Madonna Rehabilitation Hospitals

What it reported doing in 2024

Madonna fulfills this mission by delivering expert and comprehensive rehabilitation, treating each person as a unique individual. Madonna's hospitals integrate the physical, psychological, social, spiritual and vocational aspects of each patient's life. The hospitals' programs support the unmet needs of our community and region and are devoted to returning people to their homes, communities and jobs or school. In FY 2025, Madonna admitted 2,603 hospital inpatients from 13states. The hospital received referrals from 703 physicians and 96 hospitals or health care facilities. In FY 2025, Madonna operated two inpatient rehabilitation facilities (IRFs): Madonna Rehabilitation Hospital Lincoln (MRH-L) and Acute Rehabilitation Omaha (AR-O) and two long-term care hospitals (LTCHs): Madonna Rehabilitation Specialty Hospital Lincoln (MRSH-L) and Madonna Rehabilitation Specialty Hospital Omaha (MRSH-O). MRH-L, AR-O, MRSH-L and MRSH-O offer comprehensive care to ensure continuity as patients' progress in their recovery or from one hospital to another. All hospitals employ an interdisciplinary team approach involving the patient and family, referring physician, rehabilitation physician, hospitalist, case manager, nutrition therapist, respiratory therapist, rehabilitation nurse, physical and occupational therapists, orthotic and prosthetic technician, psychologist, social workers, speech-language pathologists, therapeutic recreation specialists, vocational rehabilitation consultants and spiritual care counselors. Madonna's experienced staff treat thousands of individuals through inpatient and outpatient services every year, offering every patient the latest techniques and methods to produce the best results. As one of the largest, freestanding rehabilitation hospital systems in the United States, Madonna provides: * Intensive therapy programming * Programs with less intensive therapy, depending on the needs of the patient * 24-hour rehabilitation nursing and physician supervision * A continuum of services to ensure progress is maintained from inpatient to outpatient programs Our specialty rehabilitation programs focus on the needs of children and adults following traumatic injury and illness, including: brain injury, spinal cord injury, stroke, pulmonary conditions, neurological disorders and major multiple trauma. Madonna Rehabilitation Hospitals has 14 separate program accreditations from the Commission on the Accreditation of Rehabilitation Facilities (CARF) in the area of medical rehabilitation. This includes: * Inpatient Rehabilitation Programs for the IRFs and LTCHs * Brain Injury Program - Inpatient/Outpatient (adult and pediatric) * Spinal Cord Specialty Program - Inpatient/Outpatient (adult and pediatric), Lincoln Only * Stroke Specialty Program - Inpatient/Outpatient (adult) * Pediatric Specialty Program - Inpatient/Outpatient * Cancer Rehabilitation Specialty Program - Inpatient (adult), Omaha Only * Interdisciplinary Outpatient Medical Rehabilitation Programs - Multiple Service Madonna Rehabilitation Hospital Lincoln Patients at MRH-L rank in the top 11% nationally in terms of complexity, while discharging back to community settings at a higher rate according to industry benchmarks. Despite this complexity, 73% of patients discharged directly to a community setting. Additionally, the overall patient satisfaction rate for MRH-L was 88%. Acute Rehabilitation Omaha In October of 2025, Madonna will complete its ninth year of operating rehabilitation beds in Omaha. AR-O, overall, returned 79% of patients to a community destination rather than to an institution. Additionally, the overall patient satisfaction rate for AR-O was 91%. Madonna Rehabilitation Specialty Hospital Lincoln MRSH-L FY 2025 patient discharge to home or to an acute rehabilitation hospital to continue their recovery was 61% for the year. 86% of patients admitted on a mechanical ventilator weaned in an average of 14 days. Additionally, the overall patient satisfactio

Financial Efficiency

• Mission deployment rate: 85.1%; rating input score 85
• Program expense ratio: 87.9%; rating input score 88
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 95.2%; rating input score 95; 48th 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: 4.7%; rating input score 55; 55th percentile among comparable filings
• Total-asset coverage ratio: 1.42; rating input score 51; 51st percentile among comparable filings
• Liabilities to assets ratio: 0.3; rating input score 55; 55th percentile among comparable filings
• Officer compensation ratio: 3.1%; rating input score 37; 37th percentile among comparable filings

Growth

• Program expense growth: 6.6% per year; rating input score 100; 54th percentile among comparable filings
• Revenue growth: 6% per year; rating input score 100; 52nd percentile among comparable filings
• Asset growth: 6.6% per year; rating input score 100; 48th percentile among comparable filings