Form 990 for tax year 2024

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 REVENUE

  total $246,405,715 · related or exempt $246,393,840 · unrelated business $11,875 · excluded $0

• 2b · Program service revenue: PHARMACY REVENUE

  total $16,934,671 · related or exempt $16,934,671 · unrelated business $0 · excluded $0

• 2c · Program service revenue: JOINT VENTURE INCOME

  total $2,350,732 · related or exempt $2,350,732 · unrelated business $0 · excluded $0

• 2d · Program service revenue: MEDSOURCE REVENUE

  total $16,188,545 · related or exempt $15,244,663 · unrelated business $943,882 · excluded $0

• 2e · Program service revenue: OTHER OPERATING

  total $368,476 · related or exempt $368,476 · unrelated business $0 · excluded $0

• 2f · All other program service revenue

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

• 3 · Investment income

  total -$33,927 · related or exempt $0 · unrelated business $0 · excluded -$33,927

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

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

• 5 · Royalties

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

• 6a · Gross rents

  real property $803,003 · personal property $0

• 6b · Less rental expenses

  real property $0 · personal property $0

• 6c · Rental income or loss

  real property $803,003 · personal property $0

• 6d · Net rental income or loss

  total $803,003 · related or exempt $0 · unrelated business $0 · excluded $803,003

• 7a · Gross sales of assets other than inventory

  securities $0 · other assets $0

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

  securities $0 · other assets $0

• 7c · Gain or loss

  securities $0 · other assets $0

• 7d · Net gain or loss

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

• 8a · Fundraising events: gross income

  $0

• 8a · Fundraising events: contributions included on line 1c

  $0

• 8b · Fundraising events: direct expenses

  $0

• 8c · Net income from fundraising events

  total $0 · unrelated business $0 · excluded $0

• 9a · Gaming: gross income

  $0

• 9b · Gaming: direct expenses

  $0

• 9c · Net income from gaming

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

• 10a · Gross sales of inventory

  $0

• 10b · Cost of goods sold

  $0

• 10c · Net income from sales of inventory

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

• 11a · Other revenue: CAFETERIA

  total $792,478 · related or exempt $0 · unrelated business $0 · excluded $792,478

• 11b · Other revenue: MISCELLANEOUS REVENUE

  total $146,813 · related or exempt $0 · unrelated business $0 · excluded $146,813

• 11c · Other revenue: VENDING COMMISSION

  total $8,520 · related or exempt $0 · unrelated business $0 · excluded $8,520

• 11d · All other revenue

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

• 11e · Other revenue, total

  $947,811

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 $599,118 · program services $515,620 · management and general $83,498 · fundraising $0

• 6 · Compensation of disqualified persons

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

• 7 · Other salaries and wages

  total $104,974,186 · program services $90,344,101 · management and general $14,630,085 · fundraising $0

• 8 · Pension plan contributions

  total $4,814,986 · program services $4,143,929 · management and general $671,057 · fundraising $0

• 9 · Other employee benefits

  total $9,357,660 · program services $8,053,498 · management and general $1,304,162 · fundraising $0

• 10 · Payroll taxes

  total $6,985,113 · program services $6,627,258 · management and general $357,855 · fundraising $0

• 11a · Fees: management

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

• 11b · Fees: legal

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

• 11c · Fees: accounting

  total $83,150 · program services $0 · management and general $83,150 · fundraising $0

• 11d · Fees: lobbying

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

• 11e · Fees: professional fundraising services

  total $0 · fundraising $0

• 11f · Fees: investment management

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

• 11g · Fees: other

  total $49,211,127 · program services $38,304,401 · management and general $10,906,726 · fundraising $0

• 12 · Advertising and promotion

  total $42,470 · program services $33,057 · management and general $9,413 · fundraising $0

• 13 · Office expenses

  total $7,710,242 · program services $6,001,411 · management and general $1,708,831 · fundraising $0

• 14 · Information technology

  total $5,457,992 · program services $4,248,330 · management and general $1,209,662 · fundraising $0

• 15 · Royalties

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

• 16 · Occupancy

  total $3,958,732 · program services $3,081,353 · management and general $877,379 · fundraising $0

• 17 · Travel

  total $127,015 · program services $98,864 · management and general $28,151 · fundraising $0

• 18 · Travel or entertainment for public officials

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

• 19 · Conferences, conventions and meetings

  total $220,752 · program services $171,826 · management and general $48,926 · fundraising $0

• 20 · Interest

  total $1,000,254 · program services $868,412 · management and general $131,842 · fundraising $0

• 21 · Payments to affiliates

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

• 22 · Depreciation, depletion and amortization

  total $8,201,511 · program services $8,170,586 · management and general $30,925 · fundraising $0

• 23 · Insurance

  total $1,038,847 · program services $808,606 · management and general $230,241 · fundraising $0

• 24a · Other expenses: MEDICAL SUPPLIES

  total $77,813,798 · program services $60,567,824 · management and general $17,245,974 · fundraising $0

• 24b · Other expenses: PROVIDER TAXES

  total $11,614,172 · program services $9,040,108 · management and general $2,574,064 · fundraising $0

• 24c · Other expenses: REPAIRS & MAINTENANCE

  total $5,887,085 · program services $4,582,323 · management and general $1,304,762 · fundraising $0

• 24d · Other expenses: SHARED RESOURCE ALLOCATION

  total $3,130,916 · program services $2,437,007 · management and general $693,909 · fundraising $0

• 24e · All other expenses

  total $2,570,249 · program services $2,000,601 · management and general $569,648 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $63,859 · end of year $43,016

• 2 · Savings and temporary cash investments

  beginning of year $140,781 · end of year $161,413

• 3 · Pledges and grants receivable

  beginning of year $0 · end of year $0

• 4 · Accounts receivable

  beginning of year $25,930,578 · end of year $29,457,619

• 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 $11,926,975 · end of year $11,581,128

• 9 · Prepaid expenses and deferred charges

  beginning of year $2,946,328 · end of year $3,955,676

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

  $242,623,243

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

  $171,241,225

• 10c · Land, buildings and equipment, net

  beginning of year $56,444,398 · end of year $71,382,018

• 11 · Investments: publicly traded securities

  beginning of year $0 · end of year $0

• 12 · Investments: other securities

  beginning of year $0

• 13 · Investments: program-related

  beginning of year $1,861,547 · end of year $2,049,178

• 14 · Intangible assets

  beginning of year $0 · end of year $0

• 15 · Other assets

  beginning of year $228,228,985 · end of year $183,812,998

• 17 · Accounts payable and accrued expenses

  beginning of year $21,580,190 · end of year $21,969,702

• 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 $5,894,668 · end of year $1,239,100

• 27 · Net assets without donor restrictions

  beginning of year $300,054,303 · end of year $279,220,454

• 28 · Net assets with donor restrictions

  beginning of year $14,290 · end of year $13,790

• 29 · Capital stock, trust principal or current funds

  beginning of year $0 · end of year $0

• 30 · Paid-in or capital surplus, or land, building or equipment fund

  beginning of year $0 · end of year $0

• 31 · Retained earnings, endowment or other funds

  beginning of year $0 · end of year $0

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.

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 $0 · share of assets $0

  Directly controlled by NA0

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 EM HEALTH