dealflow
envelope $200M

← Targets

Perkins County Health Services

Grant, Perkins County, NE · CCN 281356
Licensed to Perkins County Hospital District

Composite
23.6
rank score
Distress
25
FY2024
Fit
31
vs thesis
Estimated ticket
$1.7M–$3.4M
20 beds · within envelope
Ownership
government
CAH

Why it ranks here

  • operating margin negative
  • occupancy below 30%
  • margin slipping
  • 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$28.1M
Operating margin -4.4%
Total margin 5.5%
Days cash on hand 264
Current ratio 7.35
Occupancy14%

Facility

Beds20
Facility typeCAH
Settingrural
Ownership classgovernment
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 20 $27.0M $2.0M -10.1% 6.3% 187 3.97 27% 331 37
2022 20 $28.3M $281K -5.4% 0.9% 233 4.41 23% 312 34
2023 20 $25.3M $341K -13.0% 1.2% 211 6.91 19% 222 40
2024 20 $28.1M $1.7M -4.4% 5.5% 264 7.35 14% 163 25

Owners

OwnerRole%SinceType
Neil Hilton corporate officer 100 2018-01
Neil Hilton w-2 managing employee 100 2018-01

Ownership changes

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