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Madison County Hospital Health Systems

Also known as Madison County Memorial Hospital

Madison, FL · EIN 59-2319288 · 501(c)(3) · Hospital or medical research organization
Latest filing: Form 990 for the fiscal year ending September 30, 2025 (tax year 2024) · View the filing · Correct or respond

Madison County Hospital Health Systems reported $17.5 million in revenue and $17.2 million in expenses for the fiscal year ending September 30, 2025. Of every $100 it spent, $78.22 went to program services, $21.78 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: 81.8% of the total. Government grants made up 13.9%. The highest compensation it reported for one person was $279,000 (PHYSICIAN). 8 people received more than $100,000 in reportable compensation. Revenue rose 63% between FY2020 and FY2025. Source: Form 990, FY2025.

Where $100 of spending went

The fiscal year ending September 30, 2025 · Form 990, Part IX, line 25 · total expenses $17M

For 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 September 30, 2025 · Form 990, Part VIII · total revenue $17M

The 990 scorecard · same measures for every charity, no grades

FY2025 filing. Median across 5,634 covered charities in this category, from their latest filings.
MeasureFY2025Median
Program services
Part IX 25(B) ÷ 25(A)
78.2%85.6%
Management & general
Part IX 25(C) ÷ 25(A)
21.8%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
$0.00$0.00
Contributions & grants share of revenue
Part VIII 1h ÷ 12
13.9%1.3%
Government grants share of revenue
Part VIII 1e ÷ 12
13.9%0.1%
Program service revenue share
Part VIII 2g ÷ 12
81.8%93.7%
Highest reported compensation
Part VII-A, columns D–F
$279,000$975,831
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
1.62%1.34%
People paid over $100,000
Part VII, line 2
827
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
-1.46.6
Independent voting board members
Part VI 1a–1b
5 of 588.9%

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 expense
$13M expenses · 100.0% of program spending · revenue $15M

The hospital is a 25-bed critical access facility licensed by the state of florida through the agency for healthcare administration. The hospital offers services such as routine radiology, endoscopy, mammography, ultrasound, laboratory, respiratory therapy, 24 hour emergency room, swing bed services, outpatient rehabilitation, and an acute care setting for patients

Highest reported compensation

FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here
RoleFrom this orgFrom related orgsOtherTotal
PHYSICIAN
Highest compensated employee, 40.00 hrs/week
$279,000$0$0$279,000
PHYSICIAN
Highest compensated employee, 40.00 hrs/week
$248,989$0$29,921$278,910
PA-CERTIFIED
Highest compensated employee, 40.00 hrs/week
$229,371$0$8,943$238,314
CEO
Officer, 40.00 hrs/week
$196,172$0$0$196,172
CFO
Officer, 40.00 hrs/week
$124,396$0$9,630$134,026
CNO
Officer, 40.00 hrs/week
$116,930$0$9,621$126,551
CPH
Highest compensated employee, 40.00 hrs/week
$111,955$0$9,621$121,576
HRO
Officer, 40.00 hrs/week
$102,623$0$13,414$116,037

8 people received more than $100,000 in reportable compensation from Madison County Hospital Health Systems (Part VII, line 2). Compensation of current officers, directors and key employees totaled $573K (Part IX, line 5).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
RevenueExpenses
$0$5.0M$10M$15M$20MFY2020FY2021FY2022FY2023FY2024FY2025$17M$17M
FilingRevenueExpensesProgramsNet assetsTop pay
FY2025 ⓘ$17M$17M78.2%−$2.1M$279,000
FY2024 ⓘ$16M$16M81.2%−$2.4M$263,197
FY2023 ⓘ$14M$15M83.4%−$2.0M$237,071
FY2022 ⓘ$15M$14M84.5%−$529K$244,436
FY2021 ⓘ$16M$14M82.9%−$1.6M$237,079
FY2020 ⓘ$11M$12M81.7%−$3.9M$216,724

Governance 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–1b5 · 5 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 11aNo
  • 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 5203

Largest outside contractors

FY2025 · Form 990, Part VII, Section B · businesses only
MADISON RADIOLOGY SERVICES PA
Radiologist
$224,028

Individuals listed as contractors are left out. 1 contractors were paid more than $100,000 in all.

Correct a figure or respond

Every number above is copied from Madison County Hospital Health Systems'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 County Hospital Health Systems, you can publish a response that is linked from this page.

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Questions people ask

How much of Madison County Hospital Health Systems's spending goes to programs?

In the fiscal year ending September 30, 2025, Madison County Hospital Health Systems reported that 78.2% of its $17.2 million in expenses went to program services, 21.8% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does Madison County Hospital Health Systems pay its top executive?

The largest total compensation Madison County Hospital Health Systems reported for one person in the fiscal year ending September 30, 2025 was $279,000, for the role of PHYSICIAN (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does Madison County Hospital Health Systems get its money?

Of $17.5 million in revenue in the fiscal year ending September 30, 2025, 13.9% came from contributions and grants (including 13.9% from government grants) and 81.8% from program service revenue (Form 990, Part VIII).

Is Madison County Hospital Health Systems a registered charity?

The IRS lists EIN 59-2319288 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 September 30, 2025, object 202612239349302256 · read the filing
  • FY2024: Form 990 for the fiscal year ending September 30, 2024, object 202521979349301342 · read the filing
  • FY2023: Form 990 for the fiscal year ending September 30, 2023, object 202422189349300747 · read the filing
  • FY2022: Form 990 for the fiscal year ending September 30, 2022, object 202312209349301676 · read the filing
  • FY2021: Form 990 for the fiscal year ending September 30, 2021, object 202202079349300445 · read the filing
  • FY2020: Form 990 for the fiscal year ending September 30, 2020, object 202121879349301332 · read the filing

All filings for EIN 59-2319288: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.