West River Health Services Foundation

Nonprofit profile at a glance

EIN
450411825
IRS 990 coverage
2009–2024
Forms available
Form 990 2024
Location
Hettinger, ND, USA
Phone
7015674561
Rating
76
Verdict
SUPPORTED
Rating confidence
Standard
Sector
Community Health Systems

Official website

Reported finances

Revenue
$1,047,426
Expenses
$736,588
Assets
$7,063,617
Liabilities
$195,750

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

14 people listed

Executive titles in this filing

  • ALYSON KORNELE (CEO)

Highest reported compensation

  • DR CATHY HOULE SHIREK (MEDICAL STAFF LIASON): $533,397 total reported compensation
  • ALYSON KORNELE (CEO): $235,596 total reported compensation
  • NATHAN STADHEIM (CFO): $196,544 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The mission of west river health services foundation is to support west river health services and western horizons living center as they provide comprehensive health and wellness services to the region by providing fundraising and development services.

What it reported doing in 2024

The foundation was incorporated in 1982 to serve as a source of contributed funds for west river health services with the addition of western horizons living centers in september of 2007. The foundation is governed by a volunteer board of directors, is registered as a 501(c)(3) u.s. Charitable organization, and is licensed by the state of North Dakota. The foundation exists to raise funds for new equipment and technology; develop new health-related programs and services; enhance assisted living and long-term care services; support community wellness education; and provide scholarships and loans for nursing, allied healthcare professionals, and physicians to meet the continuing changes in healthcare reform. To reach these goals, an endowment fund was established. The endowment fund will be used as a permanent funding source for wrhs and whlc to carry out their visions of ensuring quality health and long-term care services to the citizens of the region.

Operating model

Revenue model
Donor-supported. 66% of the money available for current operations came from contributions and gifts.
Distribution model
Grant intermediary. The nonprofit sent 100% of its reported program spending out as grants.

The verdict

SUPPORTED - The filed numbers largely add up and a large share of available resources goes toward mission work. Fundraising costs are high for each dollar raised and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 63
  • Transparency & Controls: 85
  • Accountability: 86
  • Sustainability: 76
  • Growth: 80

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 75.9%; rating input score 76
  • Program expense ratio: 59.6%; rating input score 60
  • Fundraising efficiency: $1.9 raised per $1 spent on fundraising; rating input score 5; 5th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 94.1%; rating input score 94; 25th percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Pass
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 97.3%; rating input score 97; 45th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 90.9%; rating input score 91; 23rd percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 29.7%; rating input score 84; 84th percentile among comparable filings
  • Total-asset coverage ratio: 9.59; rating input score 92; 92nd percentile among comparable filings
  • Liabilities to assets ratio: 0.03; rating input score 59; 59th percentile among comparable filings
  • Officer compensation ratio: 14.5%; rating input score 24; 24th percentile among comparable filings

Growth

  • Program expense growth: 0.1% per year; rating input score 100; 18th percentile among comparable filings
  • Revenue growth: 3.7% per year; rating input score 100; 36th percentile among comparable filings
  • Asset growth: -1.7% per year; rating input score 0; 13th percentile among comparable filings

Details

  • Where the money goes: 75.9% of revenue deployed · 59.6% of spending went to programs
  • Governance: 10 of 11 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $439K in reported program spending
  • Leadership: top reported pay $533K · 14 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 1 contractor listed · $147K reported
  • Consistency: 31 of 32 current checks pass · 1 finding to review
  • Schedules: 8 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 14 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 12 filed money-flow records
  • Related organizations: 4 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Financial Efficiency: Fundraising efficiency scored 5/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 24/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Review — Sustainability: Liabilities to assets ratio scored 59/100.