Critical access hospital · Trinidad, Colorado · 25 beds · CMS certification number 061321
Mt. San Rafael Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 12, 2026. 22 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $13.1M in its first year on file (2004) to $37.4M in 2025.
- Its result from patient care: −$6.6M (2023), −$8.9M (2024), −$8.0M (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 12.6% of its inpatient days and Medicare for 37.5%.
Every statement is drawn from figures on this page; nothing is estimated.
22 years of filings
Net patient revenue against operating expenses, each year as filed.
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Beside its peers
Critical access hospitals in Colorado with 25 to 49 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Mt. San Rafael Hospital | 25 | $37,437,623 | $45,403,479 | −21.3% |
| East Morgan County Hospital, Brush | 25 | $44,004,769 | $43,845,089 | 0.4% |
| Family Health West Hospital, Fruita | 25 | $87,903,342 | $85,311,039 | 2.9% |
| Haxtun Hospital, Haxtun | 25 | $14,433,942 | $17,540,176 | −21.5% |
| Lincoln Health Hospital, Hugo | 25 | $25,973,543 | $30,608,325 | −17.8% |
| Weisbrod Health, Eads | 25 | $7,126,996 | $11,800,884 | −65.6% |
Patients and payers
- Discharges
- 337S-3 line 14, col 15
- Inpatient days
- 1,494S-3 line 14, col 8
- Beds in use, on an average day
- 4.1days ÷ days in year
- Occupancy
- 16.4%days ÷ bed days
- Medicare share of days
- 37.5%S-3 cols 6 ÷ 8
- Medicaid share of days
- 12.6%S-3 cols 7 ÷ 8
Who owns it
Type of control on its cost report: voluntary nonprofit, other.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by TRINIDAD AREA HEALTH ASSOCIATION (employer identification number 840586742) for tax year 2023. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $29,556,535 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $443,070 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $3,971,583 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $4,414,653 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $25,141,882 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.684 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202443189349308929. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by TRINIDAD AREA HEALTH ASSOCIATION (employer identification number 840586742) for tax year 2023. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| Calvin Carey | CFO | Officer | $0 | $0 | $0 |
| Damian Mizera | Member/Ortho Surgeon | Trustee/director | $594,718 | $0 | $61,760 |
| Daniel Berry DDS | Vice President | Trustee/director, Officer | $0 | $0 | $0 |
| Dario San Roman | Physician | Highest-compensated employee | $227,407 | $0 | $36,269 |
| Douglas McFarland | Chief of Staff/Physician | Officer | $263,092 | $0 | $45,000 |
| James Conrad | Surgeon | Highest-compensated employee | $609,739 | $0 | $82,558 |
| Joe DeGarbo | SEC/TREASURER | Trustee/director, Officer | $0 | $0 | $0 |
| Jose M Flores | Member/Physician | Trustee/director | $432,848 | $0 | $66,484 |
| Joseph Jimenez | Physician | Highest-compensated employee | $353,547 | $0 | $19,734 |
| Kathleen Griego | Current President | Trustee/director, Officer | $0 | $0 | $0 |
| Kimberly Lucero | CEO | Officer | $270,410 | $0 | $49,451 |
| Mike Tranter | Member | Trustee/director | $0 | $0 | $0 |
| Precious Castro-FloresMD | Physician | Highest-compensated employee | $404,430 | $0 | $48,799 |
| Rhonda Epper | Member | Trustee/director | $0 | $0 | $0 |
| Shannon Castellano | CNO | Key employee | $166,732 | $0 | $29,699 |
| Thomas Goodell MD | Physician | Highest-compensated employee | $283,147 | $0 | $49,400 |
E-file object id 202443189349308929. The IRS archive it was read from.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 061321. 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 12, 2026.