About Us

Madison County Memorial Hospital – Winterset, Iowa

The citizens of Madison County came together and took health care to the “next level” when Madison County Memorial Hospital came into existence in 1949. Prior to that time the hospital was located in what was more-or-less a converted private home. That changed when a new hospital was built thanks to a major fundraising effort by the people of MadisonCounty.

As is usually the case, a facility that was built to meet specific needs in 1949 needed to be renovated to keep up with changes in medicine. Such was the case for our hospital. By 2010, the facility had gone through many additions and renovations, however, half of the patient rooms were still housed in the 1949 structure. The other half of the patient rooms were located in an addition dating from the mid-1970s.

Following the loss of local practicing physicians and the closing of a medical clinic in Winterset in the early 1990’s, Madison County Memorial Hospital faced a difficult situation. The absence of physicians resulted in a serious decline in revenue from patient services which threatened the future of the hospital. To address this challenge, hospital administration proposed that the hospital recruit physicians by establishing a clinic for them. With board approval, the Madison County Health Trust was established and fundraising for the project began. Construction began in spring of 1992 and the Health Trust Physicians Clinic was opened in 1993.

In 2009, the hospital was faced with making a very big decision. It was essential that investments be made to update the heating, ventilating and air conditioning in the facility and thought was given to taking that opportunity to renovate the patient rooms at the same time. However, an astute Board of Trustees determined that it would be financially more feasible to expand the hospital and create a new Medical Surgical wing to house patients, as opposed to renovating existing rooms. This would also allow for repurposing the former patient rooms to meet increased needs in Chronic Disease Management and Therapies and provide for better space for other hospital functions.

In early December 2010, ground-breaking was held and work began to add not only an approximately 17,900 square foot wing that would provide 25 private rooms each with bath, but, to add an additional 3,400 square feet to the Health Trust Physicians Clinic and renovate approximately 15,600 square feet of existing space to better meet the health care needs of those served by the Madison County Health Care System.

Fifty-one weeks following groundbreaking, the new Medical/Surgical wing was dedicated in early December 2011. The price tag for the renovation and new construction was about $14.7 million, which was funded through tax-exempt revenue bonds and taxable recovery bonds which are funded through patient revenue.

Additionally, we have seen tremendous advancements in our imaging services and in our general operation. We installed Digital Mammography, upgraded to a 40-Slice CAT Scan, and implemented Computerized Order Entry and Electronic Medical Records.

We have also upgraded and totally renovated the surgical department (including recovery rooms and the waiting room), medical records department, and created a new visiting specialist department consisting of exam rooms, offices and a waiting room. In the fall of 2016 we added Senior Life Solutions, a stand-alone department located in the Chesnut building dedicated to addressing the emotional and behavioral health of adults over the age of 65. Also located in the Chesnut building is the office of HCI, Hospice Care Services which stepped in with the closure of Middle River Hospice in 2014.

Madison County Health Care System consists of Madison County Memorial Hospital, The Earlham Medical Clinic, and the Health Trust Physicians. Through the two clinics there are six physicians and six mid-level providers meeting the health care needs of area residents. In addition to Family Practice Medicine, the specialties of Emergency Medicine, Internal Medicine and Pediatrics are represented. We are served by almost twenty visiting specialists representing the fields of: audiology, cardiology, ears, nose and throat, general surgery, neurology, obstetrics and gynecology, oncology, orthopedics, pain management, plastic surgery, podiatry, urology, and vascular surgery.

In 2011, Madison County Health Care System was named one of the Top Places to Work by The Des Moines Register. We were named the second place recipient in the medium size category. Special awards were given to standout scores for employee responses in the specific survey areas and Madison County Health Care System was named the recipient of the overall “Managers Award.”

Awards were also received in 2015 from the National Rural Health Association as one of the top 20 Critical Access Hospitals in the nation based on patient satisfaction and in 2016 from iVantage Health Analytics and the National Organization of State Office of Rural health as being in the top quartile of Critical Access Hospitals in the country for financial strength.

Madison County Health Care System has a commitment to meeting the health care needs of the residents of the area, and our team has pledged to follow our vision of “delivering compassionate health care with excellence.”

Our Mission

Delivering compassionate health care with excellence.

Our Vision

Partnering with others to foster opportunities to preserve and improve community health.