Ephraim McDowell Health Resource I… - Form 990 Financial Data

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1997

Legal Domicile

Phone

8592392424

Tax Period

2023-10-01 to 2024-09-30

Ephraim McDowell Health Resource Inc, founded in 1997, is a mid-sized nonprofit in the Health Care sector that reported $10.2M in total revenue in fiscal year 2023. Revenue surged 41% from the prior year, signaling strong growth momentum. Expenses of $12.0M exceeded revenue, resulting in a 17% operating deficit.

Mission

TO PROVIDE HIGH QUALITY, COST EFFECTIVE, INTEGRATED HEALTH CARE TO THOSE 124,000 INDIVIDUALS RESIDING WITHIN ITS SERVICE AREA.

Program Service Accomplishments

Program 1

Expenses: $10,144,968 Revenue: $4,542,202

EPHRAIM MCDOWELL HEALTH RESOURCE (EMHR) IS RESPONSIBLE FOR ATTRACTING PHYSICIANS AND OTHER MEDICAL PROVIDERS FOR SERVICE DELIVERY TO APPROXIMATELY 124,000 INDIVIDUALS IN BOYLE, CASEY, LINCOLN...

EPHRAIM MCDOWELL HEALTH RESOURCE (EMHR) IS RESPONSIBLE FOR ATTRACTING PHYSICIANS AND OTHER MEDICAL PROVIDERS FOR SERVICE DELIVERY TO APPROXIMATELY 124,000 INDIVIDUALS IN BOYLE, CASEY, LINCOLN, GARRARD, MERCER, RUSSELL, AND WASHINGTON COUNTIES - THE PRIMARY SERVICE AREA OF EPHRAIM MCDOWELL HEALTH (EMH). CLINICAL SERVICES ARE AS APPROPRIATE, AVAILABLE ON A REDUCED FEE OR SLIDING SCALE BASIS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $0

Program Service Revenue $4,542,202

Investment Income $0

Other Revenue $5,698,782

TOTAL REVENUE $10,240,984

Expense Breakdown

Grants Paid $0

Salaries & Benefits $9,420,834

Fundraising Expenses $0

Program Expenses $10,144,968

Other Expenses $2,532,363

TOTAL EXPENSES $11,953,197

Year-over-Year Comparison

	2023	2022	Change
Revenue	$10,240,984	$7,268,658	+0.4%
Expenses	$11,953,197	$8,593,287	+0.4%
Net Income	$-1,712,213	$-1,324,629	+0.3%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✗ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

446

Volunteers

N/A

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$2,255,026

Total Directors

$1,496,091

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
DANIEL MCKAY	PRESIDENT & CEO	3.0	Officer Director	$0	$62,774	$909,661
DAVID GRIGSON	TREASURER	2.0	Officer Director	$0	$0	$3,300
DAVID MONTGOMERY MD	MEDICAL STAFF VICE PRESIDENT	2.0	Officer Director	$0	$0	$750
ERIC GURRANT MD	VICE CHAIR	2.0	Officer Director	$0	$0	$7,300
JULIAN GANDER	CHAIR	2.0	Officer Director	$0	$0	$3,300
REBECCA CHATHAM MD	MEDICAL STAFF PRESIDENT	2.0	Officer Director	$0	$0	$12,800
TIFFANY YEAST	SECRETARY	2.0	Officer Director	$0	$0	$3,300
BRIAN ELLIS	BOARD MEMBER	33.5	Director	$468,771	$46,259	$515,030
CHRIS WHITWORTH	BOARD MEMBER	1.0	Director	$0	$0	$4,500
ERIC CALDWELL	BOARD MEMBER	1.0	Director	$0	$0	$4,350
JAMES W DUNN	BOARD MEMBER	1.0	Director	$0	$0	$4,800
JEREMY TARTER MD	BOARD MEMBER	1.0	Director	$0	$0	$3,300
JOETTA WICKLIFFE	BOARD MEMBER	1.0	Director	$0	$0	$4,800
KAY RICHARDSON	BOARD MEMBER	1.0	Director	$0	$0	$4,950
LINDA TILLMAN	BOARD MEMBER	1.0	Director	$0	$0	$4,050
MIKE W TAYLOR CPA	BOARD MEMBER	1.0	Director	$0	$0	$3,300
SCOTT BOTTOMS	BOARD MEMBER	1.0	Director	$0	$0	$3,300
SHAWN MARKHAM	BOARD MEMBER	1.0	Director	$0	$0	$0
THOMAS HAGER	BOARD MEMBER	2.0	Director	$0	$0	$3,300
AMANDA KINMAN	CFO	3.0	Officer	$0	$44,044	$386,685
LIBBY MAYES	ASST. VP COMMUNITY ENGAGEMENT	3.0	Officer	$0	$38,298	$261,024
NICHOLAS SPOONMORE	VP STRATEGIC INITIATIVE	3.0	Officer	$0	$31,331	$291,252
TAMMY ENSSLIN	CHIEF LEGAL OFFICER	3.0	Officer	$0	$60,111	$375,654
ASLAM AHMAD MD	PHYSICIAN	40.0	Highest	$811,090	$60,142	$871,232
CHARLES GRIGSBY MD	PHYSICIAN	40.0	Highest	$1,191,557	$38,297	$1,229,854
EDGAR SALAS MD	PHYSICIAN	40.0	Highest	$1,142,713	$59,036	$1,201,749
JARED HAGAMAN MD	PHYSICIAN	40.0	Highest	$852,368	$43,174	$895,542
JONATHAN DOTY MD	PHYSICIAN	40.0	Highest	$712,942	$62,709	$775,651

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$10,240,984	$11,953,197	$2,759,768	$-1,712,213
2023	$7,268,658	$8,593,287	$3,035,507	$-1,324,629
2022	$5,840,249	$7,344,626	$3,593,808	$-1,504,377
2021	$6,303,580	$6,734,515	$3,364,594	$-430,935
2020	$5,497,741	$6,737,757	$4,069,784	$-1,240,016
2019	$8,650,223	$9,260,102	$4,792,088	$-609,879
2018	$8,310,727	$9,177,917	$4,901,922	$-867,190

Ephraim McDowell Health Resource Inc