2 locations registered under this record — data as of November 6, 2026
Critical access hospital · MCVILLE, ND
NELSON COUNTY HEALTH SYSTEM-HOSPITAL
Taking partNoTermination date filedOctober 1, 2026Last certifiedAugust 11, 2025
- 2Registered locations
- 1Associated locations
- 29Contract pharmacies
- 0With no end date
- July 1, 2017In 340B since
Where this record sits: among the 36 Critical access hospitals in North Dakota, the median open contract-pharmacy count is 2; this record’s open count ranks 1.
Every Medicare cost report this hospital has filed is on its cost-report record.
Finances, as filed
From this hospital’s Medicare cost report for the year ended April 1, 2026 — a reporting period of 274 days, not a full year.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,756,564 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $1 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,756,563 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,367,555 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$610,992 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Bad debt expense | $35,845 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $42,665 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $42,665 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 19 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 1.1903 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 351308 for July 1, 2025 to April 1, 2026, as submitted. The public file it was read from.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by NELSON COUNTY HEALTH SYSTEM-HOSPITAL (employer identification number 450119890) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $162,619 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $152,139 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $152,139 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $10,480 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0308 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202431379349300513. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by NELSON COUNTY HEALTH SYSTEM-HOSPITAL (employer identification number 450119890) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| AMIE VASICHEK | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| BRANDON JENSEN | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| BRANDON LUNDEBY | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| DARLENE KELLY | NURSE PRACTITIONER | Highest-compensated employee | $122,781 | $0 | $11,927 |
| DEE LILLEHAUGEN | VICE PRESIDENT | Trustee/director, Officer | $0 | $0 | $0 |
| DORIS FORDE | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| IVAN BERG | PRESIDENT | Trustee/director, Officer | $0 | $0 | $0 |
| NANCY CHARLES | SECRETARY/TREASURER | Trustee/director, Officer | $0 | $0 | $0 |
| SAMANTHA HARDING | CEO | Officer | $85,373 | $0 | $24,517 |
| STEVE FORDE | CFO | Officer | $123,383 | $0 | $4,320 |
| TANYA SWENSON | DIRECTOR | Trustee/director | $0 | $0 | $0 |
E-file object id 202431379349300513. The IRS archive it was read from.
Where this hospital sits among its peers
A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: critical access hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.
- 6thpercentile of 16 hospitals in ND, same facility class, under 25 bedsNet patient revenue, in dollars, as filed
Net patient revenue across every hospital that filed for 2026, in every state and of every size, with this one marked.
Net patient revenue (CMS-2552-10 worksheet G300000 line 300 column 100)
Middle half between $23,466,837 and $137,722,733, median $43,102,995, across 270 hospitals that filed for 2026, in every state and of every size.
- 6thpercentile of 17 hospitals in ND, same facility class, under 25 bedsTotal operating expenses, in dollars, as filed
Total operating expenses across every hospital that filed for 2026, in every state and of every size, with this one marked.
Total operating expenses (CMS-2552-10 worksheet G300000 line 400 column 100)
Middle half between $21,989,913 and $120,074,080, median $38,600,761, across 270 hospitals that filed for 2026, in every state and of every size.
- 6thpercentile of 16 hospitals in ND, same facility class, under 25 bedsUncompensated care, at cost, in dollars, as filed
- 59thpercentile of 17 hospitals in ND, same facility class, under 25 bedsTotal facility beds, a count of beds, as filed
Total facility beds across every hospital that filed for 2026, in every state and of every size, with this one marked.
Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)
Middle half between 29 and 108, median 50, across 268 hospitals that filed for 2026, in every state and of every size.
- 94thpercentile of 16 hospitals in ND, same facility class, under 25 bedsCost-to-charge ratio, the ratio, as filed
Cost-to-charge ratio across every hospital that filed for 2026, in every state and of every size, with this one marked.
Cost-to-charge ratio (CMS-2552-10 worksheet S100001 line 100 column 100)
Middle half between 0.1207 and 0.4450, median 0.2553, across 170 hospitals that filed for 2026, in every state and of every size.
Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in North Dakota beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- July 1, 2017
- Termination date
- October 1, 2026
- Termination reason
- Other
- Certification date
- August 11, 2025
- Record last edited
- October 1, 2026
Identifiers
- 340B ID
- CAH351308-00
- Entity type as filed
- CAH
- CMS certification number
- 351308
- Rural
- Yes
200 NORTH MAIN STREET, MCVILLE ND 58254
Locations registered under this record
Browse all of them as a list →
| CAH351308-01 | Mcville Clinic | CAH | MCVILLE, ND | No |
| CAH351308-02 | NELSON COUNTY HEALTH SYSTEM - Michigan Clinic | CAH | MICHIGAN, ND | No |
Associated locations
| NELSON COUNTY HEALTH SYSTEM-HOSPITAL | 200 NORTH MAIN STREET | MCVILLE ND 58254 |
Pharmacy contracts
No end date filed0
No arrangement with no end date filed matches that.
An end date is filed29
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | April 1, 2023 | October 1, 2026 |
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | April 1, 2023 | October 1, 2026 |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | April 1, 2023 | October 1, 2026 |
| ACCREDO HEALTH GROUP, INC. | WHITESTOWN, IN | April 1, 2023 | October 1, 2026 |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | April 1, 2023 | October 1, 2026 |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | April 1, 2023 | October 1, 2026 |
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | April 1, 2023 | October 1, 2026 |
| ESI MAIL PHARMACY SERVICE | TEMPE, AZ | April 1, 2023 | October 1, 2026 |
| EXPRESS SCRIPTS | SAINT LOUIS, MO | April 1, 2023 | October 1, 2026 |
| EXPRESS SCRIPTS PHARMACY, INC. | BURLINGTON, NJ | April 1, 2023 | October 1, 2026 |
| EXPRESS SCRIPTS PHARMACY, INC. | WHITESTOWN, IN | April 1, 2023 | October 1, 2026 |
| LAKOTA DRUG & GIFT | LAKOTA, ND | July 1, 2017 | October 3, 2022 |
| OPTUM PHARMACY 701, LLC | FLINT, MI | January 1, 2023 | October 1, 2026 |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | January 1, 2023 | October 1, 2026 |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | January 1, 2023 | October 1, 2026 |
| OPTUM PHARMACY 705, LLC | FRANKLIN, TN | January 1, 2023 | October 1, 2026 |
| OPTUMRX | OVERLAND PARK, KS | January 1, 2023 | October 1, 2026 |
| PAUL BILDEN PHARMACY | NORTHWOOD, ND | July 1, 2017 | October 3, 2022 |
| PHARMACISTS ASSOCIATES LLC | NORTHWOOD, ND | January 1, 2023 | October 1, 2026 |
| PHARMACISTS ASSOCIATES LLC | LAKOTA, ND | January 1, 2023 | October 1, 2026 |
| PHARMACISTS ASSOCIATES LLC | COOPERSTOWN, ND | January 1, 2023 | October 1, 2026 |
| THRIFTY WHITE PARTNERS IN CARE | FARGO, ND | January 1, 2023 | October 1, 2026 |
| THRIFTY WHITE PHARMACY #047 | DEVILS LAKE, ND | January 1, 2023 | October 1, 2026 |
| THRIFTY WHITE PHARMACY #065 | GRAFTON, ND | January 1, 2023 | October 1, 2026 |
| WAL-MART PHARMACY 10-5315 | ORLANDO, FL | April 1, 2023 | January 24, 2025 |
| WALMART PHARMACY 10-5169 | ROGERS, AR | July 1, 2023 | December 10, 2024 |
| Walmart Pharmacy 10-7611 | Plainfield, IN | January 1, 2024 | December 10, 2024 |
| WHITE DRUG #009 | GRAND FORKS, ND | January 1, 2023 | October 1, 2026 |
| WHITE DRUG #61 | FARGO, ND | January 1, 2023 | October 1, 2026 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- November 6, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261106_071011.xlsx, stamped by its publisher November 6, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261106_071011.xlsx, read November 6, 2026.
The full report for NELSON COUNTY HEALTH SYSTEM-HOSPITAL
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.
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