Ephraim Mcdowell Health Resource Inc

Nonprofit profile at a glance

EIN
311545520
IRS 990 coverage
2009–2024
Forms available
Form 990 2024
Location
Danville, KY, USA
Phone
8592392424
Rating
72
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospitals and Related Primary Medical Care Facilities

Official website

Reported finances

Revenue
$10,515,320
Expenses
$12,888,760
Assets
$2,315,335
Liabilities
$32,605,124

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

31 people listed

Executive titles in this filing

  • DANIEL MCKAY (PRESIDENT & CEO)
  • DAVID MONTGOMERY MD (MEDICAL STAFF VICE PRESIDENT)
  • REBECCA CHATHAM MD (MEDICAL STAFF PRESIDENT)

Highest reported compensation

  • EDGAR SALAS MD (PHYSICIAN): $1,256,495 total reported compensation
  • THOMAS GOFF MD (PHYSICIAN): $1,005,099 total reported compensation
  • DANIEL MCKAY (PRESIDENT & CEO): $978,052 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To provide high quality, cost effective, integrated health care to those 124,000 individuals residing within its service area.

What it reported doing in 2024

Twelve family medical and immediate care centers offer clinic services in boyle and each of the other five surrounding counties in the emh service area, in fy 2025 totaling over 264,692 visits. These facilities provide physical examinations, well-child checkups, and treatment of acute illnesses as well as laboratory and x-ray services on-site, including ekg. The immediate care centers provide more urgent ambulatory care than the standard clinic services, in facilities dedicated to the delivery of medical care outside of a hospital emergency department, and provide these services on an unscheduled, walk-in basis, over extended hours and on the weekends when primary care services are not available and emergency care services are not necessary. Along with our vast primary care service line, we also offer several specialty clinics: cardiology, vascular, behavioral health, ent, infectious disease, general surgery, gastroenterology, endocrinology, obgyn/women's health, sleep medicine, urology, ophthalmology, and pulmonology services are offered in coordination with resources provided by emrmc. In fy 2025, ephraim mcdowell health resources specialty services provided care for over 126,439 visits. - emh cardiology treats patients with carotid disease, aortic aneurysms, lower extremity vascular disease, hemodialysis complications and venous disease. Ephraim mcdowell now operates two fully serviceable cath lab suites. The cath lab uses equipment that provides three-dimensional imaging technology along with x-ray technology to offer exceptional image clarity for diagnosing and treating cardiovascular disease. - emh vascular service program offers a full range of services for diagnosing and treating diseases of the heart and circulatory system as well as the body's entire vascular system with all services provided by a board-certified interventional cardiologist. - emh behavioral health service line provides psychiatry, adolescent psychiatry, geriatric psychiatry, neuropsychiatry to all age groups. - emh general surgery service program offers a broad range of procedures including egd, and colonoscopy; stereotactic breast biopsy and surgery; laparoscopic abdominal surgeries including gallbladder and appendix; hernia repairs, intestinal surgeries and bariatric surgery. - emh ent service is a full service line of ear nose and throat case featuring surgical intervention when necessary. - emh sleep medicine is a full range of services focused and the diagnosis and remedy of sleep ailments. - emh sleep center diagnose and treat sleep-related problems in children (age 4 and over) and adults, including circadian rhythm disorders, insomnia, narcolepsy, restless legs, shift-work problems and sleep apnea - emh gastroenterology is a comprehensive gi service line which provides diagnostic as well as interventional services. - emh urology offers a full range of services in the treatment of disorders and diseases of the genitourinary system. They treat surgical and medical disorders of the kidney, bladder, and urethra in both men and women, as well as the prostate and genital system in men. - emh pulmonology offers a comprehensive approach to treating and managing lung conditions including interstitial lung diseases, chronic obstructive pulmonary disease (copd), infectious lung disease, drug-related pulmonary disorders, and carcinoma of the lung. - emh podiatry offers a full range of podiatry and wound healing services. Focused on limb preservation the group works with a variety of complicated would healing cases. - emh ophthalmology service is a full-service line of eye and vision services featuring surgical intervention when necessary. - emh optical service provides glasses and contacts based on refractive prescriptions. - emh has also added an interventional radiology service line. Each of these specialties provide care to individuals experiencing illnesses all consistent with or potential co-morbidities to conditions effecting patients meeting the c

Operating model

Revenue model
Other-operating. 100% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and program spending has declined or grown slowly.

Rating breakdown

  • Financial Efficiency: 84
  • Transparency & Controls: 70
  • Accountability: 85
  • Sustainability: 3
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 85%; rating input score 85
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 90.5%; rating input score 90; 23rd percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -22.6%; rating input score 4; 4th percentile among comparable filings
  • Total-asset coverage ratio: 0.18; rating input score 4; 4th percentile among comparable filings
  • Liabilities to assets ratio: 14.08; rating input score 0; 0th percentile among comparable filings
  • Officer compensation ratio: 46.1%; rating input score 0; 0th percentile among comparable filings

Growth

  • Program expense growth: -13.3% per year; rating input score 0; 1st percentile among comparable filings
  • Revenue growth: -5.4% per year; rating input score 0; 2nd percentile among comparable filings
  • Asset growth: -10% per year; rating input score 0; 1st percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 85% of spending went to programs
  • Governance: 19 of 21 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $11M in reported program spending
  • Leadership: top reported pay $1.3M · 31 people listed · 1 of 6 pay-setting controls reported
  • Consistency: 44 of 44 current checks pass
  • Schedules: 5 filed schedules · includes executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 6 filed money-flow records
  • Related organizations: 7 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Sustainability: Operating margin scored 4/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 4/100.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Liabilities to assets ratio scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 0/100.