dealflow
envelope $200M

← Targets

St. Lukes Regl Medical Center

dba St Luke's Regional Medical Center · Sioux City, Woodbury County, IA · CCN 160146
Licensed to Northwest Iowa Hospital Corporation

Already transacted. CMS recorded an ownership change effective 2025-09-01. Confirm the current owner before spending a call on this.
Composite
14.5
rank score
Distress
33
FY2023
Fit
62
vs thesis
Estimated ticket
$17.9M–$35.8M
179 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • total margin under 2%
  • under 30 days cash on hand
  • margin deteriorating sharply
  • part of a multi-hospital chain — divestiture candidate
  • rural — cheaper but limited density
  • bed count in the target band
  • small ticket — deploys little of the available capital
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review
  • changed ownership 2025-09-01 — likely already transacted

Latest financials · FY2023

Net patient revenue$209M
Operating margin 10.7%
Total margin 1.5%
Days cash on hand 14
Current ratio 5.27
Occupancy69%

Facility

Beds179
Facility typeSTH
Settingrural
Ownership classnonprofit
Per-bed (low) $100K
Per-bed (high) $200K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 173 $159M $13.2M 9.3% 7.1% 77 2.23 63% 7,924 10
2021 173 $178M $215K 7.9% 0.1% 16 2.13 65% 8,316 26
2022 173 $181M $-22.6M 0.1% -11.8% 2 2.60 68% 8,309 46
2023 179 $209M $3.3M 10.7% 1.5% 14 5.27 69% 11,223 33

Owners

OwnerRole%SinceType
Angelo James corporate director 2022-01
Beth Trejo corporate director 2021-01
Chad Stadsvold corporate director 2022-01
Charles Wolfe corporate director 2022-01
Dennis Bullock corporate director 2019-01
Garrett Smith corporate director 2008-01
Hannah Dewald corporate director 2021-01
Iowa Health System
West Des Moines, IA
operational/managerial control 1996-08 chain
James Palmer corporate officer 2019-01
James Palmer corporate director 2017-01
Jane Arnold corporate officer 2015-12
Jane Arnold w-2 managing employee 2000-06
Jane Arnold operational/managerial control 2000-06
John Jones contracted managing employee 2024-05
John Jones operational/managerial control 2024-05
Leah Knapp corporate officer 2023-09
Leah Knapp w-2 managing employee 2023-09
Leah Knapp operational/managerial control 2023-09
Michael Crone corporate director 2018-01
Renee Beaulieu corporate director 2020-01
St. Luke's Health System, Inc.
Sioux City, IA
operational/managerial control 2015-05
Wendy Lindley w-2 managing employee 2017-04
Wendy Lindley operational/managerial control 2017-04

Ownership changes

DateTypeBuyerSeller
2025-09-01 acquisition/merger Northwest Iowa Hospital Corporation Marian Health Center-Smhc

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