Velarion Records

Critical access hospital · Townsend, Montana · 16 beds · CMS certification number 271333

Billings Clinic Broadwater

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS July 14, 2026. 22 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$10.4M
$10,424,178 · G-3 line 3
Operating expenses
$12.0M
$12,026,491 · G-3 line 4
Result from patient care
−$1.6M
−$1,602,313 · G-3 line 5
Margin on patient care
−15.4%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $2.9M in its first year on file (2004) to $10.4M in 2025.
  • Its result from patient care: −$945K (2023), −$618K (2024), −$1.6M (2025).
  • 4 of the 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 28.8% of its inpatient days and Medicare for 15.2%.
  • BILLINGS CLINIC SPECIALTY SUPPLIES AND SERVICES, LLC holds 100% of it, on its Medicare enrollment.

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

22 years of filings

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

Net patient revenueOperating expenses
2004
settled
$2.9M
$3.9M
2005
settled
$2.1M
$2.6M
2006
settled
$2.6M
$3.3M
2007
settled
$3.0M
$3.7M
2008
settled
$3.6M
$4.4M
2009
settled
$3.4M
$4.0M
2010
settled
$3.3M
$4.0M
2011
as submitted
$3.5M
$4.1M
2012
settled
$3.9M
$4.4M
2013
settled
$2.5M
$4.0M
2014
settled
$3.9M
$5.5M
2015
settled
$5.1M
$6.3M
2016
settled
$5.3M
$6.3M
2017
settled
$5.4M
$6.4M
2018
settled
$5.8M
$6.5M
2019
settled
$5.7M
$6.8M
2020
settled
$6.5M
$7.4M
2021
settled
$8.1M
$8.0M
2022
settled
$8.8M
$10.6M
2023
settled
$9.5M
$10.5M
2024
as submitted
$10.7M
$11.3M
2025
as submitted
$10.4M
$12.0M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Billings Clinic Broadwater16$10,424,178$12,026,491−15.4%
Barrett Hospital & Healthcare, Dillon18$48,521,137$48,185,1860.7%
Big Horn Hospital, Hardin18$16,756,576$17,460,606−4.2%
Clark Fork Valley Hospital, Plains16$31,919,973$34,800,648−9.0%
Deer Lodge Medical Center, Deer Lodge16$25,708,689$26,005,690−1.2%
Stillwater Billings Clinic, Columbus16$14,894,359$15,150,311−1.7%

Patients and payers

Discharges
13
S-3 line 14, col 15
Inpatient days
5,866
S-3 line 14, col 8
Beds in use, on an average day
16.1
days ÷ days in year
Occupancy
100.4%
days ÷ bed days
Medicare share of days
15.2%
S-3 cols 6 ÷ 8
Medicaid share of days
28.8%
S-3 cols 7 ÷ 8

Who owns it

  • BILLINGS CLINIC SPECIALTY SUPPLIES AND SERVICES, LLC100%
  • MTWY HEALTH100%

Related organizations on its own cost report: BILLINGS CLINIC, home office.

Other hospitals with the same owner: Billings Clinic Specialty Supplies and Services (MT), RCHP Billings - Missoula (MT), Logan Health Medical Center (MT), Logan Health - Conrad (MT), Logan Health - Shelby (MT), Stillwater Billings Clinic (MT), Glendive Medical Center (MT), Logan Health - Chester (MT), Logan Health - Whitefish (MT), Logan Health - Cut Bank (MT), Rehabilitation Hospital of Montana (MT).

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).

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by TOWNSEND HEALTH SYSTEMS INC (employer identification number 810398400) for tax year 2023. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$77,673IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$30,788IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$46,885IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$77,673IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$0IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0148IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202412999349301331. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by TOWNSEND HEALTH SYSTEMS INC (employer identification number 810398400) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
AMBERLY PAHUTDIRECTORTrustee/director$0$28,353$3,168
BRAD CAMPBELLDIRECTORTrustee/director$0$0$0
CASEY SCHANZPHYSICIAN ASSISTANTHighest-compensated employee$127,111$0$11,358
DEREK WEISSED NONPHYSICIANHighest-compensated employee$114,964$0$25,939
GARY HAMILTONVICE PRESIDENTTrustee/director, Officer$0$88,223$26,553
HOLLY HOFFMANPHYSICIANHighest-compensated employee$257,219$0$23,524
JENNY CLOWESCEOOfficer$130,782$0$32,753
JOAN MCMAHONPHYSICIANHighest-compensated employee$129,780$0$0
JORJA MUNNSSECRETARY/ TREASURERTrustee/director, Officer$0$0$0
KATHY BLAIRDIRECTORTrustee/director$0$0$0
KELLEY EVANSDIRECTORTrustee/director$0$194,347$35,802
KRISTY BOESEED NONPHYSICIANHighest-compensated employee$134,017$0$6,850
MICHELLE BARSTADDIRECTORTrustee/director$0$0$0
PHILIP HESSMEDICAL DIRECTORTrustee/director$282,842$0$9,750
WILLIAM UPTHEGROVEPRESIDENTTrustee/director, Officer$0$0$0

E-file object id 202421229349302872. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 271333. 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.