dealflow
envelope $200M

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Chi Health - Missouri Valley

dba Chi Health Missouri Valley · Missouri Valley, Harrison County, IA · CCN 161309
Licensed to Alegent Health Community Memorial Hospital Of Missouri Valley Iowa

Composite
36.8
rank score
Distress
40
FY2024
Fit
47
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds · within envelope
Ownership
nonprofit
CAH

Why it ranks here

  • under 30 days cash on hand
  • current ratio below 0.8
  • occupancy below 30%
  • urban — higher occupancy and iteration surface
  • 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$36.8M
Operating margin 4.9%
Total margin 15.9%
Days cash on hand 2
Current ratio -0.22
Occupancy26%

Facility

Beds25
Facility typeCAH
Settingurban
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 25 $22.3M $-146K -11.5% -0.6% 3 -0.18 20% 157 80
2022 25 $26.9M $3.1M 0.1% 10.5% 3 -0.14 25% 201 51
2023 25 $31.1M $3.7M -0.2% 10.6% 3 -0.12 27% 212 60
2024 25 $36.8M $6.6M 4.9% 15.9% 2 -0.22 26% 303 40

Owners

OwnerRole%SinceType
Chi Nebraska
Omaha, NE
5% or greater direct ownership interest 100 2013-08
Commonspirit Health
Englewood, CO
5% or greater indirect ownership interest 100 2013-08
David Jones operational/managerial control 2021-04
Evert Kuiper corporate director 2022-01
Evert Kuiper operational/managerial control 2022-01
Heather Morgan corporate director 2020-07
John Petersdorf corporate director 2021-01
Kelly Bacon corporate director 2021-07
Kevin Fitzgerald corporate director 2021-07
Kirtibala Gupta corporate director 2021-07
Mardell Wilson corporate director 2020-10
Marvin O'quinn other 2022-08
Maurita Soukup corporate director 2017-07
Nadine Heimann corporate director 2019-07
Nick O'tool operational/managerial control 2023-01
Suzanne Hruza corporate director 2014-09
William Barney corporate director 2020-07
William Yates corporate director 2015-10

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
2021-07-01 Henry County Health Center Inc Henry County Soldiers' And... Henry County Health Center 25
2019-05-01 Avera Mckennan Sanford Health Network Avera Merrill Pioneer Hospital 11