# Big Sandy Medical Center

Hospital · Critical Access Hospital · Big Sandy, MT · Chouteau
Page: https://astrelis.co/hospitals/271311  
This twin: https://astrelis.co/hospitals/271311.md  
CMS Certification Number (CCN): 271311  
Release: 2321a4fc37a7 (2026-10-22)

## Headline figures (fiscal years on file: 2021 to 2025)

- **Operating margin (FY2025):** -44.0%; 3rd percentile of 1,322 critical access hospitals in the FY2025 pool. Astrelis calculation. Definition: https://astrelis.co/methodology#def-hospital-operating_margin
- **Days cash on hand (FY2025):** 115 days; 55th percentile of 1,297 critical access hospitals in the FY2025 pool. Astrelis calculation. Definition: https://astrelis.co/methodology#def-hospital-dcoh_all
- **Total operating revenue (FY2025):** $5.7M; 1st percentile of 1,331 critical access hospitals in the FY2025 pool. Reported value. Definition: https://astrelis.co/methodology#hospital-financials
- **Total margin (including nonoperating) (FY2025):** -6.6%; 10th percentile of 1,322 critical access hospitals in the FY2025 pool. Astrelis calculation. Definition: https://astrelis.co/methodology#def-hospital-total_margin

## Sources

CMS HCRIS cost reports, form CMS-2552-10, Worksheets G, G-3 and S-3, as filed; CMS Care Compare; county context from Census ACS, CDC PLACES, BEA and HRSA.

Methodology: https://astrelis.co/methodology · Data sources: https://astrelis.co/data-sources · Data philosophy: https://astrelis.co/data-philosophy

## Cite this page

Astrelis Atlas, "Big Sandy Medical Center", https://astrelis.co/hospitals/271311, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.