dealflow
envelope $200M

← Targets

Tishomingo Health Services

dba Iuka Hospital · Iuka, Tishomingo County, MS · CCN 250002
Licensed to Tishomingo Health Services, Inc.

Composite
58.9
rank score
Distress
90
FY2023
Fit
46
vs thesis
Estimated ticket
$3.4M–$6.7M
48 beds · within envelope
Ownership
nonprofit
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%
  • 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$15.8M
Operating margin -16.1%
Total margin -9.3%
Days cash on hand 12
Current ratio 0.12
Occupancy24%

Facility

Beds48
Facility typeSTH
Settingrural
Ownership classnonprofit
Per-bed (low) $70.0K
Per-bed (high) $140K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 48 $11.5M $-1.3M -26.5% -9.9% 20 0.15 21% 554 100
2021 48 $14.3M $-506K -18.5% -3.1% 9 0.14 22% 684 96
2022 48 $16.3M $407K -11.7% 2.2% 13 0.11 22% 553 83
2023 48 $15.8M $-1.6M -16.1% -9.3% 12 0.12 24% 551 90

Owners

OwnerRole%SinceType
Arthur Gaines corporate director 2022-08
Barry Keel w-2 managing employee 2021-10
Bruce Toppin corporate officer 1997-11
Daniel Castile corporate director 2022-08
James Tennyson corporate director 2022-08
Jenna Mcnatt corporate director 2022-08
Michael Spees operational/managerial control 2014-02
North Mississippi Health Services Inc
Tupelo, MS
5% or greater direct ownership interest 1986-11
Sharon Nobles corporate officer 2017-04
Steve Mcanally corporate director 2011-11

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 MS

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

DateBuyerSellerHospitalBeds
2025-05-01 State Of Mississippi-University Of... Madison Hma Llc Madison River Oaks Medical Center 67
2024-02-01 Northwest Miss Regional Medical Center Delta Health System Delta Health-Northwest Regional 181
2023-05-01 Tate County Hospital Delta Health System Highland Hills Medical Center 15
2020-10-01 Singing River Gulfport Gpch-Gp, Inc. Singing River Gulfport 113
2019-11-01 Memorial Hospital At Gulfport Stone County Hospital, Inc Memorial Hospital At Gulfport 285
2019-01-01 Monroe Health Services Inc Amory Regional Medical Center Inc Monroe Health Services Inc. 95
2018-04-01 Ochsner Medical Center - Hancock, Llc Hancock Medical Center Ochsner Med Ctr - Hancock 41