Monroe County Medical Center

Monroe County Medical Center, located in Tompkinsville, KY, is a rural acute-care hospital dedicated to serving the South Central Kentucky community. With 49 licensed beds and a staff of approximately 240, we offer a range of inpatient and outpatient services, including emergency care, adult day care, and EMS/911 services. We are accredited by The Joint Commission and are committed to providing quality medical care close to home. Our facility also includes specialty clinics in cardiology, surgery, urology, dermatology, colonoscopy, and wound care. At Monroe County Medical Center, we prioritize the health and safety of our patients, employees, and visitors, maintaining a tobacco-free environment.

Identifiers

Hospital Name Monroe County Medical Center
Facility ID 180105

Location

Address 529 CAPP HARLAN ROAD
City/Town Tompkinsville
State KY
ZIP Code 42167
County/Parish MONROE

Health System

Health System Independent
Health System Website Domain monroecountyhospital.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 49
Health System Hospital Locations Kentucky

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Other
Ownership Details Monroe Medical Foundation, Inc.
Emergency Services Yes

No leaders were identified on Monroe County Medical Center's website

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 49

Staffing & Personnel

FTE Employees on Payroll 182.06
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1814
Inpatient Days (Title XIX) NA
Total Inpatient Days 3870
Bed Count 49
Available Bed Days 17885
Discharges (Title V) NA
Discharges (Title XVIII) 406
Discharges (Title XIX) NA
Total Discharges 898

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 1688
Inpatient Days (Title XIX; Adults & Peds) NA
Total Inpatient Days (Adults & Peds) 3705
Bed Count (Adults & Peds) 49
Available Bed Days (Adults & Peds) 17885
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 406
Discharges (Title XIX; Adults & Peds) NA
Total Discharges (Adults & Peds) 898

Quality Summary

Care Quality Stengths High overall patient satisfaction. Patients were very positive about the cleanliness of the hospital. Patients were very positive about the quiet atmosphere of the hospital. The hospital is average in every measured mortality rate Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours.
Care Quality Concerns Hospital does not do a good job of treating conditions like heart failure so that patients don't have to come back to the hospital. Hospital does not do a good job of treating conditions like pneumonia so that patients don't have to come back to the hospital. Hospital struggles with high infection rates

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 76%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients
Mortality Group – Death Rate for Heart Attack Patients
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate
Mortality Group – Postoperative Respiratory Failure Rate
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate
Mortality Group – Postoperative Sepsis Rate
Mortality Group – Postoperative Wound Dehiscence Rate
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 131

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients 48.6
Readmission Score Hospital Return Days for Pneumonia Patients 61.2
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 20.2
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 22.4
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 16.2
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 18.9
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients More Days Than Average per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients More Days Than Average per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Number of Cases Too Small
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Number of Cases Too Small
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) N/A
CAUTI SIR (Standardized Infection Ratio) N/A
SSI SIR (Standardized Infection Ratio) N/A
CDI SIR (Standardized Infection Ratio) 0.615
MRSA SIR (Standardized Infection Ratio) N/A

Fiscal Period

Fiscal Year Begin Mar 01, 2022
Fiscal Year End Feb 28, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $100
Bad Debt Expense $1,057
Uncompensated Care Cost $524
Total Uncompensated Care $1,381

Operating Expenses ($ thousands)

Total Salaries $11,406
Overhead Expenses (Non-Salary) $10,427
Depreciation Expense $958
Total Operating Costs $17,154

Charges ($ thousands)

Inpatient Charges $11,293
Outpatient Charges $30,234
Total Patient Charges $41,527

Wage-Related Details ($ thousands)

Core Wage Costs $1,327
Wage Costs (RHC/FQHC) $243
Adjusted Salaries $11,406
Contract Labor (Patient Care) $79
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $280
Short-Term Investments $21,141
Notes Receivable
Accounts Receivable $4,270
Allowance for Doubtful Accounts $-1,901
Inventory $415
Prepaid Expenses $199
Other Current Assets
Total Current Assets $24,404

Balance Sheet – Fixed Assets ($ thousands)

Land Value $379
Land Improvements Value $388
Building Value $12,103
Leasehold Improvements
Fixed Equipment Value $6,488
Major Movable Equipment $14,235
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $6,906

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $7
Other Assets
Total Other Assets $7
Total Assets $31,317

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $269
Salaries & Wages Payable $301
Payroll Taxes Payable $594
Short-Term Debt
Deferred Revenue
Other Current Liabilities $342
Total Current Liabilities $1,578

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities
Total Liabilities $1,578

Balance Sheet – Equity ($ thousands)

General Fund Balance $29,739
Total Fund Balances $29,739
Total Liabilities & Equity $31,317

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $1,288
DRG (Post-Oct 1) $922
Outlier Payments
DSH Adjustment $66
Eligible DSH % $0
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $11,565
Outpatient Revenue $32,626
Total Patient Revenue $44,192
Contractual Allowances & Discounts $26,466
Net Patient Revenue $17,726
Total Operating Expenses $21,833
Net Service Income $-4,107
Other Income $3,648
Total Income $-459
Other Expenses
Net Income $-459

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $2,350
Medicaid Charges $7,763
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Unknown
EHR Version NA
EHR is Changing No

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No