Critical access hospital · Hettinger, North Dakota · 25 beds · CMS certification number 351330
West River Regional Medical Center
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended March 31, 2026, as submitted, stamped by CMS September 9, 2026. 21 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2026 at a glance
What stands out
- Net patient revenue rose from $18.9M in its first year on file (2006) to $28.8M in 2026.
- Its result from patient care: −$2.3M (2024), −$1.4M (2025), −$2.1M (2026).
- 4 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2026.
- Medicaid paid for 4.1% of its inpatient days and Medicare for 68.8%.
Every statement is drawn from figures on this page; nothing is estimated.
21 years of filings
Net patient revenue against operating expenses, each year as filed.
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Beside its peers
Hospitals of the same type (critical access hospital), nearest in size, from North Dakota first; each on fiscal year 2026.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| West River Regional Medical Center | 25 | $28,820,641 | $30,915,060 | −7.3% |
| Bleckley Memorial Hosp, Cochran (GA) | 25 | $15,951,866 | $14,119,378 | 11.5% |
| Chicot Memorial Medical Center, Lake Village (AR) | 25 | $15,205,743 | $20,279,909 | −33.4% |
| Heart of America Medical Center, Rugby | 25 | $34,486,887 | $38,451,134 | −11.5% |
| Nelson County Health System-Hospital, Mcville | 19 | $6,756,563 | $7,367,555 | −9.0% |
| Wills Memorial Hospital, Washington (GA) | 25 | $15,817,548 | $18,006,500 | −13.8% |
Patients and payers
- Discharges
- 379S-3 line 14, col 15
- Inpatient days
- 1,857S-3 line 14, col 8
- Beds in use, on an average day
- 5.1days ÷ days in year
- Occupancy
- 20.3%days ÷ bed days
- Medicare share of days
- 68.8%S-3 cols 6 ÷ 8
- Medicaid share of days
- 4.1%S-3 cols 7 ÷ 8
Who owns it
Type of control on its cost report: voluntary nonprofit, other.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by WEST RIVER HEALTH SERVICES (employer identification number 450340688) 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) | $3,100,949 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $81,597 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $1,776,117 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $1,857,714 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $1,243,235 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.1057 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202430459349301118. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by WEST RIVER HEALTH SERVICES (employer identification number 450340688) 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 |
|---|---|---|---|---|---|
| ALYSON KORNELE | CEO (BEGINNING OCT 2022) | Officer | $38,506 | $0 | $4,591 |
| BRETT HENDERSON | VICE CHAIRMAN | Trustee/director | $60 | $0 | $0 |
| CATHERINE SHIREK | PHYSICIAN | Highest-compensated employee | $300,777 | $0 | $35,482 |
| DAVE ERICKSON | SECRETARY/TREASURER | Trustee/director | $50 | $0 | $0 |
| DR MARK KRISTY | MEDICAL STAFF LIAISON | Trustee/director | $283,651 | $0 | $35,162 |
| JONATHON EATON | CHAIRMAN | Trustee/director, Officer | $20 | $0 | $0 |
| KAREN ANDRES | PHYSICIAN | Highest-compensated employee | $386,533 | $0 | $36,174 |
| KELLY PIERCE | REPRESENTATIVE | Trustee/director, Officer | $70 | $0 | $0 |
| KENT HOERAUF | PHYSICIAN | Highest-compensated employee | $254,706 | $13,200 | $31,022 |
| KEVIN ERDAHL | REPRESENTATIVE | Trustee/director | $40 | $0 | $0 |
| LYNN BROWN | REPRESENTATIVE | Trustee/director, Officer | $70 | $0 | $0 |
| MATT BARNES | FORMER CHAIRMAN | Trustee/director | $20 | $0 | $0 |
| MATT SHAHAN | FORMER CEO (TERMED MAY 2022) | Officer | $114,101 | $0 | $13,653 |
| MICHELLE ENGRAF | REPRESENTATIVE | Trustee/director | $0 | $0 | $0 |
| NATHAN STADHEIM | CFO | Officer | $139,017 | $0 | $30,706 |
| SCOTT KENNEY | PHYSICIAN | Highest-compensated employee | $261,789 | $0 | $8,785 |
| SETH FISHER | INTERIM CEO/CNO | Officer | $269,804 | $0 | $588 |
| STEVE KILWEIN | PHYSICIAN | Highest-compensated employee | $282,768 | $0 | $40,748 |
| TROY MOSBRUCKER | REPRESENTATIVE | Trustee/director | $60 | $0 | $0 |
| WILLIAM GION | REPRESENTATIVE | Trustee/director | $0 | $0 | $0 |
E-file object id 202430459349301118. The IRS archive it was read from.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 351330. Patients and payers: worksheet S-3 Part I of the same filing.
How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read September 9, 2026.