dealflow
envelope $200M

← Targets

Citizens Memorial Hospital District

dba Citizens Memorial Hospital · Bolivar, Polk County, MO · CCN 260195
Licensed to Citizens Memorial Hospital District

Composite
51.1
rank score
Distress
62
FY2024
Fit
58
vs thesis
Estimated ticket
$4.4M–$8.8M
52 beds · within envelope
Ownership
government
STH

Why it ranks here

  • operating margin below -10%
  • total margin negative
  • 30-60 days cash on hand
  • current ratio under 1.5
  • debt above 70% of assets
  • occupancy 45-60%
  • margin deteriorating
  • rural — cheaper but limited density
  • bed count in the target band
  • very small ticket — sub-scale as a platform asset
  • moderate occupancy
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$199M
Operating margin -16.3%
Total margin -0.2%
Days cash on hand 45
Current ratio 1.30
Occupancy46%

Facility

Beds52
Facility typeSTH
Settingrural
Ownership classgovernment
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 52 $154M $5.1M -19.0% 2.7% 83 1.48 49% 2,679 48
2022 52 $172M $14.2M -14.9% 6.7% 64 1.66 53% 2,593 40
2023 52 $178M $-452K -19.3% -0.2% 36 1.42 44% 2,405 61
2024 52 $199M $-469K -16.3% -0.2% 45 1.30 46% 2,448 62

Owners

OwnerRole%SinceType
Citizens Memorial Hospital District
Bolivar, MO
5% or greater direct ownership interest 100 1981-08
Citizens Memorial Hospital District
Bolivar, MO
operational/managerial control 100 1981-08
Corey Rich corporate director 2017-11
Harold Berry corporate director 2012-03
Janieca Hancock corporate director 2023-04
John Kallenbach corporate director 2018-07
Kerry Douglas corporate director 2011-04
Michael Calhoun w-2 managing employee 2022-01
Renee Meyer w-2 managing employee 2020-01
Robin Sechler corporate director 2011-12

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