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Kentucky · Nonprofit

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER (Kentucky) receives grants from 2 organizations whose IRS filings report $126,411 to it, the largest being CONNECTIONS TELEHEALTH CONSORTIUM ($91,598). 1 of them have funded it in more than one year.

Revenue FY2025
$284M
Funders on record
2
Grants received
$126k
Net assets
$279M
1/2 repeat funderspeak grant-dependency 0%
01What it does

What Ephraim McDowell Regional Medical Center does

Mission

The organization's primary mission is to be the leading provider of quality health care services in the central kentucky communities we serve.

As stated on its FY2025 Form 990.

Program

  1. 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,…

    $250,099,115 spent$281,292,382 earned by the program
    100% of program spending

The program described on its FY2024 Form 990. Program spending in total: $250,099,115.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($176M) Expenses 100 ($158M) Net assets 100 ($262M)2018 Revenue 105 ($184M) Expenses 116 ($184M) Net assets 89 ($232M)2019 Revenue 108 ($189M) Expenses 114 ($180M) Net assets 92 ($242M)2020 Revenue 112 ($197M) Expenses 114 ($180M) Net assets 98 ($258M)2021 Revenue 138 ($243M) Expenses 136 ($216M) Net assets 109 ($285M)2022 Revenue 137 ($242M) Expenses 151 ($239M) Net assets 110 ($288M)2023 Revenue 146 ($257M) Expenses 161 ($254M) Net assets 111 ($291M)2024 Revenue 160 ($282M) Expenses 172 ($273M) Net assets 114 ($300M)2025 Revenue 161 ($284M) Expenses 192 ($305M) Net assets 106 ($279M)
'17'18'19'20'21'22'23'24'25
Revenue (161)Expenses (192)Net assets (106)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2019 to 2020, from $257M to $294M (+14%).

$274M
$244M
$257M
$294M
$315M
$314M
$317M
$328M
$302M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2021 9% · 2022 3% · 2025 0%. Grants only. Government contracts and fees sit inside program revenue.

0% of EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER’s revenue is contributions — more earned-revenue than three-quarters of its peers (1% for the typical peer).

This organization
Typical peer · 2,211 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 1 of the last 9 reported years ran a deficit.

$17M
’17
$654k
’18
$9.5M
’19
$16M
’20
$27M
’21
$2.8M
’22
$3.0M
’23
$8.9M
’24
−$21M
’25
0.0
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Daniel Mckay

President & CEO

As listed on its FY2025 Form 990.

'17'18'19'20'21'22'24'25
Listed2729292830323133
Joined·+4+3+4+4+9·+9
No longer listed·23527·7
03Who funds it

Who funds it, year by year

2018 → 2019: the base held at 1 funder, grant income fell $92k → $7k.

Funder
'18
'19
'24*
'25*
total
funders
1
1
1
1

Left out of every figure on this page: $2.1M from one payer (the payer shares this organization's board, largest Ephraim McDowell Health Care Foundation Inc). These are real filings, and they are not money EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER raised.

From the IRS filings of EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER leans on a few funders — its largest provides 72% of grant income and the top three 100%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

100% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER.

72%
largest funder
100%
top three
~2
effective funders

Largest funder’s share by year: 2018 100% · 2019 100% — broadly stable.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER draws 72% of its grant income from funders outside Kentucky, across 2 states in all.

ME
KY

In-state vs out-of-state, by year

’18
’19
Kentucky out of state home

Funder states come from each funder’s own filing. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER's revenue grew 61% between 2017 and 2025.

Operating margin−7% · bottom quartile
Months of reserve0.0mo · bottom quartile
Revenue growth (annualized)6% · below the median

this organization peer median middle 50% of peers· 1,241 health nonprofits over $100M, FY2025

Government funding EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $1.5M on record.

Federal$1.5M
grants $1.5Mcontracts $0
Top agencies
  • Department of Agriculture$1.5M

Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.

Organizations like EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Kentucky

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

82% of spending goes to programs.

Program 82%Management 18%Fundraising 0%

Governance

21
board members
90%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Footprint & structure

Files a return copy in 1 state

KY

Part of a family of 8 related entities

  • Emhfl Inc · exempt
  • Ephraim McDowell Health Resource Inc · exempt
  • Ephraim McDowell Health Care Foundation · exempt
  • Ephraim McDowell Health Inc · exempt
  • McDowell Home Health Agency Inc · exempt

Screen this organization

A dated, signed PDF of the compliance screen for EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER?
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER (Kentucky) receives grants from 2 organizations whose IRS filings report $126,411 to it, the largest being CONNECTIONS TELEHEALTH CONSORTIUM ($91,598). 1 of them have funded it in more than one year.
How many funders does EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER have?
IRS filings report 2 organizations giving $126,411 in grants to EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, 1 of which have funded it in more than one year.
Who is the largest funder of EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER?
CONNECTIONS TELEHEALTH CONSORTIUM is the largest funder on record, with $91,598 in grants. The full list of funders is on this page.
How can an organization like EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Kentucky. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

Play a game about who funds Ephraim McDowell Regional Medical Center →

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 2 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing