Madison Valley Medical Center
Ennis, Madison County, MT
· CCN 271329
Licensed to Madison Valley Hospital Inc
Composite
33.0
rank score
Distress
43
FY2023
Fit
34
vs thesis
Estimated ticket
$850K–$1.7M
10 beds ·
within envelope
Ownership
nonprofit
CAH
Why it ranks here
- operating margin below -10%
- occupancy below 30%
- margin deteriorating sharply
- rural — cheaper but limited density
- very small facility
- very small ticket — sub-scale as a platform asset
- very low occupancy — limited volume to learn from
- nonprofit — expect AG conversion review
Latest financials · FY2023
| Net patient revenue | $12.9M |
| Operating margin | -19.3% |
| Total margin | 6.6% |
| Days cash on hand | 208 |
| Current ratio | 8.91 |
| Occupancy | 21% |
Facility
| Beds | 10 |
| Facility type | CAH |
| 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 | 10 | $8.6M | $1.5M | -9.8% | 13.7% | 329 | 3.46 | 33% | 106 | 28 |
| 2021 | 10 | $9.7M | $3.5M | -10.3% | 24.8% | 377 | 3.29 | 32% | 130 | 33 |
| 2022 | 10 | $10.5M | $-451K | -25.9% | -3.2% | 191 | 6.88 | 26% | 112 | 49 |
| 2023 | 10 | $12.9M | $1.1M | -19.3% | 6.6% | 208 | 8.91 | 21% | 85 | 43 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Alicia Nicholson | corporate officer | 2021-05 | ||
| Allen Rohrback | corporate officer | 2016-09 | ||
| Allen Rohrback | operational/managerial control | 2016-09 | ||
| Bryant Harp | corporate director | 2019-09 | ||
| Charles Able | corporate officer | 2019-12 | ||
| Dorothy Fossel | corporate director | 2008-05 | ||
| James Hageman | corporate director | 2018-05 | ||
| Jeff Montag | corporate director | 2017-05 | ||
| Mary Oliver | corporate director | 2018-05 |
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 |
|---|---|---|---|---|
| 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 |