dealflow
envelope $200M

← Targets

North Big Horn Hospital

Lovell, Big Horn County, WY · CCN 531309
Licensed to North Big Horn Hospital District

Composite
27.1
rank score
Distress
29
FY2024
Fit
35
vs thesis
Estimated ticket
$1.2M–$2.4M
14 beds · within envelope
Ownership
government
CAH

Why it ranks here

  • operating margin negative
  • occupancy 30-45%
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • very small facility
  • very small ticket — sub-scale as a platform asset
  • thin occupancy
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$25.8M
Operating margin -4.4%
Total margin 2.9%
Days cash on hand 186
Current ratio 5.68
Occupancy36%

Facility

Beds14
Facility typeCAH
Settingrural
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 14 $22.2M $2.7M -12.8% 9.6% 100 2.27 46% 230 34
2022 14 $24.0M $1.5M -11.1% 5.2% 71 3.04 49% 240 40
2023 14 $24.7M $1.3M -11.0% 4.5% 66 4.01 39% 199 43
2024 14 $25.8M $804K -4.4% 2.9% 186 5.68 36% 165 29

Owners

OwnerRole%SinceType
Benjamin Simmons corporate director 2020-01
Brett Crosby corporate director 2004-01
Darcy Robertson corporate officer 2020-12
David Winterholler corporate director 2017-01
Eric Connell corporate officer 2020-12
Eric Connell operational/managerial control 2020-12
Garrett Frescoln corporate director 2024-08
Max Lewis corporate director 2024-08
Patricia Crumrine corporate director 2024-08
Robert Morrison corporate director 2018-05

Ownership changes

No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.