1 associated location — data as of November 11, 2026

Critical access hospital · BIG SANDY, MT

BIG SANDY MEDICAL CENTER

Taking partYesLast certifiedAugust 25, 2026

0Registered locations
1Associated locations
1Contract pharmacies
1With no end date
January 1, 2016In 340B since

Where this record sits: among the 44 Critical access hospitals in Montana, the median open contract-pharmacy count is 1; this record’s open count ranks 17.

BIG SANDY MEDICAL CENTER among Montana Critical access hospital registrations

Montana has 110 active Critical access hospital registrations in the HRSA 340B register. CAH271311-00 began participating on January 1, 2016; 45 of the Montana registrations of its type began earlier. Big Sandy has 1 active registrations of every type.

Every Medicare cost report this hospital has filed is on its cost-report record.

Finances, as filed

From this hospital’s Medicare cost report for the year ended June 30, 2025.

Figure	As filed	Where it comes from
Total patient revenue	$5,538,165	CMS-2552-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,538,165	CMS-2552-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,155,261	CMS-2552-10 worksheet G300000 line 400 column 100
Income from service to patients	−$2,617,096	CMS-2552-10 worksheet G300000 line 500 column 100
Charity care, at charges	$4,293	CMS-2552-10 worksheet S100001 line 2000 column 300
Charity care, at cost	$6,083	CMS-2552-10 worksheet S100001 line 2300 column 300
Uncompensated care, at cost	$6,083	CMS-2552-10 worksheet S100001 line 3000 column 100
Total facility beds	8	CMS-2552-10 worksheet S300001 line 1400 column 200
Cost-to-charge ratio	1.4169	CMS-2552-10 worksheet S100001 line 100 column 100

Cost report filed under CMS certification number 271311 for July 1, 2024 to June 30, 2025, as submitted. The public file it was read from.

Community benefit, as filed

Executive and director compensation, as filed

The full report for BIG SANDY MEDICAL CENTER

Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.

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Where this hospital sits among its peers

A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: critical access hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.

10thpercentile of 20 hospitals in MT, same facility class, under 25 bedsNet patient revenue, in dollars, as filed

Net patient revenue across every hospital that filed for 2025, in every state and of every size, with this one marked.

Net patient revenue (CMS-2552-10 worksheet G300000 line 300 column 100)

Middle half between $26,780,592 and $275,353,989, median $73,049,131, across 5,659 hospitals that filed for 2025, in every state and of every size.

9thpercentile of 22 hospitals in MT, same facility class, under 25 bedsTotal operating expenses, in dollars, as filed

Total operating expenses across every hospital that filed for 2025, in every state and of every size, with this one marked.

Total operating expenses (CMS-2552-10 worksheet G300000 line 400 column 100)

Middle half between $27,953,478 and $268,914,289, median $72,935,955, across 5,819 hospitals that filed for 2025, in every state and of every size.

6thpercentile of 17 hospitals in MT, same facility class, under 25 bedsCharity care, at cost, in dollars, as filed

5thpercentile of 19 hospitals in MT, same facility class, under 25 bedsUncompensated care, at cost, in dollars, as filed

23rdpercentile of 22 hospitals in MT, same facility class, under 25 bedsTotal facility beds, a count of beds, as filed

Total facility beds across every hospital that filed for 2025, in every state and of every size, with this one marked.

Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)

Middle half between 25 and 168, median 64, across 5,777 hospitals that filed for 2025, in every state and of every size.

90thpercentile of 21 hospitals in MT, same facility class, under 25 bedsCost-to-charge ratio, the ratio, as filed

Cost-to-charge ratio across every hospital that filed for 2025, in every state and of every size, with this one marked.

Cost-to-charge ratio (CMS-2552-10 worksheet S100001 line 100 column 100)

Middle half between 0.1809 and 0.4503, median 0.2651, across 4,413 hospitals that filed for 2025, in every state and of every size.

Changes recorded

Nothing on this record has moved since it was first read here on September 6, 2026.

Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in Montana beside it — each figure with the cell it came from — are in the report above.

Participation, as filed

Participating: TRUE
Participation start date: January 1, 2016
Certification date: August 25, 2026
Record last edited: August 25, 2026

Identifiers

340B ID: CAH271311-00
Entity type as filed: CAH
CMS certification number: 271311
NPI: 1609954759 (MT), 1720160278 (MT), 1730129305 (MT)
Rural: No

166 MONTANA AVENUE EAST, BIG SANDY MT 59520

Associated locations


BIG SANDY MEDICAL CENTER	166 MONTANA AVENUE EAST	BIG SANDY MT 59520

Pharmacy contracts

No end date filed1


BIG SANDY PHARMACY INC	BIG SANDY, MT	January 1, 2016	no end date filed

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261111_071012.xlsx, stamped by its publisher November 11, 2026. This record has been read here since September 6, 2026.

How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261111_071012.xlsx, read November 11, 2026.

BIG SANDY MEDICAL CENTER is a critical access hospital located in BIG SANDY, MT. It began participating in the program in 2016 and was certified in 2026.