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Critical access hospital · Hamilton, Montana · 25 beds · CMS certification number 271340

Bitterroot Health-Daly Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 11, 2025. 21 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$130.3M
$130,318,019 · G-3 line 3
Operating expenses
$136.7M
$136,683,896 · G-3 line 4
Result from patient care
−$6.4M
−$6,365,877 · G-3 line 5
Margin on patient care
−4.9%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $15.1M in its first year on file (2005) to $130.3M in 2025.
  • Its result from patient care: −$1.4M (2023), $543K (2024), −$6.4M (2025).
  • All 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 7.4% of its inpatient days and Medicare for 45.5%.
  • MARCUS DALY MEMORIAL HOSPITAL CORPORATION holds 100% of it, on its Medicare enrollment.

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.

Net patient revenueOperating expenses
2005
settled with audit
$15.1M
$14.6M
2006
reopened
$27.6M
$27.8M
2007
settled with audit
$35.4M
$30.6M
2008
reopened
$40.1M
$40.1M
2009
settled with audit
$42.7M
$44.1M
2010
settled with audit
$47.9M
$44.5M
2011
settled
$47.1M
$46.3M
2012
reopened
$43.0M
$45.9M
2013
reopened
$44.6M
$48.0M
2014
settled
$48.9M
$50.6M
2015
settled with audit
$50.7M
$52.8M
2016
settled
$53.5M
$56.3M
2017
settled
$61.3M
$59.2M
2018
settled
$64.7M
$63.6M
2019
settled with audit
$72.0M
$68.6M
2020
as submitted
$73.7M
$76.4M
2021
amended
$83.6M
$79.9M
2022
as submitted
$97.1M
$93.1M
2023
as submitted
$107.6M
$109.0M
2024
as submitted
$126.3M
$125.8M
2025
as submitted
$130.3M
$136.7M

Beside its peers

Critical access hospitals in Montana with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Bitterroot Health-Daly Hospital25$130,318,019$136,683,896−4.9%
Dahl Memorial Healthcare Association, Ekalaka25$9,153,602$10,383,914−13.4%
Fallon Medical Complex, Baker25$11,500,176$12,767,576−11.0%
Granite County Medical Center, Philipsburg25$6,577,167$8,151,294−23.9%
Benefis Missouri River Medical Center, Fort Benton25$11,111,107$12,197,805−9.8%
Roosevelt Medical Center, Culbertson29$9,135,083$9,921,731−8.6%

Patients and payers

Discharges
1,086
S-3 line 14, col 15
Inpatient days
4,621
S-3 line 14, col 8
Beds in use, on an average day
12.7
days ÷ days in year
Occupancy
50.6%
days ÷ bed days
Medicare share of days
45.5%
S-3 cols 6 ÷ 8
Medicaid share of days
7.4%
S-3 cols 7 ÷ 8

Who owns it

  • MARCUS DALY MEMORIAL HOSPITAL CORPORATION100%

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 MARCUS DALY MEMORIAL HOSPITAL (employer identification number 810240726) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$9,980,649IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$160,957IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$4,874,190IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$5,035,147IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$4,945,502IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0918IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202421299349302962. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by MARCUS DALY MEMORIAL HOSPITAL (employer identification number 810240726) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
BRET PEARCE MDPHYSICIANHighest-compensated employee$518,814$0$38,505
BRET YOUNGDIRECTORTrustee/director$0$0$0
BRISTOL SCHMITZ MDPHYSICIANHighest-compensated employee$493,318$0$33,118
CHRISTINE LEWANSKIVICE CHAIRTrustee/director, Officer$0$0$0
DAVID BOHLER MDPHYSICIANHighest-compensated employee$623,240$0$38,167
JAIME DEVLINDIRECTORTrustee/director$0$0$0
JIM CORDLEDIRECTORTrustee/director$0$0$0
JOHN BISHOP CEOSECRETARYTREASUREROfficer$443,307$0$38,773
KAILYN ROWECFOOfficer$0$0$0
KELLAN CLARK MDPHYSICIANHighest-compensated employee$473,554$0$42,061
LAWRENCE BROUWER MDDIRECTOR/PHYSICIANTrustee/director$197,279$0$6,650
LINDA DODDSDIRECTORTrustee/director$0$0$0
LOIS HEDG-PETHCHAIRMANTrustee/director, Officer$0$0$0
MARK JERGENSDIRECTORTrustee/director$0$0$0
RICHARD DAY MDPHYSICIANHighest-compensated employee$1,259,061$0$41,922
ROBERT WHALENDIRECTORTrustee/director$0$0$0
TIMOTHY WOODS MDDIRECTOR/PHYSICIANTrustee/director$500,091$0$37,586
TOM ANDERSONDIRECTORTrustee/director$0$0$0
TREVOR LEWISCFO (THROUGH OCT)Officer$148,650$0$5,635
WAYNE KNIGHTCFO (THROUGH MARCH)Officer$14,000$0$0

E-file object id 202421299349302962. 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 271340. 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 11, 2025.