per FS	13474607	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	139534505	TotRevenueEtcAuditedFinclStmt
Other Revenues	-13742891	OtherRevenues
Revenue Not Rptd F990	-13742891	RevenueNotRptdF990
Revenue Subtotal	153277396	RevenueSubtotal
Other Revenues Not Included	304908	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	304908	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	153582304	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	126059898	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	-304908	OtherExpensesIncluded
Expenses Not Rptd F990	-304908	ExpensesNotRptdF990
Expenses Subtotal	126364806	ExpensesSubtotal
Other Expenses Not Included	13742891	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	13742891	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	140107697	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
RECONCILIATION TO AUDIT REPORT	SCH D, PART XII & XIII	--------------------------- PART XII LINE 2D OTHER ITEMS INCLUDED ON LINE 1 BUT NOT ON 990 PART VIII: ---------------- BAD DEBT EXPENSE NETTED AGAINST REVENUE PER AUDIT (13,742,891) PART XII LINE 4B AMOUNTS INCLUDED IN 990 PART VIII BUT NOT ON LINE 1: ---------------- CONTRIBUTION REV INCLUDED IN EXPENSE PER AUDIT 303,408 GAIN ON SALE OF ASSETS INCLUDED IN EXPENSE PER AUDIT 1,500 --------- 304,908 PART XIII LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON 990 PART IX: ---------------- CONTRIBUTION REV INCLUDED IN EXPENSE PER AUDIT 303,408 GAIN ON SALE OF ASSETS INCLUDED IN EXPENSE PER AUDIT 1,500 -------- 304,908 PART XIII LINE 4B AMOUNTS INCLUDED ON 990 PART IX BUT NOT ON LINE 1: ---------------- BAD DEBT EXPENSE NETTED AGAINST REVENUE PER AUDIT 13,742,891
INCOME TAXES	SCH D, PART X, LINE 2	--------------------------- THE CORPORATION AND CERTAIN AFFILIATES (MEDICAL CENTER, RESOURCE, FOUNDATION, FORT LOGAN AND ACP) HAVE BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE CORPORATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. CONSOLIDATED SUBSIDIARIES THAT ARE NOT EXEMPT FROM INCOME TAXES HAD NO MATERIAL TAX LIABILITY. THE CORPORATION FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. WITH A FEW EXCEPTIONS, THE CORPORATION IS NO LONGER SUBECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2009.

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
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	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	5024450	TotalCommunityBenefitExpense
Net Community Benefit Expense	5024450	NetCommunityBenefitExpense
Percent Of Total Expense	0.04000	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	15305851	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12581991	DirectOffsettingRevenue
Net Community Benefit Expense	2723860	NetCommunityBenefitExpense
Percent Of Total Expense	0.02170	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	20330301	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12581991	DirectOffsettingRevenue
Net Community Benefit Expense	7748310	NetCommunityBenefitExpense
Percent Of Total Expense	0.06170	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	447	NumberOfActivitiesOrPrograms
Persons Served	18770	PersonsServed
Total Community Benefit Expense	1059007	TotalCommunityBenefitExpense
Net Community Benefit Expense	1059007	NetCommunityBenefitExpense
Percent Of Total Expense	0.00840	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	576	PersonsServed
Total Community Benefit Expense	4751925	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4323820	DirectOffsettingRevenue
Net Community Benefit Expense	428105	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	10	PersonsServed
Total Community Benefit Expense	132	TotalCommunityBenefitExpense
Net Community Benefit Expense	132	NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	504	NumberOfActivitiesOrPrograms
Persons Served	30038	PersonsServed
Total Community Benefit Expense	5811064	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4323820	DirectOffsettingRevenue
Net Community Benefit Expense	1487244	NetCommunityBenefitExpense
Percent Of Total Expense	0.01180	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	506	NumberOfActivitiesOrPrograms
Persons Served	30038	PersonsServed
Total Community Benefit Expense	26141365	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16905811	DirectOffsettingRevenue
Net Community Benefit Expense	9235554	NetCommunityBenefitExpense
Percent Of Total Expense	0.07350	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$13,742,891	BadDebtExpenseAmount
Amount Attributable To	12060149	AmountAttributableTo
Amount Reimbursed By Medicare	46504279	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	52232514	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-5728235	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 CENTER	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 CENTER	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
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 (11 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 $13,742,891.
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.

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	false	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 (9 entries)

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
0	232219	0	29959	0	12235	0	66979	0	25858	0	367250	0	29959
VICKI DARNELL
0	386204	0	45486	0	26814	0	112386	0	31787	0	602677	0	45486
SALLY DAVENPORT
176624	0	14959	0	5184	0	74321	0	17655	0	288743	0	14959	0
CARL METZ
163938	0	13509	0	16350	0	38007	0	18464	0	250268	0	13509	0
MICHELLE FRALEY
125386	0	0	0	97	0	10562	0	25386	0	161431	0	0	0
JOAN HALTOM
151899	0	8221	0	1918	0	23228	0	15254	0	200520	0	8221	0
RONALD BARBATO
126209	0	7361	0	7148	0	21620	0	15410	0	177748	0	7361	0
ANDREW LOSCH
136747	0	0	0	6235	0	11116	0	6541	0	160639	0	0	0
TINA COOLEY
139143	0	0	0	281	0	11194	0	922	0	151540	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	MANAGEMENT INCENTIVE PLANS	Identifier
Return Reference	Schedule J, Part I, Question 6a	ReturnReference
Explanation	------------------------- 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.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (27 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	--------------------------- THE GOVERNING BOARD MEMBERS FILL OUT CONFLICT OF INTEREST FORMS ANNUALLY.
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, volunteer/auxiliary, women's health services and wound healing center. Ephraim McDowell Regional Medical Center for Fiscal Year 2012 experienced 7,512 admissions and 35,040 patient days or a .29% increase in admissions and a 3.03% decrease in patient days as compared to 2011. Observation patient days for 2012 totaled 2,429 vs. 2,225, a 9.17% increase over 2011 volume. Outpatient registrations (including ER visits) increased 2.14% to 122,536 as compared to 119,966 in 2011. Surgical procedures at EMRMC fell 19% to 5,155 as compared to 2011 volume of 6,359. The ambulatory surgical center volume increased 3.6% to 6,614 procedures vs. 6,387 in 2011. Community Health Education --------------------------- Cancer Education - One thousand five hundred individuals participated in skin cancer awareness events at Millinum Park and Garrard County Party on the Square. EPA sun safety literature, sun screen and lip balm with sun screen was distributed to re-enforce the message of sun safety. Funding was provided by Ephraim McDowell Health Care Foundation (EMHCF). CPR/First Aid - Ephraim McDowell Health Care Foundation (EMHCF) funded CPR/AED/First Aid education for seventy-one 9th Grade Academy students in Mercer County. 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 637 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 148 events at 58 sites in Boyle, Lincoln, Garrard, Mercer, Casey, and Washington Counties with focus on reaching at risk and vulnerable populations. Including all programs 36,459 community contacts occurred (screenings, education, support groups, awareness events, etc.). Forty-five percent of participants were male; 55 percent were female. Ninety-three percent of clients served were Caucasian, seven percent were African America and less than one percent were other; this reflects the population of the region. Over seventy percent of participants served within our health ministries programs had a household income below $35,000; total population 56% had a household income less than $35, 000. Twenty-six percent were unemployed that were served within the health ministries program; 20 percent of the total population served was unemployed. Five percent of the participants within the health ministries program were retired, compared to 25 percent in the total population served. Fifteen percent of those served were uninsured. Twenty-seven percent of those served through the health ministries program did not have a primary care provider compared to 15 percent of all participants served. A registered nurse (RN) met with each client to develop a written plan to decrease their life style associated 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. Forty-six percent of screening tests were abnormal with 25 percent requiring a referral to primary care. Parish Nursing Program - Grant funding from Ephraim McDowell Health Care Foundation, O'Donnell Scholars, Northwestern Mutual Insurance and Margaret T. Stoeckinger Foundation made possible the Faith Community Nursing educational programs. The Faith Community Nursing Foundation Course in the spring of 2012 with 19 graduates and an Advanced Faith Community Nursing Module: Mental Health First Aid in the fall of 2012. This was the first time Mental Health First Aid has been offered in the service area. Twenty-four participants 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 Central Baptist Hospital Magnet committee regarding a hospital based faith community nursing service. There were 16 participants representing multiple disciplines including volunteers, chaplain, nursing, senior leadership and others. FCN faculty also served as faculty for the Tri-State Foundations Course in Southern Indiana. Nineteen participants completed the program. FCN faculty met with members of Trinity Episcopal Church in Danville regarding decisions related to aging in place, such as, home safety, living will, management of chronic disease, etc. Continuing education was provided for 8 area FCNs with CEUs related to the revised scope and standards of practice. Seventy-two participants have completed the faith community nursing foundations course since its inception at EMRMC in 2009 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 150 community patrons on opening night, an additional 650 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. 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 3,450 youth from Mercer, Boyle, Casey, Garrard, Lincoln, Powell, Estill, Jessamine counties were served through these venues. Speakers Bureau (Health Topics) - The speakers' bureau reached 2,360 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 eighteen sites across the commonwealth. Community Health Education -Self Help -------------------------------------- Fitness/Exercise Nutrition/Weight Management - Twenty-one teens participated in pilot program sponsored by 4-H and Community Service. The focus was to help teens make healthy choices, control portions, food handling principles, and prep. The group celebrated by eating what they prepared. Tobacco/Smoking Cessation - Two hundred thirty nine individuals were referred to the area health departments for smoking cessation assistance. This is a sixteen percent referral rate. 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 2013 session.
PROGRAM SERVICE ACCOMPLISHMENTS (CONT)		Community Health Education - Support Groups ------------------------------------------ Alzheimer's - Twelve Alzheimer's Support Group meetings were facilitated by an advanced practice mental health practitioner. The average attendance was eight participants. The group serves both patients and care-givers/family. 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 47 sites, serving 1,269 individuals. Eighty-one 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. Cancer -Colorectal Screening - The Ephraim McDowell Health Care Foundation (EMHCF) funded colorectal screening at 25 sites for a total distribution of 369 kits with a 42 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 two percent referral rate. Cancer -Mammography/Breast - A HRSA Outreach grant funded a fourth year for screening and early detection of breast cancer through the Woman to Woman program in the six county service area. There were seventy-seven mammograms provided through the outreach service in partnership with the six county health departments. Cancer- Skin Screening - The Ephraim McDowell Health Care Foundation (EMHCF) funded skin cancer screening by a licensed independent practitioner during May and June. One hundred thirteen individuals were seen. Seventy percent were female; 30 percent male. Sixty-two percent stated on an exit survey that they would not have seen their doctor for a skin cancer screen even though 89 percent had a primary care provider. Forty-two percent were referred to a specialist for follow-up care. Cholesterol Testing - Total cholesterol was measured for 1,020 clients in six counties at 36 sites within health ministries and community settings (excludes grant projects) with 32 percent of participants exceeding the recommend range as set by AHA. Within the lipid panel 60 percent of participants had one or more measure outside the recommended 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. .Two hundred ninety-six individuals were screened at 7 sites with 36 percent of participants were referred to their primary care provider for follow-up care. Diabetes Screening - Participants were screened at 36 sites in six counties (excluding grant projects) for diabetes. Twenty-eight percent of the 1,006 individuals screened had a glucose level that exceeded the recommend level by the American Diabetes Association (ADA). No one was below the recommended level. This is one of three screening measures that has resulted in immediate referral and transport to emergency care. Mental Health/Depression Screening - The Beck Depression Scale was used to screen for depression in at risk groups at six sites involving 95 individuals. Eight individuals (8%) were referred for follow-up by a mental health provider. Nutrition/Obesity Screening - Height, weight, percent body fat, calculated body mass index (BMI) was offered at 43 sites in six counties with 1,053 adult participants. Seventy-five percent of the participants exceeded the recommend range. 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 Two hundred seventy-five clients were screened for signs and symptoms of sleep apnea or sleepiness using the Kentucky Sleep Society assessment tool. Fifteen 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. Women's Health Screening - Funding by HRSA Outreach grant contributed $94,931 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 - RN consult Other providers were present to offer services such as Heritage Hospice and Coventry Medicaid brokers. Community-Based Clinical Services-Immunizations -------------------------------------------------- Flu Shots - Flu shots were administered at 15 sites in Mercer, Lincoln, Boyle, Garrard, and Washington Counties to 327 individuals age 12 and above. Primary sites were churches and the stockyards. Community-Based Clinical Services-Nonbilled/Reduced -fee Clinic (Hospital Based) -------------------------------------- Hope Clinic & Pharmacy - served 255 patients and provided 888 clients visits for chronic disease management, a record. Eighty-one individuals were screened by The Salvation Army for Hope Clinic; 77 were seen. 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.
PROGRAM SERVICE ACCOMPLISHMENTS (CONT)		Health Professions Education ----------------------------- Continuing Health Professions Education Interns, Residents and Fellows - EMRMC did not have medical school interns or residents in FY 2012. Medical Students - Twenty seven medical students rotated through emergency services, anesthesia or surgical services with EMRMC medical staff mentors. Nursing - Two hundred ninety six nursing students completed their clinical or practicum at EMRMC in FY 2012. Educational partners included Campbellsville University, University of Kentucky, Eastern Kentucky University, Midway College, Kentucky State University, and Bluegrass Community & Technical College,. Other Allied Health Professions - Forty-three individuals enrolled and 41 completed the Medicare CNA course with a pass rate of 92 percent. Clinical instruction hours totaled. EMRMC served as a clinical site for students from multiple disciplines from the following institutions: Eastern Kentucky University, University of Kentucky, St. Catherine's College, Midway College, Central Kentucky Technical College, Lindsay Wilson College, Kentucky State University, Indiana Wesleyan, Campbellsville University and University of Louisville health sciences. 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 nine individuals were screened by this project in FY 2012. 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, 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 568 tests completed, with 47% of test results exceeding the recommended range and 17 referrals for follow by primary care providers. Forty-eight individuals consented to participate in the study with follow-up by an RN. These services were funded by HRSA at a cost of $26,915. Good Samaritan Foundation- Group Visits for Management of Chronic Disease in a Rural Free Clinic - This grant funding cycle begin in August of 2012, therefore there were only two groups formed - one for hypertension and one for diabetes. A total of fifteen clients were enrolled in the study. HeartHealth Study Phase II - This grant was funded through a sub-award from University of Kentucky. Biometric testing with the grant included: cholesterol, ratio HDL/LDL, HDL, LDL, triglycerides, dental assessment, A1C, heart sensitive C-reactive protein, height, weight, body mass index, waist circumference, obesity (European caliper measurement). An additional option was to participate in the gene typing for those whose risk did not respond to standard interventions. Another option was to participate in the lycopene study if C-reactive protein was elevated. A total of 10,682 biometric tests were completed. Self-reported measures include family history, medication history, diet history, behavioral questionnaire, symptom inventory, health views, MOS-SAS, perceived social support scale, patient health questionnaire, SF-12 v2 questionnaire, Crandell Cognition Inventory, family caregiver questionnaire, and ice cream label reading test. Funding was provided through a HRSA grant sub-award from UK. The total cost of services in 2012 was $101,208. Financial Donations for the Community - In Kind ---------------------------------------------- Personnel/Administrative Support - Information Systems Specialist provided SKYPE setup to assist the Heart of Danville in their search for a Director at no charge to the community for labor or materials. The result was an expedited search at a lower cost to the community and less time for the 10 volunteer community board members. 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. A total of 75 individuals were involved in the conference planning process. Community Health Improvement Advocacy - Community Service Staff served on the boards of 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 to focus on public health issues in rural Kentucky. Community Service Staff served on the executive, governance, and workforce committees for Christian Care Communities 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. 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 three 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 Benefit Operations ----------------------------- Dedicated Staff - There was a dedicated staff of 4 full time staff plus flex RNs and Technicians that work as needed within the community service department and funded by the health system. The staff was comprised of a grant writer, children's programs coordinator, faith community nursing coordinator and the executive director. Total salary expense for dedicated community benefit staff was $280,916 for FY 2012. There was a part-time RN project director dedicated to the to the HeartHealth Phase II Program funded through a UK grant sub-award plus one full time RN and two part time RNs The HeartHealth Phase II program expenses were $101,208 in FY 2012.There was a part-time RN project director dedicated to the to the. Healthy People: Health Community research and outreach program funded by the HRSA outreach grant.$26,915. There is a full time project director for the Woman to Woman HRSA Outreach grant. Granted funded expenses for FY 2012 were$111,891. There was a full time program director for the University of Kentucky Center for Rural Health - Danville that worked on outreach and access issues and funded by a UK grant. UK Rural Health Center - Danville had expenses of $94,931 for FY 2012. All report to community services and share space and office and resources. The SANE grant funded the purchase of equipment and supplies to expand sexual assault services to Ephraim McDowell Fort Logan at a cost of $36,732. This expands services in the region for victims of sexual assault.
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DENA DEMAREE TITLE:BOARD MEMBER HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JUDY HAMMONS TITLE:BOARD MEMBER HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAVID HOPPER MD TITLE:BOARD MEMBER HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES JACOBUS TITLE:VICE CHAIR HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MARK MORGAN TITLE:BOARD MEMBER HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KIM RAGLAND PH D TITLE:BOARD MEMBER HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOHN CUNY TITLE:BOARD MEMBER HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:BOB ROWLAND TITLE:TREASURER HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:WILLIAM RUTH III TITLE:CHAIR HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:REV. QUENTIN SCHOLTZ III TITLE:BOARD MEMBER HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:SHEREE GILLIAM TITLE:BOARD MEMBER HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DALE KIHLMAN TITLE:SECRETARY HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DONALD HAMNER MD TITLE:BOARD MEMBER HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ERIC GUERRANT MD TITLE:BOARD MEMBER HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:RODNEY BATES MD TITLE:BOARD MEMBER HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:GARY AHNQUIST MD TITLE:BOARD MEMBER HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:WILLIAM SNAPP TITLE:VP & CFO HOURS:29
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:VICKI DARNELL TITLE:CEO HOURS:29

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)
Address Line1	217 S 3RD	AddressLine1
City	DANVILLE	City
State	KY	State
ZIP Code	40422	ZIPCode

Field	Value	IRS element (for citing)
EIN	371509373	EIN
Primary 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	2069303	ShareOfTotalIncome
Share Of EOY Assets	2904660	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	Percentage OwnershipPercentageOwnership
COOPERATIVECARE INC
217 SOUTH THIRD STREET	DANVILLE	KY	40422	611265715	CONTRACTING SERV	KY	NA	C	0	0	0.00000
EPHRAIM MCDOWELL SERVICES INC
217 SOUTH THIRD STREET	DANVILLE	KY	40422	611339437	MGT SERVICES	KY	NA	C	0	0	0.00000

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	O	TransactionType
Amount Involved	11032097	AmountInvolved
Method Of Amt Determination	fmv	MethodOfAmtDetermination