Mcdowell Home Health Agency Inc

What it reported doing in 2024

Mcdowell home health, the area's most experienced agency, provides quality convenient health care to patients in the comfort of their home. Mcdowell home health delivers hospital quality nursing, physical, occupational and speech therapy, and nursing aide care. Clinical services are available 24 hours a day, 7 days per week. Mcdowell home health is a medicare and medicaid certified agency that provides services in 8 counties including: boyle, mercer, garrard, lincoln, casey, marion, Washington and anderson counties. On average in 2025 mcdowell home health provided services to 248 patients per month, which is an increase from 198 patients per month in 2024. In total, mcdowell home health served 1450 patients in 2025. Ephraim mcdowell health acquired the home health agency in march of 2015 to add to the broad variety of healthcare services offered by the organization. Mcdowell home health has contributed to ephraim mcdowell health's long standing programmatic efforts by continuing skilled services in the home once a patient departs from the hospital or clinic setting. Mcdowell home health strives to reduce both hospital emergency room visits as well as hospital readmissions for high risk patients with acute and chronic conditions. Mcdowell home health agency goals include promoting patient and family education to self-manage their disease process, improving each patient's quality of life and decreasing healthcare costs to patients and inpatient settings by avoiding readmissions and emergency department visits. Skilled services are organized in four different disciplines including nursing, physical, occupational and speech therapy. The agency also offers social work and home health nursing aide services to complement the skilled disciplines. Each of these disciplines work together to take a multidisciplinary approach to the care of patients in order to provide a well-rounded treatment plan. Nursing nursing care is provided by registered nurses and licensed practical nurses. Nursing services at mcdowell home health focus on disease-specific care and teaching. Nurses manage and oversee patients' medications, injections and iv infusions. Nursing care also assists patients with foley catheters, ostomy care and wound management. In 2025 nurses completed an estimated 9,918 visits, which is an increase from 9,724 visits in 2024. Physical therapy physical therapy is provided by physical therapists and physical therapy assistants. Physical therapy focuses on gait training, strength training, and increasing range of motion, mobility, balance training, pain management, home exercise programs, and safe patient transfers with caregiver training. Physical therapy also focuses on patients with joint replacement and orthotic equipment. In 2025 mcdowell home health performed an estimated 8,273 visits in our service areas, which is an increase from 7,689 visits in 2024. Occupational therapy occupational therapy focuses on functional mobility and balance, education on safe use of adaptive equipment, upper extremity joint strength/mobility, energy conservation techniques, cognitive and problem solving awareness, home modification for safety, safe patient positioning and pain management. In 2025 the occupational therapy team performed an estimated 2,141 visits, which is an increase from 2,090 visits in 2024. Speech therapy speech therapists in home health work with patients on comprehension, reading, writing, voice/speech production, functional respiration, cognition, swallowing and diet modification/feeding modifications. In 2025 speech therapists performed an estimated 467 visits, which is an increase from 138 visits in 2024. Medical social work medical social workers in home health work with clients to assess the full range of their needs and help them access the services and resources to improve their quality of life. For the calendar year 2025 mcdowell home health performed an estimated 135 visits in our service areas, which is an increase from

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 83.6%; rating input score 84
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd 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; 21st 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: -39.7%; rating input score 3; 3rd percentile among comparable filings
• Total-asset coverage ratio: 0.53; rating input score 19; 19th percentile among comparable filings
• Liabilities to assets ratio: 5.34; rating input score 0; 0th percentile among comparable filings
• Officer compensation ratio: 8.7%; rating input score 34; 34th percentile among comparable filings

Growth

• Program expense growth: 2.2% per year; rating input score 100; 23rd percentile among comparable filings
• Revenue growth: -1.4% per year; rating input score 0; 8th percentile among comparable filings
• Asset growth: 3.9% per year; rating input score 100; 29th percentile among comparable filings