Totals
- Total revenue
- $37,041,345
- Total expenses
- $28,719,014
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $36,924,813
- Investment income
- $24,544
- Other revenue
- $91,988
- Total assets, end of year
- $21,140,837
- Total liabilities, end of year
- $6,109,681
- Net assets or fund balances, end of year
- $15,031,156
- Program services expenses (Part IX)
- $25,580,190
- Management and general expenses
- $3,138,824
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $25,580,190
Program services were 89.1% 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.
-
2a · Program service revenue: Patient Services
total $35,676,816 · related or exempt $35,676,816
-
2b · Program service revenue: REFERENCE LAB
total $21,483 · unrelated business $21,483
-
2c · Program service revenue: RETAIL PHARMACY
total $1,226,514 · related or exempt $1,226,514
-
2f · All other program service revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
3 · Investment income
total $24,544 · excluded $24,544
-
6a · Gross rents
real property $16,727
-
6c · Rental income or loss
real property $16,727 · personal property $0
-
6d · Net rental income or loss
total $16,727 · excluded $16,727
-
7c · Gain or loss
securities $0 · other assets $0
-
11a · Other revenue: DIETARY SALES
total $73,341 · excluded $73,341
-
11b · Other revenue: MISCELLANEOUS
total $1,920 · excluded $1,920
-
11d · All other revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
11e · Other revenue, total
$75,261
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $202,504 · management and general $202,504
-
7 · Other salaries and wages
total $13,444,797 · program services $12,327,984 · management and general $1,116,813
-
9 · Other employee benefits
total $1,317,013 · program services $1,189,756 · management and general $127,257
-
10 · Payroll taxes
total $932,901 · program services $844,098 · management and general $88,803
-
11c · Fees: accounting
total $56,500 · management and general $56,500
-
11g · Fees: other
total $2,984,730 · program services $2,553,211 · management and general $431,519 · fundraising $0
-
12 · Advertising and promotion
total $9,267 · program services $3,971 · management and general $5,296
-
13 · Office expenses
total $959,669 · program services $672,369 · management and general $287,300
-
14 · Information technology
total $120,100 · program services $34,801 · management and general $85,299
-
16 · Occupancy
total $551,548 · program services $163,714 · management and general $387,834
-
17 · Travel
total $11,806 · program services $10,120 · management and general $1,686
-
19 · Conferences, conventions and meetings
total $36,246 · program services $36,246
-
20 · Interest
total $171,179 · program services $171,179
-
22 · Depreciation, depletion and amortization
total $899,269 · program services $899,269
-
23 · Insurance
total $155,330 · program services $625 · management and general $154,705
-
24a · Other expenses: MEDICAL SUPPLIES
total $3,355,521 · program services $3,355,465 · management and general $56
-
24b · Other expenses: SHARED RESOURCE ALLOCATION
total $2,529,305 · program services $2,529,305
-
24c · Other expenses: PROVIDER TAXES
total $200,280 · program services $200,280
-
24d · Other expenses: REPAIRS & MAINTENANCE
total $619,069 · program services $513,331 · management and general $105,738
-
24e · All other expenses
total $161,980 · program services $74,466 · management and general $87,514 · fundraising $0
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $27,329 · end of year $121,980
-
2 · Savings and temporary cash investments
beginning of year $1,332,701 · end of year $1,354,585
-
3 · Pledges and grants receivable
beginning of year $0
-
4 · Accounts receivable
beginning of year $2,290,605 · end of year $2,504,503
-
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
-
8 · Inventories for sale or use
beginning of year $551,177 · end of year $620,790
-
9 · Prepaid expenses and deferred charges
beginning of year $167,129 · end of year $196,628
-
10a · Land, buildings and equipment: cost or other basis
$30,800,066
-
10b · Land, buildings and equipment: accumulated depreciation
$23,515,602
-
10c · Land, buildings and equipment, net
beginning of year $6,977,787 · end of year $7,284,464
-
11 · Investments: publicly traded securities
beginning of year $0
-
12 · Investments: other securities
beginning of year $0
-
13 · Investments: program-related
beginning of year $0
-
15 · Other assets
beginning of year $4,178,535 · end of year $9,057,887
-
17 · Accounts payable and accrued expenses
beginning of year $1,983,555 · end of year $1,875,110
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $6,551,002 · end of year $4,234,571
-
28 · Net assets with donor restrictions
beginning of year $6,990,706 · end of year $15,031,156
Mission and programs · 2022
Mission
TO PROVIDE ACUTE AND SPECIALTY CARE SERVICES TO INDIVIDUALS RESIDING WITHIN A PRIMARY SERVICE AREA OF CASEY, GARRARD AND LINCOLN COUNTIES.
-
EPHRAIM MCDOWELL FORT LOGAN HOSPITAL (EMHFL), OFFERS A FULL ARRAY OF HEALTH CARE SERVICES RANGING FROM SURGERY TO LABOR AND DELIVERY, DIAGNOSTIC IMAGING, ALONG WITH TRANSITIONAL CARE TO SPAN THE GAP BETWEEN THE HOSPITAL AND HOME. RECOGNIZED FOR ITS EMERGENCY CARE, THE HOSPITAL IS ALSO A LEVEL IV TRAUMA CENTER. THE FACILITY IS JOINT COMMISSION ACCREDITED. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
Expenses $25,580,190 · Revenue $36,924,813
As filed on the 2022 return.
Listed in Part VII
-
Chris WhitworthCHRIS WHITWORTH
SECRETARY
- Total calculated
- $1,950
- From this org
- $1,950
- From related orgs
- $0
- Other
- $0
- Hours/week
- 7.5
-
Daniel McKayDANIEL MCKAY
PRESIDENT & CEO
- Total calculated
- $852,284
- From this org
- $0
- From related orgs
- $792,327
- Other
- $59,957
- Hours/week
- 2.5 + 57.5 related
Schedule J breakdown matched by us
- Base
- $0 + $604,355 related
- Bonus
- $0 + $172,218 related
- Other
- $0 + $15,754 related
- Deferred
- $0 + $24,400 related
- Nontaxable benefits
- $0 + $35,557 related
- Filer's total
- $0 + $852,284 related
-
Eric CaldwellERIC CALDWELL
CHAIR
- Total calculated
- $4,500
- From this org
- $4,500
- From related orgs
- $0
- Other
- $0
- Hours/week
- 7.5
-
Jason DeanJASON DEAN
VP OF CLINICAL EFFECTIVENESS
- Total calculated
- $259,988
- From this org
- $104,837
- From related orgs
- $104,837
- Other
- $50,314
- Hours/week
- 20 + 20 related
Schedule J breakdown matched by us
- Base
- $91,107 + $91,107 related
- Bonus
- $7,256 + $7,256 related
- Other
- $6,474 + $6,474 related
- Deferred
- $8,087 + $8,087 related
- Nontaxable benefits
- $17,070 + $17,070 related
- Filer's total
- $129,994 + $129,994 related
-
Shay PendygraftSHAY PENDYGRAFT
VICE CHAIR
- Total calculated
- $1,200
- From this org
- $1,200
- From related orgs
- $0
- Other
- $0
- Hours/week
- 7.5
-
Chris SimsCHRIS SIMS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 4
-
Dewayne RuckelDEWAYNE RUCKEL
BOARD MEMBER
- Total calculated
- $1,200
- From this org
- $1,200
- From related orgs
- $0
- Other
- $0
- Hours/week
- 4
-
Donna J WardripDONNA J WARDRIP
BOARD MEMBER
- Total calculated
- $750
- From this org
- $750
- From related orgs
- $0
- Other
- $0
- Hours/week
- 4
-
Dr William StaffordDR WILLIAM STAFFORD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 4
-
Jerome FlynnJEROME FLYNN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 4
-
Lee Ann SmithLEE ANN SMITH
BOARD MEMBER
- Total calculated
- $1,050
- From this org
- $1,050
- From related orgs
- $0
- Other
- $0
- Hours/week
- 4
-
Amanda KinmanAMANDA KINMAN
CFO
- Total calculated
- $383,229
- From this org
- $0
- From related orgs
- $329,991
- Other
- $53,238
- Hours/week
- 2.5 + 57.5 related
Schedule J breakdown matched by us
- Base
- $0 + $272,139 related
- Bonus
- $0 + $49,003 related
- Other
- $0 + $8,849 related
- Deferred
- $0 + $20,500 related
- Nontaxable benefits
- $0 + $32,738 related
- Filer's total
- $0 + $383,229 related
-
Gary BunchGARY BUNCH
CMO
- Total calculated
- $369,921
- From this org
- $0
- From related orgs
- $338,399
- Other
- $31,522
- Hours/week
- 1 + 59 related
Schedule J breakdown matched by us
- Base
- $0 + $270,774 related
- Bonus
- $0 + $27,921 related
- Other
- $0 + $39,704 related
- Deferred
- $0 + $24,400 related
- Nontaxable benefits
- $0 + $7,122 related
- Filer's total
- $0 + $369,921 related
-
Shannon LongSHANNON LONG
VP PATIENT SERVICE
- Total calculated
- $228,452
- From this org
- $206,097
- From related orgs
- $0
- Other
- $22,355
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $193,309
- Bonus
- $10,107
- Other
- $2,681
- Deferred
- $3,651
- Nontaxable benefits
- $18,704
- Filer's total
- $228,452
-
Tammy EnsslinTAMMY ENSSLIN
LEGAL
- Total calculated
- $367,063
- From this org
- $0
- From related orgs
- $309,450
- Other
- $57,613
- Hours/week
- 2.5 + 57.5 related
Schedule J breakdown matched by us
- Base
- $0 + $251,856 related
- Bonus
- $0 + $47,771 related
- Other
- $0 + $9,823 related
- Deferred
- $0 + $24,400 related
- Nontaxable benefits
- $0 + $33,213 related
- Filer's total
- $0 + $367,063 related
-
Eric GosserERIC GOSSER
CRNA
- Total calculated
- $285,970
- From this org
- $236,978
- From related orgs
- $0
- Other
- $48,992
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $235,844
- Bonus
- $0
- Other
- $1,134
- Deferred
- $18,871
- Nontaxable benefits
- $30,121
- Filer's total
- $285,970
-
Jaime KenneyJAIME KENNEY
PHARMACIST
- Total calculated
- $196,924
- From this org
- $174,167
- From related orgs
- $0
- Other
- $22,757
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $165,027
- Bonus
- $0
- Other
- $9,140
- Deferred
- $4,952
- Nontaxable benefits
- $17,805
- Filer's total
- $196,924
-
Jody WellsJODY WELLS
RN
- Total calculated
- $158,602
- From this org
- $129,101
- From related orgs
- $0
- Other
- $29,501
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $116,758
- Bonus
- $9,625
- Other
- $2,718
- Deferred
- $10,622
- Nontaxable benefits
- $18,879
- Filer's total
- $158,602
-
Karin DunnKARIN DUNN
PHARMACIST
- Total calculated
- $157,321
- From this org
- $136,634
- From related orgs
- $0
- Other
- $20,687
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $131,109
- Bonus
- $0
- Other
- $5,525
- Deferred
- $10,997
- Nontaxable benefits
- $9,690
- Filer's total
- $157,321
-
Susan AdamsSUSAN ADAMS
CRNA
- Total calculated
- $319,304
- From this org
- $270,898
- From related orgs
- $0
- Other
- $48,406
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $269,055
- Bonus
- $0
- Other
- $1,843
- Deferred
- $15,538
- Nontaxable benefits
- $32,868
- Filer's total
- $319,304
-
William Snapp IIIWILLIAM SNAPP III
VP & CFO UNTIL 06/30/21
- Total calculated
- $315,471
- From this org
- $0
- From related orgs
- $295,271
- Other
- $20,200
- Hours/week
- 0 + 60 related
Schedule J breakdown matched by us
- Base
- $0 + -$5,847 related
- Bonus
- $0 + $49,457 related
- Other
- $0 + $251,661 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $20,200 related
- Filer's total
- $0 + $315,471 related
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
- 4a · Severance or change-of-control payment
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
Answered no
- 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
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- 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 I, Line 4a SEVERANCE PAYMENTS
- 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 MANAGEMENT INCENTIVE PLAN
- 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 THE 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.
-
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
-
501(c)(3) · MGT SERVICES · KY
Directly controlled by NA
-
MCDOWELL HOME HEALTH AGENCY INC
501(c)(3) · HOME HEALTH · KY
Directly controlled by EM HEALTH
-
JAMES B HAGGIN MEMORIAL HOSPITAL
501(c)(3) · CRITICAL 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 corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
COOPERATIVECARE INC
C Corporation · CONTRACTING S · KY · 0% owned · share of income $0 · share of assets $0
Directly controlled by NA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 16 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202442289349304209
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