dealflow
envelope $200M

← Targets

John Fitzgibbon Memorial Hospital

dba Fitzgibbon Hospital · Marshall, Saline County, MO · CCN 260142
Licensed to John Fitzgibbon Memorial Hospital Inc

Composite
64.7
rank score
Distress
94
FY2024
Fit
56
vs thesis
Estimated ticket
$2.9M–$5.9M
42 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
  • debt above 85% of assets
  • occupancy 30-45%
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • thin occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$57.9M
Operating margin -19.1%
Total margin -11.9%
Days cash on hand 3
Current ratio 0.77
Occupancy32%

Facility

Beds42
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
2021 42 $50.9M $835K -13.5% 1.4% 119 1.48 29% 1,243 52
2022 42 $56.6M $2.7M -13.3% 4.0% 60 1.34 36% 1,446 47
2023 42 $56.9M $-2.2M -18.1% -3.4% 7 1.06 31% 1,322 71
2024 42 $57.9M $-7.3M -19.1% -11.9% 3 0.77 32% 1,284 94

Owners

OwnerRole%SinceType
John Fitzgibbon Memorial Hospital Inc
Marshall, MO
5% or greater direct ownership interest 100 1966-07
Angela Igo w-2 managing employee 2016-01
Angela Littrell corporate officer 2020-02
Angela Littrell w-2 managing employee 2014-06
Darin Haug w-2 managing employee 2012-09
Jan Stapleton other 2015-09
Jared Romney other 2023-05
John Fitzgibbon Memorial Hospital Inc
Marshall, MO
operational/managerial control 1966-07
Mary Lou Porter other 2016-10
Nancy Harris corporate officer 2020-02
Nancy Harris w-2 managing employee 2020-02
Scott Hartwig other 2015-09
Thomas Jones w-2 managing employee 2011-02
William Summers other 1999-01

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