dealflow
envelope $200M

← Targets

Three Rivers Health

Three Rivers, St. Joseph County, MI · CCN 230015
Licensed to Three Rivers Health System Inc

Composite
36.0
rank score
Distress
39
FY2023
Fit
46
vs thesis
Estimated ticket
$4.8M–$9.6M
48 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin negative
  • total margin negative
  • 90-150 days cash on hand
  • occupancy below 30%
  • margin deteriorating
  • rural — cheaper but limited density
  • 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 · FY2023

Net patient revenue$65.8M
Operating margin -4.0%
Total margin -0.2%
Days cash on hand 105
Current ratio 4.08
Occupancy22%

Facility

Beds48
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 48 $61.5M $2.1M -8.5% 3.0% 59 1.03 18% 1,056 56
2021 48 $64.4M $14.1M -7.1% 17.0% 116 1.90 21% 1,136 36
2022 48 $63.9M $-3.6M -15.8% -5.1% 51 2.54 20% 1,055 66
2023 48 $65.8M $-113K -4.0% -0.2% 105 4.08 22% 1,032 39

Owners

OwnerRole%SinceType
Three Rivers Health System Inc
Three Rivers, MI
5% or greater direct ownership interest 100 2013-04
Beacon Health System Inc
South Bend, IN
operational/managerial control 2021-10
Hope Bailey w-2 managing employee 2013-04
Irene Maffetone w-2 managing employee 2021-10
Jeffrey Costello w-2 managing employee 2021-10
Jeffrey Costello operational/managerial control 2021-10
Jessica Puckett corporate director 2020-01
Laurie Hines corporate director 2013-04
Linda Evans corporate director 2020-01
Raymond Bendure corporate director 2013-04
Richard Cordes corporate director 2020-01

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 MI

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

DateBuyerSellerHospitalBeds
2018-07-01 St Joseph Mercy Chelsea Inc Trinity Health-Michigan Chelsea Hospital 79