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Short-term acute care hospital · Missoula, Montana · 141 beds · CMS certification number 270023

RCHP Billings - Missoula

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS July 14, 2026. 29 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$291.7M
$291,710,257 · G-3 line 3
Operating expenses
$259.6M
$259,641,920 · G-3 line 4
Result from patient care
$32.1M
$32,068,337 · G-3 line 5
Margin on patient care
11.0%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $49.1M in its first year on file (1997) to $291.7M in 2025.
  • Its result from patient care: $26.6M (2023), $39.0M (2024), $32.1M (2025).
  • 1 of the 5 short-term acute care hospital peers below with a margin on file also reports a gain on patient care for fiscal year 2025.
  • Medicaid paid for 27.3% of its inpatient days and Medicare for 19.9%.
  • BILLINGS RCHP HEALTHCARE HOLDINGS LLC holds 88% 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
settled with audit
$49.1M
$51.6M
1998
reopened
$51.7M
$51.4M
1999
reopened
$55.5M
$55.2M
2000
reopened
$64.6M
$64.3M
2001
reopened
$70.4M
$80.1M
2002
reopened
$83.2M
$95.0M
2003
reopened
$87.3M
$100.6M
2004
reopened
$90.1M
$109.4M
2005
reopened
$109.9M
$111.8M
2006
reopened
$116.4M
$121.3M
2007
reopened
$125.9M
$128.2M
2008
reopened
$124.6M
$122.0M
2009
reopened
$131.3M
$130.5M
2010
reopened
$138.5M
$135.6M
2011
reopened
$147.2M
$143.6M
2012
reopened
$146.2M
$144.8M
2013
reopened
$149.6M
$152.0M
2014
settled with audit
$155.6M
$158.4M
2015
reopened
$139.8M
$144.0M
2016
reopened
$151.2M
$153.9M
2017
settled with audit
$172.2M
$153.6M
2018
settled
$161.7M
$152.1M
2019
settled
$186.9M
$169.2M
2020
settled
$213.3M
$199.1M
2021
settled
$250.6M
$224.6M
2022
settled
$238.2M
$219.8M
2023
settled
$247.4M
$220.8M
2024
as submitted
$278.1M
$239.0M
2025
as submitted
$291.7M
$259.6M

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
RCHP Billings - Missoula141$291,710,257$259,641,92011.0%
Bozeman Health Deaconess Regional Medical Center, Bozeman153$558,090,411$551,927,6821.1%
Logan Health Medical Center, Kalispell215$661,278,545$710,869,405−7.5%
Intermountain Health St. James Hospital, Butte69$134,061,508$142,104,673−6.0%
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
5,025
S-3 line 14, col 15
Inpatient days
22,911
S-3 line 14, col 8
Beds in use, on an average day
62.9
days ÷ days in year
Occupancy
44.5%
days ÷ bed days
Medicare share of days
19.9%
S-3 cols 6 ÷ 8
Medicaid share of days
27.3%
S-3 cols 7 ÷ 8

Who owns it

  • BILLINGS RCHP HEALTHCARE HOLDINGS LLC88%
  • DSB ACQUISITION LLC84%
  • LIFEPOINT HEALTH INC84%
  • RCHP LLC84%
  • RCHP MONTANA LLC84%
  • REGIONALCARE HOSPITAL PARTNERS LLC84%
  • BILLINGS CLINIC SPECIALTY SUPPLIES AND SERVICES, LLC12%

Related organizations on its own cost report: RCCH HEALTHCARE PARTNERS, hospital management; ADVANCE IMAGING, radiology imaging services.

Other hospitals with the same owner: North Alabama Medical Center (AL), Shoals Hospital (AL), Canyon Vista Medical Center (AZ), Havasu Regional Medical Center (AZ), Valley View Medical Center (AZ), Dignity Health East Valley Rehabilitation Hospital (AZ), Dignity Health East Valley Rehabilitation Hospital-Gilbert (AZ), Copper Springs - East (AZ), El Dorado Springs (AZ).

Type of control on its cost report: proprietary, corporation.

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

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 270023. 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 July 14, 2026.