Civic Intelligence

Ephraim Mcdowell Regional Medical Center

EIN 61-0492356 • 501(c)3 • Danville, KY

Profile

The organization's primary mission is to be the leading provider of quality health care services in the central kentucky communities we serve.

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

23rd percentile

0.08x

Higher debt load relative to assets than 23% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

13th percentile

0.10x

Higher debt load relative to revenue than 13% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

47th percentile

3.2%

Higher net margin than 47% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

53rd percentile

$909,661

Higher top officer pay than 53% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Asset Growth

37th percentile

3.5%

Faster asset growth than 37% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

53rd percentile

9.6%

Faster revenue growth than 53% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Up

$327,543,451

Up $10,971,994 (+3.5%) from 2023

Liabilities

Up

$27,474,858

Up $2,069,917 (+8.1%) from 2023

Net Assets

Up

$300,068,593

Up $8,902,077 (+3.1%) from 2023

Revenue

Up

$282,057,394

Up $24,811,466 (+9.6%) from 2023

Expenses

Up

$273,155,315

Up $18,865,318 (+7.4%) from 2023

Net Income

Up

$8,902,079

Up $5,946,148 (+201%) from 2023

Trend Graphs

Balance Sheet Trend

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

$400M$300M$200M$100M$0Assets 2010: $163,786,821Liabilities 2010: $10,206,314Net Assets 2010: $153,580,5072010Assets 2011: $175,439,921Liabilities 2011: $10,523,697Net Assets 2011: $164,916,2242011Assets 2012: $187,847,906Liabilities 2012: $9,457,075Net Assets 2012: $178,390,8312012Assets 2013: $201,364,111Liabilities 2013: $10,658,400Net Assets 2013: $190,705,7112013Assets 2014: $216,585,521Liabilities 2014: $11,270,042Net Assets 2014: $205,315,4792014Assets 2015: $241,789,969Liabilities 2015: $12,680,406Net Assets 2015: $229,109,5632015Assets 2016: $255,967,142Liabilities 2016: $10,979,914Net Assets 2016: $244,987,2282016Assets 2017: $273,971,724Liabilities 2017: $11,493,864Net Assets 2017: $262,477,8602017Assets 2018: $243,858,157Liabilities 2018: $11,502,949Net Assets 2018: $232,355,2082018Assets 2019: $256,872,318Liabilities 2019: $14,982,119Net Assets 2019: $241,890,1992019Assets 2020: $293,988,269Liabilities 2020: $35,763,575Net Assets 2020: $258,224,6942020Assets 2021: $314,715,774Liabilities 2021: $29,263,379Net Assets 2021: $285,452,3952021Assets 2022: $314,104,640Liabilities 2022: $26,175,939Net Assets 2022: $287,928,7012022Assets 2023: $316,571,457Liabilities 2023: $25,404,941Net Assets 2023: $291,166,5162023Assets 2024: $327,543,451Liabilities 2024: $27,474,858Net Assets 2024: $300,068,5932024

Highlighted filing

2024

Assets$327,543,451
Liabilities$27,474,858
Net Assets$300,068,593

Operations Trend

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

$300M$200M$100M$0Expenses 2010: $129,212,8582010Expenses 2011: $131,502,6582011Expenses 2012: $140,107,6972012Expenses 2013: $144,247,4222013Revenue 2014: $167,283,730Expenses 2014: $152,673,962Net Income 2014: $14,609,7682014Revenue 2015: $173,514,823Expenses 2015: $149,720,742Net Income 2015: $23,794,0812015Revenue 2016: $170,594,563Expenses 2016: $154,716,898Net Income 2016: $15,877,6652016Revenue 2017: $175,891,675Expenses 2017: $158,401,043Net Income 2017: $17,490,6322017Revenue 2018: $184,236,471Expenses 2018: $183,582,858Net Income 2018: $653,6132018Revenue 2019: $189,438,377Expenses 2019: $179,903,373Net Income 2019: $9,535,0042019Revenue 2020: $196,512,817Expenses 2020: $180,178,322Net Income 2020: $16,334,4952020Revenue 2021: $242,763,076Expenses 2021: $215,535,375Net Income 2021: $27,227,7012021Revenue 2022: $241,768,459Expenses 2022: $239,010,271Net Income 2022: $2,758,1882022Revenue 2023: $257,245,928Expenses 2023: $254,289,997Net Income 2023: $2,955,9312023Revenue 2024: $282,057,394Expenses 2024: $273,155,315Net Income 2024: $8,902,0792024

Highlighted filing

2024

Revenue$282,057,394
Expenses$273,155,315
Net Income$8,902,079

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$328$27.5$300$282$273$8.90
2023Detailed filing. Detailed filing data is available for this year.$317$25.4$291$257$254$2.96
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$314$26.2$288$242$239$2.76
2021Detailed filing. Detailed filing data is available for this year.$315$29.3$285$243$216$27.2
2020Detailed filing. Detailed filing data is available for this year.$294$35.8$258$197$180$16.3
2019Detailed filing. Detailed filing data is available for this year.$257$15.0$242$189$180$9.54
2018Detailed filing. Detailed filing data is available for this year.$244$11.5$232$184$184$0.65
2017Detailed filing. Detailed filing data is available for this year.$274$11.5$262$176$158$17.5
2016Detailed filing. Detailed filing data is available for this year.$256$11.0$245$171$155$15.9
2015Detailed filing. Detailed filing data is available for this year.$242$12.7$229$174$150$23.8
2014Detailed filing. Detailed filing data is available for this year.$217$11.3$205$167$153$14.6
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$201$10.7$191$144
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$188$9.46$178$140
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$175$10.5$165$132
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$164$10.2$154$129
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
$282,057,394
Mission and Program Overview

Mission

The organization's primary mission is to be the leading provider of quality health care services in the central kentucky communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$54,186,345$56,444,398▲ $2,258,053
Accounts Receivable$26,338,311$25,930,578▼ $407,733
Inventories for Sale or Use$10,759,009$11,926,975▲ $1,167,966
Prepaid Expenses and Deferred Charges$3,149,151$2,946,328▼ $202,823
Investments Program Related$1,498,714$1,861,547▲ $362,833
Savings and Temporary Cash Investments$132,359$140,781▲ $8,422
Cash and Non-Interest-Bearing Accounts$65,485$63,859▼ $1,626
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Loans From Officers Directors$0$0→ $0
Total Assets$316,571,457$327,543,451▲ $10,971,994
Other Assets Total$220,442,083$228,228,985▲ $7,786,902
Liabilities
Accounts Payable and Accrued Expenses$16,515,113$21,580,190▲ $5,065,077
Other Liabilities$8,889,828$5,894,668▼ $2,995,160
Total Liabilities$25,404,941$27,474,858▲ $2,069,917
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$291,151,726$300,054,303▲ $8,902,577
Net Assets With Donor Restrictions$14,790$14,290▼ $500
Total Net Assets Fund Balance$291,166,516$300,068,593▲ $8,902,077
Total Liabilities and Net Assets / Fund Balance$316,571,457$327,543,451▲ $10,971,994

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$15,823,093$90,990,606$106,813,699
Buildings$31,103,093$64,897,836$96,000,929
Other Land Buildings$5,080,446$4,046,465$9,126,911
Land$4,189,025-$4,189,025
Leasehold Improvements$248,741$3,712,879$3,961,620
Other Assets Org$10,687,194--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Joan HaltomPharmacy DirectorFT$219,239$76,850$296,089
Gary NeatChief Information OfficerFT$178,809$87,320$266,129
Donna LongmireDirector Surgical ServicesFT$162,838$81,797$244,635
Michelle FraleyPharmacistFT$180,372$56,004$236,376
Elizabeth Ann WoodDirector 3tFT$153,004$65,798$218,802
Andrew LoschPharmacistFT$183,057$20,556$203,613
Lynne Warner-lynnVP CLINICAL EFFECT; JBH ADMINPT$112,120$60,334$172,454
Jason DeanVP Clinical EffectivenessPT$89,967$52,251$142,218
Rebecca Chatham MdMedical Staff PresidentPT-$12,800$12,800
Eric Guerrant MdVice ChairPT-$7,300$7,300
Kay RichardsonEm Health Care Foundation Chair--$4,950$4,950
James 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 GrigsonTreasurerPT-$3,300$3,300
Julian GanderChairPT-$3,300$3,300
Tiffany YeastSecretaryPT-$3,300$3,300
Jeremy Tarter MdBoard Member--$3,300$3,300
Mike W TaylorBoard Member--$3,300$3,300
Scott BottomsBoard Member--$3,300$3,300
Thomas HagerBoard Member--$3,300$3,300
David Montgomery MdMedical Staff Vice PresidentPT-$750$750

Board Members and Trustees

NameTitle
Daniel MckayPresident & CEO
Brian Ellis MdBoard Member
Shawn MarkhamBoard Member
Libby MayesAsst. VP Community Engagement
Amanda KinmanCFO
Tammy EnsslinChief Legal Officer
Nicholas SpoonmoreVP Strategic Initiatives

Highest Paid Contractors

ContractorServicesLocationCompensation
Central Kentucky SurgeonsPhysician ServicesPO BOX 129, Danville, KY 40422$4,241,474
QualivisStaffing AgencyDEPT 3847 PO BOX 12387, Dallas, TX 75312$4,163,961
In Compass Health INCPhysician Services318 MAXWELL ROAD, Alpharetta, GA 30009$2,909,074
Messer ConstructionConstruction Services854 W MAIN STREET, Lexington, KY 40508$2,090,889
Healthcare Claims ManagementClaims Management701 Broad Ripple Ave, Indianapolis, IN 46220$1,091,074
Revenue and Support

Revenue Composition

Contributions and Grants
$76,381
Program Service Revenue
$280,487,522
Investment Income
$28,019
Other Revenue
$1,465,472
Change in Net Assets
$8,902,079
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$159,474,921
Salaries, Compensation, and Employee Benefits$113,680,394
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$81,513,385$12,867,578-$94,380,963
Fees for Services Other$32,764,223$11,752,850$0$44,517,073
Depreciation Depletion$8,479,572$2,678-$8,482,250
Other Employee Benefits$7,194,159$1,187,430-$8,381,589
Office Expenses$4,976,878$1,532,806-$6,509,684
Payroll Taxes$5,432,121$896,597-$6,328,718
Pension Plan Contributions$3,435,487$567,043-$4,002,530
Information Technology$2,965,558$913,348-$3,878,906
Occupancy$2,784,185$857,488-$3,641,673
All Other Expenses$1,707,733$523,961$0$2,231,694
Other Expenses$1,655,589$509,897-$2,165,486
Interest$1,552,073--$1,552,073
Insurance$1,113,812$343,037-$1,456,849
Current Officers, Directors, Trustees, and Key Employees-$586,594-$586,594
Conferences and Meetings$142,512$43,891-$186,403
Fees for Services Accounting-$177,370-$177,370
Travel$89,982$27,713-$117,695
Advertising$24,188$7,449-$31,637
Fees for Services Legal-$19,110-$19,110
Total Functional Expenses$220,439,999$52,715,316$0$273,155,315
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
Yes
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-See Part VSee Part VNo$902,960

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 Third Party Payers$5,894,668
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
Yes
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
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15A PROCESS FOR DETERMINING COMPENSATION

Ephraim mcdowell regional medical center 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 key 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.

Form 990, Part VI, Line 6 Classes of members or stockholders

Members of the organization --------------------------- ephraim mcdowell health, inc. Is the sole corporate member of ephraim mcdowell regional medical center. Ephraim mcdowell health, inc., a related 501(c)(3) entity, is the parent organization of an integrated healthcare delivery system. Ephraim mcdowell health, inc. Elects board members of ephraim mcdowell regional medical center on an annual basis. The bylaws of ephraim mcdowell regional medical center require approval of certain transactions by ephraim mcdowell health, inc.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

Members of the organization --------------------------- ephraim mcdowell health, inc. Is the sole corporate member of ephraim mcdowell regional medical center. Ephraim mcdowell health, inc., a related 501(c)(3) entity, is the parent organization of an integrated healthcare delivery system. Ephraim mcdowell health, inc. Elects board members of ephraim mcdowell regional medical center on an annual basis. The bylaws of ephraim mcdowell regional medical center require approval of certain transactions by ephraim mcdowell health, inc.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

Members of the organization --------------------------- ephraim mcdowell health, inc. Is the sole corporate member of ephraim mcdowell regional medical center. Ephraim mcdowell health, inc., a related 501(c)(3) entity, is the parent organization of an integrated healthcare delivery system. Ephraim mcdowell health, inc. Elects board members of ephraim mcdowell regional medical center on an annual basis. The bylaws of ephraim mcdowell regional medical center require approval of certain transactions by ephraim mcdowell health, inc.

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 exists, 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 VIII, Line 11D Other Miscellaneous Revenue

REFERENCE LAB - Total Revenue: 0, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;

Filing and Contact Details

Filer

Filer Name
Ephraim Mcdowell Regional Medical Center
EIN
61-0492356
Phone
8592392424
Address
217 SOUTH THIRD STREET, DANVILLE, KY 40422

Signing Officer

Name
Daniel Mckay
Title
President/CEO
Phone
8592392424
Signed
2025-11-01
Discuss with paid preparer
Yes

Organization Details

Formed
1972
Legal Domicile
Ky
Voting Board Members
19
Independent Board Members
17
Employees
1,386
Volunteers
56

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

Ephraim McDowell Regional Medical Center (EMRMC) is a not-for-profit, 197-bed licensed level III trauma center dedicated to serving the health and wellness needs of the populations of Boyle, Lincoln, Mercer, Garrard, Casey and Washington Counties. The facility is Joint Commission accredited. Ephraim McDowell Regional Medical Center strives to set the standard for high quality health care. It has received three Gold Seals of Excellence from The Joint Commission for total hip and knee replacement and spine surgery and also has earned a Gold Seal of Approval for hip fractures, one of only two hospitals in the state to receive that distinction. EMRMC's scope of services include: behavioral health, cancer care center, outpatient cancer care, cardiac care services, critical care, diagnostic services, level III trauma/emergency care center, Kids Can Do pediatric therapy center, laboratory services, medical-surgical services, orthopedic/spine care, pastoral care, pain management center, pulmonology, thoracic surgery, rehabilitation, respiratory therapy, surgical services, vascular services, volunteer/auxiliary, women's health services, women's breast & health center, wound healing center, sleep disorders center, ear, nose, and throat services, urology, home health, neurology, podiatry, gastroenterology and durable medical equipment. In fiscal year 2024, outpatient registrations were 117,416 and emergency room services were provided for 28,514 visits. There were 15,627 surgical procedures, 6,968 admissions (including swing and nursery), and the facility recorded 31,877 total patient days (including observation and swing). Expanded service modalities have been continued in order to increase access to care needed for the elderly, frail, or those with cancer (all high volume populations within the six counties) to receive care close to home. In FY 2024, Ephraim McDowell Regional Medical Center invested $2,946,981 in community benefit including financial assistance and means-tested programs. The financial investment was above and beyond the hours of volunteer time in leadership roles by EMRMC staff to improve health, education, environment, economic development and legislative endeavors within the community, state and at the national level.

Form 990, Part V, Line 2A COMMON PAYMASTER

Ephraim mcdowell regional medical center is the common paymaster for the following related organizations: ephraim mcdowell health, inc., ephraim mcdowell health resources, inc., ephraim mcdowell health care foundation, inc., emhfl, inc., cooperativecare, inc., and james b. Haggin memorial hospital, inc. All salaries and payroll taxes are reported on a consolidated form 941. The ein on the form 941 is 61-0492356.

Form 990, Part IX, Line 11G Other Fees

FEES FOR MEDICAL SERVICES - Total Expense: 44517073, Program Service Expense: 32764223, Management and General Expenses: 11752850, Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Rounding - -2;

Financial Statement Notes

Schedule 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.

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IRS990/Desc0EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER IS A LEADING HEALTH CARE PROVIDER IN KENTUCKY. CARRYING ON THE INNOVATIVE AND TRANSFORMATIONAL CARE EMBODIED BY OUR NAMESAKE, DR. EPHRAIM MCDOWELL, THE REGIONAL MEDICAL CENTER HAS BEEN NAMED AS ONE OF THE 100 GREATEST COMMUNITY HOSPITALS IN AMERICA. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
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