Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Kentucky · Ranked 432 of 1033 by CEO pay.

Ephraim Mcdowell Regional Medical Center

Daniel Mckay, President & CEO. Fiscal year ending 2025-09.

$978,052
CEO total compensation
Form 990 Part VII, columns D+E+F
0.82%
of expenses spent on charity care
Schedule H Part I line 7a
31.6%
CEO pay as a share of all charity care
Daniel Mckay’s pay of $978,052 equals 31.6 percent of the $3,093,387 the system spent on charity care in the same year.

Most of the reported compensation ($915,838 of $978,052) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$380,054,543
Total expenses
$378,799,474
Net assets
$339,794,063
Employees
1,783
Hospitals covered
3 facilities across 3 filings
Charity care, net
$3,093,387
Bad debt
$22,680,873
Medicare surplus (shortfall), as filed
($5,635,263)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$915,838
Other compensation, including deferred pay and nontaxable benefits (col. F)
$62,214
CEO total compensation (D+E+F)
$978,052 to Daniel Mckay

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Ephraim Mcdowell Regional Medical Center, EIN 61-0492356, fiscal year ending 2025-09, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$8.9M Of which charity care to patients who could not pay (line 7a)$3.1M (35%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($22.7M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
Ephraim Mcdowell Regional Medical Center61-04923562025-09$284.0M$2.5M0.82%990
James B Haggin Memorial Hospital Inc61-05109342025-09$48.3M$326,9110.81%990
Emhfl Inc61-13885562025-09$47.8M$258,2670.77%990

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Ephraim Mcdowell Regional Medical Center: CEO pay $978,052, charity care 0.82% of expenses