Civic Intelligence

Ephraim Mcdowell Health Inc

EIN 61-1324736 • 501(c)3 • Danville, KY

Profile

Ephraim mcdowell health is committed to helping people live healthier through quality health care, trusting relationships, and providing value to the people 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

89th percentile

0.95x

Higher debt load relative to assets than 89% of similar nonprofits.

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

Liabilities / Revenue

99th percentile

21.44x

Higher debt load relative to revenue than 99% of similar nonprofits.

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

Net Margin

87th percentile

34%

Higher net margin than 87% of similar nonprofits.

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

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

50th percentile

5.4%

Faster asset growth than 50% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2022 to 2024

Revenue Growth

70th percentile

14%

Faster revenue growth than 70% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2022 to 2024

Assets

Up

$260,372,005

Up $21,969,625 (+9.2%) from 2023

Liabilities

Up

$247,789,212

Up $10,201,239 (+4.3%) from 2023

Net Assets

Up

$12,582,793

Up $11,768,386 (+1445%) from 2023

Revenue

Up

$11,558,146

Up $1,998,846 (+21%) from 2023

Expenses

Up

$7,664,998

Up $500,698 (+7.0%) from 2023

Net Income

Up

$3,893,148

Up $1,498,148 (+63%) from 2023

Trend Graphs

Balance Sheet Trend

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

$300M$200M$100M$0-$100MAssets 2010: $84,995,059Liabilities 2010: $96,167,228Net Assets 2010: -$11,172,1692010Assets 2011: $97,112,855Liabilities 2011: $110,436,588Net Assets 2011: -$13,323,7332011Assets 2012: $106,833,198Liabilities 2012: $118,691,776Net Assets 2012: -$11,858,5782012Assets 2013: $108,369,261Liabilities 2013: $116,585,964Net Assets 2013: -$8,216,7032013Assets 2014: $117,607,451Liabilities 2014: $124,269,155Net Assets 2014: -$6,661,7042014Assets 2015: $130,433,992Liabilities 2015: $139,848,361Net Assets 2015: -$9,414,3692015Assets 2016: $138,012,579Liabilities 2016: $146,742,734Net Assets 2016: -$8,730,1552016Assets 2017: $145,933,080Liabilities 2017: $151,999,173Net Assets 2017: -$6,066,0932017Assets 2018: $135,926,619Liabilities 2018: $140,919,759Net Assets 2018: -$4,993,1402018Assets 2019: $150,587,028Liabilities 2019: $154,880,372Net Assets 2019: -$4,293,3442019Assets 2020: $193,248,022Liabilities 2020: $200,250,592Net Assets 2020: -$7,002,5702020Assets 2021: $232,084,910Liabilities 2021: $230,009,877Net Assets 2021: $2,075,0332021Assets 2022: $234,389,398Liabilities 2022: $239,372,984Net Assets 2022: -$4,983,5862022Assets 2023: $238,402,380Liabilities 2023: $237,587,973Net Assets 2023: $814,4072023Assets 2024: $260,372,005Liabilities 2024: $247,789,212Net Assets 2024: $12,582,7932024

Highlighted filing

2024

Assets$260,372,005
Liabilities$247,789,212
Net Assets$12,582,793

Operations Trend

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

$15M$10M$5.0M$0-$5.0MExpenses 2010: $4,701,6012010Expenses 2011: $4,470,4912011Expenses 2012: $4,645,8222012Revenue 2013: $4,306,688Expenses 2013: $4,956,410Net Income 2013: -$649,7222013Revenue 2014: $6,095,135Expenses 2014: $6,268,562Net Income 2014: -$173,4272014Revenue 2015: $5,236,879Expenses 2015: $5,107,785Net Income 2015: $129,0942015Revenue 2016: $5,370,933Expenses 2016: $6,163,326Net Income 2016: -$792,3932016Revenue 2017: $4,992,097Expenses 2017: $5,329,752Net Income 2017: -$337,6552017Revenue 2018: $5,835,945Expenses 2018: $5,957,717Net Income 2018: -$121,7722018Revenue 2019: $5,927,368Expenses 2019: $5,900,138Net Income 2019: $27,2302019Revenue 2020: $7,628,237Expenses 2020: $7,568,891Net Income 2020: $59,3462020Revenue 2021: $9,374,281Expenses 2021: $6,441,350Net Income 2021: $2,932,9312021Revenue 2022: $8,895,600Expenses 2022: $6,921,467Net Income 2022: $1,974,1332022Revenue 2023: $9,559,300Expenses 2023: $7,164,300Net Income 2023: $2,395,0002023Revenue 2024: $11,558,146Expenses 2024: $7,664,998Net Income 2024: $3,893,1482024

Highlighted filing

2024

Revenue$11,558,146
Expenses$7,664,998
Net Income$3,893,148

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$260$248$12.6$11.6$7.66$3.89
2023Detailed filing. Detailed filing data is available for this year.$238$238$0.81$9.56$7.16$2.40
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$234$239$4.98$8.90$6.92$1.97
2021Detailed filing. Detailed filing data is available for this year.$232$230$2.08$9.37$6.44$2.93
2020Detailed filing. Detailed filing data is available for this year.$193$200$7.00$7.63$7.57$0.06
2019Detailed filing. Detailed filing data is available for this year.$151$155$4.29$5.93$5.90$0.03
2018Detailed filing. Detailed filing data is available for this year.$136$141$4.99$5.84$5.96$0.12
2017Detailed filing. Detailed filing data is available for this year.$146$152$6.07$4.99$5.33$0.34
2016Detailed filing. Detailed filing data is available for this year.$138$147$8.73$5.37$6.16$0.79
2015Detailed filing. Detailed filing data is available for this year.$130$140$9.41$5.24$5.11$0.13
2014Detailed filing. Detailed filing data is available for this year.$118$124$6.66$6.10$6.27$0.17
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$108$117$8.22$4.31$4.96$0.65
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$107$119$11.9$4.65
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$97.1$110$13.3$4.47
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$85.0$96.2$11.2$4.70
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
$18,939,557
Mission and Program Overview

Mission

Ephraim mcdowell health is committed to providing a healing environment in the communities we serve, built on best people, practices and performance.

Ephraim mcdowell health is committed to helping people live healthier through quality health care, trusting relationships, and providing value to the people we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$128,963,996$141,473,938▲ $12,509,942
Investments in Publicly Traded Securities$94,274,201$107,499,472▲ $13,225,271
Land, Buildings, and Equipment, Net$10,693,975$10,106,516▼ $587,459
Prepaid Expenses and Deferred Charges$1,027,118$962,195▼ $64,923
Cash and Non-Interest-Bearing Accounts$935,505$0▼ $935,505
Investments Program Related$334,363$223,555▼ $110,808
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Loans From Officers Directors$0$0→ $0
Accounts Receivable$-16,004$-16,706▼ $702
Total Assets$238,402,380$260,372,005▲ $21,969,625
Other Assets Total$2,189,226$123,035▼ $2,066,191
Liabilities
Other Liabilities$192,557,548$209,205,631▲ $16,648,083
Tax Exempt Bond Liabilities$34,880,856$33,010,856▼ $1,870,000
Accounts Payable and Accrued Expenses$10,149,569$5,572,725▼ $4,576,844
Total Liabilities$237,587,973$247,789,212▲ $10,201,239
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$814,407$12,582,793▲ $11,768,386
Total Net Assets Fund Balance$814,407$12,582,793▲ $11,768,386
Total Liabilities and Net Assets / Fund Balance$238,402,380$260,372,005▲ $21,969,625

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$10,100,205-$10,100,205
Equipment$0$1,079,713$1,079,713
Leasehold Improvements$6,311$4,064$10,375
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Daniel MckayPresident & CEOPT$653,236$256,425$909,661
Amanda KinmanCFOFT$288,988$97,697$386,685
Tammy EnsslinChief Legal OfficerFT$254,486$121,168$375,654
Nicholas SpoonmoreVP Strategic InitiativesFT$230,665$60,587$291,252
Libby MayesAsst. VP Community EngagementFT$176,149$84,875$261,024
Jeremy CocanougherDirector MarketingFT$93,045$39,797$132,842
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
Brian Ellis MdBoard Member
Shawn MarkhamBoard Member

Highest Paid Contractors

ContractorServicesLocationCompensation
Wyatt Tarrant & Combs LLPLegal Services400 WEST MARKET STREET, SUITE 2000, Louisville, KY 40202$267,045
Stoll Keenon & Ogden PllcLegal Services300 WEST VINE STREET, SUITE 2100, Lexington, KY 40507$177,139
Benson Law OfficesLegal Services155 East Main Street, Suite 210, Lexington, KY 40507$143,218
Piper & Bowers PscLegal Services562 W SHORT STREET, Lexington, KY 40507$103,392
Revenue and Support

Revenue Composition

Contributions and Grants
$43,502
Program Service Revenue
$3,202,491
Investment Income
$8,290,033
Other Revenue
$22,120
Change in Net Assets
$3,893,148
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$4,869,884
Salaries, Compensation, and Employee Benefits$2,754,190
Grants and Similar Amounts Paid$40,924
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$2,575,196--$2,575,196
Fees for Services Legal$1,972,035--$1,972,035
Office Expenses$874,177--$874,177
Other Salaries and Wages$784,324--$784,324
Fees for Services Other$506,092$0$0$506,092
Advertising$501,543--$501,543
Occupancy$488,849--$488,849
Payroll Taxes$169,034--$169,034
Fees for Service Investment Mgmnt Fees$163,611--$163,611
Insurance$110,563--$110,563
Conferences and Meetings$80,674--$80,674
Other Expenses$23,375--$23,375
Grants to Domestic Orgs$22,924--$22,924
Grants to Domestic Individuals$18,000--$18,000
All Other Expenses$7,792$0$0$7,792
Information Technology$5,947--$5,947
Travel$5,620--$5,620
Depreciation Depletion$3,459--$3,459
Fees for Services Accounting$1,290--$1,290
Other Employee Benefits$-37,391--$-37,391
Pension Plan Contributions$-736,973--$-736,973
Total Functional Expenses$7,664,998$0$0$7,664,998
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 Parties$197,440,887
Operating Leases$8,633,007
Accrued Interest Payable$1,985,248
Int. Rate Swap Agreement Liab.$1,146,485
Finance Lease Liability$4
Checks in Excess of Bank Balance-

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACounty of Boyle Kentucky2014-06-04$61,751,924Refunding series 2014A & 2014B

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$61,751,934--$85,000

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
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
Yes
Other officer compensation reviewed
Yes
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 15A PROCESS FOR DETERMINING COMPENSATION

Ephriam mcdowell health, inc. Is the parent company of an integrated healthcare delivery system. 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 organization also participates in and receives annual kha salary survey data which is reviewed to determine reasonable compensation levels. 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 19 MAKING FORMS 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, 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

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

Filing and Contact Details

Filer

Filer Name
Ephraim Mcdowell Health Inc
EIN
61-1324736
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
1997
Legal Domicile
Ky
Voting Board Members
19
Independent Board Members
17
Employees
15
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

We provide a number of specialty services for patients who seek their care from our health care system. Our system also includes an assisted living community for our senior population and a wellness facility. At the core of the system is ephraim mcdowell regional medical center, a non-profit, 197-bed licensed hospital. Our other hospitals are ephraim mcdowell fort logan hospital, a 25-bed critical access hospital located in neighboring lincoln county (stanford) and ephraim mcdowell james b. Haggin hospital, a 25-bed critical access hospital located in neighboring mercer county (harrodsburg). The ephraim mcdowell health care foundation provides philanthropic support to our system, allowing ephraim mcdowell health to provide the most advanced comprehensive and compassionate care to our patients. The foundation has been instrumental in providing resources for cardiology, cancer, newborn care and infection reduction, among others. All monies raised through the foundation's fundraising efforts are returned to the communities we serve. Our community service department has a mission to make a measurable difference in the health and wellness of the individuals who live in our six-county service area. To accomplish that mission, regular health screenings are offered in the communities we serve to detect for the risks of heart disease and stroke as well as diabetes, cancer and obesity. Many times, these screenings save lives. We also complete a community health needs assessment every three years to identify the primary health risk factors in the communities we serve. You can view the results of those assessments on our website at https://www.emhealth.org/services/community-health/. Senior leadership serves in many capacities within the larger community to improve the lives of those we serve. Not reported are the many hours spent as a volunteer at local events and the efforts in advocacy and giving testimony at the local, state and national level to improve access to care or environmental impact and/or economic improvement. During fy2024, the ephraim mcdowell health system provided $6,208,302 in financial assistance and means-tested programs within the three hospitals to improve the health of the community we serve.

Form 990, Part V, Line 2A COMMON PAYMASTER

Ephraim mcdowell regional medical center is the common paymaster for ephraim mcdowell health, 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 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/Desc0THE EPHRAIM MCDOWELL HEALTH SYSTEM IS A COMPREHENSIVE, INTEGRATED HEALTHCARE DELIVERY SYSTEM THAT SERVICES MORE THAN 119,000 RESIDENTS FROM SIX COUNTIES IN CENTRAL KENTUCKY. OUR COMPREHENSIVE RANGE OF MEDICAL SERVICES INCLUDES THE REGION'S MOST ADVANCED TECHNOLOGY AND SKILLED HEALTH CARE PROVIDERS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
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