MONROE MEDICAL FOUNDATION INC

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1979

Legal Domicile

Principal Officer

Caitlin Hagan CFO

Phone

2704879231

Tax Period

2024-03-01 to 2025-02-28

MONROE MEDICAL FOUNDATION INC, founded in 1979, is a mid-sized nonprofit in the Health Care sector that reported $22.8M in total revenue in fiscal year 2024. Revenue grew 9% year-over-year, indicating healthy expansion.

Mission

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 treatment of illness. We achieve this by operating a 49 bed acute care hospital, ambulance service, county 911 service, 3 employed physicians and an adult daycare service.

Program Service Accomplishments

Program 1

Expenses: $21,579,470 Revenue: $22,823,615

Inpatient Care - Monroe Medical Foundation, Inc. operates a 49 bed acute care hospital. The hospital admitted 1,058 patients, treated 5,174 patients in the emergency room, treated 17,631 patients as outpatient referrals and made 2,010 ambulance runs in FYE 2-28-25. The patients admitted to the hospital as regular inpatients consisted of approximately 76% Medicare patients and 15% Medicaid patients. Approximately 1% of patients admitted did not have Medicare or Medicaid, and did not have any type of insurance. The hospital also began providing Swing Bed services in December 2014. We admitted 32 patients to the swing bed status during the fiscal year, and we had 252 swing bed patient days. (Grants included 4 high school graduates' scholarships and 2 individuals in RN school).

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Trantor Score

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

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

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $945,480

Program Service Revenue $20,942,115

Investment Income $934,035

Other Revenue $1,984

TOTAL REVENUE $22,823,614

Expense Breakdown

Grants Paid $15,500

Salaries & Benefits $14,482,021

Fundraising Expenses $0

Program Expenses $21,579,470

Other Expenses $9,365,489

TOTAL EXPENSES $23,863,010

Year-over-Year Comparison

	2024	2023	Change
Revenue	$22,823,614	$20,859,487	+0.1%
Expenses	$23,863,010	$22,676,785	+0.1%
Net Income	$-1,039,396	$-1,817,298	-0.4%

Key Indicators

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

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Financial Health Indicators

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

Financial Distress Indicator

Liquidity & Cash Position

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

Governance

Voting Members

Independent Members

Employees

272

Volunteers

N/A

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$276,416

Total Directors

$675,037

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Anthony Carter MD	Board Member/ Physician	40	Director	$675,037	$0	$675,037
William Michael Carter MD	Physician	40	Highest	$390,144	$0	$390,144
CAYLAN D MCPHERSON	PHYSICIAN	40	Highest	$287,075	$0	$287,075
Andrea L Rich McLerran	Exec Director/CEO	40	Officer	$190,035	$0	$190,035
Ronnie Raines	Nurse Practitioner	40	Highest	$163,271	$0	$163,271
Andrea McAlpin	Director of Pharmacy	40	Highest	$158,307	$0	$158,307
Tracey Page	Physical Therapist	40	Highest	$136,203	$0	$136,203
Penni High	Cardiopulmonary Director	40	Highest	$119,476	$0	$119,476
L Caitlin Hagan	Chief Financial Officer	40	Officer	$86,381	$0	$86,381
Judy Rowland	Board Member	1	Director	$0	$0	$0
Fowler Ross JR OD	Board Member	1	Director	$0	$0	$0
Jimmy Goodman	Board Member	1	Director	$0	$0	$0
Polly Baker	Board President	1	Director	$0	$0	$0
Kem Coe 2nd Vice President Sec	Board Member	1	Director	$0	$0	$0
Greg Crabtree DMD	Board Member	1	Director	$0	$0	$0
Donnie Peden	Board Member	1	Director	$0	$0	$0
Jack Anderson DO	Board Member/Physician	1	Director	$0	$0	$0

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

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$22,823,614	$23,863,010	$30,210,940	$-1,039,396
2024	$20,859,487	$22,676,785	$30,139,252	$-1,817,298
2023	$20,903,121	$21,844,909	$32,054,231	$-941,788
2022	$23,507,917	$21,419,342	$35,516,011	$2,088,575
2021	$22,040,953	$19,943,343	$35,409,882	$2,097,610
2020	$19,647,267	$20,059,954	$27,019,017	$-412,687
2019	$20,150,579	$19,650,801	$27,573,841	$499,778
2018	$19,140,643	$19,217,399	$27,211,545	$-76,756