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Critical access hospital · Sundance, Wyoming · 16 beds · CMS certification number 531311

Crook County Medical Services District

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, amended, stamped by CMS May 13, 2026. 22 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$15.6M
$15,592,725 · G-3 line 3
Operating expenses
$17.1M
$17,145,804 · G-3 line 4
Result from patient care
−$1.6M
−$1,553,079 · G-3 line 5
Margin on patient care
−10.0%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $1.0M in its first year on file (2004) to $15.6M in 2025.
  • Its result from patient care: −$2.4M (2023), −$2.4M (2024), −$1.6M (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 0.3% of its inpatient days and Medicare for 76.6%.

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.

Net patient revenueOperating expenses
2004
settled
$1.0M
$1.2M
2005
reopened
$4.5M
$5.2M
2006
settled
$4.5M
$5.6M
2007
settled
$4.9M
$5.8M
2008
settled
$5.8M
$6.6M
2009
settled
$6.3M
$7.2M
2010
settled
$5.9M
$6.9M
2011
settled
$6.0M
$7.5M
2012
settled
$5.6M
$6.8M
2013
settled
$5.3M
$6.7M
2014
settled
$6.3M
$7.0M
2015
settled
$6.3M
$7.3M
2016
settled
$5.9M
$8.0M
2017
settled
$7.3M
$8.7M
2018
settled
$8.1M
$9.7M
2019
settled
$8.3M
$10.2M
2020
settled
$9.8M
$11.0M
2021
settled
$10.8M
$11.9M
2022
settled
$12.0M
$13.2M
2023
settled
$11.4M
$13.8M
2024
as submitted
$12.2M
$14.6M
2025
amended
$15.6M
$17.1M

Beside its peers

Critical access hospitals in Wyoming with under 25 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Crook County Medical Services District16$15,592,725$17,145,804−10.0%
Hot Springs County Memorial Hospital, Thermopolis15$33,065,204$38,793,193−17.3%
Niobrara Health and Life Center, Lusk24$9,909,877$10,492,209−5.9%
North Big Horn Hospital, Lovell14$29,065,544$29,832,571−2.6%
Star Valley Health, Afton22$107,308,349$113,560,574−5.8%
Washakie Medical Center, Worland18$31,339,699$32,386,757−3.3%

Patients and payers

Discharges
108
S-3 line 14, col 15
Inpatient days
1,515
S-3 line 14, col 8
Beds in use, on an average day
4.2
days ÷ days in year
Occupancy
25.9%
days ÷ bed days
Medicare share of days
76.6%
S-3 cols 6 ÷ 8
Medicaid share of days
0.3%
S-3 cols 7 ÷ 8

Who owns it

Type of control on its cost report: governmental, hospital district.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 531311. 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 May 13, 2026.