Nelson County Health System

Name

Nelson County Health System

Legal name

Nelson County Health Services Foundation

Website

https://nelsoncountyhealthsystem.org

Company type

Private

Founded year

1986

Operating status

Operating

Headcount range

1–10 employees

Ownership category

akta.pro rank

Product category

Rural Healthcare Services

NAICS

Ambulatory Health Care Services (621), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331), Services for the Elderly and Persons with Disabilities (624120), Specialty (except Psychiatric and Substance Abuse) Hospitals (622310), Other Outpatient Care Centers (62149)

SIC

Services-Hospitals (8060), Services-Skilled Nursing Care Facilities (8051), Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Critical Access & Rural Hospitals (HLAFAAAG)

akta.pro secondary industries

Rural Health Clinics (RHCs) (HLAFAGAL), Hospital/Facility-to-Home Caregiver Placement (HSABAMAC)

Keywords

• Rural hospital services
• Skilled nursing care
• Assisted living services
• Telemedicine consultations
• Emergency medical care

Headquarters

HQ city

Mcville

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Supply Chain

Revenue model

1. Healthcare Services Revenue: Revenue generated from providing healthcare services including hospital care, clinic visits, emergency services, rehabilitation, skilled nursing care, and assisted living. Services are billed to patients directly, Medicare, Medicaid, and private insurance companies.
2. Foundation Donations & Fundraising: The Nelson County Health Services Foundation supports the health system through charitable donations, memorials, planned giving, stock/bond gifts, life insurance beneficiary donations, endowment contributions, and agricultural commodity donations. Funds are used for building renovations, equipment purchases, and patient care support.
3. Sliding Fee Discount Program: Financial assistance program serving patients unable to pay. All patients are assured service regardless of ability to pay; no one is refused service due to lack of financial means.

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels4 records

Core offering

Nelson County Health System operates an integrated rural healthcare delivery network in McVille and Michigan, North Dakota, combining a 19-bed Rural Emergency Hospital (Level 5 trauma center), two rural health clinics, a 35-bed skilled nursing Care Center, and a 12-unit Assisted Living facility. It sells hospital, primary care, emergency, rehabilitation, cardiac, respiratory, sleep, radiology, laboratory, home health, hospice, respite, non-medical home care, and telemedicine services, with a Sliding Fee Discount Program that guarantees service regardless of ability to pay.

Product overview

Nelson County Health System is a multi-functional healthcare organization composed of a 19-bed Rural Emergency Hospital, two medical clinics (McVille and Michigan), a 35-bed skilled nursing Care Center, and a 12-unit Assisted Living facility. The organization offers a comprehensive array of healthcare services including emergency care (Level 5 Trauma Center), telemedicine, rehabilitation services (physical, speech, occupational therapy), radiology and laboratory, cardiac rehabilitation, respiratory therapy, sleep studies, home health and hospice care, respite care, and home care services. The system is supported by the Nelson County Health Services Foundation, which handles philanthropy and fundraising. Services are provided through partnerships with Altru Health System (telemedicine, therapy, home health), Avera eEmergency (emergency medicine specialist access), and DMS Imaging (mobile imaging). The hospital transitioned to Rural Emergency Hospital designation in 2026.

Differentiator

Problem solved

Functional benefit

Products and services

• NCHS Hospital 19-bed Rural Emergency Hospital (transitioned from 20-bed Critical Access Hospital in 2026) providing acute inpatient care, emergency department, and swing bed services to residents of Nelson County and surrounding areas. Certified as a Level 5 trauma center by Medicare and Medicaid and licensed by the North Dakota State Department of Health.
• NCHS Medical Clinic Primary care clinic services at the NCHS McVille Clinic (8:00am-4:30pm Monday through Friday) and NCHS Michigan Clinic (9:00am-4:00pm Tuesdays and Thursdays). Offers health screenings, well-child visits, sports physicals, yearly/DOT physicals, acute illness care, chronic illness monitoring, pre-operative physicals, immunizations, laboratory, and diabetic education.
• Emergency Services Level 5 Trauma Center providing care to patients with urgent medical conditions. Open 24 hours daily and staffed by a provider and nursing staff with specialized training in emergency management, trauma, and cardiac situations. Connected via eEmergency two-way audio/video to Board Certified Emergency Medicine physicians at Avera Hospital in Sioux Falls, SD.
• Swing Bed Program Extended care services for patients not yet able to care for themselves but no longer needing acute hospital services. Includes skilled nursing, physical rehabilitation, IV therapy, and other services to support a smooth transition between acute care and returning home. Covered by Medicare and Medicaid for qualifying patients.
• Home Care Services (QSP) Non-medical services delivered in the home by caregivers, including personal care (bathing, dressing, mobility), homemaker services, and non-medical transportation. Does not require a doctor's referral and helps individuals maintain independence at home.
• Radiology & Laboratory Services State-of-the-art radiology including X-ray, MRI, CT, ultrasound, bone density scans, mammograms (including 3D), echocardiograms, and carotid Doppler exams, supplemented by mobile DMS Imaging. Full-service laboratory licensed and certified by the North Dakota Department of Health providing comprehensive testing.
• Rehabilitation Services Outpatient Physical Therapy, Speech Therapy, and Occupational Therapy delivered through partnership with Altru Health System. Provided for recovery from surgery, injury, illness, or other medical needs.
• Respiratory Therapy Comprehensive respiratory care for inpatients and outpatients including asthma education, occupational respiratory assessments, pulmonary function testing, and sleep lab services.
• Respite Care Short-term relief program for caregivers providing meals, snacks, assistance with personal care, medication administration, and recreational activities for several days or weeks.
• Sleep Studies Sleep apnea testing for adults and infants experiencing respiratory-related sleep disorders using polysomnogram technology through a contracted vendor.
• Cardiac Rehabilitation Supervised exercise therapy and education program for patients who have experienced heart attack, heart surgery, or heart disease. Designed to improve heart function and return patients to an active lifestyle. Requires physician referral.
• Telemedicine Interactive video technology enabling live audio and visual communication between patients and remote specialists, conducted at NCHS Hospital's telemedicine room with telemed nurse assistance. Connects patients to Altru Health System specialists.
• Home Health & Hospice Home health services through Altru Home Services including post-hospital care, wound care, ostomy care, medication management, catheter care, pain management, and therapy services. Hospice services also available. Covered by Medicare and Medicaid when criteria are met.
• NCHS Care Center 35-bed Skilled Nursing Facility licensed and certified under Medicare and Medicaid. Offers 24-hour skilled nursing care, private and semi-private rooms, hospice service, worship services, activity programming, whirlpool baths, and social services. Admissions coordinated through Pam Ryba-Varnson, LBSW.
• NCHS Assisted Living 12-unit assisted living complex with one- and two-bedroom apartments for seniors needing personal assistance but not nursing home care. Rental model including meals, housekeeping, social activities, transportation, and 24-hour staff availability. Single-story design with geothermal heating/cooling and connection to the NCHS Care Center.

Named customers1 record

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration7 records

Feature3 records

Partnerships

Three partnerships are on record, tiered core.

• Altru Health SystemcoreTechnology or IntegrationAltru Health System provides telemedicine services to NCHS patients, allowing specialist consultations at NCHS Hospital. Altru also provides onsite therapists for rehabilitation services (Physical, Speech, Occupational Therapy) and home services through a branch of Altru Home Services of Grand Forks.
• Avera Hospital (Sioux Falls, SD)coreTechnology or IntegrationAvera Hospital provides eEmergency services - a two-way audio/video system linking NCHS ER provider and nurses to Board Certified Emergency Medicine physicians at Avera. This system gives NCHS immediate access to emergency specialists.
• North Dakota Community FoundationcoreStrategic or Co-development PartnerNelson County Health Services Foundation is partnered with the North Dakota Community Foundation to create an endowment for the organization. Gifts to the endowment fund may qualify for a 40% State Tax Credit.

Scale indicators6 records

Recent moves7 records

Expansion highlights4 records

Broad incumbents

• Avera Health: A large multi-state regional health system headquartered in Sioux Falls, South Dakota, with extensive rural hospital footprint across the Upper Midwest. Comparable as NCHS's eEmergency partner and as a broader regional incumbent operating rural facilities of similar size.
• Sanford Health: One of the largest rural health systems in the United States, headquartered in Sioux Falls, South Dakota, with a major North Dakota presence including hospitals and clinics. Comparable as a large regional incumbent serving similar rural Upper Midwest markets and competing for specialty referrals.
• CHI St. Alexius Health: A Catholic regional health system with hospitals and clinics across central and western North Dakota. Comparable as a larger regional competitor operating in many of the same rural North Dakota communities and offering integrated hospital, clinic, and long-term care services.
• Altru Health System: A large regional health system based in Grand Forks, North Dakota, providing a full continuum of hospital, clinic, and specialty services. Comparable as a North Dakota partner system that provides telemedicine, therapy, and home health services to NCHS, while also being a larger market competitor for specialty referrals.
• Trinity Health: A regional health system based in Minot, North Dakota, providing hospital, clinic, and long-term care services across north-central ND. Comparable as a larger regional incumbent serving rural North Dakota markets similar to NCHS, with overlapping service lines and patient catchment.

Direct peers

• Mountrail County Health Center: Critical access health system based in Stanley, North Dakota, serving Mountrail County with hospital, clinic, and long-term care services. Highly comparable to NCHS in rural ND geography, facility scale, and integrated continuum-of-care model.
• Towner County Medical Center: A small rural North Dakota critical access hospital and clinic located in Cando, providing primary care, emergency, and long-term care to Towner County. Comparable to NCHS in scale, rural North Dakota geography, and community-owned integrated service delivery.
• Cavalier County Memorial Hospital: A small rural critical access hospital in Langdon, North Dakota, providing hospital, clinic, and long-term care services to a sparsely populated county. Directly comparable to NCHS in scale, rural setting, and integrated service delivery model.
• Garrison Memorial Hospital: A small rural critical access hospital in Garrison, North Dakota, providing emergency, primary care, and long-term care to a rural McLean County service area. Closely comparable to NCHS in scale, rural ND setting, and integrated rural healthcare delivery.
• McKenzie County Healthcare Systems: Rural North Dakota health system based in Watford City providing hospital, clinic, and ancillary services to McKenzie County. Comparable to NCHS as a rural ND integrated health system serving a small population with a broad service line.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/nelsoncountyhealthsystem
• LinkedInlinkedin.com/company/nelson-county-health-system

Compliance13 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles21 records

Subsidiaries4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Nelson County Health System