Central Montana Medical Center

Legal name: Central Montana Medical Facilities Inc

Nonprofit profile at a glance

EIN
237169043
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Lewistown, MT, US
Phone
(406) 535-7711
Rating
75
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$63,774,839
Expenses
$56,025,776
Assets
$70,156,390
Liabilities
$11,887,893

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

24 people listed

Executive titles in this filing

  • Cody Langbehn (CEO)

Highest reported compensation

  • Dr Michael Sura (Physician/Member): $506,007 total reported compensation
  • Gardner S Smith (Physician): $462,155 total reported compensation
  • Garrett H Taylor (Physician): $456,206 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

A leader in assuring community based, quality healthcare.

What it reported doing in 2024

Central Montana Medical Center Facilities, Inc. operates a 25 bed critical access hospital located in Lewistown, MT.Hospital Inpatient Services for FY25: Number of beds: 25Provided 1064 acute days of care and 636 swing bed days of care for 18.63% occupancy rateEmergency Services for FY2025: Provided for 5,401 emergency visits24-hour physician and ambulance coverage availableCMMC Community Paramedic for FY2025: Saw a total of 72 patients conducting 266 community visits and 65 detention center visits.OB Services for FY2025: Provided for 87 births in Central MontanaAwards received for FY2025 were as follows:-2025 Top 20 Critical Access Hospital-Cream of the Crop Award for Best Rural Healthcare Facility/Hospital-Chartis Top 100 Critical Access Hospitals 2025

Operating model

Revenue model
Earned-program. 94% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 74
  • Transparency & Controls: 70
  • Accountability: 82
  • Sustainability: 60
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 72.3%; rating input score 72
  • Program expense ratio: 82.9%; rating input score 83
  • Fundraising efficiency: $19.12 raised per $1 spent on fundraising; rating input score 57; 57th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 76.9%; rating input score 77; 25th percentile among comparable filings
  • Governance controls: 7 of 8 controls in place; rating input score 88
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: NotApplicable
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 12.2%; rating input score 77; 77th percentile among comparable filings
  • Total-asset coverage ratio: 1.25; rating input score 47; 47th percentile among comparable filings
  • Liabilities to assets ratio: 0.17; rating input score 73; 73rd percentile among comparable filings
  • Officer compensation ratio: 5.6%; rating input score 13; 13th percentile among comparable filings

Growth

  • Program expense growth: 7.3% per year; rating input score 100; 59th percentile among comparable filings
  • Revenue growth: 6.8% per year; rating input score 100; 59th percentile among comparable filings
  • Asset growth: 8.7% per year; rating input score 100; 63rd percentile among comparable filings

Details

  • What they do: 5 programs and campaigns described on the official site · 2 operating locations identified
  • Where the money goes: 72.3% of revenue deployed · 82.9% of spending went to programs
  • Governance: 10 of 13 board members independent · 7 of 8 filing controls reported
  • Programs: 1 filed program accomplishment · $46.5M in reported program spending
  • Leadership: top reported pay $506K · 24 people listed · 1 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $12.3M reported
  • Consistency: 34 of 34 current checks pass
  • Schedules: 8 filed schedules · includes major donors and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • Review — Financial Efficiency: Fundraising efficiency scored 57/100.
  • Review — Accountability: Governance controls: Other executive compensation review process not reported.
  • Moderate — Sustainability: Total-asset coverage ratio scored 47/100.
  • High — Sustainability: Officer compensation ratio scored 13/100.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.