2019-08-14T14:34:54-05:00 2018-09-30 BKD LLP 3102 WEST END AVENUE SUITE 1050 NASHVILLE TN 372031301 990 2017-10-01 611324736 EPHRAIM MCDOWELL HEALTH INC % WILLIAM SNAPP III EPHR 8592392424 217 SOUTH THIRD STREET DANVILLE KY 40422 WILLIAM SNAPP III CFO 8592392424 2019-08-13 true JESSICA FREEMAN P01261457 6159883600 167.68.126.162 62536020192265000001 2019-08-14 P D96EEA1EFD704BF3A6FD0CFD465A7C805E74B28F D96EEA1EFD704BF3A6FD0CFD465A7C805E74B28F 2017 2019-02-21 02:37:17Z DANIEL MCKAY 217 SOUTH THIRD STREET DANVILLE KY 40422 9341190 false X WWW.EMHEALTH.ORG X 1997 KY EPHRAIM MCDOWELL HEALTH IS COMMITTED TO PROVIDING A HEALING ENVIRONMENT IN THE COMMUNITIES WE SERVE, BUILT ON BEST PEOPLE, PRACTICES AND PERFORMANCE. 17 15 27 0 14923 13923 0 4569 2952476 3636126 2028287 2185038 11334 10212 4992097 5835945 11000 12000 0 0 2715194 3251684 0 0 0 2603558 2694033 5329752 5957717 -337655 -121772 145933080 135926619 151999173 140919759 -6066093 -4993140 X EPHRAIM MCDOWELL HEALTH IS COMMITTED TO PROVIDING A HEALING ENVIRONMENT IN THE COMMUNITIES WE SERVE, BUILT ON BEST PEOPLE, PRACTICES AND PERFORMANCE. false false 5957717 12000 3640263 SEE SCHEDULE O 5957717 true false false false false false false false false false true false false false true false false true false false false false false false false false false false true true true false false false false false false false false false false false false false false false true true false false false true X 28 0 true 27 true true true false false false false false false false false false X 17 15 false false false false false false false true true false false true true true true true true true true true true KY NC X WILLIAM SNAPP III 8592392424 217 SOUTH THIRD STREET DANVILLE KY 40422 X ALLEN WHITE CHAIR 2.0 6.0 X X 3300 0 0 SCOTT BOTTOMS VICE CHAIR 2.0 6.0 X X 3900 0 0 JOHN D TRISLER TREASURER 2.0 6.0 X X 3000 0 0 JULIAN GANDER SECRETARY 2.0 6.0 X X 4650 0 0 HUSSAM HAMDALLA MD BOARD MEMBER 2.0 6.0 X 0 884754 54117 JAMES TURPIN MD BOARD MEMBER 2.0 6.0 X 3150 0 0 REBECCA CHATHAM MD BOARD MEMBER 2.0 6.0 X 3150 0 0 BRIAN ELLIS MD BOARD MEMBER 2.0 6.0 X 0 246146 50726 SHEREE GILLIAM BOARD MEMBER 2.0 6.0 X 3150 0 0 CLIFF ED IRVIN BOARD MEMBER 2.0 6.0 X 3300 0 0 SUSIE ROUSH BOARD MEMBER 2.0 6.0 X 3150 0 0 AARON ROWLAND BOARD MEMBER 2.0 6.0 X 3150 0 0 MIKE W TAYLOR BOARD MEMBER 2.0 6.0 X 3600 0 0 JAMES W DUNN BOARD MEMBER 2.0 6.0 X 3300 0 0 THOMAS HAGER BOARD MEMBER 2.0 6.0 X 3300 0 0 DOUGLAS GREENBURG BOARD MEMBER 2.0 6.0 X 0 0 0 ERIC GUERRANT MD BOARD MEMBER 2.0 6.0 X 0 0 0 DANIEL MCKAY PART YEAR CEO 20.0 39.0 X 0 0 0 WILLIAM SNAPP III VP & CFO 20.0 42.0 X 314216 0 55959 BURT PIPER VP & COO 20.0 39.0 X 266207 0 55519 MARK MILNER VP & CNO 40.0 0.0 X 203098 0 50433 SALLY DAVENPORT PART YEAR CEO 20.0 39.0 X 409255 0 45499 TAMMY ENSSLIN LEGAL COUNSEL 40.0 0.0 X 218732 0 50399 ROBERT KEITH BRIDGES VP MARKETING 24.0 16.0 X 109585 0 26292 VICKIE DARNELL FORMER CEO 0.0 0.0 X 512346 0 38001 2077539 1130900 426945 8 true true false WYATT TARRANT COMBS LLP 500 WEST JEFFERSON STREET SUITE 28 LOUISVILLE KY 40202 LEGAL SERVICES 243092 BKD LLP 220 W MAIN STREET STE 1700 LOUISVILLE KY 402011178 ACCOUNTING SERVICES 185010 2 4569 4569 SHARED SVCS PROVIDED TO AFFILIATED ORGS 900004 3636126 3636126 3636126 2247107 14923 2232184 0 0 6075 6075 0 6075 6075 3443176 3338578 166667 104598 -166667 -62069 -62069 0 0 0 0 0 0 0 0 0 OTHER INCOME 900099 462 462 RCEM, INC. OPERATIONS 621110 3675 3675 4137 5835945 3640263 14923 2176190 0 12000 12000 0 0 2251102 2251102 0 391425 391425 324662 324662 143727 143727 140768 140768 0 567908 567908 122109 122109 0 0 116406 116406 92435 92435 310046 310046 294717 294717 14406 14406 0 480640 480640 13816 13816 0 8958 8958 26351 26351 0 218364 218364 77175 77175 MISCELLANEOUS 309267 309267 MEALS 16083 16083 DUES 25352 25352 5957717 5957717 0 0 0 0 67689165 55561997 0 0 0 0 0 0 0 0 0 0 0 0 668193 671312 1079713 359904 935751 719809 71741532 73069417 0 0 2920062 3924452 0 0 1978377 1979632 145933080 135926619 11877643 10560757 0 0 0 0 47745856 43745856 0 0 0 0 0 0 0 0 92375674 86613146 151999173 140919759 X -6066093 -4993140 0 0 0 0 -6066093 -4993140 145933080 135926619 -121772 1194725 X false true X true false X X 6 EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER 610492356 3 true 0 0 EMHFL 611388556 3 true 0 0 EMCP 611186005 2 true 0 0 EMHR 311545520 3 true 0 0 MCDOWELL HOME HEALTH AGENCY INC 610715227 3 true 0 0 JAMES B HAGGIN MEMORIAL HOSPITAL 610510934 3 true 0 0 6 true false false false false false false false false false false false false false false true SCH A, PART IV, SECTION C BOARD MEMBERS ------------- EPHRAIM MCDOWELL HEALTH'S DIRECTORS AND TRUSTEES ARE THE SAME DIRECTORS AND TRUSTEES THAT SIT ON THE BOARD OF ITS SUPPORTED ORGANIZATIONS, EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, EMHR, EMCP, AND MCDOWELL HOME HEALTH. EPHRAIM MCDOWELL HEALTH ALSO SUPPORT EMHFL AND JAMES B HAGGIN MEMORIAL HOSPITAL. THESE ENTITIES HAVE SEPARATE BOARDS OF DIRECTORS, BUT EACH OF THOSE INCLUDES REPRESENTATION FROM EPHRAIM MCDOWELL HEALTH'S BOARD OF DIRECTORS. 1079713 359904 719809 719809 0 INT. RATE SWAP AGREEMENT LIAB. 3345842 DUE TO RELATED PARTIES 82546273 CAPITAL LEASES 721031 86613146 7056813 1194725 30712 1225437 5831376 4569 4569 5835945 5992603 4569 4569 5988034 -30317 -30317 5957717 SCH D, PART XI AND PART XII RECONCILIATION TO AUDIT REPORT - REVENUE & EXPENSES --------------------------------------------------- PART XI LINE 2D OTHER AMOUNTS INCLUDED ON LINE 1 BUT NOT FORM 990 PART VIII: -------------- REVENUE REPORTED ON COOPERATIVECARE, INC. FORM 1120 $30,712 PART XI LINE 4B OTHER AMOUNTS INCLUDED ON FORM 990 PART VIII BUT NOT ON LINE 1: --------------- CONTRIBUTION REVENUE INCLUDED IN EXPENSE PER AUDIT $ 4,569 PART XII LINE 2D OTHER AMOUNTS INCLUDED ON LINE 1 BUT ON FORM 990 PART IX: ---------------- CONTRIBUTION REVENUE INCLUDED IN EXPENSE PER AUDIT $ 4,569 PART XII LINE 4B OTHER AMOUNTS INCLUDED ON FORM 990 BUT NOT ON LINE 1: ---------------- EXPENSES REPORTED ON COOPERATIVECARE INC. FORM 1120 ($30,317) SCH D, PART X, LINE 2 INCOME TAXES ------------ The organization's audited financial statements did not include a footnote that addressed the organization's liability for uncertain tax positions under FIN48 (ASC 740). Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review,management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. true SCHOLARSHIPS 10 12000 SCH I, PART I, LINE 2 MONITORING THE USE OF GRANT FUNDS ---------------------------------- IN ORDER TO QUALIFY FOR A SCHOLARSHIP, STUDENTS MUST FIRST MEET CERTAIN CRITERIA ESTABLISHED BY THE ORGANIZATION. IF A STUDENT MEETS ALL CRITERIA, THEY ARE BROUGHT IN TO INTERVIEW WITH THE SCHOLARSHIP COMMITTEE AND SELECTIONS ARE MADE FROM THE INTERVIEWS. THE SCHOLARSHIPS ARE PAID TO THE UNIVERSITIES THAT THE RECIPIENTS ATTEND. X X X X X true false false false false true false false false HUSSAM HAMDALLA MD BOARD MEMBER 0 518456 0 347272 0 19026 0 18000 0 36117 0 938871 0 0 BRIAN ELLIS MD BOARD MEMBER 0 107856 0 102271 0 36019 0 19754 0 30972 0 296872 0 0 WILLIAM SNAPP III VP & CFO 306299 0 0 0 7917 0 21200 0 34759 0 370175 0 0 0 BURT PIPER VP & COO 259070 0 0 0 7137 0 21200 0 34319 0 321726 0 0 0 MARK MILNER VP & CNO 193164 0 0 0 9934 0 16364 0 34069 0 253531 0 0 0 SALLY DAVENPORT PART YEAR CEO 385515 0 0 0 23740 0 21200 0 24299 0 454754 0 0 0 VICKIE DARNELL FORMER CEO 0 0 0 0 512346 0 0 0 38001 0 550347 0 0 0 TAMMY ENSSLIN LEGAL COUNSEL 213252 0 0 0 5480 0 17991 0 32408 0 269131 0 0 0 SCH J, PART I, LINE 6A MANAGEMENT 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 net operating income goals compared to budget. The other 70% is based on quality measures, patient satisfaction goals, associate satisfaction goals, and safety measures. SCH J, PART I, LINE 4A SEVERANCE PAYMENTS ------------------ VICKI DARNELL RESIGNED FROM CEO IN JANUARY 2016. SEVERANCE PAID OF $550,347 WAS INCLUDED IN HER W-2. A COUNTY OF BOYLE KENTUCKY 616000752 2014-06-04 61751934 REFUNDING SERIES 2014A & 2014B false false false A 0 0 61751934 0 0 55626702 85000 0 0 0 0 6040232 true false false true A false false false false 0.00000 0.00000 0.00000 false false false true A false true false false true false 0 false 0 false true A true FORM 990, PART III, LINE 4 PROGRAM SERVICE ACCOMPLISHMENTS ------------------------------- THE TOP COMMUNITY HEALTH PRIORITIES FOR EPHRAIM MCDOWELL HEALTH (EMH) HAVE BEEN BASED ON THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS (PRC) OF OMAHA, NEBRASKA. THE TOP PRIORITIES ARE: 1. DIABETES 2. ACCESS TO HEALTH SERVICES 3. CANCER - EARLY DETECTION & PREVENTION 4. CARDIOVASCULAR DISEASE & RELATED RISK FACTORS 5. NUTRITION, PHYSICAL ACTIVITY, & WEIGHT OTHER IDENTIFIED NEEDS WERE DEFERRED DUE TO RESOURCE LIMITATIONS AND THE FACT THAT ADDRESSING HEALTH BEHAVIORS AND RISKS ASSOCIATED WITH THE TOP ISSUES WOULD IMPROVE OVERALL HEALTH AND WELL-BEING. TARGETED POPULATIONS WERE UNINSURED, UNDERINSURED, AND AT-RISK GROUPS BASED ON AGE, GENDER, ETHNICITY, OR SOCIO-ECONOMIC FACTORS. ALL SCREENINGS WERE FREE OF CHARGE TO THE CLIENT. A LOGIC CHAIN MODEL WAS USED TO PLAN EVENTS WITH OUR COMMUNITY PARTNERS AND TO EVLUATE THE EFFECTIVENESS OF EACH EVENT. 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 MANNING THE BOOTHS AT THE ANNUAL KENTUCKY BBQ FESTIVAL TO INCREASE TOURISM IN DANVILLE/BOYLE COUNTY. THIS DOES NOT REFLECT THE TIME AND 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. COMMUNITY HEALTH EDUCATION -------------------------- CPR/FIRST AID - BOOKMARKS WITH SIGNS AND SYMPTOMS OF HEART ATTACK FOR MEN AND WOMEN HAVE BEEN DISTRIBUTED TO PRIMARY CARE PROVIDERS, OB/GYN, ORTHOPEDIC AND GENERAL SURGERY OFFICES FOR PUBLIC DISTRIBUTION. EARLY HEART ATTACK CARE (EHAC) TRIFOLD EDUCATIONAL MATERIALS ARE PROVIDED FOR THE PUBLIC. COMMUNITY CPR WAS PROVIDED TO HEALTH MINISTRIES UPON REQUEST. THE MARCH HAPPY HEART LUNCHEON FOCUSED ON WOMEN AND HEART DISEASE DUE TO THE HIGHER CARDIOVASCULAR RISK PROFILE OF WOMEN IN THE SIX COUNTY AREA COMPARED TO THE GENERAL POPULATION, STATE, NATIONAL, AND HEALTHY PEOPLE 2020. ALL THE AFOREMENTIONED WERE COMPONENTS OF THE CHEST PAIN CENTER ACCREDITATION WORK WITHIN THE HEALTH SYSTEM TO FURTHER IMPROVE CV CARE BASED UPON THE HEALTH NEEDS OF THE POPULATION SERVED. IN FY 2018 THE SPINE AND ORTHOPEDIC SYMPOSIUM WAS NOT HELD IN SEPTEMBER DUE TO RESOURCE LIMITATIONS. THE SYMPOSIUM PROVIDES GENERAL INFORMATION REGARDING SELF-CARE RELATED TO JOINT AND MUSCLE FUNCTION AND NORMAL CHANGES OF AGING. IN FY 2017 EIGHTY-FIVE PEOPLE PARTICIPATED WITH A COST OF $3,400. INFORMATION REGARDING MEDICAL OPTIONS FOR CARE WHEN INJURIES OR OVER USE OCCUR IS ALSO PROVIDED. THE SYMPOSIUM WILL BE HELD IN FY 2019 AND EVERY OTHER YEAR MOVING FORWARD. PARISH NURSE PROGRAM - TWELVE MONTHLY NEWSLETTERS WERE SENT TO 192 ASSOCIATED CHURCHES AND EIGHTY-TWO FCNS IN FY 2018. THE FAITH COMMUNITY NURSING FOUNDATION COURSE WAS PROVIDED IN MARCH OF FY 2018 WITH FIVE LOCAL GRADUATES. A FAITH COMMUNITY NURSING SYMPOSIUM WAS PRESENTED IN THE FALL OF 2016; THEREFORE ONE DID NOT TAKE PLACE IN 2017 BUT WILL AGAIN IN 2018 AS IT IS HOSTED EVERY OTHER YEAR. SCHOOL BASED PROGRAM - THE SCHOOL BASED PROGRAM WAS TERMINATED DUE TO THE ELIMINATION OF THE PROGRAM AND A SIGNIFICANT REDUCTION IN PERSONNEL WITHIN THE COMMUNITY SERVICE DEPARTMENT. SPEAKERS BUREAU - BOOK MARKS WITH SIGNS AND SYMPTOMS OF HEART ATTACK FOR MEN AND WOMEN HAVE BEEN DISTRIBUTED TO PRIMARY CARE PROVIDERS, OB/GYN, ORTHOPEDIC AND GENERAL SURGERY OFFICES FOR PUBLIC DISTRIBUTION. THE EARLY HEART ATTACH CARE (EHAC) INFORMATION IS ALSO POSTED ON THE WEBSITE AND TRIFOLD EDUCATIONAL BROCHURES ARE PROVIDED FOR THE PUBLIC. A MARCH HAPPY HEART LUNCHEON FOCUSED ON WOMEN AND HEART DISEASE SINCE THIS REGION OF APPALACHIA IS THE EPICENTER FOR CARDIOVASCULAR DISEASE (CVD). THESE EFFORTS WERE PART OF THE CHEST PAIN ACCREDITATION WORK THAT SUPPORTED ADDRESSING THE CVD WITHIN THE SERVICE AREA. FINANCIAL DONATIONS FOR THE COMMUNITY - IN KIND ------------------------------------------------ CASH OR IN-KIND DONATIONS TO THE COMMUNITY - ONE HUNDRED AND SIXTEEN TURKEYS WERE DONATED TOWARD PROVIDING A HOLIDAY DINNER FOR THOSE SERVED BY THE FOOD BASKETS FROM THE SALVATION ARMY. THE TURKEYS WERE AN AVERAGE OF 13 POUNDS, A TOTAL VALUE OF $1,523.08. PERSONNEL/ADMINISTRATIVE SUPPORT - LEADERSHIP AND ADMINISTRATIVE SUPPORT INCLUDED BOARD MEMBERSHIP OF THE HEART OF DANVILLE, HEART OF KENTUCKY UNITED WAY, CHAMBER OF COMMERCE, MCDOWELL HOUSE, KENTUCKY HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION, DANVILLE/BOYLE COUNTY SENIOR CITIZEN CENTER, DANVILLE/BOYLE COUNTY ECONOMIC DEVELOPMENT BOARD, KENTUCKY ORGANIZATION OF NURSE LEADERS, AMERICAN ORGANIZATION OF NURSE EXECUTIVESM FARMERS NATIONAL BANK AND PREMIER. EMH LEADERS AND STAFF ALSO PARTICIPATE IN THE DAY OF CARING AND DAY OF ACTION TO IMPROVE OUR COMMUNITY THROUGH SERVICE PROJECTS THROUGH THE HEART OF KENTUCKY UNITED WAY. COMMUNITY BUILDING ACTIVITIES ------------------------------ SENIOR LEADERS AND ASSOCIATES ASSISTED IN THE SALVATION ARMY KETTLE DRIVE FUNDRAISER FOR THOSE IN NEED. COALITION BUILDING - AGENCIES SERVED INCLUDED THE HEART OF DANVILLE BOARD, CHAMBER OF COMMERCE, AND ECONOMIC DEVELOPMENT COUNCIL, BOARD MEMBER OF KENTUCKY ORGANIZATION OF NURSE LEADERS, MEMBER OF ROTARY WITH COMMITTEE RESPONSIBILITIES, BOARD MEMBER OF DANVILLE/BOYLE COUNTY SENIOR CITIZENS CENTER, HEART OF KENTUCKY UNITED WAY INVESTMENT COMMITTEE MEMBER, AND BOARD MEMBER OF MCDOWELL HOUSE. THE MARKETING DEPARTMENT ALSO HELPED WITH THE LOGISTICS OF THE UNITED WAY DAY OF ACTION. SENIOR LEADERS OF THE ORGANIZATION ALSO PARTICIPATE IN THE ANNUAL EMRMC AUXILIARY MEMBERSHIP EVENT AND ANNUAL VOLUNTEER RECOGNITION DINNER. COMMUNITY HEALTH IMPROVEMENT ADVOCACY - SENIOR LEADERS GAVE TESTIMONY AT THE CITY COMMISSIONERS MEETING, SERVED ON THE KHA LEGISLATIVE COMMITTEE, AND CONDUCTED FORUMS WITH CONGRESSIONAL MEMBERS RELATED TO HEALTHCARE ISSUES IN RURAL SOUTH CENTRAL KENTUCKY. BASED ON COMMUNITY NEEDS FEEDBACK FROM TOWN HALL MEETINGS, MEDICAL STAFF AND GOVERNING BOARD, THE FOLLOWING PROVIDERS WERE RECRUITED FOR THE SERVICE ARE IN FY 2018: EMH RECRUITING SECURED NINE PROVIDERS TO OUR SERVICE AREA. JENNIFER DANIEL, A.P.R.N. - FAMILY PRACTICE BETH BURCHETT, A.P.R.N. - PRN, WALK-IN CLINIC JENNIFER OWENS, A.P.R.N. - PRM, WALK-IN CLINIC MARY NANCY FULLER, A.P.R.N. - PRM, WALK-IN CLINIC SABRINA WELLMAN, A.P.R.N. - FAMILY PRACTICE DIANA KING, A.P.R.N. - WALK-IN, BLUEGRASS IMMEDIATE CARE MIRA DAUGHTERY, A.P.R.N. - FAMILY PRACTICE DR. JUSTIN LANDE, D.O. - INTERNAL MEDICINE DR. COURTNEY MAIDEN, D.O. - FAMILY PRACTICE LEADERSHIP DEVELOPMENT TRAINING FOR COMMUNITY MEMBERS - MENTORING BY THE SENIOR LEADERS INCLUDED RESUME BUILDING, INTERVIEW PRACTICE, SHADOWING AND INDIVIDUAL COACHING SESSIONS FOR YOUNG PROFESSIONALS. COMMUNITY BENEFIT OPERATION ---------------------------- IN 2017 A NEW COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS OF OMAHA, NEBRASKA FOR THE EMH SIX COUNTY SERVICE AREA AT A COST OF $83,000 AND A 95 PERCENT CONFIDENCE LEVEL. A COMMUNITY FOCUS GROUP FROM THE SIX COUNTIES WAS CONVENED BY PRC. THE GROUP INCLUDED HEALTH DEPARTMENT, GOVERNMENTAL, FIRST RESPONDERS, EDUCATORS, AND SOCIAL AGENCY LEADERS FROM EACH OF THE COUNTIES. MEMBERS OF THESE GROUPS AS WELL AS ADDITIONAL COMMUNITY AND SOCIAL AGENCIES FROM THE SIX COUNTY SERVICE AREA, AS WELL AS THE EPHRAIM MCDOWELL HEALTH SYSTEM LEADERSHIP RECEIVED COPIES OF THE ASSESSMENT. A COPY IS ALSO POSTED ON OUR WEBSITE. SENIOR LEADERSHIP REVIEWS AND APPROVES BOTH THE COMMUNITY HEALTH ASSESSMENT AND THE IMPLEMENTATION PLAN TO ADDRESS THE PRIORITY HEALTH RISKS FOR THE POPULATION SERVED AND PRESENTS TO THE GOVERNING BOARD FOR APPROVAL. THEY ALSO ALLOCATE RESOURCES, BOTH FINANCIALLY AND PERSONNEL TO ADDRESS THE IMPLEMENTATION PLAN. ANNUALLY, THERE IS A BUDGET APPROVED BY SENIOR LEADERSHIP AND PRESENTED FOR GOVERNING BOARD APPROVAL FOR COMMUNITY BENEFIT. SENIOR LEADERSHIP RECEIVES AN ANNUAL UPDATE RELATED TO THE WORK PLAN OBJECTIVES AND OUTCOMES. THE 2017 SIX COUNTY SERVICE AREA CHNA SHOWS NO STATISTICAL CHANGE IN THE TREND LINES RELATED TO THE PREVALENCE OF HEART DISEASE SINCE 2008 DESPITE FREE COMMUNITY SCREENINGS AND EDUCATION. HOWEVER, THIS MAY REFLECT THE AGING OF THE POPULATION. IT SHOULD BE NOTED THAT AGE-ADJUSTED MORTALITY TRENDS HAVE CONTINUED TO DECREASE, BEING LOWER THAN THE STATEWIDE RATE BUT HIGHER THAN THE NATIONAL RATE. THE EPHRAIM MCDOWELL HEALTH SYSTEM PROVIDED $14,221,446 IN FINANCIAL ASSISTANCE AND MEANS-TESTED PROGRAMS WITHIN THE TWO HOSPITALS TO IMPROVE THE HEALTH OF THE COMMUNITY WE SERVE IN FY 2018. 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. FORM 990, PART VI, SECTION B, LINE 11 PROCESS 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 12C MONITORING 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 15B PROCESS FOR DETERMINING COMPENSATION ------------------------------------ EPHRAIM 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 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 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 VII PART-YEAR CEO ------------- SALLY DAVENPORT RETIRED IN JULY 2018, AT WHICH TIME DANIEL MCKAY BECAME THE CEO. MCKAY DID NOT RECEIVE ANY COMPENSATION DURING CALENDAR YEAR 2017, THEREFORE NO COMPENSATION IS REPORTED IN PART VII. JOHN HILL BAILEY CHILDREN'S LEARNING CTR 217 SOUTH THIRD STREET DANVILLE KY 40422 611186005 DAYCARE CTR KY 501(C)(3) 2 EM HEALTH false EMHFL INC 217 SOUTH THIRD STREET DANVILLE KY 40422 611388556 CRITICAL HOSP KY 501(C)(3) 3 EM HEALTH false EPHRAIM MCDOWELL HEALTH RESOURCE INC 217 SOUTH THIRD STREET DANVILLE KY 40422 311545520 HEALTHCARE KY 501(C)(3) 3 EM HEALTH false EPHRAIM MCDOWELL HEALTH CARE FOUNDATION 217 SOUTH THIRD STREET DANVILLE KY 40422 611229333 FUNDRAISING KY 501(C)(3) 12B-II EM HEALTH false EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER 217 SOUTH THIRD STREET DANVILLE KY 40422 610492356 ACUTE HOSP KY 501(C)(3) 3 EM HEALTH false MCDOWELL HOME HEALTH AGENCY INC 217 SOUTH THIRD STREET DANVILLE KY 40422 610715227 HOME HEALTH KY 501(c)(3) 3 EM HEALTH false JAMES B HAGGIN MEMORIAL HOSPITAL 464 LINDEN AVENUE HARRODSBURG KY 40330 610510934 CRITICAL HOSP KY 501(C)(3) 3 EM HEALTH false CTRL KY SURGERY CTR 217 S 3RD DANVILLE KY 40422 371509373 MEDICAL SERVICES KY EM REG MED CTR RELATED 0 0 false 0 false COOPERATIVECARE INC 217 SOUTH THIRD STREET DANVILLE KY 40422 611265715 CONTRACTING SRVS KY NA C 30712 12561 1.00000 false false false true false false false false false false false true false true true false true false false Ephraim McDowell Health Care Foundation C 4569 FMV EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER Q 149667200 FMV EMHFL INC Q 15402440 FMV EPHRAIM MCDOWELL HEALTH RESOURCE Q 17475964 FMV A CHILDREN'S PLACE Q 361205 FMV EPHRAIM MCDOWELL HEALTH CARE FOUNDATION Q 39695 FMV COOPERATIVECARE INC Q 242939 FMV MCDOWELL HOME HEALTH AGENCY INC Q 1846506 FMV SCH R, PART V, LINES 1L, 1N, AND 1O TRANSACTIONS WITH RELATED ORGANIZATIONS --------------------------------------- TRANSACTIONS OCCURRED BETWEEN EPHRAIM MCDOWELL HEALTH AND ITS AFFILIATED ORGANIZATIONS. AMOUNTS ARE RECORDED IN INTERCOMPANY ACCOUNTS. DUE TO THE QUANTITY OF TRANSACTIONS, CLASSIFICATION OF THESE AMOUNTS TO THE VARIOUS TRANSACTIONS TYPES HAS NOT BEEN PERFORMED.