Fayette County Hospital
dba Sarah Bush Lincoln Fayette County Hospital ·
Vandalia, Fayette County, IL
· CCN 141346
Licensed to Sarah Bush Lincoln Health Center
Composite
38.8
rank score
Distress
51
FY2024
Fit
40
vs thesis
Estimated ticket
$1.8M–$3.6M
25 beds ·
within envelope
Ownership
nonprofit
CAH
Why it ranks here
- operating margin negative
- total margin negative
- 60-90 days cash on hand
- debt above 85% of assets
- occupancy below 30%
- margin deteriorating
- rural — cheaper but limited density
- small but workable bed count
- very small ticket — sub-scale as a platform asset
- very low occupancy — limited volume to learn from
- nonprofit — expect AG conversion review
Latest financials · FY2024
| Net patient revenue | $42.5M |
| Operating margin | -4.2% |
| Total margin | -0.3% |
| Days cash on hand | 62 |
| Current ratio | 2.21 |
| Occupancy | 23% |
Facility
| Beds | 25 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | nonprofit |
| Per-bed (low) | $72.2K |
| Per-bed (high) | $144K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 25 | $14.2M | $2.1M | -9.5% | 12.1% | 133 | 1.35 | 41% | 219 | 36 |
| 2021 | 25 | $34.5M | $1.6M | -6.9% | 4.2% | 42 | 1.48 | 41% | 500 | 48 |
| 2022 | 25 | $36.1M | $2.0M | -6.1% | 5.0% | 41 | 2.15 | 29% | 340 | 48 |
| 2023 | 25 | $38.0M | $-393K | -5.0% | -1.0% | 63 | 0.74 | 26% | 375 | 67 |
| 2024 | 25 | $42.5M | $-132K | -4.2% | -0.3% | 62 | 2.21 | 23% | 266 | 51 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Sarah Bush Lincoln Health System | 5% or greater direct ownership interest | 100 | 2022-07 | |
| Amy Shafer | corporate director | 2025-07 | ||
| Dale Boyer | corporate officer | 2022-07 | ||
| Fatima Alao | corporate director | 2023-07 | ||
| Holly Adams | corporate director | 2023-07 | ||
| James Zimmer | corporate officer | 2022-07 | ||
| Jay Gatrell | corporate director | 2024-01 | ||
| Jennifer Garrison | corporate director | 2024-07 | ||
| Jordan Koerner | corporate director | 2025-07 | ||
| Josh Bullock | corporate officer | 2022-07 | ||
| Karen Dyer | corporate director | 2022-09 | ||
| Kimberly Uphoff | corporate director | 2022-08 | ||
| Kimberly Uphoff | w-2 managing employee | 2022-08 | ||
| Lee Taylor | corporate officer | 2023-01 | ||
| Lucas Catt | corporate officer | 2022-07 | ||
| Michael Radliff | corporate director | 2023-07 | ||
| Mike Genta | corporate officer | 2022-07 | ||
| Sean Fischer | corporate director | 2024-02 | ||
| Sheri Hopkins | corporate director | 2022-07 | ||
| Steve Childers | corporate officer | 2022-07 |
Ownership changes
| Date | Type | Buyer | Seller |
|---|---|---|---|
| 2022-07-01 | change of ownership | Sarah Bush Lincoln Health Center | Fayette County Hospital District |
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.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 2023-01-14 | Deaconess Illinois Union County... | Anna Hospital Corporation | Union County Hospital District | 25 |
| 2023-01-14 | Deaconess Illinois Red Bud... | Red Bud Illinois Hospital Company Llc | Red Bud Regional Hospital | 25 |
| 2022-07-01 | Sarah Bush Lincoln Health Center | Fayette County Hospital District | Fayette County Hospital | 25 |
| 2021-07-01 | Osf Healthcare System | Julia Rackley Perry Memorial Hospital | Osf Saint Clare Medical Center | 25 |
| 2020-07-01 | Carle Eureka Hospital | Advocate Health And Hospitals Corporation | Carle Eureka Hospital | 25 |