Nebraska Spine Hospital
dba Nebraska Spine Hospital Llc ·
Omaha, Douglas County, NE
· CCN 280133
Licensed to Nebraska Spine Hospital Llc
Composite
36.4
rank score
Distress
23
FY2023
Fit
65
vs thesis
Estimated ticket
$17.0M–$68.0M
34 beds ·
within envelope
Ownership
for-profit
STH
Why it ranks here
- 30-60 days cash on hand
- occupancy below 30%
- urban — higher occupancy and iteration surface
- small but workable bed count
- ticket size somewhat below the envelope
- very low occupancy — limited volume to learn from
- for-profit — no charitable conversion review
Latest financials · FY2023
| Net patient revenue | $55.5M |
| Operating margin | 46.8% |
| Total margin | 50.7% |
| Days cash on hand | 54 |
| Current ratio | 3.36 |
| Occupancy | 17% |
Facility
| Beds | 34 |
| Facility type | STH |
| Setting | urban |
| Ownership class | for-profit |
| Per-bed (low) | $500K |
| Per-bed (high) | $2.0M |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 34 | $48.9M | $24.0M | 49.0% | 49.1% | 163 | 2.03 | 16% | 799 | 9 |
| 2021 | 34 | $60.2M | $31.1M | 51.0% | 51.3% | 118 | 1.91 | 19% | 950 | 13 |
| 2022 | 34 | $55.9M | $27.7M | 49.5% | 49.5% | 59 | 2.16 | 18% | 873 | 26 |
| 2023 | 34 | $55.5M | $30.4M | 46.8% | 50.7% | 54 | 3.36 | 17% | 858 | 23 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Alegent Creighton Health | 5% or greater direct ownership interest | 51 | 2010-04 | |
| Nebraska Spine Holdings Llc | 5% or greater direct ownership interest | 34 | 2023-02 | |
| Collaborative Care Holdings Llc | 5% or greater indirect ownership interest | 15 | 2023-02 | |
| H I Investments Holding Company Llc | 5% or greater direct ownership interest | 15 | 2023-02 | |
| Health Inventures Llc | 5% or greater indirect ownership interest | 15 | 2023-02 | |
| Optum Inc | 5% or greater indirect ownership interest | 15 | 2023-02 | |
| Optumhealth Holdings Llc | 5% or greater indirect ownership interest | 15 | 2023-02 | |
| Sc Affiliates Llc | 5% or greater indirect ownership interest | 15 | 2023-02 | |
| Sca Holdco, Inc. | 5% or greater indirect ownership interest | 15 | 2023-02 | |
| Scai Holdings Llc | 5% or greater indirect ownership interest | 15 | 2023-02 | |
| Surgical Care Affiliates Llc | 5% or greater indirect ownership interest | 15 | 2023-02 | |
| United Healthcare Services Inc | 5% or greater indirect ownership interest | 15 | 2023-02 | |
| Unitedhealth Group Incorporated | 5% or greater indirect ownership interest | 15 | 2023-02 | |
| Anthony Ashby | corporate director | 2026-01 | ||
| Christopher Acker | corporate director | 2024-06 | ||
| Christopher Palumbo | contracted managing employee | 2017-11 | ||
| Christopher Palumbo | corporate officer | 2017-11 | ||
| Douglas Page | corporate director | 2025-06 | ||
| Edward Farrell | corporate director | 2025-07 | ||
| John Hain | corporate director | 2025-01 | ||
| John Mcclellan | corporate director | 2012-09 | ||
| Nick O'tool | corporate director | 2024-03 | ||
| Timothy Burd | operational/managerial control | 2023-01 |
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.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 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 |