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Critical access hospital · Wagner, South Dakota · 15 beds · CMS certification number 431315

Wagner Community Memorial Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS November 26, 2025. 26 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$20.5M
$20,502,850 · G-3 line 3
Operating expenses
$19.3M
$19,331,153 · G-3 line 4
Result from patient care
$1.2M
$1,171,697 · G-3 line 5
Margin on patient care
5.7%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $1.5M in its first year on file (2000) to $20.5M in 2025.
  • Its result from patient care: −$215K (2023), $568K (2024), $1.2M (2025).
  • 3 of the 5 critical access hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 19.6% of its inpatient days and Medicare for 59.8%.

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

26 years of filings

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

Net patient revenueOperating expenses
2000
settled
$1.5M
$1.7M
2001
settled
$3.1M
$3.5M
2002
settled
$3.5M
$3.6M
2003
settled
$3.9M
$3.8M
2004
settled
$3.6M
$3.8M
2005
settled
$2.1M
$2.0M
2006
settled
$4.0M
$4.1M
2007
reopened
$4.3M
$4.5M
2008
reopened
$4.9M
$5.3M
2009
settled
$5.8M
$5.9M
2010
settled
$6.7M
$7.3M
2011
settled
$7.4M
$7.9M
2012
as submitted
$8.1M
$8.1M
2013
settled
$7.9M
$8.3M
2014
settled
$8.0M
$8.2M
2015
settled
$7.7M
$8.1M
2016
settled
$8.3M
$8.4M
2017
settled
$8.0M
$8.3M
2018
settled
$8.8M
$8.7M
2019
settled
$9.6M
$9.5M
2020
settled
$11.0M
$11.0M
2021
settled
$12.2M
$13.1M
2022
settled
$12.6M
$12.6M
2023
settled
$14.2M
$14.4M
2024
settled
$17.4M
$16.8M
2025
as submitted
$20.5M
$19.3M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Wagner Community Memorial Hospital15$20,502,850$19,331,1535.7%
Avera Gregory Hospital, Gregory13$23,219,628$27,414,061−18.1%
Avera Weskota Memorial Medical Center, Wessington Springs16$5,656,815$4,727,12116.4%
Community Memorial Hospital, Burke16$8,175,984$8,643,218−5.7%
Faulkton Area Medical Center, Faulkton12$12,389,252$12,345,0970.4%
Platte Health Center, Platte17$19,943,939$17,953,06010.0%

Patients and payers

Discharges
122
S-3 line 14, col 15
Inpatient days
1,426
S-3 line 14, col 8
Beds in use, on an average day
3.9
days ÷ days in year
Occupancy
26.1%
days ÷ bed days
Medicare share of days
59.8%
S-3 cols 6 ÷ 8
Medicaid share of days
19.6%
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 WAGNER COMMUNITY MEMORIAL HOSPITAL (employer identification number 460226283) 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)$2,340,096IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$627,200IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$137,519IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$764,719IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$1,575,377IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.1623IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202430759349302258. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by WAGNER COMMUNITY MEMORIAL HOSPITAL (employer identification number 460226283) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
BRITTNEY BARRONVP OF PATIENT SERVICESKey employee$152,133$0$37,798
BRYAN SLABACEO/ADMINISTRATOROfficer$267,211$0$38,848
CHAD PETERSVICE PRESIDENTTrustee/director, Officer$0$0$0
DAVID KOTABPRESIDENTTrustee/director, Officer$0$0$0
JESSICA VANDERHAMNURSE PRACTITIONERHighest-compensated employee$178,454$0$41,325
JORDAN WEBERPHYSICIANS ASSISTANTHighest-compensated employee$208,102$0$32,608
KAREN SOULEKSECRETARY/TREASURYTrustee/director, Officer$0$0$0
KATHE HENKEDIRECTORTrustee/director$0$0$0
MICHELE JUFFERDIRECTORTrustee/director$0$0$0
MIKEALA KOENIGPHYSICIANHighest-compensated employee$216,518$0$34,433
MITCHEL BREENDIRECTOR UNTIL 03/2022Trustee/director$0$0$0
RACHEL WOODSDIRECTORTrustee/director$0$0$0
RYAN KOCERNURSE PRACTITIONERHighest-compensated employee$163,317$0$39,096
TIANNA SMITHPHYSICIANHighest-compensated employee$197,338$0$1,458

E-file object id 202430759349302258. 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 431315. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read November 26, 2025.