Liabilities / Assets
41st percentile
Higher debt load relative to assets than 41% of similar nonprofits.
EIN 45-0119890 • 501(c)3 • Mcville, ND
Profile
The mission of nelson county health system is to enhance the health status and quality of life for peoples and communities served.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
41st percentile
Higher debt load relative to assets than 41% of similar nonprofits.
Liabilities / Revenue
43rd percentile
Higher debt load relative to revenue than 43% of similar nonprofits.
Net Margin
26th percentile
Higher net margin than 26% of similar nonprofits.
Top Officer Pay
40th percentile
Higher top officer pay than 40% of similar nonprofits.
Top officer pay equals 4.3% of source-year revenue.
Asset Growth
69th percentile
Faster asset growth than 69% of similar nonprofits.
Revenue Growth
49th percentile
Faster revenue growth than 49% of similar nonprofits.
Assets
Down$4,680,059
Down $1,239,267 (-21%) from 2022
Liabilities
Down$637,502
Down $88,148 (-12%) from 2022
Net Assets
Down$4,042,557
Down $1,151,119 (-22%) from 2022
Revenue
Down$4,118,473
Down $768,234 (-16%) from 2022
Expenses
Up$5,289,853
Up $1,043,129 (+25%) from 2022
Net Income
Down-$1,171,380
Down $1,811,363 (-283%) from 2022
Most recent year
2023 • Form 990Summary only. Only limited summary data is available for this year.
The latest 2023 filing currently has summary financial data only. Showing the latest detailed filing from 2020 below.
The mission of nelson county health system is to enhance the health status and quality of life for peoples and communities served.
Promotion of health care through the operation of a 19-bed hospital and clinic.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Savings and Temporary Cash Investments | $480,400 | $3,756,692 | ▲ $3,276,292 |
| Land, Buildings, and Equipment, Net | $422,366 | $1,050,476 | ▲ $628,110 |
| Accounts Receivable | $566,726 | $548,983 | ▼ $17,743 |
| Inventories for Sale or Use | $53,502 | $72,189 | ▲ $18,687 |
| Prepaid Expenses and Deferred Charges | $66,532 | $65,911 | ▼ $621 |
| Cash and Non-Interest-Bearing Accounts | $59 | $66 | ▲ $7 |
| Total Assets | $2,008,964 | $6,400,905 | ▲ $4,391,941 |
| Other Assets Total | $419,379 | $906,588 | ▲ $487,209 |
| Liabilities | |||
| Deferred Revenue | - | $2,714,714 | - |
| Unsecured Notes Loans Payable | - | $832,002 | - |
| Other Liabilities | $201,695 | $584,070 | ▲ $382,375 |
| Accounts Payable and Accrued Expenses | $110,748 | $175,920 | ▲ $65,172 |
| Mortgage Notes Payable Secured by Investment Property | $62,247 | $33,330 | ▼ $28,917 |
| Total Liabilities | $374,690 | $4,340,036 | ▲ $3,965,346 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $1,356,234 | $1,564,228 | ▲ $207,994 |
| Net Assets With Donor Restrictions | $278,040 | $496,641 | ▲ $218,601 |
| Total Net Assets Fund Balance | $1,634,274 | $2,060,869 | ▲ $426,595 |
| Total Liabilities and Net Assets / Fund Balance | $2,008,964 | $6,400,905 | ▲ $4,391,941 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $288,643 | $1,526,058 | $1,814,701 |
| Equipment | $71,271 | $620,687 | $691,958 |
| Other Land Buildings | $679,673 | - | $679,673 |
| Land | $10,889 | - | $10,889 |
| Other Assets Org | $400,042 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2019 | $12,585 | - | ▼ $687 | - | $11,898 |
| 2018 | $11,872 | - | ▲ $713 | - | $12,585 |
| 2017 | $11,529 | - | ▲ $890 | - | $11,872 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Steve Forde | CFO/CEO | FT | $107,749 | $9,372 | $117,121 |
| Darlene Kelly | Nurse Practitioner | FT | $104,969 | $9,446 | $114,415 |
| Name | Title |
|---|---|
| Judy Twete | President(7.1-11.30.19) |
| Ivan Berg | VP(7.1-11.30.19)/president(12.1.19-6.30.20) |
| Brandon Jensen | Director |
| Brandon Lundeby | Director |
| Dee Lillehaugen | Director |
| Amie Vasichek | Director(12.1.19 - 6.30.20) |
| Tanya Swenson | Director(12.1.19 - 6.30.20) |
| Ranae Oxton | Director(7.1-11.30.19) |
| Heather Stein | Director(7.1-11.30.19)/VP(12.1.19-6.30.20) |
| Mary Gleason | Secretary/treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Erling Martinson | Locum Physician Services | 2024 UNIVERSITY AVE, Grand Forks, ND 58203 | $169,662 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $2,056,643 |
| Other Expenses | $1,273,947 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $1,291,833 | $248,988 | - | $1,540,821 |
| Other Employee Benefits | $220,961 | $52,654 | - | $273,615 |
| Current Officers, Directors, Trustees, and Key Employees | - | $125,474 | - | $125,474 |
| Payroll Taxes | $91,052 | $25,681 | - | $116,733 |
| Other Expenses | $54,321 | $25,325 | - | $54,321 |
| Depreciation Depletion | $51,340 | - | - | $51,340 |
| Insurance | - | $48,336 | - | $48,336 |
| Occupancy | $47,966 | - | - | $47,966 |
| Fees for Services Accounting | - | $36,281 | - | $36,281 |
| Office Expenses | - | $14,257 | - | $14,257 |
| All Other Expenses | $7,473 | $3,140 | - | $10,613 |
| Interest | $2,679 | - | - | $2,679 |
| Advertising | - | $2,515 | - | $2,515 |
| Total Functional Expenses | $2,425,761 | $904,829 | $0 | $3,330,590 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Contract Liability | $371,516 |
| Accrued Payroll Expenses | $208,165 |
| Capital Lease | $4,389 |
“Members of the organization are outlined by the organization's bylaws. Members are those who contribute $25 to the organization or to nelson county health system foundation. This contribution is not required to be within the tax year.”
“Board members are elected at the annual meeting by members of the organization.”
“Changes to the organization's bylaws are approved at an annual meeting. A motion to change the bylaws is made during an annual meeting. During the following annual meeting, the motion is voted on by the members.”
“Form 990 is reviewed by the cfo prior to filing. A copy is provided to the board for review after filing.”
“The organization's conflict of interest policy is monitored by the board president and the organization's administration. The board president enforces any board conflicts of interest, and the organization's ceo enforces any employee conflicts of interest.”
“Form 990 public inspection copy is available upon request at the hospital.”
“The organization's governing documents, conflict of interest policy, and financial statements are available upon request and are located at the hospital.”
“The health system has no formal spending policy for endowment funds. It is the board of director's intention to accumulate earnings on endowment funds for future expenses to be determined by the board of directors at a later date.”
“The organization is exempt from federal income tax under 501(c)(3) of the internal revenue code. In addition, the organization qualifies for the charitable contribution deduction under section 170(b)(1)(a) and has been classified as an organization that is not a private foundation under section 509(a)(2). The organization's policy is to evaluate the likelihood that its uncertain tax positions will prevail upon examination based on the extent to which those positions have substantial support within the internal revenue code and regulations, revenue rulings, court decisions, and other evidence. It is the opinion of management that the health system has no significant uncertain tax positions that would be subject to change upon examination. The federal income tax returns of the health system are subject to examination by the irs, generally for three years after they were filed, all filings are current.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 110748 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 175920 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 566726 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 548983 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | PROMOTION OF HEALTH CARE THROUGH THE OPERATION OF A 19-BED HOSPITAL AND CLINIC. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 2515 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 2515 |
| IRS990/AllOtherContributionsAmt | 0 | 71114 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 3140 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 7473 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 10613 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 0 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | THE ORGANIZATION |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7013224328 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 200 N MAIN ST |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | MCVILLE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | ND |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 582540367 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 59 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 66 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 125474 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 125474 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 169662 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 2024 UNIVERSITY AVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | GRAND FORKS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | ND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 58203 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | ERLING MARTINSON |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | LOCUM PHYSICIAN SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 438028 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2911 |
| IRS990/CYOtherExpensesAmt | 0 | 1273947 |
| IRS990/CYOtherRevenueAmt | 0 | 334206 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 2982040 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 426595 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 2056643 |
| IRS990/CYTotalExpensesAmt | 0 | 3330590 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 3757185 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 2714714 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 51340 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 51340 |
| IRS990/Desc | 0 | NELSON COUNTY HEALTH SYSTEM IS A 19 BED CRITICAL ACCESS HOSPITAL LOCATED IN NELSON COUNTY FOR ACUTE, OBSERVATION, EMERGENCY ROOM AND SWING BED SERVICES. THE HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 278040 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 496641 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 112 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 2425761 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 36281 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 36281 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 9372 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 9446 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | STEVE FORDE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DARLENE KELLY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | IVAN BERG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | HEATHER STEIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | MARY GLEASON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JUDY TWETE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | RANAE OXTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | BRANDON JENSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | BRANDON LUNDEBY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | DEE LILLEHAUGEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | AMIE VASICHEK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | TANYA SWENSON |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 107749 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 104969 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CFO/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | NURSE PRACTITIONER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VP(7.1-11.30.19)/PRESIDENT(12.1.19-6.30.20) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR(7.1-11.30.19)/VP(12.1.19-6.30.20) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PRESIDENT(7.1-11.30.19) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR(7.1-11.30.19) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR(12.1.19 - 6.30.20) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR(12.1.19 - 6.30.20) |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 0 |
| IRS990/FormationYr | 0 | 1917 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 1200 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 8 |
| IRS990/GovernmentGrantsAmt | 0 | 350914 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 8195 |
| IRS990/GrossReceiptsAmt | 0 | 3764180 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 2 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 48336 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 48336 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 2679 |
| IRS990/InterestGrp/TotalAmt | 0 | 2679 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 53502 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 72189 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1711 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1711 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 12 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 2146745 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 422366 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 1050476 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 3197221 |
| IRS990/LegalDomicileStateCd | 0 | ND |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 6995 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | THE MISSION OF NELSON COUNTY HEALTH SYSTEM IS TO ENHANCE THE HEALTH STATUS AND QUALITY OF LIFE FOR PEOPLES AND COMMUNITIES SERVED. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 62247 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 33330 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 1634274 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 2060869 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 1200 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 1200 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 1356234 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 1564228 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 47966 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 47966 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 14257 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 14257 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 419379 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 906588 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 52654 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 220961 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 273615 |
| IRS990/OtherExpensesGrp/Desc | 0 | PURCHASED SERVICES |
| IRS990/OtherExpensesGrp/Desc | 1 | SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | OTHER EXPENSES |
| IRS990/OtherExpensesGrp/Desc | 3 | PROVISION FOR BAD DEBT |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 305750 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 16428 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 25325 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 401634 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 190434 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 66068 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 54321 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 707384 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 206862 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 91393 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 54321 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 201695 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 584070 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 621300 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 624410 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MGMT & CARE SERVICE RE |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | MISCELLANEOUS |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | DAYCARE |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 339348 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | 26491 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 2 | -31633 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 339348 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 26491 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | -31633 |
| IRS990/OtherRevenueTotalAmt | 0 | 334206 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 248988 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 1291833 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 1540821 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 25681 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 91052 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 116733 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 66532 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 65911 |
| IRS990/PrincipalOfficerNm | 0 | STEVE FORDE |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621610 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICE REVENU |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | HOME CARE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 2981356 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 684 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 2981356 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 684 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 489606 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 567 |
| IRS990/PYOtherExpensesAmt | 0 | 1807263 |
| IRS990/PYOtherRevenueAmt | 0 | 270923 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 2726863 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -75161 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 1755857 |
| IRS990/PYTotalExpensesAmt | 0 | 3563120 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 3487959 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 426595 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/RelatedOrganizationsAmt | 0 | 16000 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 1 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 2982040 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 480400 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 3756692 |
| IRS990ScheduleA/HospitalInd | 0 | X |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
| IRS990ScheduleD/BoardDesignatedBalanceEOYPct | 0 | 1.00000 |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 288643 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 1526058 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 1814701 |
| IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 12585 |
| IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt | 0 | 11898 |
| IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | -687 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 11872 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt | 0 | 12585 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | 713 |
| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/AdministrativeExpensesAmt | 0 | 547 |
| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 11529 |
| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt | 0 | 11872 |
| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | 890 |
| IRS990ScheduleD/EndowmentsHeldRelatedOrgInd | 0 | 0 |
| IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd | 0 | 1 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 71271 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 620687 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 691958 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 10889 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 10889 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 0 | 429409 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 1 | 10037 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 2 | 67100 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 3 | 400042 |
| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 0 | OTHER RECEIVABLES |
| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 1 | ASSETS WHOSE USE IS LIMITED - CAPITAL IMPROVEMENTS |
| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 2 | HOME FOR TRAVELING NURSES AND DAYCARE HOME |
| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 3 | ESTIMATED THIRD PARTY PAYOR RECEIVABLE |
| IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt | 0 | 679673 |
| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 679673 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 208165 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 1 | 4389 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 2 | 371516 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | ACCRUED PAYROLL EXPENSES |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 1 | CAPITAL LEASE |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 2 | CONTRACT LIABILITY |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | THE HEALTH SYSTEM HAS NO FORMAL SPENDING POLICY FOR ENDOWMENT FUNDS. IT IS THE BOARD OF DIRECTOR'S INTENTION TO ACCUMULATE EARNINGS ON ENDOWMENT FUNDS FOR FUTURE EXPENSES TO BE DETERMINED BY THE BOARD OF DIRECTORS AT A LATER DATE. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 1 | THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). THE ORGANIZATION'S POLICY IS TO EVALUATE THE LIKELIHOOD THAT ITS UNCERTAIN TAX POSITIONS WILL PREVAIL UPON EXAMINATION BASED ON THE EXTENT TO WHICH THOSE POSITIONS HAVE SUBSTANTIAL SUPPORT WITHIN THE INTERNAL REVENUE CODE AND REGULATIONS, REVENUE RULINGS, COURT DECISIONS, AND OTHER EVIDENCE. IT IS THE OPINION OF MANAGEMENT THAT THE HEALTH SYSTEM HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. THE FEDERAL INCOME TAX RETURNS OF THE HEALTH SYSTEM ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED, ALL FILINGS ARE CURRENT. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART V, LINE 4: |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | PART X, LINE 2: |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 1050476 |
| IRS990ScheduleD/TotalBookValueOtherAssetsAmt | 0 | 906588 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 584070 |
| IRS990ScheduleH/AnnualCommunityBnftReportInd | 0 | 0 |
| IRS990ScheduleH/BadDebtExpenseAmt | 0 | 54321 |
| IRS990ScheduleH/BadDebtExpenseReportedInd | 0 | 0 |
| IRS990ScheduleH/CommunityHealthServicesGrp/ActivitiesOrProgramsCnt | 0 | 3 |
| IRS990ScheduleH/CommunityHealthServicesGrp/DirectOffsettingRevenueAmt | 0 | 0 |
| IRS990ScheduleH/CommunityHealthServicesGrp/NetCommunityBenefitExpnsAmt | 0 | 7540 |
| IRS990ScheduleH/CommunityHealthServicesGrp/TotalCommunityBenefitExpnsAmt | 0 | 7540 |
| IRS990ScheduleH/CommunityHealthServicesGrp/TotalExpensePct | 0 | 0.00230 |
| IRS990ScheduleH/CostingMethodologyUsedGrp/CostToChargeRatioInd | 0 | X |
| IRS990ScheduleH/CostOfCareReimbursedByMedcrAmt | 0 | 1753377 |
| IRS990ScheduleH/FacilityNum | 0 | 1 |
| IRS990ScheduleH/FinancialAssistanceBudgetInd | 0 | 0 |
| IRS990ScheduleH/FinancialAssistancePolicyInd | 0 | 1 |
| IRS990ScheduleH/FinancialAssistancePrvsnInd | 0 | 0 |
| IRS990ScheduleH/FPGReferenceDiscountedCareInd | 0 | 1 |
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