dealflow
envelope $200M

← Targets

Stillwater Billings Clinic

Columbus, Stillwater County, MT · CCN 271330
Licensed to Stillwater Hospital Association Inc

Composite
33.2
rank score
Distress
41
FY2023
Fit
37
vs thesis
Estimated ticket
$1.4M–$2.7M
16 beds · within envelope
Ownership
government
CAH

Why it ranks here

  • operating margin -10% to -5%
  • total margin under 2%
  • occupancy below 30%
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • very small facility
  • very small ticket — sub-scale as a platform asset
  • very low occupancy — limited volume to learn from
  • government-owned — public process likely

Latest financials · FY2023

Net patient revenue$12.9M
Operating margin -7.6%
Total margin 0.7%
Days cash on hand 302
Current ratio 2.70
Occupancy21%

Facility

Beds16
Facility typeCAH
Settingurban
Ownership classgovernment
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 10 $12.2M $2.3M -8.1% 14.8% 335 2.57 44% 97 28
2022 16 $14.3M $824K -5.2% 5.2% 281 6.93 35% 156 28
2023 16 $12.9M $95.3K -7.6% 0.7% 302 2.70 21% 76 41

Owners

OwnerRole%SinceType
Billings Clinic
Billings, MT
5% or greater direct ownership interest 100 2017-01
Mtwy Health
Kalispell, MT
5% or greater indirect ownership interest 100 2023-09
Andrew Dreesen corporate officer 2025-09
Andrew Dreesen corporate director 2025-09
Andrew Dreesen w-2 managing employee 2025-09
Ann Davey corporate director 2021-08
Clinton Seger corporate officer 2024-03
Clinton Seger corporate director 2024-03
Clinton Seger w-2 managing employee 2024-03
Cody White corporate officer 2024-09
Cody White corporate director 2024-09
David Kane corporate director 2017-01
Jessica Cozzens corporate director 2021-08
Justin Ott corporate officer 2021-08
Justin Ott corporate director 2019-09
Richard Mickelson corporate officer 2025-07
Richard Mickelson corporate director 2025-07
Stephanie Ray corporate officer 2024-09
Stephanie Ray corporate director 2024-09
Thomas Chamberlin corporate director 2017-01
Timothy Russell corporate officer 2024-09
Timothy Russell corporate director 2024-09

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