dealflow
envelope $200M

← Targets

Saint Francis Medical Center

Cape Girardeau, MO · CCN 260183
Licensed to Saint Francis Medical Center

Composite
52.9
rank score
Distress
57
FY2024
Fit
68
vs thesis
Estimated ticket
$120M–$479M
282 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin negative
  • under 30 days cash on hand
  • current liabilities exceed current assets
  • occupancy 30-45%
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • large — ticket likely stretches the envelope
  • ticket size at the top of the envelope — would need leverage
  • thin occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$572M
Operating margin -1.8%
Total margin 16.2%
Days cash on hand 25
Current ratio 0.99
Occupancy38%

Facility

Beds282
Facility typeSTH
Settingurban
Ownership classnonprofit
Per-bed (low) $425K
Per-bed (high) $1.7M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 282 $498M $184M 0.4% 26.6% 33 0.87 42% 8,547 38
2022 282 $509M $-120M -7.9% -28.5% 35 0.57 44% 8,135 74
2023 282 $557M $96.2M -1.3% 14.6% 33 0.93 40% 8,281 47
2024 282 $572M $112M -1.8% 16.2% 25 0.99 38% 7,933 57

Owners

OwnerRole%SinceType
Adam Kidd corporate director 2021-06
Dennis Vollink corporate director 2018-05
Gina Raffety corporate director 2021-06
James Bollinger corporate director 2021-06
Janet Varnon corporate director 2021-06
Jeffrey Hotop corporate director 2022-08
Joseph Mclane corporate director 2021-06
Justin Davison corporate officer 2021-06
Justin Davison corporate director 2020-01
Justin Davison w-2 managing employee 2021-06
Kathy Swan corporate director 2021-09
Kevin Govero corporate director 2014-07
Kimberly Gilliland w-2 managing employee 2021-06
Laura Younghouse corporate director 2021-06
Mike Himmelberg corporate director 2021-08
Saint Francis Medical Center
Cape Girardeau, MO
operational/managerial control 2007-10
Steven Dirnberger corporate director 2021-06

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