dealflow
envelope $200M

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Midwest Surgical Hospital

dba Midwest Surgical Hospital Llc · Omaha, Douglas County, NE · CCN 280131
Licensed to Midwest Surgical Hospital Llc

Composite
30.8
rank score
Distress
18
FY2023
Fit
52
vs thesis
Estimated ticket
$9.5M–$38.0M
19 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • 90-150 days cash on hand
  • occupancy below 30%
  • margin deteriorating
  • part of a multi-hospital chain — divestiture candidate
  • 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$71.7M
Operating margin 33.3%
Total margin 34.0%
Days cash on hand 95
Current ratio 4.63
Occupancy10%

Facility

Beds19
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 19 $54.7M $21.6M 37.8% 38.5% 123 1.43 29% 1,191 17
2021 19 $66.9M $29.2M 37.2% 40.6% 23 1.71 22% 838 31
2022 19 $70.1M $24.8M 36.2% 35.3% 82 5.93 16% 787 19
2023 19 $71.7M $24.7M 33.3% 34.0% 95 4.63 10% 295 18

Owners

OwnerRole%SinceType
Sp Holdco I Inc
Brentwood, TN
5% or greater indirect ownership interest 51 2021-12
Surgery Center Holdings Inc
Brentwood, TN
5% or greater direct ownership interest 51 2021-12 chain
Surgery Center Holdings Llc
Brentwood, TN
5% or greater indirect ownership interest 51 2021-12
Surgery Partners Inc
Brentwood, TN
5% or greater indirect ownership interest 51 2021-12
Surgery Center Holdings Inc
Brentwood, TN
other 50 2022-01 chain
Gikk Investments Llc
Omaha, NE
5% or greater direct ownership interest 18 2006-10
Mwns Surgical Llc
Omaha, NE
5% or greater direct ownership interest 17 2006-10
Bcpe Seminole Holdings Ii Intermediate Lp
Boston, MA
5% or greater indirect ownership interest 12 2023-03
Nebraska Methodist Hospital
Omaha, NE
5% or greater direct ownership interest 6 2006-10
Physicians Treasury Llc
Omaha, NE
5% or greater direct ownership interest 4 2024-01
Harrison Bane other 2024-09
Jennifer Baldock corporate officer 2021-12
Sp Management Services Inc
Brentwood, TN
operational/managerial control 2021-12
Stephen Doran w-2 managing employee 2023-12

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