Velarion Records

Critical access hospital · Big Sandy, Montana · 8 beds · CMS certification number 271311

Big Sandy Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 4, 2025. 26 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$5.5M
$5,538,165 · G-3 line 3
Operating expenses
$8.2M
$8,155,261 · G-3 line 4
Result from patient care
−$2.6M
−$2,617,096 · G-3 line 5
Margin on patient care
−47.3%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $1.8M in its first year on file (2000) to $5.5M in 2025.
  • Its result from patient care: −$1.9M (2023), −$2.4M (2024), −$2.6M (2025).
  • All 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 50.6% of its inpatient days and Medicare for 6.4%.

Every statement is drawn from figures on this page; nothing is estimated.

26 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
2000
settled
$1.8M
$1.7M
2001
settled
$1.6M
$1.7M
2002
settled
$1.9M
$1.9M
2003
settled
$1.9M
$2.0M
2004
settled
$2.0M
$2.2M
2005
settled
$2.1M
$2.4M
2006
settled
$2.8M
$2.7M
2007
settled
$2.1M
$2.5M
2008
settled
$2.3M
$2.8M
2009
settled
$2.9M
$2.9M
2010
settled
$3.3M
$3.1M
2011
settled
$2.9M
$3.2M
2012
settled
$2.9M
$3.1M
2013
settled with audit
$2.6M
$3.3M
2014
reopened
$3.1M
$3.3M
2015
settled
$3.4M
$3.4M
2016
settled
$3.0M
$3.4M
2017
settled
$3.8M
$3.8M
2018
settled
$2.3M
$3.7M
2019
settled
$2.9M
$3.5M
2020
settled
$2.6M
$3.7M
2021
settled
$3.6M
$4.8M
2022
as submitted
$4.2M
$5.2M
2023
as submitted
$4.3M
$6.2M
2024
settled
$4.8M
$7.2M
2025
as submitted
$5.5M
$8.2M

Beside its peers

Critical access hospitals in Montana with under 25 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Big Sandy Medical Center8$5,538,165$8,155,261−47.3%
Beartooth Billings Clinic, Red Lodge10$21,240,951$22,069,912−3.9%
Big Sky Medical Center, Big Sky8$21,198,540$24,063,269−13.5%
Deer Lodge Medical Center, Deer Lodge16$25,708,689$26,005,690−1.2%
Madison Valley Medical Center, Ennis10$14,448,921$18,469,811−27.8%
Phillips County Hospital Assn, Malta6$8,421,819$9,648,492−14.6%

Patients and payers

Discharges
28
S-3 line 14, col 15
Inpatient days
7,117
S-3 line 14, col 8
Beds in use, on an average day
19.6
days ÷ days in year
Occupancy
243.7%
days ÷ bed days
Medicare share of days
6.4%
S-3 cols 6 ÷ 8
Medicaid share of days
50.6%
S-3 cols 7 ÷ 8

Who owns it

Type of control on its cost report: voluntary nonprofit, other.

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More critical access hospitals in Montana

Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 271311. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 4, 2025.