dealflow
envelope $200M

← Targets

Rusk Rehabilitation Hospital An Aff

dba Rusk Rehabilitation Hospital, An Affiliation Of Encompass Health And M · Columbia, Boone County, MO · CCN 263027
Licensed to Rusk Rehabilitation Center Llc

Composite
54.7
rank score
Distress
40
FY2024
Fit
87
vs thesis
Estimated ticket
$19.5M–$78.0M
60 beds · within envelope
Ownership
for-profit
RH

Why it ranks here

  • operating margin negative
  • under 30 days cash on hand
  • margin deteriorating
  • part of a multi-hospital chain — divestiture candidate
  • urban — higher occupancy and iteration surface
  • specialty facility — narrower problem scope
  • bed count in the target band
  • ticket size somewhat below the envelope
  • strong occupancy — good iteration surface
  • for-profit — no charitable conversion review

Latest financials · FY2024

Net patient revenue$25.3M
Operating margin -0.5%
Total margin 3.9%
Days cash on hand 29
Current ratio 3.35
Occupancy74%

Facility

Beds60
Facility typeRH
Settingurban
Ownership classfor-profit
Per-bed (low) $325K
Per-bed (high) $1.3M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 60 $21.5M $2.0M -0.5% 8.5% 32 2.97 72% 1,078 32
2021 60 $22.6M $2.2M 0.4% 8.8% 33 3.25 76% 1,111 23
2022 60 $15.0M $-171K -9.2% -1.1% 65 3.13 79% 728 40
2023 60 $25.7M $1.8M 3.8% 6.8% 32 3.38 75% 1,183 17
2024 60 $25.3M $1.0M -0.5% 3.9% 29 3.35 74% 1,173 40

Owners

OwnerRole%SinceType
Encompass Health Corporation
Birmingham, AL
5% or greater direct ownership interest 75 1995-02 chain
Curators Of The University Of Missouri
Columbia, MO
5% or greater direct ownership interest 25 1995-02
Vanguard Group Inc
Malvern, PA
5% or greater indirect ownership interest 10 2024-12
Blackrock Inc
New York, NY
5% or greater indirect ownership interest 9 2024-12
Carey Mcrae corporate officer 2025-01
David Fredericks w-2 managing employee 2025-09
Encompass Health Corporation
Birmingham, AL
operational/managerial control 1995-02 chain
Mark Tarr operational/managerial control 2017-01
Robert Mccallum corporate officer 2024-10

Ownership changes

No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.