Velarion Records

Short-term acute care hospital · Butte, Montana · 69 beds · CMS certification number 270017

Intermountain Health St. James 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. 29 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$134.1M
$134,061,508 · G-3 line 3
Operating expenses
$142.1M
$142,104,673 · G-3 line 4
Result from patient care
−$8.0M
−$8,043,165 · G-3 line 5
Margin on patient care
−6.0%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $37.4M in its first year on file (1997) to $134.1M in 2025.
  • Its result from patient care: −$7.8M (2023), −$5.0M (2024), −$8.0M (2025).
  • 2 of the 5 short-term acute care hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 19.2% of its inpatient days and Medicare for 30.3%.
  • SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC holds 100% of it, on its Medicare enrollment.

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

29 years of filings

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

Net patient revenueOperating expenses
1997
reopened
$37.4M
$35.0M
1998
settled with audit
$42.9M
$41.3M
1999
settled with audit
$42.9M
$41.6M
2000
settled with audit
$43.4M
$43.0M
2001
settled
$45.7M
$43.5M
2002
reopened
$48.7M
$47.5M
2003
settled with audit
$53.6M
$55.6M
2004
settled
$60.7M
$57.9M
2005
settled
$64.6M
$63.4M
2006
settled
$65.5M
$66.1M
2007
reopened
$64.5M
$63.6M
2008
reopened
$64.6M
$74.5M
2009
reopened
$79.9M
$89.4M
2010
reopened
$69.1M
$188.7M
2011
reopened
$75.8M
$85.0M
2012
reopened
$79.3M
$85.8M
2013
settled
$113.8M
$116.5M
2014
settled
$119.5M
$111.3M
2015
reopened
$122.6M
$114.7M
2016
settled
$107.3M
$112.5M
2017
settled
$122.1M
$117.2M
2018
settled
$118.7M
$121.8M
2019
settled
$134.3M
$118.6M
2020
settled
$135.6M
$135.1M
2021
settled
$156.0M
$159.1M
2022
reopened
$164.5M
$177.5M
2023
settled
$134.0M
$141.8M
2024
settled
$130.4M
$135.4M
2025
as submitted
$134.1M
$142.1M

Beside its peers

Hospitals of the same type (short-term acute care hospital), nearest in size, from Montana first; each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Intermountain Health St. James Hospital69$134,061,508$142,104,673−6.0%
Bozeman Health Deaconess Regional Medical Center, Bozeman153$558,090,411$551,927,6821.1%
RCHP Billings - Missoula, Missoula141$291,710,257$259,641,92011.0%
Great Falls Clinic Hospital, Great Falls20$170,988,283$153,753,07210.1%
Providence St. Patrick Hospital, Missoula198$513,115,348$531,715,621−3.6%
St. Peters Health, Helena125$334,401,790$368,193,585−10.1%

Patients and payers

Discharges
2,502
S-3 line 14, col 15
Inpatient days
9,380
S-3 line 14, col 8
Beds in use, on an average day
25.8
days ÷ days in year
Occupancy
37.2%
days ÷ bed days
Medicare share of days
30.3%
S-3 cols 6 ÷ 8
Medicaid share of days
19.2%
S-3 cols 7 ÷ 8

Who owns it

  • SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC100%

Related organizations on its own cost report: INTERMOUNTAIN H, healthcare.

Other hospitals with the same owner: Intermountain Health Holy Rosary Hospital (MT), Intermountain Health Saint Joseph Hospital (CO), Intermountain Health St. Mary's Regional Hospital (CO), Intermountain Health St. Vincent Regional Hospital (MT).

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

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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More short-term acute care hospitals in Montana

Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 270017. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

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