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  5. MONROE MEDICAL FOUNDATION, INC.

MONROE MEDICAL FOUNDATION, INC.

Company Details

Name: MONROE MEDICAL FOUNDATION, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
Organization Date: 05 Jan 1979 (46 years ago)
Last Annual Report: 03 Feb 2025 (2 months ago)
Organization Number: 0114648
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 42167
City: Tompkinsville, T Ville
Primary County: Monroe County
Principal Office: MONROE CO. MEDICAL CENTER, 529 CAPP HARLAN RD., TOMPKINSVILLE, KY 42167
Place of Formation: KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
Z6JZU7CMNFL9 2024-09-07 529 CAPP HARLAN RD, TOMPKINSVILLE, KY, 42167, 1808, USA 529 CAPP HARLAN RD, TOMPKINSVILLE, KY, 42167, USA

Business Information
Doing Business As MONROE MEDICAL FOUNDATION INC
URL mcmccares.com
Congressional District 01
State/Country of Incorporation KY, USA
Activation Date 2023-09-12
Initial Registration Date 2023-07-26
Entity Start Date 1979-03-01
Fiscal Year End Close Date Feb 28

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ANDREA MCLERRAN
Role CEO
Address 529 CAPP HARLAN RD, TOMPKINSVILLE, KY, 42167, USA
Government Business
Title PRIMARY POC
Name ANDREA MCLERRAN
Role CEO
Address 529 CAPP HARLAN RD, TOMPKINSVILLE, KY, 42167, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENTUCKY HOSPITAL EMPLOYEE HEALTH BENEFIT PLAN 2012 310949874 2013-10-21 MONROE MEDICAL FOUNDATION, INC. 205
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-11-01
Business code 622000
Sponsor’s telephone number 2704879231
Plan sponsor’s DBA name MONROE COUNTY MEDICAL CENTER
Plan sponsor’s mailing address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167
Plan sponsor’s address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167

Number of participants as of the end of the plan year
Active participants 213
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature
KENTUCKY HOSPITAL EMPLOYEE HEALTH BENEFIT PLAN 2012 310949874 2013-10-21 MONROE MEDICAL FOUNDATION, INC. 198
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-11-01
Business code 622000
Sponsor’s telephone number 2704879231
Plan sponsor’s DBA name MONROE COUNTY MEDICAL CENTER
Plan sponsor’s mailing address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167
Plan sponsor’s address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167

Number of participants as of the end of the plan year
Active participants 205
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature
KENTUCKY HOSPITAL EMPLOYEE HEALTH BENEFIT PLAN 2011 310949874 2013-10-21 MONROE MEDICAL FOUNDATION, INC. 197
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-11-01
Business code 622000
Sponsor’s telephone number 2704879231
Plan sponsor’s DBA name MONROE COUNTY MEDICAL CENTER
Plan sponsor’s mailing address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167
Plan sponsor’s address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167

Plan administrator’s name and address
Administrator’s EIN 310949874
Plan administrator’s name MONROE MEDICAL FOUNDATION, INC.
Plan administrator’s address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167
Administrator’s telephone number 2704879231

Number of participants as of the end of the plan year
Active participants 185
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature
KENTUCKY HOSPITAL EMPLOYEE HEALTH BENEFIT PLAN 2010 310949874 2013-10-21 MONROE MEDICAL FOUNDATION, INC. 203
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-11-01
Business code 622000
Sponsor’s telephone number 2704879231
Plan sponsor’s DBA name MONROE COUNTY MEDICAL CENTER
Plan sponsor’s mailing address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167
Plan sponsor’s address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167

Plan administrator’s name and address
Administrator’s EIN 310949874
Plan administrator’s name MONROE MEDICAL FOUNDATION, INC.
Plan administrator’s address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167
Administrator’s telephone number 2704879231

Number of participants as of the end of the plan year
Active participants 197
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature
KENTUCKY HOSPITAL EMPLOYEE HEALTH BENEFIT PLAN 2009 310949874 2013-10-21 MONROE MEDICAL FOUNDATION, INC 213
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-11-01
Business code 622000
Sponsor’s telephone number 2704879231
Plan sponsor’s DBA name MONROE COUNTY MEDICAL CENTER
Plan sponsor’s mailing address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167
Plan sponsor’s address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167

Plan administrator’s name and address
Administrator’s EIN 310949874
Plan administrator’s name MONROE MEDICAL FOUNDATION, INC
Plan administrator’s address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167
Administrator’s telephone number 2704879231

Number of participants as of the end of the plan year
Active participants 203
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature

Secretary

Name Role
Vicky McFall Secretary

Vice President

Name Role
Judy Rowland Vice President

Director

Name Role
Fowler Ross, O.D. Director
JOE FRED BUTLER, JR. Director
JAMES RUSSELL Director
JOE B. BAXTER Director
Judy Rowland Director
Jimmy Goodman Director
Jack Anderson, DO Director
Vicky McFall Director
Polly Baker Director
Anthony Carter, M.D. Director

President

Name Role
Donnie Peden President

Registered Agent

Name Role
JIMMY GOODMAN Registered Agent

Incorporator

Name Role
JAMES RUSSELL Incorporator
JOE FRED BUTLER, JR. Incorporator
JOE B. BAXTER Incorporator

Assumed Names

Name Status Expiration Date
MONROE COUNTY MEDICAL CENTER Inactive 2024-04-22

Filings

Name File Date
Annual Report 2025-02-03
Annual Report 2024-04-18
Annual Report 2023-06-29
Annual Report 2022-06-22
Annual Report 2021-06-22
Annual Report 2020-05-19
Annual Report 2019-04-24
Name Renewal 2018-11-05
Annual Report 2018-05-31
Annual Report 2017-06-22

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
31-0949874 Corporation Unconditional Exemption 529 CAPP HARLAN RD, TOMPKINSVILLE, KY, 42167-1808 1979-03
In Care of Name % DBA MONROE COUNTY MEDICAL CENTER
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification -
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2024-02
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Feb
Asset Amount 30139252
Income Amount 20859487
Form 990 Revenue Amount 20859487
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name MONROE MEDICAL FOUNDATION INC
EIN 31-0949874
Tax Period 202302
Filing Type E
Return Type 990
File View File
Organization Name MONROE MEDICAL FOUNDATION INC
EIN 31-0949874
Tax Period 202202
Filing Type E
Return Type 990
File View File
Organization Name MONROE MEDICAL FOUNDATION INC
EIN 31-0949874
Tax Period 202002
Filing Type E
Return Type 990
File View File
Organization Name MONROE MEDICAL FOUNDATION INC
EIN 31-0949874
Tax Period 201902
Filing Type E
Return Type 990
File View File
Organization Name MONROE MEDICAL FOUNDATION INC
EIN 31-0949874
Tax Period 201802
Filing Type E
Return Type 990
File View File
Organization Name MONROE MEDICAL FOUNDATION INC
EIN 31-0949874
Tax Period 201702
Filing Type E
Return Type 990
File View File
Organization Name MONROE MEDICAL FOUNDATION INC
EIN 31-0949874
Tax Period 201602
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4719708401 2021-02-06 0457 PPS 529 Capp Harlan Rd, Tompkinsville, KY, 42167-1808
Loan Status Date 2022-04-12
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 2000000
Loan Approval Amount (current) 2000000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27775
Servicing Lender Name South Central Bank, Inc.
Servicing Lender Address 501 S L Rogers Wells Blvd, GLASGOW, KY, 42141
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tompkinsville, MONROE, KY, 42167-1808
Project Congressional District KY-01
Number of Employees 205
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 27775
Originating Lender Name South Central Bank, Inc.
Originating Lender Address GLASGOW, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 2021888.89
Forgiveness Paid Date 2022-03-18
6062007008 2020-04-06 0457 PPP 529 CAPP HARLAN RD, TOMPKINSVILLE, KY, 42167-1808
Loan Status Date 2021-07-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 2062632
Loan Approval Amount (current) 2062632
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27775
Servicing Lender Name South Central Bank, Inc.
Servicing Lender Address 501 S L Rogers Wells Blvd, GLASGOW, KY, 42141
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address TOMPKINSVILLE, MONROE, KY, 42167-1808
Project Congressional District KY-01
Number of Employees 205
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 27775
Originating Lender Name South Central Bank, Inc.
Originating Lender Address GLASGOW, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 2086753.34
Forgiveness Paid Date 2021-06-09

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Related by address

No related companies by address

Sources: Kentucky Secretary of State

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