Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
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2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
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| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
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| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
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2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
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5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 4 | PROGRAM SERVICE ACCOMPLISHMENTS ----------------------------------- EPHRAIM MCDOWELL FORT LOGAN HOSPITAL (EMFLH), LOCATED IN STANFORD, KENTUCKY, IS A 25-BED CRITICAL ACCESS HOSPITAL OFFERING QUALITY HEALTH CARE AND LEVEL IV TRAUMA CERTIFIED EMERGENCY SERVICES. THE FACILITY IS JOINT COMMISSION ACCREDITED. EMFLH OFFERS A VARIETY OF EPHRAIM MCDOWELL HEALTH SYSTEM SERVICES LOCALLY THROUGH THE FACILITY, INCLUDING CARDIOPULMONARY, DIAGNOSTIC, DIETARY, AND FAMILY-CENTERED MATERNITY CARE WITH A BIRTHING SPA, SWING BEDS, LABORATORY, REHABILITATION, SURGICAL SERVICES, 24-HOUR EMERGENCY CARE, AND DURABLE MEDICAL EQUIPMENT. IN FISCAL YEAR 2018, OUTPATIENT REGISTRATIONS, INCLUDING EMERGENCY SERVICES WERE 33,480; THERE WERE 822 SURGICAL PROCEDURES, 1,290 ADMISSIONS (INCLUDING NURSERY AND SWING), AND THE FACILITY RECORDED 4,549 TOTAL PATIENT DAYS (INCLUDING OBSERVATION AND SWING). THESE NUMBERS REFLECT AN INCREASE IN HEALTH CARE ACCESS TO RESIDENTS OF LINCOLN COUNTY AND THE SURROUNDING COUNTIES. COMMUNITY HEALTH EDUCATION GENERAL ------------------------------------- HEALTH FAIRS - A REGISTERED NURSE (RN) MET WITH EACH CLIENT TO DEVELOP A WRITTEN PLAN TO DECREASE THEIR LIFESTYLE ASSOCIATED HEALTH RISK FACTORS. SERVICES WERE OFFERED AT 7 SITES (10 EVENTS) IN LINCOLN AND GARRARD COUNTIES WITH A FOCUS ON REACHING AT RISK AND VULNERABLE POPULATIONS. ONE HUNDRED AND FIFTY-TWO ADULTS WERE SERVED. FIFTY-FOUR PERCENT HAD A HOUSEHOLD INCOME BELOW $35,000; COMPARED TO 55% IN FISCAL YEAR 2017, 52 PERCENT IN 2016 AND 42 PERCENT IN 2015. IN CLIENTS SEEN, UNEMPLOYMENT WAS AT 13% COMPARED TO 8% IN 2017, AND 15.1% IN 2016. FORTY-ONE PERCENT (48 OF 117) OF CLIENTS WERE RETIRED; UP FROM 20% IN FY 2017, 43% IN 2016 AND 30% IN 2015. IN FY 2018 ONLY 3% (3 OF 104) REPORTED NOT HAVING A PRIMARY CARE PROVIDER COMPARED 11.5 PERCENT IN FY 2017 AND SIXTY-EIGHT PERCENT IN FY 2016. REFERRAL OPTIONS WERE PROVIDED, INCLUDING HOPE CLINIC, REDUCED FEE PROGRAM, AND A PRIMARY CARE PROVIDER LISTING FOR THE REGION. DURING FY 2018, SIX PERCENT OF CLIENTS SERVED WERE AFRICAN AMERICAN, 76 PERCENT WERE CAUCASIAN, AND 4% WERE HISPANIC COMPARED TO FY 2017 WHERE THREE PERCENT OF CLIENTS SERVED WERE AFRICAN AMERICAN; 95 PERCENT CAUCASIAN, 1.8 PERCENT OTHER AND .06% HISPANIC. THE AFRICAN AMERICAN AND HISPANIC POPULATION REPRESENTS A HIGH RISK GROUP DUE TO POVERTY, DIABETES, HIGH BLOOD PRESSURE, HIGH BODY MASS INDEX AND OTHER FACTORS, AND WAS A FOCUS FOR SERVICES. THE ETHNICITY PERCENTAGES ARE REPRESENTATIVE OF THE REGIONAL DEMOGRAPHICS. OUT OF 833 SCREENING PROCEDURES DONE, 299 WERE ABNORMAL OR 35%, COMPARED TO 54% OUT OF RANGE FOR FY 2017 AND 50% FOR FY 2016. FOURTEEN PERCENT (21) OF PARTICIPANTS WITH ABNORMAL TEST RESULTS OUT OF 152 SCREENED WERE REFERRED TO A PRIMARY CARE PROVIDER FOR FOLLOW-UP CARE FOR FY 2018 COMPARED TO 22% IN BOTH FY 2017 AND 2016. SIXTY-ONE PERCENT OF CLIENTS WERE FEMALE COMPARED TO 53% IN FY 2017; FORTY-TWO PERCENT WERE MALE COMPARED TO 47% IN FY 2017. THIS REPRESENTS AN INCREASE IN FEMALE CLIENTS SEEKING PREVENTATIVE CARE. THERE WAS A DECREASE IN THE NUMBER OF PERSONS SCREENED IN THE EPHRAIM MCDOWELL HEALTH SYSTEM DUE TO A DECREASE IN THE NUMBER OF SCREENINGS PROVIDED; A RESULT OF BUDGET CONSTRAINTS INSTITUTED DURING THE SPRING OF FY 2018. HIGH RISK INDIVIDUALS CONTINUED TO BE SERVED BY THE SCREENING PROGRAMS ON A SCALED BACK VERSION. IN FY 2017 THE HRSA GRANT FOR HEALTHY PEOPLE HEALTHY COMMUNITIES HAD COMPLETELY CONCLUDED RESULTING IN FEWER REMINDERS FOR INDIVIDUALS TO PARTICIPATE. STAFF AND DEPARTMENT REDUCTIONS MAY HAVE BEEN A CONTRIBUTING FACTOR TO THE REDUCTION OF INDIVIDUALS SEEN. THE CONCLUSION IS THAT HIGH RISK INDIVIDUALS CONTINUED TO BE SERVED BY THE SCREENING PROGRAMS IN SPITE OF THE DECLINE IN NUMBERS. SCHOOL BASED PROGRAMS - THE SCHOOL BASED PROGRAM WAS TERMINATED DUE TO A SIGNIFICANT PERSONNEL REDUCTION WITHIN THE COMMUNITY SERVICE DEPARTMENT. COMMUNITY HEALTH EDUCATION SUPPORT GROUP ------------------------------------------- CLIENTS AT SCREENINGS WERE REFERRED TO HERITAGE HOSPICE FOR GRIEF COUNSELING, TO THE MONTHLY ALZHEIMERS SUPPORT GROUP, AND TO THE DIABETES SUPPORT GROUP THAT MEETS AT THE MCDOWELL WELLNESS CENTER ALL BASED IN BOYLE COUNTY. TOBACCO CESSATION AND SOME NUTRITION COUNSELING ARE ALSO AVAILABLE THROUGH THE LOCAL HEALTH DEPARTMENTS. COMMUNITY-BASED CLINICAL SERVICES HEALTH SCREENINGS ------------------------------------------------------- HEALTH FAIRS WERE CONDUCTED IN LINCOLN AND GARRARD COUNTIES IN COLLABORATION WITH THE HEALTH DEPARTMENTS, COUNTY EXTENSION OFFICES, CHURCHES, AND STOCK YARDS. SERVICES OFFERED WERE BASED UPON THE 2017 CHNA COMMUNITY FEEDBACK AND IMPLEMENTATION PLAN THAT WAS APPROVED BY THE EMFLH GOVERNING BOARD AND THE EPHRAIM MCDOWELL HEALTH (EMH) GOVERNING BOARD. SERVICES INCLUDED CARDIOVASCULAR DISEASE (CVD) RISK FACTORS REDUCTION (BOTH STROKE AND HEART ATTACK). CVD RISK SCREENINGS INCLUDED CHOLESTEROL, GLUCOSE, BODY MASS INDEX (BMI), BLOOD PRESSURE, TOBACCO USE, FAMILY HISTORY, PULSE REGULARITY, ACTIVITY INTENSITY, RISK SCORE CARD, AND CONSULTATION WITH AN RN TO DEVELOP GOAL(S) FOR HEALTH RISK REDUCTION. EARLY DETECTION/PREVENTION OF CANCER INCLUDES SKIN CANCER SCREENING, TOBACCO USE CESSATION REFERRALS, AND DISTRIBUTION OF COLORECTAL CANCER SCREENING KITS. BLOOD PRESSURE SCREENING - DURING FY 2018, 85 PERCENT OF 155 BLOOD PRESSURE ASSESSMENTS COMPARED TO FY 2017, WHERE 89.5 PERCENT OF 191 BLOOD PRESSURE ASSESSMENTS AND FY 2016 WHEN NINETY PERCENT OF 230 BLOOD PRESSURES TAKEN IN LINCOLN AND GARRARD COUNTIES EXCEEDED THE RECOMMENDED RANGE AS ESTABLISHED BY THE AMERICAN HEART ASSOCIATION (AHA). THIS REFLECTS A SLIGHT DECREASE IN ABNORMAL BLOOD PRESSURE OVER THE LAST SEVERAL YEARS AND ONE WOULD HOPE THAT THE REPEATED SCREENING ARE INFLUENCING THE CULTURE FOR MEDICAL AWARENESS AND APPROPRIATE PREVENTION AND TREATMENT. DIETARY INFORMATION WAS PROVIDED. INSTRUCTIONS FOR MONITORING AND RECORDING BLOOD PRESSURE, AND THE SIGNIFICANCE OF BLOOD PRESSURE CONTROL IN THE PREVENTION OF HEART ATTACK AND STROKE WERE KEY ELEMENTS IN CLIENT EDUCATION FOR THOSE WITH PRE-HYPERTENSION AND STAGE I HYPERTENSION. STAGE II HYPERTENSION AND ABOVE CLIENTS WERE REFERRED FOR PRIMARY CARE FOLLOW-UP AND EVALUATION. CANCER COLORECTAL SCREENING - TWENTY-ONE COLORECTAL CANCER SCREENING KITS WERE DISTRIBUTED THROUGH THE SCREENINGS WHILE NINE ADDITIONAL KITS WERE DISTRIBUTED DURING THE MARCH COLORECTAL SCREENING AWARENESS DRIVE. SEVENTEEN OF THE TWENTY-ONE KITS WERE RETURNED FOR INTERPRETATION. ONE RESULTED IN A REFERRAL TO THEIR PCP DUE TO A POSITIVE RESULT. IN SPITE OF FEWER SCREENING DUE TO BUDGET CUTS, THE NUMBER DISTRIBUTED WAS ONLY 6 LESS THAN THE PRIOR YEAR. THIS PROJECT WAS FUNDED BY THE EPHRAIM MCDOWELL HEALTH CARE FOUNDATION (EMHCF). CANCER SKIN SCREENING - IN FY 2018 THERE WAS NOT A SKIN CANCER SCREENING OFFERED IN LINCOLN COUNTY DUE TO A LACK OF A COMMUNITY PARTNER AND LIMITED LICENSED INDEPENDENT PRACTITIONER COVERAGE. CHOLESTEROL TESTING - IN FY 2018, FORTY-ONE OF ONE HUNDRED AND EIGHT OR 38% OF TOTAL CHOLESTEROL TESTS EXCEEDED THE RECOMMENDED RANGE AS ESTABLISHED BY THE AMERICAN HEART ASSOCIATION (AHA) COMPARED TO 39% OF 191 INDIVIDUALS IN FY 2017 AND 32% OF 206 IN FY 2016. THIS IS AN INCREASING TREND WHICH SEEMS TO BE CONSISTENT WITH THE NATIONAL TRENDS IN SPITE OF ONGOING CLIENT EDUCATION AT EACH OF THE SCREENINGS. DIABETES TESTING - IN 2018, 3 OF 107 OR 3%, COMPARED TO FY 2017, 21 PERCENT OF 152, AND 22% OF 191 IN FY 2016 TOTAL BLOOD SUGAR (GLUCOSE) EXCEEDED THE RECOMMENDED RANGE AS ESTABLISHED BY THE AMERICAN DIABETIC ASSOCIATION (ADA). THIS REFLECTS A SIGNIFICANT DECREASE IN BLOOD SUGAR RESULTS OUT OF CONTROL COMPARED TO FY 2017 AND 2016 AND ONE WOULD HOPE THAT FINALLY EDUCATION EFFORTS ARE PAYING OFF. HOWEVER, IT IS TOO SOON TO MAKE THOSE ASSUMPTIONS AS THERE IS AN INCREASE IN INCIDENCE OF TYPE II DIABETES NATIONWIDE WITH THE AGING POPULATION AND FAST FOOD CONSUMPTION. IN FY 2016 AN A1C MACHINE WAS PROVIDED BY THE EPHRAIM MCDOWELL HEALTH CARE FOUNDATION AND A1C TESTING WAS IMPLEMENTED AT THE SCREENING SITES FOR THOSE WHO MET THE FOLLOWING HIGH RISK CRITERIA: - KNOWN DIABETIC OR PRE-DIABETIC - FASTING BLOOD SUGAR ABOVE 111 WITH UNKNOWN DIAGNOSIS - EXTENDED FAMILY MEMBER WITH DIAGNOSIS AND NOT DONE BEFORE - HAS NOT HAD A1C TAKEN WITHIN THE LAST 3 MONTHS |
| FORM 990, PART III, LINE 4 CONT. | USING THIS CRITERIA, THIRTY INDIVIDUALS WERE SCREENED IN FY 2018 COMPARED TO THIRTY-NINE INDIVIDUALS IN FY 2017. FORTY PERCENT OF THOSE SCREENED IN FY 2018 (12 OF 30) HAD ABNORMAL RESULTS COMPARED TO AND 17, OR 43.5% OF THOSE INDIVIDUALS SCREENED IN FY 2017. DIET AND LIFESTYLE CHANGES WERE A SIGNIFICANT PART OF THE EDUCATION PROVIDED TO TRY TO REDUCE THESE NUMBERS, WHICH REFLECT THE GROWING TREND NATIONALLY. NUTRITION/OBESITY SCREENING - NINETY-THREE PERCENT OF 101 ADULTS SCREENED IN FY 2018 COMPARED TO EIGHTY-SEVEN POINT SIX PERCENT OF 129 ADULTS SCREENED FOR BODY MASS INDEX IN 2017 AND EIGHTY-SEVEN PERCENT IN FY 2016 EXCEEDED THE NATIONAL HEALTH RECOMMENDATIONS. THIS ALSO REFLECTS THE HEALTH TREND IN THE COMMONWEALTH OF KENTUCKY. DIET AND LIFESTYLE CHANGES WERE A SIGNIFICANT PART OF THE EDUCATION PROVIDED. EDUCATION WAS OFFERED RELATED TO PORTION CONTROL AND GLYCEMIC INDEX FOR ALL CLIENTS EXCEEDING THE RECOMMENDED RANGE. REFERRAL TO A DIETITIAN, COUNTY HEALTH DEPARTMENT NUTRITION CLASSES OR PRIMARY CARE PROVIDER WAS MADE FOR THOSE IN THE HIGH RISK GROUP DUE TO THE RELATIONSHIP BETWEEN OBESITY AND SOME FORMS OF CANCER, DIABETES, MOBILITY ISSUES, GERD, HEART ATTACK AND STROKE. STROKE SCREENING - STROKE SCREENING WAS PROVIDED AT THE LINCOLN COUNTY HEALTH DEPARTMENT, LEVEL GREEN CHRISTIAN CHURCH, NEW SALEM CHURCH AND GARRARD COUNTY COOPERATIVE EXTENSION SERVICES, AND CAMP DICK ELEMENTARY SCHOOL. ONE HEART RISK SCREENING WAS DONE AT LEVEL GREEN CHRISTIAN CHURCH USING THE AMERICAN STROKE ASSOCIATION SCORECARD TO RECORD THE CLIENTS RISK FACTORS AS HIGH (RED), MEDIUM (YELLOW) OR LOW (GREEN) FOR PURPOSES OF EDUCATION AND GOAL SETTING TO REDUCE MODIFIABLE LIFESTYLE RELATED CVD RISK FACTORS. INDIVIDUALS WITH THREE OR MORE RISK FACTORS IN THE HIGH RISK RANGE WERE REFERRED FOR PCP FOLLOW-UP. THE SERVICE AREA IS THE HEART OF THE "STROKE BELT". THE SITES PROVIDED A VARIATION IN RURAL VERSUS TOWN COMMUNITIES AND VARYING AREAS OF THE TWO COUNTIES. COMMUNITY-BASED CLINICAL SERVICES IMMUNIZATIONS -------------------------------------------------- FLU SHOTS - FIFTY-FIVE FLU SHOTS WERE ADMINISTERED IN FY 2018 TO INDIVIDUALS FROM 2 CONGREGATIONS, ONE COMMUNITY AGENCY, AND CATTLEMAN AT THE BLUEGRASS STOCKYARDS IN LINCOLN AND GARRARD COUNTIES. THIS IS COMPARED TO SEVENTY-SIX FLU SHOTS ADMINISTERED TO INDIVIDUALS FROM TWO CONGREGATIONS IN LINCOLN AND GARRARD COUNTIES AND TO CATTLEMEN AT THE BLUEGRASS STOCKYARDS IN LINCOLN COUNTY IN FY 2017. HEALTH CARE SUPPORT SERVICES OTHER HEALTH CARE SUPPORT SERVICES ------------------------------------------------------------------ BLOOD DRIVE - EMFLH PAYS ON DUTY ASSOCIATES FOR THE TIME NECESSARY TO PARTICIPATE IN THE BLOOD DRIVES CONDUCTED AT THE HOSPITAL IN COLLABORATION WITH THE CENTRAL KENTUCKY BLOOD BANK. ONE BLOOD DRIVE WAS HELD WITH SIX UNITS COLLECTED. FINANCIAL DONATIONS FOR THE COMMUNITY COST OF FUND RAISING -------------------------------------------------------------- COST OF FUNDRAISING - PROJECTS IN THIS CATEGORY INCLUDED THE ROTARY PANCAKE BREAKFAST FUND RAISER. EMFLH STAFF WORKED THE EVENT TO ASSIST IN MEETING IDENTIFIED COMMUNITY NEEDS. FINANCIAL DONATIONS FOR THE COMMUNITY IN-KIND ---------------------------------------------- MEDICAL SUPPORT - AREA RESIDENTS WERE SERVED THROUGH MEDICAL SUPPORT SERVICES AT THE LINCOLN COUNTY FAIR. SERVICES INCLUDED BLOOD PRESSURE CHECKS AND FIRST AID SERVICES. EMFLH PERSONNEL HELPED PLAN, SET UP AND PROVIDE HEALTH SERVICES AT THE EVENT. PERSONNEL/ADMINISTRATIVE SUPPORT - EMFLH LEADERS SERVED AS TEAM CAPTAINS FOR THE AMERICAN CANCER SOCIETY RELAY FOR LIFE IN LINCOLN COUNTY. THIS IS THE MAJOR FUND-RAISER FOR THE AMERICAN CANCER ASSOCIATION WITH $8,000 RAISED BY THE EMFLH TEAM IN FY 2018. EMFLH LEADERS SERVE ON THE LINCOLN COUNTY CANCER COALITION WHICH MEETS MONTHLY TO ADDRESS HEALTH RISK AND NEEDS RELATED TO CANCER. THE COALITION STRIVES TO PROVIDE ACCESS TO CARE/TREATMENT/SCREENINGS, MAKING PUBLIC POLICY RECOMMENDATIONS, AND PROVIDING CLIENT EDUCATION. SENIOR LEADERSHIP SERVES AS A MEMBER OF THE LINCOLN COUNTY HEALTH DEPARTMENT BOARD THAT MEETS BI-MONTHLY. THE LINCOLN COUNTY BOARD OF HEALTH IS FOCUSED ON IMPROVING THE HEALTH OF THE COMMUNITY. A HOSPITAL REPRESENTATIVE ON THIS BOARD IMPROVES AWARENESS OF POPULATION HEALTH ISSUES, COMMUNICATION, COLLABORATION, AND REDUCES DUPLICATION OF SERVICES. SENIOR LEADERSHIP SERVES ON THE CHAMBER OF COMMERCE IN BOTH LINCOLN AND GARRARD COUNTIES ADDRESSING ECONOMIC AND QUALITY OF LIFE ISSUES IN THE COMMUNITY. EMFLH LEADERS AND STAFF PARTICIPATE IN THE DAY OF CARING AND DAY OF ACTION TO IMPROVE OUR COMMUNITY THROUGH SERVICE PROJECTS THROUGH THE HEART OF KENTUCKY UNITED WAY. EMFLH ASSOCIATES PARTICIPATE IN THE SALVATION ARMY (TSA) KETTLE DRIVE TO PROVIDE FOOD AND NECESSITIES FOR THOSE IN NEED IN THE COMMUNITY. STAFF SERVES ON THE LINCOLN COUNTY YOUTH SERVICE CENTER ADVISORY BOARDS (YSC) ALONG WITH PARENTS, STUDENTS, SCHOOL PERSONNEL, AND OTHER COMMUNITY REPRESENTATIVES. THE PURPOSE OF THIS COMMUNITY ADVISORY BOARD IS TO REMOVE BARRIERS TO RECEIVING A QUALITY EDUCATION. YSC LINKS MIDDLE AND HIGH SCHOOL STUDENTS TO EDUCATION, SOCIAL, HEALTH, JOBS AND OTHER COMMUNITY RESOURCES. EMFLH LEADERS HOLD BOTH MEMBERSHIP AND LEADERSHIP POSITIONS WITHIN VARIOUS SERVICE ORGANIZATIONS IN THE COMMUNITY, ROLE MODELING GOOD CITIZENSHIP. COMMUNITY-BUILDING ACTIVITIES ------------------------------- COMMUNITY HEALTH IMPROVEMENT ADVOCACY - COALITION BUILDING ACTIVITIES INCLUDED WORKING WITH LINCOLN COUNTY YOUTH SERVICE CENTER ADVISORY BOARDS; SERVICE ON ROTARY AND ROTARY BOARD; LINCOLN COUNTY HEALTH DEPARTMENT BOARD; LINCOLN COUNTY CANCER COALITION; AND AMERICAN CANCER RELAY FOR LIFE. GIVEN THE HEALTH AND HUMAN SERVICES AND CENTERS FOR DISEASE CONTROL ON THE HEALTHY PEOPLE 2020 GOAL TO ADDRESS THE ENVIRONMENTAL DETERMINATES OF HEALTH, THIS INVOLVEMENT IS A KEY COMMUNITY FUNCTION OF HOSPITAL LEADERS WITHIN EMFLH AND THE EPHRAIM MCDOWELL HEALTH SYSTEM. EPHRAIM MCDOWELL FT LOGAN HOSPITAL WAS PART OF A VERY SUCCESSFUL HKUW FUND RAISING CAMPAIGN WITHIN THE EPHRAIM MCDOWELL HEALTH CARE SYSTEM. ASSOCIATES WERE ALSO ENGAGED IN THE DAY OF ACTION. STAFF SERVED ON COMMITTEES, TEAMS, AND CONTRIBUTED TO MAKE THIS A PROJECT FOR THEIR COMMUNITY AND THOSE THEY SERVE A SUCCESS. IN ADDITION TO MAINTAINING MEETING PARTICIPATION IN THE STANFORD ROTARY CLUB, STAFF MEMBERS ENGAGED IN FUND RAISERS, AND EXEMPLIFIED THE ROTARY MOTTO OF SERVICE ABOVE SELF IN THEIR LEADERSHIP ROLE WITHIN THE COMMUNITY. THE AMERICAN CANCER SOCIETY STRIVES TO PROVIDE EDUCATION TO THE PUBLIC REGARDING CANCER AND RAISE FUNDS FOR RESEARCH SURROUNDING CURE AND TREATMENT. THE EMFLH TEAM RAISED $8,000 FOR THE LINCOLN COUNTY RELAY FOR LIFE IN 2018. EMFLH STAFF PARTICIPATED IN ALL LEVELS - COMMITTEE MEETINGS, TEAM CAPTAINS, EVENT PARTICIPATION AND FUND-RAISING. EMFLH PARTICIPATED IN AN AREA WIDE ACTIVE SHOOTER AT LINCOLN COUNTY HIGH SCHOOL, MULTIPLE AGENCIES PARTICIPATED. WORKFORCE DEVELOPMENT - MOCK INTERVIEW OPPORTUNITIES WERE PROVIDED BY EMFLH LEADERS FOR LINCOLN COUNTY HIGH SCHOOL STUDENTS IN PREPARATION FOR ENTERING THE JOB MARKET. FORTY STUDENTS ELECTED TO PARTICIPATE IN THE MOCK INTERVIEW PROCESS. COMMUNITY SUPPORT - FT LOGAN STAFF, 12 VOLUNTEERS, RANG THE BELL FOR THE SALVATION ARMY (TSA) DURING THE CHRISTMAS HOLIDAY SEASON; THEREBY ASSISTING TSA IN ATTAINING THEIR GOAL. THE AIM WAS TO FEED THE HUNGRY AND PROVIDE CHRISTMAS FOR NEEDY FAMILIES. TSAS PLEDGE IS TO DO THE MOST GOOD WITH CONTRIBUTIONS. ECONOMIC DEVELOPMENT - FT LOGAN HOSPITAL LEADERS SERVE ON THE LINCOLN COUNTY CHAMBER OF COMMERCE. THE CHAMBER OF COMMERCE SUPPORTS THE FREE ENTERPRISE SYSTEM WITH A MULTI-YEAR GOAL OF JOB CREATION. |
| FORM 990, PART III, LINE 4 CONT. | UNASSIGNED PROGRAM -------------------- ADDITIONAL COMMUNITY INVOLVEMENT THAT ENHANCED THE LIVES OF THE CITIZENS OF LINCOLN COUNTY AND THE SURROUNDING COUNTIES INCLUDED INVOLVEMENT IN LAY HEALTH/FAITH COMMUNITY NURSING MINISTRIES WITHIN THE CONGREGATIONS. FULL CONGREGATIONAL IMPACT WAS GENERATED BY LEADERSHIP POSITIONS WITHIN THE VARIOUS CHURCH COMMITTEES. SERVICES PROVIDED INCLUDED, BUT WERE NOT LIMITED TO, SERVING ON BOARDS/COMMITTEES, TEACHING, MEAL PREPARATION, MUSIC AND WORSHIP LEADERSHIP, CHOIR PARTICIPATION AND HOME VISITS/CALLS. THE JOURNAL OF CHRISTIAN NURSING REPORTS THAT CHRISTIAN FAITH AND PRACTICE SUPPORTS BETTER MENTAL, PHYSICAL AND SPIRITUAL HEALTH (MARCH, 2013). COMMUNITY INVOLVEMENT IN CHILDRENS PROGRAMS THROUGH THE AREA CHURCHES RESULTED IN OVER 1,000 CHILDREN BEING SERVED. DEFERRED NEEDS FROM THE CHNA OF BOYLE AND THE SURROUNDING COUNTIES BASED UPON RESOURCES AND/OR EXPERTISE INCLUDED THE FOLLOWING: SUBSTANCE ABUSE IS AN ISSUE IN THE STATE AND REGION. ADDICTION SERVICES ARE OFFERED BY PRIVATE PROVIDERS, COMPREHENSIVE CARE, AND SELF-REFINED IN THE REGION. EMRMC BEHAVIORAL MEDICINE UNIT DOES TREAT DUAL DIAGNOSIS PATIENTS AND THE PSYCHIATRISTS AND COUNSELORS TREAT OUT PATIENTS. THERE IS AN ACTIVE ALCOHOLICS ANONYMOUS CHAPTER. CELEBRATE RECOVERY IS OFFERED AT VARIOUS SITES IN THE SERVICE AREA. SUBSTANCE ABUSE TASK FORCE RESOURCES AND COMMITTEES ARE IN THE SURROUNDING SERVICE AREA, AND COLLABORATION OCCURS AS NEEDED. DUE TO LACK OF EXPERTISE AND RESOURCES, ADDICTION WILL BE DEFERRED AS PART OF THE WORK PLAN BY EMRMC. CHRONIC KIDNEY DISEASE AND END STAGE RENAL FAILURE LINKS TO DIABETES. MODERATE EXERCISE, A HEALTHIER DIET, AND WEIGHT REDUCTION CAN PREVENT THE DEVELOPMENT OF TYPE 2 DIABETES IN PERSONS AT RISK (DIABETES PREVENTION PROGRAM FUNDED BY NIH). THE FREE SCREENINGS WILL PROVIDE EARLY DETECTION AND POSSIBLY PREVENTION WHEN ADDRESSING NUTRITION, BODY MASS INDEX AND EXERCISE. SOME FAITH COMMUNITY NURSES IN CONGREGATIONS ASSESS BLOOD PRESSURES AND MEDICATION ADHERENCE AS WELL AS PROVIDE EDUCATION. RENAL SPECIALISTS AND DIALYSIS CENTERS SERVE THIS POPULATION AS WELL. DEMENTIA LINKS TO CV HEALTH AND STROKE INCIDENCE AND VASCULAR ISSUES. IT ALSO LINKS TO THE AGING OF THE POPULATION IN THE REGION. THERE IS AN ALZHEIMERS SUPPORT GROUP IN BOYLE AND MERCER COUNTIES. ALSO, MENTAL EVALUATION AND MEDICATION MANAGEMENT IS AVAILABLE BY A PSYCHIATRIST AT THE MEDICAL CENTER. DANVILLE HEALTH & REHABILITATION CENTER AS WELL AS MORNING POINT HAS AN ALZHEIMERS LONG TERM CARE UNIT. THE SANDERS BROWN CENTER AT THE UNIVERSITY OF KENTUCKY HAS ON-GOING ALZHEIMERS RELATED RESEARCH AND SERVES AS A REFERRAL CENTER FOR THE REGION. BIRTHS TO TEENAGERS AND UNWED MOTHERS, AND LOW BIRTH-WEIGHT BIRTHS ARE BEING ADDRESSED BY THE HEALTH DEPARTMENTS AND THE SCHOOL HEALTH COLLATIONS. THE LINCOLN COUNTY HEALTH DEPARTMENT HAS A 5-YEAR GRANT TO ADDRESS SELF-ESTEEM AND CHARACTER BUILDING IN 6TH GRADE THROUGH MIDDLE SCHOOL. THE LINCOLN AND BOYLE COUNTY SCHOOL NURSES CONDUCT THE PERKINS ASSESSMENT IN MIDDLE SCHOOL THROUGH HIGH SCHOOL AS PART OF THE EFFORT TO HELP YOUTH MAKE FEWER HIGH RISK BEHAVIOR CHOICES. BOTH SCHOOL SYSTEMS HAVE CONTRACTS WITH THE UNIVERSITY OF KENTUCKY FOR THE SERVICES OF AN ADOLESCENT MEDICINE SPECIALIST FOR ON-SITE SERVICES. THE HAVEN CARE CENTER PROVIDES PREGNANCY RESOURCES AND SUPPORTS ALL SIX COUNTIES. CHRONIC LUNG/RESPIRATORY DISEASE IS BEING ADDRESSED WITH TOBACCO EDUCATION, STOP SMOKING CLASSES AT THE HEALTH DEPARTMENTS, PULMONARY REHAB AT EPHRAIM MCDOWELL SPECIALTY CENTER AND THROUGH PUBLIC POLICY. THE COMMUNITY SERVICE DEPARTMENT SCREENS FOR TOBACCO USE AT ALL VENUES AND REFERS CLIENTS TO THE HEALTH DEPARTMENTS. THE HEALTH DEPARTMENT OFFERS FREEDOM FROM SMOKING CLASSES TO HELP RESIDENTS STOP SMOKING. THE HEALTH DEPARTMENTS ALSO CONDUCT TOBACCO EDUCATION IN THE SCHOOL SYSTEMS. IN THE AREAS OF INFECTIOUS DISEASE THE COUNTY HEALTH DEPARTMENTS WILL CONTINUE TO ADDRESS HIV EDUCATION AND TESTING. HEPATITIS C VACCINE IS AVAILABLE AT THE HEALTH DEPARTMENTS. EMRMC WILL DEFER DUE TO RESOURCE ALLOCATION BOTH PERSONNEL AND TIME. INJURY AND VIOLENCE EDUCATION IS IN THE HEALTH DEPARTMENTS, COUNTY EXTENSION OFFICES, SCHOOL RESOURCE CENTERS, FAMILY COURT, AND LAW ENFORCEMENT IN ALL COUNTIES. EMRMC AND EMFLH OFFER THE SERVICES OF A SANE NURSE FOR RAPE VICTIMS. THE RAPE CRISIS CENTER SERVES THE REGION. EMRMC WILL DEFER FOCUS ON INJURY AND VIOLENCE AT THIS TIME DUE TO OTHER AGENCIES COVERING ALL ASPECTS, HAVING GREATER EXPERTISE AND DEPARTMENTAL RESOURCE LIMITATIONS. COLLABORATION WITH LOCAL ORGANIZATIONS WORKING ON SAFE COMMUNITIES WAS DISCUSSED AT THE PRIORITIZATION MEETING. ORAL HEALTH INCLUDING REGULAR DENTAL CARE AND DENTAL INSURANCE IS A REGIONAL ISSUE. EPHRAIM MCDOWELL HEALTH BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION SUMMARY CHANGES INITIATED IN FY 2018 BASED UPON THE PRC ASSESSMENT AND RESULTANT WORK PLAN INCLUDE THE FOLLOWING: 1. TO SCREEN FOR MODIFIABLE LIFESTYLE FACTORS RELATED TO DIABETES AND EDUCATE REGARDING RISK REDUCTION STRATEGIES, AND REFER FOR FURTHER EVALUATION AS NEEDED. 2. TO IMPROVE BARRIERS TO ACCESS PRESCRIPTION MEDICATION REGIMEN, SUCH AS COST AND COMPLIANCE, BY COMMUNITY MEMBERS. 3. TO SCREEN FOR COLORECTAL AND SKIN CANCER AND TO PROVIDE EDUCATION REGARDING LIFESTYLE CHANGES RELATED TO RISK FACTOR REDUCTION; REFER FOR FURTHER EVALUATION AS NEEDED. 4. TO SCREEN FOR MODIFIABLE LIFESTYLE FACTORS RELATED TO CARDIOVASCULAR RISK AND PROVIDE EDUCATION REGARDING REDUCTION STRATEGIES; REFER FOR FURTHER EVALUATION AS NEEDED. THE EMFLH STAFF ALSO VOLUNTEERED ON LOCAL, REGIONAL AND STATE PROJECTS TO IMPROVE HEALTH, EDUCATION, AND THE GENERAL WELFARE OF THE CITIZENS OF THE REGION. CONCLUSION: ALL COMPONENTS OF THE WORK PLAN APPROVED BY THE GOVERNING BOARD WERE IMPLEMENTED AND THERE ARE SOME HEALTH RISK IMPROVEMENTS NOTED. CHANGES IN TREND LINES SINCE 2016 OBSERVED IN 2018 INCLUDE THE FOLLOWING: 1. ABNORMAL TOTAL CHOLESTEROL VALUES ARE BASICALLY UNCHANGED FROM 2017 BUT INCREASING FROM 2015. 2. THERE WAS A SIGNIFICANT DECREASE IN BLOOD GLUCOSE VALUES ABOVE OF RECOMMENDED RANGE. 3. UNCONTROLLED BLOOD PRESSURE (HYPERTENSION) VALUES REMAINED RELATIVELY UNCHANGED FROM FY 2017 BUT HAVE DECREASED FROM 2016. 4. THE REFERRAL RATE TO PCP HAS DECREASED. THIS MAY REFLECT VALUES NOT BEING AS HIGH AS PREVIOUS YEARS. 5. THERE IS AN INCREASED TREND IN MORE INDIVIDUALS WITH A PRIMARY CARE PROVIDER. 6. MORE INDIVIDUALS WERE UNEMPLOYED AND RETIRED. 7. INCOME REMAINS CONSISTENT WITH FY 2017 BUT THERE IS AN INCREASE IN LOWER INCOME LEVELS FROM FY 2015. 8. THERE IS A CONTINUED TREND OF SEEING FEWER MALE SEEKING SCREENING AND AN INCREASE IN FEMALE SEEKING SCREENING. 9. THERE IS A DECREASING TREND IN TOBACCO USE. IN FY 2018, FT. LOGAN HOSPITAL INVESTED $220,758 IN COMMUNITY BENEFIT INCLUDING FINANCIAL ASSISTANCE AND MEANS-TESTED PROGRAMS. THIS IS ABOVE AND BEYOND THE HOURS OF VOLUNTEER TIME IN LEADERSHIP ROLES BY FLH STAFF AT THE LOCAL, REGIONAL, STATE AND NATIONAL LEVEL. |
| FORM 990, PART V, LINE 2A | COMMON PAYMASTER ----------------- EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER IS THE COMMON PAYMASTER FOR EMHFL, 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 A, LINE 6, 7A, AND 7B | MEMBERS OF THE ORGANIZATION ----------------------------- EPHRAIM MCDOWELL HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF EMHFL, INC. EPHRAIM MCDOWELL HEALTH, INC., A RELATED 501(C)(3) ENTITY, IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. EPHRAIM MCDOWELL HEALTH, INC. ELECTS BOARD MEMBERS OF EMHFL, INC. ON AN ANNUAL BASIS. THE BYLAWS OF EMHFL, INC. REQUIRE APPROVAL OF CERTAIN TRANSACTIONS BY ITS SOLE CORPORATE MEMBER, EPHRAIM MCDOWELL HEALTH, INC. |
| 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 ------------------------------------ EMHFL, INC. IS PART OF AN INTERGRATED HEALTHCARE DELIVERY SYSTEM WHOSE PARENT IS EPHRAIM MCDOWELL HEALTH, INC. COMPENSATION FOR ALL AFFILIATES IS OVERSEEN AND COORDINATED THROUGH EPHRAIM MCDOWELL HEALTH, INC. THE MERCER GROUP, INDEPENDENT CONSULTANTS, CONDUCTED A REVIEW IN 2015 FOR ESTABLISHING REASONABLE COMPENSATION OF 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, SECTION A | PART-YEAR OFFICERS -------------------- 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. |
| FORM 990, PART XI, LINE 9 | RECONCILIATION OF NET ASSETS - OTHER CHANGES --------------------------------------------- TRANSFER OF NET ASSETS FROM EPHRAIM MCDOWELL HEALTH RESOURCE DUE TO CLINIC RESTRUCTURING: $(13,114,840) |
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