Totals
- Total revenue
- $11,558,146
- Total expenses
- $7,664,998
- Contributions and grants received
- $43,502
- Grants paid
- $40,924
- Program service revenue
- $3,202,491
- Investment income
- $8,290,033
- Other revenue
- $22,120
- Total assets, end of year
- $260,372,005
- Total liabilities, end of year
- $247,789,212
- Net assets or fund balances, end of year
- $12,582,793
- Program services expenses (Part IX)
- $7,664,998
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $7,664,998
Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1d · Related organizations
$43,502
-
2a · Program service revenue: SHARED SVCS PROVIDED TO AFFILIATED ORGS
total $3,202,491 · related or exempt $3,202,491
-
2f · All other program service revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
3 · Investment income
total $6,796,401 · excluded $6,796,401
-
6c · Rental income or loss
real property $0 · personal property $0
-
7a · Gross sales of assets other than inventory
securities $8,875,043
-
7b · Less cost or other basis and sales expenses
securities $7,381,411
-
7c · Gain or loss
securities $1,493,632 · other assets $0
-
7d · Net gain or loss
total $1,493,632 · excluded $1,493,632
-
11a · Other revenue: Other Income
total $22,120 · related or exempt $22,120
-
11d · All other revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
11e · Other revenue, total
$22,120
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $22,924 · program services $22,924
-
2 · Grants to domestic individuals
total $18,000 · program services $18,000
-
5 · Compensation of officers, directors and key employees
total $2,575,196 · program services $2,575,196
-
7 · Other salaries and wages
total $784,324 · program services $784,324
-
8 · Pension plan contributions
total -$736,973 · program services -$736,973
-
9 · Other employee benefits
total -$37,391 · program services -$37,391
-
10 · Payroll taxes
total $169,034 · program services $169,034
-
11b · Fees: legal
total $1,972,035 · program services $1,972,035
-
11c · Fees: accounting
total $1,290 · program services $1,290
-
11f · Fees: investment management
total $163,611 · program services $163,611
-
11g · Fees: other
total $506,092 · program services $506,092 · management and general $0 · fundraising $0
-
12 · Advertising and promotion
total $501,543 · program services $501,543
-
13 · Office expenses
total $874,177 · program services $874,177
-
14 · Information technology
total $5,947 · program services $5,947
-
16 · Occupancy
total $488,849 · program services $488,849
-
17 · Travel
total $5,620 · program services $5,620
-
19 · Conferences, conventions and meetings
total $80,674 · program services $80,674
-
22 · Depreciation, depletion and amortization
total $3,459 · program services $3,459
-
23 · Insurance
total $110,563 · program services $110,563
-
24a · Other expenses: Dues
total $59,439 · program services $59,439
-
24b · Other expenses: Physician Recruitment
total $37,201 · program services $37,201
-
24c · Other expenses: Administration Misc
total $28,217 · program services $28,217
-
24d · Other expenses: Employee Recruitment
total $23,375 · program services $23,375
-
24e · All other expenses
total $7,792 · program services $7,792 · management and general $0 · fundraising $0
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $935,505 · end of year $0
-
2 · Savings and temporary cash investments
beginning of year $128,963,996 · end of year $141,473,938
-
4 · Accounts receivable
beginning of year -$16,004 · end of year -$16,706
-
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
-
9 · Prepaid expenses and deferred charges
beginning of year $1,027,118 · end of year $962,195
-
10a · Land, buildings and equipment: cost or other basis
$11,190,293
-
10b · Land, buildings and equipment: accumulated depreciation
$1,083,777
-
10c · Land, buildings and equipment, net
beginning of year $10,693,975 · end of year $10,106,516
-
11 · Investments: publicly traded securities
beginning of year $94,274,201 · end of year $107,499,472
-
12 · Investments: other securities
beginning of year $0
-
13 · Investments: program-related
beginning of year $334,363 · end of year $223,555
-
15 · Other assets
beginning of year $2,189,226 · end of year $123,035
-
17 · Accounts payable and accrued expenses
beginning of year $10,149,569 · end of year $5,572,725
-
20 · Tax-exempt bond liabilities
beginning of year $34,880,856 · end of year $33,010,856
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $192,557,548 · end of year $209,205,631
-
27 · Net assets without donor restrictions
beginning of year $814,407 · end of year $12,582,793
Mission and programs · 2023
Mission
EPHRAIM MCDOWELL HEALTH IS COMMITTED TO HELPING PEOPLE LIVE HEALTHIER THROUGH QUALITY HEALTH CARE, TRUSTING RELATIONSHIPS, AND PROVIDING VALUE TO THE PEOPLE WE SERVE.
-
THE EPHRAIM MCDOWELL HEALTH SYSTEM IS A COMPREHENSIVE, INTEGRATED HEALTHCARE DELIVERY SYSTEM THAT SERVICES MORE THAN 119,000 RESIDENTS FROM SIX COUNTIES IN CENTRAL KENTUCKY. OUR COMPREHENSIVE RANGE OF MEDICAL SERVICES INCLUDES THE REGION'S MOST ADVANCED TECHNOLOGY AND SKILLED HEALTH CARE PROVIDERS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
Expenses $7,664,998 · Revenue $3,224,611
As filed on the 2023 return.
Listed in Part VII
-
Daniel McKayDANIEL MCKAY
PRESIDENT & CEO
- Total calculated
- $909,661
- From this org
- $846,887
- From related orgs
- $0
- Other
- $62,774
- Hours/week
- 20 + 40 related
Schedule J breakdown matched by us
- Base
- $653,236
- Bonus
- $164,448
- Other
- $29,203
- Deferred
- $26,400
- Nontaxable benefits
- $36,374
- Filer's total
- $909,661
-
David GrigsonDAVID GRIGSON
TREASURER
- Total calculated
- $3,300
- From this org
- $3,300
- From related orgs
- $0
- Other
- $0
- Hours/week
- 5 + 15 related
-
David Montgomery MDDAVID MONTGOMERY MD
MEDICAL STAFF VICE PRESIDENT
- Total calculated
- $750
- From this org
- $750
- From related orgs
- $0
- Other
- $0
- Hours/week
- 5 + 15 related
-
Eric Guerrant MDERIC GUERRANT MD
VICE CHAIR
- Total calculated
- $7,300
- From this org
- $7,300
- From related orgs
- $0
- Other
- $0
- Hours/week
- 5 + 15 related
-
Julian GanderJULIAN GANDER
CHAIR
- Total calculated
- $3,300
- From this org
- $3,300
- From related orgs
- $0
- Other
- $0
- Hours/week
- 5 + 15 related
-
Rebecca Chatham MDREBECCA CHATHAM MD
MEDICAL STAFF PRESIDENT
- Total calculated
- $12,800
- From this org
- $12,800
- From related orgs
- $0
- Other
- $0
- Hours/week
- 5 + 15 related
-
Tiffany YeastTIFFANY YEAST
SECRETARY
- Total calculated
- $3,300
- From this org
- $3,300
- From related orgs
- $0
- Other
- $0
- Hours/week
- 5 + 15 related
-
Brian Ellis MDBRIAN ELLIS MD
BOARD MEMBER
- Total calculated
- $515,030
- From this org
- $0
- From related orgs
- $468,771
- Other
- $46,259
- Hours/week
- 2 + 5.5 related
Schedule J breakdown matched by us
- Base
- $0 + $215,363 related
- Bonus
- $0 + $182,301 related
- Other
- $0 + $71,107 related
- Deferred
- $0 + $26,400 related
- Nontaxable benefits
- $0 + $19,859 related
- Filer's total
- $0 + $515,030 related
-
Chris WhitworthCHRIS WHITWORTH
BOARD MEMBER
- Total calculated
- $4,500
- From this org
- $4,500
- From related orgs
- $0
- Other
- $0
- Hours/week
- 2 + 5.5 related
-
Eric CaldwellERIC CALDWELL
BOARD MEMBER
- Total calculated
- $4,350
- From this org
- $4,350
- From related orgs
- $0
- Other
- $0
- Hours/week
- 2 + 5.5 related
-
James DunnJAMES DUNN
BOARD MEMBER
- Total calculated
- $4,800
- From this org
- $4,800
- From related orgs
- $0
- Other
- $0
- Hours/week
- 2 + 5.5 related
-
Jeremy Tarter MDJEREMY TARTER MD
BOARD MEMBER
- Total calculated
- $3,300
- From this org
- $3,300
- From related orgs
- $0
- Other
- $0
- Hours/week
- 2 + 5.5 related
-
Joetta WickliffeJOETTA WICKLIFFE
BOARD MEMBER
- Total calculated
- $4,800
- From this org
- $4,800
- From related orgs
- $0
- Other
- $0
- Hours/week
- 2 + 5.5 related
-
Kay RichardsonKAY RICHARDSON
EM HEALTH CARE FOUNDATION CHAIR
- Total calculated
- $4,950
- From this org
- $4,950
- From related orgs
- $0
- Other
- $0
- Hours/week
- 2 + 5.5 related
-
Linda TillmanLINDA TILLMAN
BOARD MEMBER
- Total calculated
- $4,050
- From this org
- $4,050
- From related orgs
- $0
- Other
- $0
- Hours/week
- 2 + 5.5 related
-
Mike W TaylorMIKE W TAYLOR
BOARD MEMBER
- Total calculated
- $3,300
- From this org
- $3,300
- From related orgs
- $0
- Other
- $0
- Hours/week
- 2 + 5.5 related
-
Scott BottomsSCOTT BOTTOMS
BOARD MEMBER
- Total calculated
- $3,300
- From this org
- $3,300
- From related orgs
- $0
- Other
- $0
- Hours/week
- 2 + 5.5 related
-
Shawn MarkhamSHAWN MARKHAM
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2 + 5.5 related
-
Thomas HagerTHOMAS HAGER
BOARD MEMBER
- Total calculated
- $3,300
- From this org
- $3,300
- From related orgs
- $0
- Other
- $0
- Hours/week
- 2 + 5.5 related
-
Amanda KinmanAMANDA KINMAN
CFO
- Total calculated
- $386,685
- From this org
- $342,641
- From related orgs
- $0
- Other
- $44,044
- Hours/week
- 40 + 20 related
Schedule J breakdown matched by us
- Base
- $288,988
- Bonus
- $50,423
- Other
- $3,230
- Deferred
- $22,500
- Nontaxable benefits
- $21,544
- Filer's total
- $386,685
-
Libby MayesLIBBY MAYES
ASST. VP COMMUNITY ENGAGEMENT
- Total calculated
- $261,024
- From this org
- $222,726
- From related orgs
- $0
- Other
- $38,298
- Hours/week
- 40 + 20 related
Schedule J breakdown matched by us
- Base
- $176,149
- Bonus
- $31,670
- Other
- $14,907
- Deferred
- $15,689
- Nontaxable benefits
- $22,609
- Filer's total
- $261,024
-
Nicholas SpoonmoreNICHOLAS SPOONMORE
VP STRATEGIC INITIATIVES
- Total calculated
- $291,252
- From this org
- $259,921
- From related orgs
- $0
- Other
- $31,331
- Hours/week
- 40 + 20 related
Schedule J breakdown matched by us
- Base
- $230,665
- Bonus
- $0
- Other
- $29,256
- Deferred
- $20,779
- Nontaxable benefits
- $10,552
- Filer's total
- $291,252
-
Tammy EnsslinTAMMY ENSSLIN
CHIEF LEGAL OFFICER
- Total calculated
- $375,654
- From this org
- $315,543
- From related orgs
- $0
- Other
- $60,111
- Hours/week
- 40 + 20 related
Schedule J breakdown matched by us
- Base
- $254,486
- Bonus
- $46,130
- Other
- $14,927
- Deferred
- $25,873
- Nontaxable benefits
- $34,238
- Filer's total
- $375,654
-
Jeremy CocanougherJEREMY COCANOUGHER
DIRECTOR MARKETING
- Total calculated
- $132,842
- From this org
- $93,045
- From related orgs
- $0
- Other
- $39,797
- Hours/week
- 40
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Written employment contract
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 6a · Pay contingent on this organization's net earnings
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization
- 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.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(c)(3) · CRITICAL HOSP · KY
Directly controlled by EM HEALTH
-
EPHRAIM MCDOWELL HEALTH RESOURCE INC
501(c)(3) · HEALTHCARE · KY
Directly controlled by EM HEALTH
-
EPHRAIM MCDOWELL HEALTH CARE FOUNDATION
501(c)(3) · FUNDRAISING · KY
Directly controlled by EM HEALTH
-
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER
501(c)(3) · ACUTE HOSP · KY
Directly controlled by EM HEALTH
-
MCDOWELL HOME HEALTH AGENCY INC
501(c)(3) · HOME HEALTH · KY
Directly controlled by EM HEALTH
-
JAMES B HAGGIN MEMORIAL HOSPITAL
501(c)(3) · CIRITCAL HOSP · KY
Directly controlled by EM HEALTH
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
CTRL KY SURGERY CTR
Related · MEDICAL SERVICES · KY · share of income $0 · share of assets $0
Directly controlled by EM REG MED CTR
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
COOPERATIVECARE INC
C Corporation · CONTRACTING · KY · 100% owned · share of income -$7,636 · share of assets $20,605
Directly controlled by NA
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 1 November 2025
- IRS schema version
- 2023v6.0
- Source object
- 202523059349300412
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