Medicare cost report · CMS certification number 351330
WEST RIVER REGIONAL MEDICAL CENTER
HETTINGER, North Dakota · critical access hospital
Buy the report: $295Filing alerts: $390/year · The register under license: from $25,000/year
Figures for April 1, 2025 to March 31, 2026 — a reporting period of 364 days, on form CMS-2552-10, as submitted.
This hospital also appears on the 340B covered-entity register: West River Health Services.
Finances, as filed
From this hospital’s Medicare cost report for the year ended March 31, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $37,078,231 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $8,257,590 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $28,820,641 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $30,915,060 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$2,094,419 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $242,733 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $123,590 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $518,620 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $421,015 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $544,605 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 25 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.8586 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 351330 for April 1, 2025 to March 31, 2026, as submitted. The public file it was read from.
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.
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.
- 83rdpercentile of 18 hospitals in ND, same facility class, 25 to 49 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.
- 76thpercentile of 21 hospitals in ND, same facility class, 25 to 49 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.
- 45thpercentile of 20 hospitals in ND, same facility class, 25 to 49 bedsCharity care, at cost, in dollars, as filed
- 40thpercentile of 20 hospitals in ND, same facility class, 25 to 49 bedsUncompensated care, at cost, in dollars, as filed
- 95thpercentile of 21 hospitals in ND, same facility class, 25 to 49 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.
- 75thpercentile of 20 hospitals in ND, same facility class, 25 to 49 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.
Peers and history
Every Medicare cost report this hospital has filed, with the date CMS stamped each one, and five hospitals of its own size in North Dakota beside it — each figure with the cell it came from — are in one signed, dated document. The citable document with peers and history — $295.
Get an email when this record changes
One email a day naming what moved on WEST RIVER REGIONAL MEDICAL CENTER: the field, the value before, the value after, and the date of the file that first showed it.
The filing alert follows cost reports: one named person, one hospital, invoiced once a year. The certification number arrives filled in because you are on this hospital's own record.
On September 29, 2026, a cost report was filed for fiscal year 2022. That is one line of the filing alert.
Take these figures as a spreadsheet The citable document with peers and history
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- NORTH DAKOTA ARMY NATIONAL GUARD, (UNKNOWN CITY) Water discharge permit
- MAGELLAN PIPELINE COMPANY LP, (UNKNOWN CITY) Water discharge permit
- PEMBINA COCHIN LLC, UNKNOWN Water discharge permit
- KNIFE RIVER CORPORATION - PLANT 4, PORTABLE Air emission source
- KELLER PAVING AND LANDSCAPING, INC., MINOT Air emission source
- TRI STATE PAVING, INC., DEVILS LAKE Air emission source
- AGGREGATE INDUSTRIES-NORTH CENTRAL REGIO, GRAND FORKS Air emission source
- CENTRAL SPECIALTIES, INC. - PLANT 4, PORTABLE Air emission source
- CENTRAL SPECIALTIES, INC. - PLANT 3, PORTABLE Air emission source
- GABRIEL CONSTRUCTION, INC, NORTHWOOD Air emission source
- SUNDRE SAND AND GRAVEL, INC., MINOT Air emission source
Every figure on this page is printed as it appears in this hospital’s Medicare cost report, filed under CMS certification number 351330 on form CMS-2552-10, publication year 2025, file HOSP10FY2025.ZIP.
How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read September 9, 2026.
The full report for WEST RIVER REGIONAL MEDICAL CENTER
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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