Advanced Care Hospital Of Montana
Billings, Yellowstone County, MT
· CCN 272001
Licensed to Advanced Care Hospital Of Montana Inc
Composite
58.5
rank score
Distress
55
FY2024
Fit
68
vs thesis
Estimated ticket
$10.2M–$40.8M
40 beds ·
within envelope
Ownership
for-profit
PE 6y
Why it ranks here
- operating margin under 2%
- under 30 days cash on hand
- current ratio below 0.8
- debt above 85% of assets
- margin deteriorating sharply
- PE-owned 6 years — approaching exit window
- urban — higher occupancy and iteration surface
- LTCH — distress here is a payment-model artifact
- small but workable bed count
- small ticket — deploys little of the available capital
- strong occupancy — good iteration surface
- for-profit — no charitable conversion review
Latest financials · FY2024
| Net patient revenue | $22.7M |
| Operating margin | 1.1% |
| Total margin | 9.3% |
| Days cash on hand | 5 |
| Current ratio | 0.01 |
| Occupancy | 78% |
Facility
| Beds | 40 |
| Facility type | LTCH |
| Setting | urban |
| Ownership class | for-profit |
| Per-bed (low) | $255K |
| Per-bed (high) | $1.0M |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 40 | $27.2M | $9.0M | 23.7% | 30.2% | 10 | 0.01 | 93% | 560 | 43 |
| 2022 | 40 | $29.3M | $10.1M | 24.8% | 31.4% | 0 | 0.02 | 89% | 535 | 43 |
| 2023 | 40 | $25.5M | $5.6M | 14.6% | 20.4% | 0 | 0.02 | 84% | 499 | 43 |
| 2024 | 40 | $22.7M | $2.3M | 1.1% | 9.3% | 5 | 0.01 | 78% | 457 | 55 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Epoch Acquisition Inc | 5% or greater indirect ownership interest | 100 | 2018-10 | |
| Epoch Midco, Inc | 5% or greater indirect ownership interest | 100 | 2018-10 | |
| Epoch Parent Holdings Llc | 5% or greater indirect ownership interest | 100 | 2018-10 | |
| Epoch Parent Inc | 5% or greater indirect ownership interest | 100 | 2018-10 | |
| Ernest Health Holdings Llc | 5% or greater indirect ownership interest | 100 | 2012-02 | |
| Ernest Health, Inc | 5% or greater direct ownership interest | 100 | 2006-07 | |
| One Equity Partners Vii Lp | 5% or greater indirect ownership interest | 58 | 2018-10 | PE |
| One Equity Partners Vii-A Lp | 5% or greater indirect ownership interest | 30 | 2018-10 | PE |
| One Equity Partners Vii-B Lp | 5% or greater indirect ownership interest | 12 | 2018-10 | PE |
| Aubrey Peterschick | w-2 managing employee | 2021-06 | ||
| Caleb Reed | corporate officer | 2023-06 | ||
| Denise Kann | corporate officer | 2023-06 | ||
| Ernest Health, Inc | other | 2007-09 | ||
| Eudora Cannon | corporate officer | 2023-06 | ||
| Eudora Cannon | operational/managerial control | 2023-06 | ||
| Eudora Cannon | other | 2023-06 | ||
| Jacob Socha | corporate officer | 2023-06 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.