Long-Term Care Hospital

Advanced Care Hospital Of Montana

Ernest Health · Billings, MT

3528 Gabel Road, Billings, MT 59102

Beds

355

Inpatient discharges a year

$23.7M

Net patient revenue a year

About this hospital

Advanced Care Hospital Of Montana is a 40-bed hospital in Billings, MT, affiliated with Ernest Health.

CCN: 272001
NPI: 1356536312
Website: ernesthealth.com
Health system: Ernest Health
County: Yellowstone County
Metro area: Billings, MT MSA
Medicare contractor: Jurisdiction F, Noridian Healthcare Solutions (03001)
In Medicare since: 2008
Last CMS survey: 2014

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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Contract data may be available through direct hospital inquiry.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

More about this hospital

Doctors and services
Accredited by ACHC
- 10 services
- 11 affiliated clinicians
See doctors and services
Finances
$23.7M net patient revenue
- Operating margin on patient care 5.1%
- $1.9M net income
See finances
Ownership and leadership
Owned by Epoch Acquisition Inc
- Private (for profit)
- Private equity owner
- Denise A Kann, chief executive
See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Advanced Care Hospital Of Montana in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
20-5292745Advanced Care Hospital Of Montana INC	41Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 36 more	1356536312 Advanced Care Hospital Of Montana Inc1497982524 Advanced Care Hospital Of Montana Inc1639991540 Advanced Care Hospital Of Montana Inc

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

3528 Gabel Road, Billings, MT 59102

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Accreditation and services

ACHC (since 2017)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
40
Medicare-certified beds
48
Registered nurses (full-time equivalent)
2008
In Medicare since

10 services at Advanced Care Hospital Of Montana

Imaging: Diagnostic Radiology
Women and children: Clinical Laboratory
Rehabilitation and therapy: CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation)OT (Occupational Therapy)PT (Physical Therapy)Respiratory CareSpeech Pathology
Other services: Dietary CarePharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Advanced Care Hospital Of Montana reported to Medicare in its latest cost report, covering Sep 1, 2024 to Aug 31, 2025.

355
Inpatient discharges
Medicare 34%, Medicaid 34%
8,999
Inpatient days
77% of available bed days used
119
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 828447). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Advanced Care Hospital Of Montana reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	3,141	2,893	2,965	8,999
Discharges	121	121	113	355
Average length of stay	26.0 days	23.9 days	26.2 days	25.3 days
Average daily census	8.6	7.9	8.1	24.7

153
Medicare Advantage days
5 discharges

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	28	8,999	3,141	77%
Subprovider - irf	12	1,139	841	40%

Source: CMS cost report (HCRIS, Form 2552-10), report 828447, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Where patients come from

ZIP codes with the most Medicare inpatient stays at Advanced Care Hospital Of Montana in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 91 in 2020 to 12 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
59102	12	100%	242	$642,227	0%	2%

Source: CMS Hospital Service Area file. Shares are of the 12 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.

Staff and facilities

Staff by profession and the rooms and units Advanced Care Hospital Of Montana reported at its latest Medicare certification survey (2014). Counts are people, not full-time equivalents.

17
Rehabilitation unit beds

48
Registered nurses
3
Licensed practical nurses
2
Pharmacists
1
Respiratory therapists
2
Physical therapists
2
Occupational therapists
2
Speech pathologists and audiologists
1
Radiology technicians
1
Dietitians
58
Other personnel

Source: CMS Provider of Services file.

Doctors and clinicians

11 clinicians who bill Medicare list Advanced Care Hospital Of Montana as a hospital affiliation. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Internal Medicine Physician 2
Medical Physician Assistant 2
Pulmonary Disease Physician 2
Critical Care Medicine (Internal Medicine) Physician 1
Diagnostic Radiology Physician 1
Hospitalist Physician 1
Surgical Physician Assistant 1
Vascular & Interventional Radiology Physician 1

Scott Paulsen, M.D.
Diagnostic Radiology Physician
NPI 1538363635
See commercial rates for Scott Paulsen, M.D.
Jeffry Lindenbaum, MD
Vascular & Interventional Radiology Physician
NPI 1679669261
See commercial rates for Jeffry Lindenbaum, MD
Hector Stella Estevez, MD
Pulmonary Disease Physician
NPI 1467422162
See commercial rates for Hector Stella Estevez, MD
Andra Kofahl, M.D.
Internal Medicine Physician
NPI 1265774533
See commercial rates for Andra Kofahl, M.D.
Kendra Hammond, M.D.
Pulmonary Disease Physician
NPI 1417134883
See commercial rates for Kendra Hammond, M.D.
Shannan Patterson, M.D.
Hospitalist Physician
NPI 1730507740
See commercial rates for Shannan Patterson, M.D.
Ronald Snyder
Critical Care Medicine (Internal Medicine) Physician
NPI 1093726259
See commercial rates for Ronald Snyder
Sarah Hart, PA-C
Medical Physician Assistant
NPI 1205470564
See commercial rates for Sarah Hart, PA-C
Amy Hautau Snyder, P.A.
Surgical Physician Assistant
NPI 1538267638
See commercial rates for Amy Hautau Snyder, P.A.
Youssef Albousen
Internal Medicine Physician
NPI 1497216436
See commercial rates for Youssef Albousen
Maia Wetzel, PA
Medical Physician Assistant
NPI 1174494413
See commercial rates for Maia Wetzel, PA

Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.

Income statement

Revenue, expenses and income Advanced Care Hospital Of Montana reported to Medicare for Sep 1, 2024 to Aug 31, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$32.6M	137.7%
Inpatient	$32.6M	137.7%
Contractual allowances and discounts	-$8.9M	-37.7%
Net patient revenue	$23.7M	100.0%
Operating expenses	-$22.5M	-94.9%
Operating income from patient care	$1.2M	5.1%
Other income	$699,670	3.0%
Investment income	$7,128	0.0%
Other	$692,542	2.9%
Net income	$1.9M	8.1%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$4.1M	12.5%
Other payers and self-pay	$28.5M	87.5%
Total charges	$32.6M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 828447, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Advanced Care Hospital Of Montana's latest cost report.

5.1%
Operating margin
Operating income from patient care / net patient revenue
7.8%
Total margin
Net income / net patient revenue plus other income
17.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
53% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
0.4%
Return on assets
Net income for a year / total assets
5.2%
Return on equity
Net income for a year / fund balance
0.01
Current ratio
Current assets / current liabilities
0.01
Quick ratio
Cash, temporary investments and net receivables / current liabilities
2 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
67 days
Days in patient receivables
Net patient receivables / daily net patient revenue
8068 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.05
Asset turnover
Total revenue for a year / total assets
26.3 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 828447, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Advanced Care Hospital Of Montana owned and owed at the end of its reporting period (Aug 2025), across all fund types: $534.2M in total assets and a $36.6M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$93,273	0.0%
Patient receivables, net	$4.4M	0.8%
Inventory	$348,417	0.1%
Total current assets	$6.1M	1.1%
Property and equipment, net of depreciation	$8.8M	1.6%
Investments and other assets	$519.3M	97.2%
Total assets	$534.2M	100.0%
Current liabilities	$489.3M	91.6%
Total liabilities	$497.6M	93.1%
Fund balance (net assets)	$36.6M	6.9%

Source: CMS cost report (HCRIS, Form 2552-10), report 828447, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Advanced Care Hospital Of Montana's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Aug 2020	Aug 2021	Aug 2022	Aug 2023	Aug 2024	Aug 2025
Net patient revenue	$23.2M	$27.2M	$29.3M	$25.5M	$22.7M	$23.7M
Operating expenses	$20.1M	$20.8M	$22M	$21.8M	$22.4M	$22.5M
Operating margin	13.4%	23.7%	24.8%	14.6%	1.1%	5.1%
Net income	$4.6M	$9M	$10.1M	$5.6M	$2.3M	$1.9M
Total assets	$289M	$336.2M	$399.6M	$457.4M	$490.9M	$534.2M
Discharges	495	560	535	499	457	355
Inpatient days	12,598	13,556	13,042	12,200	11,428	8,999
Medicare Advantage days	828	803	611	462	389	153
Beds	40	40	40	40	40	40
Employees (FTE)	124	124	132	127	133	119

Source: CMS cost report (HCRIS, Form 2552-10), report 828447, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Advanced Care Hospital Of Montana reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 23 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Drugs charged to patients	$490,834	$1.7M	$4.8M	0.36	429
Respiratory therapy	$743,328	$1.7M	$2.1M	0.80	360
Occupational therapy	$167,294	$983,432	$789,070	1.25	2,908
Physical therapy	$334,242	$889,482	$709,725	1.25	1,897
Medical supplies charged to patient	$53,077	$643,420	$1.5M	0.42	716
Radiology-diagnostic	$65,102	$385,197	$285,180	1.35	369
Laboratory		$361,512	$1.5M	0.24	107
Speech pathology	$70,792	$239,806	$280,605	0.85	123
Outside loa services		$169,971	$421,599	0.40
Ct scan		$42,198	$59,543	0.71
Mri		$11,087	$15,652	0.71

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$4.1M	$13.2M	$17.7M	0.74	13,252
Subprovider - irf	$314,425	$1M	$2.3M	0.45	640

Overhead (general service) departments

Department	Salaries	Direct cost	Square feet
Administrative & general	$3.2M	$5.9M	3,403
Employee benefits department	$920,696	$2.2M	202
Cap rel costs-bldg & fixt		$2.1M	45,983
Nursing administration	$698,569	$738,515	660
Dietary	$349,549	$607,837	4,758
Operation of plant	$47,216	$466,463	14,899
Cap rel costs-mvble equip		$272,846
Housekeeping	$143,303	$197,663	839
Laundry & linen service		$112,163
Medical records & library	$94,742	$111,401	420

Source: CMS cost report (HCRIS, Form 2552-10), report 828447, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Frequently asked questions

About Advanced Care Hospital Of Montana's rates and hospital price transparency.

How many patients does Advanced Care Hospital Of Montana admit?

Advanced Care Hospital Of Montana reported 355 inpatient discharges and 8,999 inpatient days from Sep 1, 2024 to Aug 31, 2025.

How many employees does Advanced Care Hospital Of Montana have?

Advanced Care Hospital Of Montana reported 119 full-time-equivalent employees on payroll from Sep 1, 2024 to Aug 31, 2025.

How much revenue does Advanced Care Hospital Of Montana make?

Advanced Care Hospital Of Montana reported $23.7M in net patient revenue on $32.6M of gross charges for Sep 1, 2024 to Aug 31, 2025, an operating margin of 5.1%, and net income of $1.9M.

Who is the CEO of Advanced Care Hospital Of Montana?

Advanced Care Hospital Of Montana's Medicare enrollment lists Denise A Kann as Vice President And Secretary since 2023.

What is Advanced Care Hospital Of Montana's tax ID (EIN)?

Insurers' price transparency files list Advanced Care Hospital Of Montana under employer identification number 20-5292745 (Advanced Care Hospital Of Montana INC). 41 health plans and networks list 20-5292745 for it.

How many doctors are affiliated with Advanced Care Hospital Of Montana?

11 clinicians who bill Medicare list Advanced Care Hospital Of Montana as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (2), medical physician assistant (2), pulmonary disease physician (2).

Is Advanced Care Hospital Of Montana accredited?

Yes. CMS's Provider of Services file lists ACHC as the accrediting organization for Advanced Care Hospital Of Montana, effective 2017.

Who owns Advanced Care Hospital Of Montana?

In its Medicare enrollment, Advanced Care Hospital Of Montana reports Epoch Acquisition Inc as 5% or greater indirect ownership interest (100%). At least one owner is identified to CMS as a private equity company.

What services does Advanced Care Hospital Of Montana offer?

CMS lists 10 services at Advanced Care Hospital Of Montana, including CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, Diagnostic Radiology, Dietary Care, OT (Occupational Therapy), Pharmacy.

Where do Advanced Care Hospital Of Montana's patients come from?

In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Advanced Care Hospital Of Montana came from ZIP codes 59102 (12).

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{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}

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Advanced Care Hospital Of Montana

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Accreditation and services

10 services at Advanced Care Hospital Of Montana

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Ownership

Leadership

Officers and directors on the Medicare enrollment

Hospital-based units

Hospital-based units with their own Medicare certification

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts