Madison County Memorial Hospital

What Madison County Memorial Hospital does

Madison County Memorial Hospital, operating as Madison County Health Care System (MCHCS), is a Critical Access Hospital (CAH) located in Winterset, Iowa, serving Madison County and adjacent communities. Founded in 1949, the system is governed by a publicly elected seven-member Board of Trustees under Iowa Code, with no parent company, private equity, or institutional investor ownership. MCHCS delivers a comprehensive care continuum: a 24/7 Emergency Department, inpatient hospital care including hospice and swing-bed services, two outpatient clinic sites (Health Trust Physicians Clinic in Winterset and Earlham Medical Clinic), and an extensive specialty portfolio spanning cardiology, dermatology, general surgery, orthopedics, oncology, pain management, psychiatry, pulmonology, rheumatology, urology, wound care, and allergy/immunology. Ancillary service lines include cardiac and pulmonary rehabilitation, physical/occupational/speech therapy, diabetes education, infusion/chemotherapy, and the Senior Life Solutions intensive outpatient behavioral health program for adults 65+.

The technology stack is conventional healthcare IT: electronic health records on the Cerner/Oracle HealtheIntent platform, a HealtheLife consumer patient portal, 24/7 Avel eCare telemedicine for virtual hospitalist coverage, Hologic 3D Mammography for advanced breast imaging, and standard radiology/laboratory diagnostic equipment. No proprietary software, AI/ML systems, or technology platforms are developed or licensed out by MCHCS; technology is consumed rather than produced.

Revenue is generated through fee-for-service clinical delivery billed primarily through Medicare, Medicaid, and private insurance reimbursement, supplemented by direct patient payments and charity care. GTM is community-led rather than commercial: referral-based patient acquisition within a defined geographic catchment, supported by community events, health fairs, provider referral networks, and Medicare/SHIIP educational seminars. The 2024 economic footprint included 326.4 local jobs supported, $23.6M in wages, $1.1M in direct community benefits, and 2,710 community service encounters, establishing MCHCS as one of Madison County's largest employers despite a direct headcount range of only 51-100.

Name

Madison County Memorial Hospital

Legal name

Madison County Memorial Hospital

Website

https://madisonhealth.com

Company type

Private

Founded year

1949

Operating status

Operating

Headcount range

51–100 employees

Short description

Madison County Memorial Hospital is a Critical Access Hospital in Winterset, Iowa, operating as Madison County Health Care System to provide 24/7 emergency, inpatient, primary care, and multi-specialty services to Madison County residents through its main hospital and two clinic locations.

Ownership category

akta.pro rank

Product category

Rural Hospital & Healthcare Services

NAICS

Ambulatory Health Care Services (621), Outpatient Care Centers (6214), Other Outpatient Care Centers (62149)

SIC

Services-Hospitals (8060), Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Public/County Primary Care Clinics (HLAFAGAI)

akta.pro secondary industries

Outpatient Mental Health & Counseling Clinics (HLAFABAC), Long-Term Care Rehabilitation Centers (HLAFAFAD)

Keywords

• Rural hospital services
• Critical access healthcare
• Emergency medical services
• Primary care clinics
• Specialty medical care

Headquarters

HQ city

Winterset

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Supply Chain, Marketing or Sales

Revenue model

1. Healthcare Services Revenue: Fee-for-service healthcare delivery including inpatient hospital care, emergency department, clinic visits, diagnostic services, and specialty care. Revenue generated through insurance reimbursements from Medicare, Medicaid, and private insurers, as well as direct patient payments.
2. Community Benefits Programs: $1.1 million in direct community benefits including charity care for uninsured/underinsured patients, health screenings, immunizations, wellness programs, counseling, and outreach services.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels7 records

Core offering

Madison County Memorial Hospital, operating as Madison County Health Care System, is a Critical Access Hospital delivering 24/7 emergency care, inpatient hospital services, primary and specialty outpatient care across multiple clinic locations in Madison County, Iowa. The system offers comprehensive clinical services spanning family medicine, pediatrics, cardiology, orthopedics, oncology, rehabilitation, diagnostics (including 3D mammography), wound care, mental health, and senior behavioral health programs, supported by telemedicine and a patient portal.

Product overview

Madison County Health Care System is a rural healthcare system operating as a Critical Access Hospital with multiple service lines. The unified platform comprises hospital-based inpatient services (Emergency Department, inpatient hospital care, hospice, skilled/swing bed care), primary care clinics (Family Medicine, Pediatrics at Health Trust Physicians Clinic and Earlham Medical Clinic), diagnostic services (Laboratory, Radiology including 3D Mammography), and comprehensive specialty services spanning Cardiology, Dermatology, General Surgery, Orthopaedics, Oncology, Pain Management, Psychiatry, Pulmonology, Rheumatology, Urology, Wound Care, and Mental Health Counseling. The system also operates rehabilitation programs (Cardiac & Pulmonary Rehab, Physical Therapy, Occupational Therapy, Speech Therapy), the Senior Life Solutions mental health program for seniors, Diabetes Education, and Infusion & Chemotherapy Services. A Patient Portal (HealtheLife) provides patient engagement and medical records access.

Differentiator

Problem solved

Functional benefit

Products and services

• 24/7 Emergency Department Round-the-clock emergency medical services for acute illness, injuries, and life-threatening conditions with immediate response capabilities.

Quantifiable outcome

• 41% increase in invasive breast cancer detection with 3D mammography
• +4 more outcomes

Named customers2 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature2 records

Partnerships

Three partnerships are on record, tiered minor and core.

• Bras for the CauseminorGTM or Marketing Partner · 3 December 2025Madison County chapter of Bras for the Cause donated $25,000 to support women's preventive care. Funds support uninsured and underinsured women in accessing breast and cervical cancer screenings through Madison County Health Care System's radiology department.
• Avel eCarecoreTechnology or Integration · 28 November 2022Partnership with Avel eCare for 24/7 virtual hospitalist services. This telemedicine partnership supports hospital staff, improves patient outcomes, and expands access to care by providing virtual connections to board-certified physicians around the clock.
• Senior Life SolutionscoreStrategic or Co-development Partner · 16 November 2016Partnership with Psychiatric Medical Care (PMC) to provide Senior Life Solutions program - an intensive outpatient group therapy program designed to meet the unique needs of older adults (65+) experiencing depression and anxiety related to aging. The program includes a board-certified psychiatrist, licensed social workers, registered nurse, and other dedicated professionals.

Scale indicators6 records

Recent moves7 records

Expansion highlights5 records

Broad incumbents

• UnityPoint Health: Large Iowa-headquartered regional health system that competes with Madison County Memorial Hospital for higher-acuity patients in the Des Moines metro. Offers overlapping primary care and specialty services but at significantly greater scale and capital base.
• MercyOne (Trinity Health): Iowa-wide Catholic-affiliated health system competing for specialty and inpatient referrals from rural communities including Madison County. The MCHCS CEO sits on the Mercy Rural ACO Board, indicating active network overlap.

Direct peers

• Dallas County Hospital: Iowa Critical Access Hospital with comparable emergency, primary care, specialty, and rehabilitation services serving a small rural county in central Iowa.
• Adair County Health System: Iowa-based Critical Access Hospital serving a similarly sized rural county. Madison County Memorial Hospital's orthopedic surgeon (Dr. Formanek) sees patients across both systems, indicating direct clinical and operational comparability.
• Ringgold County Hospital: Iowa Critical Access Hospital delivering inpatient, emergency, primary care, and visiting-specialty services to a small rural county, providing direct operational comparability with Madison County Memorial Hospital's care model.
• Iowa Specialty Hospital: Iowa Critical Access-affiliated system providing comprehensive rural inpatient and outpatient services, including surgical and specialty programs, with a comparable service breadth to Madison County Memorial Hospital.
• Boone County Hospital: Iowa-based Critical Access Hospital providing similar comprehensive inpatient, outpatient, primary care, and specialty services in a rural setting. Closely comparable size and service mix to Madison County Memorial Hospital.
• Story County Medical Center (Story Medical): Iowa Critical Access Hospital offering comparable rural inpatient, emergency, primary care, and specialty services including rehabilitation and outpatient care. Operates in a similar rural Iowa county footprint.
• Guthrie County Hospital: Iowa rural Critical Access Hospital providing comparable scope of inpatient, outpatient, primary care, and visiting-specialist services to a similarly sized county adjacent to Madison County.

Regional players

• Broadlawns Medical Center: Des Moines-based public hospital that competes for referrals from Madison County residents; multiple MCHCS management team members previously worked there. Provides overlapping specialty services including psychiatry (Dr. Chhatlani was previously on staff at Broadlawns).

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xtwitter.com/MadCoHealth
• Facebookfacebook.com/MadisonCoHealthCare
• LinkedInlinkedin.com/company/mchcs

Compliance10 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 records

Subsidiaries3 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Madison County Memorial Hospital