Mr. Madsen serves as president of Carilion Rockbridge Community Hospital, a 25-bed critical access hospital, with regional responsibility for care delivery across several counties. In January 2026, he helped open a new Carilion Children’s pediatric practice in downtown Lexington after identifying a need for more pediatric services in the area. Mr. Madsen also oversaw the hospital’s implementation of Ceribell, a brain monitoring system that detects nonconvulsive seizures and reduces unnecessary transfers. He recruited a new neurologist and general surgeon, with the hospital now hosting 15 rotating surgeons across specialties. Under his leadership, the hospital earned “ENERGY STAR” certification from the U.S. Environmental Protection Agency for the third time. In the last five years, Mr. Madsen has overseen renovations to the hospital’s operating rooms, pharmacy space, labs and staff work areas, along with an expansion that added 13,700 square feet. He serves on the boards of the Alleghany Highlands Economic Development Corporation and the Community Foundation of Rockbridge, and is a past board chair of the Alleghany Highlands Chamber of Commerce and Tourism. Before joining Carilion in 2016, Mr. Madsen was CEO of Spotsylvania Regional Medical Center in Fredericksburg, Va. and Lewis Gale Hospital Alleghany in Low Moor, Va., bringing more than 20 years of healthcare management experience.
