Madera Community Hospital

Nonprofit profile at a glance

EIN
237429117
IRS 990 coverage
2009–2022
Official website data refreshed
Jun 2026
Forms available
Form 990 2022
Location
Madera, CA, USA
Phone
5596755555
Rating
66
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$46,289,974
Expenses
$74,049,913
Assets
$59,433,595
Liabilities
$34,620,554

Source: IRS Form 990. Selected filing: tax year 2022. Amounts in USD.

Leadership & pay

22 people listed

Executive titles in this filing

  • Karen Paolinelli (Exec Director/CEO)
  • Mark J Foote (Vice President - Finance)

Highest reported compensation

  • Karen Paolinelli (Exec Director/CEO): $357,369 total reported compensation
  • Mark J Foote (Vice President - Finance): $291,583 total reported compensation
  • Jeanine Gillmeister (Chief Nursing Officer): $193,594 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2022. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Madera Community Hospital provides Inpatient and Outpatient healthcare services to the citizens of Madera and its surrounding communities.

What it reported doing in 2022

Delivery and Management of General Inpatient and Outpatient Healthcare Services were provided to the citizens of Madera and its surrounding communities.

Operating model

Revenue model
Other-operating. 99% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of total spending goes to programs.

Rating breakdown

  • Financial Efficiency: 70
  • Transparency & Controls: 65
  • Accountability: 75
  • Sustainability: 20
  • Growth: 60

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 92%; rating input score 92
  • Program expense ratio: 57.5%; rating input score 58
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 73.3%; rating input score 73; 13th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Fail
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -60%; rating input score 1; 1st percentile among comparable filings
  • Total-asset coverage ratio: 0.8; rating input score 29; 29th percentile among comparable filings
  • Liabilities to assets ratio: 0.58; rating input score 25; 25th percentile among comparable filings
  • Officer compensation ratio: 2.4%; rating input score 71; 71st percentile among comparable filings

Growth

  • Program expense growth: 2.7% per year; rating input score 100; 30th percentile among comparable filings
  • Revenue growth: -0.3% per year; rating input score 0; 9th percentile among comparable filings
  • Asset growth: 0.9% per year; rating input score 100; 14th percentile among comparable filings

Details

  • Where the money goes: 92% of revenue deployed · 57.5% of spending went to programs
  • Governance: 11 of 15 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $42.6M in reported program spending
  • Leadership: top reported pay $357K · 22 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $19.2M reported
  • Consistency: 38 of 38 current checks pass
  • Schedules: 8 filed schedules · includes major donors and executive pay
  • Filing history: 14 filing years from 2009 to 2022
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • Related organizations: 1 filed related-organization link
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Financial Efficiency: Program expense ratio scored 58/100.
  • High — Sustainability: Operating margin scored 1/100.
  • High — Growth: Revenue growth scored 0/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 29/100.
  • High — Sustainability: Liabilities to assets ratio scored 25/100.