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Madison Area Care for the Homeless - Mach Onehealth

EIN 81-2102647 · Madison, WI

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthFair65 out of 100GovernanceStrong100 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

MADISON STREET MEDICINE IS ON A MISSION TO DEVELOP PROGRAMMING AND SERVICES TO FILL GAPS IN ACCESS TO HEALTHCARE AND HOUSING IN THE MADISON AREA. WE ENVISION A COMMUNITY WHERE INDIVIDUALS EXPERIENCING HOUSING INSECURITY HAVE EQUITABLE HOUSING AND HEALTHCARE.

Income
$1.9 million
Spending
$1.6 million
Spent on programs
86%
Reserves
1 months of spending
Largest source of income
government grants, 77%
Employees
24
Volunteers
85
Highest pay
$100,472, executive director & program coordinator

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Fair: 65 out of 100. Higher than 38% of charities in its peer group (health care, $1m to $10m).

  • Reserves

    10 of 35

    Spendable reserves would cover 1.0 months of spending.

  • Debt

    10 of 20

    It owes 37% of what it owns.

  • Living within its means

    15 of 15

    Income exceeded spending by 13% of income.

  • Income trend

    15 of 15

    Income rose 30% on the year before.

  • Spending floor

    15 of 15

    86% of spending went to programs and raising each dollar of donations cost 0 cents.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 100 out of 100. Higher than 67% of charities in its peer group (health care, $1m to $10m).

  • Independent board

    25 of 25

    5 of 6 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (3)
  1. $798,772 spent. CAMPGROUND (PLACE BASED CARE) - IN 2021, MSM WAS SELECTED TO MANAGE THE CITY OF MADISON'S FIRST CITY-SANCTIONED CAMPGROUND AT DAIRY DRIVE. THE CAMPGROUND OFFERS TEMPORARY LIVING SPACES TO PEOPLE WHO WOULD OTHERWISE BE UNSHELTERED AND WRAP-AROUND SERVICES ON SITE FOR UP TO 29 RESIDENTS AT A TIME. MSM CREATED THE PROGRAMMING SERVICES AND STARTED MOVING PEOPLE INTO THE CAMPGROUND IN NOVEMBER 2021. SINCE ITS INCEPTION, THE CAMPGROUND HAS SERVED 100 PEOPLE AND OVER 60% HAVE TRANSITIONED TO HOUSING.
  2. $400,107 spent. OUTREACH (STREET CARE) - MSM OUTREACH PROVIDES MEDICAL AND HOUSING SERVICES TO THE UNSHELTERED PEOPLE OF MADISON ON THE STREETS OF DOWNTOWN MADISON AND AT AREA ENCAMPMENTS AS THEY POP UP. WE MEET OUR CLIENTS WHERE THEY LIVE AND RESPOND TO THEIR HEALTH AND HOUSING NEEDS. STAFF AND VOLUNTEERS PROVIDE DIRECT MEDICAL CARE, SOCIAL SERVICES, AND CARE COORDINATION. THE PURPOSE OF OUR HEALTHCARE OUTREACH IS TO HELP OUR CLIENTS BETTER NAVIGATE THE HEALTHCARE SYSTEM, BUILD TRUST WITH THEIR PROVIDERS, DECREASE FEAR OF JUDGMENT OR MISTREATMENT AT CLINICAL APPOINTMENTS, INCREASE HEALTH LITERACY, AND PROMOTE ADHERENCE TO TREATMENT PLANS. THE PURPOSE OF OUR HOUSING OUTREACH IS TO ENSURE OUR CLIENTS INFORMATION IS ENTERED IN HUD'S HOMELESS MANAGEMENT INFORMATION SYSTEM SO THEY QUALIFY FOR HOUSING PROGRAMS, ASSIST IN HOUSING APPOINTMENTS, AND PROVIDE ANY RELATED SERVICES NEEDED TO GET OUR CLIENTS INTO HOUSING. IN 2024 MSM SERVED 96 UNDUPLICATED PEOPLE SLEEPING UNSHELTERED ON THE STREETS, IN VEHICLES AND OTHER PLACES NOT MEANT FOR HUMAN HABITATION.
  3. $207,227 spent. HEALTH CARE CLINICS (MAKESHIFT CLINICS) - MACH CLINICS (DBA MADISON STREET MEDICINE OR MSM) ARE MAKESHIFT MEDICAL CLINICS SET UP AT MADISON-AREA HOMELESS SHELTERS TO SERVE THE UNHOUSED PEOPLE OF MADISON. MSM OFFERS A VARIETY OF WEEKLY AND MONTHLY CLINICS AT THE BEACON DAY SHELTER AND THE MADISON MEN'S EMERGENCY SHELTER. WE WORK IN COLLABORATION WITH THE ORGANIZATIONS AND PROGRAMS THAT RUN THESE SITES TO BEST SUPPORT OUR CLIENTS. THE CLINIC SETTING ALLOWS US TO PROVIDE ACUTE MEDICAL CARE AND FOLLOW UP TO CLIENTS IN A PRIVATE ONE-ON-ONE SETTING.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated November 6, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending December 2024.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since September 2018.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated November 4, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.