dealflow
envelope $200M

← Targets

Chi Health Midlands

Papillion, Sarpy County, NE · CCN 280105
Licensed to Alegent Creighton Health

Composite
59.6
rank score
Distress
79
FY2024
Fit
60
vs thesis
Estimated ticket
$9.8M–$39.2M
28 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin below -10%
  • total margin negative
  • under 30 days cash on hand
  • current ratio below 0.8
  • occupancy 30-45%
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • small but workable bed count
  • small ticket — deploys little of the available capital
  • thin occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$46.9M
Operating margin -12.8%
Total margin -2.5%
Days cash on hand 0
Current ratio -0.41
Occupancy33%

Facility

Beds28
Facility typeSTH
Settingurban
Ownership classnonprofit
Per-bed (low) $350K
Per-bed (high) $1.4M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 28 $37.4M $3.0M -6.5% 7.0% 2 -0.19 33% 797 63
2022 28 $39.0M $-406K -9.3% -1.0% 1 -0.12 33% 906 71
2023 28 $40.8M $-2.3M -18.8% -5.0% 3 -0.26 29% 894 84
2024 28 $46.9M $-1.3M -12.8% -2.5% 0 -0.41 33% 1,050 79

Owners

OwnerRole%SinceType
Chi Nebraska
Omaha, NE
5% or greater direct ownership interest 100 2013-08
Commonspirit Health
Chicago, IL
5% or greater indirect ownership interest 100 2013-08
Daniel Morissette other 2023-09
Dave Taylor corporate director 2022-10
Evert Kuiper corporate director 2022-01
Evert Kuiper operational/managerial control 2022-01
Heather Morgan corporate director 2020-07
John Petersdorf corporate director 2021-01
Kathryne Cutler corporate director 2023-07
Kelly Bacon corporate director 2021-07
Kevin Fitzgerald corporate director 2021-07
Kevin Miller contracted managing employee 2017-04
Kirtibala Gupta corporate director 2021-07
Leo Searcey corporate director 2022-10
Mardell Wilson corporate director 2020-10
Maurita Soukup corporate director 2017-07
Nadine Heimann corporate director 2019-07
Nick O'tool corporate officer 2023-07
Nick O'tool operational/managerial control 2023-01
Tim Bricker corporate officer 2023-07
Tim Bricker corporate director 2023-07
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