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← EPHRAIM MCDOWELL HEALTH INC

Form 990 for tax year 2023

Filed by EPHRAIM MCDOWELL HEALTH INC.

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 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 Grigson

    TREASURER

    Total calculated
    $3,300
    From this org
    $3,300
    From related orgs
    $0
    Other
    $0
    Hours/week
    5 + 15 related
  • David 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 MD

    VICE CHAIR

    Total calculated
    $7,300
    From this org
    $7,300
    From related orgs
    $0
    Other
    $0
    Hours/week
    5 + 15 related
  • Julian Gander

    CHAIR

    Total calculated
    $3,300
    From this org
    $3,300
    From related orgs
    $0
    Other
    $0
    Hours/week
    5 + 15 related
  • Rebecca 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 Yeast

    SECRETARY

    Total calculated
    $3,300
    From this org
    $3,300
    From related orgs
    $0
    Other
    $0
    Hours/week
    5 + 15 related
  • Brian 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 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 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 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 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 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 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 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 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 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 Markham

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2 + 5.5 related
  • Thomas 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 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 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 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 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 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.

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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