Civic Intelligence

Madison County Hospital Health

EIN 59-2319288 • 501(c)3 • Madison, FL

Profile

To provide quality healthcare services to the community which it serves. These services include acute general inpatient and outpatient care, swing bed, endoscopy, physical therapy and other related services.

224 NW Crane AvenueMadison, FL 32340-1400

www.mcmh.us

Siviq Scores

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

Liabilities / Assets

96th percentile

1.11x

Higher debt load relative to assets than 96% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

86th percentile

1.54x

Higher debt load relative to revenue than 86% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

29th percentile

-2.4%

Higher net margin than 29% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

71st percentile

$263,197

Higher top officer pay than 71% of similar nonprofits.

Top officer pay equals 1.6% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

64th percentile

8.7%

Faster asset growth than 64% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

67th percentile

17%

Faster revenue growth than 67% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Up

$22,321,122

Up $1,785,278 (+8.7%) from 2023

Liabilities

Up

$24,691,750

Up $2,161,063 (+9.6%) from 2023

Net Assets

Down

-$2,370,628

Down $375,785 (-19%) from 2023

Revenue

Up

$15,983,395

Up $2,319,334 (+17%) from 2023

Expenses

Up

$16,359,180

Up $1,223,855 (+8.1%) from 2023

Net Income

Up

-$375,785

Up $1,095,479 (+74%) from 2023

Trend Graphs

Balance Sheet Trend

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

$30M$20M$10M$0-$10MAssets 2011: $3,347,553Liabilities 2011: $4,016,020Net Assets 2011: -$668,4672011Assets 2012: $4,673,340Liabilities 2012: $4,073,595Net Assets 2012: $599,7452012Assets 2013: $29,057,970Liabilities 2013: $28,398,596Net Assets 2013: $659,3742013Assets 2014: $25,774,982Liabilities 2014: $25,662,335Net Assets 2014: $112,6472014Assets 2015: $25,449,748Liabilities 2015: $24,847,358Net Assets 2015: $602,3902015Assets 2016: $23,517,039Liabilities 2016: $24,041,933Net Assets 2016: -$524,8942016Assets 2017: $22,447,541Liabilities 2017: $23,456,629Net Assets 2017: -$1,009,0882017Assets 2018: $21,387,121Liabilities 2018: $23,321,122Net Assets 2018: -$1,934,0012018Assets 2019: $20,527,719Liabilities 2019: $23,080,523Net Assets 2019: -$2,552,8042019Assets 2020: $23,636,302Liabilities 2020: $27,569,766Net Assets 2020: -$3,933,4642020Assets 2021: $21,232,395Liabilities 2021: $22,790,038Net Assets 2021: -$1,557,6432021Assets 2022: $21,963,320Liabilities 2022: $22,491,840Net Assets 2022: -$528,5202022Assets 2023: $20,535,844Liabilities 2023: $22,530,687Net Assets 2023: -$1,994,8432023Assets 2024: $22,321,122Liabilities 2024: $24,691,750Net Assets 2024: -$2,370,6282024

Highlighted filing

2024

Assets$22,321,122
Liabilities$24,691,750
Net Assets-$2,370,628

Operations Trend

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

$20M$15M$10M$5.0M$0-$5.0MRevenue 2011: $7,748,066Expenses 2011: $7,583,954Net Income 2011: $164,1122011Expenses 2012: $8,631,0582012Expenses 2013: $8,706,3402013Revenue 2014: $7,743,466Expenses 2014: $8,290,193Net Income 2014: -$546,7272014Revenue 2015: $9,825,588Expenses 2015: $10,667,888Net Income 2015: -$842,3002015Revenue 2016: $9,291,530Expenses 2016: $10,418,814Net Income 2016: -$1,127,2842016Revenue 2017: $10,129,386Expenses 2017: $10,613,580Net Income 2017: -$484,1942017Revenue 2018: $9,786,096Expenses 2018: $10,711,009Net Income 2018: -$924,9132018Revenue 2019: $10,261,975Expenses 2019: $10,880,778Net Income 2019: -$618,8032019Revenue 2020: $10,709,551Expenses 2020: $12,090,211Net Income 2020: -$1,380,6602020Revenue 2021: $16,268,101Expenses 2021: $13,892,280Net Income 2021: $2,375,8212021Revenue 2022: $14,967,164Expenses 2022: $13,935,319Net Income 2022: $1,031,8452022Revenue 2023: $13,664,061Expenses 2023: $15,135,325Net Income 2023: -$1,471,2642023Revenue 2024: $15,983,395Expenses 2024: $16,359,180Net Income 2024: -$375,7852024

Highlighted filing

2024

Revenue$15,983,395
Expenses$16,359,180
Net Income-$375,785

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$22.3$24.7$2.37$16.0$16.4$0.38
2023Detailed filing. Detailed filing data is available for this year.$20.5$22.5$1.99$13.7$15.1$1.47
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$22.0$22.5$0.53$15.0$13.9$1.03
2021Detailed filing. Detailed filing data is available for this year.$21.2$22.8$1.56$16.3$13.9$2.38
2020Detailed filing. Detailed filing data is available for this year.$23.6$27.6$3.93$10.7$12.1$1.38
2019Detailed filing. Detailed filing data is available for this year.$20.5$23.1$2.55$10.3$10.9$0.62
2018Detailed filing. Detailed filing data is available for this year.$21.4$23.3$1.93$9.79$10.7$0.92
2017Detailed filing. Detailed filing data is available for this year.$22.4$23.5$1.01$10.1$10.6$0.48
2016Detailed filing. Detailed filing data is available for this year.$23.5$24.0$0.52$9.29$10.4$1.13
2015Detailed filing. Detailed filing data is available for this year.$25.4$24.8$0.60$9.83$10.7$0.84
2014Detailed filing. Detailed filing data is available for this year.$25.8$25.7$0.11$7.74$8.29$0.55
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$29.1$28.4$0.66$8.71
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.67$4.07$0.60$8.63
2011Summary only. Only limited summary data is available for this year.$3.35$4.02$0.67$7.75$7.58$0.16
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Jul 15, 2025
Return Version
2023v6.0
Gross Receipts
$15,983,395
Mission and Program Overview

Mission

To provide quality healthcare services to the community which it serves. These services include acute general inpatient and outpatient care, ambulatory surgery, physical therapy and other related services.

To provide quality healthcare services to the community which it serves. These services include acute general inpatient and outpatient care, swing bed, endoscopy, physical therapy and other related services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$12,792,216$11,355,025▼ $1,437,191
Savings and Temporary Cash Investments$2,633,626$5,952,846▲ $3,319,220
Cash and Non-Interest-Bearing Accounts$450$1,873,838▲ $1,873,388
Accounts Receivable$1,660,696$1,237,350▼ $423,346
Inventories for Sale or Use$353,503$325,880▼ $27,623
Total Assets$20,535,844$22,321,122▲ $1,785,278
Other Assets Total$3,095,353$1,576,183▼ $1,519,170
Liabilities
Tax Exempt Bond Liabilities$20,423,477$20,077,477▼ $346,000
Deferred Revenue-$2,200,000-
Accounts Payable and Accrued Expenses$1,371,008$1,279,225▼ $91,783
Other Liabilities$238,205$775,252▲ $537,047
Mortgage Notes Payable Secured by Investment Property$346,383$208,182▼ $138,201
Unsecured Notes Loans Payable$151,614$151,614→ $0
Total Liabilities$22,530,687$24,691,750▲ $2,161,063
Net Assets / Fund Balance
Net Assets With Donor Restrictions$1,255,390$1,288,137▲ $32,747
Net Assets Without Donor Restrictions$-3,250,233$-3,658,765▼ $408,532
Total Net Assets Fund Balance$-1,994,843$-2,370,628▼ $375,785
Total Liabilities and Net Assets / Fund Balance$20,535,844$22,321,122▲ $1,785,278

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$8,697,572$11,111,317$19,808,889
Equipment$2,081,895$5,273,957$7,355,852
Land$470,000-$470,000
Other Land Buildings$105,558-$105,558
Leasehold Improvements-$69,607$69,607
Other Assets Org$77,381--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$1,255,390$1,104,905▲ $90,781$1,162,940$1,288,137
2022$1,090,686$1,256,893▲ $71,070$1,163,259$1,255,390
2021$954,919$1,285,034▲ $11,712$1,160,979$1,090,686
2020$826,471$1,290,128▲ $1,620$1,163,300$954,919
2019$695,625$1,282,700▲ $10,253$1,162,107$826,471
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Daniel Perkins MdPhysicianFT$228,734$34,463$263,197
Tammy StevensCEOFT$190,681$1,366$192,047
Patrick McgeeCFOFT$118,398$10,997$129,395
Brittany SelphCNOFT$111,462$10,099$121,561
Joseph FlassovriaCPHFT$108,086$10,513$118,599
Cynthia Burnett SasnettHroFT$108,991$681$109,672

Board Members and Trustees

NameTitle
Ben HarrisChair(term 9
Shirley JosephVice Chair
Jim SaleDirector
Juanita Webb FicoDirector
Karen Annette JohnsonDirector
Rosa RichardsonSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Madison Radiology Services PaRadiologist3034 NW 66TH BLVD, Jennings, FL 32053-4246$224,028
Revenue and Support

Revenue Composition

Contributions and Grants
$2,709,103
Program Service Revenue
$12,505,531
Investment Income
$82,831
Other Revenue
$685,930
All Other Contributions
$41,085
Change in Net Assets
$-375,785

Audited Revenue Reconciliation

Revenue per Audited Statements
$15,983,395
Total Revenue per Audited Statements
$15,983,395
Total Revenue per Form 990
$15,983,395
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$8,418,679
Salaries, Compensation, and Employee Benefits$7,940,501
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,138,861$1,257,559-$6,396,420
Fees for Services Other$2,296,040$81,808-$2,377,848
Depreciation Depletion$1,638,751$455,499-$2,094,250
Interest$827,624--$827,624
Office Expenses$550,081$104,880-$654,961
Current Officers, Directors, Trustees, and Key Employees-$552,675-$552,675
Payroll Taxes$467,784$38,914-$506,698
Other Employee Benefits$429,985$35,770-$465,755
Occupancy$360,567$100,222-$460,789
Fees for Services Accounting-$114,868-$114,868
Insurance$14,945$66,433-$81,378
Fees for Services Legal-$57,766-$57,766
Other Expenses$21,589$32,403-$53,992
Travel$23,794$1,577-$25,371
All Other Expenses$2,630$20,133-$22,763
Advertising$17,472$1,858-$19,330
Pension Plan Contributions$17,497$1,456-$18,953
Information Technology$12,012--$12,012
Conferences and Meetings$2,418$1,820-$4,238
Total Functional Expenses$13,283,506$3,075,674$0$16,359,180

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$16,359,180
Total Expenses per Audited Statements$16,359,180
Total Expenses per Form 990$16,359,180
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Third Party Settlements$597,047
Due to Madison County$178,205

Bond Issues

BondIssuerIssuedIssue PricePurpose
AMadison County Health and Hospital2014-10-30$22,543,400Payoff series 2012 notes payable that were used for new hospital construction.

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$22,543,400$22,543,400$2,465,923-

Bond Financing Compliance

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

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
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
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 7A

Members of the madison county health and hospital board (district), a statutory special district organized under section 2003-333 of the laws of florida for the purpose of providing public health care services, serve as directors of the filing organization. The district has a seven-member governing board that is appointed by the governor of the state of florida.

Form 990, Page 6, Part VI, Line 7B

As the madison county health and hospital board (district), the taxing authority, share the same board members as the filing organization, all actions and decisions are subject to the approval of the district board.

Form 990, Page 6, Part VI, Line 11B

The form 990 is reviewed by the hospital's cfo before it is filed with the internal revenue service. A copy of the form 990 will be available to be reviewed by the board members.

Form 990, Page 6, Part VI, Line 12C

The performance improvement director of mcmh, debbie thomas, serves as the corporate compliance officer. The conflict of interest policy is part of the madison county hospital health systems, inc.s code of conduct. The conflict policy includes all employees, hospital board members, and volunteers. All employees, board members, and volunteers must inform administration about all possible conflicts of interest. If any conflict of interest possibly exists in the organization, the corporate compliance officer will make senior management and the corporate compliance board aware immediately. The determination of a conflict is reviewed by hospital senior management (and further discussed at the quarterly corporate compliance meeting if needed for further determination). After a determination is made of a conflicts existence, senior management takes whatever action necessary to solve the problem including disciplinary action and/or termination. The administration/senior management determination process will not include any hospital member who is part of the conflict. All conflict information will be delivered to and shared with the corporate compliance team at the quarterly corporate compliance meeting. Board directors abide by a conflict of interest policy, the terms of which are set forth in the bylaws. Board members are prohibited from voting in an official capacity on any measures which would inure to private gain or loss, whether direct or indirect.

Form 990, Page 6, Part VI, Line 15A

Compensation is determined by the board of directors who use an industry average guide as a reference to determine equitable compensation. Minutes of the board meetings, including those in which compensation is discussed are kept on a regular basis. This compensation determination was last performed in july 2021.

Form 990, Page 6, Part VI, Line 19

The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Madison County Hospital Health
EIN
59-2319288
Phone
8509732271
Address
224 NW CRANE AVENUE, MADISON, FL 32340-1400
Doing Business As
Madison County Memorial Hospital

Signing Officer

Name
Patrick Mcgee
Title
CFO
Phone
8509732271
Signed
2025-07-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tammy Stevens
Formed
1938
Legal Domicile
Fl
Voting Board Members
5
Independent Board Members
5
Employees
194
Volunteers
3

Preparer

Firm
Draffin & Tucker Llp
Address
PO BOX 71309, ALBANY, GA 31708-1309
Preparer
William Edward Phillips
Phone
2298837878
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Contract labor 1,210,703 17,939 0 professional fees 1,085,337 63,869 0 total 2,296,040 81,808 0

Financial Statement Notes

Schedule D, Page 2, Part V, Line 4

These funds are held by madison county and represent the surtax collected for the purpose of payment of hospital revenue bond principal and interest.

Schedule D, Page 3, Part X

The district is a governmental entity and is exempt from income taxes. Accordingly, no provision for income taxes has been considered in the accompanying financial statements. The hospital is a not-for-profit organization exempt from income taxes, except on unrelated business income, under internal revenue code section 501(c)(3). The hospital applies accounting policies that prescribe when to recognize and how to measure the financial statement effects of income tax positions taken or expected to be taken on its income tax returns. These rules require management to evaluate the likelihood that, upon examination by the relevant taxing jurisdictions, those income tax positions would be sustained. Based on that evaluation, the hospital only recognizes the maximum benefit of each income tax position that is more than 50% likely of being sustained. To the extent that all or a portion of the benefits of an income tax position are not recognized, a liability would be recognized for the unrecognized benefits, along with any interest and penalties that would result from disallowance of the position. Should any such penalties and interest be incurred, they would be recognized as operating expenses. Based on the results of management's evaluation, no liability is recognized in the accompanying balance sheet for unrecognized income tax positions. Further, no interest or penalties have been accrued or charged to expense as of september 30, 2024 and 2023 or for the years then ended. The hospital's tax returns are subject to possible examination by the taxing authorities. For federal income tax purposes, the tax returns essentially remain open for possible examination for a period of three years after the respective filing deadlines of those returns.

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