Big Sky Medical Center
Big Sky, Gallatin County, MT
· CCN 271389
Licensed to Bozeman Health Big Sky Medical Center Llc
Composite
52.3
rank score
Distress
86
FY2023
Fit
34
vs thesis
Estimated ticket
$476K–$952K
8 beds ·
within envelope
Ownership
nonprofit
CAH
Why it ranks here
- operating margin below -10%
- total margin -8% to -3%
- under 30 days cash on hand
- current ratio below 0.8
- liabilities exceed assets
- occupancy below 30%
- 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 | $15.7M |
| Operating margin | -18.2% |
| Total margin | -4.4% |
| Days cash on hand | 3 |
| Current ratio | 0.18 |
| Occupancy | 14% |
Facility
| Beds | 8 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | nonprofit |
| Per-bed (low) | $59.5K |
| Per-bed (high) | $119K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 1 | $8.5M | $-2.5M | -80.2% | -20.1% | 2 | 0.16 | 16% | 29 | 100 |
| 2021 | 8 | $12.5M | $-1.7M | -34.2% | -11.4% | 8 | 0.15 | 11% | 55 | 100 |
| 2022 | 8 | $14.8M | $-967K | -28.5% | -5.3% | 3 | 0.15 | 4% | 17 | 96 |
| 2023 | 8 | $15.7M | $-777K | -18.2% | -4.4% | 3 | 0.18 | 14% | 28 | 86 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Bozeman Deaconess Health Services | 5% or greater direct ownership interest | 100 | 2015-08 | |
| Alyce Schultz | corporate director | 2020-07 | ||
| Amy Croover | corporate director | 2024-07 | ||
| Angie Libertini | w-2 managing employee | 2024-07 | ||
| Bradley Ludford | corporate officer | 2018-09 | ||
| Corey Pulfrey | corporate officer | 2023-07 | ||
| David Crites | corporate director | 2024-07 | ||
| Elizabeth Carver | corporate director | 2021-07 | ||
| Francisco Ferreyra-Munoz | corporate director | 2024-07 | ||
| James Berend | corporate director | 2022-07 | ||
| John How | corporate director | 2019-07 | ||
| Jon Knokey | corporate director | 2022-07 | ||
| Kathryn Bertany | corporate officer | 2022-11 | ||
| Kim Scurry | corporate director | 2024-07 | ||
| Meghan Johnston | corporate officer | 2023-07 | ||
| Rebecca Franks | corporate director | 2022-07 | ||
| Vickie Groeneweg | corporate director | 2023-07 |
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 |