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West River Health Services

Also known as West River Regional Medical Center

Hettinger, ND · EIN 45-0340688 · 501(c)(3) · Hospital or medical research organization
Latest filing: Form 990 for the fiscal year ending March 31, 2025 (tax year 2024) · View the filing · Correct or respond

West River Health Services reported $32.4 million in revenue and $31.5 million in expenses for the fiscal year ending March 31, 2025. Of every $100 it spent, $90.48 went to program services, $9.12 to management and general costs and $0.40 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 95.5% of the total. The highest compensation it reported for one person was $533,397 (PHYSICIAN). 29 people received more than $100,000 in reportable compensation. Revenue rose 20% between FY2020 and FY2025. Source: Form 990, FY2025.

Where $100 of spending went

The fiscal year ending March 31, 2025 · Form 990, Part IX, line 25 · total expenses $32M

For context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).

Where $100 of revenue came from

The fiscal year ending March 31, 2025 · Form 990, Part VIII · total revenue $32M

The 990 scorecard · same measures for every charity, no grades

FY2025 filing. Median across 5,634 covered charities in this category, from their latest filings.
MeasureFY2025Median
Program services
Part IX 25(B) ÷ 25(A)
90.5%85.6%
Management & general
Part IX 25(C) ÷ 25(A)
9.1%13.7%
Fundraising
Part IX 25(D) ÷ 25(A)
0.4%0.0%
Fundraising cost per $1 of contributions
Part IX 25(D) ÷ Part VIII 1h
$0.21$0.00
Contributions & grants share of revenue
Part VIII 1h ÷ 12
1.8%1.3%
Government grants share of revenue
Part VIII 1e ÷ 12
0.7%0.1%
Program service revenue share
Part VIII 2g ÷ 12
95.5%93.7%
Highest reported compensation
Part VII-A, columns D–F
$533,397$975,831
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
1.69%1.34%
People paid over $100,000
Part VII, line 2
2927
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
12.06.6
Independent voting board members
Part VI 1a–1b
4 of 988.9%

A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.

What the money paid for, in its own words

FY2025 · Form 990, Part III · the three largest programs by expense
$29M expenses · 100.0% of program spending · grants $5,000 · revenue $31M

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 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…

Highest reported compensation

FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here
RoleFrom this orgFrom related orgsOtherTotal
PHYSICIAN
Highest compensated employee, 39.00 hrs/week
$493,439$0$39,958$533,397
PHYSICIAN
Highest compensated employee, 39.00 hrs/week
$429,154$4,000$18,547$451,701
CHIEF MEDICAL OFFICER/PHYSICIAN
Highest compensated employee, 40.00 hrs/week
$385,549$0$41,199$426,748
PHYSICIAN
Highest compensated employee, 40.00 hrs/week
$364,705$0$47,358$412,063
PHYSICIAN
Highest compensated employee, 40.00 hrs/week
$282,586$0$41,475$324,061
MEDICAL STAFF LIAISON
Director/trustee, 40.00 hrs/week
$252,366$0$34,839$287,205
CEO
Officer, 31.00 hrs/week
$203,778$0$31,818$235,596
CFO
Officer, 28.00 hrs/week
$161,919$0$34,625$196,544

29 people received more than $100,000 in reportable compensation from West River Health Services (Part VII, line 2). Compensation of current officers, directors and key employees totaled $719K (Part IX, line 5).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
RevenueExpenses
$0$10M$20M$30M$40MFY2020FY2021FY2022FY2023FY2024FY2025$32M$32M
FilingRevenueExpensesProgramsNet assetsTop pay
FY2025 ⓘ$32M$32M90.5%$32M$533,397
FY2024 ⓘ$30M$30M90.6%$31M$549,181
FY2023 ⓘ$29M$30M88.8%$31M$422,707
FY2022 ⓘ$31M$28M90.7%$32M$398,031
FY2021 ⓘ$34M$27M90.6%$29M$362,256
FY2020 ⓘ$27M$27M90.5%$21M$333,982

Governance answers, as filed

FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means
  • Voting board members, and how many are independent Part VI, lines 1a–1b9 · 4 independent
  • Audited financial statements Part XII 2bYes
  • Conflict-of-interest policy Part VI 12aYes
  • Whistleblower policy Part VI 13Yes
  • Document retention policy Part VI 14Yes
  • Independent process for top executive pay Part VI 15aYes
  • Board given the 990 before filing Part VI 11aYes
  • Family or business ties among insiders Part VI 2No
  • Aware of a significant diversion of assets Part VI 5No
  • Excess benefit transaction with an insider Part IV 25aNo
  • Loans to or from insiders outstanding Part IV 26No
  • Lobbying, or a 501(h) election in effect Part IV 4No
  • Over $15,000 of professional fundraising services Part IV 18No
  • Over $10,000 of activity outside the U.S. Part IV 14bNo
  • Employees Part I, line 5278

Largest outside contractors

FY2025 · Form 990, Part VII, Section B · businesses only
MEDICAL SOLUTIONS LLC DBA AUREUS RADIOLO
Locum staffing
$1,690,651
VIDDAL MD PLLC
Locum medical provider
$402,185
NATIONAL MEDICAL RESOURCES
Locum staffing
$278,053
MARCO TECHNOLOGIES LLC
Information technology services
$260,535

Individuals listed as contractors are left out. 12 contractors were paid more than $100,000 in all.

Private foundation grants it received

1 private foundation reported grants to West River Health Services totaling $156 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.

Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.

Correct a figure or respond

Every number above is copied from West River Health Services's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for West River Health Services, you can publish a response that is linked from this page.

Similar-sized charities in this cause

All health care charities · Largest charities in North Dakota

Questions people ask

How much of West River Health Services's spending goes to programs?

In the fiscal year ending March 31, 2025, West River Health Services reported that 90.5% of its $31.5 million in expenses went to program services, 9.1% to management and general and 0.4% to fundraising (Form 990, Part IX).

How much does West River Health Services pay its top executive?

The largest total compensation West River Health Services reported for one person in the fiscal year ending March 31, 2025 was $533,397, for the role of PHYSICIAN (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does West River Health Services get its money?

Of $32.4 million in revenue in the fiscal year ending March 31, 2025, 1.8% came from contributions and grants (including 0.7% from government grants) and 95.5% from program service revenue (Form 990, Part VIII).

Is West River Health Services a registered charity?

The IRS lists EIN 45-0340688 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.

Sources

  • FY2025: Form 990 for the fiscal year ending March 31, 2025, object 202640439349301304 · read the filing · XML
  • FY2024: Form 990 for the fiscal year ending March 31, 2024, object 202520489349301607 · read the filing
  • FY2023: Form 990 for the fiscal year ending March 31, 2023, object 202430459349301118 · read the filing
  • FY2022: Form 990 for the fiscal year ending March 31, 2022, object 202320469349302157 · read the filing
  • FY2021: Form 990 for the fiscal year ending March 31, 2021, object 202220459349301852 · read the filing
  • FY2020: Form 990 for the fiscal year ending March 31, 2020, object 202140419349301394 · read the filing

All filings for EIN 45-0340688: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.