dealflow
envelope $200M

← Targets

Adair County Health Center

Stilwell, OK · CCN 370178

Composite
53.5
rank score
Distress
78
FY2024
Fit
46
vs thesis
Estimated ticket
$2.1M–$4.2M
30 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • occupancy below 30%
  • margin deteriorating sharply
  • 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 · FY2024

Net patient revenue$10.7M
Operating margin -55.0%
Total margin -26.1%
Days cash on hand 0
Current ratio 40.78
Occupancy12%

Facility

Beds30
Facility typeSTH
Settingrural
Ownership classnonprofit
Per-bed (low) $70.0K
Per-bed (high) $140K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 30 $13.7M $-2.4M -36.7% -14.5% 19 16.35 32% 695 72
2022 30 $14.0M $-2.3M -30.9% -14.0% 5 12.42 23% 491 76
2023 30 $13.5M $-2.1M -28.7% -13.8% 45.54 20% 533 69
2024 30 $10.7M $-3.4M -55.0% -26.1% 0 40.78 12% 355 78

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.

Who has been buying in OK

Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.

DateBuyerSellerHospitalBeds
2025-12-01 Comanche County Hospital Authority Southwestern Medical Center, Llc Comanche County Memorial Hospital 183
2023-11-01 Integris Health Ponca City Hospital Inc Kay County Oklahoma Hospital Company, Llc Ponca City Medical Center 47
2023-11-01 Integris Health Woodward Hospital Inc Woodward Health System Llc Alliancehealth Woodward 40
2022-07-01 St Anthony Shawnee Hospital Inc Seminole Hma Llc St Anthony Shawnee Hospital 61
2021-04-01 Ssm Health Care Of Oklahoma, Inc. Midwest Regional Medical Center, Llc Ssm Health St Anthony Hospital - Mid 126
2019-01-01 Saint Francis Hospital, Inc. Saint Francis Home Health Inc. Saint Francis Hospital 903
2018-10-01 Integris Baptist Medical Center Inc Deaconess Health System Llc Integris Baptist Medical Center 615
2017-05-01 Ahs Pryor Hospital, Llc Mayes County Hma, Llc Hillcrest Hospital Pryor 21
2017-04-01 Saint Francis Hospital Muskogee Inc Muskogee Regional Medical Center Llc Saint Francis Hospital Muskogee 236