Critical access hospital · Ennis, Montana · 10 beds · CMS certification number 271329
Madison Valley Medical Center
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 5, 2026. 23 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 $1.6M in its first year on file (2003) to $14.4M in 2025.
- Its result from patient care: −$2.5M (2023), −$3.3M (2024), −$4.0M (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 0.6% of its inpatient days and Medicare for 53.0%.
Every statement is drawn from figures on this page; nothing is estimated.
23 years of filings
Net patient revenue against operating expenses, each year as filed.
settled
settled
settled
settled
settled
settled
reopened
settled
reopened
settled
settled
settled
settled
settled
settled
settled
settled
settled
settled
settled
settled
as submitted
as submitted
Beside its peers
Critical access hospitals in Montana with under 25 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Madison Valley Medical Center | 10 | $14,448,921 | $18,469,811 | −27.8% |
| Beartooth Billings Clinic, Red Lodge | 10 | $21,240,951 | $22,069,912 | −3.9% |
| Big Sandy Medical Center, Big Sandy | 8 | $5,538,165 | $8,155,261 | −47.3% |
| Clark Fork Valley Hospital, Plains | 16 | $31,919,973 | $34,800,648 | −9.0% |
| Deer Lodge Medical Center, Deer Lodge | 16 | $25,708,689 | $26,005,690 | −1.2% |
| Stillwater Billings Clinic, Columbus | 16 | $14,894,359 | $15,150,311 | −1.7% |
Patients and payers
- Discharges
- 108S-3 line 14, col 15
- Inpatient days
- 1,140S-3 line 14, col 8
- Beds in use, on an average day
- 3.1days ÷ days in year
- Occupancy
- 31.2%days ÷ bed days
- Medicare share of days
- 53.0%S-3 cols 6 ÷ 8
- Medicaid share of days
- 0.6%S-3 cols 7 ÷ 8
Who owns it
Type of control on its cost report: voluntary nonprofit, other.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by MADISON VALLEY HOSPITAL INC (employer identification number 810236460) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $1,575,403 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $143,440 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $346,162 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $494,149 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $1,081,254 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.099 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202432289349301523. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by MADISON VALLEY HOSPITAL INC (employer identification number 810236460) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| ALICIA NICHOLSON | CFO | Officer | $99,419 | $0 | $8,975 |
| ALLEN ROHRBACK | CEO | Officer | $223,177 | $0 | $11,553 |
| BRYANT HARP | SECRETARY | Trustee/director, Officer | $0 | $0 | $0 |
| DOTTIE FOSSEL | FORMER CHAIR | Trustee/director | $0 | $0 | $0 |
| JEFF MONTAG | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| JIM HAGEMAN | VICE CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| KAREN MCMULLIN | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| MARRY OLIVER | CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| MARTIN DEGROOT | PA | Highest-compensated employee | $139,228 | $0 | $7,513 |
| MAURA DAVENPORT | MD, CHIEF OF STAFF | Highest-compensated employee | $249,587 | $0 | $11,529 |
| RD MARKS | MD | Highest-compensated employee | $154,542 | $0 | $11,350 |
| SAMUEL RIORDAN | PHARMACIST | Highest-compensated employee | $120,939 | $0 | $6,039 |
| SEAN SIMMONS | PA | Highest-compensated employee | $116,925 | $0 | $39 |
E-file object id 202432289349301523. The IRS archive it was read from.
Follow this hospital, free
We send this record now and tell you when it files again.
More critical access hospitals in Montana
From the publisher of Velarion Records
Velarion Intel
Independent Decision-Grade Intelligence
Compensation and corporate governance intelligence for advisors, investors and companies. Executive and board pay for public companies, benchmarked against peers.
Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 271329. 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 March 5, 2026.