Civic Intelligence

Marshall County Hospital District

EIN 61-0601267 • 501(c)3 • Benton, KY

Profile

To provide medical care to the people in marshall and surrounding counties.

615 Old Symsonia RoadBenton, KY 42025

www. marshallcountyhospital.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

72nd percentile

0.48x

Higher debt load relative to assets than 72% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

68th percentile

0.57x

Higher debt load relative to revenue than 68% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

33rd percentile

-0.3%

Higher net margin than 33% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

13th percentile

-5.5%

Faster asset growth than 13% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

50th percentile

7.0%

Faster revenue growth than 50% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Down

$36,711,412

Down $2,148,058 (-5.5%) from 2023

Liabilities

Down

$17,445,616

Down $1,301,426 (-6.9%) from 2023

Net Assets

Down

$19,265,796

Down $846,632 (-4.2%) from 2023

Revenue

Up

$30,858,447

Up $2,021,624 (+7.0%) from 2023

Expenses

Up

$30,950,213

Up $2,119,515 (+7.4%) from 2023

Net Income

Down

-$91,766

Down $97,891 (-1598%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2010: $46,987,834Liabilities 2010: $31,983,742Net Assets 2010: $15,004,0922010Assets 2011: $44,454,062Liabilities 2011: $31,815,540Net Assets 2011: $12,638,5222011Assets 2012: $41,971,664Liabilities 2012: $34,322,946Net Assets 2012: $7,648,7182012Assets 2013: $42,532,595Liabilities 2013: $27,943,872Net Assets 2013: $14,588,7232013Assets 2014: $43,430,541Liabilities 2014: $27,289,201Net Assets 2014: $16,141,3402014Assets 2015: $42,791,248Liabilities 2015: $26,476,036Net Assets 2015: $16,315,2122015Assets 2016: $41,735,330Liabilities 2016: $25,536,444Net Assets 2016: $16,198,8862016Assets 2017: $41,075,821Liabilities 2017: $24,725,854Net Assets 2017: $16,349,9672017Assets 2018: $40,290,220Liabilities 2018: $24,345,632Net Assets 2018: $15,944,5882018Assets 2019: $38,871,764Liabilities 2019: $23,058,837Net Assets 2019: $15,812,9272019Assets 2020: $42,424,301Liabilities 2020: $25,749,675Net Assets 2020: $16,674,6262020Assets 2021: $42,667,411Liabilities 2021: $24,467,474Net Assets 2021: $18,199,9372021Assets 2022: $39,357,496Liabilities 2022: $20,003,879Net Assets 2022: $19,353,6172022Assets 2023: $38,859,470Liabilities 2023: $18,747,042Net Assets 2023: $20,112,4282023Assets 2024: $36,711,412Liabilities 2024: $17,445,616Net Assets 2024: $19,265,7962024

Highlighted filing

2024

Assets$36,711,412
Liabilities$17,445,616
Net Assets$19,265,796

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$30M$20M$10M$0-$10MExpenses 2010: $21,700,7162010Expenses 2011: $21,910,5032011Expenses 2012: $21,594,6562012Revenue 2013: $22,512,753Expenses 2013: $21,103,111Net Income 2013: $1,409,6422013Revenue 2014: $22,850,652Expenses 2014: $21,298,035Net Income 2014: $1,552,6172014Revenue 2015: $22,745,125Expenses 2015: $22,571,253Net Income 2015: $173,8722015Revenue 2016: $23,809,227Expenses 2016: $23,925,553Net Income 2016: -$116,3262016Revenue 2017: $24,348,223Expenses 2017: $24,197,142Net Income 2017: $151,0812017Revenue 2018: $24,377,697Expenses 2018: $24,783,076Net Income 2018: -$405,3792018Revenue 2019: $24,748,444Expenses 2019: $24,880,105Net Income 2019: -$131,6612019Revenue 2020: $25,895,483Expenses 2020: $25,033,784Net Income 2020: $861,6992020Revenue 2021: $28,121,263Expenses 2021: $26,595,952Net Income 2021: $1,525,3112021Revenue 2022: $25,633,862Expenses 2022: $27,300,980Net Income 2022: -$1,667,1182022Revenue 2023: $28,836,823Expenses 2023: $28,830,698Net Income 2023: $6,1252023Revenue 2024: $30,858,447Expenses 2024: $30,950,213Net Income 2024: -$91,7662024

Highlighted filing

2024

Revenue$30,858,447
Expenses$30,950,213
Net Income-$91,766

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$36.7$17.4$19.3$30.9$31.0$0.09
2023Detailed filing. Detailed filing data is available for this year.$38.9$18.7$20.1$28.8$28.8$0.01
2022Detailed filing. Detailed filing data is available for this year.$39.4$20.0$19.4$25.6$27.3$1.67
2021Detailed filing. Detailed filing data is available for this year.$42.7$24.5$18.2$28.1$26.6$1.53
2020Detailed filing. Detailed filing data is available for this year.$42.4$25.7$16.7$25.9$25.0$0.86
2019Detailed filing. Detailed filing data is available for this year.$38.9$23.1$15.8$24.7$24.9$0.13
2018Detailed filing. Detailed filing data is available for this year.$40.3$24.3$15.9$24.4$24.8$0.41
2017Detailed filing. Detailed filing data is available for this year.$41.1$24.7$16.3$24.3$24.2$0.15
2016Detailed filing. Detailed filing data is available for this year.$41.7$25.5$16.2$23.8$23.9$0.12
2015Detailed filing. Detailed filing data is available for this year.$42.8$26.5$16.3$22.7$22.6$0.17
2014Detailed filing. Detailed filing data is available for this year.$43.4$27.3$16.1$22.9$21.3$1.55
2013Detailed filing. Detailed filing data is available for this year.$42.5$27.9$14.6$22.5$21.1$1.41
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$42.0$34.3$7.65$21.6
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$44.5$31.8$12.6$21.9
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$47.0$32.0$15.0$21.7
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 16, 2025
Return Version
2024v5.2
Gross Receipts
$30,858,447
Mission and Program Overview

Mission

To provide medical care to the people in marshall and surrounding counties.

To provide medical care to people in marshall and surrounding counties

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$17,797,471$16,667,560▼ $1,129,911
Savings and Temporary Cash Investments$7,795,581$6,780,563▼ $1,015,018
Cash and Non-Interest-Bearing Accounts$6,136,469$5,066,606▼ $1,069,863
Investments in Publicly Traded Securities$3,846,871$3,924,687▲ $77,816
Accounts Receivable$2,298,478$2,896,591▲ $598,113
Inventories for Sale or Use$588,697$685,144▲ $96,447
Prepaid Expenses and Deferred Charges$342,833$637,191▲ $294,358
Investments Other Securities$53,070$53,070→ $0
Total Assets$38,859,470$36,711,412▼ $2,148,058
Liabilities
Tax Exempt Bond Liabilities$14,740,000$13,375,000▼ $1,365,000
Accounts Payable and Accrued Expenses$2,083,254$2,697,851▲ $614,597
Mortgage Notes Payable Secured by Investment Property$1,305,000$1,365,000▲ $60,000
Other Liabilities$618,788$7,765▼ $611,023
Total Liabilities$18,747,042$17,445,616▼ $1,301,426
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$20,112,428$19,265,796▼ $846,632
Total Net Assets Fund Balance$20,112,428$19,265,796▼ $846,632
Total Liabilities and Net Assets / Fund Balance$38,859,470$36,711,412▼ $2,148,058

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$11,207,918$17,585,857$28,793,775
Equipment$1,918,074$12,521,484$14,439,558
Other Land Buildings$306,956$3,333,096$3,640,052
Land$3,234,612-$3,234,612
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
David G FuquaCEOFT$286,148$46,079$332,227
Julia T LylesPhysicianFT$238,751$28,493$267,244
Christina M BrownPhysicianFT$238,885$5,300$244,185
Ken RuncimanPhysicianFT$180,815$11,339$192,154
Janice KelleyCFOFT$148,802$10,686$159,488
Diane KolenichAprnFT$136,379$20,005$156,384
April JacksonPhysicianFT$134,107$4,265$138,372
Tiffany Nichole TubbsCOOFT$104,198$25,136$129,334

Board Members and Trustees

NameTitle
Lauren MannChair
Jerry SellsMember
Peyton PorterMember
Blake WisemanSecretary
Pam SirlsTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Md Partners PllcEr Physicians83 GERALDINE LANE, Gilbertsville, KY 42044$1,308,989
Premier Specialty NetworkAnesthesiology1008 W STATELINE, Fulton, KY 42041$325,000
Amanda MasseyRheumatology3610 BUTTONWOOD DRIVE SUITE 200, Columbia, MO 65201$192,000
-Cardiology6811 TURNBERRY DRIVE, Paducah, KY 42001$148,900
-Anesthesiology400 LINDEN DRIVE, Mayfield, KY 42066$101,000
Revenue and Support

Revenue Composition

Contributions and Grants
$319,461
Program Service Revenue
$28,399,978
Investment Income
$690,934
Other Revenue
$1,448,074
Change in Net Assets
$-91,766

Audited Revenue Reconciliation

Revenue per Audited Statements
$29,158,139
Revenue Not Reported on Financial Statements
$1,700,308
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$1,700,308
Total Revenue per Audited Statements
$29,158,139
Total Revenue per Form 990
$30,858,447
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$15,556,865
Other Expenses$15,393,348
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$10,382,184$903,662-$11,285,846
Fees for Services Other$3,314,844$334,724-$3,649,568
Other Employee Benefits$2,556,338$268,334-$2,824,672
Depreciation Depletion$1,836,697$64,059-$1,900,756
Payroll Taxes$763,869$84,874-$848,743
Occupancy$203,752$481,179-$684,931
Interest$664,121$15,078-$679,199
All Other Expenses$286,564$329,411-$615,975
Current Officers, Directors, Trustees, and Key Employees$245,858$245,858-$491,716
Insurance$442,967--$442,967
Other Expenses$405,878$260,393-$405,878
Office Expenses$197,970$142,390-$340,360
Information Technology$1,802$267,352-$269,154
Advertising$114,791$5,884-$120,675
Pension Plan Contributions$102,922$2,966-$105,888
Fees for Services Accounting-$98,748-$98,748
Fees for Services Legal-$22,215-$22,215
Travel$9,389$2,505-$11,894
Total Functional Expenses$27,379,454$3,570,759$0$30,950,213

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$30,950,213
Expenses per Audited Statements$29,249,905
Total Expenses per Audited Statements$29,249,905
Expenses Not Reported on Financial Statements$1,700,308
Other Expense Adjustments$1,700,308
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liability$7,765

Bond Issues

BondIssuerIssuedIssue PricePurpose
AChristian County Kentucky2008-04-28$30,000,000Acquisition, construction, &

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$30,000,000---

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Lauren mann is the daughter of pam sirls.

Form 990, Part VI, Section B, Line 11B

The board chair and chief financial officer review the 990 prior to filing with the irs.

Form 990, Part VI, Section B, Line 12C

The hospital provides the conflict of interest policy to the board and employees. Board members fill out the conflict of interest policy annually. The hospital's compliance manual has a section on conflicts of interest and department directors are required to sign that they have read and will abide by it. If a conflict arises, those involved are recused from the discussion and any vote.

Form 990, Part VI, Section B, Line 15

The hospital participates in the kentucky hospital association's salary survey in order to have access to state wide comparable salary data, compensation is documented and approved by an independent body prior to setting.

Form 990, Part VI, Section C, Line 19

The hospital makes its governing documents, conflict of interest policy, and financial statements available to the public upon request, at the discretion of the board of directors and management.

Filing and Contact Details

Filer

Filer Name
Marshall County Hospital District
EIN
61-0601267
Phone
2705274800
Address
615 OLD SYMSONIA ROAD, BENTON, KY 42025

Signing Officer

Name
David G Fuqua
Title
CEO
Phone
2705274800
Signed
2025-10-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
David G Fuqua
Formed
1974
Legal Domicile
Ky
Voting Board Members
5
Independent Board Members
5
Employees
538
Volunteers
24

Preparer

Firm
Lbmc Pc
Address
PO BOX 1869, BRENTWOOD, TN 37024-1869
Preparer
Abigail Campbell
Phone
6153774600
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Other professional fees: program service expenses 3,314,844. Management and general expenses 334,724. Fundraising expenses 0. Total expenses 3,649,568.

Financial Statement Notes

PART X, LINE 2:

The hospital is a not-for-profit corporation as described in section 501(c)(3) of the internal revenue code (irc) and is exempt from federal income taxes on related income pursuant to section 501(a) of the irc. However, the hospital is subject to federal income tax on any unrelated business taxable income. Management believes they do not have any unrelated business taxable income.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Bad debt expense 1,700,308.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Bad debt expense 1,700,308.

Raw XML AppendixShowing 400 of 896 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ScheduleBRequiredInd01
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