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Critical access hospital · Oakes, North Dakota · 20 beds · CMS certification number 351315

CHI Oakes Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 16, 2025. 24 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$10.6M
$10,553,020 · G-3 line 3
Operating expenses
$12.5M
$12,454,618 · G-3 line 4
Result from patient care
−$1.9M
−$1,901,598 · G-3 line 5
Margin on patient care
−18.0%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $6.0M in its first year on file (2002) to $10.6M in 2025.
  • Its result from patient care: −$759K (2023), −$783K (2024), −$1.9M (2025).
  • All 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 2.5% of its inpatient days and Medicare for 79.6%.
  • COMMONSPIRIT HEALTH holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

24 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
2002
reopened
$6.0M
$5.8M
2003
reopened
$5.7M
$5.7M
2004
settled with audit
$5.7M
$5.9M
2005
as submitted
$6.9M
$7.2M
2006
settled with audit
$6.8M
$7.2M
2007
reopened
$7.4M
$7.6M
2008
reopened
$9.5M
$9.4M
2009
settled
$7.4M
$8.5M
2010
settled
$7.7M
$9.0M
2011
settled
$8.1M
$10.1M
2012
settled
$9.7M
$10.6M
2013
settled
$9.5M
$10.5M
2014
settled
$10.1M
$11.3M
2015
settled
$10.2M
$11.8M
2016
settled
$11.1M
$10.8M
2017
settled
$10.3M
$11.0M
2018
settled with audit
$10.3M
$11.2M
2019
settled
$10.9M
$11.7M
2020
settled
$10.0M
$11.4M
2021
settled
$11.4M
$11.4M
2022
settled
$10.5M
$12.3M
2023
settled
$11.0M
$11.7M
2024
settled
$11.6M
$12.4M
2025
as submitted
$10.6M
$12.5M

Beside its peers

Critical access hospitals in North Dakota with under 25 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
CHI Oakes Hospital20$10,553,020$12,454,618−18.0%
Ashley Medical Center, Ashley20$9,825,621$11,521,033−17.3%
Garrison Memorial Hospital, Garrison22$11,769,815$13,606,538−15.6%
McKenzie County Healthcare Systems, Watford City24$65,477,668$81,761,219−24.9%
County Memorial Hospital, Cavalier20$20,125,177$21,208,222−5.4%
South Central Health, Wishek24$9,581,902$11,064,974−15.5%

Patients and payers

Discharges
132
S-3 line 14, col 15
Inpatient days
805
S-3 line 14, col 8
Beds in use, on an average day
2.2
days ÷ days in year
Occupancy
11.0%
days ÷ bed days
Medicare share of days
79.6%
S-3 cols 6 ÷ 8
Medicaid share of days
2.5%
S-3 cols 7 ÷ 8

Who owns it

  • COMMONSPIRIT HEALTH100%

Related organizations on its own cost report: CHI (100%); CMDI (1%).

Other hospitals with the same owner: Yavapai Regional Medical Center (AZ), St. Joseph's Hospital and Medical Center (AZ), Chandler Regional Medical Center (AZ), Mercy Gilbert Medical Center (AZ), Dignity Health Arizona General Hospital (AZ), Dignity Health Arizona General Hospital (AZ), CHI St. Vincent Infirmary (AR), CHI St. Vincent Hospital Hot Springs (AR), St. Vincent Medical Center North (AR), CHI St. Vincent Morrilton (AR).

Type of control on its cost report: voluntary nonprofit, church.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by OAKES COMMUNITY HOSPITAL (employer identification number 450231675) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$265,172IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$96,123IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$157,938IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$254,061IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$11,111IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0227IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202411299349302946. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by OAKES COMMUNITY HOSPITAL (employer identification number 450231675) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
AMY BAKKECRNAHighest-compensated employee$231,240$0$48,097
BETH SMITHTREASURERTrustee/director, Officer$0$139,894$39,742
CHRISTINA HARMONPHYSICIANHighest-compensated employee$34,392$382,008$30,955
CINDY KLAPPERICHBOARD MEMBER (PARTIAL YEAR)Trustee/director$0$0$0
DANIELLE DINGERBOARD MEMBERTrustee/director$0$0$0
DANNY RICKARDPHYSICIAN ASSISTANTHighest-compensated employee$172,175$0$42,572
HARVEY WOLFFBOARD MEMBERTrustee/director$0$0$0
JEAN SCHMALTZBOARD MEMBERTrustee/director$0$0$0
JULIE GOEBELBOARD MEMBER/DIVISION SVP COOTrustee/director$0$365,482$21,111
KATIE O'BRIEN PARADIS MDPHYSICIANHighest-compensated employee$206,138$0$48,038
KEVIN JACOBSONNURSE PRACTITIONERHighest-compensated employee$159,794$0$26,819
LORRAINE PTACEKCHAIRTrustee/director, Officer$0$0$0
LUANN ANDERSONBOARD MEMBERTrustee/director$0$0$0
MICHELLE LEVINSONSECRETARYOfficer$27,688$0$30,301
NICK O'TOOLDIVISION SVP FINANCEOfficer$0$257,678$47,032
REBECCA THOMPSONPRESIDENTTrustee/director, Officer$0$248,724$33,860
RED IVERSONVICE CHAIRTrustee/director, Officer$0$0$0
SR ANN MARIE FRIEDERICHSBOARD MEMBERTrustee/director$0$0$0

E-file object id 202411299349302946. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 351315. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 16, 2025.