Saint James Healthcare
dba Intermountain Health St. James Hospital ·
Butte, Silver Bow County, MT
· CCN 270017
Licensed to St James Healthcare
Composite
52.2
rank score
Distress
63
FY2023
Fit
55
vs thesis
Estimated ticket
$5.9M–$11.7M
69 beds ·
within envelope
Ownership
nonprofit
STH
Why it ranks here
- operating margin -10% to -5%
- total margin -8% to -3%
- under 30 days cash on hand
- occupancy 45-60%
- margin deteriorating sharply
- part of a multi-hospital chain — divestiture candidate
- rural — cheaper but limited density
- bed count in the target band
- very small ticket — sub-scale as a platform asset
- moderate occupancy
- nonprofit — expect AG conversion review
Latest financials · FY2023
| Net patient revenue | $134M |
| Operating margin | -5.8% |
| Total margin | -7.1% |
| Days cash on hand | 0 |
| Current ratio | 4.74 |
| Occupancy | 46% |
Facility
| Beds | 69 |
| Facility type | STH |
| Setting | rural |
| Ownership class | nonprofit |
| Per-bed (low) | $85.0K |
| Per-bed (high) | $170K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 69 | $136M | $10.7M | 0.3% | 7.2% | 0 | 2.43 | 61% | 3,161 | 29 |
| 2021 | 69 | $156M | $11.2M | -2.0% | 6.3% | 0 | 1.23 | 63% | 3,279 | 41 |
| 2022 | 69 | $165M | $738K | -7.9% | 0.4% | 0 | 4.26 | 49% | 2,857 | 50 |
| 2023 | 69 | $134M | $-9.8M | -5.8% | -7.1% | 0 | 4.74 | 46% | 2,693 | 63 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Sisters Of Charity Of Leavenworth Health System Inc | 5% or greater direct ownership interest | 100 | 1972-12 | |
| Alexander Edwards | corporate director | 2020-01 | ||
| Bernard Mccarthy | corporate director | 2019-01 | ||
| Charles Notbohm | corporate director | 2020-01 | ||
| Cindy Sorich | corporate director | 2017-01 | ||
| Colleen O'leary | corporate director | 2019-01 | ||
| Danette Gleason | corporate director | 2016-01 | ||
| Evan Romrell | corporate director | 2025-08 | ||
| Intermountain Health Care, Inc | operational/managerial control | 2022-04 | chain | |
| Janet Hurley | corporate director | 2020-01 | ||
| Karen Costello | corporate officer | 2024-02 | ||
| Karen Costello | w-2 managing employee | 2024-02 | ||
| Karen Costello | operational/managerial control | 2024-02 | ||
| Karen Fagg | corporate director | 2020-01 | ||
| Majel Russell | corporate director | 2020-01 | ||
| Mary Jackson | corporate director | 2018-01 | ||
| Mary Janssen | corporate director | 2022-01 | ||
| Misty Steadman | corporate director | 2020-01 | ||
| Nguyen Pham | corporate director | 2020-02 | ||
| Pamela Palagi | corporate officer | 2016-11 | ||
| Pamela Palagi | w-2 managing employee | 2016-11 | ||
| Pamela Palagi | operational/managerial control | 2016-11 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.
Who has been buying in MT
Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 2021-01-01 | Kalispell Regional Medical Center Inc | Healthcenter Northwest Llc | Logan Health Medical Center | 210 |
| 2016-01-01 | Bozeman Health Deaconess Hospital | Bozeman Deaconess Health Services | Bozeman Deaconess Health Services | 139 |