dealflow
envelope $200M

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Nebraska Orthopaedic Hospital Llc

dba Nebraska Orthopaedic Hospital · Omaha, Douglas County, NE · CCN 280129
Licensed to Nebraska Orthopaedic Hospital Llc

Composite
37.9
rank score
Distress
38
FY2023
Fit
52
vs thesis
Estimated ticket
$12.0M–$48.0M
24 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • under 30 days cash on hand
  • occupancy below 30%
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • very small facility
  • small ticket — deploys little of the available capital
  • very low occupancy — limited volume to learn from
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$125M
Operating margin 3.9%
Total margin 4.5%
Days cash on hand 16
Current ratio 3.35
Occupancy7%

Facility

Beds24
Facility typeSTH
Settingurban
Ownership classfor-profit
Per-bed (low) $500K
Per-bed (high) $2.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 24 $84.5M $18.3M 13.3% 19.9% 55 1.71 21% 1,543 26
2021 24 $98.9M $22.1M 21.5% 22.2% 28 1.82 8% 463 31
2022 24 $112M $25.7M 22.5% 22.8% 13 2.24 6% 277 31
2023 24 $125M $5.6M 3.9% 4.5% 16 3.35 7% 326 38

Owners

OwnerRole%SinceType
Orthopaedic (Itc) Hospital Holdings, Llc
Omaha, NE
5% or greater direct ownership interest 100 2023-07
Orthopaedic (Itc) Holdings, Llc
Omaha, NE
5% or greater indirect ownership interest 100 2023-07
Orthopaedic (Itc) Intermediate Holdings, Llc
Omaha, NE
5% or greater indirect ownership interest 100 2023-07
Itc Iii Ortho Splitter, Lp
New York, NY
5% or greater indirect ownership interest 51 2023-07
Orthopaedic (Itc) Buyer, Llc
New York, NY
5% or greater indirect ownership interest 51 2023-07
Outlook, Llc
Omaha, NE
5% or greater indirect ownership interest 49 2023-07
Intandem Capital Partners Fund Iii, Lp
New York, NY
5% or greater indirect ownership interest 30 2023-07
Itc Iii Ortho Blocker, Llc
New York, NY
5% or greater indirect ownership interest 14 2023-07
Itc Ortho Co-Invest, Lp
New York, NY
5% or greater indirect ownership interest 14 2023-07
Levi Scheppers corporate officer 2015-05
Levi Scheppers w-2 managing employee 2015-05
Tara Wisdom corporate officer 2019-09
Tara Wisdom w-2 managing employee 2019-09

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