dealflow
envelope $200M

← Targets

Nelson County Health System-Hospital

Mcville, Nelson County, ND · CCN 351308

Composite
27.6
rank score
Distress
31
FY2024
Fit
34
vs thesis
Estimated ticket
$1.6M–$3.2M
19 beds · within envelope
Ownership
nonprofit
CAH

Why it ranks here

  • operating margin negative
  • 60-90 days cash on hand
  • occupancy below 30%
  • 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
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$9.0M
Operating margin -1.8%
Total margin 15.4%
Days cash on hand 77
Current ratio 8.42
Occupancy11%

Facility

Beds19
Facility typeCAH
Settingrural
Ownership classnonprofit
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 19 $5.7M $126K -33.5% 1.2% 124 1.12 8% 19 52
2022 19 $6.8M $462K -19.8% 5.3% 103 5.33 10% 42 41
2023 19 $7.2M $-828K -24.9% -10.2% 53 6.61 7% 45 70
2024 19 $9.0M $1.7M -1.8% 15.4% 77 8.42 11% 34 31

Owners

No ownership records — CMS has no owner filings mapped to this CCN.

Ownership changes

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