# Skilled Nursing Facilities in Montana · Financial Profiles

State rollup · MT · Skilled Nursing Facilities  
Page: https://astrelis.co/providers/snf/state/mt  
This twin: https://astrelis.co/providers/snf/state/mt.md  
Release: 2321a4fc37a7 (2026-10-22)

Montana's 39 current skilled nursing facilities (plus 3 historical records, listed and labeled below) trail the national cohort: median operating margin -1.4% against +0.8% nationally. 59% of the state's cohort filed an operating loss; the rest held at or above break-even. Median liquidity stands at 21 days cash on hand.

## Counts

- Current skilled nursing facilities: 39
- Historical records (CMS lists the CCN as terminated; listed and labeled below, excluded from counts and medians): 3
- Records listed: 42

## Medians

- **Median operating margin:** -1.4%. Basis: n = 39 values, each facility at its own latest settled fiscal year (FY2024 to FY2025). Astrelis calculation.
- **Median days cash on hand:** 21 days. Basis: n = 39 values, each facility at its own latest settled fiscal year (FY2024 to FY2025). Astrelis calculation.
- **National median operating margin (the module's benchmark pool, as the page's narrative compares it):** +0.8%. Basis: n = 12,819 facilities in the national pool, each at its own latest settled fiscal year. Astrelis calculation.

Each median is over eligibility-gated latest-year values from the clean-room panel; facility rows below are shown as filed; historical records are excluded from the medians.

## Facilities (42 records: 39 current, 3 historical)

Every row is as filed; a cell states its public state ("Not reported in source", "Astrelis calculation unavailable") rather than a dash. Each facility links to its profile and to the profile's twin.

| Facility | City | Ownership | Latest FY | Operating revenue | Operating margin | Days cash |
|---|---|---|---:|---:|---:|---:|
| [ASPEN MEADOWS HEALTH AND REHABILITATION CENTER](https://astrelis.co/providers/snf/275140) ([twin](https://astrelis.co/providers/snf/275140.md)) | Billings | For profit - Corporation | 2025 | $9.3M | -0.9% | 80d |
| [BILLINGS REHABILITATION AND NURSING LLC](https://astrelis.co/providers/snf/275120) ([twin](https://astrelis.co/providers/snf/275120.md)) | Billings | For profit - Limited Liability company | 2025 | $9.5M | +8.2% | 16d |
| [CENTRAL MONTANA NURSING & REHAB](https://astrelis.co/providers/snf/275064) ([twin](https://astrelis.co/providers/snf/275064.md)) · historical | Lewistown | Not reported in source | 2024 | $1.3M | -41.9% | 0d |
| [CONTINENTAL CARE AND REHABILITATION](https://astrelis.co/providers/snf/275103) ([twin](https://astrelis.co/providers/snf/275103.md)) | Butte | For profit - Corporation | 2025 | $15.3M | +2.7% | 5d |
| [COONEY HEALTHCARE AND REHABILITATION](https://astrelis.co/providers/snf/275080) ([twin](https://astrelis.co/providers/snf/275080.md)) | Helena | For profit - Limited Liability company | 2025 | $9.8M | -12.5% | -4d |
| [COPPER RIDGE HEALTH AND REHABILITATION CENTER](https://astrelis.co/providers/snf/275060) ([twin](https://astrelis.co/providers/snf/275060.md)) | Butte | For profit - Corporation | 2025 | $10.0M | +7.0% | 261d |
| [CREST NURSING HOME](https://astrelis.co/providers/snf/275122) ([twin](https://astrelis.co/providers/snf/275122.md)) | Butte | For profit - Corporation | 2025 | $6.1M | +5.4% | 9d |
| [EASTERN MONTANA VETERANS HOME](https://astrelis.co/providers/snf/275144) ([twin](https://astrelis.co/providers/snf/275144.md)) | Glendive | Government - State | 2025 | $8.1M | -1.6% | 105d |
| [ELKHORN HEALTHCARE AND REHABILITATION](https://astrelis.co/providers/snf/275056) ([twin](https://astrelis.co/providers/snf/275056.md)) | Clancy | For profit - Corporation | 2025 | $8.3M | +1.3% | -4d |
| [FRIENDSHIP VILLA](https://astrelis.co/providers/snf/275081) ([twin](https://astrelis.co/providers/snf/275081.md)) · historical | Miles City | Not reported in source | 2024 | $0.2M | -23.8% | 0d |
| [GALLATIN REST HOME](https://astrelis.co/providers/snf/275066) ([twin](https://astrelis.co/providers/snf/275066.md)) | Bozeman | Government - County | 2025 | $6.1M | -61.6% | -29d |
| [HOT SPRINGS HEALTH & REHABILITATION CENTER](https://astrelis.co/providers/snf/275069) ([twin](https://astrelis.co/providers/snf/275069.md)) | Hot Springs | For profit - Corporation | 2025 | $3.9M | +0.8% | 82d |
| [IMMANUEL SKILLED CARE CENTER](https://astrelis.co/providers/snf/275129) ([twin](https://astrelis.co/providers/snf/275129.md)) | Kalispell | Non profit - Corporation | 2025 | $15.5M | -122.3% | 702d |
| [IVY AT DEER LODGE](https://astrelis.co/providers/snf/275134) ([twin](https://astrelis.co/providers/snf/275134.md)) | Deer Lodge | For profit - Limited Liability company | 2025 | $4.9M | -12.4% | 6d |
| [IVY AT GREAT FALLS LLC](https://astrelis.co/providers/snf/275026) ([twin](https://astrelis.co/providers/snf/275026.md)) · historical | Great Falls | Not reported in source | 2024 | $7.4M | -36.4% | 20d |
| [KALISPELL REHABILITATION AND NURSING LLC](https://astrelis.co/providers/snf/275025) ([twin](https://astrelis.co/providers/snf/275025.md)) | Kalispell | For profit - Limited Liability company | 2025 | $10.7M | +8.3% | 16d |
| [LAUREL HEALTH & REHABILITATION CENTER](https://astrelis.co/providers/snf/275111) ([twin](https://astrelis.co/providers/snf/275111.md)) | Laurel | For profit - Corporation | 2025 | $7.7M | +8.4% | 91d |
| [LIBBY CARE CENTER](https://astrelis.co/providers/snf/275040) ([twin](https://astrelis.co/providers/snf/275040.md)) | Libby | For profit - Limited Liability company | 2025 | $8.6M | -10.9% | 0d |
| [LIVINGSTON HEALTH & REHABILITATION CENTER](https://astrelis.co/providers/snf/275047) ([twin](https://astrelis.co/providers/snf/275047.md)) | Livingston | For profit - Corporation | 2025 | $7.0M | -1.2% | 95d |
| [MADISON VALLEY MANOR](https://astrelis.co/providers/snf/275136) ([twin](https://astrelis.co/providers/snf/275136.md)) | Ennis | Government - County | 2025 | $2.3M | -99.5% | 260d |
| [MISSOULA HEALTH & REHABILITATION CENTER](https://astrelis.co/providers/snf/275035) ([twin](https://astrelis.co/providers/snf/275035.md)) | Missoula | For profit - Corporation | 2025 | $6.0M | +2.6% | 92d |
| [MOUNT ASCENSION TRANSITIONAL CARE OF CASCADIA](https://astrelis.co/providers/snf/275044) ([twin](https://astrelis.co/providers/snf/275044.md)) | Helena | For profit - Corporation | 2025 | $9.7M | -10.0% | 0d |
| [MOUNTAIN VIEW OF CASCADIA](https://astrelis.co/providers/snf/275084) ([twin](https://astrelis.co/providers/snf/275084.md)) | Eureka | For profit - Corporation | 2025 | $5.5M | -5.5% | 0d |
| [NORTHERN PINES REHABILITATION AND NURSING](https://astrelis.co/providers/snf/275104) ([twin](https://astrelis.co/providers/snf/275104.md)) | Cut Bank | For profit - Limited Liability company | 2025 | $4.4M | +2.1% | 18d |
| [PARK PLACE TRANSITIONAL CARE AND REHABILITATION](https://astrelis.co/providers/snf/275030) ([twin](https://astrelis.co/providers/snf/275030.md)) | Great Falls | For profit - Limited Liability company | 2025 | $27.3M | +14.9% | 4d |
| [PIONEER CARE AND REHABILITATION](https://astrelis.co/providers/snf/275124) ([twin](https://astrelis.co/providers/snf/275124.md)) | Dillon | For profit - Limited Liability company | 2025 | $9.2M | -7.2% | 9d |
| [POLSON HEALTH & REHABILITATION CENTER](https://astrelis.co/providers/snf/275049) ([twin](https://astrelis.co/providers/snf/275049.md)) | Polson | For profit - Limited Liability company | 2025 | $6.7M | +12.0% | 83d |
| [POWDER RIVER MANOR](https://astrelis.co/providers/snf/275087) ([twin](https://astrelis.co/providers/snf/275087.md)) | Broadus | Government - County | 2025 | $1.9M | -147.5% | 159d |
| [RIVER RIDGE REHABILITATION AND NURSING LLC](https://astrelis.co/providers/snf/275123) ([twin](https://astrelis.co/providers/snf/275123.md)) | Billings | For profit - Limited Liability company | 2025 | $10.3M | +5.0% | 13d |
| [RIVERSIDE HEALTH & REHABILITATION](https://astrelis.co/providers/snf/275126) ([twin](https://astrelis.co/providers/snf/275126.md)) | Missoula | For profit - Partnership | 2025 | $9.5M | -2.9% | 24d |
| [SKYLINE HEIGHTS NURSING AND REHABILITATION](https://astrelis.co/providers/snf/275020) ([twin](https://astrelis.co/providers/snf/275020.md)) | Billings | For profit - Limited Liability company | 2025 | $10.6M | -20.4% | -3d |
| [SOUTHWEST MONTANA VETERANS HOME](https://astrelis.co/providers/snf/275156) ([twin](https://astrelis.co/providers/snf/275156.md)) | Butte | For profit - Limited Liability company | 2025 | $8.5M | -1.4% | 123d |
| [ST JOHN'S LUTHERAN HOME](https://astrelis.co/providers/snf/275024) ([twin](https://astrelis.co/providers/snf/275024.md)) | Billings | Non profit - Corporation | 2025 | $31.8M | -13.4% | 182d |
| [SWEET MEMORIAL NURSING HOME](https://astrelis.co/providers/snf/275127) ([twin](https://astrelis.co/providers/snf/275127.md)) | Chinook | Non profit - Corporation | 2025 | $4.4M | -0.6% | 88d |
| [THE LIVING CENTRE](https://astrelis.co/providers/snf/275125) ([twin](https://astrelis.co/providers/snf/275125.md)) | Stevensville | For profit - Corporation | 2025 | $6.9M | -11.1% | 21d |
| [THE VALLEY HEALTH AND REHAB](https://astrelis.co/providers/snf/275135) ([twin](https://astrelis.co/providers/snf/275135.md)) | Hamilton | For profit - Limited Liability company | 2025 | $5.3M | -9.5% | 13d |
| [TOBACCO ROOT MOUNTAINS CARE CENTER](https://astrelis.co/providers/snf/275147) ([twin](https://astrelis.co/providers/snf/275147.md)) | Sheridan | Government - County | 2025 | $2.7M | -89.8% | 191d |
| [VALLE VISTA REHABILITATION AND NURSING LLC](https://astrelis.co/providers/snf/275021) ([twin](https://astrelis.co/providers/snf/275021.md)) | Lewistown | For profit - Limited Liability company | 2025 | $6.8M | +21.1% | 27d |
| [VILLAGE HEALTH & REHABILITATION](https://astrelis.co/providers/snf/275043) ([twin](https://astrelis.co/providers/snf/275043.md)) | Missoula | For profit - Corporation | 2025 | $23.5M | -2.7% | 26d |
| [WHITEFISH CARE AND REHABILITATION](https://astrelis.co/providers/snf/275132) ([twin](https://astrelis.co/providers/snf/275132.md)) | Whitefish | For profit - Corporation | 2025 | $16.1M | +6.0% | 7d |
| [WIBAUX COUNTY NURSING HOME](https://astrelis.co/providers/snf/275079) ([twin](https://astrelis.co/providers/snf/275079.md)) | Wibaux | Non profit - Corporation | 2025 | $3.0M | -6.8% | 66d |
| [YELLOWSTONE RIVER NURSING AND REHABILITATION](https://astrelis.co/providers/snf/275029) ([twin](https://astrelis.co/providers/snf/275029.md)) | Billings | For profit - Individual | 2025 | $14.9M | +2.6% | -2d |

## Sources

Financial figures are compiled from public HCRIS Medicare cost reports and standardized by Astrelis. State medians use eligibility-gated latest-year values from the clean-room panel; facility rows are shown as filed. Values are source-reported context, not audited by Astrelis, and not a ranking.

Methodology: https://astrelis.co/methodology · Data sources: https://astrelis.co/data-sources · Data philosophy: https://astrelis.co/data-philosophy

## Cite this page

Astrelis Atlas, "Skilled Nursing Facilities in Montana · Financial Profiles", https://astrelis.co/providers/snf/state/mt, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.