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 974 of 1033 by CEO pay.

Monroe Medical Foundation

Andrea L Rich McLerran, Exec Director/CEO. Fiscal year ending 2025-02.

$190,035
CEO total compensation
Form 990 Part VII, columns D+E+F
1.99%
of expenses spent on charity care
Schedule H Part I line 7a
40.1%
CEO pay as a share of all charity care
Andrea L Rich McLerran’s pay of $190,035 equals 40.1 percent of the $473,836 the system spent on charity care in the same year.

§1The filing

Total revenue
$22,823,614
Total expenses
$23,863,010
Net assets
$28,615,253
Employees
272
Hospitals covered
1 facilities across 1 filing
Charity care, net
$473,836
Bad debt
$1,174,933
Medicare surplus (shortfall), as filed
$116,295
CEO pay from the organization (Part VII col. D)
$190,035
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$0
CEO total compensation (D+E+F)
$190,035 to Andrea L Rich McLerran

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, Monroe Medical Foundation, EIN 31-0949874, fiscal year ending 2025-02, 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)$1.6M Of which charity care to patients who could not pay (line 7a)$473,836 (30%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($1.2M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

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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Monroe Medical Foundation: CEO pay $190,035, charity care 1.99% of expenses