dealflow
envelope $200M

← Targets

Chi Health Immanuel

Omaha, Douglas County, NE · CCN 280081
Licensed to Alegent Health Immanuel Medical Center

Composite
57.8
rank score
Distress
55
FY2024
Fit
78
vs thesis
Estimated ticket
$75.2M–$301M
177 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin -10% to -5%
  • under 30 days cash on hand
  • current ratio below 0.8
  • margin slipping
  • part of a multi-hospital chain — divestiture candidate
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size uses the capital envelope well
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$214M
Operating margin -6.4%
Total margin 8.6%
Days cash on hand 3
Current ratio -0.09
Occupancy66%

Facility

Beds177
Facility typeSTH
Settingurban
Ownership classnonprofit
Per-bed (low) $425K
Per-bed (high) $1.7M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 177 $187M $18.9M -1.3% 9.1% 2 -0.06 61% 7,676 51
2022 177 $178M $-1.9M -9.1% -1.0% 3 -0.06 50% 5,538 68
2023 177 $188M $878K -8.8% 0.4% 5 -0.09 58% 6,508 63
2024 177 $214M $21.3M -6.4% 8.6% 3 -0.09 66% 8,008 55

Owners

OwnerRole%SinceType
Chi Nebraska
Omaha, NE
5% or greater direct ownership interest 100 2023-11
Commonspirit Health
Chicago, IL
5% or greater indirect ownership interest 100 2013-08 chain
Anthony Ashby corporate officer 2024-03
Anthony Ashby w-2 managing employee 2024-03
Cindy Alloway corporate director 2025-10
Heather Morgan corporate director 2020-07
Kelly Bacon corporate director 2021-07
Kevin Fitzgerald corporate director 2021-07
Kirtibala Gupta corporate director 2021-07
Mardell Wilson corporate director 2020-10
Michelle Tidjani corporate director 2025-10
Nadine Heimann corporate director 2019-07
Nick O'tool corporate officer 2023-11
Nick O'tool operational/managerial control 2023-01
Terika Mbanu corporate officer 2024-01
Thomas Mcginn corporate director 2025-10
Thomas Rohleder corporate officer 2025-10
Tim Bricker corporate officer 2025-10
Tim Bricker corporate director 2025-10
William Barney corporate director 2020-07

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 NE

Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.

DateBuyerSellerHospitalBeds
2022-01-01 Bryan Hospital Kearney Kearney Regional Medical Center Llc Kearney Regional Medical Center 93
2018-10-01 Methodist Fremont Health Fremont Health Methodist Fremont Health 50