dealflow
envelope $200M

← Targets

St. Michaels Hospital Inc.

Tyndall, Bon Homme County, SD · CCN 431327
Licensed to St Michael's Hospital, Inc.

Composite
34.0
rank score
Distress
39
FY2024
Fit
41
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds · within envelope
Ownership
nonprofit
CAH

Why it ranks here

  • operating margin below -10%
  • occupancy below 30%
  • margin deteriorating
  • 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$10.5M
Operating margin -26.7%
Total margin 13.2%
Days cash on hand 288
Current ratio 17.82
Occupancy12%

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
2021 25 $8.2M $2.1M -25.2% 17.1% 414 2.60 12% 65 37
2022 25 $9.8M $987K -16.3% 8.0% 371 20.15 14% 85 37
2023 25 $10.3M $1.4M -25.0% 9.8% 291 19.17 12% 90 37
2024 25 $10.5M $2.0M -26.7% 13.2% 288 17.82 12% 110 39

Owners

OwnerRole%SinceType
Ashli Danilko corporate officer 100 2020-09
St Michael's Hospital, Inc.
Tyndall, SD
5% or greater direct ownership interest 100 1966-01
Austin Koch corporate director 2020-12
Benjamin Hellmann corporate director 2023-01
Connie Tjeerdsma corporate director 2020-12
James Torsney corporate director 2021-12
Joseph Forcelle corporate director 2011-11
Laurie Jurrens corporate director 2016-11
Lisa Ronke w-2 managing employee 2012-03
Sacred Heart Health Services
Yankton, SD
operational/managerial control 2001-03
Steven Green corporate director 2025-01

Ownership changes

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