dealflow
envelope $200M

← Targets

Scotland County Memorial Hospital

dba Scotland County Hospital · Memphis, Scotland County, MO · CCN 261310
Licensed to Scotland County Memorial Hospital

Composite
51.2
rank score
Distress
71
FY2024
Fit
48
vs thesis
Estimated ticket
$1.5M–$3.0M
25 beds · within envelope
Ownership
government
CAH

Why it ranks here

  • operating margin below -10%
  • total margin -8% to -3%
  • under 30 days cash on hand
  • debt above 70% of assets
  • occupancy 30-45%
  • margin deteriorating
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • thin occupancy
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$31.1M
Operating margin -13.6%
Total margin -5.9%
Days cash on hand 28
Current ratio 1.94
Occupancy33%

Facility

Beds25
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
2021 25 $14.8M $-758K -62.0% -3.3% 137 1.62 34% 435 58
2022 25 $18.5M $-3.7M -41.8% -16.4% 57 1.30 36% 466 78
2023 25 $18.5M $-6.0M -54.2% -26.7% 53 1.30 32% 428 78
2024 25 $31.1M $-2.0M -13.6% -5.9% 28 1.94 33% 436 71

Owners

OwnerRole%SinceType
Brent Peirick w-2 managing employee 100 2022-08
Brent Peirick operational/managerial control 100 2022-08
Meagan Weber w-2 managing employee 100 2022-08
Meagan Weber operational/managerial control 100 2022-08
Scotland County Memorial Hospital
Memphis, MO
5% or greater direct ownership interest 100 2008-05
Brent Peirick corporate officer 2022-08
Meagan Weber corporate officer 2022-08

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