2 locations registered under this record — data as of November 8, 2026
Critical access hospital · Sheridan, MT
DBA: The Ruby Valley Hospital
Filed as Ruby Valley Hospital.
Taking partYesLast certifiedAugust 11, 2026
- 2Registered locations
- 3Associated locations
- 1Contract pharmacies
- 0With no end date
- January 1, 2014In 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 43.
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 — a reporting period of 241 days, not a full year.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,944,355 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $2,616,734 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,327,621 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,740,837 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$1,413,216 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $83,196 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $64,059 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $552,059 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $494,421 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $558,480 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 5 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.8956 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 271319 for November 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 DBA: The Ruby Valley Hospital
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.
- 20thpercentile 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.
- 18thpercentile 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.
- 18thpercentile of 17 hospitals in MT, same facility class, under 25 bedsCharity care, at cost, in dollars, as filed
- 42ndpercentile of 19 hospitals in MT, same facility class, under 25 bedsUncompensated care, at cost, in dollars, as filed
- 5thpercentile 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.
- 67thpercentile 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.
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- January 1, 2014
- Certification date
- August 11, 2026
- Record last edited
- August 11, 2026
Identifiers
- 340B ID
- CAH271319-00
- Entity type as filed
- CAH
- CMS certification number
- 271319
- Rural
- Yes
321 Madison Street, Sheridan MT 59749
Locations registered under this record
Browse all of them as a list →
| CAH271319-01 | Rural Health Clinic Twin Bridges | CAH | TWIN BRIDGES, MT | Yes |
| CAH271319-02 | Rural Health Clinic Sheridan | CAH | Sheridan, MT | Yes |
Associated locations
| DBA: The Ruby Valley Hospital | 321 Madison Street | Sheridan MT 59749 |
| Mac's Pharmacy | 317 Madison Street | Sheridan MT 59749 |
| Ruby Valley Medical Center | 321 Madison St. | Sheridan MT 59749 |
Pharmacy contracts
No end date filed0
No arrangement with no end date filed matches that.
An end date is filed1
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| MAC'S CHC PHARMACY | SHERIDAN, MT | July 1, 2014 | February 1, 2023 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- November 8, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261108_071011.xlsx, stamped by its publisher November 8, 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_20261108_071011.xlsx, read November 8, 2026.