Critical access hospital · Clarkston, Washington · 25 beds · CMS certification number 501332
Tri-State Memorial Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS July 14, 2026. 22 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $11.3M in its first year on file (2004) to $136.6M in 2025.
- Its result from patient care: −$2.0M (2023), −$1.5M (2024), −$427K (2025).
- All 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
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.
reopened
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amended
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Beside its peers
Critical access hospitals in Washington with 25 to 49 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Tri-State Memorial Hospital | 25 | $136,638,651 | $137,065,812 | −0.3% |
| Dayton General Hospital, Dayton | 25 | $31,197,211 | $34,373,206 | −10.2% |
| Forks Community Hospital, Forks | 37 | $43,550,927 | $46,889,006 | −7.7% |
| Garfield County Public Hospital District #1, Pomeroy | 25 | $12,837,684 | $13,507,601 | −5.2% |
| Lincoln County Hospital District 3, Davenport | 25 | $33,046,258 | $34,030,311 | −3.0% |
| Odessa Memorial Healthcare Center, Odessa | 25 | $11,939,631 | $14,447,831 | −21.0% |
Patients and payers
- Discharges
- 1,050S-3 line 14, col 15
- Inpatient days
- 4,196S-3 line 14, col 8
- Beds in use, on an average day
- 11.5days ÷ days in year
- Occupancy
- 46.0%days ÷ bed days
- Medicare share of days
- 43.6%S-3 cols 6 ÷ 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 TRI-STATE MEMORIAL HOSPITAL (employer identification number 910545036) for tax year 2023. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $3,687,389 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $1,097,030 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $2,521,923 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $3,618,953 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $68,436 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0289 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202433209349304468. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by TRI-STATE MEMORIAL HOSPITAL (employer identification number 910545036) for tax year 2023. 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 |
|---|---|---|---|---|---|
| CRAIG FLINDERS | PHYSICIAN | Highest-compensated employee | $556,556 | $0 | $32,964 |
| DAN KLAVEANO | BOARD MEMBER (THRU 7/23) | Trustee/director | $0 | $0 | $0 |
| DEBRA R AUSMAN | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| DICK FLERCHINGER | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| DON MCQUARY | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| DUNCAN HARRIS | PHYSICIAN | Highest-compensated employee | $529,520 | $0 | $12,955 |
| E WAYNE DAY MD | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| ELINA CHERNYAK | PHYSICIAN | Highest-compensated employee | $579,560 | $0 | $26,292 |
| JIM HEILSBERG | CFO | Officer | $241,359 | $0 | $15,406 |
| JOHN RUDOLPH MD | BOARD MEMBER (THRU 7/23) | Trustee/director | $370,568 | $0 | $27,054 |
| K DAVID HAGEN | SECRETARY/TREASURER | Trustee/director, Officer | $0 | $0 | $0 |
| KENNETH BERGER | PHYSICIAN | Highest-compensated employee | $560,111 | $0 | $21,126 |
| KIMBERLY BLEWETT | BOARD MEMBER | Trustee/director, Officer | $287,021 | $0 | $26,770 |
| KYM CLIFT | CEO | Officer | $373,264 | $0 | $19,197 |
| LEROY SMITH | PHYSICIAN | Highest-compensated employee | $521,095 | $0 | $17,764 |
| MICHELE BEEHLER | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| MIKE MARTIN | PRESIDENT | Trustee/director, Officer | $0 | $0 | $0 |
| PAUL JELINEK | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| RICK WASEM | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| ROBIN ALBERS | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| SCOTT ARNONE | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| STEVE CLAASSEN | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
E-file object id 202433209349304468. 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 501332. 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 July 14, 2026.