Critical access hospital · Big Timber, Montana · 25 beds · CMS certification number 271313
Pioneer Medical Center
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 8, 2025. 26 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 $3.0M in its first year on file (2000) to $10.6M in 2025.
- Its result from patient care: −$1.9M (2023), −$3.3M (2024), −$3.1M (2025).
- All 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 47.0% of its inpatient days and Medicare for 8.4%.
- PIONEER MEDICAL CENTER holds 100% of it, on its Medicare enrollment.
Every statement is drawn from figures on this page; nothing is estimated.
26 years of filings
Net patient revenue against operating expenses, each year as filed.
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Beside its peers
Critical access hospitals in Montana with 25 to 49 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Pioneer Medical Center | 25 | $10,603,686 | $13,675,450 | −29.0% |
| Dahl Memorial Healthcare Association, Ekalaka | 25 | $9,153,602 | $10,383,914 | −13.4% |
| Fallon Medical Complex, Baker | 25 | $11,500,176 | $12,767,576 | −11.0% |
| Granite County Medical Center, Philipsburg | 25 | $6,577,167 | $8,151,294 | −23.9% |
| Benefis Missouri River Medical Center, Fort Benton | 25 | $11,111,107 | $12,197,805 | −9.8% |
| Roosevelt Medical Center, Culbertson | 29 | $9,135,083 | $9,921,731 | −8.6% |
Patients and payers
- Discharges
- 45S-3 line 14, col 15
- Inpatient days
- 6,786S-3 line 14, col 8
- Beds in use, on an average day
- 18.6days ÷ days in year
- Occupancy
- 74.4%days ÷ bed days
- Medicare share of days
- 8.4%S-3 cols 6 ÷ 8
- Medicaid share of days
- 47.0%S-3 cols 7 ÷ 8
Who owns it
- PIONEER MEDICAL CENTER100%
Related organizations on its own cost report: BILLINGS CLINIC (0%), admin.
Type of control on its cost report: voluntary nonprofit, other.
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 HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 271313. 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 HOSP10FY2024.ZIP, read December 8, 2025.