Guthrie County Hospital
Guthrie Center, Guthrie County, IA
· CCN 161314
Licensed to Guthrie County Hospital
Composite
36.4
rank score
Distress
47
FY2024
Fit
38
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin -10% to -5%
- 60-90 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 | $22.6M |
| Operating margin | -5.4% |
| Total margin | 9.2% |
| Days cash on hand | 84 |
| Current ratio | 2.04 |
| Occupancy | 9% |
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 | $17.0M | $4.7M | -14.1% | 19.3% | 73 | 4.54 | 15% | 251 | 47 |
| 2022 | 25 | $18.8M | $1.5M | -7.8% | 6.8% | 60 | 5.43 | 15% | 247 | 48 |
| 2023 | 25 | $20.3M | $1.4M | -8.5% | 5.9% | 52 | 3.62 | 11% | 161 | 48 |
| 2024 | 25 | $22.6M | $2.4M | -5.4% | 9.2% | 84 | 2.04 | 9% | 148 | 47 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Austin Boeckman | w-2 managing employee | 2025-01 | ||
| Austin Boeckman | operational/managerial control | 2025-01 | ||
| Brandon Johnson | corporate officer | 2024-05 | ||
| Brandon Johnson | w-2 managing employee | 2024-05 | ||
| Brandon Johnson | operational/managerial control | 2024-05 | ||
| Central Iowa Hospital Corporation | operational/managerial control | 2014-01 | ||
| Cheryl Marks | corporate officer | 2021-01 | ||
| Cheryl Marks | corporate director | 2020-07 | ||
| Christopher Stipe | contracted managing employee | 2023-07 | ||
| Christopher Stipe | corporate officer | 2023-07 | ||
| Christopher Stipe | operational/managerial control | 2023-07 | ||
| Dana Tews | corporate officer | 2023-01 | ||
| Dana Tews | corporate director | 2021-01 | ||
| Doris Terwilliger | corporate director | 2023-01 | ||
| Douglas Kent | corporate officer | 2023-01 | ||
| Douglas Kent | corporate director | 2021-01 | ||
| Emily Donovan | corporate director | 2025-01 | ||
| Michael L Underwood | corporate officer | 2018-01 | ||
| Michael L Underwood | corporate director | 2017-01 | ||
| Sheyrl Clark | corporate director | 2023-01 |
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 |