Rehabilitation Hospital

Elkhorn Valley Rehabilitation Hospital

Ernest Health · Casper, WY

5715 East 2nd Street, Casper, WY 826093072650005

Beds

689

Inpatient discharges a year

$18.9M

Net patient revenue a year

About this hospital

Elkhorn Valley Rehabilitation Hospital is a 40-bed hospital in Casper, WY, affiliated with Ernest Health.

CCN: 533027
NPI: 1326233586
Website: ernesthealth.com
Health system: Ernest Health
County: Natrona County
Metro area: Casper, WY MSA
Medicare contractor: Jurisdiction F, Noridian Healthcare Solutions (03001)
In Medicare since: 2008
Last CMS survey: 2014

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

More about this hospital

Doctors and services
Accredited by The Joint Commission
- 15 services
- 8 affiliated clinicians
See doctors and services
Finances
$18.9M net patient revenue
- Operating margin on patient care 11.1%
- $2.1M net income
See finances
Ownership and leadership
Owned by Elkhorn Valley Rehabilitation Hospital Holdings Inc
- Private (for profit)
- Private equity owner
See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Elkhorn Valley Rehabilitation Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
26-0893115Elkhorn Valley Rehabilitation Hospital LLC	45Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 40 more	1326233586 Elkhorn Valley Rehabilitation Hospital LLC

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

5715 East 2nd Street, Casper, WY 82609

3072650005

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Accreditation and services

The Joint Commission (since 2014)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
41
Medicare-certified beds
19
Registered nurses (full-time equivalent)
2008
In Medicare since

15 services at Elkhorn Valley Rehabilitation Hospital

Imaging: CT ScanDiagnostic RadiologyMRI (Magnetic Resonance Imaging)Therapeutic Radiology
Transplant and dialysis: Acute Renal Dialysis
Women and children: Clinical Laboratory
Rehabilitation and therapy: CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation)OT (Occupational Therapy)Outpatient RehabilitationPT (Physical Therapy)Respiratory CareSpeech Pathology
Other services: Dietary CarePharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Elkhorn Valley Rehabilitation Hospital reported to Medicare in its latest cost report, covering Jun 1, 2024 to May 31, 2025.

689
Inpatient discharges
Medicare 76%, Medicaid 3%
10,250
Inpatient days
70% of available bed days used
109
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 836311). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Elkhorn Valley Rehabilitation Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	7,541	573	2,136	10,250
Discharges	521	24	144	689
Average length of stay	14.5 days	23.9 days	14.8 days	14.9 days
Average daily census	20.7	1.6	5.9	28.1

409
Medicare Advantage days
27 discharges
28
Medicaid managed care days

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	40	10,250	7,541	70%

Source: CMS cost report (HCRIS, Form 2552-10), report 836311, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Where patients come from

ZIP codes with the most Medicare inpatient stays at Elkhorn Valley Rehabilitation Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 385 in 2020 to 455 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
82604	104	23%	1,460	$3.2M	9%	11%
82609	95	21%	1,385	$3.1M	11%	12%
82601	89	20%	1,289	$2.8M	9%	11%
82501	40	9%	620	$1.4M	6%	4%
82520	26	6%	410	$891,260	6%	3%
82633	21	5%	298	$654,462	7%	4%
82801	21	5%	352	$778,892	2%	1%
82718	18	4%	290	$614,605	4%
82716	15	3%	209	$453,945	3%
82636	14	3%	198	$461,413	8%	13%
82637	12	3%	180	$392,457	8%	10%

Source: CMS Hospital Service Area file. Shares are of the 455 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.

Staff and facilities

Staff by profession and the rooms and units Elkhorn Valley Rehabilitation Hospital reported at its latest Medicare certification survey (2014). Counts are people, not full-time equivalents.

19
Registered nurses
2
Pharmacists
2
Respiratory therapists
6
Physical therapists
4
Occupational therapists
2
Speech pathologists and audiologists
1
Dietitians
3
Social workers
67
Other personnel

Source: CMS Provider of Services file.

Doctors and clinicians

8 clinicians who bill Medicare list Elkhorn Valley Rehabilitation Hospital as a hospital affiliation. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Family Medicine Physician 6
Physical Medicine & Rehabilitation Physician 2

Marjorie Wells, M.D.
Family Medicine Physician
NPI 1780698431
See commercial rates for Marjorie Wells, M.D.
Ryan Swan, M.D.
Physical Medicine & Rehabilitation Physician
NPI 1154357267
See commercial rates for Ryan Swan, M.D.
Joseph Schoeber, M.D.
Family Medicine Physician
NPI 1740233071
See commercial rates for Joseph Schoeber, M.D.
Joseph Mickelson, MD
Family Medicine Physician
NPI 1467448043
See commercial rates for Joseph Mickelson, MD
Carlos Buckner, MD
Physical Medicine & Rehabilitation Physician
NPI 1598945214
See commercial rates for Carlos Buckner, MD
Jonathan Binder, MD
Family Medicine Physician
NPI 1841214954
See commercial rates for Jonathan Binder, MD
Robert Dunn
Family Medicine Physician
NPI 1972881027
See commercial rates for Robert Dunn
Sherrill Fox, M.D.
Family Medicine Physician
NPI 1124034566
See commercial rates for Sherrill Fox, M.D.

Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.

Income statement

Revenue, expenses and income Elkhorn Valley Rehabilitation Hospital reported to Medicare for Jun 1, 2024 to May 31, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$23.8M	125.7%
Inpatient	$23M	121.5%
Outpatient	$799,470	4.2%
Contractual allowances and discounts	-$4.9M	-25.7%
Net patient revenue	$18.9M	100.0%
Operating expenses	-$16.8M	-88.9%
Operating income from patient care	$2.1M	11.1%
Other income	$49,808	0.3%
Investment income	-$2,869	-0.0%
Other	$52,677	0.3%
Net income	$2.1M	11.3%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$8.3M	34.9%
Other payers and self-pay	$15.5M	65.1%
Total charges	$23.8M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 836311, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Elkhorn Valley Rehabilitation Hospital's latest cost report.

11.1%
Operating margin
Operating income from patient care / net patient revenue
11.3%
Total margin
Net income / net patient revenue plus other income
23.4%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
47% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
0.5%
Return on assets
Net income for a year / total assets
6.8%
Return on equity
Net income for a year / fund balance
-0.00
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
0.01
Current ratio
Current assets / current liabilities
0.00
Quick ratio
Cash, temporary investments and net receivables / current liabilities
-2 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
26 days
Days in patient receivables
Net patient receivables / daily net patient revenue
9639 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.04
Asset turnover
Total revenue for a year / total assets
29.9 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 836311, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Elkhorn Valley Rehabilitation Hospital owned and owed at the end of its reporting period (May 2025), across all fund types: $457.8M in total assets and a $31.5M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	-$71,296	-0.0%
Patient receivables, net	$1.3M	0.3%
Inventory	$87,513	0.0%
Total current assets	$3.1M	0.7%
Property and equipment, net of depreciation	$10.1M	2.2%
Investments and other assets	$444.6M	97.1%
Total assets	$457.8M	100.0%
Current liabilities	$438M	95.7%
Long-term debt	-$94	-0.0%
Total liabilities	$426.2M	93.1%
Fund balance (net assets)	$31.5M	6.9%

Source: CMS cost report (HCRIS, Form 2552-10), report 836311, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Elkhorn Valley Rehabilitation Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	May 2020	May 2021	May 2022	May 2023	May 2024	May 2025
Net patient revenue	$16.3M	$17.2M	$16.2M	$17M	$19.7M	$18.9M
Operating expenses	$13.9M	$14.9M	$14.3M	$15.3M	$16.8M	$16.8M
Operating margin	14.7%	13.4%	11.6%	10.2%	14.7%	11.1%
Net income	$2.6M	$3.1M	$2.2M	$1.8M	$2.9M	$2.1M
Total assets	$273.5M	$297.4M	$344.5M	$406.1M	$433M	$457.8M
Discharges	665	684	636	628	681	689
Inpatient days	10,119	10,406	9,968	9,886	10,055	10,250
Medicare Advantage days	272	626	362	488	835	409
Beds	40	40	40	40	40	40
Employees (FTE)	109	105	106	106	107	109

Source: CMS cost report (HCRIS, Form 2552-10), report 836311, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Elkhorn Valley Rehabilitation Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 23 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Physical therapy	$623,741	$2.3M	$3.3M	0.72	6,879
Occupational therapy	$429,057	$1.3M	$3M	0.43	783
Speech pathology	$160,606	$745,084	$869,670	0.86	2,050
Drugs charged to patients	$184,402	$687,224	$2.1M	0.32	512
Respiratory therapy	$108,917	$321,109	$1.8M	0.18	200
Medical supplies charged to patient	$41,893	$256,125	$197,712	1.30	416
Laboratory		$42,140	$624,471	0.07
Outside loa services		$31,614	$74,413	0.42
Radiology-diagnostic		$18,724	$24,792	0.76
Ct scan		$18,357	$24,301	0.76
Mri		$5,640	$7,466	0.76
Renal dialysis		$130	$16,200	0.01

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$2.5M	$10M	$11.8M	0.85	14,816

Overhead (general service) departments

Department	Salaries	Direct cost	Square feet
Administrative & general	$1.8M	$4.4M	5,405
Cap rel costs-bldg & fixt		$2.4M	48,902
Employee benefits department	$753,871	$2.1M	186
Dietary	$376,321	$608,173	4,525
Nursing administration	$471,249	$520,010	469
Operation of plant	$49,632	$406,145	10,076
Housekeeping	$177,373	$254,441	760
Cap rel costs-mvble equip		$83,274
Medical records & library	$73,326	$78,766	310
Laundry & linen service		$54,762

Source: CMS cost report (HCRIS, Form 2552-10), report 836311, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Frequently asked questions

About Elkhorn Valley Rehabilitation Hospital's rates and hospital price transparency.

How many patients does Elkhorn Valley Rehabilitation Hospital admit?

Elkhorn Valley Rehabilitation Hospital reported 689 inpatient discharges and 10,250 inpatient days from Jun 1, 2024 to May 31, 2025.

How many employees does Elkhorn Valley Rehabilitation Hospital have?

Elkhorn Valley Rehabilitation Hospital reported 109 full-time-equivalent employees on payroll from Jun 1, 2024 to May 31, 2025.

How much revenue does Elkhorn Valley Rehabilitation Hospital make?

Elkhorn Valley Rehabilitation Hospital reported $18.9M in net patient revenue on $23.8M of gross charges for Jun 1, 2024 to May 31, 2025, an operating margin of 11.1%, and net income of $2.1M.

What is Elkhorn Valley Rehabilitation Hospital's tax ID (EIN)?

Insurers' price transparency files list Elkhorn Valley Rehabilitation Hospital under employer identification number 26-0893115 (Elkhorn Valley Rehabilitation Hospital LLC). 45 health plans and networks list 26-0893115 for it.

How many doctors are affiliated with Elkhorn Valley Rehabilitation Hospital?

8 clinicians who bill Medicare list Elkhorn Valley Rehabilitation Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (6), physical medicine & rehabilitation physician (2).

Is Elkhorn Valley Rehabilitation Hospital accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Elkhorn Valley Rehabilitation Hospital, effective 2014.

Who owns Elkhorn Valley Rehabilitation Hospital?

In its Medicare enrollment, Elkhorn Valley Rehabilitation Hospital reports Elkhorn Valley Rehabilitation Hospital Holdings Inc as 5% or greater direct ownership interest (75%). At least one owner is identified to CMS as a private equity company.

What services does Elkhorn Valley Rehabilitation Hospital offer?

CMS lists 15 services at Elkhorn Valley Rehabilitation Hospital, including Acute Renal Dialysis, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, CT Scan, Diagnostic Radiology, Dietary Care.

Where do Elkhorn Valley Rehabilitation Hospital's patients come from?

In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Elkhorn Valley Rehabilitation Hospital came from ZIP codes 82604 (104), 82609 (95), 82601 (89).

How many beds does Elkhorn Valley Rehabilitation Hospital have?

Elkhorn Valley Rehabilitation Hospital has 40 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 41 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Rehabilitation Hospital.

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{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
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        "payer_name": "Region Health Insurance",
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        "standard_charge_dollar": 250
      }
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  }]
}

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Elkhorn Valley Rehabilitation Hospital

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Accreditation and services

15 services at Elkhorn Valley Rehabilitation Hospital

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Ownership

Leadership

Officers and directors on the Medicare enrollment

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts