dealflow
envelope $200M

← Targets

Ozarks Medical Center

dba Ozarks Healthcare · West Plains, Howell County, MO · CCN 260078
Licensed to Ozarks Medical Center

Composite
54.6
rank score
Distress
67
FY2023
Fit
61
vs thesis
Estimated ticket
$9.4M–$18.9M
111 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin below -10%
  • total margin negative
  • under 30 days cash on hand
  • current ratio under 1.5
  • occupancy 45-60%
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • bed count in the target band
  • very small ticket — sub-scale as a platform asset
  • moderate occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2023

Net patient revenue$127M
Operating margin -88.1%
Total margin -1.7%
Days cash on hand 4
Current ratio 1.29
Occupancy47%

Facility

Beds111
Facility typeSTH
Settingrural
Ownership classnonprofit
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 111 $153M $6.7M -19.3% 3.5% 90 2.73 50% 3,708 34
2021 111 $165M $3.1M -20.4% 1.6% 53 1.45 52% 5,003 53
2022 111 $146M $-16.9M -49.9% -8.4% 6 1.08 49% 4,699 72
2023 111 $127M $-3.9M -88.1% -1.7% 4 1.29 47% 4,422 67

Owners

OwnerRole%SinceType
Ozarks Medical Center
West Plains, MO
5% or greater direct ownership interest 100 1966-07
Ozarks Medical Center operational/managerial control 100 1966-07
Barrylyn Ulmanis w-2 managing employee 2009-09
Brenda Smith corporate officer 2023-01
David Gohn corporate director 2018-01
Dennis Albino corporate director 2023-01
Jack Bates corporate director 2018-01
Jackie Kimbrough w-2 managing employee 2023-01
Magdy Giurgius corporate director 2019-01
Melissa Stewart corporate director 2015-01
Melody Simpson w-2 managing employee 2007-11
Nichole Cook corporate officer 2019-12
Nichole Cook w-2 managing employee 2019-12
Nichole Cook operational/managerial control 2019-12
Priscilla Frase corporate officer 2023-01
Reid Grigsby corporate director 2018-01
Robert Martin corporate director 2019-01
Robert Stauffer corporate director 2019-01
Roger Shaw corporate director 2014-01
Shawn Marhefka corporate director 2018-01
Steve Vines corporate officer 2023-01
Susan Jolly corporate officer 2023-01
Thomas Keller corporate officer 2014-02
Thomas Keller w-2 managing employee 2014-02
Thomas Keller operational/managerial control 2014-02

Showing 25 of 26. Full list via /api/targets/260078.

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