EMHFL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
EMHFL INC (EIN 61-1388556)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-15
IRS object ID
202232279349303778
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-08-15T14:57:37-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13102 WEST END AVENUE SUITE 800AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP372031382ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN611388556EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EMHFL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% AMANDA KINMANInCareOfNm
Business Name ControlEMHFBusinessNameControlTxt
Phone8592392424PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1217 SOUTH THIRD STREETAddressLine1Txt
CityDANVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP40422ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAMANDA KINMANPersonNm
Person TitleCFOPersonTitleTxt
Phone8592392424PhoneNum
Signature2022-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstAMANDAPersonFirstNm
Person LastKINMANPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFF SMITHPreparerPersonNm
PTINP00289876PTIN
Phone6159883600PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDANIEL MCKAYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1217 SOUTH THIRD STREETAddressLine1Txt
CityDANVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP40422ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$34,466,015GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.EMHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateKYLegalDomicileStateCd
Activity Or MissionTO PROVIDE ACUTE AND SPECIALTY CARE SERVICES TO INDIVIDUALS RESIDING WITHIN A PRIMARY SERVICE AREA OF CASEY, GARRARD AND LINCOLN COUNTIES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee187TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$24,600TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$20,628PYContributionsGrantsAmt
CY Contributions Grants$4,279,708CYContributionsGrantsAmt
PY Program Service Revenue$25,146,124PYProgramServiceRevenueAmt
CY Program Service Revenue$30,054,347CYProgramServiceRevenueAmt
PY Investment Income$25,502PYInvestmentIncomeAmt
CY Investment Income$37,154CYInvestmentIncomeAmt
PY Other Revenue$97,190PYOtherRevenueAmt
CY Other Revenue$94,806CYOtherRevenueAmt
PY Total Revenue$25,289,444PYTotalRevenueAmt
CY Total Revenue$34,466,015CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,297,700PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,626,019CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,391,050PYOtherExpensesAmt
CY Other Expenses$12,538,554CYOtherExpensesAmt
PY Total Expenses$22,688,750PYTotalExpensesAmt
CY Total Expenses$27,164,573CYTotalExpensesAmt
PY Revenues Less Expenses$2,600,694PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,301,442CYRevenuesLessExpensesAmt
Total Assets BOY$13,444,203TotalAssetsBOYAmt
Total Assets EOY$13,068,384TotalAssetsEOYAmt
Total Liabilities BOY$20,339,554TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,662,293TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$6,895,351NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$406,091NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE ACUTE AND SPECIALTY CARE SERVICES TO INDIVIDUALS RESIDING WITHIN A PRIMARY SERVICE AREA OF CASEY, GARRARD AND LINCOLN COUNTIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$24,370,729ExpenseAmt
Revenue$30,054,347RevenueAmt
DescEPHRAIM MCDOWELL FORT LOGAN HOSPITAL (EMHFL), OFFERS A FULL ARRAY OF HEALTH CARE SERVICES RANGING FROM SURGERY TO LABOR AND DELIVERY, DIAGNOSTIC IMAGING, ALONG WITH TRANSITIONAL CARE TO SPAN THE GAP BETWEEN THE HOSPITAL AND HOME. RECOGNIZED FOR ITS EMERGENCY CARE, THE HOSPITAL IS ALSO A LEVEL IV TRAUMA CENTER. THE FACILITY IS JOINT COMMISSION ACCREDITED. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.Desc
Total Program Service Expenses$24,370,729TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee187EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldKYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAMANDA KINMANPersonNm
Phone8592392424PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1217 SOUTH THIRD STREETAddressLine1Txt
CityDANVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP40422ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DANIEL MCKAY
PRESIDENT & CEO2.557.5Yes (X)Yes (X)$0$725,467$62,220
WILLIAM SNAPP III
PART-YEAR EXECUTIVE VP & CFO2.557.5Yes (X)$0$418,540$47,142
INA GLASS
VP OF CLINICAL CARE40.00.0Yes (X)Yes (X)$252,451$0$38,593
ERIC GOSSER
CRNA40.00.0$199,237$0$55,084Yes (X)
AMANDA KINMAN
PART-YEAR CFO2.557.5Yes (X)$0$174,202$46,308
SUSAN ADAMS
CRNA40.00.0$198,238$0$17,874Yes (X)
GARY BUNCH
CHIEF MEDICAL OFFICER40.00.0Yes (X)$173,263$0$19,063
JAIME KENNEY
PHARMACIST40.00.0$167,602$0$22,855Yes (X)
BURT PIPER
FORMER EXEC VP & COO0.00.0$0$167,700$0Yes (X)
KARIN DUNN
PHARMACIST40.00.0$128,027$0$22,539Yes (X)
JODY WELLS
DIRECTOR OF SURGERY40.00.0$111,961$0$34,170Yes (X)
JULIAN GANDER
BOARD MEMBER4.57.5Yes (X)$4,650$0$0
CHRIS WHITWORTH
CHAIR10.07.5Yes (X)Yes (X)$3,900$0$0
ERIC CALDWELL
VICE CHAIR10.00.0Yes (X)Yes (X)$1,200$0$0
MARILYN HAFLEY-BARLOW
SECRETARY4.50.0Yes (X)Yes (X)$1,200$0$0
SHAY PENDYGRAFT
BOARD MEMBER4.50.0Yes (X)$1,050$0$0
DONNA J WARDRIP
BOARD MEMBER4.50.0Yes (X)$900$0$0
DR WILLIAM STAFFORD
BOARD MEM/FORMER MED STAFF VP4.50.0Yes (X)$150$0$0
JEROME FLYNN
BOARD MEMBER4.50.0Yes (X)$0$0$0
DR JAY MILLER
PART-YEAR MED STAFF PRES / VP10.00.0Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,243,829TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,485,909TotReportableCompRltdOrgAmt
Total Other Compensation$365,848TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AIT LABORATORIES
5700 OLD BRIM ROADMIDLANDGA31820LAB SERVICES$235,685
QUALIVIS
DEPT 3847 PO BOX 12387DALLASTX75312TEMP AGENCY$504,567
KENTUCKY BLOOD CENTER
330 WALLER AVELEXINGTONKY40504BLOOD SERVICES$126,660
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$4,279,708GovernmentGrantsAmt
Total Contributions$4,279,708TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES621110$28,704,862$28,704,862
REFERENCE LAB621500$24,600$24,600
RETAIL PHARMACY446110$1,324,885$1,324,885
FieldValueIRS element (for citing)
Total Program Service Revenue$30,054,347TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,854TotalRevenueColumnAmt
Exclusion$22,854ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$37,087RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$37,087RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$37,087TotalRevenueColumnAmt
Exclusion$37,087ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$14,300OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$14,300OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,300TotalRevenueColumnAmt
Exclusion$14,300ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
DIETARY SALES722514$56,059$56,059
MEDICAL RECORDS900099$860$860
MISCELLANEOUS900099$800$800
FieldValueIRS element (for citing)
Other Revenue Total$57,719OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,466,015TotalRevenueColumnAmt
Related Or Exempt Func Income$30,029,747RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$24,600UnrelatedBusinessRevenueAmt
Exclusion$131,960ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$292,378TotalAmt
Management And General$292,378ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,895,632TotalAmt
Program Services$10,921,586ProgramServicesAmt
Management And General$974,046ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,561,780TotalAmt
Program Services$1,399,538ProgramServicesAmt
Management And General$162,242ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$876,229TotalAmt
Program Services$787,490ProgramServicesAmt
Management And General$88,739ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$24,913TotalAmt
Management And General$24,913ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,957,993TotalAmt
Program Services$2,590,774ProgramServicesAmt
Management And General$367,219ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,693TotalAmt
Program Services$1,733ProgramServicesAmt
Management And General$960ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$793,989TotalAmt
Program Services$641,427ProgramServicesAmt
Management And General$152,562ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$99,588TotalAmt
Program Services$44,789ProgramServicesAmt
Management And General$54,799ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$459,259TotalAmt
Program Services$163,905ProgramServicesAmt
Management And General$295,354ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$17,249TotalAmt
Program Services$17,087ProgramServicesAmt
Management And General$162ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$44,338TotalAmt
Program Services$42,962ProgramServicesAmt
Management And General$1,376ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$293,988TotalAmt
Program Services$293,988ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,080,394TotalAmt
Program Services$1,080,394ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$207,784TotalAmt
Management And General$207,784ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$2,671,092$2,671,092
SHARED RESOURCE ALLOCATION$2,405,697$2,405,697
PROVIDER TAXES$200,280$200,280
REPAIRS & MAINTENANCE$644,365$541,359$103,006

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$634,932TotalAmt
Program Services$566,628ProgramServicesAmt
Management And General$68,304ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$27,164,573TotalAmt
Program Services$24,370,729ProgramServicesAmt
Management And General$2,793,844ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$270,215BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,335,160BOYAmt
EOY$1,190,546EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,400,595BOYAmt
EOY$3,502,232EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$495,847BOYAmt
EOY$519,609EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$153,797BOYAmt
EOY$132,253EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$29,330,413LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$21,606,669LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,788,589BOYAmt
EOY$7,723,744EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,444,203BOYAmt
EOY$13,068,384EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,798,323BOYAmt
EOY$2,537,109EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,541,231BOYAmt
EOY$10,125,184EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,339,554BOYAmt
EOY$12,662,293EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$6,895,351BOYAmt
EOY$406,091EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$6,895,351BOYAmt
EOY$406,091EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,444,203BOYAmt
EOY$13,068,384EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$7,301,442ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$1,139OtherActivitiesAmt
Total Lobbying Expenditures$1,139TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCH. C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationLOBBYING EXPENDITURES --------------------- A PORTION OF DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION (KHA) ARE USED FOR LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,140,614OtherCostOrOtherBasisAmt
Book Value$1,140,614BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,094,519OtherCostOrOtherBasisAmt
Depreciation$11,325,415DepreciationAmt
Book Value$4,769,104BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$63,957OtherCostOrOtherBasisAmt
Depreciation$63,957DepreciationAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,664,657OtherCostOrOtherBasisAmt
Depreciation$9,850,631DepreciationAmt
Book Value$1,814,026BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$366,666OtherCostOrOtherBasisAmt
Depreciation$366,666DepreciationAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,723,744TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO RELATED PARTY$3,851,312
DUE TO THIRD PARTY$6,273,872
FieldValueIRS element (for citing)
Total Liability$10,125,184TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCH D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationINCOME 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.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other125.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$257,529TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$257,529NetCommunityBenefitExpnsAmt
Total Expense0.00970TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,263,056TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,279,144DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,520,585TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,279,144DirectOffsettingRevenueAmt
Net Community Benefit Expns$257,529NetCommunityBenefitExpnsAmt
Total Expense0.00970TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,520,585TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,279,144DirectOffsettingRevenueAmt
Net Community Benefit Expns$257,529NetCommunityBenefitExpnsAmt
Total Expense0.00970TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,614,336BadDebtExpenseAmt
Bad Debt Expense Attributable$565,017BadDebtExpenseAttributableAmt
Reimbursed By Medicare$5,224,449ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$4,592,847CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$631,602MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EMHFL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 METKER TRAILAddressLine1Txt
CitySTANFORDCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40484ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.EMHEALTH.ORGWebsiteAddressTxt
State License600066StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1EMHFL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted20CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care125.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5COMMUNITY INPUT ---------------- THROUGH THE FOCUS GROUP AND ONLINE SURVEY, PARTICIPATION AND INPUT WAS GATHERED FROM REPRESENTATIVES OF PUBLIC HEALTH, AS WELL AS SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY (INCLUDING HISPANIC, AFRICAN AMERICAN), OR OTHER MEDICALLY UNDERSERVED POPULATIONS (SPECIFICALLY, THE ELDERLY, DISABLED, YOUNG ADULTS, LGBT COMMUNITY, THE MENTALLY ILL, INMATES, HEARING IMPAIRED, MEDICAID RECIPIENTS, AND THE UNINSURED).
SCHEDULE H, PART V, SECTION B, LINE 7 AND 10CHNA REPORT / IMPLEMENTATION STRATEGY ------------------------------------ THE CHNA REPORT AND THE IMPLENTATION STRATEGY CAN BE OBTAINED AT: HTTPS://WWW.EMHEALTH.ORG/SERVICES/COMMUNITY-HEALTH
SCHEDULE H, PART V, SECTION B, LINE 11ASSESSING THE NEEDS OF THE COMMUNITY -------------------------------- THE INTERNAL STAKEHOLDERS OF EMHFL DETERMINED THE FOLLOWING TO BE THE TOP HEALTH PRIORITIES FOR THE HOSPITAL TO ADDRESS IN THE COMMUNITY FOR THE COMING YEARS: - CARDIOVASCULAR DISEASE (CVD) RELATED RISK FACTORS (E.G., HYPERTENSION, BMI, GLUCOSE, TOBACCO USE, PHYSICAL ACTIVITY, NUTRITION) - CANCER EARLY DETECTION AND PREVENTION - CHILDHOOD OBESITY - ACCESS TO HEALTH SERVICES - DEMENTIAS, INCLUDING ALZHEIMER'S DISEASE - MENTAL HEALTH AND MENTAL DISORDERS - INJURY AND VIOLENCE PREVENTION THESE PRIORITY AREAS, AND PLANS TO ADDRESS THESE, WILL BE INTEGRATED INTO THE HOSPITAL'S IMPLEMENTATION STRATEGY. THE RATIONALE FOR SELECTING THESE AREAS IS AN UNDERSTANDING THAT IMPACTING THESE WOULD ALSO IMPACT MANY OTHER AREAS OF NEED IDENTIFIED IN THE ASSESSMENT, SUCH AS DIABETES, DEMENTIA, MENTAL HEALTH, SENSORY IMPAIRMENT, KIDNEY DISEASE, RESPIRATORY DISEASE, AND DISABILITY. THESE AREAS ALSO REPRESENT A CONTINUATION OF EXISTING WORK AND ALLOW THE HOSPITAL TO BUILD ON PAST SUCCESSES. THERE ARE ADDITIONAL NEEDS IDENTIFIED WITHIN THE CHNA REPORT THAT ARE NOT SPECIFICALLY ADDRESSED BY EMHFL, DUE TO NO EXPERTISE OR LIMITED RESOURCES, BUT ARE BEING ADDRESSED BY OTHER AGENCIES WITHIN THE COMMUNITY. DEFERRED NEEDS FROM THE CHNA OF BOYLE AND THE SURROUNDING COUNTIES BASED UPON RESOURCES AND/OR EXPERTISE INCLUDED THE FOLLOWING: SUBSTANCE ABUSE IS AN ISSUE IN THE STATE AND REGION. ADDICTION SERVICES ARE OFFERED BY PRIVATE PROVIDERS, COMPREHENSIVE CARE, AND SELF-REFINED IN THE REGION. EMRMC BEHAVIORAL MEDICINE UNIT DOES TREAT DUAL DIAGNOSIS PATIENTS AND THE PSYCHIATRISTS AND COUNSELORS TREAT OUT PATIENTS. THERE IS AN ACTIVE ALCOHOLICS ANONYMOUS CHAPTER. CELEBRATE RECOVERY IS OFFERED AT VARIOUS SITES IN THE SERVICE AREA. SUBSTANCE ABUSE TASK FORCE RESOURCES AND COMMITTEES ARE IN THE SURROUNDING SERVICE AREA, AND COLLABORATION OCCURS AS NEEDED. DUE TO LACK OF EXPERTISE AND RESOURCES, ADDICTION WILL BE DEFERRED AS PART OF THE WORK PLAN BY EMHFL. CHRONIC KIDNEY DISEASE AND END STAGE RENAL FAILURE LINKS TO DIABETES. FREE SCREENINGS WILL PROVIDE EARLY DETECTION AND POSSIBLY PREVENTION WHEN ADDRESSING NUTRITION, BODY MASS INDEX AND EXERCISE. SOME FAITH COMMUNITY NURSES IN CONGREGATIONS ASSESS BLOOD PRESSURES AND MEDICATION ADHERENCE AS WELL AS PROVIDE EDUCATION. RENAL SPECIALISTS AND DIALYSIS CENTERS SERVE THIS POPULATION AS WELL. DEMENTIA LINKS TO CV HEALTH AND STROKE INCIDENCE AND VASCULAR ISSUES. IT ALSO LINKS TO THE AGING OF THE POPULATION IN THE REGION. THERE IS AN ALZHEIMER'S SUPPORT GROUP IN BOYLE AND MERCER COUNTIES. ALSO, MENTAL EVALUATION AND MEDICATION MANAGEMENT IS AVAILABLE BY A PSYCHIATRIST AT THE MEDICAL CENTER. DANVILLE HEALTH & REHABILITATION CENTER AS WELL AS MORNING POINT HAS AN ALZEIMER'S LONG TERM CARE UNIT. THE SANDERS BROWN CENTER AT THE UNIVERSITY OF KENTUCKY HAS ON-GOING ALZHEIMER'S RELATED RESERACH AND SERVES AS A REFERRAL CENTER FOR THE REGION. BIRTHS TO TEENAGERS AND UNWED MOTHERS, AND LOW BIRTH-WEIGHT BIRTHS ARE BEING ADDRESSED BY THE HEALTH DEPARTMENTS AND THE SCHOOL HEALTH COALITIONS. THE HAVEN CARE CENTER PROVIDES PREGNANCY RESOURCES AND SUPPORTS ALL SIX COUNTIES. CHRONIC LUNG/RESPIRATORY DISEASE IS BEING ADDRESSED WITH TOBACCO EDUCATION, STOP SMOKING CLASSES AT THE HEALTH DEPARTMENTS, PULMONARY REHAB AT EPHRAIM MCDOWELL SPECIALTY CENTER AND THROUGH PUBLIC POLICY. THE COMMUNITY SERVICE DEPARTMENT SCREENS FOR TOBACCO USE AT ALL VENUES AND REFERS CLIENTS TO THE HEALTH DEPARTMENTS. THE HEALTH DEPARTMENT OFFERS FREEDOM FROM SMOKING CLASSES TO HELP RESIDENTS STOP SMOKING. THE HEALTH DEPARTMENTS ALSO CONDUCT TOBACCO EDUCATION IN THE SCHOOL SYSTEMS. IN THE AREAS OF INFECTIOUS DISEASE THE COUNTY HEALTH DEPARTMENTS WILL CONTINUE THE ADDRESS HIV EDUCATION AND TESTING. HEPATITIS C VACCINE IS AVAILABLE AT THE HEALTH DEPARTMENTS. EMHFL WILL DEFER DUE TO RESOURCE ALLOCATION - BOTH PERSONNEL AND TIME. INJURY AND VIOLENCE EDUCATION IS IN THE HEALTH DEPARTMENTS, COUNTY EXTENSION OFFICES, SCHOOL RESOURCE CENTERS, FAMILY COURT, AND LAW ENFORCEMENT IN ALL COUNTIES. EMRMC AND EMHFL OFFER THE SERVICES OF A SANE NURSE FOR RAPE VICTIMS. THE RAPE CRISIS CENTER SERVES THE REGION. EMHFL WILL DEFER FOCUS ON INJURY AND VIOLENCE AT THIS TIME DUE TO OTHER AGENCIES COVERING ALL ASPECTS, HAVING GREATER EXPERTISE AND DEPARTMENTAL RESOURCE LIMITATIONS. ORAL HEALTH INCLUDING REGULAR DENTAL CARE AND DENTAL INSURANCE IS A REGIONAL ISSUE. EPHRAIM MCDOWELL HEALTH BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.
SCHEDULE H, PART V, SECTION B, LINE 16PUBLICATION OF FAP --------------- THE HOSPITAL'S FAP CAN BE FOUND AT HTTPS://EMHEALTH.ORG/FOR-PATIENTS/GOING-HOME/BILLING-INSURANCE/
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
EPHRAIM MCDOWELL GARRARD CLINIC
405 DANVILLE STREETLANCASTERKY40444RURAL HEALTH CLINIC
LIBERTY FAMILY MEDICAL CENTER
511 MIDDLEBURG STLIBERTYKY42539RURAL HEALTH CLINIC
NORTH GARRARD FAMILY MEDICAL CENTER
510 N CAMP DICK ROADLANCASTERKY40444RURAL HEALTH CLINIC
STANFORD MEDICAL PARK
110 METKER TRAILSTANFORDKY40484RURAL HEALTH CLINIC
DANVILLE FAMILY PHYSICIANS MD
109 DANIEL DRDANVILLEKY40422RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7COSTING METHODOLOGY -------------------- THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEET 1. COST COMPUTED ON IRS WORKSHEET 3 WAS COMPUTED FROM THE MEDICARE COST REPORT, INCLUDING DIRECT COSTS PLUS OVERHEAD ALLOCATIONS COMPUTED IN THE COST REPORT STEP-DOWN PROCESS.
SCHEDULE H, PART I, LINE 7, COLUMN FPERCENT OF TOTAL EXPENSE ----------------------- TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990.
SCHEDULE H, PART III, LINE 2BAD DEBT EXPENSE ------------- THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2020. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. THIS AMOUNT IS DIRECTLY FROM THE FINANCIAL STATEMENTS AND INCLUDES ESTIMATES AND ACCRUALS OF BAD DEBT EXPENSE AND DOES NOT NECESSARILY REFLECT ACTUAL WRITE-OFFS DURING THE PERIOD.
SCHEDULE H, PART III, LINE 3BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE ----------------------------------------------- BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS REPORTED PER THE MEDICARE COST REPORT WORKSHEET S-10.
SCHEDULE H, PART III, LINE 4BAD DEBT EXPENSE ---------- THE CORPORATION REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS, AND OTHERS. THE CORPORATION PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE CORPORATION BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.
SCHEDULE H, PART III, LINE 8MEDICARE SURPLUS/SHORTFALL -------------------------- THE AMOUNTS REPORTED ON PART III, LINE 5 AND 6 WERE CALCULATED BASED ON THE MEDICARE COST REPORT.
SCHEDULE H, PART III, LINE 9BWRITTEN DEBT COLLECTION POLICY AND FINANCIAL ASSISTANCE ------------------------------------------------------- IF IT IS DETERMINED THAT A PATIENT OR RESPONSIBLE PARTY IS ELIGIBLE FOR FINANCIAL ASSISTANCE, EMH WILL: - SEND WRITTEN NOTIFICATIONS TO THE RESPONSIBLE INDIVIDUAL OF THE ASSISTANCE DETRMINATION, AND - IF THE DISCOUNT IS LESS THAN 100%, EMH WILL: * PROVIDE THE RESPONSIBLE INDIVIDUAL WITH A BILLING STATEMENT SHOWING THE AMOUNT OWED, HOW THE AMOUNT WAS DETERMINED, AND DESCRIBE HOW THE INDIVIDUAL CAN LEARN MORE ABOUT HOW THE HOSPITAL CALCULATES AGB; * ISSUE REFUNDS TO THE RESPONSIBLE INDIVIDUAL IF HE OR SHE PREVIOUSLY PAID AN AMOUNT TO EMH EXCEEDING WHAT HE OR SHE IS PERSONALLY RESPONSIBLE TO PAY; AND * TAKE ALL REASONABLE MEASURES TO REVERSE ANY ECAS (WITH THE EXCEPTION OF A SALE OF A DEBT OR DEFERRING OR DENYING CARE FOR NON-PAYMENT OF AMOUNTS FOR PREVIOUS CARE) TAKEN AGAINST THE RESPONSIBLE INDIVIDUAL TO THE EXTENT POSSIBLE. IF A PATIENT CANNOT SATISFY STANDARD PAYMENT EXPECTATIONS, A FINANCIAL ASSISTANCE SCREENING PROCESS FOR ALTERNATIVE SOURCES OF BALANCE RESOLUTION IS COMPLETED. THOSE RESOLUTIONS MAY INCLUDE A DISCOUNT ON CHARGES, MEDICAID ENROLLMENT OR APPLICATION FOR CHARITY CARE.
SCHEDULE H, PART VI, LINE 2NEEDS ASSESSMENT -------------- IN 2020, PROFESSIONAL RESEARCH CONSULTANTS (PRC) WAS ENGAGED TO CONDUCT A NEEDS ASSESSMENT OF EMHFL'S COMMUNITY, WHICH IS DEFINED AS THE PRINCIPAL RESIDENTIAL ZIP CODES IN CASEY, GARRARD, AND LINCOLN COUNTIES IN KENTUCKY. A SURVEY AND A COMMUNITY FOCUS GROUP WERE COMPLETED TO OBTAIN A PRIMARY DATA FROM INDIVIDUALS WITHIN THE COMMUNITY. THE FOCUS GROUP WAS COMPRISED OF REPRESENTATIVES FROM PUBLIC HEALTH, SOCIAL SERVICE PROVIDERS, EMPLOYERS, AND OTHER COMMUNITY LEADERS. SELF REPORT DATA, MORTALITY, MORIDITY, LIFESTYLE, INCIDENCE OF CHRONIC DISEASE, INJURY DATA AND DISABILITY DATA ARE PART OF THE ASSESSMENT PROCESS. THE BENCH MARK IS ESTABLISHED USING HEALTHY PEOPLE 2020 DATA.
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ------------------------------------------------ EMHFL'S CHARITY CARE POLICY IS POSTED ON THE WWW.EMHEALTH.ORG WEBSITE. AT REGISTRATION OF SELF-PAY CLIENTS, INFORMATION IS GIVEN ON A REDUCED FEE, CHARITY APPLICATION, AND A REFERRAL TO A FINANCIAL COUNSELOR. THE FREE COMMUNITY SCREENINGS ARE POSTED ON THE WEBSITE AND IN AREA NEWSPAPERS IF THE HOSTING ORGANIZATION INVITES COMMUNITY PARTICIPATION. SOME EVENTS ARE DISCUSSED ON LOCAL RADIO. INFORMATION REGARDING THE FREE CLINIC IS ALSO GIVEN BY THE HEALTHCARE PROVIDERS, FAITH COMMUNITY NURSES, CASE WORKERS AND OTHER MEDICAL PROFESSIONALS.
SCHEDULE H, PART VI, LINE 4SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION -------------------- THE COMMUNITY DEFINED FOR THE CHNA REPORT INCLUDES THE PRINCIPAL RESIDENTIAL ZIP CODES IN CASEY, GARRARD, AND LINCOLN COUNTIES IN KENTUCKY, COMPRISING THE SERVICE AREA OF EPHRAIM MCDOWELL, FORT LOGAN HOSPITAL. THE HEALTH SYSTEM SERVES BOYLE, MERCER, CASEY, LINCOLN, GARRARD, AND WASHINGTON COUNTIES, WHICH HAVE A RURAL POPULATION OF APPROXIMATELY 113,000. ACCESS IS AN ISSUE, DUE TO TRAVEL BARRIERS SUCH AS OUT-OF-DATE HIGHWAYS AND LACK OF PUBLIC TRANSPORTATION. THESE ACCESS ISSUES INFLUENCED THE DECISION TO SERVE WITH FREE SCREENINGS AT KEY GATHERING PLACES SUCH AS CHURCHES AND SCHOOLS, ETC. INSURANCE COVERAGE IS ANOTHER ISSUE. THE NUMBERS OF UNINSURED CONTINUES TO EXCEED THE NATIONAL AVERAGE AND THE UNDERINSURED IN THIS SERVICE AREA CONTINUES TO INCREASE POST ACA.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH ------------------------------- EMHFL LEADERS HOLD BOTH MEMBERSHIP AND LEADERSHIP POSITIONS WITHIN VARIOUS SERVICE ORGANIZATIONS IN THE COMMUNITY, ROLE MODELING GOOD CITIZENSHIP. EMHFL LEADERS SERVE ON THE LINCOLN COUNTY CANCER COALITION WHICH MEETS MONTHLY TO ADDRESS HEALTH RISK AND NEEDS RELATED TO CANCER. THE COALITION STRIVES TO PROVIDE ACCESS TO CARE/TREATMENT/SCREENINGS, MAKING PUBLIC POLICY RECOMMENDATIONS, AND PROVIDING CLIENT EDUCATION. SENIOR LEADERSHIP SERVES AS A MEMBER OF THE LINCOLN COUNTY HEALTH DEPARTMENT BOARD THAT MEETS BI-MONTHLY. THE LINCOLN COUNTY BOARD OF HEALTH IS FOCUSED ON IMPROVING THE HEALTH OF THE COMMUNITY. A HOSPITAL REPRESENTATIVE ON THIS BOARD IMPROVES AWARENESS OF POPULATION HEALTH ISSUES, COMMUNICATION, COLLABORATION, AND REDUCES DUPLICATION OF SERVICES. EMHFL LEADERS SERVED AS TEAM CAPTAINS FOR THE AMERICAN CANCER SOCIETY RELAY FOR LIFE IN LINCOLN COUNTY. SENIOR LEADERSHIP SERVES ON THE CHAMBER OF COMMERCE IN BOTH LINCOLN AND GARRARD COUNTIES ADDRESSING ECONOMIC AND QUALITY OF LIFE ISSUES IN THE COMMUNITY. EMHFL ASSOCIATES PARTICIPATE IN THE SALVATION ARMY (TSA) KETTLE DRIVE TO PROVIDE FOOD AND NECESSITIES FOR THSOE IN NEED IN THE COMMUNITY. STAFF SERVES ON THE LINCOLN COUNTY YOUTH SERVICE CENTER ADVISORY BOARDS (YSC) ALONG WITH PARENTS, STUDENTS, SCHOOL PERSONNEL, AND OTHER COMMUNITY REPRESENTATIVES. THE PURPOSE OF THIS COMMUNITY ADVISORY BOARD IS TO REMOVE BARRIERS TO RECEIVING A QUALITY EDUCATION. ADDITIONAL COMMUNITY INVOLVEMENT THAT ENHANCED THE LIVES OF THE CITIZENS OF LINCOLN COUNTY AND THE SURROUNDING COUNTIES INCLUDED INVOLVEMENT IN LAY HEALTH/FAITH COMMUNITY NURSING MINISTRIES WITHIN THE CONGREGATIONS. FULL CONGREGATIONAL IMPACT WAS GENERATED BY LEADERSHIP POSITIONS WITHIN THE VARIOUS CHURCH COMMITTEES. SERVICES PROVIDED INCLUDED, BUT WERE NOT LIMITED TO, SERVING ON BOARDS/COMMITTEES, TEACHING, MEAL PREPARATION, MUSIC AND WORSHIP LEADERSHIP, CHOIR PARTICIPATION AND HOME VISITS/CALLS. THE JOURNAL OF CHRISTIAN NURSING REPORTS THAT CHRISTIAN FAITH AND PRACTICE SUPPORTS BETTER MENTAL, PHYSICAL, AND SPIRITUAL HEALTH (MARCH 2013). COMMUNITY INVOLVEMENT IN CHILDREN'S PROGRAMS THROUGH THE AREA CHURCHES RESULTED IN OVER 1,000 CHILDREN BEING SERVED. STAFF HAS ALSO GIVEN TESTIMONY AT LOCAL, STATE, AND FEDERAL LEVELS RELATED TO OUR SERVICE AREA'S HEALTH, EDUCATION AND ECONOMIC ISSUES. ** DURING FY 2021, SOME ACTIVITIES MAY HAVE BEEN CANCELLED DUE TO COVID-19.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM ---------------------------- EPHRAIM MCDOWELL HEALTH (EMH) IS A COMPREHENSIVE, INTEGRATED HEALTHCARE DELIVERY SYSTEM THAT SERVES 113,000 RESIDENTS FROM SIX COUNTIES IN SOUTH CENTRAL KENTUCKY. THE EMH BOARD IS COMPRISED OF COMMUNITY MEMBERS AND REPRESENTATION FROM FT LOGAN HOSPITAL, MEDICAL STAFF, AND EMRMC LEADERSHIP. FT LOGAN HOSPITAL IS A CRITICAL ACCESS HOSPITAL LOCATED IN LINCOLN COUNTY. HEALTH RESOURCE IS COMPRISED OF CLINICS, AN EARLY CHILDHOOD DEVELOPMENT CENTER, ASSISTED LIVING FACILITY, AND DURABLE MEDICAL EQUIPMENT OUTLETS. THERE ARE REPRESENTATIVES FROM OUR SIX COUNTIES, MEDICAL STAFF, AND LEADERSHIP ON THE COMMUNITY BOARD THAT OVERSEES AND COORDINATES THE SERVICES OF EPHRAIM MCDOWELL HEALTH. ON DECEMBER 1, 2017, EMH ACQUIRED JAMES B. HAGGIN HOSPITAL, A CRITICAL ACCESS HOSPITAL LOCATED IN MERCER COUNTY.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DANIEL MCKAY
PRESIDENT & CEO$0$568,451$0$142,359$0$14,657$0$22,800$0$39,418$0$787,685$0$0
WILLIAM SNAPP III
PART-YEAR EXECUTIVE VP & CFO$0$327,633$0$71,838$0$19,069$0$22,800$0$24,342$0$465,682$0$0
BURT PIPER
FORMER EXEC VP & COO$0$167,700$0$0$0$0$0$0$0$0$0$167,700$0$0
GARY BUNCH
CHIEF MEDICAL OFFICER$161,358$0$10,000$0$1,905$0$13,107$0$5,956$0$192,326$0$0$0
INA GLASS
VP OF CLINICAL CARE$206,004$0$35,013$0$11,434$0$14,317$0$24,276$0$291,044$0$0$0
ERIC GOSSER
CRNA$197,164$0$500$0$1,573$0$16,579$0$38,505$0$254,321$0$0$0
JAIME KENNEY
PHARMACIST$158,564$0$500$0$8,538$0$0$0$22,855$0$190,457$0$0$0
SUSAN ADAMS
CRNA$157,733$0$500$0$40,005$0$16,310$0$1,564$0$216,112$0$0$0
KARIN DUNN
PHARMACIST$123,627$0$500$0$3,900$0$10,305$0$12,234$0$150,566$0$0$0
AMANDA KINMAN
PART-YEAR CFO$0$152,496$0$15,429$0$6,277$0$14,839$0$31,469$0$220,510$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, QUESTION 3ESTABLISHING CEO COMPENSATION -------------------------- THE CEO IS COMPENSATED BY EPHRAIM MCDOWELL HEALTH, 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, QUESTION 4ASEVERANCE PAYMENTS ------------------ BURT PIPER LEFT EPHRAIM MCDOWELL IN JULY 2019. HIS SEVERANCE OF $167,700 WAS INCLUDED IN HIS 2020 W-2. WILLIAM SNAPP LEFT EPHRAIM MCDOWELL IN JULY 2021. HIS SEVERANCE OF $80,228 WAS INCLUDED IN HIS 2020 W-2.
SCHEDULE J, PART I, LINE 6A AND 6BMANAGEMENT INCENTIVE PLAN --------------------------- EPHRAIM MCDOWELL HEALTH, INC. AND ITS AFFILIATES HAVE 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 THE 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4PROGRAM SERVICE ACCOMPLISHMENTS --------------------------------- THIS MODERN HOSPITAL, WITH CONSIDERABLE STATE-OF-THE-ART TECHNOLOGY, SERVES THE CITIZENS OF LINCOLN COUNTY, WHILE PATIENTS FROM SURROUNDING COUNTIES ALSO RELY ON EMHFL FOR THEIR HEALTH CARE NEEDS. ALTHOUGH SMALL, EMHFL MAINTAINS THE SAME STANDARDS OF EXCELLENCE IN CARE AND CUSTOMER SERVICE THAT PATIENTS WILL FIND AT ALL EPHRAIM MCDOWELL HEALTH FACILITIES. EMHFL OFFERS A VARIETY OF EPHRAIM MCDOWELL HEALTH SYSTEM SERVICES LOCALLY THROUGH THE FACILITY, INCLUDING CARDIOPULMONARY, DIAGNOSTIC, DIETARY, AND FAMILY-CENTERED MATERNITY CARE WITH A BIRTHING SPA, SWING BEDS, LABORATORY, REHABILITATION, SURGICAL SERVICES, 24-HOUR EMERGENCY CARE, AND DURABLE MEDICAL EQUIPMENT. IN FISCAL YEAR 2021, OUTPATIENT REGISTRATIONS, INCLUDING EMERGENCY SERVICES WERE 37,158; THERE WERE 721 SURGICAL PROCEDURES, 1,295 ADMISSIONS (INCLUDING NURSERY AND SWING), AND THE FACILITY RECORDED 6,287 TOTAL PATIENT DAYS (INCLUDING OBSERVATION AND SWING). IN FY 2021, EMHFL PROVIDED $157,966.24 IN FINANCIAL ASSISTANCE AND MEANS-TESTED PROGRAMS TO IMPROVE THE HEALTH OF THE COMMUNITY WE SERVE. THE FINANCIAL INVESTMENT WAS ABOVE AND BEYOND THE HOURS OF VOLUNTEER TIME IN LEADERSHIP ROLES BY EMHFL STAFF TO IMPROVE HEALTH, EDUCATION, ECONOMIC DEVELOPMENT, AND LEGISLATIVE ENDEAVORS WITHIN THE COMMUNITY, STATE AND NATIONAL LEVELS.
FORM 990, PART V, LINE 2ACOMMON PAYMASTER ------------------- THE EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER IS THE COMMON PAYMASTER FOR EMHFL, 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 VI, SECTION A, LINE 6, 7A, AND 7BMEMBERS OF THE ORGANIZATION --------------------------- EPHRAIM MCDOWELL HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF EMHFL, INC. 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 EMHFL, INC. ON AN ANNUAL BASIS. THE BYLAWS OF EMHFL, INC. REQUIRE APPROVAL OF CERTAIN TRANSACTIONS BY ITS SOLE CORPORATE MEMBER, EPHRAIM MCDOWELL HEALTH, INC.
FORM 990, PART VI, SECTION B, LINE 11PROCESS TO REVIEW FORM 990 ------------------------- COPIES OF THE FORM 990 ARE SUBMITTED TO THE FULL BOARD VIA EMAIL PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12B AND 12CMONITORING THE 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, SECTION B, LINE 15A AND 15BPROCESS FOR DETERMINING COMPENSATION ------------------------------ EMHFL, 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 IN 2018 FOR ESTABLISHING REASONABLE COMPENSATION OF 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, SECTION C, LINE 19MAKING 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 IX LINE 11GDESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:2957993

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
EPHRAIM MCDOWELL HEALTH RESOURCE INC
217 SOUTH THIRD STREETDANVILLEKY40422311545520HEALTHCAREKY501(C)(3)3EM HEALTHfalse
EPHRAIM MCDOWELL HEATH CARE FOUNDATION
217 SOUTH THIRD STREETDANVILLEKY40422611229333FUNDRAISINGKY501(C)(3)12B-IIEM HEALTHfalse
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER
217 SOUTH THIRD STREETDANVILLEKY40422610492356ACUTE HOSPKY501(C)(3)3EM HEALTHfalse
EPHRAIM MCDOWELL HEALTH INC
217 SOUTH THIRD STREETDANVILLEKY40422611324736MGT SERVICESKY501(C)(3)12B-IINAfalse
MCDOWELL HOME HEALTH AGENCY INC
217 SOUTH THIRD STREETDANVILLEKY40422610715227HOME HEALTHKY501(C)(3)3EM HEALTHfalse
JAMES B HAGGIN MEMORIAL HOSPITAL
464 LINDEN AVENUEHARRODSBURGKY40330610510934CRITICAL HOSPKY501(C)(3)3EM HEALTHfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

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US Address USAddress

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Address Line1217 SOUTH THIRD STREETAddressLine1Txt
CityDANVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP40422ZIPCd
FieldValueIRS element (for citing)
EIN611265715EIN
Primary ActivitiesCONTRACTING SRVSPrimaryActivitiesTxt
Legal Domicile StateKYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
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Entity TypeCEntityTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$0ShareOfEOYAssetsAmt
Ownership0.00000OwnershipPct
Controlled OrganizationfalseControlledOrganizationInd
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Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

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