South Dakota · Nonprofit
MARSHALL COUNTY HEALTHCARE CENTER
MARSHALL COUNTY HEALTHCARE CENTER (South Dakota) receives grants from 3 organizations whose IRS filings report $59,118 to it, the largest being Avera Health ($33,495). 0 of them have funded it in more than one year.
- Revenue FY2025
- $13M
- Funders on record
- 3
- Grants received
- $59k
- Net assets
- $17M
What Marshall County Healthcare Center does
Mission
The mission of Marshall County Healthcare Center is to oversee that the full continuum of quality healthcare services is made available to the people in its region.
As stated on its FY2025 Form 990.
Program
Marshall County Healthcare Center operates a 20 bed acute care hospital, a 25 unit assisted & independent living facility, and a provider based rural health clinic located in britton, sd. Health care services include acute inpatient care, swing bed care and outpatient & clinic services. For year ended june 30, 2025, the amounts and types of care provided were: 445 acute patient days; 346 swing bed days; 5,427 clinic visits; and 4,160 assisted & independent living days.mchc provides healthcare services to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since mchc does not pursue collection of these amounts, they are not reported as patient service revenue.the estimated cost of providing these services was $20,000 for the year ended june 30, 2025, calculated by multiplying the ratio of cost to gross charges for mchc by the gross uncompensated charges associated with providing charity care to its patients.
$10,956,043 spentof which $4,611 as grants$13,005,055 earned by the program100% of program spending
The program described on its FY2024 Form 990. Program spending in total: $10,956,043.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2019 to 2020, from $12M to $16M (+34%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2017 0% · 2018 0% · 2019 0% · 2020 2% · 2021 30% · 2022 3% · 2023 0% · 2024 2% · 2025 0%. Grants only. Government contracts and fees sit inside program revenue.
0% of MARSHALL COUNTY HEALTHCARE CENTER’s revenue is contributions — more earned-revenue than three-quarters of its peers (7% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 0 of the last 9 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Chief executive
Nick Fosness
CEO
As listed on its FY2025 Form 990.
Who funds it, year by year
2017 → 2020: the base held at 1 funder, grant income rose $11k → $15k.
1 of 3 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 19% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.
From the IRS filings of MARSHALL COUNTY HEALTHCARE CENTER’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
MARSHALL COUNTY HEALTHCARE CENTER leans on a few funders — its largest provides 57% of grant income and the top three 100%; half comes from just 1 funder.
the vertical line marks half of all grant income — 1 funder to its left
100% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund MARSHALL COUNTY HEALTHCARE CENTER.
Largest funder’s share by year: 2017 100% · 2018 100% · 2020 100% — broadly stable.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Where its funders are
100% of MARSHALL COUNTY HEALTHCARE CENTER's grant income comes from South Dakota funders.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $11k arriving through sponsors registered in 1 state is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
MARSHALL COUNTY HEALTHCARE CENTER has grown faster than half of the 2,843 health nonprofits its size.
this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025
Organizations like MARSHALL COUNTY HEALTHCARE CENTER
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In South Dakota
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
84% of spending goes to programs.
Governance
Screen this organization
A dated, signed PDF of the compliance screen for MARSHALL COUNTY HEALTHCARE CENTER: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds MARSHALL COUNTY HEALTHCARE CENTER?
- MARSHALL COUNTY HEALTHCARE CENTER (South Dakota) receives grants from 3 organizations whose IRS filings report $59,118 to it, the largest being Avera Health ($33,495). 0 of them have funded it in more than one year.
- How many funders does MARSHALL COUNTY HEALTHCARE CENTER have?
- IRS filings report 3 organizations giving $59,118 in grants to MARSHALL COUNTY HEALTHCARE CENTER.
- Who is the largest funder of MARSHALL COUNTY HEALTHCARE CENTER?
- Avera Health is the largest funder on record, with $33,495 in grants. The full list of funders is on this page.
- How can an organization like MARSHALL COUNTY HEALTHCARE CENTER find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in South Dakota. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 3 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing