Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Medicare cost report · CMS certification number 271346

ROUNDUP MEMORIAL HEALTHCARE

ROUNDUP, Montana · critical access hospital

Figures for 1 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2552-10, as submitted.

This hospital also appears on the 340B covered-entity register: Roundup Memorial Healthcare.

Finances, as filed

From this hospital’s Medicare cost report for the year ended 30 June 2025.

FigureAs filedWhere it comes from
Total patient revenue$19,366,140CMS-2552-10 worksheet G300000 line 100 column 100
Contractual allowances$4,346,536CMS-2552-10 worksheet G300000 line 200 column 100
Net patient revenue$15,019,604CMS-2552-10 worksheet G300000 line 300 column 100
Total operating expenses$14,327,054CMS-2552-10 worksheet G300000 line 400 column 100
Income from service to patients$692,550CMS-2552-10 worksheet G300000 line 500 column 100
Charity care, at charges$678,428CMS-2552-10 worksheet S100001 line 2000 column 300
Charity care, at cost$592,562CMS-2552-10 worksheet S100001 line 2300 column 300
Bad debt expense$344,783CMS-2552-10 worksheet S100001 line 2600 column 100
Bad debt other than Medicare, at cost$250,070CMS-2552-10 worksheet S100001 line 2900 column 100
Uncompensated care, at cost$842,632CMS-2552-10 worksheet S100001 line 3000 column 100
Total facility beds25CMS-2552-10 worksheet S300001 line 1400 column 200
Cost-to-charge ratio0.7386CMS-2552-10 worksheet S100001 line 100 column 100

Cost report filed under CMS certification number 271346 for 1 July 2024 to 30 June 2025, as submitted. The public file it was read from.

Where this hospital sits among its peers

A position, not a score: the hospitals are counted, not ranked. Each line names the hospitals the position was taken over.

  • 59thpercentile of 29 hospitals in MT, same facility class, 25 to 49 bedsNet patient revenue

Net patient revenue across every hospital filing for 2025, with this one marked.

This hospital$13,490,143$687,914,115

Middle half between $26,799,748 and $277,404,894, midpoint $72,625,329, across 5,414 hospitals.

  • 59thpercentile of 29 hospitals in MT, same facility class, 25 to 49 bedsTotal operating expenses

Total operating expenses across every hospital filing for 2025, with this one marked.

This hospital$15,515,671$674,864,793

Middle half between $27,944,615 and $268,914,289, midpoint $72,276,011, across 5,563 hospitals.

  • 75thpercentile of 28 hospitals in MT, same facility class, 25 to 49 bedsCharity care, at cost
  • 59thpercentile of 29 hospitals in MT, same facility class, 25 to 49 bedsUncompensated care, at cost
  • 97thpercentile of 29 hospitals in MT, same facility class, 25 to 49 bedsTotal facility beds

Total facility beds across every hospital filing for 2025, with this one marked.

This hospital18341

Middle half between 25 and 169, midpoint 65, across 5,525 hospitals.

  • 55thpercentile of 29 hospitals in MT, same facility class, 25 to 49 bedsCost-to-charge ratio

Cost-to-charge ratio across every hospital filing for 2025, with this one marked.

This hospital0.12310.6713

Middle half between 0.1809 and 0.4498, midpoint 0.2651, across 4,214 hospitals.

Every cost report on file

One row per filing, oldest first until you say otherwise. Every column orders both ways. Reporting periods differ between filings and the length of each is shown, because revenue over three months set beside revenue over twelve is a wrong number that looks right.

18 filings, ordered by Fiscal year
Fiscal year Period ended Days Form Status Beds Net patient revenue Total operating expenses Income from service to patients Charity care, at cost Uncompensated care, at cost Bad debt expense Cost-to-charge ratio Stamped by CMS
20082008-06-30181CMS-2552-96settled25$2,490,929$2,619,083−$128,1542009-11-18
20092009-06-30364CMS-2552-96settled25$4,771,848$5,276,661−$504,8132010-09-23
20102010-06-30364CMS-2552-96settled25$5,024,080$5,681,325−$657,2452011-09-30
20112011-06-30364CMS-2552-10reopened25$9,436,281$5,207,418$4,228,863$308,502$304,3981.01762014-11-07
20122012-06-30365CMS-2552-10reopened25$4,765,585$5,183,532−$417,947−$100,471$147,525$280,5990.88842014-11-07
20132013-06-30364CMS-2552-10settled25$5,208,420$5,431,105−$222,685$142,233$157,948$25,7340.81082014-12-04
20142014-06-30364CMS-2552-10settled25$4,988,892$5,969,746−$980,854$216,953$787,052$694,7240.82712015-09-09
20152015-06-30364CMS-2552-10settled25$5,654,048$6,135,487−$481,439$320,173$601,796$385,8420.74712016-12-20
20162016-06-30365CMS-2552-10settled25$6,253,613$7,005,926−$752,313$262,936$816,037$712,5390.79072017-08-31
20172017-06-30364CMS-2552-10settled25$6,554,034$7,197,532−$643,498$354,695$893,598$712,5390.77182018-08-21
20182018-06-30364CMS-2552-10settled25$7,707,441$8,166,811−$459,370$78,521$508,226$600,2100.72692020-05-18
20192019-06-30364CMS-2552-10settled25$8,423,372$9,275,679−$852,307$60,275$418,594$471,6840.78952021-06-11
20202020-06-30365CMS-2552-10settled25$9,057,879$9,187,361−$129,482$84,659$451,669$477,3310.77572022-08-19
20212021-06-30364CMS-2552-10settled25$10,748,795$10,852,600−$103,805$104,880$307,396$267,1510.84702023-07-14
20222022-06-30364CMS-2552-10settled25$11,785,530$12,301,561−$516,031$37,469$469,262$562,2080.77392024-03-18
20232023-06-30364CMS-2552-10settled25$13,920,174$14,556,537−$636,363$96,056$563,044$565,3760.86402025-04-08
20242024-06-30365CMS-2552-10as submitted25$13,895,393$14,119,528−$224,135$161,874$250,933$125,1070.79322024-12-06
20252025-06-30364CMS-2552-10as submitted25$15,019,604$14,327,054$692,550$592,562$842,632$344,7830.73862025-11-19

Get an email when this record changes

One email a day naming what moved on ROUNDUP MEMORIAL HEALTHCARE: the field, the value before, the value after, and the date of the file that first showed it.

The filing alert follows cost reports: one named person, one hospital, invoiced once a year. The certification number arrives filled in because you are on this hospital's own record.

On 19 November 2025, a cost report was filed for fiscal year 2025. That is one line of the filing alert.

Follow this record for $99/month

Take these figures as a spreadsheet The full report for this hospital

Every figure on this page is printed as it appears in this hospital’s Medicare cost report, filed under CMS certification number 271346 on form CMS-2552-10, publication year 2024, file HOSP10FY2024.ZIP.

The full report for ROUNDUP MEMORIAL HEALTHCARE

Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.