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Critical access hospital · Roundup, Montana · 25 beds · CMS certification number 271346

Roundup Memorial Healthcare

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS November 19, 2025. Eighteen years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$15.0M
$15,019,604 · G-3 line 3
Operating expenses
$14.3M
$14,327,054 · G-3 line 4
Result from patient care
$693K
$692,550 · G-3 line 5
Margin on patient care
4.6%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $2.5M in its first year on file (2008) to $15.0M in 2025.
  • Its result from patient care: −$636K (2023), −$224K (2024), $693K (2025).
  • None of the 5 critical access hospital peers below with a margin on file reports a gain on patient care for fiscal year 2025.
  • Medicaid paid for 0.2% of its inpatient days and Medicare for 7.6%.

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

Eighteen years of filings

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

Net patient revenueOperating expenses
2008
settled
$2.5M
$2.6M
2009
settled
$4.8M
$5.3M
2010
settled
$5.0M
$5.7M
2011
reopened
$9.4M
$5.2M
2012
reopened
$4.8M
$5.2M
2013
settled
$5.2M
$5.4M
2014
settled
$5.0M
$6.0M
2015
settled
$5.7M
$6.1M
2016
settled
$6.3M
$7.0M
2017
settled
$6.6M
$7.2M
2018
settled
$7.7M
$8.2M
2019
settled
$8.4M
$9.3M
2020
settled
$9.1M
$9.2M
2021
settled
$10.7M
$10.9M
2022
settled
$11.8M
$12.3M
2023
settled
$13.9M
$14.6M
2024
as submitted
$13.9M
$14.1M
2025
as submitted
$15.0M
$14.3M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Roundup Memorial Healthcare25$15,019,604$14,327,0544.6%
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
46
S-3 line 14, col 15
Inpatient days
7,248
S-3 line 14, col 8
Beds in use, on an average day
19.9
days ÷ days in year
Occupancy
79.4%
days ÷ bed days
Medicare share of days
7.6%
S-3 cols 6 ÷ 8
Medicaid share of days
0.2%
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 ROUNDUP MEMORIAL HOSPITAL ASSOCIATION (employer identification number 810245848) 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)$443,935IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$185,371IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$170,040IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$355,411IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$88,524IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0294IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202411289349302896. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by ROUNDUP MEMORIAL HOSPITAL ASSOCIATION (employer identification number 810245848) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
BRYAN ADOLPHDIRECTORTrustee/director$0$0$0
BRYNN BIXBYPAHighest-compensated employee$147,160$0$4,603
CYNTHIA MOOREDONHighest-compensated employee$112,393$0$11,578
HOLLY WOLFFCEOOfficer$0$0$0
JOHN PFISTERCHAIRTrustee/director, Officer$0$0$0
KEN MOSDALSECRETARY/TREASURERTrustee/director, Officer$0$0$0
LEONARD WALLDIRECTOR (THRU 5/4/23)Trustee/director$0$0$0
LORIE HUTCHISONPAHighest-compensated employee$218,233$0$6,050
MARK ROSEBUSH DMDVICE CHAIRTrustee/director, Officer$0$0$0
MARSHALL WHITE MDDIRECTORTrustee/director$0$0$0
NICOLE BORNERDIRECTOR (THRU 7/15/22)Trustee/director$0$0$0
VALERI RUSSELLPAHighest-compensated employee$132,864$0$12,353
VELMA BUCHERADONHighest-compensated employee$105,306$0$173

E-file object id 202411289349302896. 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 271346. 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 19, 2025.