Short-term acute care hospital · Butte, Montana · 69 beds · CMS certification number 270017
Intermountain Health St. James Hospital
Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 22, 2026. 29 years on file, all shown below. Also on the 340B covered-entity register.
Enrolled with Medicare by St. James Healthcare.
Fiscal 2025 at a glance
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.
29 years of filings
1997 reopened margin 6.5% $37.4M $35.0M
1998 settled with audit margin 3.8% $42.9M $41.3M
1999 settled with audit margin 2.9% $42.9M $41.6M
2000 settled with audit margin 1.0% $43.4M $43.0M
2001 settled margin 4.8% $45.7M $43.5M
2002 reopened margin 2.4% $48.7M $47.5M
2003 settled with audit margin −3.7% $53.6M $55.6M
2004 settled margin 4.6% $60.7M $57.9M
2005 settled margin 1.9% $64.6M $63.4M
2006 settled margin −0.9% $65.5M $66.1M
2007 reopened margin 1.4% $64.5M $63.6M
2008 reopened margin −15.3% $64.6M $74.5M
2009 reopened margin −11.9% $79.9M $89.4M
2010 reopened margin −173.1% $69.1M $188.7M
2011 reopened margin −12.1% $75.8M $85.0M
2012 reopened margin −8.3% $79.3M $85.8M
2013 settled margin −2.4% $113.8M $116.5M
2014 settled margin 6.8% $119.5M $111.3M
2015 reopened margin 6.4% $122.6M $114.7M
2016 settled margin −4.9% $107.3M $112.5M
2017 settled margin 4.0% $122.1M $117.2M
2018 settled margin −2.6% $118.7M $121.8M
2019 settled margin 11.7% $134.3M $118.6M
2020 settled margin 0.3% $135.6M $135.1M
2021 settled margin −2.0% $156.0M $159.1M
2022 reopened margin −7.9% $164.5M $177.5M
2023 settled margin −5.8% $134.0M $141.8M
2024 settled margin −3.8% $130.4M $135.4M
2025 as submitted margin −6.0% $134.1M $142.1M
Beside its peers
Nearest in size, Montana first, fiscal year 2025.
Hospital Beds Net patient revenue Operating expenses Margin
Intermountain Health St. James Hospital 69 $134,061,508 $142,104,673 −6.0%
Bozeman Health Deaconess Regional Medical Center, Bozeman 153 $558,090,411 $551,927,682 1.1%
Community Medical Center, Missoula 141 $291,710,257 $259,641,920 11.0%
Great Falls Clinic Hospital, Great Falls 20 $170,988,283 $153,753,072 10.1%
Providence St. Patrick Hospital, Missoula 198 $513,115,348 $531,715,621 −3.6%
St. Peters Health, Helena 125 $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 St. Mary's Regional Hospital (CO), Intermountain Health Saint Joseph Hospital (CO), Intermountain Health St. Vincent Regional Hospital (MT), Intermountain Health Holy Rosary Hospital (MT).
Control: voluntary nonprofit, church.
Follow Intermountain Health St. James Hospital, free
More short-term acute care hospitals in Montana
File HOSP10FY2025.ZIP, form CMS-2552-10, CMS certification number 270017. Owners of 5% or more: CMS Hospital All Owners and Hospital Enrollments, Medicare enrollment October 1, 2026.
How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read June 22, 2026.
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