North Dakota · Nonprofit
McKenzie County Healthcare Systems Inc
McKenzie County Healthcare Systems Inc (North Dakota) receives grants from 9 organizations whose IRS filings report $2,141,533 to it, the largest being THE LEONA M AND HARRY B HELMSLEY CHARITABLE TRUST ($803,545). 5 of them have funded it in more than one year.
- Revenue FY2024
- $65M
- Funders on record
- 9
- Grants received
- $2.1M
- Net assets
- $42M
What McKenzie County Healthcare Systems Inc does
Mission
Mckenzie County Healthcare Systems is a faith-based organization dedicated to professional, compassionate and quality healthcare.
As stated on its FY2024 Form 990.
Programs
McKenzie County Healthcare Systems provides 24 hour x 7 days a week services. MCHS provided in-patient, observation, and swing bed services and obstetrics - hospital - total inpatient/observation days -1,213. Total swing bed days -1,046. MCHS offers various other services. They offer Ortho, Gen Surgery, Urol and ENT. Total Surgeries - 1015.The emergency room is open 24 hours a day, 7 days a week. Total Emergency Room visits - 5,673. The laboratory is located within the Hospital facility. Birthday lab screenings are available to the community at the hospital at a reduced rate. Total lab procedures - 64,202; Total births 99; Total clinic visits -19,775.
$34,858,381 spent$38,632,518 earned by the program74% of program spendingThe McKenzie County Healthcare System (MCHS) Good Shepherd Home (GSH) is a 47 bed skilled nursing home with an attached 9-bed basic care unit. The GSH offers Day Care and/or Respite Care for those caring for a loved one in their home. A Dementia Support Group is offered to families. They maintain regular Resident Family Council Meetings. Along with qualified nursing care and staff, social services, physical therapy, occupational therapy, restoration nursing, laundry, housekeeping, beautician services, and activity programs are offered (beautician and activities held when COVID conditions allow). Visitors are welcome when COVID conditions allow; regular electronic "visits" are arranged otherwise. Pastoral care and chapel are offered 7 days a week. Activities include birthday parties, musical groups, baking, and bus trips. The Skilled Nursing total percent of occupancy has been 85%.
$3,344,868 spent$5,393,619 earned by the program7% of program spendingThe MCHS Clinic (Rural Health Clinic) maintains the same mission as the Hospital. It provides care Monday through Friday. The RHC recently started conducting Telehealth visits as rendering providers due to COVID. A full-time contracted locum physician group provide Emergency Room Coverage at the hospital 24 hours a day x 7 days a week as well as 7 day a week Urgent Care coverage from 8am to 8pm utilizing mid-level providers. An RHC provider offered regular visits to the Good Shepherd Home. Both the Value Based Program involvement as well as our Visiting Nurse Program have been a great asset to the clinic, providing care to homebound patients within our community. After the onset of the COVID-19 pandemic the RHC developed point-of-care services and rapid testing for the community.
$8,778,102 spent$6,867,986 earned by the program19% of program spendingHorizon Assisted Living provides assisted and independent living services. It consists of 15 apartments that provide a 24 hour call system to health care personnel. The staff is dedicated to helping seniors live at their highest level of independence and ability. Its percent of occupancy is currently at 95.6%.
$343,635 spent$455,901 earned by the program1% of program spending
The 4 programs described on its FY2023 Form 990, listed largest first by expense. Program spending in total: $47,324,986.
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.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2017 to 2018, from $68M to $112M (+66%).
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 9% · 2018 23% · 2019 5% · 2020 8% · 2021 18% · 2022 4% · 2023 19% · 2024 16%. Grants only. Government contracts and fees sit inside program revenue.
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 4 of the last 8 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
Peter Edis
CEO
Board chair
Gary Brown
Chair
As listed on its FY2024 Form 990.
Who funds it, year by year
2017 → 2023: the base broadened from 1 funder to 3 funders, grant income rose $100k → $189k.
1 of 9 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 6% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.
Left out of every figure on this page: $22M from one payer (the payer shares this organization's board, largest Benefit Fund of McKenzie County Healthcare Systems). These are real filings, and they are not money McKenzie County Healthcare Systems Inc raised.
From the IRS filings of McKenzie County Healthcare Systems Inc’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
McKenzie County Healthcare Systems Inc leans on a few funders — its largest provides 38% of grant income and the top three 84%; half comes from just 2 funders.
the vertical line marks half of all grant income — 2 funders to its left
59% 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 McKenzie County Healthcare Systems Inc.
Largest funder’s share by year: 2017 100% · 2018 85% · 2019 95% · 2020 49% · 2021 53% · 2022 93% · 2023 53% — diversifying over time.
“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.
How long its funders stay
33% of McKenzie County Healthcare Systems Inc's funders are still giving 3 years after their first grant; 56% give in more than one year at all.
Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.
Where its funders are
McKenzie County Healthcare Systems Inc draws 82% of its grant income from funders outside North Dakota, across 5 states in all.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $119k 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.
Organizations like McKenzie County Healthcare Systems Inc
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 North Dakota
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
82% of spending goes to programs.
Governance
Footprint & structure
Part of a family of 2 related entities
- Benefit Fund of McKenzie County Healthcare Systems · exempt
- McKenzie County Healthcare Systems Properties · corp_trust
Screen this organization
A dated, signed PDF of the compliance screen for McKenzie County Healthcare Systems Inc: 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 McKenzie County Healthcare Systems Inc?
- McKenzie County Healthcare Systems Inc (North Dakota) receives grants from 9 organizations whose IRS filings report $2,141,533 to it, the largest being THE LEONA M AND HARRY B HELMSLEY CHARITABLE TRUST ($803,545). 5 of them have funded it in more than one year.
- How many funders does McKenzie County Healthcare Systems Inc have?
- IRS filings report 9 organizations giving $2,141,533 in grants to McKenzie County Healthcare Systems Inc, 5 of which have funded it in more than one year.
- Who is the largest funder of McKenzie County Healthcare Systems Inc?
- THE LEONA M AND HARRY B HELMSLEY CHARITABLE TRUST is the largest funder on record, with $803,545 in grants. The full list of funders is on this page.
- How can an organization like McKenzie County Healthcare Systems Inc find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in North Dakota. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
Play a game about who funds McKenzie County Healthcare Systems →
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2024 (financials across 2017–2024), and the filings of 9 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