North Dakota · Nonprofit
Nelson County Health System-Hospital
Nelson County Health System-Hospital (North Dakota) receives grants from 7 organizations whose IRS filings report $321,563 to it, the largest being THE LEONA M AND HARRY B HELMSLEY CHARITABLE TRUST ($153,546). 2 of them have funded it in more than one year.
- Revenue FY2025
- $4.5M
- Funders on record
- 7
- Grants received
- $322k
- Net assets
- $3.8M
What Nelson County Health System-Hospital does
Mission
The mission of Nelson County Health System is to enhance the health status and quality of life for people and communities served.
As stated on its FY2025 Form 990.
Program
Nelson County Health System is a critical access hospital and clinic located in Nelson County, ND, for Acute, Observation, Emergency Room, Swing Bed, and Clinic services. The hospital provides needed medical care to the community regardless of an individual's ability to pay. There were 113 inpatient and 476 swing bed days of care. There were 413 observation hours, 421 ER visits and 2,423 clinic visits.
$3,739,065 spent$4,109,358 earned by the program100% of program spending
The program described on its FY2024 Form 990. Program spending in total: $3,739,065.
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 $2.0M to $6.4M (+219%).
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: 2018 1% · 2019 1% · 2020 9% · 2021 54% · 2022 13% · 2024 3% · 2025 1%. Grants only. Government contracts and fees sit inside program revenue.
8% of Nelson County Health System-Hospital’s revenue is contributions — about as donation-reliant as the typical peer (51% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 5 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.
The chief executive listed changed between the FY2020 and FY2021 filings.
Who funds it, year by year
2019 → 2023: the base broadened from 1 funder to 2 funders, grant income rose $12k → $20k.
2 of 7 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 8% 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 Nelson County Health System-Hospital’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
Nelson County Health System-Hospital leans on a few funders — its largest provides 48% of grant income and the top three 81%; half comes from just 2 funders.
the vertical line marks half of all grant income — 2 funders to its left
26% 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 Nelson County Health System-Hospital.
Largest funder’s share by year: 2019 100% · 2020 71% · 2021 82% · 2022 99% · 2023 99% — 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
Nelson County Health System-Hospital draws 84% 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. $25k arriving through sponsors registered in 2 states 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
Nelson County Health System-Hospital's funding base is broadening — from 1 funders to 2 as grant income climbed.
this organization peer median middle 50% of peers· 5,002 health nonprofits $1M–$10M, FY2025
Government funding Nelson County Health System-Hospital receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $99k on record.
- Department of Health and Human Services$99k
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like Nelson County Health System-Hospital
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
76% of spending goes to programs.
Governance
Screen this organization
A dated, signed PDF of the compliance screen for Nelson County Health System-Hospital: 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 Nelson County Health System-Hospital?
- Nelson County Health System-Hospital (North Dakota) receives grants from 7 organizations whose IRS filings report $321,563 to it, the largest being THE LEONA M AND HARRY B HELMSLEY CHARITABLE TRUST ($153,546). 2 of them have funded it in more than one year.
- How many funders does Nelson County Health System-Hospital have?
- IRS filings report 7 organizations giving $321,563 in grants to Nelson County Health System-Hospital, 2 of which have funded it in more than one year.
- Who is the largest funder of Nelson County Health System-Hospital?
- THE LEONA M AND HARRY B HELMSLEY CHARITABLE TRUST is the largest funder on record, with $153,546 in grants. The full list of funders is on this page.
- How can an organization like Nelson County Health System-Hospital 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 Nelson County Health System-Hospital →
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 7 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 22, 2026. What this page cannot tell you · view filing