Pershing Memorial Hospital
Brookfield, Linn County, MO
· CCN 261307
Licensed to General John J Pershing Memorial Hospital Association
Composite
53.0
rank score
Distress
76
FY2024
Fit
47
vs thesis
Estimated ticket
$1.5M–$3.0M
25 beds ·
within envelope
Ownership
nonprofit
CAH
Why it ranks here
- operating margin below -10%
- total margin below -8%
- 30-60 days cash on hand
- current ratio under 1.5
- occupancy below 30%
- margin deteriorating sharply
- rural — cheaper but limited density
- small but workable bed count
- very small ticket — sub-scale as a platform asset
- very low occupancy — limited volume to learn from
- nonprofit — expect AG conversion review
Latest financials · FY2024
| Net patient revenue | $20.5M |
| Operating margin | -12.4% |
| Total margin | -9.1% |
| Days cash on hand | 32 |
| Current ratio | 1.47 |
| Occupancy | 15% |
Facility
| Beds | 25 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | nonprofit |
| Per-bed (low) | $59.5K |
| Per-bed (high) | $119K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 25 | $16.9M | $3.5M | -10.3% | 15.8% | 129 | 3.79 | 15% | 172 | 41 |
| 2022 | 25 | $17.4M | $-1.6M | -11.9% | -8.9% | 86 | 3.85 | 13% | 241 | 63 |
| 2023 | 25 | $18.9M | $-2.0M | -13.1% | -10.4% | 28 | 2.36 | 14% | 247 | 76 |
| 2024 | 25 | $20.5M | $-1.9M | -12.4% | -9.1% | 32 | 1.47 | 15% | 229 | 76 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Brian Winn | corporate director | 10 | 2014-05 | |
| David Shaw | corporate director | 10 | 2011-06 | |
| Gail Turner | corporate director | 10 | 2001-06 | |
| Gary Routledge | corporate director | 10 | 2002-06 | |
| James Elliot | corporate director | 10 | 2011-06 | |
| Joe Smith | corporate director | 10 | 2015-06 | |
| Mark Cleveland | corporate director | 10 | 2005-06 | |
| William Thudium | corporate director | 10 | 1991-06 | |
| David Cichocki | corporate officer | 2025-03 | ||
| David Cichocki | w-2 managing employee | 2025-03 | ||
| James Elliot | corporate officer | 2014-07 | ||
| Karla Clubine | corporate officer | 2021-11 | ||
| Karla Clubine | w-2 managing employee | 2021-11 | ||
| William Thudium | corporate officer | 2014-07 |
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.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 2023-10-01 | Mercy Hospital Perry | Perry County Health System | Perry County Memorial Hospital | 25 |