dealflow
envelope $200M

← Targets

Big Sandy Medical Center

Big Sandy, Chouteau County, MT · CCN 271311
Licensed to Big Sandy Medical Center Inc

Composite
34.3
rank score
Distress
48
FY2024
Fit
32
vs thesis
Estimated ticket
$680K–$1.4M
8 beds · within envelope
Ownership
nonprofit
CAH

Why it ranks here

  • operating margin below -10%
  • 60-90 days cash on hand
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • very small facility
  • very small ticket — sub-scale as a platform asset
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$4.8M
Operating margin -50.4%
Total margin 12.2%
Days cash on hand 72
Current ratio 8.65
Occupancy

Facility

Beds8
Facility typeCAH
Settingrural
Ownership classnonprofit
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 8 $3.6M $1.7M -35.6% 29.2% 139 12.48 18 35
2022 8 $4.2M $157K -23.5% 3.2% 135 8.00 18 35
2023 8 $4.3M $-103K -45.6% -2.0% 139 8.44 18 44
2024 8 $4.8M $671K -50.4% 12.2% 72 8.65 29 48

Owners

OwnerRole%SinceType
Amber Terry corporate director 2025-01
Ann Quinn corporate director 2019-10
Anna Bold corporate director 2019-10
Big Sandy Medical Center Inc
Big Sandy, MT
operational/managerial control 1989-02
Brittany Sherburn corporate officer 2024-10
Carissa Bergren w-2 managing employee 2026-03
Carissa Bergren operational/managerial control 2026-03
Matthew Gullickson corporate director 2025-06

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.

DateBuyerSellerHospitalBeds
2023-07-01 Benefis Community Hospitals Inc Chouteau County District Hospital Bmrmc 25
2022-07-01 Liberty County Hospital And... Liberty County Hospital And... Logan Health Chester 25
2021-06-01 Logan Health - Conrad Logan Health - Conrad Logan Health Conrad 20
2021-06-01 Northern Rockies Medical Center Inc Northern Rockies Medical Center Inc Logan Health Cutbank 25
2021-05-09 Logan Health - Shelby Toole County Logan Health Shelby 21
2016-07-01 Pioneer Medical Center County Of Sweet Grass Pioneer Medical Center 25
2016-07-01 Barrett Hospital Development Corporation Public Hospital District For... Barrett Hospital And Healthcare 18