Hospital · Critical access hospital
Who owns Madison County Health Care System?
300 West Hutchings Street · Winterset, IA · 50273
Overview
Beds25
Discharges195cost report 2025
Occupancy14%inpatient days ÷ bed days
Employees (FTE)136
Madison County Health Care System is a critical access hospital in Winterset, Iowa, operated by Madison County Memorial Hospital. Madison County has 1 hospitals, 1 nursing homes and 0 urgent care centers.
Ownership
Madison County Health Care System is operated by Madison County Memorial Hospital.
- Operator
- Madison County Memorial Hospital
- Owner group
- Madison County Memorial Hospital
- Managed by
- Trinity Health · CMS ownership filing
- Ownership type
- Local
- Source
Ownership history
Every dated change of operator and owner for Madison County Health Care System, with the source for each.
Full ownership tree of Madison County Memorial Hospital
Every entity between this facility and its ultimate owner, with ownership percentages and dates.
Finances
From the hospital's Medicare cost report, fiscal year ending 2025.
| Net patient revenue | $34.5M |
| Operating expenses | $34.7M |
| Net income | $6.0M |
| Net income as a share of net patient revenue | 17.4% |
| Uncompensated care cost | $627K |
| Charity care cost | $368K |
| Medicaid net revenue | $5.0M |
Payer mix by inpatient days (2025)
- Medicare 56.7%
- Commercial and other 41.7%
- Medicaid 1.6%
Location and market
- Address
- 300 West Hutchings Street · Winterset, IA · 50273
- County
- Madison County
- State
- Iowa
Hospitals in the county1
Nursing homes1
Urgent care centers0
Nearby hospitals
| Name | City | Distance |
|---|---|---|
| Adair County Memorial Hospital | Greenfield | 22.6 mi |
| Clive Behavioral Health | CLIVE | 22.8 mi |
| Mercy Rehabilitation Hospital, LLC | Clive | 22.8 mi |
| Clarke County Hospital | Osceola | 24.6 mi |
| Greater Regional Medical Center | Creston | 26.1 mi |
| Unitypoint Health - Des Moines Iowa Methodist Medi | Des Moines | 26.9 mi |
Sources and identifiers
- Operator: CMS Hospital Enrollments and All Owners (PECOS): hospital ownership graph
- Finances and payer mix: CMS hospital cost reports (HCRIS), fiscal year 2025
- Ownership type and beds: CMS Provider of Services file
- Location: CMS and Census Bureau geography
- CMS certification number
- 161326
- NPI
- 1831104611
- Last confirmed
- 2026-10-23
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