Nelson County Health System-Hospital (EIN 450119890) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1917

Legal Domicile

Principal Officer

Samantha Harding

Phone

7013224328

Tax Period

2024-07-01 to 2025-06-30

Nelson County Health System-Hospital, founded in 1917, is a community nonprofit in the Health Care sector that reported $4.5M in total revenue in fiscal year 2024. Revenue decreased 7% compared to the prior year.

Mission

Provide access and promote healthcare through the operation of a hospital and clinic.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $361,563

Program Service Revenue $4,109,358

Investment Income $4,390

Other Revenue $17,830

TOTAL REVENUE $4,493,141

Expense Breakdown

Grants Paid $0

Salaries & Benefits $2,705,194

Fundraising Expenses $0

Program Expenses $3,739,065

Other Expenses $2,203,594

TOTAL EXPENSES $4,908,788

Year-over-Year Comparison

	2024	2023	Change
Revenue	$4,493,141	$4,810,423	-0.1%
Expenses	$4,908,788	$5,699,488	-0.1%
Net Income	$-415,647	$-889,065	-0.5%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

123

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$260,704

Total Directors

$2,474

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Dee Lillehaugen	President	7.50	Officer Director	$2,474	$0	$2,474
Brandon Jensen	Vice President until Dec	1.00	Officer Director	$0	$0	$0
Karissa Daws -Director	until Dec/Vice Pres as of Jan	1.00	Officer Director	$0	$0	$0
Nancy Charles	Secretary/Treasurer	1.00	Officer Director	$0	$0	$0
Amie Vasichek	Director	1.00	Director	$0	$0	$0
Tanya Swenson	Director	1.00	Director	$0	$0	$0
Doris Forde	Director	1.00	Director	$0	$0	$0
Daniel Reineke	Director as of Jan	1.00	Director	$0	$0	$0
Brandon Lundeby	Director until Dec	1.00	Director	$0	$0	$0
Samantha Harding	Administrator	40.00	Officer	$108,582	$23,463	$132,045
Steven Forde	CFO	40.00	Officer	$122,432	$3,753	$126,185
Darlene Kelly	Nurse Practitioner	40.00	Highest	$128,041	$11,595	$139,636
Michael Hammer	Nurse Practitioner	40.00	Highest	$186,345	$29,073	$215,418

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$4,493,141	$4,908,788	$4,266,378	$-415,647
2024	$4,370,438	$4,672,201	$5,452,236	$-301,763
2023	$4,118,473	$5,289,853	$4,680,059	$-1,171,380
2022	$4,886,707	$4,246,724	$5,919,326	$639,983
2021	$5,832,979	$3,635,154	$5,006,370	$2,197,825
2020	$3,757,185	$3,330,590	$6,400,905	$426,595
2019	$3,487,959	$3,563,120	$2,008,964	$-75,161
2018	$3,121,487	$3,161,676	$2,074,250	$-40,189

Nelson County Health System-Hospital