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Critical access hospital · Winner, South Dakota · 25 beds · CMS certification number 431334

Winner Regional Healthcare Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 5, 2026. 22 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$24.4M
$24,367,784 · G-3 line 3
Operating expenses
$27.7M
$27,747,378 · G-3 line 4
Result from patient care
−$3.4M
−$3,379,594 · G-3 line 5
Margin on patient care
−13.9%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $11.6M in its first year on file (2004) to $24.4M in 2025.
  • Its result from patient care: −$4.4M (2023), −$7.2M (2024), −$3.4M (2025).
  • 3 of the 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 9.4% of its inpatient days and Medicare for 73.6%.

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

22 years of filings

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

Net patient revenueOperating expenses
2004
settled with audit
$11.6M
$11.7M
2005
settled
$12.8M
$12.6M
2006
settled
$13.1M
$12.8M
2007
reopened
$13.9M
$13.5M
2008
settled with audit
$15.3M
$14.8M
2009
settled
$15.0M
$15.7M
2010
settled
$15.9M
$16.1M
2011
settled
$17.1M
$17.0M
2012
settled
$18.3M
$20.0M
2013
settled
$18.2M
$19.9M
2014
settled
$19.6M
$19.8M
2015
settled
$21.3M
$21.1M
2016
settled with audit
$24.2M
$22.9M
2017
settled
$24.2M
$23.7M
2018
settled
$25.3M
$24.2M
2019
settled
$24.6M
$27.2M
2020
settled
$21.7M
$25.3M
2021
settled
$23.0M
$27.9M
2022
settled
$24.1M
$30.2M
2023
settled
$27.4M
$31.8M
2024
settled
$24.8M
$32.0M
2025
as submitted
$24.4M
$27.7M

Beside its peers

Critical access hospitals in South Dakota with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Winner Regional Healthcare Center25$24,367,784$27,747,378−13.9%
Community Memorial Hospital, Redfield25$18,049,924$19,759,889−9.5%
Fall River Health Services, Hot Springs25$32,149,653$32,655,791−1.6%
Freeman Medical Center, Freeman25$17,239,019$18,136,066−5.2%
Monument Health Sturgis Hospital, Sturgis25$40,547,796$39,671,5572.2%
Sanford Webster Medical Center, Webster25$12,502,266$11,719,5446.3%

Patients and payers

Discharges
317
S-3 line 14, col 15
Inpatient days
1,715
S-3 line 14, col 8
Beds in use, on an average day
4.7
days ÷ days in year
Occupancy
18.8%
days ÷ bed days
Medicare share of days
73.6%
S-3 cols 6 ÷ 8
Medicaid share of days
9.4%
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 WINNER REGIONAL HEALTHCARE CENTER (employer identification number 460274380) for tax year 2023. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$4,839,976IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$43,000IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$1,316,495IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$1,359,495IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$3,480,481IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.1609IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202423169349303042. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by WINNER REGIONAL HEALTHCARE CENTER (employer identification number 460274380) for tax year 2023. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
AMANDA SOESBECFOOfficer$99,007$0$32,270
BETSY PRAVECEKVICE PRESIDENTTrustee/director, Officer$0$0$0
BRIAN WILLIAMSCEO - JOINED 6/2023Officer$0$0$0
CASEY HEENANSECRETARYTrustee/director, Officer$0$0$0
CHARISSE OLANDINTERIM CEO - LEFT 6/2023Officer$0$0$0
DIONE ROWEDIRECTORTrustee/director$0$0$0
JUSTIN NELSONDIRECTORTrustee/director$0$0$0
KEN NOGUCHIMDHighest-compensated employee$335,583$0$23,597
KIM VANNEMANTREASURERTrustee/director, Officer$0$0$0
KORIE PRAVECEKCNPHighest-compensated employee$128,984$0$11,660
MARLA HAYESPHARMACIST/DIRECTOR OF PHARMACYHighest-compensated employee$178,740$0$5,356
NICOLE OLSONDIRECTOR OF CLINIC OPERATIONSHighest-compensated employee$122,803$0$16,510
REBECCA OLSONCNPHighest-compensated employee$149,259$0$5,304
RICK WAGNER MDDIRECTOR, CHIEF OF STAFFTrustee/director$219,000$0$0
ROGER KINGSBURYPRESIDENTTrustee/director, Officer$0$0$0
SARA HAMMERBECKDIRECTORTrustee/director$0$0$0
SARA PETERSEKDIRECTORTrustee/director$0$0$0

E-file object id 202423169349303042. 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 431334. 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 June 5, 2026.