$10,603,686Net patient revenueWhat the hospital took in for treating patients, after discounts.
-29.0%Left after the cost of careWhat was left after their care was paid for; below zero means it cost more than it brought in.
4.1%Charity careCare given free or discounted, as a share of what patients brought in.
6.3%Uncompensated careCharity care plus bills that went unpaid, on the same basis.
From this hospital’s Medicare cost report for the year ended 30 June 2025. Every figure on this page names the cell it came from.
0Registered locations
1Associated locations
2Contract pharmacies
1With no end date
1 April 2025In 340B since
Finances, as filed
From this hospital’s Medicare cost report for the year ended 30 June 2025.
Figure
As filed
Where it comes from
Net patient revenue
$10,603,686
CMS-2552-10 worksheet G300000 line 300 column 100
Total operating expenses
$13,675,450
CMS-2552-10 worksheet G300000 line 400 column 100
Income from service to patients
−$3,071,764
CMS-2552-10 worksheet G300000 line 500 column 100
Charity care, at charges
$506,910
CMS-2552-10 worksheet S100001 line 2000 column 300
Charity care, at cost
$431,029
CMS-2552-10 worksheet S100001 line 2300 column 300
Bad debt expense
$342,648
CMS-2552-10 worksheet S100001 line 2600 column 100
Uncompensated care, at cost
$667,939
CMS-2552-10 worksheet S100001 line 3000 column 100
Total facility beds
25
CMS-2552-10 worksheet S300001 line 1400 column 200
Cost-to-charge ratio
0.7018
CMS-2552-10 worksheet S100001 line 100 column 100
Cost report filed under CMS certification number 271313 for 1 July 2024 to 30 June 2025, as submitted. The public file it was read from.
Where this hospital sits among its peers
Each figure’s position among critical access hospitals in Montana that file a Medicare cost report. A position, not a score: the hospitals are counted, not ranked.
98thpercentile of 40 critical access hospitals in MontanaCharity care
86thpercentile of 44 critical access hospitals in MontanaUncompensated care
9thpercentile of 45 critical access hospitals in MontanaLeft after the cost of care
53rdpercentile of 45 critical access hospitals in MontanaContract pharmacies
Among hospitals of the same type in Montana
Every critical access hospital in Montana that files a Medicare cost report carrying both figures — 40 hospitals, each at its own reporting year. Across the bottom: how much of what the hospital took in from patients went to charity care. Up the side: what it had left after the cost of serving them. Both come straight from the filings.
Identity never rests on color: this hospital is labelled on the plot and marked in the table. Hover a dot for the hospital’s name.
Hospitals plotted above, with the figures at full precision
Velarion Records, “PIONEER MEDICAL CENTER” (340B ID CAH271313-00), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/CAH271313-00
Register detail and identifiers
Participation, as filed
Participating
TRUE
Participation start date
1 April 2025
Certification date
18 August 2026
Record last edited
18 August 2026
Identifiers
340B ID
CAH271313-00
Entity type as filed
CAH
CMS certification number
271313
Rural
Yes
301 WEST 7TH, BIG TIMBER MT 59011
Associated locations
Organization
Address
Where
PIONEER MEDICAL CENTER
301 WEST 7TH
BIG TIMBER MT 59011
Pharmacy contracts
Pharmacy
Where
Begins
Ends
SWEET GRASS PHARMACY, LLC
BIG TIMBER, MT
1 October 2025
no end date filed
GARDEN PARK MANAGEMENT, LLC
BIG TIMBER, MT
1 October 2014
20 September 2017
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.