St. Anthony Regional Hospital
Carroll, Carroll County, IA · CCN 160005
Composite
51.5
rank score
Distress
70
FY2024
Fit
50
vs thesis
Estimated ticket
$3.4M–$6.9M
49 beds ·
within envelope
Ownership
nonprofit
STH
Why it ranks here
- operating margin below -10%
- total margin negative
- under 30 days cash on hand
- current ratio under 1.5
- occupancy 30-45%
- margin deteriorating sharply
- rural — cheaper but limited density
- small but workable bed count
- very small ticket — sub-scale as a platform asset
- thin occupancy
- nonprofit — expect AG conversion review
Latest financials · FY2024
| Net patient revenue | $61.2M |
| Operating margin | -23.8% |
| Total margin | -1.6% |
| Days cash on hand | 6 |
| Current ratio | 1.43 |
| Occupancy | 32% |
Facility
| Beds | 49 |
| Facility type | STH |
| Setting | rural |
| Ownership class | nonprofit |
| Per-bed (low) | $70.0K |
| Per-bed (high) | $140K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 49 | $76.1M | $22.5M | -16.1% | 20.3% | 55 | 1.34 | 39% | 1,484 | 53 |
| 2022 | 49 | $80.9M | $-22.1M | -17.9% | -24.9% | 12 | 1.42 | 37% | 1,576 | 76 |
| 2023 | 49 | $84.0M | $-738K | -21.0% | -0.7% | 7 | 1.75 | 38% | 1,379 | 63 |
| 2024 | 49 | $61.2M | $-1.2M | -23.8% | -1.6% | 6 | 1.43 | 32% | 1,037 | 70 |
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 IA
Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 2025-09-01 | Northwest Iowa Hospital Corporation | Marian Health Center-Smhc | St. Lukes Regl Medical Center | 179 |
| 2024-01-31 | State University Of Iowa | Mercy Hospital Iowa City Iowa | University Of Iowa Health Care Medic | 211 |
| 2021-07-01 | Southeast Iowa Regional Medical Center Inc | Fort Madison Community Hospital | Southeast Iowa Regional Medical Ctr | 174 |