Civic Intelligence

Ephraim Mcdowell Health Resource Inc

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.

217 South Third StreetDanville, KY 40422

www.emhealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

100th percentile

10.78x

Higher debt load relative to assets than 100% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

91st percentile

2.90x

Higher debt load relative to revenue than 91% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

13th percentile

-17%

Higher net margin than 13% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

97th percentile

$1,229,854

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 12.0% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

12th percentile

-9.1%

Faster asset growth than 12% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

82nd percentile

41%

Faster revenue growth than 82% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

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

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$100M$50M$0-$50M-$100MAssets 2010: $10,824,372Liabilities 2010: $36,890,168Net Assets 2010: -$26,065,7962010Assets 2011: $10,522,626Liabilities 2011: $38,861,123Net Assets 2011: -$28,338,4972011Assets 2012: $10,598,768Liabilities 2012: $42,308,098Net Assets 2012: -$31,709,3302012Assets 2013: $12,742,163Liabilities 2013: $49,961,778Net Assets 2013: -$37,219,6152013Assets 2014: $12,948,289Liabilities 2014: $54,923,725Net Assets 2014: -$41,975,4362014Assets 2015: $13,407,291Liabilities 2015: $61,237,780Net Assets 2015: -$47,830,4892015Assets 2016: $14,021,377Liabilities 2016: $69,981,272Net Assets 2016: -$55,959,8952016Assets 2017: $14,006,553Liabilities 2017: $79,191,449Net Assets 2017: -$65,184,8962017Assets 2018: $4,901,922Liabilities 2018: $22,094,387Net Assets 2018: -$17,192,4652018Assets 2019: $4,792,088Liabilities 2019: $25,558,432Net Assets 2019: -$20,766,3442019Assets 2020: $4,069,784Liabilities 2020: $26,076,150Net Assets 2020: -$22,006,3662020Assets 2021: $3,364,594Liabilities 2021: $25,801,886Net Assets 2021: -$22,437,2922021Assets 2022: $3,593,808Liabilities 2022: $27,535,477Net Assets 2022: -$23,941,6692022Assets 2023: $3,035,507Liabilities 2023: $28,301,749Net Assets 2023: -$25,266,2422023Assets 2024: $2,759,768Liabilities 2024: $29,738,223Net Assets 2024: -$26,978,4552024

Highlighted filing

2024

Assets$2,759,768
Liabilities$29,738,223
Net Assets-$26,978,455

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$20M$0-$20MExpenses 2010: $14,476,6392010Expenses 2011: $14,742,8492011Expenses 2012: $17,432,1812012Expenses 2013: $22,603,4552013Revenue 2014: $19,306,710Expenses 2014: $24,036,931Net Income 2014: -$4,730,2212014Revenue 2015: $22,719,067Expenses 2015: $28,359,120Net Income 2015: -$5,640,0532015Revenue 2016: $23,631,561Expenses 2016: $31,761,006Net Income 2016: -$8,129,4452016Revenue 2017: $22,852,743Expenses 2017: $32,077,745Net Income 2017: -$9,225,0022017Revenue 2018: $8,310,727Expenses 2018: $9,177,917Net Income 2018: -$867,1902018Revenue 2019: $8,650,223Expenses 2019: $9,260,102Net Income 2019: -$609,8792019Revenue 2020: $5,497,741Expenses 2020: $6,737,757Net Income 2020: -$1,240,0162020Revenue 2021: $6,303,580Expenses 2021: $6,734,515Net Income 2021: -$430,9352021Revenue 2022: $5,840,249Expenses 2022: $7,344,626Net Income 2022: -$1,504,3772022Revenue 2023: $7,268,658Expenses 2023: $8,593,287Net Income 2023: -$1,324,6292023Revenue 2024: $10,240,984Expenses 2024: $11,953,197Net Income 2024: -$1,712,2132024

Highlighted filing

2024

Revenue$10,240,984
Expenses$11,953,197
Net Income-$1,712,213

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$2.76$29.7$27.0$10.2$12.0$1.71
2023Detailed filing. Detailed filing data is available for this year.$3.04$28.3$25.3$7.27$8.59$1.32
2022Detailed filing. Detailed filing data is available for this year.$3.59$27.5$23.9$5.84$7.34$1.50
2021Detailed filing. Detailed filing data is available for this year.$3.36$25.8$22.4$6.30$6.73$0.43
2020Detailed filing. Detailed filing data is available for this year.$4.07$26.1$22.0$5.50$6.74$1.24
2019Detailed filing. Detailed filing data is available for this year.$4.79$25.6$20.8$8.65$9.26$0.61
2018Detailed filing. Detailed filing data is available for this year.$4.90$22.1$17.2$8.31$9.18$0.87
2017Detailed filing. Detailed filing data is available for this year.$14.0$79.2$65.2$22.9$32.1$9.23
2016Detailed filing. Detailed filing data is available for this year.$14.0$70.0$56.0$23.6$31.8$8.13
2015Detailed filing. Detailed filing data is available for this year.$13.4$61.2$47.8$22.7$28.4$5.64
2014Detailed filing. Detailed filing data is available for this year.$12.9$54.9$42.0$19.3$24.0$4.73
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.7$50.0$37.2$22.6
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.6$42.3$31.7$17.4
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.5$38.9$28.3$14.7
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.8$36.9$26.1$14.5
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Nov 1, 2025
Return Version
2023v6.0
Gross Receipts
$10,240,984
Mission and Program Overview

Mission

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.

Balance Sheet Detail
LineBeginningEndChange
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 Categories

AssetBook ValueDepreciationBasis
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Charles Grigsby MdPhysicianFT$656,404$573,450$1,229,854
Edgar Salas MdPhysicianFT$656,045$545,704$1,201,749
Jared Hagaman MdPhysicianFT$548,530$347,012$895,542
Aslam Ahmad MdPhysicianFT$617,896$253,336$871,232
Jonathan Doty MdPhysicianFT$437,391$338,260$775,651
Brian EllisBoard MemberPT$215,363$299,667$515,030
Rebecca Chatham MdMedical Staff President--$12,800$12,800
Eric Gurrant MdVice Chair--$7,300$7,300
Kay RichardsonBoard Member--$4,950$4,950
James W DunnBoard Member--$4,800$4,800
Joetta WickliffeBoard Member--$4,800$4,800
Chris WhitworthBoard Member--$4,500$4,500
Eric CaldwellBoard Member--$4,350$4,350
Linda TillmanBoard Member--$4,050$4,050
David GrigsonTreasurer--$3,300$3,300
Julian GanderChair--$3,300$3,300
Thomas HagerBoard Member--$3,300$3,300
Tiffany YeastSecretary--$3,300$3,300
Jeremy Tarter MdBoard Member--$3,300$3,300
Mike W Taylor CPABoard Member--$3,300$3,300
Scott BottomsBoard Member--$3,300$3,300
David Montgomery MdMedical Staff Vice President--$750$750

Board Members and Trustees

NameTitle
Daniel MckayPresident & CEO
Shawn MarkhamBoard Member
Libby MayesAsst. VP Community Engagement
Amanda KinmanCFO
Tammy EnsslinChief Legal Officer
Nicholas SpoonmoreVP Strategic Initiative
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$4,542,202
Investment Income
$0
Other Revenue
$5,698,782
Change in Net Assets
$-1,712,213

Audited Revenue Reconciliation

Revenue per Audited Statements
$10,240,984
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$10,240,984
Total Revenue per Form 990
$10,240,984
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
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

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
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

Audited Expense Reconciliation

Line ItemAmount
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
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Party$25,858,621
Due to Third Party-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 11B Review of form 990 by governing body

Copies of the form 990 are submitted to the full board via email prior to filing.

Form 990, Part VI, Line 12C Conflict of interest policy

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.

Form 990, Part VI, Line 19 Required documents available to the public

The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Form 990, Part VI, Section B, Line 15A and 15B Process for Determining Compensation

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.

Filing and Contact Details

Filer

Filer Name
Ephraim McDowell Health Resource Inc
EIN
31-1545520
Phone
8592392424
Address
217 SOUTH THIRD STREET, DANVILLE, KY 40422

Signing Officer

Name
Amanda Kinman
Title
CFO
Phone
8592392424
Signed
2025-11-01
Discuss with paid preparer
Yes

Organization Details

Formed
1997
Legal Domicile
Ky
Voting Board Members
19
Independent Board Members
17
Employees
446
Volunteers
0

Preparer

Firm
Forvis Mazars LLP
Address
1222 Demonbreun St Suite 950, Nashville, TN 37203-3357
Preparer
Jeff Smith
Phone
6154549800
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A Program Service Accomplishments

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

Form 990, Part V, Line 2A Common Paymaster

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.

Financial Statement Notes

Schedule D, Part XI RECONCILIATION TO AUDIT REPORT

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.

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IRS990/Desc0EPHRAIM 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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