Velarion Records

Critical access hospital · Madison, South Dakota · 22 beds · CMS certification number 431300

Madison Community Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 16, 2025. 23 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$34.8M
$34,845,432 · G-3 line 3
Operating expenses
$37.1M
$37,067,378 · G-3 line 4
Result from patient care
−$2.2M
−$2,221,946 · G-3 line 5
Margin on patient care
−6.4%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $7.5M in its first year on file (2003) to $34.8M in 2025.
  • Its result from patient care: −$553K (2023), $346K (2024), −$2.2M (2025).
  • 3 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 4.3% of its inpatient days and Medicare for 71.1%.

Every statement is drawn from figures on this page; nothing is estimated.

23 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
2003
settled
$7.5M
$4.9M
2004
settled
$8.3M
$8.4M
2005
settled
$9.4M
$9.1M
2006
settled
$10.0M
$9.8M
2007
reopened
$10.4M
$10.1M
2008
reopened
$11.0M
$11.1M
2009
reopened
$12.2M
$11.6M
2010
reopened
$11.7M
$12.0M
2011
settled
$12.3M
$12.4M
2012
as submitted
$13.8M
$13.0M
2013
settled
$14.6M
$13.8M
2014
settled
$14.5M
$14.1M
2015
settled
$18.7M
$17.6M
2016
settled
$21.9M
$22.8M
2017
settled with audit
$25.0M
$25.5M
2018
settled
$26.4M
$26.8M
2019
settled
$27.5M
$28.0M
2020
settled
$28.8M
$31.0M
2021
settled
$29.4M
$29.4M
2022
settled
$31.9M
$32.4M
2023
as submitted
$33.8M
$34.3M
2024
as submitted
$34.6M
$34.2M
2025
as submitted
$34.8M
$37.1M

Beside its peers

Critical access hospitals in South Dakota with under 25 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Madison Community Hospital22$34,845,432$37,067,378−6.4%
Avera Dells Area Hospital, Dell Rapids23$14,502,855$13,668,0645.8%
Avera Flandreau Hospital, Flandreau18$10,000,918$9,954,3870.5%
Landmann-Jungman Memorial Hospital, Scotland20$5,894,433$7,709,238−30.8%
Marhsall County Healthcare Center, Britton20$11,746,730$13,021,700−10.8%
Hans P Peterson Memorial Hospital, Philip18$17,932,427$19,730,648−10.0%

Patients and payers

Discharges
413
S-3 line 14, col 15
Inpatient days
3,096
S-3 line 14, col 8
Beds in use, on an average day
8.5
days ÷ days in year
Occupancy
38.6%
days ÷ bed days
Medicare share of days
71.1%
S-3 cols 6 ÷ 8
Medicaid share of days
4.3%
S-3 cols 7 ÷ 8

Who owns it

Indirect owner: TERESA MALLETT

Type of control on its cost report: voluntary nonprofit, other.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by MADISON COMMUNITY HOSPITAL (employer identification number 460228038) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$2,882,824IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$203,000IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$86,973IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$289,973IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$2,592,851IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.084IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202410889349300236. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by MADISON COMMUNITY HOSPITAL (employer identification number 460228038) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
BENJAMIN LISCANOMD OF FAMILY MEDICINEHighest-compensated employee$453,253$0$38,199
BETTY VANDERWERFFTREASURERTrustee/director, Officer$0$0$0
BRADY WIEBETRUSTEETrustee/director$0$0$0
DAN BROWNTRUSTEETrustee/director$0$0$0
DAN TALLEYTRUSTEETrustee/director$0$0$0
JEFF MINNAERTTRUSTEE FROM 09/2022Trustee/director$0$0$0
JUSTIN CLEMMD OF FAMILY MEDICINEHighest-compensated employee$382,361$0$39,773
LAURA HOEFERTMD OF FAMILY MEDICINEHighest-compensated employee$412,885$0$22,722
LAURA JOHNSONTRUSTEETrustee/director$0$0$0
LOIS NIEDERTSECRETARYTrustee/director, Officer$0$0$0
MITCHELL POPPENSPHYSICIAN ASSISTANTHighest-compensated employee$400,882$0$30,974
ROBERT SUMMERERSURGEONHighest-compensated employee$582,231$0$31,458
ROBERT VAN LIEREPRESIDENTTrustee/director, Officer$0$0$0
ROBIN SCHWEBACHVICE PRESIDENTTrustee/director, Officer$0$0$0
RYAN KAPPENMANTRUSTEETrustee/director$0$0$0
SANDY SCHWADERTRUSTEETrustee/director$0$0$0
TAMARA MILLERCEOOfficer$349,243$0$29,380
TERESA MALLETTCFOOfficer$173,967$0$23,825

E-file object id 202410889349300236. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 431300. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 16, 2025.