dealflow
envelope $200M

← Targets

Grand Island Regional Medical Center

Grand Island, Hall County, NE · CCN 280139
Licensed to Grand Island Regional Medical Center

Composite
58.8
rank score
Distress
82
FY2023
Fit
50
vs thesis
Estimated ticket
$4.2M–$8.4M
60 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • 30-60 days cash on hand
  • current ratio below 0.8
  • liabilities exceed assets
  • occupancy 30-45%
  • part of a multi-hospital chain — divestiture candidate
  • rural — cheaper but limited density
  • bed count in the target band
  • very small ticket — sub-scale as a platform asset
  • thin occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2023

Net patient revenue$63.0M
Operating margin -36.5%
Total margin -21.2%
Days cash on hand 41
Current ratio 0.74
Occupancy36%

Facility

Beds60
Facility typeSTH
Settingrural
Ownership classnonprofit
Per-bed (low) $70.0K
Per-bed (high) $140K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 52 $4.7M $-16.0M -343.5% -328.3% 204 1.68 9% 230 64
2021 60 $40.6M $-17.0M -42.3% -41.6% 81 1.21 33% 1,906 74
2022 60 $52.9M $-20.6M -41.3% -38.0% 63 0.67 38% 1,817 84
2023 60 $63.0M $-15.1M -36.5% -21.2% 41 0.74 36% 1,298 82

Owners

OwnerRole%SinceType
Andrew Waterman corporate officer 2023-12
Andrew Waterman w-2 managing employee 2018-01
Andrew Waterman operational/managerial control 2018-01
Bryan Health
Lincoln, NE
operational/managerial control 2017-12 chain
Cindy Johnson corporate officer 2023-01
Cindy Johnson corporate director 2021-02
Gregory Sextro corporate director 2024-01
John Woodrich corporate director 2019-02
Krista Stoecker corporate director 2024-01
Molly Johnson corporate director 2019-02
Russell Gronewold corporate director 2019-02
Ryan Crouch corporate officer 2023-01
Ryan Crouch corporate director 2019-02
Teresa Grabowski corporate director 2023-01
Thomas Werner corporate director 2019-02
Tracy Schmitt w-2 managing employee 2024-11
Tracy Schmitt operational/managerial control 2024-11

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