Madison County Health Care System

Madison County Health Care System provides a continuum of care to residents living in and around Madison County Iowa. Providers include Madison County Memorial Hospital, Earlham Medical Clinic, and the Health Trust Physicians Clinic.

Madison County Memorial Hospital, a 25 bed Critical Access Hospital, located in Winterset, Iowa, has provided excellent health care for more than 60 years. Since its founding, MCMH has constantly evolved and expanded both its services and its facility to meet the needs of area residents and their families. Recently, the hospital has conducted major renovations, including a new 25 bed medical surgical wing with private rooms and baths, new surgical suites, an renovated health therapy and rehabilitation department and expanded both the Health Trust Physicians Clinic and the emergency department. Investments have also been made in upgrading imaging to include a 40 slice CT scan and Digital Mammography. Considerable funds have also been invested in upgrading the physical plant as well as making the necessary investments in information technology to remain current.

MCHCS employs approximately 150 full and part time employees and is one of the larger employers in Madison County.


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.