dealflow
envelope $200M

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Presence St. Joseph Medical Center

dba Saint Joseph Medical Center · Joliet, Will County, IL · CCN 140007
Licensed to Saint Joseph Medical Center - Joliet Llc

Already transacted. CMS recorded an ownership change effective 2025-03-01. Confirm the current owner before spending a call on this.
Composite
20.0
rank score
Distress
75
FY2024
Fit
54
vs thesis
Estimated ticket
$149M–$595M
425 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • current ratio under 1.5
  • occupancy 45-60%
  • margin deteriorating sharply
  • part of a multi-hospital chain — divestiture candidate
  • urban — higher occupancy and iteration surface
  • very large — likely out of range
  • ticket size well above the envelope
  • moderate occupancy
  • nonprofit — expect AG conversion review
  • changed ownership 2025-03-01 — likely already transacted

Latest financials · FY2024

Net patient revenue$318M
Operating margin -31.1%
Total margin -29.7%
Days cash on hand 2
Current ratio 1.27
Occupancy46%

Facility

Beds425
Facility typeSTH
Settingurban
Ownership classnonprofit
Per-bed (low) $350K
Per-bed (high) $1.4M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 425 $338M $2.4M -8.6% 0.6% 2 0.52 46% 14,030 68
2022 425 $368M $-17.6M -6.0% -4.7% 2 0.59 51% 14,679 77
2023 425 $353M $-32.4M -10.0% -9.1% 2 0.79 47% 14,290 82
2024 425 $318M $-95.6M -31.1% -29.7% 2 1.27 46% 14,124 75

Owners

OwnerRole%SinceType
Prime Healthcare Holdings Inc
Ontario, CA
5% or greater indirect ownership interest 100 2024-03
Prime Healthcare Services, Inc
Ontario, CA
5% or greater direct ownership interest 100 2024-03 chain
Christopher Doan corporate officer 2024-03
Christopher Doan w-2 managing employee 2024-03
Steven Aleman corporate officer 2024-03
Steven Aleman corporate director 2024-03
Steven Aleman w-2 managing employee 2024-03

Ownership changes

DateTypeBuyerSeller
2025-03-01 change of ownership Saint Joseph Medical Center -... Presence Central And Suburban...

Who has been buying in IL

Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.

DateBuyerSellerHospitalBeds
2025-03-01 Saint Joseph Medical Center - Joliet Llc Presence Central And Suburban... Presence St. Joseph Medical Center 425
2025-03-01 St Marys Hospital - Kankakee Llc Presence Central And Suburban... Presence St. Marys Hospital 169
2025-03-01 Mercy Medical Center - Aurora Llc Presence Central And Suburban... Presence Mercy Medical Center 190
2025-03-01 Saint Joseph Hospital - Elgin Llc Presence Central And Suburban... Presence Saint Joseph Hospital Elgin 144
2025-03-01 Saint Francis Hospital - Evanston Llc Presence Chicago Hospitals Network Presence Saint Francis Hospital 146
2025-03-01 Resurrection Medical Center - Chicago Llc Presence Chicago Hospitals Network Presence Resurrection Medical Center 221
2025-03-01 Saint Mary Of Nazareth Hospital -... Presence Chicago Hospitals Network Presence Saints Mary & Elizabeth Med 296
2025-01-01 Osf Healthcare System Katherine Shaw Bethea Hospital Katherine Shaw Bethea Hospital 80
2023-03-01 American Healthcare Systems Illinois Llc Granite City Illinois Hospital Company Llc Gateway Regional 288
2023-01-14 Deaconess Illinois Crossroads Inc National Healthcare Of Mt Vernon Inc Crossroads Community Hospital 47
2023-01-14 Deaconess Regional Healthcare... Marion Hospital Corporation Heartland Regional Medical Center 94
2020-12-01 Advocate Health And Hospitals Corporation Advocate Health And Hospitals Corporation Advocate Southland Health Network 438
2020-07-01 Carle Bromenn Medical Center Advocate Health And Hospitals Corporation Carle Bromenn Medical Center 206
2020-02-01 Osf Healthcare System Little Company Of Mary Hospital Inc Little Company Of Mary 222
2019-10-01 Thorek Memorial Hospital Bethany Homes And Methodist Hospital Methodist Hospital Of Chicago 141