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Nonprofiteer
← EPHRAIM MCDOWELL REGIONAL MEDICAL C ENTER

Form 990 for tax year 2023

Filed by EPHRAIM MCDOWELL REGIONAL MEDICAL C ENTER.

Totals

Total revenue
$282,057,394
Total expenses
$273,155,315
Contributions and grants received
$76,381
Grants paid
$0
Program service revenue
$280,487,522
Investment income
$28,019
Other revenue
$1,465,472
Total assets, end of year
$327,543,451
Total liabilities, end of year
$27,474,858
Net assets or fund balances, end of year
$300,068,593
Program services expenses (Part IX)
$220,439,999
Management and general expenses
$52,715,316
Fundraising expenses
$0
Program service expenses (Part III)
$220,439,999

Program services were 80.7% 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

    $76,381

  • 2a · Program service revenue: PATIENT REVENUE

    total $253,299,141 · related or exempt $253,287,266 · unrelated business $11,875

  • 2b · Program service revenue: PHARMACY REVENUE

    total $9,137,599 · related or exempt $9,137,599

  • 2c · Program service revenue: JOINT VENTURE INCOME

    total $2,571,453 · related or exempt $2,571,453

  • 2d · Program service revenue: MEDSOURCE REVENUE

    total $15,128,988 · related or exempt $14,185,106 · unrelated business $943,882

  • 2e · Program service revenue: OTHER OPERATING

    total $350,341 · related or exempt $350,341

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $28,019 · excluded $28,019

  • 6a · Gross rents

    real property $671,787

  • 6c · Rental income or loss

    real property $671,787 · personal property $0

  • 6d · Net rental income or loss

    total $671,787 · excluded $671,787

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: CAFETERIA

    total $663,521 · excluded $663,521

  • 11b · Other revenue: MISCELLANEOUS REVENUE

    total $111,203 · excluded $111,203

  • 11c · Other revenue: VENDING COMMISSION

    total $18,961 · excluded $18,961

  • 11d · All other revenue

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

  • 11e · Other revenue, total

    $793,685

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $586,594 · management and general $586,594

  • 7 · Other salaries and wages

    total $94,380,963 · program services $81,513,385 · management and general $12,867,578

  • 8 · Pension plan contributions

    total $4,002,530 · program services $3,435,487 · management and general $567,043

  • 9 · Other employee benefits

    total $8,381,589 · program services $7,194,159 · management and general $1,187,430

  • 10 · Payroll taxes

    total $6,328,718 · program services $5,432,121 · management and general $896,597

  • 11b · Fees: legal

    total $19,110 · management and general $19,110

  • 11c · Fees: accounting

    total $177,370 · management and general $177,370

  • 11g · Fees: other

    total $44,517,073 · program services $32,764,223 · management and general $11,752,850 · fundraising $0

  • 12 · Advertising and promotion

    total $31,637 · program services $24,188 · management and general $7,449

  • 13 · Office expenses

    total $6,509,684 · program services $4,976,878 · management and general $1,532,806

  • 14 · Information technology

    total $3,878,906 · program services $2,965,558 · management and general $913,348

  • 16 · Occupancy

    total $3,641,673 · program services $2,784,185 · management and general $857,488

  • 17 · Travel

    total $117,695 · program services $89,982 · management and general $27,713

  • 19 · Conferences, conventions and meetings

    total $186,403 · program services $142,512 · management and general $43,891

  • 20 · Interest

    total $1,552,073 · program services $1,552,073

  • 22 · Depreciation, depletion and amortization

    total $8,482,250 · program services $8,479,572 · management and general $2,678

  • 23 · Insurance

    total $1,456,849 · program services $1,113,812 · management and general $343,037

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $67,356,759 · program services $51,496,575 · management and general $15,860,184

  • 24b · Other expenses: PROVIDER TAXES

    total $11,784,978 · program services $9,010,024 · management and general $2,774,954

  • 24c · Other expenses: REPAIRS & MAINTENANCE

    total $5,365,281 · program services $4,101,943 · management and general $1,263,338

  • 24d · Other expenses: SHARED RESOURCE ALLOCATION

    total $2,165,486 · program services $1,655,589 · management and general $509,897

  • 24e · All other expenses

    total $2,231,694 · program services $1,707,733 · management and general $523,961 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $65,485 · end of year $63,859

  • 2 · Savings and temporary cash investments

    beginning of year $132,359 · end of year $140,781

  • 4 · Accounts receivable

    beginning of year $26,338,311 · end of year $25,930,578

  • 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 $10,759,009 · end of year $11,926,975

  • 9 · Prepaid expenses and deferred charges

    beginning of year $3,149,151 · end of year $2,946,328

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

    $220,092,184

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

    $163,647,786

  • 10c · Land, buildings and equipment, net

    beginning of year $54,186,345 · end of year $56,444,398

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $1,498,714 · end of year $1,861,547

  • 15 · Other assets

    beginning of year $220,442,083 · end of year $228,228,985

  • 17 · Accounts payable and accrued expenses

    beginning of year $16,515,113 · end of year $21,580,190

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $8,889,828 · end of year $5,894,668

  • 27 · Net assets without donor restrictions

    beginning of year $291,151,726 · end of year $300,054,303

  • 28 · Net assets with donor restrictions

    beginning of year $14,790 · end of year $14,290

Mission and programs · 2023

Mission

THE ORGANIZATION'S PRIMARY MISSION IS TO BE THE LEADING PROVIDER OF QUALITY HEALTH CARE SERVICES IN THE CENTRAL KENTUCKY COMMUNITIES WE SERVE.

  • Withheld by Nonprofiteer: this text may name a private individual.

    Expenses $220,439,999 · Revenue $279,531,765

As filed on the 2023 return. A text marked withheld matched a screen for wording that may name a private individual, such as an honorific or "in memory of". Most of what it withholds names no one; it is withheld so that what does is never shown.

Listed in Part VII

  • Daniel McKay

    PRESIDENT & CEO

    Total calculated
    $909,661
    From this org
    $0
    From related orgs
    $846,887
    Other
    $62,774
    Hours/week
    30 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $653,236 related
    Bonus
    $0 + $164,448 related
    Other
    $0 + $29,203 related
    Deferred
    $0 + $26,400 related
    Nontaxable benefits
    $0 + $36,374 related
    Filer's total
    $0 + $909,661 related
  • David Grigson

    TREASURER

    Total calculated
    $3,300
    From this org
    $0
    From related orgs
    $3,300
    Other
    $0
    Hours/week
    6 + 14 related
  • David Montgomery MD

    MEDICAL STAFF VICE PRESIDENT

    Total calculated
    $750
    From this org
    $0
    From related orgs
    $750
    Other
    $0
    Hours/week
    6 + 14 related
  • Eric Guerrant MD

    VICE CHAIR

    Total calculated
    $7,300
    From this org
    $0
    From related orgs
    $7,300
    Other
    $0
    Hours/week
    6 + 14 related
  • Julian Gander

    CHAIR

    Total calculated
    $3,300
    From this org
    $0
    From related orgs
    $3,300
    Other
    $0
    Hours/week
    6 + 14 related
  • Rebecca Chatham MD

    MEDICAL STAFF PRESIDENT

    Total calculated
    $12,800
    From this org
    $0
    From related orgs
    $12,800
    Other
    $0
    Hours/week
    6 + 14 related
  • Tiffany Yeast

    SECRETARY

    Total calculated
    $3,300
    From this org
    $0
    From related orgs
    $3,300
    Other
    $0
    Hours/week
    6 + 14 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 + 38 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
    $0
    From related orgs
    $4,500
    Other
    $0
    Hours/week
    2 + 5.5 related
  • Eric Caldwell

    BOARD MEMBER

    Total calculated
    $4,350
    From this org
    $0
    From related orgs
    $4,350
    Other
    $0
    Hours/week
    2 + 5.5 related
  • James Dunn

    BOARD MEMBER

    Total calculated
    $4,800
    From this org
    $0
    From related orgs
    $4,800
    Other
    $0
    Hours/week
    2 + 5.5 related
  • Jeremy Tarter MD

    BOARD MEMBER

    Total calculated
    $3,300
    From this org
    $0
    From related orgs
    $3,300
    Other
    $0
    Hours/week
    2 + 5.5 related
  • Joetta Wickliffe

    BOARD MEMBER

    Total calculated
    $4,800
    From this org
    $0
    From related orgs
    $4,800
    Other
    $0
    Hours/week
    2 + 5.5 related
  • Kay Richardson

    EM HEALTH CARE FOUNDATION CHAIR

    Total calculated
    $4,950
    From this org
    $0
    From related orgs
    $4,950
    Other
    $0
    Hours/week
    2 + 5.5 related
  • Linda Tillman

    BOARD MEMBER

    Total calculated
    $4,050
    From this org
    $0
    From related orgs
    $4,050
    Other
    $0
    Hours/week
    2 + 5.5 related
  • Mike W Taylor

    BOARD MEMBER

    Total calculated
    $3,300
    From this org
    $0
    From related orgs
    $3,300
    Other
    $0
    Hours/week
    2 + 5.5 related
  • Scott Bottoms

    BOARD MEMBER

    Total calculated
    $3,300
    From this org
    $0
    From related orgs
    $3,300
    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
    $0
    From related orgs
    $3,300
    Other
    $0
    Hours/week
    2 + 5.5 related
  • Amanda Kinman

    CFO

    Total calculated
    $386,685
    From this org
    $0
    From related orgs
    $342,641
    Other
    $44,044
    Hours/week
    10 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $288,988 related
    Bonus
    $0 + $50,423 related
    Other
    $0 + $3,230 related
    Deferred
    $0 + $22,500 related
    Nontaxable benefits
    $0 + $21,544 related
    Filer's total
    $0 + $386,685 related
  • Gary Neat

    CHIEF INFORMATION OFFICER

    Total calculated
    $266,129
    From this org
    $215,719
    From related orgs
    $0
    Other
    $50,410
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $178,809
    Bonus
    $24,391
    Other
    $12,519
    Deferred
    $17,961
    Nontaxable benefits
    $32,449
    Filer's total
    $266,129
  • Jason Dean

    VP CLINICAL EFFECTIVENESS

    Total calculated
    $284,436
    From this org
    $116,475
    From related orgs
    $116,475
    Other
    $51,486
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $89,967 + $89,967 related
    Bonus
    $16,316 + $16,316 related
    Other
    $10,192 + $10,192 related
    Deferred
    $8,789 + $8,789 related
    Nontaxable benefits
    $16,954 + $16,954 related
    Filer's total
    $142,218 + $142,218 related
  • Libby Mayes

    ASST. VP COMMUNITY ENGAGEMENT

    Total calculated
    $261,024
    From this org
    $0
    From related orgs
    $222,726
    Other
    $38,298
    Hours/week
    10 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $176,149 related
    Bonus
    $0 + $31,670 related
    Other
    $0 + $14,907 related
    Deferred
    $0 + $15,689 related
    Nontaxable benefits
    $0 + $22,609 related
    Filer's total
    $0 + $261,024 related
  • Lynne Warner-Lynn

    VP CLINICAL EFFECT; JBH ADMIN

    Total calculated
    $344,908
    From this org
    $142,937
    From related orgs
    $142,937
    Other
    $59,034
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $112,120 + $112,120 related
    Bonus
    $19,772 + $19,772 related
    Other
    $11,045 + $11,045 related
    Deferred
    $11,702 + $11,702 related
    Nontaxable benefits
    $17,815 + $17,815 related
    Filer's total
    $172,454 + $172,454 related
  • Nicholas Spoonmore

    VP STRATEGIC INITIATIVES

    Total calculated
    $291,252
    From this org
    $0
    From related orgs
    $259,921
    Other
    $31,331
    Hours/week
    10 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $230,665 related
    Bonus
    $0
    Other
    $0 + $29,256 related
    Deferred
    $0 + $20,779 related
    Nontaxable benefits
    $0 + $10,552 related
    Filer's total
    $0 + $291,252 related
  • Tammy Ensslin

    CHIEF LEGAL OFFICER

    Total calculated
    $375,654
    From this org
    $0
    From related orgs
    $315,543
    Other
    $60,111
    Hours/week
    10 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $254,486 related
    Bonus
    $0 + $46,130 related
    Other
    $0 + $14,927 related
    Deferred
    $0 + $25,873 related
    Nontaxable benefits
    $0 + $34,238 related
    Filer's total
    $0 + $375,654 related
  • Andrew Losch

    PHARMACIST

    Total calculated
    $203,613
    From this org
    $193,420
    From related orgs
    $0
    Other
    $10,193
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $183,057
    Bonus
    $0
    Other
    $10,363
    Deferred
    $0
    Nontaxable benefits
    $10,193
    Filer's total
    $203,613
  • Donna Longmire

    DIRECTOR SURGICAL SERVICES

    Total calculated
    $244,635
    From this org
    $194,061
    From related orgs
    $0
    Other
    $50,574
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $162,838
    Bonus
    $13,935
    Other
    $17,288
    Deferred
    $16,213
    Nontaxable benefits
    $34,361
    Filer's total
    $244,635
  • Elizabeth Ann Wood

    DIRECTOR 3T

    Total calculated
    $218,802
    From this org
    $183,262
    From related orgs
    $0
    Other
    $35,540
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $153,004
    Bonus
    $13,499
    Other
    $16,759
    Deferred
    $14,860
    Nontaxable benefits
    $20,680
    Filer's total
    $218,802
  • Joan Haltom

    PHARMACY DIRECTOR

    Total calculated
    $296,089
    From this org
    $251,665
    From related orgs
    $0
    Other
    $44,424
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $219,239
    Bonus
    $19,217
    Other
    $13,209
    Deferred
    $20,237
    Nontaxable benefits
    $24,187
    Filer's total
    $296,089
  • Michelle Fraley

    PHARMACIST

    Total calculated
    $236,376
    From this org
    $195,947
    From related orgs
    $0
    Other
    $40,429
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $180,372
    Bonus
    $0
    Other
    $15,575
    Deferred
    $16,263
    Nontaxable benefits
    $24,166
    Filer's total
    $236,376

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
  • 6b · Pay contingent on a related 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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

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 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.

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.

  • CENTRAL KENTUCKY SURGERY CENTER

    Related · MEDICAL SERVICES · KY · share of income $1,056,929 · share of assets $1,543,360

    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

Provenance

Return type
form_990
Tax year
2023
Filed
1 November 2025
IRS schema version
2023v6.0
Source object
202523059349300512

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