dealflow
envelope $200M

← Targets

Freeman Neosho Hospital

Neosho, Newton County, MO · CCN 261331
Licensed to Freeman Neosho Hospital

Composite
36.2
rank score
Distress
35
FY2024
Fit
51
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds · within envelope
Ownership
nonprofit
CAH

Why it ranks here

  • under 30 days cash on hand
  • occupancy 30-45%
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • thin occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$33.2M
Operating margin 4.0%
Total margin 28.0%
Days cash on hand 13
Current ratio 1.53
Occupancy30%

Facility

Beds25
Facility typeCAH
Settingrural
Ownership classnonprofit
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 25 $25.5M $17.1M -6.4% 59.2% 9 1.22 30% 611 53
2022 25 $31.2M $7.3M 4.5% 20.6% 10 1.60 33% 568 28
2023 21 $32.9M $351K 3.3% 1.0% 12 1.39 40% 560 34
2024 25 $33.2M $12.4M 4.0% 28.0% 13 1.53 30% 620 35

Owners

OwnerRole%SinceType
Amanda Harrell corporate officer 2024-12
Brady Hesington corporate director 2025-07
Craig Pendergrass corporate director 2005-10
Freeman-Oak Hill Health System
Joplin, MO
operational/managerial control 2006-04
Gary Wasson corporate director 2009-01
James Armstrong corporate director 2025-07
Jason Maxfield corporate director 2025-01
Jeffery Thompson corporate officer 2021-02
Justin Dillingham corporate director 2023-04
Kent Farnsworth corporate director 2025-07
Larry Barnes corporate director 2005-10
Leesa Apfelbaum w-2 managing employee 2009-06
Matthew Fry corporate officer 2025-04
Mitch Mccumber corporate director 2005-10
Renee Denton w-2 managing employee 2012-09
Renee Denton operational/managerial control 2012-09
Rudy Farber corporate director 2005-10
Steven Graddy corporate officer 2007-11
Steven Graddy w-2 managing employee 2007-11

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