WEST RIVER HEALTH SERVICES: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- WEST RIVER HEALTH SERVICES (EIN 45-0340688)
- Tax period
- 2023-04-01 to 2024-03-31
- Filed
- 2025-02-17
- IRS object ID
- 202520489349301607
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-02-17T12:52:15-06:00 | ReturnTs |
| Tax Period End | 2024-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 460403496 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CASEY PETERSON LTD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 909 ST JOSEPH ST STE 101 | AddressLine1Txt |
| City | RAPID CITY | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450340688 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST RIVER HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 7015674561 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 HIGHWAY 12 | AddressLine1Txt |
| City | HETTINGER | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58639 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NATHAN STADHEIM | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7015674561 | PhoneNum |
| Signature | 2025-02-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KAYLA GIESEY CPA | PreparerPersonNm |
| PTIN | P01874520 | PTIN |
| Phone | 6053481930 | PhoneNum |
| Preparation | 2025-02-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST RIVER REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALYSON KORNELE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 HIGHWAY 12 | AddressLine1Txt |
| City | HETTINGER | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58639 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $29,922,210 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WRHS.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | ND | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE COMPREHENSIVE HEALTH AND WELLNESS SERVICES TO THE RESIDENTS AND VISITORS OF THE REGION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 284 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $901,450 | PYContributionsGrantsAmt |
| CY Contributions Grants | $563,552 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $27,488,775 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $28,622,382 | CYProgramServiceRevenueAmt |
| PY Investment Income | $291,512 | PYInvestmentIncomeAmt |
| CY Investment Income | $681,033 | CYInvestmentIncomeAmt |
| PY Other Revenue | $106,465 | PYOtherRevenueAmt |
| CY Other Revenue | $54,710 | CYOtherRevenueAmt |
| PY Total Revenue | $28,788,202 | PYTotalRevenueAmt |
| CY Total Revenue | $29,921,677 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $15,119 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $21,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,663,770 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,640,773 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $130,653 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,853,666 | PYOtherExpensesAmt |
| CY Other Expenses | $13,267,504 | CYOtherExpensesAmt |
| PY Total Expenses | $29,532,555 | PYTotalExpensesAmt |
| CY Total Expenses | $29,929,777 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$744,353 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$8,100 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $33,170,524 | TotalAssetsBOYAmt |
| Total Assets EOY | $34,769,157 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,424,132 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,026,533 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $30,746,392 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $30,742,624 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $27,109,500 | ExpenseAmt |
| Grant | $21,500 | GrantAmt |
| Revenue | $28,622,382 | RevenueAmt |
| Desc | WEST 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 2024 WRHS PROVIDED ACUTE CARE SERVICES TO 361 PATIENTS FOR A TOTAL OF 1,399 DAYS OF CARE. SWING BED SERVICES WERE PROVIDED TO 65 PATIENTS FOR A TOTAL OF 764 DAYS OF CARE. IN ADDITION, 464 EQUIVALENT DAYS OF OBSERVATION CARE WERE PROVIDED. THERE WERE 1,734 EMERGENCY ROOM VISITS DURING THE YEAR. THERE WERE 19 BABIES BORN DURING THE YEAR WITH A TOTAL OF 32 DAYS OF CARE PROVIDED. THERE WERE A TOTAL OF 668 SURGICAL CASES DURING THE YEAR, WITH 605 OF THOSE BEING DONE ON AN OUTPATIENT BASIS. THE AMBULANCE CREW MADE 244 AMBULANCE RUNS/TRANSFERS THROUGHOUT THE YEAR. THERE WERE 34,024 CLINIC ENCOUNTERS TO THE SIX MEDICAL CLINICS. ANCILLARY SERVICES WERE PROVIDED AS FOLLOWS: 7,127 RADIOLOGY TESTS; 249 RESPIRATORY THERAPY PROCEDURES; 24,272 MEALS TO PATIENTS, VISITORS, AND EMPLOYEES. THROUGHOUT THE YEAR THERE WERE 4,279 HOME VISITS BY REGISTERED NURSES. | Desc |
| Total Program Service Expenses | $27,109,500 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 92 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 284 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | ND | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7015674561 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 HIGHWAY 12 | AddressLine1Txt |
| City | HETTINGER | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58639 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JONATHON EATON | ||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $170 | $0 | $0 | ||
| BRETT HENDERSON | ||||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $180 | $0 | $0 | 1.00 | |
| DAVE ERICKSON | ||||||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | Yes (X) | $180 | $0 | $0 | ||
| KELLY PIERCE | ||||||||
| FORMER SECRETARY/TREASURER | 1.00 | Yes (X) | Yes (X) | $30 | $0 | $0 | ||
| LYNN BROWN | ||||||||
| REPRESENTATIVE | 1.00 | Yes (X) | $180 | $0 | $0 | |||
| MICHELLE ENGRAF | ||||||||
| REPRESENTATIVE | 1.00 | Yes (X) | $130 | $0 | $0 | |||
| KEVIN ERDAHL | ||||||||
| REPRESENTATIVE | 1.00 | Yes (X) | $60 | $0 | $0 | |||
| TROY MOSBRUCKER | ||||||||
| REPRESENTATIVE | 1.00 | Yes (X) | $120 | $0 | $0 | |||
| WILLIAM GION | ||||||||
| REPRESENTATIVE | 1.00 | Yes (X) | $30 | $0 | $0 | |||
| BRAD DERSCHAN | ||||||||
| REPRESENTATIVE | 1.00 | Yes (X) | $30 | $0 | $0 | |||
| DR MARK KRISTY | ||||||||
| MEDICAL STAFF LIAISON (TERM JAN 2024) | 40.00 | Yes (X) | $267,469 | $0 | $35,941 | |||
| DR STACIE WELLMAN | ||||||||
| MEDICAL STAFF LIAISON (BEG JAN 2024) | 40.00 | Yes (X) | $220,791 | $0 | $26,024 | |||
| STEWART NEILSEN | ||||||||
| REPRESENTATIVE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ALYSON KORNELE | ||||||||
| CEO | 35.00 | Yes (X) | $180,308 | $0 | $22,808 | 5.00 | ||
| NATHAN STADHEIM | ||||||||
| CFO | 32.00 | Yes (X) | $146,717 | $0 | $30,602 | 8.00 | ||
| CATHERINE SHIREK | ||||||||
| PHYSICIAN | 40.00 | $513,349 | $0 | $35,832 | Yes (X) | |||
| KAREN ANDRES | ||||||||
| PHYSICIAN | 40.00 | $315,206 | $0 | $39,072 | Yes (X) | |||
| STEVE KILWEIN | ||||||||
| PHYSICIAN | 40.00 | $294,566 | $0 | $42,918 | Yes (X) | |||
| JOSHUA RANUM | ||||||||
| PHYSICIAN | 139.00 | $420,329 | $0 | $18,480 | 1.00 | Yes (X) | ||
| TAMMY GROSULAK | ||||||||
| CRNA | 40.00 | $266,599 | $0 | $18,186 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,626,444 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $269,863 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 27 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| VIDDAL MD PLLC | |||||
| 3672 E BOOT TRACK TRL | GILBERT | AZ | 85296 | LOCUM MEDICAL PROVIDER | $560,146 |
| UNITIMED RECRUITING RESOURCES LLC | |||||
| 2800 JACKSON BLVD STE 2 | RAPID CITY | SD | 57702 | LOCUM STAFFING | $511,533 |
| AMERICAN HEALTHCARE STAFFING ASSOC | |||||
| PO BOX 670529 | DALLAS | TX | 752670529 | LOCUM STAFFING | $422,901 |
| AUREUS RADIOLOGY LLC | |||||
| 1010 N 102ND ST 300 | OMAHA | NE | 68114 | LOCUM RADIOLOGY SERVICES | $420,344 |
| MARCO TECHNOLOGIES LLC | |||||
| 4510 HEATHERWOOD RD | SAINT CLOUD | MN | 56301 | INFORMATION TECHNOLOGY SERVICES | $245,387 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $303,974 | RelatedOrganizationsAmt |
| Government Grants | $257,878 | GovernmentGrantsAmt |
| All Other Contributions | $1,700 | AllOtherContributionsAmt |
| Total Contributions | $563,552 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $27,949,583 | $27,949,583 |
| OTHER OPERATING REVENUE | 621110 | $508,677 | $508,677 |
| ASSISTED LIVING BUILDING RENT | 900002 | $92,100 | $92,100 |
| CAFETERIA | 722514 | $72,022 | $72,022 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $28,622,382 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $681,033 | TotalRevenueColumnAmt |
| Exclusion | $681,033 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $55,243 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $533 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $54,710 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $54,710 | TotalRevenueColumnAmt |
| Exclusion | $54,710 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,921,677 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,622,382 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $735,743 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,500 | TotalAmt |
| Program Services | $21,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $930,658 | TotalAmt |
| Program Services | $550,223 | ProgramServicesAmt |
| Management And General | $380,435 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,126,363 | TotalAmt |
| Program Services | $12,248,351 | ProgramServicesAmt |
| Management And General | $773,533 | ManagementAndGeneralAmt |
| Fundraising | $104,479 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $391,376 | TotalAmt |
| Program Services | $360,708 | ProgramServicesAmt |
| Management And General | $27,587 | ManagementAndGeneralAmt |
| Fundraising | $3,081 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,259,412 | TotalAmt |
| Program Services | $1,190,833 | ProgramServicesAmt |
| Management And General | $58,424 | ManagementAndGeneralAmt |
| Fundraising | $10,155 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $932,964 | TotalAmt |
| Program Services | $852,324 | ProgramServicesAmt |
| Management And General | $73,648 | ManagementAndGeneralAmt |
| Fundraising | $6,992 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,333 | TotalAmt |
| Management And General | $2,333 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,023 | TotalAmt |
| Management And General | $40,023 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $653 | TotalAmt |
| Management And General | $653 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,930,492 | TotalAmt |
| Program Services | $4,833,263 | ProgramServicesAmt |
| Management And General | $96,476 | ManagementAndGeneralAmt |
| Fundraising | $753 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,943 | TotalAmt |
| Management And General | $93,943 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,532 | TotalAmt |
| Program Services | $58,782 | ProgramServicesAmt |
| Management And General | $4,338 | ManagementAndGeneralAmt |
| Fundraising | $412 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $489,496 | TotalAmt |
| Program Services | $448,796 | ProgramServicesAmt |
| Management And General | $39,291 | ManagementAndGeneralAmt |
| Fundraising | $1,409 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,280 | TotalAmt |
| Program Services | $97,576 | ProgramServicesAmt |
| Management And General | $2,702 | ManagementAndGeneralAmt |
| Fundraising | $2 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,870 | TotalAmt |
| Program Services | $51,836 | ProgramServicesAmt |
| Management And General | $24,031 | ManagementAndGeneralAmt |
| Fundraising | $3 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,045 | TotalAmt |
| Program Services | $5,045 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,493,191 | TotalAmt |
| Program Services | $1,214,158 | ProgramServicesAmt |
| Management And General | $276,535 | ManagementAndGeneralAmt |
| Fundraising | $2,498 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,094 | TotalAmt |
| Program Services | $335,586 | ProgramServicesAmt |
| Management And General | $21,835 | ManagementAndGeneralAmt |
| Fundraising | $673 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES - MEDICAL AND | $3,495,025 | $3,484,142 | $10,779 | $104 |
| REPAIRS & MAINTENANCE | $1,321,755 | $623,415 | $698,283 | $57 |
| BAD DEBT EXPENSE | $580,578 | $580,578 | ||
| DUES | $85,756 | $65,493 | $20,263 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,438 | TotalAmt |
| Program Services | $86,891 | ProgramServicesAmt |
| Management And General | $44,512 | ManagementAndGeneralAmt |
| Fundraising | $35 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,929,777 | TotalAmt |
| Program Services | $27,109,500 | ProgramServicesAmt |
| Management And General | $2,689,624 | ManagementAndGeneralAmt |
| Fundraising | $130,653 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,044,579 | BOYAmt |
| EOY | $11,720,483 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,982,372 | BOYAmt |
| EOY | $4,252,595 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $593,575 | BOYAmt |
| EOY | $643,610 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $319,045 | BOYAmt |
| EOY | $312,417 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $40,997,902 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $30,753,462 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,926,895 | BOYAmt |
| EOY | $10,244,440 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,790,102 | BOYAmt |
| EOY | $7,107,035 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,513,956 | BOYAmt |
| EOY | $488,577 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,170,524 | BOYAmt |
| EOY | $34,769,157 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,690,309 | BOYAmt |
| EOY | $1,862,144 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,657 | BOYAmt |
| EOY | $25,657 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $708,166 | BOYAmt |
| EOY | $592,593 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,546,139 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,424,132 | BOYAmt |
| EOY | $4,026,533 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,746,392 | BOYAmt |
| EOY | $30,742,624 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,746,392 | BOYAmt |
| EOY | $30,742,624 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,170,524 | BOYAmt |
| EOY | $34,769,157 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$8,100 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,861 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $471 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $18,000 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $90,113 | OtherCostOrOtherBasisAmt |
| Book Value | $108,113 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,998,206 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $21,432,042 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,014,383 | DepreciationAmt |
| Book Value | $7,415,865 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $36,171 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $16,277,181 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,921,739 | DepreciationAmt |
| Book Value | $2,391,613 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,146,189 | OtherCostOrOtherBasisAmt |
| Depreciation | $817,340 | DepreciationAmt |
| Book Value | $328,849 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,244,440 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | Desc |
| Amt | $1,546,139 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,546,139 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $29,344,840 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $3,861 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$580,578 | OtherRevenueAmt |
| Revenue Not Reported | -$576,717 | RevenueNotReportedAmt |
| Revenue Subtotal | $29,921,557 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $653 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$533 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $120 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $29,921,677 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $29,349,079 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $533 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $533 | ExpensesNotReportedAmt |
| Expenses Subtotal | $29,348,546 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $653 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $580,578 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $581,231 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $29,929,777 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | AS OF MARCH 31, 2024, 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 2021. 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 -580,578. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -533. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 533. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 580,578. |
| 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. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,523 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $44,523 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,602,872 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,662,772 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $940,100 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03200 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,647,395 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,662,772 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $984,623 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03350 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,129 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,129 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,269,385 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,971,074 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,298,311 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04420 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,298,514 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,971,074 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,327,440 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04520 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,945,909 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,633,846 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,312,063 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07870 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,727 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,727 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $91,012 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $91,012 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $95,739 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $95,739 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $580,578 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $13,507,441 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $13,969,453 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$462,012 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST RIVER HEALTH SERVICES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 HIGHWAY 12 | AddressLine1Txt |
| City | HETTINGER | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58639 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WRHS.COM | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | CLINIC & 5 RHC'S - ALL PROVIDER BASED | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST RIVER HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.WRHS.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.WRHS.COM/IMAGES/PDF/CHNA-HETTINGER-2024_UPDATEDIP.PDF | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WRHS.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WRHS.COM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WRHS.COM | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| WEST RIVER HEALTH SERVICES | PART V, SECTION B, LINE 5: THE CENTER FOR RURAL HEALTH (CRH), IN PARTNERSHIP WITH WEST RIVER HEALTH SERVICES (WRHS) AND SOUTHWESTERN DISTRICT HEALTH UNIT (SDHU), FACILITATED THE CHNA PROCESS. COMMUNITY REPRESENTATIVES MET REGULARLY IN-PERSON, BY TELEPHONE CONFERENCE, AND EMAIL. A CHNA LIAISON WAS SELECTED LOCALLY, WHO SERVED AS THE MAIN POINT OF CONTACT BETWEEN CRH AND WRHS. A STEERING COMMITTEE CONSISTING OF SEVEN WRHS EMPLOYEES WAS FORMED THAT WAS RESPONSIBLE FOR PLANNING AND IMPLEMENTING THE PROCESS LOCALLY. REPRESENTATIVES FROM CRH MET AND CORRESPONDED REGULARLY BY VIDEOCONFERENCE AND/OR VIA THE ETOOLKIT WITH THE CHNA LIAISON. THE COMMUNITY GROUP CONSISTING OF 13 COMMUNITY MEMBERS PROVIDED IN-DEPTH INFORMATION AND INFORMED THE ASSESSMENT PROCESS IN TERMS OF COMMUNITY PERCEPTIONS, COMMUNITY RESOURCES, COMMUNITY NEEDS, AND IDEAS FOR IMPROVING THE HEALTH OF THE POPULATION AND HEALTHCARE SERVICES. THE COMMUNITY GROUP, REPRESENTING A CROSS SECTION DEMOGRAPHICALLY, ATTENDED THE INITIAL FOCUS GROUP MEETING IN OCTOBER 2023. THE MEETING WAS HIGHLY INTERACTIVE WITH GOOD PARTICIPATION. WRHS STAFF AND BOARD MEMBERS WERE IN ATTENDANCE AS WELL BUT LARGELY PLAYED A ROLE OF LISTENING AND LEARNING. GROUP MEMBERS WERE INTRODUCED TO THE NEEDS ASSESSMENT PROCESS, REVIEWED BASIC DEMOGRAPHIC INFORMATION ABOUT THE COMMUNITY, AND SERVED AS A FOCUS GROUP. FOCUS GROUP TOPICS INCLUDED COMMUNITY ASSETS AND CHALLENGES, THE GENERAL HEALTH NEEDS OF THE COMMUNITY, COMMUNITY CONCERNS, AND SUGGESTIONS FOR IMPROVING THE COMMUNITY'S HEALTH.ONE-ON-ONE INTERVIEWS WITH FOUR KEY INFORMANTS WERE CONDUCTED IN PERSON IN HETTINGER ON OCTOBER 4, 2023. TWO ADDITIONAL KEY INFORMANT INTERVIEWS WERE CONDUCTED OVER THE PHONE IN OCTOBER OF 2023. A REPRESENTATIVE FROM CRH CONDUCTED THE INTERVIEWS. INTERVIEWS WERE HELD WITH SELECTED MEMBERS OF THE COMMUNITY WHO COULD PROVIDE INSIGHTS INTO THE COMMUNITY'S HEALTH NEEDS. INCLUDED AMONG THE INFORMANTS WERE PUBLIC HEALTH PROFESSIONALS WITH SPECIAL KNOWLEDGE IN PUBLIC HEALTH, ACQUIRED THROUGH SEVERAL YEARS OF DIRECT EXPERIENCE IN THE COMMUNITY, INCLUDING WORKING WITH MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS AS WELL AS WITH POPULATIONS WITH CHRONIC DISEASES. TOPICS COVERED DURING THE INTERVIEWS INCLUDED THE GENERAL HEALTH NEEDS OF THE COMMUNITY, THE GENERAL HEALTH OF THE COMMUNITY, COMMUNITY CONCERNS, DELIVERY OF HEALTHCARE BY LOCAL PROVIDERS, AWARENESS OF HEALTH SERVICES OFFERED LOCALLY, BARRIERS TO RECEIVING HEALTH SERVICES, AND SUGGESTIONS FOR IMPROVING COLLABORATION WITHIN THE COMMUNITY. A SURVEY WAS DISTRIBUTED TO SOLICIT FEEDBACK FROM THE COMMUNITY AND WAS NOT INTENDED TO BE A SCIENTIFIC OR STATISTICALLY VALID SAMPLING OF THE POPULATION. IT WAS DESIGNED TO BE AN ADDITIONAL TOOL FOR COLLECTING QUALITATIVE DATA FROM THE COMMUNITY AT LARGE SPECIFICALLY, INFORMATION RELATED TO COMMUNITY-PERCEIVED HEALTH NEEDS. TO PROMOTE AWARENESS OF THE ASSESSMENT PROCESS, THE SURVEY WAS ADVERTISED VIA A WRHS BLOG, FACEBOOK PAGE, INSTAGRAM, AND WEBSITE. EMAILS WERE ALSO SENT OUT. PRINT ADS WERE PUT IN THE LOCAL PAPER AS WELL AS RADIO ADVERTISEMENTS.APPROXIMATELY 50 COMMUNITY MEMBER SURVEYS WERE AVAILABLE FOR DISTRIBUTION IN THE WRHS SERVICE AREA AND WERE AVAILABLE AT WRHS CLINICS IN SCRANTON, NEW ENGLAND, MOTT, HETTINGER, AND LEMMON. TO HELP ENSURE ANONYMITY, INCLUDED WITH EACH SURVEY WAS A POSTAGE-PAID RETURN ENVELOPE TO CRH. IN ADDITION, TO HELP MAKE THE SURVEY AS WIDELY AVAILABLE AS POSSIBLE, RESIDENTS ALSO COULD REQUEST A SURVEY BY CALLING WRHS OR SDHU. THE SURVEY PERIOD RAN FROM OCTOBER 1, 2023, TO OCTOBER 15, 2023. TWO COMPLETED PAPER SURVEYS WERE RETURNED. AREA RESIDENTS WERE ALSO GIVEN THE OPTION OF COMPLETING AN ONLINE VERSION OF THE SURVEY, WHICH WAS PUBLICIZED IN THE NEWSPAPER, EMAILED, AND INCLUDED IN THE WRHS BLOG, FACEBOOK, INSTAGRAM, AND WEBSITE. NINETY-NINE ONLINE SURVEYS WERE COMPLETED. SIX OF THOSE ONLINE RESPONDENTS USED THE QR CODE TO COMPLETE THE SURVEY. IN TOTAL, COUNTING BOTH PAPER AND ONLINE SURVEYS, 101 COMMUNITY MEMBER SURVEYS WERE COMPLETED, EQUATING TO A 10.4% RESPONSE RATE. THIS RESPONSE RATE IS LOW FOR THIS TYPE OF UNSOLICITED SURVEY METHODOLOGY. |
| WEST RIVER HEALTH SERVICES | PART V, SECTION B, LINE 11: ATTRACTING AND RETAINING YOUNG FAMILIES: SINCE IMPLEMENTING PAID COMMUNITY BENEFIT TIME FOR ITS EMPLOYEES, WRHS'S INVOLVEMENT WITH COMMUNITY EVENTS HAS INCREASED. SIGN-ON BONUSES, RELOCATION ASSISTANCE, AND A COMPREHENSIVE BENEFIT PACKAGE IS OFFERED TO NEW HIRES. IN COOPERATION WITH THE LOCAL CHAMBER OF COMMERCE A "TUESDAY NIGHT LIGHTS" EVENT IS HELD IN THE MONTH OF SEPTEMBER, WHICH IS A MINI MARKET WITH FOOD, GAMES, AND LOCALS SELLING THEIR GOODS. THIS EVENT HAS DRAWN A FEW YOUNGER FAMILIES OUT. SUPPORT OF THE NEW COMMUNITY INDOOR POOL HAS BEEN BENEFICIAL WHEN RECRUITING PEOPLE TO THE COMMUNITY. WRHS LOOKS FORWARD TO LOOKING INTO WAYS TO PROMOTE AND HELP FUND THIS POOL IN THE FUTURE TO PROVIDE OPEN SWIMS, NEW SWIM EQUIPMENT, AND WHATEVER SAFETY DEVICES ARE NEEDED. DEPRESSION/ANXIETY: IN ADDITION TO HAVING CLINICAL COUNSELING STAFF AVAILABLE AT WRHS THAT ACCEPT ALL MAJOR INSURANCES AS WELL AS PROVIDING SERVICES ON A SLIDING FEE SCALE, THOSE BEHAVIORAL HEALTH STAFF PARTICIPATE IN ORGANIZING FREE COMMUNITY EVENTS TO CALL ATTENTION TO MANY ISSUES THAT CONTRIBUTE TO DEPRESSION AND ANXIETY, HOW TO COPE WITH THOSE ISSUES, AND BUILD COMMUNITY AWARENESS ON RESOURCES AVAILABLE TO ASSIST.INCREASING YOUTH PHYSICAL ACTIVITY: SEVERAL EMPLOYEES OF WRHS ORGANIZE AND COACH YOUTH ATHLETIC TEAMS AND ARE PAID COMMUNITY BENEFIT TIME TO DO SO. IN ADDITION, WRHS FINANCIALLY SUPPORTS YOUTH ACTIVITIES ACROSS ITS SERVICE AREA. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - WEST RIVER EYE CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 HWY 12 | AddressLine1Txt |
| City | HETTINGER | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58639 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 580,578. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE DECLINING AND AGING POPULATION IS OF GREAT CONCERN FOR RURAL AMERICA AND ESPECIALLY THE WRHS SERVICE AREA. THE ACTIVITIES CONDUCTED ARE DESIGNED TO PROVIDE THE YOUNGER POPULATION WITH GOOD EXPERIENCES TO HELP THEM SEE THE VALUE OF LIVING AND RAISING FAMILIES IN A SMALL COMMUNITY. IN ADDITION, YOUNG FAMILIES NEED A WAY TO EARN A LIVING. |
| PART III, LINE 2: | THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS CAN BE FOUND ON PAGES 15 - 16 OF THE ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 3: | PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AFTER EVERY EFFORT IS MADE TO COLLECT THE BALANCE AND PATIENTS ARE GIVEN OPPORTUNITIES TO COMPLETE CHARITY CARE APPLICATIONS OR SET UP PAYMENT PLANS. ALL DISCOUNTS AND CONTRACTUAL ADJUSTMENTS ARE APPLIED TO ACCOUNTS BEFORE THEY ARE WRITTEN OFF TO BAD DEBT. CURRENT PAYMENTS ON ACCOUNTS PREVIOUSLY WRITTEN OFF AS BAD DEBT REDUCES BAD DEBT EXPENSE.THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE THAT IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE PROGRAM WAS BASED ON THE PERCENTAGE OF CHARITY CARE TO GROSS CHARGES TIMES THE STATED BAD DEBT EXPENSE. |
| PART III, LINE 4: | THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS CAN BE FOUND ON PAGES 15 - 16 OF THE ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | MEDICARE ALLOWABLE COSTS OF CARE ARE BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. |
| PART III, LINE 9B: | FOR THOSE PATIENTS WHO RECEIVE DISCOUNTED CARE UNDER THE FAP, THE REMAINING SELF-PAY PORTION FALLS UNDER THE SAME COLLECTIONS POLICY AS ALL OTHER PATIENT ACCOUNTS. THE HOSPITAL POLICY IS TO SEND THE UNPAID AMOUNTS TO COLLECTIONS 120 DAYS AFTER THE FIRST STATEMENT; HOWEVER THE HOSPITAL MAKES ALL EFFORTS TO WORK WITH THE PATIENTS TO COLLECT THE UNPAID AMOUNT BEFORE THEY ACTUALLY SEND IT TO COLLECTIONS. THE PATIENT ACCOUNT MANAGER MAKES SEVERAL ATTEMPTS TO MAKE PAYMENT ARRANGEMENTS THROUGH PHONE CONVERSATIONS AND PERSONAL CONTACT WITH THE PATIENT. |
| PART VI, LINE 2: | THE BOARD OF DIRECTORS AND MOST OF THE EMPLOYEES ARE MEMBERS OF THE SERVICE AREA. ATTENTION IS GIVEN TO THE MAKEUP OF THE BOARD ESPECIALLY, ATTEMPTING TO HAVE A REPRESENTATIVE FROM EACH RURAL COMMUNITY WITHIN THE SERVICE AREA. IN ADDITION TO OPEN LINES OF COMMUNICATION FOR EMPLOYEES TO VOICE CONCERNS OR IDEAS ON SERVICES AVAILABLE, EACH MONTH THE BOARD HAS A STANDING AGENDA ITEM TO DISCUSS SERVICES CURRENTLY PROVIDED THAT MAY HAVE REDUCED OR LIMITED NEEDS AS WELL AS NEEDS WITHIN THE COMMUNITIES THAT ARE NOT BEING MET. |
| PART VI, LINE 3: | THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED AT ALL PATIENT INTAKE LOCATIONS, IS DISCUSSED AS PART OF ALL INTERACTIONS BETWEEN PATIENTS AND FINANCIAL COUNSELING STAFF, IS DESCRIBED BRIEFLY ON OUR NORMAL PATIENT STATEMENTS, AND THE FULL POLICY IS DISCLOSED ON OUR WEBSITE AND IS AVAILABLE FOR PICKUP AT ALL LOCATIONS. AS PART OF THE APPLICATION FOR FINANCIAL ASSISTANCE, WE REQUIRE PATIENTS TO ALSO WORK WITH THEIR LOCAL SOCIAL SERVICES STAFF TO REVIEW ELIGIBILITY FOR MEDICAID OR MARKETPLACE REBATES. ANNUALLY WE COMMUNICATE WITH OUR PATIENTS REGARDING OPEN ENROLLMENT AND THE EXISTENCE OF BOTH MEDICAID BENEFITS AND THE HEALTH INSURANCE MARKETPLACE. |
| PART VI, LINE 4: | HETTINGER IS LOCATED ALONG HIGHWAY 12 IN SOUTHWEST NORTH DAKOTA, FOUR MILES FROM THE SOUTH DAKOTA BORDER AND 60 MILES FROM MONTANA. THE CITY IS LOCATED IN ADAMS COUNTY IN THE HEART OF AGRICULTURE AND RANCH COUNTRY. THIS AREA PROMOTES A STRONG, FAMILY-ORIENTED LIFESTYLE WITH FRIENDLY, HONEST PEOPLE WHO TAKE GREAT PRIDE IN THEIR COMMUNITY. THE PEOPLE OF THE AREA ARE THE BACKBONE OF THE COMMUNITY. HETTINGER HAS TWO SCHOOLS, GRADES PRE-KINDERGARTEN TO HIGH SCHOOL, WHICH HAS 288 STUDENTS ENROLLED. THE MAIN STREET HAS A NUMBER OF BUSINESSES, INCLUDING A COFFEE SHOP, T-SHIRT SHOPS, AND OTHER ESTABLISHMENTS FOR ENTERTAINMENT. HETTINGER IS A POPULAR SPOT FOR HUNTERS TO COME AND SPEND THEIR WEEKENDS HUNTING, FISHING, AND ENJOYING OTHER OUTDOOR ACTIVITIES. WRHS, THROUGH ITS HOSPITAL AND CLINIC IN HETTINGER AND CLINICS IN BOWMAN, SCRANTON, NEW ENGLAND, AND MOTT, NORTH DAKOTA, AND LEMMON, SOUTH DAKOTA, SERVES A LARGE AREA IN SOUTHWESTERN NORTH DAKOTA AND NORTHWESTERN SOUTH DAKOTA. WRHS SERVES A GEOGRAPHIC AREA OF ROUGHLY 10,000 SQUARE MILES WITH A POPULATION OF APPROXIMATELY 13,000 PEOPLE. FARMING AND RANCHING IS THE PRIMARY ECONOMIC DRIVER IN THE AREA. 25% OF THE POPULATION IS 65 YEARS OR OLDER WITH 20% BEING 18 OR YOUNGER AND IS 90% WHITE. THE POPULATION DECREASED 4% BETWEEN THE 2020 CENSUS AND 2022 CENSUS. |
| PART VI, LINE 5: | WRHS IS RIGHT IN THE MIDDLE OF WHAT WOULD OTHERWISE BE AN OBSTETRICS DESERT. THE CLOSEST HOSPITAL TO WRHS THAT DELIVERS BABIES IS 75 MILES TO THE NORTH. SOUTH OF HETTINGER, YOU MUST DRIVE OVER TWO HOURS TO FIND THE NEXT HOSPITAL THAT DELIVERS BABIES. WHILE DELIVERY VOLUMES ARE NOT HIGH AT WRHS, WITHOUT THESE SERVICES AND SKILLS EXPECTANT FAMILIES WOULD BE FORCED TO RELOCATE FOR A PERIOD OF TIME TO BE CERTAIN OF SAFE DELIVERY OF THEIR BABIES. THIS IS A SIGNIFICANT FINANCIAL LOSS LEADER BUT OUR BOARD REMAINS COMMITTED TO HAVING THE SERVICES AVAILABLE.THE BOARD OF DIRECTORS IS COMPRISED OF MEMBERS FROM ACROSS OUR SERVICE AREA WHICH SPANS NUMEROUS COMMUNITIES. THIS ALLOWS LEADERS FROM EACH OF THOSE COMMUNITIES TO COME TOGETHER TO PROVIDE INPUT ON SERVICES PROVIDED BY THE ORGANIZATION, NEEDS OF THEIR COMMUNITIES, AS WELL AS POSITIVE EXPERIENCES FROM THEIR COMMUNITIES. THESE EXPERIENCES ARE NOT ONLY RELATED TO HEALTHCARE, BUT SMALL TOWN LIFE IN GENERAL. THE ORGANIZATION EMPLOYS MANY INDIVIDUALS WITHIN OUR SERVICE AREA CONTRIBUTING TO THE LOCAL ECONOMIES. THE LARGEST ISSUE FACING RURAL AMERICA IS THE LOSS OF POPULATION, ESPECIALLY WORKING AGE FAMILIES. ANY LOCAL BUSINESSES CONTRIBUTE GREATLY TO THE HEALTH OF RURAL COMMUNITIES THROUGH THE ECONOMIC IMPACT. IN REVIEWING POTENTIAL CONTRACTS AND SERVICES PROVIDERS, PREFERENCE IS GIVEN TO LOCAL VENDORS WHICH IS VITAL TO KEEPING OUR COMMUNITIES ALIVE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ABLE INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1951 1ST STREET WEST | AddressLine1Txt |
| City | DICKINSON | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 450379352 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $20,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | DONATION TOWARD BUILDING CAMPAIGN FOR INTERMEDIATE CARE FACILITY FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CATHERINE SHIREK | ||||||||||||||
| PHYSICIAN | $513,349 | $0 | $0 | $0 | $0 | $0 | $9,900 | $0 | $25,932 | $0 | $549,181 | $0 | $0 | $0 |
| JOSHUA RANUM | ||||||||||||||
| PHYSICIAN | $420,329 | $0 | $0 | $0 | $0 | $0 | $9,900 | $0 | $8,580 | $0 | $438,809 | $0 | $0 | $0 |
| KAREN ANDRES | ||||||||||||||
| PHYSICIAN | $315,206 | $0 | $0 | $0 | $0 | $0 | $9,700 | $0 | $29,372 | $0 | $354,278 | $0 | $0 | $0 |
| STEVE KILWEIN | ||||||||||||||
| PHYSICIAN | $294,566 | $0 | $0 | $0 | $0 | $0 | $9,080 | $0 | $33,838 | $0 | $337,484 | $0 | $0 | $0 |
| DR MARK KRISTY | ||||||||||||||
| MEDICAL STAFF LIAISON (TERM JAN 2024 | $267,469 | $0 | $0 | $0 | $0 | $0 | $8,266 | $0 | $27,675 | $0 | $303,410 | $0 | $0 | $0 |
| TAMMY GROSULAK | ||||||||||||||
| CRNA | $266,599 | $0 | $0 | $0 | $0 | $0 | $2,794 | $0 | $15,392 | $0 | $284,785 | $0 | $0 | $0 |
| DR STACIE WELLMAN | ||||||||||||||
| MEDICAL STAFF LIAISON (BEG JAN 2024) | $220,791 | $0 | $0 | $0 | $0 | $0 | $6,624 | $0 | $19,400 | $0 | $246,815 | $0 | $0 | $0 |
| ALYSON KORNELE | ||||||||||||||
| CEO | $180,308 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,808 | $0 | $203,116 | $0 | $0 | $0 |
| NATHAN STADHEIM | ||||||||||||||
| CFO | $146,717 | $0 | $0 | $0 | $0 | $0 | $4,868 | $0 | $25,734 | $0 | $177,319 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE WEST RIVER HEALTH SERVICES FOUNDATION (A RELATED ORGANIZATION) BOARD OF DIRECTORS DETERMINES THE CEO'S COMPENSATION VIA COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. COMPENSATION IS PAID BY WEST RIVER HEALTH SERVICES. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (9 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| KYLEE STADHEIM | |||
| SPOUSE OF NATHAN STADHEIM, CFO | $23,841 | COMPENSATION | 0 |
| AMIE HENDERSON | |||
| SPOUSE OF BRETT HENDERSON, DIRECTOR ON WRHS BOARD | $81,090 | COMPENSATION | 0 |
| JACQUELYN HEDSTROM | |||
| SPOUSE OF STEVE HEDSTROM, DIRECTOR ON WRHSF BOARD (PARENT ORGANIZATION) | $129,150 | COMPENSATION | 0 |
| ALAINA STADHEIM-OLSON | |||
| SISTER OF NATHAN STADHEIM, CFO | $158,212 | COMPENSATION | 0 |
| BETHANY ERICKSON | |||
| DAUGHTER OF DAVE ERICKSON, DIRECTOR ON WRHS BOARD | $51,941 | COMPENSATION | 0 |
| AUDREY SKOGEN | |||
| MOTHER OF SETH SKOGEN, DIRECTOR ON WRHSF BOARD (PARENT ORGANIZATION) | $29,765 | COMPENSATION | 0 |
| DANA ANDRESS | |||
| SISTER OF DAVE ERICKSON, DIRECTOR ON WRHS BOARD | $33,281 | COMPENSATION | 0 |
| BRAXTON KORNELE | |||
| SPOUSE OF ALYSON KORNELE, CEO | $14,438 | COMPENSATION | 0 |
| TERESA NIELSEN | |||
| SPOUSE OF STUART NIELSEN, DIRECTOR ON WRHS BOARD | $169,634 | COMPENSATION | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,833,263. MANAGEMENT AND GENERAL EXPENSES 96,476. FUNDRAISING EXPENSES 753. TOTAL EXPENSES 4,930,492. |
| PART XII, LINE 2C | PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| WESTERN HORIZONS LIVING CENTER | ||||||||||
| 1104 HIGHWAY 12 | HETTINGER | SD | 58369 | 260794602 | LONG-TERM CARE/ASSISTED LIVING FACILITY | ND | 501C | LINE 10 | WEST RIVER HEALTH SERVICES FOUNDATION | 0 |
| WEST RIVER HEALTH SERVICES FOUNDATION | ||||||||||
| 1000 HIGHWAY 12 | HETTINGER | SD | 58369 | 450411825 | FUNDRAISING | ND | 501C | LINE 12C, III-FI | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WEST RIVER HEALTH SERVICES FOUNDATION | ||
| C | $303,974 | CASH PAID |
| WEST RIVER HEALTH SERVICES FOUNDATION | ||
| D | $24,714 | CASH PAID |
| WESTERN HORIZONS LIVING CENTER | ||
| D | $30,544 | CASH PAID |
| WESTERN HORIZONS LIVING CENTER | ||
| J | $92,100 | LEASE AGREEMENT |
| WEST RIVER HEALTH SERVICES FOUNDATION | ||
| Q | $162,342 | CASH PAID |
| WESTERN HORIZONS LIVING CENTER | ||
| Q | $166,664 | CASH PAID |