Civic Intelligence

Madison Healthcare Services

EIN 41-0706115 • 501(c)3 • Madison, MN

Profile

Madison healthcare services, which includes the madison lutheran home, madison hospital, lac qui parle clinic, and subsidiaries, exists as a non-profit christian organization called by god to affirm the worth of all people, to provide health care, residential, and community services in a competent and caring manner.

900 Second AvenueMadison, MN 56256-1006

mhsmn.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

58th percentile

0.29x

Higher debt load relative to assets than 58% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

70th percentile

0.63x

Higher debt load relative to revenue than 70% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

28th percentile

-2.2%

Higher net margin than 28% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

82nd percentile

$483,037

Higher top officer pay than 82% of similar nonprofits.

Top officer pay equals 2.3% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

37th percentile

1.7%

Faster asset growth than 37% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

37th percentile

2.6%

Faster revenue growth than 37% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$45,584,186

Up $783,407 (+1.7%) from 2023

Liabilities

Down

$13,397,333

Down $302,539 (-2.2%) from 2023

Net Assets

Up

$32,186,853

Up $1,085,946 (+3.5%) from 2023

Revenue

Up

$21,283,566

Up $548,603 (+2.6%) from 2023

Expenses

Up

$21,752,005

Up $832,913 (+4.0%) from 2023

Net Income

Down

-$468,439

Down $284,310 (-154%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2010: $18,619,443Liabilities 2010: $2,094,609Net Assets 2010: $16,524,8342010Assets 2011: $18,955,363Liabilities 2011: $2,045,349Net Assets 2011: $16,910,0142011Assets 2012: $19,919,380Liabilities 2012: $2,244,098Net Assets 2012: $17,675,2822012Assets 2013: $25,018,945Liabilities 2013: $7,347,021Net Assets 2013: $17,671,9242013Assets 2014: $24,965,209Liabilities 2014: $8,280,347Net Assets 2014: $16,684,8622014Assets 2015: $25,083,482Liabilities 2015: $8,701,422Net Assets 2015: $16,382,0602015Assets 2016: $26,824,176Liabilities 2016: $8,632,979Net Assets 2016: $18,191,1972016Assets 2017: $28,212,878Liabilities 2017: $8,566,499Net Assets 2017: $19,646,3792017Assets 2018: $28,966,413Liabilities 2018: $8,630,055Net Assets 2018: $20,336,3582018Assets 2019: $29,483,052Liabilities 2019: $7,296,224Net Assets 2019: $22,186,8282019Assets 2020: $36,432,435Liabilities 2020: $12,933,562Net Assets 2020: $23,498,8732020Assets 2021: $39,706,321Liabilities 2021: $8,955,022Net Assets 2021: $30,751,2992021Assets 2022: $46,574,607Liabilities 2022: $16,314,696Net Assets 2022: $30,259,9112022Assets 2023: $44,800,779Liabilities 2023: $13,699,872Net Assets 2023: $31,100,9072023Assets 2024: $45,584,186Liabilities 2024: $13,397,333Net Assets 2024: $32,186,8532024

Highlighted filing

2024

Assets$45,584,186
Liabilities$13,397,333
Net Assets$32,186,853

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $14,353,5142010Expenses 2011: $14,263,0292011Expenses 2012: $14,425,2732012Revenue 2013: $14,235,573Expenses 2013: $14,719,901Net Income 2013: -$484,3282013Revenue 2014: $14,754,135Expenses 2014: $16,045,603Net Income 2014: -$1,291,4682014Revenue 2015: $15,404,104Expenses 2015: $15,563,151Net Income 2015: -$159,0472015Revenue 2016: $16,935,317Expenses 2016: $15,618,760Net Income 2016: $1,316,5572016Revenue 2017: $17,158,524Expenses 2017: $16,459,824Net Income 2017: $698,7002017Revenue 2018: $16,894,551Expenses 2018: $16,607,382Net Income 2018: $287,1692018Revenue 2019: $18,493,031Expenses 2019: $16,806,411Net Income 2019: $1,686,6202019Revenue 2020: $18,164,841Expenses 2020: $17,212,362Net Income 2020: $952,4792020Revenue 2021: $23,223,798Expenses 2021: $18,151,708Net Income 2021: $5,072,0902021Revenue 2022: $20,472,916Expenses 2022: $20,672,379Net Income 2022: -$199,4632022Revenue 2023: $20,734,963Expenses 2023: $20,919,092Net Income 2023: -$184,1292023Revenue 2024: $21,283,566Expenses 2024: $21,752,005Net Income 2024: -$468,4392024

Highlighted filing

2024

Revenue$21,283,566
Expenses$21,752,005
Net Income-$468,439

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$45.6$13.4$32.2$21.3$21.8$0.47
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$44.8$13.7$31.1$20.7$20.9$0.18
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$46.6$16.3$30.3$20.5$20.7$0.20
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$39.7$8.96$30.8$23.2$18.2$5.07
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$36.4$12.9$23.5$18.2$17.2$0.95
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$29.5$7.30$22.2$18.5$16.8$1.69
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$29.0$8.63$20.3$16.9$16.6$0.29
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$28.2$8.57$19.6$17.2$16.5$0.70
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$26.8$8.63$18.2$16.9$15.6$1.32
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$25.1$8.70$16.4$15.4$15.6$0.16
2014Detailed filing. Detailed filing data is available for this year.$25.0$8.28$16.7$14.8$16.0$1.29
2013Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$25.0$7.35$17.7$14.2$14.7$0.48
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.9$2.24$17.7$14.4
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.0$2.05$16.9$14.3
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.6$2.09$16.5$14.4
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Apr 24, 2025
Return Version
2023v6.0
Gross Receipts
$21,285,927
Mission and Program Overview

Mission

Madison healthcare services, which includes the madison lutheran home, madison hospital, lac qui parle clinic, and subsidiaries, exists as a non-profit christian organization called by god to affirm the worth of all people, to provide health care, residential, and community services in a competent and caring manner.

We commit to enrich the lives of everyone we serve, guided by our christian heritage and values.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$24,555,039$22,953,694▼ $1,601,345
Investments in Publicly Traded Securities$10,225,860$12,179,117▲ $1,953,257
Savings and Temporary Cash Investments$2,695,282$2,942,547▲ $247,265
Accounts Receivable$1,919,378$2,404,232▲ $484,854
Investments Other Securities$1,580,032$1,625,921▲ $45,889
Cash and Non-Interest-Bearing Accounts$1,037,060$1,267,826▲ $230,766
Inventories for Sale or Use$282,163$268,720▼ $13,443
Prepaid Expenses and Deferred Charges$167,218$155,156▼ $12,062
Pledges and Grants Receivable$24,000$144,341▲ $120,341
Total Assets$44,800,779$45,584,186▲ $783,407
Other Assets Total$2,314,747$1,642,632▼ $672,115
Liabilities
Tax Exempt Bond Liabilities$11,596,573$11,051,327▼ $545,246
Accounts Payable and Accrued Expenses$1,283,946$1,562,758▲ $278,812
Unsecured Notes Loans Payable$542,604$558,228▲ $15,624
Other Liabilities$267,146$214,373▼ $52,773
Escrow Account Liability$9,603$10,647▲ $1,044
Total Liabilities$13,699,872$13,397,333▼ $302,539
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$30,992,644$32,077,360▲ $1,084,716
Net Assets With Donor Restrictions$108,263$109,493▲ $1,230
Total Net Assets Fund Balance$31,100,907$32,186,853▲ $1,085,946
Total Liabilities and Net Assets / Fund Balance$44,800,779$45,584,186▲ $783,407

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$21,025,411$19,187,288$40,212,699
Equipment$1,870,117$6,876,005$8,746,122
Other Land Buildings$51,644$38,842$90,486
Land$6,522-$6,522
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Brant Hacker MdMdFT$269,155$213,882$483,037
Hannah Fields MdMdFT$299,817$78,078$377,895
Maria Nolte MdMdFT$185,064$93,792$278,856
Erik BjerkeCEOFT$209,000$63,444$272,444
Paul Hodge NpNurse PractitionerFT$124,116$48,591$172,707
Michael Deyo PaPhysician AssistantPT$111,174$34,533$145,707
Carol BorgersonCFOFT$110,444$18,556$129,000

Board Members and Trustees

NameTitle
Karin MoenChairwoman
Lynn ZimmermanChairwoman
David HallDirector
Jeanene MunstermanDirector
Scott OmlandDirector
Tim VolkDirector
Trudy HastadDirector
Bart HillSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Big Stone TherapiesContract Therapy Services340 WASHINGTON, Ortonville, MN 56278$927,963
Medical SolutionsAgency Staffing Nursing1010 N 102ND STREET SUITE, Omaha, MN 68114$473,125
Centracare HealthEmr Software Support/licensing/etc.1406 6TH AVENUE N, St Cloud, MN 56303$406,208
Central Minnesota DiagnosticsContract Ct And Ultrasound150 10TH STREET W, Milaca, MN 56353$316,547
Fusion Medical StaffingAgency StaffingPO BOX 82674, Lincoln, NE 68501$290,606
Revenue and Support

Revenue Composition

Contributions and Grants
$520,967
Program Service Revenue
$20,238,692
Investment Income
$197,706
Other Revenue
$326,201
All Other Contributions
$45,410
Change in Net Assets
$-468,439
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$12,155,778
Other Expenses$9,565,630
Grants and Similar Amounts Paid$30,597
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$6,500,361$2,404,243-$8,904,604
Fees for Services Other$3,153,945$971,555-$4,125,500
Depreciation Depletion$1,644,637$234,948-$1,879,585
Other Employee Benefits$1,127,389$416,979-$1,544,368
Payroll Taxes$823,132$304,446-$1,127,578
Information Technology$330,748$122,331-$453,079
Current Officers, Directors, Trustees, and Key Employees-$411,749-$411,749
Interest$222,535$110,104-$332,639
Conferences and Meetings$224,271$82,949-$307,220
Occupancy$218,135$80,680-$298,815
Other Expenses$205,350$13,106-$218,456
Pension Plan Contributions$122,260$45,219-$167,479
Insurance-$146,575-$146,575
Office Expenses$86,525$32,002-$118,527
Fees for Services Accounting-$79,879-$79,879
Advertising-$64,359-$64,359
Fees for Services Legal-$43,631-$43,631
All Other Expenses$40,866$2,608-$43,474
Grants to Domestic Orgs$30,597--$30,597
Travel$9,412$3,481-$12,893
Total Functional Expenses$16,033,034$5,718,971$0$21,752,005
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Little Eagles DaycareEden Prairie, MN501(c)(3)Support to Daycare$20,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$7,650
Fundraising Direct Expenses$2,361
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Dr Maria NolteDaughter of Carol Borgerson, CFOCompensationNo$281,467
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liability$214,373

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACity of Madison Minnesota2020-09-23$6,705,000Refunding 2020 bonds, finance of facility expansion
BCity of Bellingham Minnesota2020-09-23$6,705,000Refunding 2020 bonds, finance of facility expansion

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$6,705,000$6,705,000$349,010-
B$6,705,000$6,705,000$349,010-

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

There shall be an executive committee of the organization, consisting of (3) persons elected by the board of directors to serve for one (1) year terms. The executive committee shall consist of the chairman, the president/treasurer, and the secretary of the organization. If the chairman of the organization is a member of the executive committee, he or she shall be the chairman of the executive committee; otherwise the president shall be the chairman of the executive committee. The executive committee shall meet on call of the chairman or president, shall act only in the intervals between meetings of the board of directors, shall at all times be subject to the direction and control of the board of directors, and, subject always to the foregoing, shall, unless expressly specified to the contrary by resolution adopted by the board of directors, have and exercise the authority of the board of directors in the management of the business and affairs of the organization.

Form 990, Part VI, Section A, Line 6

The organization's members are the lutheran congregations within the community. The majority of the members must at all times be congregations within the evangelical lutheran church in america (elca). Each member congregation shall be represented at meetings of the members by three delegates, selected from the communicant members of the congregation. All delegates shall have equal voting rights and voting by proxy shall be prohibited.

Form 990, Part VI, Section A, Line 7A

The organization's members are the lutheran congregations within the community. Delegates of lutheran congregations elect the board of directors of madison healthcare services.

Form 990, Part VI, Section A, Line 7B

Amendments to the bylaws must be approved by the member congregation delegates.

Form 990, Part VI, Section B, Line 11B

The form 990 is presented to the board of directors for approval prior to submission to the internal revenue service.

Form 990, Part VI, Section B, Line 12C

The organization monitors the conflict of interest policy as conflicts arise. If any director or employee of the organization has any direct or indirect interest in, or relationship with, any individual or organization that proposes to enter into any transaction with the corporation, including but not limited to transactions involving: a. The sale, purchase, lease or rental of any property or other asset; b. Employment or rendition of services, personal or otherwise; c. The award of any contract such person shall give notice of such interest or relationship and shall thereafter refrain from discussing or voting on the particular transaction in which he has an interest, or otherwise attempting to exert any influence on the corporation, or its components to affect a decision to participate or not participate in such transaction. Conflicts of interest or reviewed at the administration and board level. All proceedings resulting from a conflict of interest are recorded in the board meeting minutes.

Form 990, Part VI, Section B, Line 15

The organization uses comparability data from surveys of other organizations of similar size in the surrounding areas to determine compensation of top management and officers of the organization. The medisota salary survey is utilized in this determination. The board of directors reviews and approves president/ceo compensation annually. The president/ceo approves the compensation of the cfo. This process is documented in the meeting minutes and the president/ceo's personnel file. This process was last conducted in 2024.

Form 990, Part VI, Section C, Line 19

The organization does not make its governing documents, conflict of interest policy or financial statements available to the public.

Filing and Contact Details

Filer

Filer Name
Madison Healthcare Services
EIN
41-0706115
Phone
3205987536
Address
900 SECOND AVENUE, MADISON, MN 56256-1006

Signing Officer

Name
Erik Bjerke
Title
President/CEO
Phone
3205987536
Signed
2025-04-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Erik Bjerke
Formed
1945
Legal Domicile
Mn
Voting Board Members
7
Independent Board Members
7
Employees
218
Volunteers
10

Preparer

Firm
Cliftonlarsonallen Llp
Address
220 SOUTH SIXTH STREET SUITE 300, MINNEAPOLIS, MN 55402
Preparer
Ryan Strusz
Phone
6123764500
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Nursing/other professional: program service expenses 3,147,984. Management and general expenses 969,719. Fundraising expenses 0. Total expenses 4,117,703. Consultants: program service expenses 5,961. Management and general expenses 1,836. Fundraising expenses 0. Total expenses 7,797.

FORM 990, PART XII, LINE 2C:

The board of directors is tasked with selecting an independent public accounting firm to audit the organization's financial statements and retain such person or firm for additional services it may deem appropriate. This process has not changed from the previous fiscal year.

Financial Statement Notes

PART IV, LINE 2B:

The nursing care center resident trust fund is used by residents and/or their families to deposit money into a separate checking account. The residents can withdraw these funds at any time for care services, gift shop purchases, cash for soda, candy or gifts, etc.

PART X, LINE 2:

The organization is a tax-exempt corporation as described in section 501(c)(3) of the internal revenue code (the code) and is exempt from federal income taxes on related income pursuant to section 501(a) of the code. The organization is also exempt from state and local income taxes on related income. The organization follows the guidance in the accounting standards regarding the recognition and measurement of uncertain tax positions. The application of the standard as no effect on the consolidated financial statements. The organization's income tax returns are subject to review and examination by federal, state, and local authorities.

Raw XML AppendixShowing 400 of 1,020 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0MADISON HOSPITAL IS A 12-BED HOSPITAL, WHICH PROVIDES SERVICE TO THE COMMUNITY IN THE AREA OF ACUTE INPATIENT CARE AND SKILLED SWING BED REHABILITATION THE ORGANIZATION ALSO PROVIDES SOCIAL SERVICES BY PROVIDING EMOTIONAL, SOCIAL, AND ECONMOIC SUPPORT/REFERRAL TO RESIDENTS AND FAMILIES, PEDIATRICS, SURGERY, EMERGENCY CARE, CARDIAC REHAB, OUTPATIENT, OUTREACH AND INPATIENT CARE. THE HOSPITAL HAD 11,266 OUTPATIENT VISITS AND 700 MED/SURGERY AND SSB DAYS. THE ORGANIZATION MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY AND EQUIVALENT SERVICE STATISTICS. THE AMOUNT OF CHARGES FOREGONE, BASED ON ESTABLISHED RATES, WAS $818 FOR THE YEAR ENDED SEPTEMBER 30, 2024.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRWOMAN
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IRS990/MissionDesc0MADISON 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 HERITGAGE AND VALUES.
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