Critical access hospital · Powell, Wyoming · 25 beds · CMS certification number 531310
Powell Valley Clinic
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 5, 2025. 22 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $14.5M in its first year on file (2004) to $73.9M in 2025.
- Its result from patient care: −$1.8M (2023), −$5.6M (2024), −$8.6M (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 9.0% of its inpatient days and Medicare for 50.4%.
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.
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Beside its peers
Critical access hospitals in Wyoming with 25 to 49 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Powell Valley Clinic | 25 | $73,892,450 | $82,489,913 | −11.6% |
| Cody Regional Health, Cody | 25 | $130,013,866 | $132,840,201 | −2.2% |
| Community Hospital, Torrington | 25 | $45,506,166 | $47,363,538 | −4.1% |
| Johnson County Memorial Hospital, Buffalo | 25 | $31,952,522 | $38,449,064 | −20.3% |
| Memorial Hospital of Converse County, Douglas | 25 | $88,060,563 | $83,348,186 | 5.3% |
| Platte County Hospital, Wheatland | 25 | $25,681,311 | $31,197,193 | −21.5% |
Patients and payers
- Discharges
- 678S-3 line 14, col 15
- Inpatient days
- 2,341S-3 line 14, col 8
- Beds in use, on an average day
- 6.4days ÷ days in year
- Occupancy
- 25.7%days ÷ bed days
- Medicare share of days
- 50.4%S-3 cols 6 ÷ 8
- Medicaid share of days
- 9.0%S-3 cols 7 ÷ 8
Who owns it
Related organizations on its own cost report: POWELL HOSPITAL (100%), clinic; BILLINGS CLINIC.
Type of control on its cost report: voluntary nonprofit, other.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by POWELL VALLEY HEALTH CARE INC (employer identification number 830300467) 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) | $6,539,270 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $167,035 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $718,241 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $885,276 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $5,653,994 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0908 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202441299349301984. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by POWELL VALLEY HEALTH CARE INC (employer identification number 830300467) 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 |
|---|---|---|---|---|---|
| AARON BILLIN MD | DIRECTOR/PHYSICIAN | Trustee/director | $312,966 | $0 | $38,119 |
| BONITA KATZ | SECRETARY | Trustee/director, Officer | $0 | $0 | $0 |
| BRIAN JONES | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| BRIAN KELLY | PHYSICIAN | Highest-compensated employee | $519,984 | $0 | $38,647 |
| CARLETTA COLLINS | PHYSICIAN | Highest-compensated employee | $557,394 | $0 | $38,647 |
| CHRIS COX | VICE PRESIDENT | Trustee/director, Officer | $0 | $0 | $0 |
| JENKINS CLARKSON | DIRECTOR/PHYSICIAN | Trustee/director | $428,628 | $0 | $38,647 |
| JONI BENNETT | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| JOY COULSTON | CFO | Officer | $198,232 | $0 | $31,063 |
| KELLY CHRISTENSEN | PHYSICIAN | Highest-compensated employee | $387,176 | $0 | $37,316 |
| NATHANIEL RIEB MD | TREASURER | Trustee/director, Officer | $0 | $0 | $0 |
| NICOLE MASON | PHYSICIAN | Highest-compensated employee | $352,978 | $0 | $38,647 |
| RJ KOST | PRESIDENT | Trustee/director, Officer | $0 | $0 | $0 |
| SCOTT MCKENZIE | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| SHELLY HILL | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| SYD THOMPSON | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| TERRY ODOM | CEO | Officer | $238,769 | $0 | $20,748 |
| VALERIE LENGFELDER MD | DIRECTOR/PHYSICIAN | Trustee/director | $272,099 | $0 | $38,845 |
| WILLIAM JARVIS | PHYSICIAN | Highest-compensated employee | $867,099 | $0 | $38,647 |
E-file object id 202441299349301984. 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 531310. 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 December 5, 2025.