Madison Community Hospital
Also known as Madison Regional Health System
Madison Community Hospital reported $38.0 million in revenue and $37.0 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $79.64 went to program services, $20.36 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 95.9% of the total. The highest compensation it reported for one person was $612,016 (SURGEON). 30 people received more than $100,000 in reportable compensation. Revenue rose 24% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $37MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $38MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 79.6% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 20.4% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | Not reported | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.5% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.1% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 95.9% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $612,016 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 1.65% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 30 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 10.7 | 6.6 |
| Independent voting board members Part VI 1a–1b | 11 of 11 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseMadison regional health system (hospital) is a 22-bed acute care hospital located in madison, south dakota. For the year ended june 30, 2025: acute patient days =1,267; newborn days = 77; skilled days = 1,758; and intermediate days = 15
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| SURGEON Highest compensated employee, 40.00 hrs/week | $578,940 | $0 | $33,076 | $612,016 |
| MD OF FAMILY MEDICINE Highest compensated employee, 40.00 hrs/week | $511,961 | $0 | $25,329 | $537,290 |
| MD OF FAMILY MEDICINE Highest compensated employee, 40.00 hrs/week | $488,233 | $0 | $41,586 | $529,819 |
| MD OF FAMILY MEDICINE Highest compensated employee, 40.00 hrs/week | $454,076 | $0 | $43,369 | $497,445 |
| PHYSICIAN ASSISTANT Highest compensated employee, 40.00 hrs/week | $381,693 | $0 | $41,428 | $423,121 |
| CEO UNTIL 12/2024 Officer, 40.00 hrs/week | $298,626 | $0 | $28,277 | $326,903 |
| CFO/CEO FROM 12/2024 Officer, 40.00 hrs/week | $197,311 | $0 | $35,450 | $232,761 |
| CFO FROM 01/2025 Officer, 40.00 hrs/week | $83,782 | $0 | $0 | $83,782 |
30 people received more than $100,000 in reportable compensation from Madison Community Hospital (Part VII, line 2). Compensation of current officers, directors and key employees totaled $707K (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b11 · 11 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5329
- Volunteers Part I, line 646
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| AGILITI HEALTHINC Bio-med services | $674,684 |
| SANFORD LABORATORIES Laboratories services | $516,183 |
| AVERA MEDICAL GROUP RADIOLOGY Radiologist professional fees | $462,071 |
| PRIMETIME HEALTHCARE Traveling nurses/rt services | $452,738 |
| VACO Emr conversion consultant | $255,119 |
Individuals listed as contractors are left out. 8 contractors were paid more than $100,000 in all.
Correct a figure or respond
Every number above is copied from Madison Community Hospital's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Madison Community Hospital, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Madison Community Hospital spent in FY2025, $79.64 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- Uofl Health-ShelbyvilleLouisville, KY · revenue $38M · programs 87.6% · FY2025
- Centracare Health System - Long PrairieLong Prairie, MN · revenue $38M · programs 83.7% · FY2025
- Fair HealthNew York, NY · revenue $38M · programs 86.5% · FY2025
- St John's Health CARE CorporationRochester, NY · revenue $38M · programs 86.8% · 2024
- ThedaCare Medical Center - New LondonAppleton, WI · revenue $38M · programs 79.2% · FY2025
All health care charities · Largest charities in South Dakota
Questions people ask
How much of Madison Community Hospital's spending goes to programs?
In the fiscal year ending June 30, 2025, Madison Community Hospital reported that 79.6% of its $37.0 million in expenses went to program services, 20.4% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Madison Community Hospital pay its top executive?
The largest total compensation Madison Community Hospital reported for one person in the fiscal year ending June 30, 2025 was $612,016, for the role of SURGEON (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Madison Community Hospital get its money?
Of $38.0 million in revenue in the fiscal year ending June 30, 2025, 0.5% came from contributions and grants (including 0.1% from government grants) and 95.9% from program service revenue (Form 990, Part VIII).
Is Madison Community Hospital a registered charity?
The IRS lists EIN 46-0228038 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202601039349301570 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202500869349301515 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202410889349300236 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202330899349301408 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202201369349302425 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202120909349300817 · read the filing
All filings for EIN 46-0228038: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.