MONROE MEDICAL FOUNDATION INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: MONROE MEDICAL FOUNDATION INC (EIN 31-0949874)
Tax period: 2009-03-01 to 2010-02-28
Filed: 2011-01-18
IRS object ID: 201140199349300204
Schema version: 2009v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-01-18T20:36:38-07:00	Timestamp
Tax Period End Date	2010-02-28	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2009-03-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	310949874	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MONROE MEDICAL FOUNDATION INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MONR	NameControl
Phone	2704879231	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	529 CAPP HARLAN ROAD	AddressLine1
City	TOMPKINSVILLE	City
State	KY	State
ZIP Code	42167	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Rickie Brown	Name
Title	Chief Financial Officer	Title
Phone	2704879231	Phone
Date Signed	2011-01-18	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	Monroe County Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Greg Crabtree DMD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	529 Capp Harlan Road	AddressLine1
City	Tompkinsville	City
State	KY	State
ZIP Code	42167	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	20664127	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.mcmccares.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1979	YearFormation
State Legal Domicile	KY	StateLegalDomicile
Activity Or Mission Description	ACUTE CARE HOSPITAL - Our mission is to be a rural healthcare organization who values compassion, respect and confidentiality, and provide quality, safe primary and specialty services for the citizens of Monroe County and surrounding area through detection prevention and treatment of illness. We achieve this by operating a 49 bed acute care hospital, ambulance service, home health agency, HCB Waiver program, physician office and county 911 service.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	277	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	475274	ContributionsGrantsPriorYear
Contributions Grants Current Year	468631	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	18608827	ProgramServiceRevenuePriorYear
Program Service Revenue CY	20089033	ProgramServiceRevenueCY
Investment Income Prior Year	209318	InvestmentIncomePriorYear
Investment Income Current Year	82407	InvestmentIncomeCurrentYear
Other Revenue Prior Year	36698	OtherRevenuePriorYear
Other Revenue Current Year	24056	OtherRevenueCurrentYear
Total Revenue Prior Year	19330117	TotalRevenuePriorYear
Total Revenue Current Year	20664127	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	12625	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	31249	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	9774724	SalariesEtcPriorYear
Salaries Etc Current Year	10442469	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	8257666	OtherExpensePriorYear
Other Expenses Current Year	8725402	OtherExpensesCurrentYear
Total Expenses Prior Year	18045015	TotalExpensesPriorYear
Total Expenses Current Year	19199120	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1285102	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1465007	RevenuesLessExpensesCY
Total Assets BOY	21962433	TotalAssetsBOY
Total Assets EOY	23012332	TotalAssetsEOY
Total Liabilities BOY	1839015	TotalLiabilitiesBOY
Total Liabilities EOY	1423907	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	20123418	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	21588425	NetAssetsOrFundBalancesEOY
Mission Description	ACUTE CARE HOSPITAL - The mission of the Monroe Medical Foundation, Inc. is to be a rural healthcare organization who values compassion, respect and confidentiality, and provides quality, safe, primary and specialty services for the citizens of Monroe County and surrounding area through detection prevention and treatmet of illness. We achieve this by operating a 49 bed acute care hospital, ambulance service, home health agency, HCB Waiver program, physician office and county 911 service.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	16586124	Expense
Grants	12625	Grants
Revenue	20089033	Revenue
Description	Inpatient Care - Monroe Medical Foundation, Inc. operates a 49 bed acute care general hospital. The hospital admitted 2,365 patients, treated 7,968 patients in the emergency room, treated 21,182 patients as outpatient referrals and made 1,888 ambulance runs in FYE 02-28-10. The hospital also operates a home health agency which made 1,561 skilled nurse visits, 6,674 home health aide visits, 1,370 physical therapy visits, 47 speech therapy visits and 16 social worker visits. This home health agency also operates a HCB Waiver Program which did 3,183 homemaker units, 459 case management units, 134 respite units, 18 assessments and 27 reassessments during the fiscal year. The patients admitted to the hospital consisted of approximately 51% Medicare patients and 23 % Medicaid patients. Approximately 9% of patients admitted did not have Medicare or Medicaid and did not have any type of insurance. (6 high school graduates attending college).	Description
Total Of Other Program Service Exp	0	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	16586124	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	18	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	277	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Nbr Voting Governing Body Members	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Monroe County Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2704879231	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	529 Capp Harlan Road	AddressLine1
City	Tompkinsville	City
State	KY	State
ZIP Code	42167	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
Judy Rowland
Vice President	1	X	X	0	0	0
Fowler Ross JR OD
Board Member	1	X		0	0	0
Jimmy Goodman
Board Member	1	X		0	0	0
Johnny Travis
Board Member	1	X		0	0	0
Timothy Hume MD
Board Member	1	X		0	0	0
Polly Baker
Board Member	1	X		0	0	0
Gene Hagan
Board Member	1	X		0	0	0
Jerry Bean MD
Board Member	1	X		0	0	0
Greg Crabtree DMD
President	1	X	X	0	0	0
Kimberly Eakle-Hume M D
Director	7	X		27080	0	0
Vicky McFall
Exec Director/CEO	40		X	0	0	0
Rickie Brown
Chief Financial Officer	40		X	0	0	0
Deborah Bentley
Director of Pharmacy	40			130109	0	0	X
Andrea McAlpin
Pharmacist	40			122614	0	0	X
Clella Hays MD
Physician	40			165000	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	444803	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	3	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Quorum Health Resources LLC
105 Continental Place	Brentwood	TN	37027	Management Contract & Provides CEO and CFO	597196
Batten & Shaw Inc
107 Music City Circle	Nashville	TN	37214	Construction General Contractor	596177
Inspire Medical Inc
2323 Lime Kiln Lane	Louisville	KY	40222	Emergency Room Physicians	1139254
CPSI
6600 Wall St	Mobile	AL	36695	Computer Software and Maintenance	171080

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	4	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	0	MembershipDues
Fundraising Events	0	FundraisingEvents
Related Organizations	0	RelatedOrganizations
Government Grants	468631	GovernmentGrants
All Other Contributions	0	AllOtherContributions
Noncash Contributions	0	NoncashContributions
Total Contributions	468631	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Hospital services net of contractual adjustments and charity	Description
Business Code	622000	BusinessCode
Total Revenue Column	20089033	TotalRevenueColumn
Related Or Exempt Function Income	20089033	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	20089033	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	82407	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$82,407	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	22725	Real
Personal	0	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	22725	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	22725	TotalRevenueColumn
Related Or Exempt Function Income	22725	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	0	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	0	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	0	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	0	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	0	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	0	GrossIncomeGaming
Gaming Direct Expenses	0	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	0	GrossSalesOfInventory
Cost Of Goods Sold	0	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1331	TotalRevenueColumn
Related Or Exempt Function Income	1331	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1331	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	20664127	TotalRevenueColumn
Related Or Exempt Function Income	20113089	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$82,407	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	31249	Total
Program Services	31249	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	8703640	Total
Program Services	7881833	ProgramServices
Management And General	821807	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	125576	Total
Program Services	113719	ProgramServices
Management And General	11857	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	956757	Total
Program Services	866419	ProgramServices
Management And General	90338	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	656496	Total
Program Services	594509	ProgramServices
Management And General	61987	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	592146	Total
Program Services	0	ProgramServices
Management And General	592146	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1773	Total
Program Services	0	ProgramServices
Management And General	1773	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	22608	Total
Program Services	0	ProgramServices
Management And General	22608	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total
Fundraising	0	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	11035	Total
Program Services	11035	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2652442	Total
Program Services	2481384	ProgramServices
Management And General	171058	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	153339	Total
Program Services	0	ProgramServices
Management And General	153339	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	422239	Total
Program Services	0	ProgramServices
Management And General	422239	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	104716	Total
Program Services	93813	ProgramServices
Management And General	10903	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	10619	Total
Program Services	8763	ProgramServices
Management And General	1856	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1398686	Total
Program Services	1361679	ProgramServices
Management And General	37007	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	148582	Total
Program Services	146766	ProgramServices
Management And General	1816	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Provision for Bad Debts	726087	726087	0
Physician Fees	1188866	1188866	0
Other Expenses	489666	287326	202340
Equipment Repairs & Maintenance	482661	472739	9922
Kentucky Provider Tax	319937	319937	0

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	19199120	Total
Program Services	16586124	ProgramServices
Management And General	2612996	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5198	BOY
EOY	7397	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2006357	BOY
EOY	880848	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	2216051	BOY
EOY	4008073	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	299466	BOY
EOY	334368	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	199905	BOY
EOY	222372	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	28735660	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	14601743	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	13983094	BOY
EOY	14133917	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3252362	BOY
EOY	3425357	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	21962433	BOY
EOY	23012332	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1666164	BOY
EOY	1029786	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	172851	BOY
EOY	394121	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1839015	BOY
EOY	1423907	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	19899722	BOY
EOY	21407713	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	223696	BOY
EOY	180712	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	20123418	BOY
EOY	21588425	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	21962433	BOY
EOY	23012332	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	412789	OtherCostOrOtherBasis
Book Value	412789	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	12047945	OtherCostOrOtherBasis
Depreciation	3339057	Depreciation
Book Value	8708888	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	16274926	OtherCostOrOtherBasis
Depreciation	11262686	Depreciation
Book Value	5012240	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	0	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	14133917	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
Funded Depreciation Restricted	2731475
Cash Restricted for Adult Daycare	16763
Other Receivables	669744
Other Assets	7375

Field	Value	IRS element (for citing)
Total Book Value Other Assets	3425357	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Medicare & Medicaid Settlements	Description
Amount	$394,121	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	394121	TotalOfAmounts
Total Revenue	20664127	TotalRevenue
Total Expenses	19199120	TotalExpenses
Excess Or Deficit For Year	1465007	ExcessOrDeficitForYear
Net Unrealized GL On Investments	0	NetUnrealizedGLOnInvestments
Donated Services And Facilities	0	DonatedServicesAndFacilities
Investment Expenses	0	InvestmentExpenses
Prior Period Adjustments	0	PriorPeriodAdjustments
Other	$0	OtherAmount
Total Adjustments	0	TotalAdjustments
Excess Or Deficit Per FS	1465007	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	20664127	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	0	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	0	DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants	0	RecoveriesOfPriorYearGrants
Other Revenues	0	OtherRevenues
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	20664127	RevenueSubtotal
Investment Expenses Not Included	0	InvestmentExpensesNotIncluded
Other Revenues Not Included	0	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	20664127	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	19199120	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	0	DonatedServicesUseOfFacilities
Prior Year Adjustments	0	PriorYearAdjustments
Losses Reported	0	LossesReported
Other Expenses Included	0	OtherExpensesIncluded
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	19199120	ExpensesSubtotal
Investment Expenses Not Included2	0	InvestmentExpensesNotIncluded2
Other Expenses Not Included	0	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	19199120	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	SchD_P10_S00_L00	Identifier
Return Reference	Schedule D, Part X	ReturnReference
Explanation	We do not have any uncertain tax prositions under Fin 48. The $394,121 liability is for Medicare and Medicaid settlements.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	0	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1275040	TotalCommunityBenefitExpense
Direct Offsetting Revenue	395760	DirectOffsettingRevenue
Net Community Benefit Expense	879280	NetCommunityBenefitExpense
Percent Of Total Expense	0.0458	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2928425	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1906262	DirectOffsettingRevenue
Net Community Benefit Expense	1022163	NetCommunityBenefitExpense
Percent Of Total Expense	0.0532	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.0	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	4203465	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2302022	DirectOffsettingRevenue
Net Community Benefit Expense	1901443	NetCommunityBenefitExpense
Percent Of Total Expense	0.0990	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12790	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	12790	NetCommunityBenefitExpense
Percent Of Total Expense	0.0007	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	5000	NetCommunityBenefitExpense
Percent Of Total Expense	0.0003	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1040922	TotalCommunityBenefitExpense
Direct Offsetting Revenue	864611	DirectOffsettingRevenue
Net Community Benefit Expense	176311	NetCommunityBenefitExpense
Percent Of Total Expense	0.0092	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	1058712	TotalCommunityBenefitExpense
Direct Offsetting Revenue	864611	DirectOffsettingRevenue
Net Community Benefit Expense	194101	NetCommunityBenefitExpense
Percent Of Total Expense	0.0102	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	5262177	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3166633	DirectOffsettingRevenue
Net Community Benefit Expense	2095544	NetCommunityBenefitExpense
Percent Of Total Expense	0.1092	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$341,261	BadDebtExpenseAmount
Amount Attributable To	61544	AmountAttributableTo
Amount Reimbursed By Medicare	9758882	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	8105103	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	1653779	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	Quorum Health Resources LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	Management Company	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0	PhysicansProfitOrOwnership

Form990 Schedule H Part V Form990ScheduleHPartV (3 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
Monroe County Medical Center
529 Capp Harlan Road	Tompkinsville	KY	42167	X	X	X
Monroe County Home Health Agency
417 Capp Harlan Road	Tompkinsville	KY	42167				Provides Home Health Services and HCB Waiver Program
Monroe County Medical Center Adult Daycare
417 Capp Harlan Road	Tompkinsville	KY	42167				Provides Adult Daycare Services

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Costing Method Used	Ratio of Patient Care Cost to Charges was used as the costing methodology.	CostingMethodUsed
Subsidized Health Services Expln	There were no costs attributable to a physician clinic included as subsidized health services in line 7(g).	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Bad debt expense at cost of $21,708 was removed and Charity Care expense at cost of $60,848 was removed from this figure for purposes of calculating the percentage in Schedule H, Part I, Line 7, column (f).	PercentOfTotalExpenseExpln
Bad Debt Footnote	The costing methodology used to determine the amounts reported is based on the Ratio of Patient Care Cost to Charges applied to the gross amounts written off as bad debts.	BadDebtFootnote
Shortfall As Community Benefit	There is no shortfall on Medicare. The costing methology used is the Ratio of Patient Care Cost to Charges applied to the gross charges.	ShortfallAsCommunityBenefit
Debt Collection Policy	Upon registration financial information is gathered when possible to determine if they qualify for charity or financial assistance. If they are not able to provide the information at that time they are given a financial information form to complete later. If they are admitted to the hospital, the patient financial counseler goes to the patient room and discusses the charity and financial assistance information with the patient. If we are unable to obtain the necessary information from the patient at that time, we send the information to a contracted company to obtain the necessary information and assist them in obtaining the information and financial assistance they qualify for.	DebtCollectionPolicy
Number Of Facility Type Expln	Hospital 1 Home Health Agency 1 Adult Daycare 1	NumberOfFacilityTypeExpln
Needs Assessment	The needs assessment has been developed in connection with teh Monroe County Health Department.	NeedsAssessment
Patient Education Assistance	Information is provided at registration. Patient Financial Counseler discusses the financial assistance information with the inpatients and information is mailed to the outpatients. Also, a contracted company contacts the patients if the information is not obtained while in the hospital.	PatientEducationAssistance
Community Information	The hospital is located in Monroe County, Kentucky which is a very rural area. The hospital has a service area of approximately 18,000 population. The population is approximately 11,000 in our county. The poverty level is 20.2% compared to 12.5% nationwide. The unemployment for Monroe County is 10.3% compared to the state percentage of 9.9%. The individuals with a high school education or higher is 65% in this county compared to 74% for Kentucky and 74% nationwide. More than 50% of the people surveyed stated that transportation is the biggest barrier to healthcare.	CommunityInformation
Other Information	We have an open medical staff. Our county is considered a HPSA (Health Professional Shortage Area). We have a very large amount of the population which is below the poverty level. All surplus funds of the hospital are used to purchase updated equipment, improve the building and normal operating expenses to continue to provide wellness services and quality healthcare for our community.	OtherInformation
Affiliated Health Care System	n/a	AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance
High School Senior Scholarships	5	5000
Nursing School assistance for RN students and LPN students	2	18202	0
Pharmacist Tuition Assistance	1	8046	0

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	SchI_P01_S00_L02	Identifier
Return Reference	Schedule I, Part I, Line 2	ReturnReference
Explanation	The Grants Funds or assistance is monitored by the CEO, CFO and the Board of Directors. The Board of Directors approves the Grants or other assistance for education, etc.. The individuals are required to provide proof of enrollment, etc. and appropriate grades to receive the grants or assistance.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

Field	Value	IRS element (for citing)
Name Person	Clella Hays MD	NamePerson
Base Compensation Filing Org	165000	BaseCompensationFilingOrg
Comp Based On Related Orgs	0	CompBasedOnRelatedOrgs
Bonus Filing Org	0	BonusFilingOrg
Bonus Related Orgs	0	BonusRelatedOrgs
Other Compensation Filing Org	0	OtherCompensationFilingOrg
Other Compensation Related Orgs	0	OtherCompensationRelatedOrgs
Deferred Comp Filing Org	0	DeferredCompFilingOrg
Deferred Comp Related Orgs	0	DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org	3324	NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs	0	NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org	168324	TotalCompensationFilingOrg
Total Compensation Related Orgs	0	TotalCompensationRelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SchJ_P02_S00_L00	Identifier
Return Reference	Schedule J, Part II	ReturnReference
Explanation	Compensation paid to Vicky McFall, CEO and Rickie Brown, CFO was paid by Quorum Resources LLC which is the management company	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Gene Hagan
Board Member	9303	Purchase of supplies and construction project	0
Johnny Travis
Board Member	4811	Purchase of supplies and construction project	0
Terry L Carter
Daughter of Board Member	64186	Employee wages for registered nurse	0
Jo Ann Brown
Spouse of CFO	63755	Employee wages for registered nurse	0
Emily J Brown
Daughter of CFO	39007	Employee wages for registered nurse	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P03_S00_L01	Form 990, Part III, Line 1	The Monroe County Medical Center operates the ambulance service for the county.
F990_P06_S0A_L03	Form 990, Part VI, Section A, Line 3	The Monroe Medical Foundation, Inc. has contracted with a management company, Quorum Health Resources, LLC to provide management services to the hospital. The CEO and CFO are employees of the management company, but they are still under the control of the Board of Directors. The CEO and CFO reports to the Board of Directors each month at the Board meetings and other times as necessary.
F990_P06_S0B_L11	Form 990, Part VI, Section B, Line 11	The Form 990 is prepared by the CFO and is reviewed with the CEO before it is filed.
F990_P06_S0B_L12c	Form 990, Part VI, Section B, Line 12c	Each member of the Board of Directors and the CEO and CFO completes a conflict of interest questionaire annually. Anytime there is a conflict of interest with any Board Member on any issue being discussed by the Board of Directors, the Board member who has the conflict abstains from any vote on the issue.
F990_P06_S0B_L15	Form 990, Part VI, Section B, Line 15	The process for determining compensation of the CEO and CFO includes a review and approval by Quorum Health Resources, LLC., the management company , and the Board of Directors. Each member of the Board of Directors completes an evaluation of the CEO, and submits it to the Quorum Regional Vice President. The Regional Vice President presents the evaluations and his recommendations to the Board of Directors based on the evaluations and the salary scale of the management company. The Board of Directors approves or disapproves the recommendation of the Quorum Regional Vice President.
F990_P06_S0C_L19	Form 990, Part VI, Section C, Line 19	The governing documents, conflict of interest policy, and financial statements are available to the public upon request in the Administrative office of the Monroe County Medical Center, 529 Capp Harlan Road, Tompkinsville, Kentucky 42167.