Critical access hospital · Madisonville, Texas · 15 beds · CMS certification number 451316
CHI St. Joseph Health Madison Hosptial
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 15, 2025. 25 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $7.0M in its first year on file (2001) to $15.4M in 2025.
- Its result from patient care: $941K (2023), $1.5M (2024), $1.3M (2025).
- 2 of the 5 critical access hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
- COMMONSPIRIT HEALTH holds 100% of it, on its Medicare enrollment.
Every statement is drawn from figures on this page; nothing is estimated.
25 years of filings
Net patient revenue against operating expenses, each year as filed.
reopened
reopened
reopened
reopened
reopened
reopened
settled
settled with audit
reopened
reopened
reopened
settled
settled
settled
settled
settled
reopened
settled
settled
settled
settled
settled
settled
settled
as submitted
Beside its peers
Critical access hospitals in Texas with under 25 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| CHI St. Joseph Health Madison Hosptial | 15 | $15,385,380 | $14,098,048 | 8.4% |
| Ballinger Memorial Hospital, Ballinger | 16 | $33,196,645 | $30,293,984 | 8.7% |
| CHI St. Joseph Health Burleson Hospital, Caldwell | 15 | $15,214,483 | $14,336,445 | 5.8% |
| Concho County Hospital, Eden | 16 | $6,316,910 | $9,061,639 | −43.5% |
| Kimble Hospital, Junction | 15 | $8,420,117 | $9,986,725 | −18.6% |
| Sweeny Community Hospital, Sweeny | 16 | $16,952,906 | $24,141,367 | −42.4% |
Patients and payers
- Discharges
- 5S-3 line 14, col 15
- Inpatient days
- 2,399S-3 line 14, col 8
- Beds in use, on an average day
- 6.6days ÷ days in year
- Occupancy
- 43.8%days ÷ bed days
- Medicare share of days
- 46.5%S-3 cols 6 ÷ 8
Who owns it
- COMMONSPIRIT HEALTH100%
- ST LUKES HEALTH CLINICAL OPERATIONS100%
- ST. LUKES HEALTH SYSTEM CORPORATION100%
Related organizations on its own cost report: ST. JOSEPH HEAL, home office; CSH, home office; CHI ST. LUKES H, home office.
Other hospitals with the same owner: Yavapai Regional Medical Center (AZ), St. Joseph's Hospital and Medical Center (AZ), Chandler Regional Medical Center (AZ), Mercy Gilbert Medical Center (AZ), Dignity Health Arizona General Hospital (AZ), Dignity Health Arizona General Hospital (AZ), CHI St. Vincent Infirmary (AR), CHI St. Vincent Hospital Hot Springs (AR), St. Vincent Medical Center North (AR), CHI St. Vincent Morrilton (AR).
Type of control on its cost report: voluntary nonprofit, church.
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 ST JOSEPH HEALTH CENTER (employer identification number 742761145) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $845,398 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $826,198 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $0 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $826,198 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $19,200 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0629 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202441359349312249. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by MADISON ST JOSEPH HEALTH CENTER (employer identification number 742761145) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| ADAM WATERS | HOUSE SUPERVISOR RN | Highest-compensated employee | $168,342 | $0 | $40,050 |
| BRAD BEERS | SECRETARY | Trustee/director, Officer | $0 | $0 | $0 |
| BRAD WHITE MD | BOARD MEMBER | Trustee/director | $0 | $1,123,306 | $55,915 |
| BROOKS BASS | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| DEMETRESS HARRELL | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| FLORENCIA LACANDOLA | RN | Highest-compensated employee | $58,291 | $143,221 | $24,435 |
| FRANK ASHLEY | CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| GARY WHITLOCK | VICE CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| INDIRA VISHNAMPET | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| JANE AINSWORTH | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| KEVIN WALTERS | MARKET VP FINANCE | Officer | $0 | $220,605 | $2,053 |
| KIA PARSI MD | FORMER INTERIM PRES/CEO, EX-OFFICIO TRUSTEE | Former | $0 | $535,981 | $51,481 |
| KIM SHAW | CEO | Trustee/director, Officer | $0 | $0 | $0 |
| KIMBERLY FEESE | MKT DIRECTOR PHARMACY | Highest-compensated employee | $723 | $202,685 | $47,017 |
| LAURA SURVANT | FORMER INTERIM VP OF FINANCE | Former | $0 | $206,859 | $23,226 |
| MARK REIFSTECK | INTERIM CEO (THRU 1/2023) | Trustee/director, Officer | $0 | $361,493 | $0 |
| RICARDO DIAZ | FORMER MARKET COO | Former | $0 | $365,993 | $50,824 |
| ROBERT UPCHURCH | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| SHELLEY WALKER | RN | Highest-compensated employee | $11,137 | $175,454 | $11,272 |
| SHERI POUNDS | DIRECTOR PATIENT CARE | Highest-compensated employee | $7,464 | $159,801 | $31,463 |
| T DOUGLAS LAWSON PHD | CEO CHI TEXAS DIV. / EX-OFFICIO TRUSTEE | Trustee/director, Officer | $0 | $2,252,440 | $209,833 |
| THERON PARK | FORMER MARKET PRESIDENT | Former | $0 | $1,068,631 | $13,834 |
E-file object id 202441359349312249. The IRS archive it was read from.
Follow this hospital, free
We send this record now and tell you when it files again.
More critical access hospitals in Texas
From the publisher of Velarion Records
Velarion Intel
Independent Decision-Grade Intelligence
Compensation and corporate governance intelligence for advisors, investors and companies. Executive and board pay for public companies, benchmarked against peers.
Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 451316. 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 15, 2025.