Velarion Records

Critical access hospital · Tonasket, Washington · 18 beds · CMS certification number 501321

North Valley Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 22, 2026. 24 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$28.2M
$28,203,090 · G-3 line 3
Operating expenses
$30.6M
$30,569,388 · G-3 line 4
Result from patient care
−$2.4M
−$2,366,298 · G-3 line 5
Margin on patient care
−8.4%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $1.2M in its first year on file (2002) to $28.2M in 2025.
  • Its result from patient care: −$2.8M (2023), −$3.8M (2024), −$2.4M (2025).
  • 3 of the 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 0.5% of its inpatient days and Medicare for 60.6%.

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

24 years of filings

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

Net patient revenueOperating expenses
2002
settled
$1.2M
$1.9M
2003
settled
$10.7M
$11.5M
2004
settled
$10.2M
$12.8M
2005
settled
$10.8M
$12.7M
2006
settled
$7.9M
$9.1M
2007
settled with audit
$9.5M
$9.8M
2008
settled
$10.0M
$11.0M
2009
settled
$10.7M
$12.5M
2010
settled
$12.2M
$13.0M
2011
settled
$15.1M
$15.8M
2012
reopened
$15.7M
$17.0M
2013
settled
$15.6M
$16.3M
2014
settled
$17.2M
$16.6M
2015
settled
$18.2M
$17.0M
2016
settled
$18.5M
$18.2M
2017
settled with audit
$17.9M
$19.1M
2018
settled
$17.0M
$18.7M
2019
settled
$18.2M
$19.3M
2020
settled
$20.5M
$22.0M
2021
settled
$24.5M
$25.1M
2022
settled
$25.9M
$27.6M
2023
settled
$26.5M
$29.3M
2024
as submitted
$26.0M
$29.9M
2025
as submitted
$28.2M
$30.6M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
North Valley Hospital18$28,203,090$30,569,388−8.4%
Newport Community Hospital, Newport20$54,040,410$51,903,6014.0%
Othello Community Hospital, Othello16$24,767,184$31,198,924−26.0%
Providence St. Josephs Hospital, Chewelah21$24,322,098$22,929,6685.7%
Skyline Hospital, White Salmon14$26,965,852$30,775,426−14.1%
Summit Pacific Medical Center, Elma20$92,774,696$100,313,875−8.1%

Patients and payers

Discharges
176
S-3 line 14, col 15
Inpatient days
2,446
S-3 line 14, col 8
Beds in use, on an average day
6.7
days ÷ days in year
Occupancy
37.2%
days ÷ bed days
Medicare share of days
60.6%
S-3 cols 6 ÷ 8
Medicaid share of days
0.5%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: OKANOGAN COUNTY (100%), okanogan county; OKANOGAN PHD NO (100%), hospital district.

Type of control on its cost report: governmental, hospital district.

Follow this hospital, free

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More critical access hospitals in Washington

Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 501321. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read June 22, 2026.