Civic Intelligence

West River Health Services DBA West

EIN 45-0340688 • 501(c)3 • Hettinger, ND

Profile

The mission of west river health services (wrhs) is to provide comprehensive health and wellness services to the residents and visitors of the region.

1000 Highway 12Hettinger, ND 58639

www.wrhs.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

31st percentile

0.07x

Higher debt load relative to assets than 31% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Liabilities / Revenue

20th percentile

0.08x

Higher debt load relative to revenue than 20% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Net Margin

45th percentile

2.7%

Higher net margin than 45% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Top Officer Pay

83rd percentile

$533,397

Higher top officer pay than 83% of similar nonprofits.

Top officer pay equals 1.6% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Asset Growth

34th percentile

1.3%

Faster asset growth than 34% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2025

Revenue Growth

47th percentile

6.1%

Faster revenue growth than 47% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2025

Assets

Up

$34,067,055

Up $896,531 (+2.7%) from 2023

Liabilities

Up

$2,466,393

Up $42,261 (+1.7%) from 2023

Net Assets

Up

$31,600,662

Up $854,270 (+2.8%) from 2023

Revenue

Up

$32,377,804

Up $3,589,602 (+12%) from 2023

Expenses

Up

$31,519,766

Up $1,987,211 (+6.7%) from 2023

Net Income

Up

$858,038

Up $1,602,391 (+215%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$40M$30M$20M$10M$0Assets 2010: $23,965,813Liabilities 2010: $7,686,536Net Assets 2010: $16,279,2772010Assets 2011: $24,059,990Liabilities 2011: $7,567,952Net Assets 2011: $16,492,0382011Assets 2012: $26,847,556Liabilities 2012: $8,549,839Net Assets 2012: $18,297,7172012Assets 2013: $26,931,485Liabilities 2013: $7,900,868Net Assets 2013: $19,030,6172013Assets 2014: $27,248,275Liabilities 2014: $7,786,365Net Assets 2014: $19,461,9102014Assets 2015: $28,350,896Liabilities 2015: $8,596,544Net Assets 2015: $19,754,3522015Assets 2016: $27,279,283Liabilities 2016: $7,424,004Net Assets 2016: $19,855,2792016Assets 2017: $22,263,958Liabilities 2017: $3,053,209Net Assets 2017: $19,210,7492017Assets 2018: $21,984,440Liabilities 2018: $1,963,243Net Assets 2018: $20,021,1972018Assets 2019: $22,720,773Liabilities 2019: $2,107,962Net Assets 2019: $20,612,8112019Assets 2020: $23,935,255Liabilities 2020: $2,877,090Net Assets 2020: $21,058,1652020Assets 2021: $32,561,902Liabilities 2021: $3,962,039Net Assets 2021: $28,599,8632021Assets 2022: $34,739,772Liabilities 2022: $3,212,243Net Assets 2022: $31,527,5292022Assets 2023: $33,170,524Liabilities 2023: $2,424,132Net Assets 2023: $30,746,3922023Assets 2025: $34,067,055Liabilities 2025: $2,466,393Net Assets 2025: $31,600,6622025

Highlighted filing

2025

Assets$34,067,055
Liabilities$2,466,393
Net Assets$31,600,662

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$30M$20M$10M$0-$10MExpenses 2010: $23,270,2812010Revenue 2011: $23,744,437Expenses 2011: $23,541,299Net Income 2011: $203,1382011Expenses 2012: $23,870,1222012Expenses 2013: $24,448,1302013Revenue 2014: $25,212,715Expenses 2014: $25,245,669Net Income 2014: -$32,9542014Revenue 2015: $25,941,354Expenses 2015: $25,693,185Net Income 2015: $248,1692015Revenue 2016: $27,091,813Expenses 2016: $27,468,561Net Income 2016: -$376,7482016Revenue 2017: $25,765,982Expenses 2017: $26,242,297Net Income 2017: -$476,3152017Revenue 2018: $26,338,539Expenses 2018: $25,528,091Net Income 2018: $810,4482018Revenue 2019: $27,004,713Expenses 2019: $26,413,099Net Income 2019: $591,6142019Revenue 2020: $27,059,924Expenses 2020: $26,614,570Net Income 2020: $445,3542020Revenue 2021: $34,438,899Expenses 2021: $26,897,201Net Income 2021: $7,541,6982021Revenue 2022: $30,937,154Expenses 2022: $28,009,488Net Income 2022: $2,927,6662022Revenue 2023: $28,788,202Expenses 2023: $29,532,555Net Income 2023: -$744,3532023Revenue 2025: $32,377,804Expenses 2025: $31,519,766Net Income 2025: $858,0382025

Highlighted filing

2025

Revenue$32,377,804
Expenses$31,519,766
Net Income$858,038

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$34.1$2.47$31.6$32.4$31.5$0.86
2023Summary only. Only limited summary data is available for this year.$33.2$2.42$30.7$28.8$29.5$0.74
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$34.7$3.21$31.5$30.9$28.0$2.93
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$32.6$3.96$28.6$34.4$26.9$7.54
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$23.9$2.88$21.1$27.1$26.6$0.45
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$22.7$2.11$20.6$27.0$26.4$0.59
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$22.0$1.96$20.0$26.3$25.5$0.81
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$22.3$3.05$19.2$25.8$26.2$0.48
2016Detailed filing. Detailed filing data is available for this year.$27.3$7.42$19.9$27.1$27.5$0.38
2015Detailed filing. Detailed filing data is available for this year.$28.4$8.60$19.8$25.9$25.7$0.25
2014Summary only. Only limited summary data is available for this year.$27.2$7.79$19.5$25.2$25.2$0.03
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$26.9$7.90$19.0$24.4
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$26.8$8.55$18.3$23.9
2011Summary only. Only limited summary data is available for this year.$24.1$7.57$16.5$23.7$23.5$0.20
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$24.0$7.69$16.3$23.3
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Apr 1, 2024 to Mar 31, 2025
Signed
Feb 11, 2026
Return Version
2024v5.5
Gross Receipts
$32,394,779
Mission and Program Overview

Mission

The mission of west river health services (wrhs) is to provide comprehensive health and wellness services to the residents and visitors of the region.

Provide comprehensive health and wellness services to the residents and visitors of the region.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$10,244,440$9,816,913▼ $427,527
Savings and Temporary Cash Investments$11,720,483$9,251,013▼ $2,469,470
Investments in Publicly Traded Securities$7,107,035$7,454,100▲ $347,065
Accounts Receivable$4,252,595$5,235,640▲ $983,045
Inventories for Sale or Use$643,610$620,541▼ $23,069
Prepaid Expenses and Deferred Charges$312,417$553,271▲ $240,854
Total Assets$34,769,157$34,067,055▼ $702,102
Other Assets Total$488,577$1,135,577▲ $647,000
Liabilities
Accounts Payable and Accrued Expenses$1,862,144$1,984,912▲ $122,768
Other Liabilities$1,546,139$0▼ $1,546,139
Mortgage Notes Payable Secured by Investment Property$592,593$481,481▼ $111,112
Deferred Revenue$25,657$0▼ $25,657
Total Liabilities$4,026,533$2,466,393▼ $1,560,140
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$30,742,624$31,600,662▲ $858,038
Total Net Assets Fund Balance$30,742,624$31,600,662▲ $858,038
Total Liabilities and Net Assets / Fund Balance$34,769,157$34,067,055▼ $702,102

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$7,164,662$16,436,650$21,593,481
Equipment$2,310,534$14,485,916$16,760,279
Other Land Buildings$233,604$856,289$1,089,893
Land$108,113-$90,113
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Catherine Shirek HoulePhysicianFT$493,439$39,958$533,397
Joshua RanumPhysicianFT$429,154$18,547$447,701
Mark KristyChief Medical Officer/physicianFT$385,549$41,199$426,748
Karen AndresPhysicianFT$364,705$47,358$412,063
Steve KilweinPhysicianFT$282,586$41,475$324,061
Dr Stacie WellmanMedical Staff LiaisonFT$252,366$34,839$287,205
Alyson KorneleCEOPT$203,778$31,818$235,596
Nathan StadheimCFOPT$161,919$34,625$196,544
Brett HendersonChairman-$90$40$130
Dave EricksonVice Chairman-$90-$90
Michelle EngrafRepresentative-$80-$80
Troy MosbruckerRepresentative-$80-$80
Jonathon EatonSecretary/treasurer-$70-$70
Stewart NeilsenRepresentative-$60-$60
Lynn BrownRepresentative-$50-$50
Jack AndersonRepresentative-$10-$10

Highest Paid Contractors

ContractorServicesLocationCompensation
Medical Solutions LLC Dba Aureus RadioloLocum Staffing13609 CALIFORNIA ST, Omaha, NE 68154$1,690,651
Viddal Md PllcLocum Medical Provider3672 E BOOT TRACK TRL, Gilbert, AZ 85296$402,185
National Medical ResourcesLocum Staffing2792 E BROADWAY AVE, Bismarck, ND 58501$278,053
Marco Technologies LLCInformation Technology Services4510 HEATHERWOOD RD, Saint Cloud, MN 56301$260,535
-Locum Anesthesia Services2089 4TH ST W, Dickinson, ND 58601$258,429
Revenue and Support

Revenue Composition

Contributions and Grants
$587,868
Program Service Revenue
$30,931,612
Investment Income
$798,573
Other Revenue
$59,751
All Other Contributions
$25,657
Change in Net Assets
$858,038

Audited Revenue Reconciliation

Revenue per Audited Statements
$32,375,898
Revenue Not Reported on Financial Statements
$1,906
Revenue Not Reported on Form 990
$-440,291
Other Revenue Adjustments
$-391
Total Revenue per Audited Statements
$31,935,607
Total Revenue per Form 990
$32,377,804
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$17,016,997
Other Expenses$14,497,769
Total Fundraising Expense$125,361
Grants and Similar Amounts Paid$5,000
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$12,595,916$816,070$99,145$13,511,131
Fees for Services Other$5,576,688$240,552$859$5,818,099
Depreciation Depletion$1,274,536$193,522$2,302$1,470,360
Other Employee Benefits$1,350,635$71,068$10,633$1,432,336
Payroll Taxes$850,703$78,246$6,565$935,514
Current Officers, Directors, Trustees, and Key Employees$287,205$432,140-$719,345
Occupancy$451,869$38,392$1,378$491,639
Pension Plan Contributions$389,825$25,779$3,067$418,671
Insurance$353,487$25,401$712$379,600
Other Expenses$218,735$37,001$78$255,736
All Other Expenses$171,752$54,020$45$225,817
Travel$90,833$5,281$2$96,116
Advertising-$81,847-$81,847
Conferences and Meetings$46,420$24,731-$71,151
Office Expenses$65,860$4,758$399$71,017
Fees for Services Accounting-$65,491-$65,491
Interest$15,603--$15,603
Grants to Domestic Orgs$5,000--$5,000
Fees for Services Legal-$3,913-$3,913
Fees for Service Investment Mgmnt Fees-$2,297-$2,297
Total Functional Expenses$28,519,128$2,875,277$125,361$31,519,766

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$31,519,766
Total Expenses per Audited Statements$31,077,569
Expenses per Audited Statements$31,077,178
Expenses Not Reported on Financial Statements$442,588
Other Expense Adjustments$440,291
Expenses Not Reported on Form 990$391
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Teresa NielsenSpouse of Stewart Nielsen, Director on Wrhs BoardCompensationNo$179,843
Alaina Stadheim-olsonSister of Nathan Stadheim, CFOCompensationNo$166,530
Tara JorgensonSpouse of Cody Jorgenson, Director on Wrhs BoardCompensationNo$95,203
Bethany EricksonDaughter of Dave Erickson, Director on Wrhs BoardCompensationNo$58,467
Lisa MosbruckerSpouse of Troy Mosbrucker, Director on Wrhs BoardCompensationNo$49,544
Dana AndressSister of Dave Erickson, Director on Wrhs BoardCompensationNo$38,274
Braxton KorneleSpouse of Alyson Kornele, CEOCompensationNo$27,738
Kylee StadheimSpouse of Nathan Stadheim, CFOCompensationNo$25,947
Dorinda BjerklieSpouse of Leonard Bjerklie, Director on Wrhsf Board (parent Organization)CompensationNo$24,539
Audrey SkogenMother of Seth Skogen, Director on Wrhsf Board (parent Organization)CompensationNo$22,848
Megan BrownDaughter-in-law of Lynn Brown, Director on Wrhs BoardCompensationNo$12,287
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

There is an executive committee that has authority to transact all regular business of the corporation during the period between the meetings of the board of directors. Minutes of the executive committee shall be submitted to the board and its action shall be subject to the approval or disapproval at the next regular board meeting. This committee will meet when called by the chairman. The executive committee consists of the chairman, vice chair, secretary/treasurer, past chairman, medical staff representative of the board, and two other board members.

Form 990, Part VI, Section A, Line 6

West river health services foundation is the sole member of the organization.

Form 990, Part VI, Section A, Line 7A

As the sole member, wrhs foundation appoints the board members of wrhs.

Form 990, Part VI, Section A, Line 7B

As a sole member, wrhs foundation approves all amendments to the articles of incorporation and bylaws, determines approved debt levels and approves individual debt transactions that exceed the approved debt levels, approves dissolution or merger of the organization, and approves the sale or transfer of any capital assets having a purchase price or market value greater than $100,000.

Form 990, Part VI, Section B, Line 11B

The cfo and ceo will review the form 990 prior to the completed form 990 being distributed electronically to the board members for their review and comments. The form 990 is also reviewed and discussed at a board meeting.

Form 990, Part VI, Section B, Line 12C

All medical staff, employees, and board members are required to disclose any potential conflicts. Potential conflicts are reviewed by the ceo. Individuals with conflicts abstain from voting, and this action is noted by board minutes.

Form 990, Part VI, Section B, Line 15A

Compensation for the ceo & cfo is determined by the board of directors of west river health services foundation (wrhsf), a related organization. The following procedures are used by wrhsf: ceo: each board member and the medical staff representative from each bod annually completes an evaluation form on the ceo's performance. The chairman of wrhsf tabulates the results and reviews with members of the wrhsf executive committee. Results are presented to the full board of directors who have final authority in determining compensation. Comparability data from the state hospital association, as well as other comparative industry information is used in determining compensation. Cfo: the ceo reviews the cfo performance and uses comparability data in determining compensation. All other employees: the administrative staff uses comparability data in setting compensation for each level of employee. Compensation is reviewed annually.

Form 990, Part VI, Section C, Line 19

Administrative representatives of the organization will provide the governing board documents, conflict of interest policy, and financial statements upon written or verbal request to administrative representatives of the organization.

Filing and Contact Details

Filer

Filer Name
West River Health Services
EIN
45-0340688
Phone
7015674561
Address
1000 HIGHWAY 12, HETTINGER, ND 58639
Doing Business As
West River Regional Medical Center

Signing Officer

Name
Kurt Sargent
Title
CFO
Phone
7015674561
Signed
2026-02-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Alyson Kornele
Formed
1977
Legal Domicile
Nd
Voting Board Members
9
Independent Board Members
4
Employees
278
Volunteers
0

Preparer

Firm
Casey Peterson Ltd
Address
909 ST JOSEPH ST STE 101, RAPID CITY, SD 57701
Preparer
Kayla Giesey CPA
Phone
6053481930
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Purchased services: program service expenses 5,576,688. Management and general expenses 240,552. Fundraising expenses 859. Total expenses 5,818,099.

Part XII, Line 2C

Process has not changed from the prior year.

Financial Statement Notes

PART X, LINE 2:

As of march 31, 2025, wrhs had no uncertain tax positions that qualify for either recognition or disclosure in the financial statements. Wrhs' income tax filings are subject to audit by various taxing authorities. Wrhs is no longer subject to federal and state income tax examinations by taxing authorities for fiscal years before 2022. Management continually evaluates expiring statutes of limitation, audits, proposed settlements, changes in tax law, and new authoritative rulings. Wrhs believes estimates are appropriate based on current facts and circumstances. Interest and penalties assessed by income taxing authorities, if any, are included in interest expense.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Bad debt expense -440,291.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

RENTAL EXPENSES -391.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

RENTAL EXPENSES 391.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Bad debt expense 440,291.

Part XI Line 4B

Expenses related to rental property are included in expenses for purposes of the audited financial statements; however, these expenses are netted against the gross rent in revenue for 990 presentation.

Part XII Line 2D

Rental expenses are netted against the gross rent revenue for purposes of the 990, but are reported in expenses in the audited financial statements.

Raw XML AppendixShowing 400 of 1,013 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0PROVIDE COMPREHENSIVE HEALTH AND WELLNESS SERVICES TO THE RESIDENTS AND VISITORS OF THE REGION.
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IRS990/Desc0WEST RIVER HEALTH SERVICES (WRHS) IS A NATIONALLY-RECOGNIZED RURAL HEALTH CARE DELIVERY SYSTEM INCLUDING A CRITICAL ACCESS HOSPITAL THAT PROVIDES MANY DIFFERENT SERVICES INCLUDING ACUTE INPATIENT SERVICES, SWING BED, SURGERY, LAB, RADIOLOGY, EMERGENCY ROOM, SIX MEDICAL CLINICS, EYE CLINIC, VISITING NURSE SERVICES, AMBULANCE SERVICE, COUNSELING, AND REHABILITATIVE THERAPIES INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY.IN FY 2025 WRHS PROVIDED ACUTE CARE SERVICES TO 406 PATIENTS FOR A TOTAL OF 1,438 DAYS OF CARE. SWING BED SERVICES WERE PROVIDED TO 66 PATIENTS FOR A TOTAL OF 568 DAYS OF CARE. IN ADDITION, 319 EQUIVALENT DAYS OF OBSERVATION CARE WERE PROVIDED. THERE WERE 1,750 EMERGENCY ROOM VISITS DURING THE YEAR. THERE WERE 30 BABIES BORN DURING THE YEAR WITH A TOTAL OF 47 DAYS OF CARE PROVIDED. THERE WERE A TOTAL OF 733 SURGICAL CASES DURING THE YEAR, WITH 692 OF THOSE BEING DONE ON AN OUTPATIENT BASIS. THE AMBULANCE CREW MADE 395 AMBULANCE RUNS/TRANSFERS THROUGHOUT THE YEAR AND RESPONDED TO 72 CALLS WITH NO PATIENTS NEEDING TRANSPORT. THERE WERE 33,826 CLINIC ENCOUNTERS TO THE SIX MEDICAL CLINICS AND 1752 EYE EXAMINATIONS PERFORMED IN THE EYE CLINIC. ANCILLARY SERVICES WERE PROVIDED AS FOLLOWS: 7,618 RADIOLOGY TESTS; 23,765 MEALS TO PATIENTS, VISITORS, AND EMPLOYEES. THROUGHOUT THE YEAR THERE WERE 3,907 HOME VISITS BY REGISTERED NURSES.
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IRS990/MissionDesc0THE MISSION OF WEST RIVER HEALTH SERVICES (WRHS) IS TO PROVIDE COMPREHENSIVE HEALTH AND WELLNESS SERVICES TO THE RESIDENTS AND VISITORS OF THE REGION.
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