dealflow
envelope $200M

← Targets

Chi Health Mercy Council Bluffs

Council Bluffs, Pottawattamie County, IA · CCN 160028
Licensed to Alegent Health Bergan Mercy Health System

Composite
66.0
rank score
Distress
80
FY2024
Fit
75
vs thesis
Estimated ticket
$49.4M–$197M
141 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin below -10%
  • total margin -8% to -3%
  • under 30 days cash on hand
  • current ratio below 0.8
  • occupancy 45-60%
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size uses the capital envelope well
  • moderate occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$114M
Operating margin -10.5%
Total margin -4.6%
Days cash on hand 2
Current ratio -0.19
Occupancy47%

Facility

Beds141
Facility typeSTH
Settingurban
Ownership classnonprofit
Per-bed (low) $350K
Per-bed (high) $1.4M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 141 $94.8M $1.9M -5.0% 1.9% 4 -0.13 45% 5,129 60
2022 141 $97.2M $-3.7M -8.7% -3.6% 5 -0.14 44% 4,686 76
2023 141 $98.5M $-6.1M -14.8% -5.7% 3 -0.17 47% 4,904 78
2024 141 $114M $-5.6M -10.5% -4.6% 2 -0.19 47% 5,263 80

Owners

OwnerRole%SinceType
Chi Nebraska
Omaha, NE
5% or greater direct ownership interest 100 2013-08
Commonspirit Health
Chicago, IL
5% or greater indirect ownership interest 100 2013-08
Cindy Alloway corporate director 2023-07
Daniel Morissette corporate officer 2019-02
Daniel Morissette other 2023-09
Dave Taylor corporate director 2022-10
Heather Morgan corporate director 2020-07
John Petersdorf corporate director 2021-01
Kathryne Cutler corporate director 2023-07
Kelly Bacon corporate director 2021-07
Kevin Fitzgerald corporate director 2021-07
Kirtibala Gupta corporate director 2021-07
Leo Searcey corporate director 2022-10
Mardell Wilson corporate director 2020-10
Maurita Soukup corporate director 2017-07
Nadine Heimann corporate director 2019-07
Nick O'tool corporate officer 2023-07
Nick O'tool operational/managerial control 2023-01
Tim Bricker corporate officer 2023-07
Tim Bricker corporate director 2023-07
William Barney corporate director 2020-07

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 IA

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

DateBuyerSellerHospitalBeds
2025-09-01 Northwest Iowa Hospital Corporation Marian Health Center-Smhc St. Lukes Regl Medical Center 179
2024-01-31 State University Of Iowa Mercy Hospital Iowa City Iowa University Of Iowa Health Care Medic 211
2021-07-01 Southeast Iowa Regional Medical Center Inc Fort Madison Community Hospital Southeast Iowa Regional Medical Ctr 174