Medicare cost report · CMS certification number 501332
TRI-STATE MEMORIAL HOSPITAL
CLARKSTON, Washington · critical access hospital
Buy the report: $295Filing alerts: $390/year · The register under license: from $25,000/year
Figures for January 1, 2025 to December 31, 2025 — a reporting period of 364 days, on form CMS-2552-10, as submitted.
This hospital also appears on the 340B covered-entity register: TRI-STATE MEMORIAL HOSPITAL.
Finances, as filed
From this hospital’s Medicare cost report for the year ended December 31, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $286,591,162 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $149,952,511 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $136,638,651 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $137,065,812 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$427,161 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $2,410,782 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $1,688,100 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $6,513,913 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $2,850,821 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $4,538,921 | 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 | 0.4396 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 501332 for January 1, 2025 to December 31, 2025, as submitted. The public file it was read from.
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.
The full report for TRI-STATE MEMORIAL HOSPITAL
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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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.
- 81stpercentile of 26 hospitals in WA, same facility class, 25 to 49 bedsNet patient revenue, in dollars, as filed
Net patient revenue across every hospital that filed for 2025, 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 $26,780,592 and $275,353,989, median $73,049,131, across 5,659 hospitals that filed for 2025, in every state and of every size.
- 78thpercentile of 27 hospitals in WA, same facility class, 25 to 49 bedsTotal operating expenses, in dollars, as filed
Total operating expenses across every hospital that filed for 2025, 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 $27,953,478 and $268,914,289, median $72,935,955, across 5,819 hospitals that filed for 2025, in every state and of every size.
- 60thpercentile of 25 hospitals in WA, same facility class, 25 to 49 bedsCharity care, at cost, in dollars, as filed
- 81stpercentile of 26 hospitals in WA, same facility class, 25 to 49 bedsUncompensated care, at cost, in dollars, as filed
- 96thpercentile of 27 hospitals in WA, same facility class, 25 to 49 bedsTotal facility beds, a count of beds, as filed
Total facility beds across every hospital that filed for 2025, 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 25 and 168, median 64, across 5,777 hospitals that filed for 2025, in every state and of every size.
- 42ndpercentile of 26 hospitals in WA, same facility class, 25 to 49 bedsCost-to-charge ratio, the ratio, as filed
Cost-to-charge ratio across every hospital that filed for 2025, 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 0.1809 and 0.4503, median 0.2651, across 4,413 hospitals that filed for 2025, 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 Washington 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 TRI-STATE MEMORIAL HOSPITAL: 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 August 24, 2026, a cost report was filed for fiscal year 2019. 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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Every figure on this page is printed as it appears in this hospital’s Medicare cost report, filed under CMS certification number 501332 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 July 14, 2026.