dealflow
envelope $200M

← Targets

Stroud Regional Medical Center

dba Rural Wellness Stroud Hospital · Stroud, Lincoln County, OK · CCN 371316
Licensed to Rural Wellness Stroud Inc

Composite
58.1
rank score
Distress
82
FY2023
Fit
53
vs thesis
Estimated ticket
$1.5M–$3.0M
25 beds · within envelope
Ownership
nonprofit
CAH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • current ratio below 0.8
  • liabilities exceed assets
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review

Latest financials · FY2023

Net patient revenue$42.4M
Operating margin -33.1%
Total margin -32.8%
Days cash on hand 6
Current ratio 0.19
Occupancy84%

Facility

Beds25
Facility typeCAH
Settingrural
Ownership classnonprofit
Per-bed (low) $59.5K
Per-bed (high) $119K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 25 $38.5M $-19.0M -49.5% -49.2% 5 0.05 89% 61 91
2021 25 $40.4M $-20.1M -50.7% -49.2% 5 0.04 87% 43 91
2022 25 $31.4M $-14.7M -50.9% -45.1% 14 0.23 82% 35 91
2023 25 $42.4M $-13.9M -33.1% -32.8% 6 0.19 84% 35 82

Owners

OwnerRole%SinceType
Angelia Sylsberry w-2 managing employee 100 2024-07
Elizabeth Pusey 5% or greater indirect ownership interest 100 2021-11
Elizabeth Pusey corporate director 100 2021-11
Rural Wellness Healthcare Llc
Edmond, OK
5% or greater direct ownership interest 100 2021-11
Avem Business Solutions Stroud, Llc
Oklahoma City, OK
operational/managerial control 2021-11
Avem Staffing Resources, Llc
Oklahoma City, OK
operational/managerial control 2021-11
Rural Hospital Acquisition Llc
Oklahoma City, OK
5% or greater security interest 2021-11

Ownership changes

DateTypeBuyerSeller
2021-11-01 change of ownership Rural Wellness Stroud Inc Rha Stroud, Inc

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
2021-11-01 Rural Wellness Anadarko Inc Rha Anadarko Inc Physicians Hospital At Anadarko 25
2021-11-01 Rural Wellness Stroud Inc Rha Stroud, Inc Stroud Regional Medical Center 25
2020-12-31 Prague Healthcare Authority Trancendental Union With Love And... Prague Community Hospital 25
2020-05-15 Haskell Regional Hospital Inc Cah Acquisition Company 16 Llc Haskell Regional Hospital 25
2020-04-13 Drumright Community Hospital Llc Cah Acquisition Company 4, Inc Drumright Regional Hospital 15
2020-03-20 Rural Wellness Fairfax Inc Cah Acquisition Company 12 Llc Fairfax Community Hospital 25
2019-04-05 Memorial Hospital Of Texas County Authority Srp Guymon Llc Memorial Hospital Of Texas County 6
2019-03-01 Jackson County Memorial Hospital Authority Harmon County Healthcare Authority Harmon Memorial Hospital 22
2017-06-30 Mangum City Hospital Authority Blackhawk Mangum Llc Mangum Regional Medical Center 18