dealflow
envelope $200M

← Targets

St. Josephs Reg Med Center Plymouth

dba Saint Joseph Regional Medical Center - Plymouth · Plymouth, Marshall County, IN · CCN 150076
Licensed to Saint Joseph Regional Medical Center- Plymouth Campus Inc

Composite
51.8
rank score
Distress
62
FY2024
Fit
55
vs thesis
Estimated ticket
$3.8M–$7.7M
45 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin negative
  • total margin under 2%
  • under 30 days cash on hand
  • current ratio under 1.5
  • debt above 70% of assets
  • occupancy below 30%
  • margin deteriorating sharply
  • part of a multi-hospital chain — divestiture candidate
  • 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$52.0M
Operating margin -1.9%
Total margin 0.3%
Days cash on hand 0
Current ratio 1.24
Occupancy15%

Facility

Beds45
Facility typeSTH
Settingrural
Ownership classnonprofit
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 45 $61.1M $10.5M 3.8% 15.2% 3 1.01 35% 1,724 31
2022 45 $65.8M $5.6M 3.2% 8.1% 0 1.35 37% 1,894 31
2023 45 $58.3M $891K -2.0% 1.5% 1 1.31 27% 1,403 58
2024 45 $52.0M $162K -1.9% 0.3% 0 1.24 15% 1,028 62

Owners

OwnerRole%SinceType
Saint Joseph Regional Medical Center Inc
Mishawaka, IN
5% or greater indirect ownership interest 100 2020-01
Trinity Health Corporation
Livonia, MI
5% or greater indirect ownership interest 100 2000-05 chain
Chris Rowland corporate director 2022-04
Christopher Karam contracted managing employee 2017-01
Christopher Karam corporate director 2017-01
Craig Miller corporate director 2017-01
Craig Miller w-2 managing employee 2017-01
Dana Neer corporate director 2017-01
Jacqueline Wright corporate director 2019-01
James Foster corporate director 2022-04
Jeffrey Mathis corporate officer 2022-04
Jonathan Geise corporate director 2026-01
Marion Fulce corporate director 2025-01
Melissa Lukasick corporate officer 2025-01
Paula Toth-Russell corporate director 2022-04
Paula Toth-Russell w-2 managing employee 2017-01
Robert Sink contracted managing employee 2022-04
Robert Sink corporate officer 2025-01
Rodolfo Monterrosa corporate officer 2022-04
Rodolfo Monterrosa corporate director 2022-04
Shannon Cermak corporate director 2026-01

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 IN

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

DateBuyerSellerHospitalBeds
2025-12-28 Indiana University Health Inc Indiana University Health North... Indiana University Health 1,274
2025-12-13 Union Hospital Inc Terre Haute Regional Hospital Lp Union Hospital Inc. 260
2025-07-01 Parkview Logansport Hospital Inc Memorial Hospital Memorial Hospital Logansport 37
2024-03-01 Franciscan Health Michigan City Franciscan Beacon Hospital, Llc Franciscan Health Michigan City 133
2020-11-01 St Elizabeth Medical Center, Inc Dearborn County Hospital St Elizabeth Dearborn 50
2019-07-16 Reid Hospital & Health Care Services Inc Fayette Memorial Hospital Association Inc Reid Hospital & Health Care Services 183