dealflow
envelope $200M

← Targets

Syracuse Area Health

Syracuse, Otoe County, NE · CCN 281309
Licensed to Community Memorial Hospital District

Composite
36.7
rank score
Distress
54
FY2024
Fit
31
vs thesis
Estimated ticket
$722K–$1.4M
10 beds · within envelope
Ownership
government
CAH

Why it ranks here

  • operating margin -10% to -5%
  • total margin negative
  • 60-90 days cash on hand
  • occupancy below 30%
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • very small facility
  • very small ticket — sub-scale as a platform asset
  • very low occupancy — limited volume to learn from
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$30.9M
Operating margin -8.4%
Total margin -1.8%
Days cash on hand 64
Current ratio 1.82
Occupancy22%

Facility

Beds10
Facility typeCAH
Settingrural
Ownership classgovernment
Per-bed (low) $72.2K
Per-bed (high) $144K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 10 $24.1M $4.0M -3.2% 13.9% 209 2.35 13% 122 24
2022 10 $23.8M $-573K -11.6% -2.2% 105 2.59 17% 107 49
2023 10 $26.6M $-337K -8.1% -1.2% 56 1.98 17% 163 56
2024 10 $30.9M $-592K -8.4% -1.8% 64 1.82 22% 157 54

Owners

OwnerRole%SinceType
Community Memorial Hospital District
Syracuse, NE
operational/managerial control 2019-08
Douglas Magill corporate officer 2016-07
Douglas Magill corporate director 2014-06
Fred Bredehoeft corporate officer 2014-06
Fred Bredehoeft corporate director 2012-06
Irene Wilhelm corporate director 2024-06
Janell Moore corporate director 2018-07
Lisa Cast w-2 managing employee 2025-05
Lisa Cast operational/managerial control 2025-05
Lisa Voorhees w-2 managing employee 2000-04
Lisa Voorhees operational/managerial control 2000-04
William Wittler corporate director 2016-06

Ownership changes

No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.