dealflow
envelope $200M

← Targets

St. Alexius Medical Center

dba St Alexius Medical Center · Hoffman Estates, Cook County, IL · CCN 140290
Licensed to St Alexius Medical Center

Composite
56.7
rank score
Distress
73
FY2024
Fit
60
vs thesis
Estimated ticket
$21.9M–$43.8M
313 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
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • large — ticket likely stretches the envelope
  • small ticket — deploys little of the available capital
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$369M
Operating margin -13.5%
Total margin -10.8%
Days cash on hand 0
Current ratio 1.19
Occupancy61%

Facility

Beds313
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 318 $352M $30.1M 3.6% 8.2% 19 1.08 60% 14,512 26
2022 318 $346M $5.3M -3.1% 1.5% 0 1.12 65% 17,340 44
2023 313 $375M $-3.0M -3.2% -0.8% 0 0.99 64% 16,949 54
2024 313 $369M $-40.6M -13.5% -10.8% 0 1.19 61% 18,044 73

Owners

OwnerRole%SinceType
Alexian Brothers Health System
Chicago, IL
operational/managerial control 100 2008-01
Ascension Health
Saint Louis, MO
operational/managerial control 2022-04
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