dealflow
envelope $200M

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Veterans Memorial Hospital

Waukon, Allamakee County, IA · CCN 161318
Licensed to Veterans Memorial Hospital City Of Waukon Ia

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 negative
  • 30-60 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$25.5M
Operating margin -2.9%
Total margin 4.1%
Days cash on hand 48
Current ratio 3.32
Occupancy18%

Facility

Beds25
Facility typeCAH
Settingrural
Ownership classgovernment
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 $19.0M $5.8M -2.9% 22.8% 201 1.78 29% 451 24
2022 25 $21.7M $2.5M 6.7% 11.1% 182 2.08 29% 411 9
2023 25 $21.8M $789K -4.9% 3.3% 55 2.67 23% 344 41
2024 25 $25.5M $1.1M -2.9% 4.1% 48 3.32 18% 334 47

Owners

OwnerRole%SinceType
Veterans Memorial Hospital City Of Waukon Ia
Waukon, IA
other 100 2022-11
Dawn Clark corporate officer 2025-01
Dennis Koenig corporate director 2023-07
Dennis Lyons corporate director 2022-11
John Ellingson corporate officer 2025-01
Larry Schellhammer corporate officer 2025-01
Michael Coyle w-2 managing employee 2023-04
Michael Coyle operational/managerial control 2020-09
Patty Nordheim corporate director 2022-11
Ronald Osterholm corporate officer 2025-01

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.

DateBuyerSellerHospitalBeds
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