dealflow
envelope $200M

← Targets

Dukes Memorial Hospital

Peru, Miami County, IN · CCN 151318
Licensed to Dukes Health System Llc

Composite
52.0
rank score
Distress
65
FY2023
Fit
57
vs thesis
Estimated ticket
$1.8M–$3.6M
25 beds · within envelope
Ownership
for-profit
CAH

Why it ranks here

  • operating margin negative
  • total margin -8% to -3%
  • under 30 days cash on hand
  • current ratio below 0.8
  • occupancy 30-45%
  • margin slipping
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • thin occupancy
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$39.9M
Operating margin -4.5%
Total margin -4.3%
Days cash on hand 0
Current ratio -0.27
Occupancy38%

Facility

Beds25
Facility typeCAH
Settingrural
Ownership classfor-profit
Per-bed (low) $72.2K
Per-bed (high) $144K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 25 $32.8M $-1.2M -9.8% -3.3% 0 -0.39 52% 940 72
2021 25 $47.0M $8.2M 13.0% 16.7% 0 -0.21 64% 990 36
2022 25 $43.5M $4.3M 6.9% 9.7% 0 -0.24 55% 874 38
2023 25 $39.9M $-1.7M -4.5% -4.3% 0 -0.27 38% 676 65

Owners

OwnerRole%SinceType
Chs Community Health Systems Inc
Franklin, TN
5% or greater indirect ownership interest 100 2007-07
Community Health Systems Inc
Franklin, TN
5% or greater indirect ownership interest 100 2007-07
Hma-Tri Holdings Llc
Franklin, TN
5% or greater indirect ownership interest 100 2015-12
Qhg Of Clinton County Inc
Franklin, TN
5% or greater direct ownership interest 100 2007-07
Tennyson Holdings Llc
Franklin, TN
5% or greater indirect ownership interest 100 2007-07
Triad Healthcare Llc
Franklin, TN
5% or greater indirect ownership interest 100 2015-12
Christopher Cobb corporate officer 2017-04
Debra Close w-2 managing employee 2007-01
Edna Buffington-Price corporate director 2022-03
Jason Johnson corporate officer 2020-01
Justin Pitt corporate officer 2022-03
Justin Pitt corporate director 2022-03
Kevin Hammons corporate officer 2012-02
Kevin Hammons corporate director 2020-01
Nathaniel Summar corporate director 2017-07
Paula Lalor corporate director 2017-04
Roman Ottinger corporate officer 2020-01
William Cash corporate officer 2018-06

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
2018-03-01 Indiana University Health Jay Inc Jay County Hospital Iu Health Jay Hospital 21