Critical access hospital · Hardin, Montana · 18 beds · CMS certification number 271338
Big Horn Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS November 25, 2025. 21 years on file, every one shown below.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $6.8M in its first year on file (2005) to $16.8M in 2025.
- Its result from patient care: −$6.3M (2023), −$2.9M (2024), −$704K (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 69.0% of its inpatient days and Medicare for 8.1%.
Every statement is drawn from figures on this page; nothing is estimated.
21 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 under 25 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Big Horn Hospital | 18 | $16,756,576 | $17,460,606 | −4.2% |
| Barrett Hospital & Healthcare, Dillon | 18 | $48,521,137 | $48,185,186 | 0.7% |
| Deer Lodge Medical Center, Deer Lodge | 16 | $25,708,689 | $26,005,690 | −1.2% |
| Logan Health - Conrad, Conrad | 20 | $21,198,997 | $21,581,062 | −1.8% |
| Poplar Community Hospital, Poplar | 20 | $12,749,658 | $13,332,281 | −4.6% |
| Sheridan Memorial Hospital Association Hospital, Plentywood | 19 | $19,443,647 | $21,267,305 | −9.4% |
Patients and payers
- Discharges
- 105S-3 line 14, col 15
- Inpatient days
- 2,850S-3 line 14, col 8
- Beds in use, on an average day
- 7.8days ÷ days in year
- Occupancy
- 43.4%days ÷ bed days
- Medicare share of days
- 8.1%S-3 cols 6 ÷ 8
- Medicaid share of days
- 69.0%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 BIG HORN HOSPITAL ASSOCIATION (employer identification number 810384618) 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) | $1,133,657 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $33,319 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $1,100,338 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $1,133,657 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0575 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202441359349311959. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by BIG HORN HOSPITAL ASSOCIATION (employer identification number 810384618) 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 |
|---|---|---|---|---|---|
| ANGELA SMITH | PROVIDER | Highest-compensated employee | $177,088 | $0 | $9,000 |
| CHARLOTTE JEFFERSON | PHARMACIST | Highest-compensated employee | $169,435 | $0 | $9,000 |
| COLLEEN SCHAAK | BOARD VICE CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| DAVID MARK | MEMBER | Trustee/director | $0 | $0 | $0 |
| JAMES SEYKORA | SECRETARY | Trustee/director, Officer | $0 | $0 | $0 |
| JERRY SMITH | MEMBER | Trustee/director | $0 | $0 | $0 |
| KRISTI GATRELL | CEO | Officer | $0 | $0 | $0 |
| LARRY VANDERSLOOT | MEMBER | Trustee/director | $0 | $0 | $0 |
| MARTHA ARAMBEL-JUDICE | PROVIDER | Highest-compensated employee | $180,646 | $0 | $4,972 |
| MATT TORSKE | TREASURER | Trustee/director, Officer | $0 | $0 | $0 |
| NICHOLE MEHLING | MEMBER | Trustee/director | $0 | $0 | $0 |
| PAULINE KING | PROVIDER | Highest-compensated employee | $178,941 | $0 | $4,500 |
| ROXIE CAIN | CONTROLLER | Officer | $137,862 | $0 | $19,965 |
| SANDY MORSE | MEMBER | Trustee/director | $0 | $0 | $0 |
| SHANNON WAGENMAN | DIRECTOR OF PROVIDER SERVICES | Highest-compensated employee | $237,169 | $0 | $23,115 |
| TERRY BULLIS | MEMBER | Trustee/director | $0 | $0 | $0 |
| THOR TORSKE | BOARD CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
E-file object id 202441359349311959. The IRS archive it was read from.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 271338. Patients and payers: worksheet S-3 Part I of the same filing.
How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read November 25, 2025.