Guttenberg Municipal Hospital
Guttenberg, Clayton County, IA
· CCN 161312
Licensed to Guttenberg Municipal Hospital
Composite
31.4
rank score
Distress
36
FY2024
Fit
38
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin negative
- 90-150 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
- government-owned — public process likely
Latest financials · FY2024
| Net patient revenue | $26.2M |
| Operating margin | -4.6% |
| Total margin | 3.1% |
| Days cash on hand | 93 |
| Current ratio | 3.33 |
| Occupancy | 13% |
Facility
| Beds | 25 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | government |
| Per-bed (low) | $85.0K |
| Per-bed (high) | $170K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 25 | $19.9M | $2.1M | -7.3% | 8.9% | 283 | 4.64 | 15% | 182 | 31 |
| 2022 | 25 | $21.8M | $2.8M | -1.5% | 11.1% | 260 | 8.23 | 12% | 134 | 24 |
| 2023 | 25 | $23.5M | $122K | -3.0% | 0.5% | 197 | 5.61 | 15% | 174 | 28 |
| 2024 | 25 | $26.2M | $879K | -4.6% | 3.1% | 93 | 3.33 | 13% | 205 | 36 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| City Of Guttenberg | 5% or greater direct ownership interest | 100 | 1966-01 | |
| Janice Andregg | corporate officer | 20 | 2016-01 | |
| Susan Osterhaus | corporate officer | 20 | 2014-01 | |
| William Allyn | corporate officer | 20 | 2012-01 | |
| Austin Coon | corporate officer | 2022-10 | ||
| Jill Knepper | w-2 managing employee | 2017-01 | ||
| Mercy Health Network Inc | operational/managerial control | 2017-10 | ||
| Robin Esmann | w-2 managing employee | 1999-10 | ||
| Stephanie Radabaugh | corporate officer | 2022-01 | ||
| Timothy Ahlers | contracted managing employee | 2019-04 | ||
| Timothy Ahlers | corporate officer | 2019-04 |
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 |
|---|---|---|---|---|
| 2021-07-01 | Henry County Health Center Inc | Henry County Soldiers' And... | Henry County Health Center | 25 |
| 2019-05-01 | Avera Mckennan | Sanford Health Network | Avera Merrill Pioneer Hospital | 11 |