dealflow
envelope $200M

← Targets

Presence Saint Joseph Hosp-Chicago

dba Presence Saint Joseph Hospital - Chicago · Chicago, Cook County, IL · CCN 140224
Licensed to Presence Chicago Hospitals Network

Composite
62.7
rank score
Distress
84
FY2024
Fit
58
vs thesis
Estimated ticket
$16.2M–$32.3M
231 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 below 0.8
  • occupancy 45-60%
  • margin deteriorating sharply
  • part of a multi-hospital chain — divestiture candidate
  • rural — cheaper but limited density
  • bed count in the target band
  • small ticket — deploys little of the available capital
  • moderate occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$188M
Operating margin -31.8%
Total margin -20.7%
Days cash on hand 0
Current ratio 0.79
Occupancy49%

Facility

Beds231
Facility typeSTH
Settingrural
Ownership classnonprofit
Per-bed (low) $70.0K
Per-bed (high) $140K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 257 $184M $-8.5M -19.6% -4.0% 0 0.56 47% 8,781 78
2022 278 $192M $-25.4M -18.4% -12.5% 0 0.61 44% 9,341 86
2023 237 $203M $-62.8M -18.9% -29.0% 0 0.63 50% 8,568 87
2024 231 $188M $-42.5M -31.8% -20.7% 0 0.79 49% 8,415 84

Owners

OwnerRole%SinceType
Alexian Brothers Health System
Chicago, IL
5% or greater indirect ownership interest 100 2018-03
Presence Care Transformation Corporation
Chicago, IL
5% or greater direct ownership interest 100 2016-01 chain
Ascension Health
Saint Louis, MO
operational/managerial control 2022-04
Jonathan Rosenthal corporate officer 2025-07
Jonathan Rosenthal w-2 managing employee 2025-07
Legary Vaselopulos corporate director 2018-12
Legary Vaselopulos w-2 managing employee 2018-12
Polly Davenport corporate officer 2022-04

Ownership changes

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

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