dealflow
envelope $200M

← Targets

Amend#3 Lip Research Med Ctr

dba Research Medical Center · Kansas City, MO · CCN 260027
Licensed to Midwest Division - Rmc Llc

Composite
65.4
rank score
Distress
71
FY2023
Fit
79
vs thesis
Estimated ticket
$107M–$428M
306 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • operating margin -10% to -5%
  • total margin -8% to -3%
  • under 30 days cash on hand
  • liabilities exceed assets
  • margin deteriorating sharply
  • part of a multi-hospital chain — divestiture candidate
  • urban — higher occupancy and iteration surface
  • large — ticket likely stretches the envelope
  • ticket size at the top of the envelope — would need leverage
  • strong occupancy — good iteration surface
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$587M
Operating margin -5.1%
Total margin -3.0%
Days cash on hand 1
Current ratio 3.53
Occupancy73%

Facility

Beds306
Facility typeSTH
Settingurban
Ownership classfor-profit
Per-bed (low) $350K
Per-bed (high) $1.4M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 368 $450M $15.5M -0.2% 3.3% 0 2.11 70% 15,450 49
2021 343 $489M $17.6M 0.6% 3.5% 0 2.61 69% 14,923 40
2022 337 $487M $-12.4M -5.2% -2.5% 1 3.09 68% 14,238 63
2023 306 $587M $-18.0M -5.1% -3.0% 1 3.53 73% 14,340 71

Owners

OwnerRole%SinceType
Hca Health Services Of Louisiana, Inc.
Nashville, TN
5% or greater direct ownership interest 100 2003-03
Hca Healthcare Inc
Nashville, TN
5% or greater indirect ownership interest 100 2011-10
Hca Inc
Nashville, TN
5% or greater indirect ownership interest 100 2003-03 chain
Healthserv Acquisition Llc
Nashville, TN
5% or greater indirect ownership interest 100 2003-03
Healthtrust Inc - The Hospital Company
Nashville, TN
5% or greater indirect ownership interest 100 2003-03
Frisco Holding Ii
Wilmington, DE
5% or greater indirect ownership interest 16 2026-02
Hercules Holding Ii
Nashville, TN
5% or greater indirect ownership interest 14 2016-09
Eric Smith contracted managing employee 2021-03
Kirk Mccarty corporate officer 2024-09
Kirk Mccarty w-2 managing employee 2024-09
Kirk Mccarty operational/managerial control 2024-09
Samuel Maxfield corporate officer 2024-10
Samuel Maxfield w-2 managing employee 2024-10
Samuel Maxfield operational/managerial control 2024-10

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 MO

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

DateBuyerSellerHospitalBeds
2024-07-01 New Liberty Hospital Corporation New Liberty Hospital District Liberty Hospital 199
2024-01-01 Curators Of The University Of Missouri Capital Region Medical Center Univ Of Missouri Health Care 665
2024-01-01 Curators Of The University Of Missouri Capital Region Medical Center Univ Of Missouri Health Care 665