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Passes our checks

West River Health Services

EIN 45-0340688 · Hettinger, ND

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthStrong93 out of 100GovernanceGood80 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

THE MISSION OF WEST RIVER HEALTH SERVICES (WRHS) IS TO PROVIDE COMPREHENSIVE HEALTH AND WELLNESS SERVICES TO THE RESIDENTS AND VISITORS OF THE REGION.

Income
$32.4 million
Spending
$31.5 million
Spent on programs
91%
Reserves
8.3 months of spending
Largest source of income
fees for its services, 96%
Employees
278
Volunteers
0
Highest pay
$533,397, physician

Source: Form 990 for the year ending March 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Strong: 93 out of 100. Higher than 86% of charities in its peer group (health care, $10m to $100m).

  • Reserves

    28 of 35

    Spendable reserves would cover 8.3 months of spending.

  • Debt

    20 of 20

    It owes 7% of what it owns.

  • Living within its means

    15 of 15

    Income exceeded spending by 3% of income.

  • Income trend

    15 of 15

    Income rose 8% on the year before.

  • Spending floor

    15 of 15

    90% of spending went to programs and raising each dollar of donations cost 21 cents.

Source: Form 990 for the year ending March 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Good: 80 out of 100. Higher than 14% of charities in its peer group (health care, $10m to $100m).

  • Independent board

    5 of 25

    4 of 9 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending March 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (1)
  1. $28.5 million spent. 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.

Source: Form 990 for the year ending March 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated September 30, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated September 10, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending March 2025.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since May 1977.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 7, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.