Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1a · Federated campaigns

  $0

• 1b · Membership dues

  $0

• 1c · Fundraising events

  $0

• 1d · Related organizations

  $0

• 1e · Government grants (contributions)

  $0

• 1f · All other contributions, gifts and grants

  $0

• 1g · Noncash contributions included above

  $0

• 2a · Program service revenue: PATIENT SERVICES

  total $178,531 · related or exempt $178,531

• 2b · Program service revenue: WELLNESS CENTER

  total $664,937 · related or exempt $664,937

• 2c · Program service revenue: MCDOWELL PLACE (ASSISTED LIVING)

  total $2,841,607 · related or exempt $2,841,607

• 2d · Program service revenue

  total $0 · related or exempt $0

• 2e · Program service revenue

  total $0 · related or exempt $0

• 2f · All other program service revenue

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

• 3 · Investment income

  total $0 · related or exempt $0

• 4 · Income from investment of tax-exempt bond proceeds

  total $0 · related or exempt $0

• 5 · Royalties

  total $0 · related or exempt $0

• 6a · Gross rents

  real property $25,426 · personal property $0

• 6b · Less rental expenses

  real property $0 · personal property $0

• 6c · Rental income or loss

  real property $25,426 · personal property $0

• 6d · Net rental income or loss

  total $25,426 · excluded $25,426

• 7a · Gross sales of assets other than inventory

  securities $0 · other assets $143,650

• 7b · Less cost or other basis and sales expenses

  securities $0 · other assets $0

• 7c · Gain or loss

  securities $0 · other assets $143,650

• 7d · Net gain or loss

  total $143,650 · excluded $143,650

• 11a · Other revenue: SHARED SERVICES PROVIDED TO AFFILIATE

  total $3,400,610 · excluded $3,400,610

• 11b · Other revenue: MISCELLANEOUS REVENUE

  total $13,897 · excluded $13,897

• 11d · All other revenue

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

• 11e · Other revenue, total

  $3,414,507

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $0 · program services $0

• 2 · Grants to domestic individuals

  total $0 · program services $0

• 3 · Grants to foreign organizations and individuals

  total $0 · program services $0

• 4 · Benefits paid to or for members

  total $0 · program services $0

• 5 · Compensation of officers, directors and key employees

  total $478,927 · program services $478,927

• 6 · Compensation of disqualified persons

  total $0 · program services $0

• 7 · Other salaries and wages

  total $2,795,492 · program services $2,554,902 · management and general $240,590

• 8 · Pension plan contributions

  total $1,819,710 · program services $1,686,006 · management and general $133,704

• 9 · Other employee benefits

  total $875,531 · program services $811,201 · management and general $64,330

• 10 · Payroll taxes

  total $239,331 · program services $228,591 · management and general $10,740

• 11a · Fees: management

  total $0 · program services $0

• 11b · Fees: legal

  total $0 · program services $0

• 11c · Fees: accounting

  total $0 · program services $0

• 11d · Fees: lobbying

  total $0 · program services $0

• 11f · Fees: investment management

  total $0 · program services $0

• 11g · Fees: other

  total $689,999 · program services $575,321 · management and general $114,678 · fundraising $0

• 12 · Advertising and promotion

  total $2,694 · program services $1,372 · management and general $1,322

• 13 · Office expenses

  total $226,637 · program services $186,208 · management and general $40,429

• 14 · Information technology

  total $47,512 · program services $13,132 · management and general $34,380

• 15 · Royalties

  total $0 · program services $0 · management and general $0

• 16 · Occupancy

  total $196,176 · program services $196,176 · management and general $0

• 17 · Travel

  total $1,808 · program services $1,541 · management and general $267

• 18 · Travel or entertainment for public officials

  total $0 · program services $0 · management and general $0

• 19 · Conferences, conventions and meetings

  total $8,914 · program services $6,571 · management and general $2,343

• 20 · Interest

  total $153,669 · program services $153,669 · management and general $0

• 21 · Payments to affiliates

  total $0 · program services $0 · management and general $0

• 22 · Depreciation, depletion and amortization

  total $422,236 · program services $301,001 · management and general $121,235

• 23 · Insurance

  total $113,602 · program services $82,561 · management and general $31,041

• 24a · Other expenses: MEDICAL SUPPLIES

  total $242,867 · program services $242,867

• 24b · Other expenses: REPAIRS & MAINTENANCE

  total $151,480 · program services $149,300 · management and general $2,180

• 24c · Other expenses: ALL OTHER EXPENSES

  total $100,808 · program services $49,659 · management and general $51,149

• 24d · Other expenses: PHYSICIAN RECRUITMENT

  total $20,000 · program services $0 · management and general $20,000

• 24e · All other expenses

  total $5,894 · program services $5,894 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $53,816 · end of year $57,583

• 2 · Savings and temporary cash investments

  beginning of year $34,294 · end of year $61,531

• 3 · Pledges and grants receivable

  beginning of year $0 · end of year $0

• 4 · Accounts receivable

  beginning of year -$33,970 · end of year $16,394

• 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

• 7 · Other notes and loans receivable

  beginning of year $0 · end of year $0

• 8 · Inventories for sale or use

  beginning of year $0 · end of year $0

• 9 · Prepaid expenses and deferred charges

  beginning of year $112,137 · end of year $101,217

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

  $14,426,246

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

  $11,627,464

• 10c · Land, buildings and equipment, net

  beginning of year $3,427,531 · end of year $2,798,782

• 12 · Investments: other securities

  beginning of year $0

• 13 · Investments: program-related

  beginning of year $0

• 15 · Other assets

  beginning of year $0 · end of year $0

• 17 · Accounts payable and accrued expenses

  beginning of year $1,768,466 · end of year $2,297,202

• 18 · Grants payable

  beginning of year $0 · end of year $0

• 19 · Deferred revenue

  beginning of year $0 · end of year $0

• 20 · Tax-exempt bond liabilities

  beginning of year $0 · end of year $0

• 21 · Escrow or custodial account liability

  beginning of year $0 · end of year $0

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $0 · end of year $0

• 24 · Unsecured notes and loans payable

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $25,767,011 · end of year $26,004,547

• 27 · Net assets without donor restrictions

  beginning of year -$23,941,669 · end of year -$25,266,242

The filer's explanations (Part III)

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

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

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

EPHRAIM MCDOWELL HEALTH RESOURCE, INC. IS AN AFFILIATE OF EPHRAIM MCDOWELL HEALTH, INC., WHO 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 3 ESTABLISHING CEO COMPENSATION

THE CEO IS COMPENSATED BY EPHRAIM MCDOWELL HEALTH, 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 II PHYSICIAN COMPENSATION

EACH PHYSICIAN EMPLOYEE OF EPHRAIM MCDOWELL RESOURCE WHO PROVIDES MEDICAL SERVICES DOES SO PURSUANT TO A PHYSICIAN EMPLOYMENT AGREEMENT. PHYSICIAN COMPENSATION LEVELS UNDER THE EMPLOYMENT AGREEMENT ARE BASED ON NATIONAL INDUSTRY STANDARDS (MEDICAL GROUP MANAGEMENT ASSOCIATION). IN ADDITION, CERTAIN BONUSES PAID TO EPHRAIM MCDOWELL RESOURCE PHYSICIANS TAKE INTO ACCOUNT THE PRODUCTIVITY OF EACH INDIVIDUAL PHYSICIAN. PHYSICIANS REPORTED IN SCHEDULE J, PART II MAY REPORT PRODUCTIVITY BONUSES IN COLUMN (B)(II).

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