dealflow
envelope $200M

← Targets

Osawatomie State Hospital

dba Adair Acute Care At Osawatomie State Hospital · Osawatomie, Miami County, KS · CCN 174022
Licensed to Osawatomie State Hospital

Composite
51.6
rank score
Distress
53
FY2024
Fit
69
vs thesis
Estimated ticket
$14.0M–$56.1M
60 beds · within envelope
Ownership
government
PH

Why it ranks here

  • operating margin below -10%
  • margin deteriorating
  • urban — higher occupancy and iteration surface
  • specialty facility — narrower problem scope
  • bed count in the target band
  • small ticket — deploys little of the available capital
  • strong occupancy — good iteration surface
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$1.5M
Operating margin -4,095.7%
Total margin 5.3%
Days cash on hand
Current ratio
Occupancy65%

Facility

Beds60
Facility typePH
Settingurban
Ownership classgovernment
Per-bed (low) $234K
Per-bed (high) $935K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 60 $4.9M $5.0M -804.1% 10.2% 62% 938 52
2022 60 $4.6M $21.5M -977.0% 30.2% 50% 1,007 56
2023 60 $2.0M $2.6M -2,913.1% 4.2% 50% 1,029 56
2024 60 $1.5M $3.5M -4,095.7% 5.3% 65% 960 53

Owners

OwnerRole%SinceType
Ashley Byram w-2 managing employee 100 2023-08
Ashley Byram operational/managerial control 100 2023-08
Osawatomie State Hospital
Osawatomie, KS
5% or greater direct ownership interest 100 2016-07
Osawatomie State Hospital
Osawatomie, KS
operational/managerial control 100 2016-07
State Of Kansas-Accounting Services
Topeka, KS
5% or greater direct ownership interest 100 2016-07
State Of Kansas-Accounting Services
Topeka, KS
operational/managerial control 100 2016-07
Clinton Glidewell w-2 managing employee 2020-09
Clinton Glidewell operational/managerial control 2020-09
Joddie Covey w-2 managing employee 2018-10
Maria Gustilo w-2 managing employee 2016-07
Rhonda Singer w-2 managing employee 2016-07

Ownership changes

No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.