dealflow
envelope $200M

← Targets

Ottumwa Regional Health Center

Ottumwa, Wapello County, IA · CCN 160089
Licensed to Rchp Ottumwa Llc

Composite
64.6
rank score
Distress
100
FY2024
Fit
49
vs thesis
Estimated ticket
$5.3M–$10.6M
76 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • current ratio below 0.8
  • liabilities exceed assets
  • occupancy below 30%
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • bed count in the target band
  • very small ticket — sub-scale as a platform asset
  • very low occupancy — limited volume to learn from
  • for-profit — no charitable conversion review

Latest financials · FY2024

Net patient revenue$83.1M
Operating margin -19.9%
Total margin -19.3%
Days cash on hand 0
Current ratio 0.29
Occupancy21%

Facility

Beds76
Facility typeSTH
Settingrural
Ownership classfor-profit
Per-bed (low) $70.0K
Per-bed (high) $140K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 88 $86.1M $3.8M -6.8% 4.0% 0 0.78 24% 2,018 78
2022 88 $89.7M $-10.7M -12.7% -11.9% 1 0.22 25% 1,978 100
2023 88 $74.6M $-19.9M -27.3% -26.5% 0 0.19 19% 1,459 100
2024 76 $83.1M $-16.1M -19.9% -19.3% 0 0.29 21% 1,514 100

Owners

OwnerRole%SinceType
Dsb Acquisition Llc
New York, NY
5% or greater indirect ownership interest 100 2015-12
Lifepoint Health Inc
Brentwood, TN
5% or greater indirect ownership interest 100 2018-11
Lima Holdco Llc
Brentwood, TN
5% or greater indirect ownership interest 100 2001-12
Rchp-Ottumwa Holdings Inc
Brentwood, TN
5% or greater direct ownership interest 100 2011-11
Charlotte Lawrence corporate officer 2022-01
Christopher Monte corporate officer 2018-11
Elliott Brown corporate officer 2026-04
Kenneth Deboer operational/managerial control 2025-06
Marcus Poppell corporate officer 2018-11
Samuel Barrett corporate officer 2026-02
William Ziesmer corporate officer 2024-02

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