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← WEST RIVER HEALTH SERVICES

Form 990 for tax year 2024

Filed by WEST RIVER HEALTH SERVICES.

Totals

Total revenue
$32,377,804
Total expenses
$31,519,766
Contributions and grants received
$587,868
Grants paid
$5,000
Program service revenue
$30,931,612
Investment income
$798,573
Other revenue
$59,751
Total assets, end of year
$34,067,055
Total liabilities, end of year
$2,466,393
Net assets or fund balances, end of year
$31,600,662
Program services expenses (Part IX)
$28,519,128
Management and general expenses
$2,875,277
Fundraising expenses
$125,361
Program service expenses (Part III)
$28,519,128

Program services were 90.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $334,854

  • 1e · Government grants (contributions)

    $227,357

  • 1f · All other contributions, gifts and grants

    $25,657

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $30,238,982 · related or exempt $30,238,982

  • 2b · Program service revenue: OTHER OPERATING REVENUE

    total $523,746 · related or exempt $523,746

  • 2c · Program service revenue: ASSISTED LIVING BUILDING RENT

    total $92,100 · related or exempt $92,100

  • 2d · Program service revenue: CAFETERIA

    total $76,784 · related or exempt $76,784

  • 3 · Investment income

    total $809,857 · excluded $809,857

  • 6a · Gross rents

    real property $38,310

  • 6b · Less rental expenses

    real property $391

  • 6c · Rental income or loss

    real property $37,919

  • 6d · Net rental income or loss

    total $37,919 · excluded $37,919

  • 7a · Gross sales of assets other than inventory

    other assets $5,300

  • 7b · Less cost or other basis and sales expenses

    other assets $16,584

  • 7c · Gain or loss

    other assets -$11,284

  • 7d · Net gain or loss

    total -$11,284 · excluded -$11,284

  • 11a · Other revenue: INSURANCE PROCEEDS

    total $21,832 · excluded $21,832

  • 11e · Other revenue, total

    $21,832

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $5,000 · program services $5,000

  • 5 · Compensation of officers, directors and key employees

    total $719,345 · program services $287,205 · management and general $432,140

  • 7 · Other salaries and wages

    total $13,511,131 · program services $12,595,916 · management and general $816,070 · fundraising $99,145

  • 8 · Pension plan contributions

    total $418,671 · program services $389,825 · management and general $25,779 · fundraising $3,067

  • 9 · Other employee benefits

    total $1,432,336 · program services $1,350,635 · management and general $71,068 · fundraising $10,633

  • 10 · Payroll taxes

    total $935,514 · program services $850,703 · management and general $78,246 · fundraising $6,565

  • 11b · Fees: legal

    total $3,913 · management and general $3,913

  • 11c · Fees: accounting

    total $65,491 · management and general $65,491

  • 11f · Fees: investment management

    total $2,297 · management and general $2,297

  • 11g · Fees: other

    total $5,818,099 · program services $5,576,688 · management and general $240,552 · fundraising $859

  • 12 · Advertising and promotion

    total $81,847 · management and general $81,847

  • 13 · Office expenses

    total $71,017 · program services $65,860 · management and general $4,758 · fundraising $399

  • 16 · Occupancy

    total $491,639 · program services $451,869 · management and general $38,392 · fundraising $1,378

  • 17 · Travel

    total $96,116 · program services $90,833 · management and general $5,281 · fundraising $2

  • 19 · Conferences, conventions and meetings

    total $71,151 · program services $46,420 · management and general $24,731

  • 20 · Interest

    total $15,603 · program services $15,603

  • 22 · Depreciation, depletion and amortization

    total $1,470,360 · program services $1,274,536 · management and general $193,522 · fundraising $2,302

  • 23 · Insurance

    total $379,600 · program services $353,487 · management and general $25,401 · fundraising $712

  • 24a · Other expenses: SUPPLIES - MEDICAL AND

    total $3,749,737 · program services $3,735,862 · management and general $13,699 · fundraising $176

  • 24b · Other expenses: REPAIRS & MAINTENANCE

    total $1,259,055 · program services $597,908 · management and general $661,069 · fundraising $78

  • 24c · Other expenses: BAD DEBT EXPENSE

    total $440,291 · program services $440,291

  • 24d · Other expenses: MINOR EQUIPMENT

    total $255,736 · program services $218,735 · management and general $37,001

  • 24e · All other expenses

    total $225,817 · program services $171,752 · management and general $54,020 · fundraising $45

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $11,720,483 · end of year $9,251,013

  • 4 · Accounts receivable

    beginning of year $4,252,595 · end of year $5,235,640

  • 8 · Inventories for sale or use

    beginning of year $643,610 · end of year $620,541

  • 9 · Prepaid expenses and deferred charges

    beginning of year $312,417 · end of year $553,271

  • 10a · Land, buildings and equipment: cost or other basis

    $41,595,768

  • 10b · Land, buildings and equipment: accumulated depreciation

    $31,778,855

  • 10c · Land, buildings and equipment, net

    beginning of year $10,244,440 · end of year $9,816,913

  • 11 · Investments: publicly traded securities

    beginning of year $7,107,035 · end of year $7,454,100

  • 15 · Other assets

    beginning of year $488,577 · end of year $1,135,577

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,862,144 · end of year $1,984,912

  • 19 · Deferred revenue

    beginning of year $25,657 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $592,593 · end of year $481,481

  • 25 · Other liabilities

    beginning of year $1,546,139 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $30,742,624 · end of year $31,600,662

Mission and programs · 2024

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.

Activities or mission (Part I)

PROVIDE COMPREHENSIVE HEALTH AND WELLNESS SERVICES TO THE RESIDENTS AND VISITORS OF THE REGION.

  • 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 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.

    Expenses $28,519,128 · Grants $5,000 · Revenue $30,931,612

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • JONATHON EATON

    SECRETARY/TREASURER

    Total calculated
    $70
    From this org
    $70
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • BRETT HENDERSON

    CHAIRMAN

    Total calculated
    $130
    From this org
    $90
    From related orgs
    $40
    Other
    $0
    Hours/week
    1 + 1 related
  • DAVE ERICKSON

    VICE CHAIRMAN

    Total calculated
    $90
    From this org
    $90
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • JACK ANDERSON

    REPRESENTATIVE

    Total calculated
    $10
    From this org
    $10
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • LYNN BROWN

    REPRESENTATIVE

    Total calculated
    $50
    From this org
    $50
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • MICHELLE ENGRAF

    REPRESENTATIVE

    Total calculated
    $80
    From this org
    $80
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • DR STACIE WELLMAN

    MEDICAL STAFF LIAISON

    Total calculated
    $287,205
    From this org
    $252,366
    From related orgs
    $0
    Other
    $34,839
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $252,366
    Bonus
    $0
    Other
    $0
    Deferred
    $7,571
    Nontaxable benefits
    $27,268
    Filer's total
    $287,205
  • TROY MOSBRUCKER

    REPRESENTATIVE

    Total calculated
    $80
    From this org
    $80
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • STEWART NEILSEN

    REPRESENTATIVE

    Total calculated
    $60
    From this org
    $60
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • ALYSON KORNELE

    CEO

    Total calculated
    $235,596
    From this org
    $203,778
    From related orgs
    $0
    Other
    $31,818
    Hours/week
    31 + 9 related

    Schedule J breakdown matched by us

    Base
    $203,778
    Bonus
    $0
    Other
    $0
    Deferred
    $5,404
    Nontaxable benefits
    $26,414
    Filer's total
    $235,596
  • NATHAN STADHEIM

    CFO

    Total calculated
    $196,544
    From this org
    $161,919
    From related orgs
    $0
    Other
    $34,625
    Hours/week
    28 + 12 related

    Schedule J breakdown matched by us

    Base
    $161,919
    Bonus
    $0
    Other
    $0
    Deferred
    $5,369
    Nontaxable benefits
    $29,256
    Filer's total
    $196,544
  • CATHERINE SHIREK HOULE

    PHYSICIAN

    Total calculated
    $533,397
    From this org
    $493,439
    From related orgs
    $0
    Other
    $39,958
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $493,439
    Bonus
    $0
    Other
    $0
    Deferred
    $10,247
    Nontaxable benefits
    $29,711
    Filer's total
    $533,397
  • KAREN ANDRES

    PHYSICIAN

    Total calculated
    $412,063
    From this org
    $364,705
    From related orgs
    $0
    Other
    $47,358
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $364,705
    Bonus
    $0
    Other
    $0
    Deferred
    $10,247
    Nontaxable benefits
    $37,111
    Filer's total
    $412,063
  • STEVE KILWEIN

    PHYSICIAN

    Total calculated
    $324,061
    From this org
    $282,586
    From related orgs
    $0
    Other
    $41,475
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $282,586
    Bonus
    $0
    Other
    $0
    Deferred
    $8,721
    Nontaxable benefits
    $32,754
    Filer's total
    $324,061
  • JOSHUA RANUM

    PHYSICIAN

    Total calculated
    $451,701
    From this org
    $429,154
    From related orgs
    $4,000
    Other
    $18,547
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $429,154 + $4,000 related
    Bonus
    $0
    Other
    $0
    Deferred
    $10,247
    Nontaxable benefits
    $8,300
    Filer's total
    $447,701 + $4,000 related
  • MARK KRISTY

    CHIEF MEDICAL OFFICER/PHYSICIAN

    Total calculated
    $426,748
    From this org
    $385,549
    From related orgs
    $0
    Other
    $41,199
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $385,549
    Bonus
    $0
    Other
    $0
    Deferred
    $10,247
    Nontaxable benefits
    $30,952
    Filer's total
    $426,748

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2024
Filed
11 February 2026
IRS schema version
2024v5.5
Source object
202640439349301304

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