dealflow
envelope $200M

← Targets

St Aloisius Medical Center

dba Smp Health - St. Aloisius · Harvey, Wells County, ND · CCN 351327
Licensed to St Aloisius Hospital, Inc.

Composite
35.3
rank score
Distress
42
FY2023
Fit
41
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds · within envelope
Ownership
nonprofit
CAH

Why it ranks here

  • operating margin negative
  • under 30 days cash on hand
  • occupancy below 30%
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • very low occupancy — limited volume to learn from
  • nonprofit — expect AG conversion review

Latest financials · FY2023

Net patient revenue$23.7M
Operating margin -2.2%
Total margin 7.0%
Days cash on hand 23
Current ratio 2.45
Occupancy24%

Facility

Beds25
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
2020 25 $17.7M $60.9K -6.3% 0.3% 97 1.11 24% 262 42
2021 25 $20.7M $4.7M 2.0% 18.9% 61 3.19 26% 244 19
2022 25 $21.8M $127K -3.9% 0.5% 53 2.86 26% 264 44
2023 25 $23.7M $1.7M -2.2% 7.0% 23 2.45 24% 237 42

Owners

OwnerRole%SinceType
Anne Picard corporate director 2024-07
Debra Berry corporate director 2019-09
Doug Heil corporate director 2025-07
Gordon Schmidt corporate director 2017-07
Kathy Muscha corporate director 2024-07
Mary Hager corporate director 2024-07
Nicole Anderson corporate officer 2024-06
Ryan Mickelsen contracted managing employee 2023-01
Ryan Mickelsen corporate officer 2023-01
Sisters Of Mary Of The Presentation Health System
Fargo, ND
operational/managerial control 2007-12
Steven Kourajian corporate director 2024-07

Ownership changes

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