dealflow
envelope $200M

← Targets

St Alexius Medical Center

dba Chi St. Alexius Health · Bismarck, Burleigh County, ND · CCN 350002
Licensed to St Alexius Medical Center

Composite
63.3
rank score
Distress
74
FY2024
Fit
75
vs thesis
Estimated ticket
$55.0M–$220M
157 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • current ratio below 0.8
  • occupancy 45-60%
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size uses the capital envelope well
  • moderate occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$221M
Operating margin -56.7%
Total margin -30.5%
Days cash on hand 0
Current ratio -9.18
Occupancy57%

Facility

Beds157
Facility typeSTH
Settingurban
Ownership classnonprofit
Per-bed (low) $350K
Per-bed (high) $1.4M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 157 $232M $-87.8M -48.8% -34.2% 0 -0.69 55% 7,768 93
2022 157 $249M $-51.3M -28.7% -19.1% 0 -2.20 57% 6,785 93
2023 157 $231M $-70.9M -38.1% -28.5% 0 -4.33 55% 5,431 82
2024 157 $221M $-80.7M -56.7% -30.5% 0 -9.18 57% 5,651 74

Owners

OwnerRole%SinceType
Commonspirit Health
Englewood, CO
5% or greater direct ownership interest 2014-10
Evert Kuiper corporate director 2022-01
John Giese corporate director 2007-12
John Mongeon corporate director 2018-10
Kevin Dahmen corporate director 2018-07
Marvin O'quinn other 2022-08
Michael Lefor corporate director 2016-04
Mike Weisbeck corporate director 2019-11
Nancy Miller corporate director 2008-05
Nicole Kunze corporate director 2020-08
Reed Reyman corporate officer 2022-12
Reed Reyman operational/managerial control 2022-12
Syed Shiraz Hyder corporate officer 2018-10
Timothy Bopp corporate director 2018-07
Todd Preszler corporate director 2016-10

Ownership changes

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