dealflow
envelope $200M

← Targets

Sullivan County Memorial Hospital

Milan, Sullivan County, MO · CCN 261306
Licensed to Sullivan County Memorial Hospital

Composite
52.2
rank score
Distress
75
FY2023
Fit
46
vs thesis
Estimated ticket
$1.0M–$2.0M
17 beds · within envelope
Ownership
government
CAH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • current ratio under 1.5
  • occupancy 45-60%
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • very small facility
  • very small ticket — sub-scale as a platform asset
  • moderate occupancy
  • government-owned — public process likely

Latest financials · FY2023

Net patient revenue$9.7M
Operating margin -26.3%
Total margin -12.8%
Days cash on hand 8
Current ratio 1.12
Occupancy53%

Facility

Beds17
Facility typeCAH
Settingrural
Ownership classgovernment
Per-bed (low) $59.5K
Per-bed (high) $119K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 18 $7.6M $-102K -21.9% -1.1% 182 1.02 45% 99 52
2021 21 $8.5M $2.9M -21.7% 21.9% 58 1.59 23% 101 53
2022 18 $9.5M $-238K -17.0% -2.2% 54 1.25 39% 85 61
2023 17 $9.7M $-1.4M -26.3% -12.8% 8 1.12 53% 100 75

Owners

OwnerRole%SinceType
Amy Michael corporate officer 80 2009-09
Amy Michael w-2 managing employee 80 2009-09
Amy Michael operational/managerial control 80 2009-09
Martha Gragg corporate officer 2023-03
Martha Gragg w-2 managing employee 2023-03
Martha Gragg operational/managerial control 2023-03

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
2023-10-01 Mercy Hospital Perry Perry County Health System Perry County Memorial Hospital 25