dealflow
envelope $200M

← Targets

Central Montana Medical Center

Lewistown, Fergus County, MT · CCN 271345
Licensed to Central Montana Medical Facilities Inc

Composite
25.9
rank score
Distress
21
FY2024
Fit
41
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds · within envelope
Ownership
nonprofit
CAH

Why it ranks here

  • operating margin under 2%
  • 90-150 days cash on hand
  • occupancy below 30%
  • margin slipping
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • very low occupancy — limited volume to learn from
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$52.0M
Operating margin 1.6%
Total margin 14.4%
Days cash on hand 146
Current ratio 5.08
Occupancy25%

Facility

Beds25
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 23 $38.1M $8.0M -14.5% 15.5% 91 2.41 33% 479 38
2022 25 $42.9M $-382K -7.5% -0.8% 68 2.56 23% 413 49
2023 25 $43.0M $2.2M -12.0% 4.3% 105 3.37 23% 394 41
2024 25 $52.0M $8.6M 1.6% 14.4% 146 5.08 25% 396 21

Owners

OwnerRole%SinceType
Amy Miller corporate officer 2025-02
Ashley Morris corporate director 2019-10
Central Montana Medical Facilities Inc
Lewistown, MT
operational/managerial control 2007-08
Christopher Goulet corporate director 2022-10
Cody Langbehn corporate officer 2020-08
Cody Langbehn w-2 managing employee 2020-08
Jennifer Saunders corporate director 2025-02
Joe Eckhardt corporate director 2025-02
Karen Durbin corporate director 2018-10
Megan Bartel corporate director 2022-06
Megan Skiff corporate director 2026-01
Melody Montgomery corporate director 2020-10
Michael Sura corporate director 2015-05
Ryan D'autremont corporate director 2020-10
Tamara Welsh corporate director 2015-10
Vicki Plagenz corporate director 2025-02

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