Madison Community Hospital Case Study

Great River Health System (GRHS) and Fort Madison Community Hospital (FMCH) have entered into an agreement to evaluate a merger of the two health care facilities.

The due diligence phase, which helps determine viability of a merger, is expected to last three to six months.

A merger would help ensure continuation of high-quality primary and specialty care in southeast Iowa by a locally owned health system. Great River Health System is based in West Burlington, and FMCH is in Fort Madison.

“This will be two historically competitive organizations exploring the idea of creating an alliance – the greatest opportunity our communities have ever had in solidifying a foundation upon which all of our patients can receive comprehensive, coordinated care long into the future,” said FMCH President and CEO Jeremy Alexander. “It would also create an environment friendly to new and exciting specialties.”

The agreement was a decision by the boards of directors at both organizations. The evaluation begins as 20-year Great River Health System President and CEO Mark Richardson retires and new executive Matt Wenzel assumes leadership Tuesday, January 2nd.

“To remain financially strong in health care today, hospitals and health systems must work together to continue providing quality care while facing reduced reimbursements,” Richardson said. “Partnering with FMCH would, foremost, benefit patients and improve the stability of our organizations.”

The flagship of West Tennessee Healthcare is a 642-bed tertiary care center. (Map of Medical Center) The only tertiary care hospital between Memphis and Nashville, the hospital serves a 17-county area of rural West Tennessee. Approximately 400,000 persons reside within the service area. Within General Hospital, there exists six 'centers of excellence': the West Tennessee Heart and Vascular Center, Kirkland Cancer Center, West Tennessee Women's Center, West Tennessee Rehabilitation Center, West Tennessee Neuroscience and Spine Center, and Emergency Services. Each center has an historic reputation of 'high-tech, high-touch' skills.

General Hospital, like all affiliates within West Tennessee Healthcare, is a not-for-profit organization. Totally self-supporting, without need for local tax support, all revenues generated provide for overhead costs including employee expense, debt service, purchase of technology, renovation, expansion, creation of new services, and, most importantly, maintaining the low-cost structure for which General Hospital is well known. Opening August 11, 1950 as a 123-bed community hospital to serve Jackson-Madison County's Hospital needs, the facility has become one of Tennessee's most respected healthcare sites.

Approximately 5,000 employees make up West Tennessee Healthcare, the majority of whom staff Jackson-Madison County General Hospital.

General Hospital offers the only open heart surgery program in rural West Tennessee. Our cardiothoracic surgeons have performed tens of thousands of procedures. Patients in rural West Tennessee do not need to travel to bigger cities for their cardiovascular care. 

Robotic microsurgery is also available at General Hospital. Surgical Services is proud to host two daVinci robotic units. Many local surgeons use this high-technology tool to perform hysterectomies and prostatectomies as well as hernia repair, plus colon, urology, and cardiovascular procedures.

It is now convenient to pay your hospital bill online. Click here to find out more about paying your bill online.

If you are a Medicare beneficiary and disagree with a coverage decision or feel you have been discharged too soon, you have a right to appeal by notifying your Quality Improvement Organization (QIO). Call 1-800-633-4227 for information about asking your QIO for a second opinion.

Fully accredited by The Joint Commission, at Jackson-Madison County General Hospital, the safety of our patients and visitors is top priority. That is why we work diligently every day to meet the Joint Commission's standards for organizational quality, patient safety, and the safety of the environment in which care is provided. Currently, Jackson-Madison County General Hospital is fully accredited by The Joint Commission. If you have concerns about patient safety or quality of care that cannot be resolved through hospital management, you may contact The Joint Commission.

  • Mail: Office of Quality Monitoring, The Joint Commission, One Renaissance Boulevard, Oakbrook Terrace, IL 60181
  • Phone: 1-800-994-6610
  • Email:

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