Ephraim McDowell Health
Legal name: Ephraim Mcdowell Regional Medical Center
Nonprofit profile at a glance
- EIN
- 610492356
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Danville, KY, USA
- Phone
- 8592392424
- Rating
- 81
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $283,965,026
- Expenses
- $304,799,375
- Assets
- $302,443,046
- Liabilities
- $23,208,802
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
33 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
- DANIEL MCKAY (PRESIDENT & CEO): $978,052 total reported compensation
- JUSTIN LANDE MD (BOARD MEMBER): $601,061 total reported compensation
- AMANDA KINMAN (CFO): $399,262 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 be the leading provider of quality health care services in the central Kentucky communities we serve. Ephraim McDowell Health is committed to helping people live healthier through quality health care, trusting relationships, and providing value to the people we serve. Our Vision. Ephraim McDowell Health (EMH) website uses Google™ Translate to provide automatic translation of its web pages. This translation application tool is provided for purposes of information and convenience only. Google™ Translate is a free third-party service, which is not controlled by the EMH. The EMH is unable to guarantee the accuracy of any translation provided by Google™ Translate and is therefore not liable for any inaccurate information or changes in the formatting of the pages resulting from the use of the translation application tool. The web pages currently in English on the EMH website are the...
What it reported doing in 2024
Ephraim mcdowell regional medical center is a leading health care provider in Kentucky. Carrying on the innovative and transformational care embodied by our namesake, dr. Ephraim mcdowell, the regional medical center has been named as one of the 100 greatest community hospitals in america. Ephraim mcdowell regional medical center (emrmc) is a not-for-profit, 222-bed licensed level iii trauma center dedicated to serving the health and wellness needs of the populations of boyle, lincoln, mercer, garrard, casey and Washington counties. The facility is joint commission accredited. Ephraim mcdowell regional medical center strives to set the standard for high quality health care. It has received three gold seals of excellence from the joint commission for total hip and knee replacement and spine surgery and also has earned a gold seal of approval for hip fractures, one of only two hospitals in the state to receive that distinction. Emrmc's scope of services include: behavioral health, cancer care center, outpatient cancer care, cardiac care services, critical care, diagnostic services, level iii trauma/emergency care center, kids can do pediatric therapy center, laboratory services, medical-surgical services, orthopedic/spine care, pastoral care, pain management center, pulmonology, thoracic surgery, rehabilitation, respiratory therapy, surgical services, vascular services, volunteer/auxiliary, women's health services, women's breast & health center, wound healing center, sleep disorders center, ear, nose, and throat services, urology, home health, neurology, podiatry, gastroenterology and durable medical equipment. In fiscal year 2025, outpatient registrations were 118,322 and emergency room services were provided for 28,772 visits. There were 15,360 surgical procedures, 6,168 admissions (including swing and nursery), and the facility recorded 31,558 total patient days (including observation and swing). Expanded service modalities have been continued in order to increase access to care needed for the elderly, frail, or those with cancer (all high-volume populations within the six counties) to receive care close to home.
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
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and some related-organization disclosures are missing.
Rating breakdown
- Financial Efficiency: 76
- Transparency & Controls: 88
- Accountability: 85
- Sustainability: 36
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 88.1%; rating input score 88
- Program expense ratio: 82.1%; rating input score 82
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 5 of 6 controls in place; rating input score 83
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Limited
- Related-party transparency: Scored; rating input score 0
Accountability
- Independent voting board: 90.5%; rating input score 90; 38th 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: -7.3%; rating input score 10; 10th percentile among comparable filings
- Total-asset coverage ratio: 0.99; rating input score 39; 39th percentile among comparable filings
- Liabilities to assets ratio: 0.08; rating input score 86; 86th percentile among comparable filings
- Officer compensation ratio: 0.7%; rating input score 80; 80th percentile among comparable filings
Growth
- Program expense growth: 5.9% per year; rating input score 100; 48th percentile among comparable filings
- Revenue growth: 4.9% per year; rating input score 100; 42nd percentile among comparable filings
- Asset growth: 4.3% per year; rating input score 100; 30th percentile among comparable filings
Details
- What they do: 7 programs and campaigns described on the official site
- Where the money goes: 88.1% of revenue deployed · 82.1% of spending went to programs
- Governance: 19 of 21 board members independent · 7 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $250.1M in reported program spending
- Leadership: top reported pay $978K · 33 people listed · 5 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $19.9M reported
- Consistency: 42 of 42 current checks pass
- Schedules: 8 filed schedules · includes executive pay and related organizations
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 7 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.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Sustainability: Operating margin scored 10/100.
- High — Transparency & Controls: Related-party transparency scored 0/100.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- Moderate — Sustainability: Total-asset coverage ratio scored 39/100.