dealflow
envelope $200M

← Targets

Nevada Regional Medical Center

Nevada, Vernon County, MO · CCN 260061
Licensed to Nevada City Hospital

Composite
55.6
rank score
Distress
80
FY2024
Fit
49
vs thesis
Estimated ticket
$2.9M–$5.7M
41 beds · within envelope
Ownership
government
STH

Why it ranks here

  • operating margin below -10%
  • total margin negative
  • 30-60 days cash on hand
  • current liabilities exceed current assets
  • debt above 85% of assets
  • occupancy below 30%
  • margin deteriorating sharply
  • 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
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$38.6M
Operating margin -24.1%
Total margin -1.3%
Days cash on hand 35
Current ratio 0.99
Occupancy16%

Facility

Beds41
Facility typeSTH
Settingrural
Ownership classgovernment
Per-bed (low) $70.0K
Per-bed (high) $140K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 41 $35.3M $4.4M -16.1% 9.7% 151 1.13 18% 831 44
2022 41 $39.5M $704K -20.0% 1.5% 67 1.14 21% 873 58
2023 41 $42.5M $-649K -13.3% -1.4% 68 1.09 15% 705 62
2024 41 $38.6M $-592K -24.1% -1.3% 35 0.99 16% 612 80

Owners

OwnerRole%SinceType
Aimee Meyer corporate director 2022-01
Amanda Swink corporate director 2025-01
Brian Leonard corporate director 2025-02
Candice Moore corporate director 2016-03
Cindy Thompson corporate director 2022-01
Geoff Stewart corporate director 2023-01
Holly Bush corporate officer 2025-06
Jason Anglin corporate officer 2022-11
Jayne Novak corporate director 2022-01
Michelle Cox w-2 managing employee 2000-07
Mike Brown corporate director 2022-01
Seth Barrett corporate director 2023-01

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 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