Liabilities / Assets
100th percentile
Higher debt load relative to assets than 100% of similar nonprofits.
EIN 31-1545520 • 501(c)3 • Danville, KY
Profile
To provide high quality, cost effective, integrated health care to those 124,000 individuals residing within its service area.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
100th percentile
Higher debt load relative to assets than 100% of similar nonprofits.
Liabilities / Revenue
91st percentile
Higher debt load relative to revenue than 91% of similar nonprofits.
Net Margin
13th percentile
Higher net margin than 13% of similar nonprofits.
Top Officer Pay
97th percentile
Higher top officer pay than 97% of similar nonprofits.
Top officer pay equals 12.0% of source-year revenue.
Asset Growth
12th percentile
Faster asset growth than 12% of similar nonprofits.
Revenue Growth
82nd percentile
Faster revenue growth than 82% of similar nonprofits.
Assets
Down$2,759,768
Down $275,739 (-9.1%) from 2023
Liabilities
Up$29,738,223
Up $1,436,474 (+5.1%) from 2023
Net Assets
Down-$26,978,455
Down $1,712,213 (-6.8%) from 2023
Revenue
Up$10,240,984
Up $2,972,326 (+41%) from 2023
Expenses
Up$11,953,197
Up $3,359,910 (+39%) from 2023
Net Income
Down-$1,712,213
Down $387,584 (-29%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To provide high quality, cost effective, integrated health care to those 155,000 individuals residing within its service area.
To provide high quality, cost effective, integrated health care to those 124,000 individuals residing within its service area.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $2,798,782 | $2,519,929 | ▼ $278,853 |
| Prepaid Expenses and Deferred Charges | $101,217 | $182,642 | ▲ $81,425 |
| Cash and Non-Interest-Bearing Accounts | $57,583 | $81,945 | ▲ $24,362 |
| Savings and Temporary Cash Investments | $61,531 | $59,230 | ▼ $2,301 |
| Other Notes and Loans Receivable, Net | $0 | - | - |
| Pledges and Grants Receivable | $0 | - | - |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Inventories for Sale or Use | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Accounts Receivable | $16,394 | $-83,978 | ▼ $100,372 |
| Total Assets | $3,035,507 | $2,759,768 | ▼ $275,739 |
| Other Assets Total | $0 | $0 | → $0 |
| Liabilities | |||
| Other Liabilities | $26,004,547 | $25,858,621 | ▼ $145,926 |
| Accounts Payable and Accrued Expenses | $2,297,202 | $3,879,602 | ▲ $1,582,400 |
| Grants Payable | $0 | - | - |
| Mortgage Notes Payable Secured by Investment Property | $0 | - | - |
| Unsecured Notes Loans Payable | $0 | - | - |
| Deferred Revenue | $0 | - | - |
| Escrow Account Liability | $0 | - | - |
| Tax Exempt Bond Liabilities | $0 | - | - |
| Total Liabilities | $28,301,749 | $29,738,223 | ▲ $1,436,474 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $-25,266,242 | $-26,978,455 | ▼ $1,712,213 |
| Total Net Assets Fund Balance | $-25,266,242 | $-26,978,455 | ▼ $1,712,213 |
| Total Liabilities and Net Assets / Fund Balance | $3,035,507 | $2,759,768 | ▼ $275,739 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $1,646,921 | $10,157,871 | $11,804,792 |
| Equipment | $127,449 | $1,615,975 | $1,743,424 |
| Land | $642,354 | - | $642,354 |
| Other Land Buildings | $101,507 | $227,409 | $328,916 |
| Leasehold Improvements | $1,698 | $3,800 | $5,498 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Charles Grigsby Md | Physician | FT | $656,404 | $573,450 | $1,229,854 |
| Edgar Salas Md | Physician | FT | $656,045 | $545,704 | $1,201,749 |
| Jared Hagaman Md | Physician | FT | $548,530 | $347,012 | $895,542 |
| Aslam Ahmad Md | Physician | FT | $617,896 | $253,336 | $871,232 |
| Jonathan Doty Md | Physician | FT | $437,391 | $338,260 | $775,651 |
| Brian Ellis | Board Member | PT | $215,363 | $299,667 | $515,030 |
| Rebecca Chatham Md | Medical Staff President | - | - | $12,800 | $12,800 |
| Eric Gurrant Md | Vice Chair | - | - | $7,300 | $7,300 |
| Kay Richardson | Board Member | - | - | $4,950 | $4,950 |
| James W Dunn | Board Member | - | - | $4,800 | $4,800 |
| Joetta Wickliffe | Board Member | - | - | $4,800 | $4,800 |
| Chris Whitworth | Board Member | - | - | $4,500 | $4,500 |
| Eric Caldwell | Board Member | - | - | $4,350 | $4,350 |
| Linda Tillman | Board Member | - | - | $4,050 | $4,050 |
| David Grigson | Treasurer | - | - | $3,300 | $3,300 |
| Julian Gander | Chair | - | - | $3,300 | $3,300 |
| Thomas Hager | Board Member | - | - | $3,300 | $3,300 |
| Tiffany Yeast | Secretary | - | - | $3,300 | $3,300 |
| Jeremy Tarter Md | Board Member | - | - | $3,300 | $3,300 |
| Mike W Taylor CPA | Board Member | - | - | $3,300 | $3,300 |
| Scott Bottoms | Board Member | - | - | $3,300 | $3,300 |
| David Montgomery Md | Medical Staff Vice President | - | - | $750 | $750 |
| Name | Title |
|---|---|
| Daniel Mckay | President & CEO |
| Shawn Markham | Board Member |
| Libby Mayes | Asst. VP Community Engagement |
| Amanda Kinman | CFO |
| Tammy Ensslin | Chief Legal Officer |
| Nicholas Spoonmore | VP Strategic Initiative |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $9,420,834 |
| Other Expenses | $2,532,363 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $3,341,738 | $642,428 | - | $3,984,166 |
| Other Employee Benefits | $2,129,470 | $351,479 | - | $2,480,949 |
| Pension Plan Contributions | $1,783,798 | $294,424 | - | $2,078,222 |
| Fees for Services Other | $492,999 | $176,843 | $0 | $669,842 |
| Current Officers, Directors, Trustees, and Key Employees | $550,475 | - | - | $550,475 |
| Depreciation Depletion | $428,443 | $135 | - | $428,578 |
| Payroll Taxes | $280,692 | $46,330 | - | $327,022 |
| Office Expenses | $166,446 | $51,263 | - | $217,709 |
| Occupancy | $163,025 | $50,209 | - | $213,234 |
| Other Expenses | $147,169 | $45,201 | - | $192,370 |
| Interest | $173,946 | - | - | $173,946 |
| Insurance | $122,329 | $37,675 | - | $160,004 |
| Travel | $9,737 | $2,999 | - | $12,736 |
| Conferences and Meetings | $8,446 | $2,601 | - | $11,047 |
| Advertising | $2,493 | $768 | - | $3,261 |
| Total Functional Expenses | $10,144,968 | $1,808,229 | $0 | $11,953,197 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $11,953,197 |
| Total Expenses per Audited Statements | $11,953,197 |
| Total Expenses per Form 990 | $11,953,197 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Other Expense Adjustments | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Due to Related Party | $25,858,621 |
| Due to Third Party | - |
“Copies of the form 990 are submitted to the full board via email prior to filing.”
“Annually, board of directors, senior leadership, and medical staff leaders complete a conflict of interest questionnaire. Completion of the annual questionnaire is coordinated by general counsel and ephraim mcdowell's corporate compliance officer. The completed questionnaires are reviewed by the senior leadership and the corporate compliance officer. The chairman of the board of directors is made aware of conflicts which have been disclosed on annual statements. If conflicts exist, the conflict is disclosed and the individual with the conflict does not participate or vote on activities where a conflict of interest is present.”
“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”
“Ephraim mcdowell health resource, inc. Is part of an integrated healthcare delivery system whose parent is ephraim mcdowell health, inc. Compensation for all affiliates is overseen and coordinated through ephraim mcdowell health, inc. The mercer group, independent consultants, conducted a review and provided market data in 2018 for establishing reasonable compensation of the ceo. For other officers and employees for the system, the organization also utilized compensation studies. The compensation is approved by the compensation committee of the ephraim mcdowell health, inc. Board of directors. The decision and process is documented by the committee.”
“Eleven family medical and immediate care centers offer clinic services in boyle and each of the other five surrounding counties in the emh service area, in fy 2024 totaling over 240,000 visits. These facilities provide physical examinations, well-child checkups, and treatment of acute illnesses as well as laboratory and x-ray services on-site, including ekg. The immediate care centers provide more urgent ambulatory care than the standard clinic services, in facilities dedicated to the delivery of medical care outside of a hospital emergency department, and provide these services on an unscheduled, walk-in basis, over extended hours and on the weekends when primary care services are not available and emergency care services are not necessary. Along with our vast primary care service line, we also offer several specialty clinics: cardiology, vascular, behavioral health, ent, infectious disease, general surgery, gastroenterology, obgyn/women's health, sleep medicine, urology, ophthalmology, and pulmonology services are offered in coordination with resources provided by emrmc. In fy 2024, ephraim mcdowell health resources specialty services provided care for over 110,000 visits. -emh cardiology treats patients with carotid disease, aortic aneurysms, lower extremity vascular disease, hemodialysis complications and venous disease. Ephraim mcdowell now operates two fully serviceable cath lab suites. The cath lab uses equipment that provides three-dimensional imaging technology along with x-ray technology to offer exceptional image clarity for diagnosing and treating cardiovascular disease. -emh vascular service program offers a full range of services for diagnosing and treating diseases of the heart and circulatory system as well as the body's entire vascular system with all services provided by a board-certified interventional cardiologist. -emh behavioral health service line provides psychiatry, adolescent psychiatry, geriatric psychiatry, neuropsychiatry to all age groups. -emh general surgery service program offers a broad range of procedures including egd, and colonoscopy; stereotactic breast biopsy and surgery; laparoscopic abdominal surgeries including gallbladder and appendix; hernia repairs, intestinal surgeries and bariatric surgery. -emh ent service is a full service line of ear nose and throat case featuring surgical intervention when necessary. -emh sleep medicine is a full range of services focused and the diagnosis and remedy of sleep ailments. -emh sleep center diagnose and treat sleep-related problems in children (age 4 and over) and adults, including circadian rhythm disorders, insomnia, narcolepsy, restless legs, shift-work problems and sleep apnea -emh gastroenterology is a comprehensive gi service line which provides diagnostic as well as interventional services. -emh urology offers a full range of services in the treatment of disorders and diseases of the genitourinary system. They treat surgical and medical disorders of the kidney, bladder, and urethra in both men and women, as well as the prostate and genital system in men. -emh pulmonology offers a comprehensive approach to treating and managing lung conditions including interstitial lung diseases, chronic obstructive pulmonary disease (copd), infectious lung disease, drug-related pulmonary disorders, and carcinoma of the lung. -emh podiatry offers a full range of podiatry and wound healing services. Focused on limb preservation the group works with a variety of complicated would healing cases. -emh ophthalmology service is a full service line of eye and vision services featuring surgical intervention when necessary. -emh optical service provides glasses and contacts based on refractive prescriptions. Each of these specialties provide care to individuals experiencing illnesses all consistent with or potential co-morbidities to conditions effecting patients meeting the criteria targeted by objectives 1 and 2 identified in the community health assessment. Final”
“Ephraim mcdowell regional medical center is the common paymaster for ephraim mcdowell health resource, inc. All salaries and payroll taxes are reported on a consolidated form 941. The ein on the form 941 is 61-0492356.”
“Sch d, part x, line 2 income taxes ------------ the organization's audited financial statements did not include a footnote that addressed the organization's liability for uncertain tax positions under fin48 (asc 740). Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. To be recorded or disclosed in the financial statements.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE HIGH QUALITY, COST EFFECTIVE, INTEGRATED HEALTH CARE TO THOSE 124,000 INDIVIDUALS RESIDING WITHIN ITS SERVICE AREA. |
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| IRS990/Desc | 0 | EPHRAIM MCDOWELL HEALTH RESOURCE (EMHR) IS RESPONSIBLE FOR ATTRACTING PHYSICIANS AND OTHER MEDICAL PROVIDERS FOR SERVICE DELIVERY TO APPROXIMATELY 124,000 INDIVIDUALS IN BOYLE, CASEY, LINCOLN, GARRARD, MERCER, RUSSELL, AND WASHINGTON COUNTIES - THE PRIMARY SERVICE AREA OF EPHRAIM MCDOWELL HEALTH (EMH). CLINICAL SERVICES ARE AS APPROPRIATE, AVAILABLE ON A REDUCED FEE OR SLIDING SCALE BASIS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. |
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| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 16 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 17 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 18 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 62774 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 46259 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 44044 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 38298 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 31331 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 60111 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 60142 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 38297 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 59036 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 43174 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 62709 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | DANIEL MCKAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DAVID GRIGSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DAVID MONTGOMERY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ERIC GURRANT MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JULIAN GANDER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | REBECCA CHATHAM MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | TIFFANY YEAST |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | BRIAN ELLIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | CHRIS WHITWORTH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | ERIC CALDWELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JAMES W DUNN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JEREMY TARTER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | JOETTA WICKLIFFE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | KAY RICHARDSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | LINDA TILLMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | MIKE W TAYLOR CPA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | SCOTT BOTTOMS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | SHAWN MARKHAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | THOMAS HAGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | AMANDA KINMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | LIBBY MAYES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | NICHOLAS SPOONMORE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | TAMMY ENSSLIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | ASLAM AHMAD MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | CHARLES GRIGSBY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | EDGAR SALAS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | JARED HAGAMAN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | JONATHAN DOTY MD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 468771 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 811090 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 1191557 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 1142713 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 852368 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 712942 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 846887 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 3300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 750 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 7300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 3300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 12800 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 3300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 4500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 4350 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 4800 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 3300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 4800 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 4950 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 4050 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 3300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 3300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 3300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 342641 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 222726 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 259921 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 315543 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | MEDICAL STAFF VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | MEDICAL STAFF PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | ASST. VP COMMUNITY ENGAGEMENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | VP STRATEGIC INITIATIVE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | CHIEF LEGAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1997 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 19 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 10240984 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 17 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 75 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 37675 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 122329 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 160004 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 173946 |
| IRS990/InterestGrp/TotalAmt | 0 | 173946 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 37 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 12005055 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 2798782 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 2519929 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 14524984 |
| IRS990/LegalDomicileStateCd | 0 | KY |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | TO PROVIDE HIGH QUALITY, COST EFFECTIVE, INTEGRATED HEALTH CARE TO THOSE 124,000 INDIVIDUALS RESIDING WITHIN ITS SERVICE AREA. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -25266242 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -26978455 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -25266242 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -26978455 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 50209 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 163025 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 213234 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 51263 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 166446 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 217709 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 0 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 0 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 351479 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2129470 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 2480949 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | REPAIRS & MAINTENANCE |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 105874 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 45201 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 343762 |
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