Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

North Dakota · Not ranked: see note below.

Nelson County Health System-Hospital

Dee Lillehaugen, President. Fiscal year ending 2025-06.

$2,474
CEO total compensation
Form 990 Part VII, columns D+E+F
0.01%
of expenses spent on charity care
Schedule H Part I line 7a
453.9%
CEO pay as a share of all charity care
In the most recent filing year, Dee Lillehaugen’s reported compensation was $2,474. The system’s charity care for the same year was $545. One person’s reported compensation was 4.5 times what the system gave to every patient who could not pay.

Not in the ranking because the chief executive could not be identified from the filing with confidence. The figures below are shown as filed.

§1The filing

Total revenue
$4,493,141
Total expenses
$4,908,788
Net assets
$3,751,784
Employees
123
Hospitals covered
1 facilities across 1 filing
Charity care, net
$545
Bad debt
$27,971
Medicare surplus (shortfall), as filed
($4,115)
CEO pay from the organization (Part VII col. D)
$2,474
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$0
CEO total compensation (D+E+F)
$2,474 to Dee Lillehaugen

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Nelson County Health System-Hospital, EIN 45-0119890, fiscal year ending 2025-06, as published by the IRS. CEO identification: president title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$456,247 Of which charity care to patients who could not pay (line 7a)$545 (0%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($27,971) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Nelson County Health System-Hospital: CEO pay $2,474, charity care 0.01% of expenses