Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $256,391

• 2a · Program service revenue: PATIENT REVENUE

  total $231,378,598 · related or exempt $231,345,962 · unrelated business $32,636

• 2b · Program service revenue: PHARMACY REVENUE

  total $7,208,604 · related or exempt $7,208,604

• 2c · Program service revenue: JOINT VENTURE INCOME

  total $1,650,877 · related or exempt $1,650,877

• 2d · Program service revenue: MEDSOURCE REVENUE

  total $14,552,149 · related or exempt $13,618,155 · unrelated business $933,994

• 2e · Program service revenue: OTHER OPERATING

  total $705,119 · related or exempt $705,119

• 2f · All other program service revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $85,422 · excluded $85,422

• 6a · Gross rents

  real property $650,366

• 6c · Rental income or loss

  real property $650,366 · personal property $0

• 6d · Net rental income or loss

  total $650,366 · excluded $650,366

• 7c · Gain or loss

  securities $0 · other assets $0

• 11a · Other revenue: CAFETERIA

  total $600,318 · excluded $600,318

• 11b · Other revenue: ALL OTHER MISC REVENUE

  total $144,172 · excluded $144,172

• 11c · Other revenue: VENDING COMMISSION

  total $13,912 · excluded $13,912

• 11d · All other revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 11e · Other revenue, total

  $758,402

Functional expenses

Part IX, the statement of functional expenses.

• 5 · Compensation of officers, directors and key employees

  total $815,827 · management and general $815,827

• 7 · Other salaries and wages

  total $80,878,407 · program services $69,733,736 · management and general $11,144,671

• 8 · Pension plan contributions

  total $3,481,668 · program services $2,975,544 · management and general $506,124

• 9 · Other employee benefits

  total $8,594,137 · program services $6,541,634 · management and general $2,052,503

• 10 · Payroll taxes

  total $5,409,888 · program services $4,527,355 · management and general $882,533

• 11c · Fees: accounting

  total $138,211 · management and general $138,211

• 11g · Fees: other

  total $49,079,187 · program services $41,258,053 · management and general $7,821,134 · fundraising $0

• 12 · Advertising and promotion

  total $26,425 · program services $22,593 · management and general $3,832

• 13 · Office expenses

  total $6,074,815 · program services $4,255,058 · management and general $1,819,757

• 14 · Information technology

  total $3,535,877 · program services $515,308 · management and general $3,020,569

• 16 · Occupancy

  total $3,404,409 · program services $1,303,394 · management and general $2,101,015

• 17 · Travel

  total $64,747 · program services $42,175 · management and general $22,572

• 19 · Conferences, conventions and meetings

  total $185,637 · program services $161,950 · management and general $23,687

• 20 · Interest

  total $1,552,171 · program services $1,552,171

• 22 · Depreciation, depletion and amortization

  total $8,635,413 · program services $8,635,413

• 23 · Insurance

  total $1,589,242 · program services $16,310 · management and general $1,572,932

• 24a · Other expenses: MEDICAL SUPPLIES

  total $63,383,288 · program services $63,383,288

• 24b · Other expenses: PROVIDER TAXES

  total $8,149,719 · program services $8,149,719

• 24c · Other expenses: REPAIRS & MAINTENANCE

  total $5,198,713 · program services $3,459,500 · management and general $1,739,213

• 24d · Other expenses: SHARED RESOURCE ALLOCATION

  total $2,103,904 · program services $2,103,904

• 24e · All other expenses

  total $1,988,312 · program services $466,755 · management and general $1,521,557 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $72,055 · end of year $65,485

• 2 · Savings and temporary cash investments

  beginning of year $131,006 · end of year $132,359

• 4 · Accounts receivable

  beginning of year $23,237,371 · end of year $26,338,311

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 8 · Inventories for sale or use

  beginning of year $9,842,713 · end of year $10,759,009

• 9 · Prepaid expenses and deferred charges

  beginning of year $2,690,219 · end of year $3,149,151

• 10a · Land, buildings and equipment: cost or other basis

  $209,959,959

• 10b · Land, buildings and equipment: accumulated depreciation

  $155,773,614

• 10c · Land, buildings and equipment, net

  beginning of year $53,326,879 · end of year $54,186,345

• 12 · Investments: other securities

  beginning of year $0

• 13 · Investments: program-related

  beginning of year $1,362,622 · end of year $1,498,714

• 15 · Other assets

  beginning of year $223,441,775 · end of year $220,442,083

• 17 · Accounts payable and accrued expenses

  beginning of year $15,785,520 · end of year $16,515,113

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $10,390,419 · end of year $8,889,828

• 27 · Net assets without donor restrictions

  beginning of year $287,913,911 · end of year $291,151,726

• 28 · Net assets with donor restrictions

  beginning of year $14,790 · end of year $14,790

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

THE CEO IS COMPENSATED BY EPHRAIM MCDOWELL HEATH, INC. (EMH), A RELATED ORGANIZATION. EMH USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

Schedule J, Part I, Line 4a Severance or change-of-control payment

WILLIAM SNAPP, III LEFT EPHRAIM MCDOWELL IN JUNE 2021. HIS SEVERANCE OF $241,786 WAS REPORTED IN HIS W-2.

Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization

EMRMC IS AN AFFILIATE OF EPHRAIM MCDOWELL HEALTH, INC. WHICH HAS MANAGEMENT INCENTIVE PLANS FOR CORPORATE OFFICERS, SENIOR VICE-PRESIDENTS, VICE-PRESIDENTS, AND DIRECTORS. ANNUAL PAYOUTS RELATED TO THESE INCENTIVE PLANS HAVE TWO COMPONENTS. 30% OF THE ANNUAL PAYOUT IS BASED ON NET OPERATING INCOME GOALS COMPARED TO BUDGET. THE OTHER 70% IS BASED ON QUALITY MEASURES, PATIENT SATISFACTION GOALS, ASSOCIATE SATISFACTION GOALS, AND SAFETY MEASURES.

Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organization

EMRMC IS AN AFFILIATE OF EPHRAIM MCDOWELL HEALTH, INC. WHICH HAS MANAGEMENT INCENTIVE PLANS FOR CORPORATE OFFICERS, SENIOR VICE-PRESIDENTS, VICE-PRESIDENTS, AND DIRECTORS. ANNUAL PAYOUTS RELATED TO THESE INCENTIVE PLANS HAVE TWO COMPONENTS. 30% OF THE ANNUAL PAYOUT IS BASED ON NET OPERATING INCOME GOALS COMPARED TO BUDGET. THE OTHER 70% IS BASED ON QUALITY MEASURES, PATIENT SATISFACTION GOALS, ASSOCIATE SATISFACTION GOALS, AND SAFETY MEASURES.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• CENTRAL KENTUCKY SURGERY CENTER

  Related · MEDICAL SERVICES · KY · share of income $1,900,678 · share of assets $2,105,771

  Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• COOPERATIVECARE INC

  C Corporation · CONTRACTING SVCS · KY · share of income $0 · share of assets $0

  Directly controlled by NA