Velarion Records

Critical access hospital · Sheridan, Montana · 5 beds · CMS certification number 271319

Ruby Valley Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 4, 2025. 25 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$9.3M
$9,327,621 · G-3 line 3
Operating expenses
$10.7M
$10,740,837 · G-3 line 4
Result from patient care
−$1.4M
−$1,413,216 · G-3 line 5
Margin on patient care
−15.2%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $139K in its first year on file (2001) to $9.3M in 2025.
  • Its result from patient care: −$1.5M (2023), −$2.4M (2024), −$1.4M (2025).
  • All 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.

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

25 years of filings

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

Net patient revenueOperating expenses
2001
settled
$139K
$269K
2002
settled
$1.1M
$1.6M
2003
settled
$1.3M
$1.7M
2004
settled
$1.6M
$2.0M
2005
settled
$2.1M
$2.0M
2006
settled
$2.3M
$2.3M
2007
settled
$2.5M
$2.7M
2008
settled
$3.0M
$3.3M
2009
settled
$3.2M
$3.7M
2010
settled
$3.5M
$3.8M
2011
settled
$3.9M
$4.1M
2012
as submitted
$3.9M
$4.4M
2013
settled
$4.0M
$4.7M
2014
settled
$4.1M
$5.0M
2015
settled
$5.2M
$5.4M
2016
settled
$5.2M
$6.0M
2017
settled
$5.1M
$6.4M
2018
settled
$6.2M
$6.9M
2019
settled
$7.5M
$8.6M
2020
settled
$7.0M
$9.3M
2021
settled
$9.5M
$10.2M
2022
settled
$8.9M
$11.1M
2023
settled
$12.5M
$14.0M
2024
as submitted
$13.3M
$15.6M
2025
as submitted
$9.3M
$10.7M

Beside its peers

Critical access hospitals in Montana with under 25 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Ruby Valley Medical Center5$9,327,621$10,740,837−15.2%
Beartooth Billings Clinic, Red Lodge10$21,240,951$22,069,912−3.9%
Big Sandy Medical Center, Big Sandy8$5,538,165$8,155,261−47.3%
Big Sky Medical Center, Big Sky8$21,198,540$24,063,269−13.5%
Madison Valley Medical Center, Ennis10$14,448,921$18,469,811−27.8%
Phillips County Hospital Assn, Malta6$8,421,819$9,648,492−14.6%

Patients and payers

Discharges
24
S-3 line 14, col 15
Inpatient days
946
S-3 line 14, col 8
Beds in use, on an average day
3.9
days ÷ days in year
Occupancy
78.2%
days ÷ bed days
Medicare share of days
74.3%
S-3 cols 6 ÷ 8

Who owns it

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

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 271319. 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 December 4, 2025.