Madison Healthcare Services

Nonprofit profile at a glance

EIN
410706115
IRS 990 coverage
2009–2024
Forms available
Form 990 2024
Location
Madison, MN, USA
Phone
3205987536
Rating
75
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General
Affiliation
Christianity

Reported finances

Revenue
$21,771,991
Expenses
$22,353,399
Assets
$44,677,428
Liabilities
$12,711,694

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

14 people listed

Executive titles in this filing

  • ERIK BJERKE (CEO)

Highest reported compensation

  • BRANT HACKER MD (MD): $385,778 total reported compensation
  • MARIA NOLTE MD (MD): $365,296 total reported compensation
  • HANNAH FIELDS MD (MD): $362,685 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Madison healthcare services, which includes the madison lutheran home, madison hospital, lac qui parle clinic, and subsidiaries, is committed to enrich the lives of everyone we serve, guided by our christian heritage and values.

What it reported doing in 2024

Madison healthcare services is a nonprofit healthcare organization dedicated to providing high-quality medical care and wellness services to western Minnesota. Our mission is to enhance the health and well-being of individuals by offering comprehensive healthcare solutions, including inpatient and outpatient services, specialty care clinic, long-term care, home care, assisted living.in the past year, madison healthcare services has continued to expand its offerings to better serve the needs of our patients. We provide essential medical services such as emergency care, primary care, surgical procedures, rehabilitation, and long-term care to our region. Additionally, we have invested in state-of-the-art medical technology and enhanced our efforts to reach underserved populations.madison healthcare services is deeply committed to community outreach and education. We conduct health screenings, vaccination drives, and wellness programs to promote preventive care. Through partnerships with local organizations and our own healthcare professionals, we strive to address social determinants of health and improve overall community well-being.madison healthcare services remains financially responsible and transparent in its operations, reinvesting into itself to improve patient care, update facilities, and to educate our staff. Our unwavering commitment to patient-centered care and community engagement reflects our core values and ensures that we continue to make a meaningful impact on public health.

Operating model

Revenue model
Other-operating. 96% 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. Expenses are high relative to revenue and reported officer compensation is a large share of total spending, which may reflect staffing concentration.

Rating breakdown

  • Financial Efficiency: 67
  • Transparency & Controls: 72
  • Accountability: 100
  • Sustainability: 38
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 75.7%; rating input score 76
  • Program expense ratio: 72.8%; rating input score 73
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 84.6%; rating input score 85; 0th percentile among comparable filings
  • Pay-setting controls: 2 of 6 controls in place; rating input score 33
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 80%; rating input score 80; 16th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • 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: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -2.7%; rating input score 22; 22nd percentile among comparable filings
  • Total-asset coverage ratio: 2; rating input score 62; 62nd percentile among comparable filings
  • Liabilities to assets ratio: 0.28; rating input score 48; 48th percentile among comparable filings
  • Officer compensation ratio: 8.3%; rating input score 28; 28th percentile among comparable filings

Growth

  • Program expense growth: 1.9% per year; rating input score 100; 19th percentile among comparable filings
  • Revenue growth: 3.1% per year; rating input score 100; 27th percentile among comparable filings
  • Asset growth: 6.4% per year; rating input score 100; 45th percentile among comparable filings

Details

  • Where the money goes: 75.7% of revenue deployed · 72.8% of spending went to programs
  • Governance: 7 of 7 board members independent · 9 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $16.3M in reported program spending
  • Leadership: top reported pay $386K · 14 people listed · 2 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $2.4M reported
  • Consistency: 33 of 35 current checks pass · 2 findings to review
  • Schedules: 11 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • Related organizations: 2 filed related-organization links
  • 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.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

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

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • High — Sustainability: Operating margin scored 22/100.
  • High — Sustainability: Officer compensation ratio scored 28/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • Moderate — Sustainability: Liabilities to assets ratio scored 48/100.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.