Mercyone Elkader Medical Center
Elkader, Clayton County, IA
· CCN 161319
Licensed to Central Community Hospital
Composite
29.9
rank score
Distress
32
FY2024
Fit
34
vs thesis
Estimated ticket
$1.3M–$2.5M
15 beds ·
within envelope
Ownership
nonprofit
CAH
Why it ranks here
- operating margin negative
- occupancy below 30%
- margin deteriorating sharply
- part of a multi-hospital chain — divestiture candidate
- rural — cheaper but limited density
- very small facility
- 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 | $12.9M |
| Operating margin | -1.3% |
| Total margin | 3.5% |
| Days cash on hand | 175 |
| Current ratio | 5.73 |
| Occupancy | 15% |
Facility
| Beds | 15 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | nonprofit |
| 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 | 15 | $9.6M | $1.6M | 2.1% | 14.3% | 233 | 5.80 | 20% | 123 | 9 |
| 2022 | 15 | $9.8M | $-186K | -7.0% | -1.8% | 198 | 6.81 | 17% | 137 | 39 |
| 2023 | 15 | $12.3M | $709K | 0.9% | 5.5% | 174 | 8.98 | 18% | 102 | 16 |
| 2024 | 15 | $12.9M | $471K | -1.3% | 3.5% | 175 | 5.73 | 15% | 95 | 32 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Mercy Community Hospital Group Llc | 5% or greater direct ownership interest | 100 | 2018-10 | |
| Mercy Health Network Inc | 5% or greater indirect ownership interest | 100 | 2018-10 | |
| Trinity Health Corporation | 5% or greater indirect ownership interest | 100 | 2022-09 | chain |
| Alana Monson | contracted managing employee | 2025-03 | ||
| Alana Monson | corporate officer | 2025-03 | ||
| Alana Monson | operational/managerial control | 2025-03 | ||
| Chelsea Dreyer | corporate director | 2021-05 | ||
| Donna Lawlor | operational/managerial control | 2021-07 | ||
| Gene Glawe | corporate director | 2022-01 | ||
| Hilary Christiansen | operational/managerial control | 2024-12 | ||
| Jay Moser | corporate officer | 2021-01 | ||
| Jay Moser | corporate director | 2015-12 | ||
| Jennifer Cowsert | corporate officer | 2011-10 | ||
| Jennifer Cowsert | corporate director | 2009-08 | ||
| Justin Vorwald | corporate officer | 2016-09 | ||
| Justin Vorwald | corporate director | 2015-12 | ||
| Michael Trachta | corporate officer | 2023-04 | ||
| Michael Trachta | operational/managerial control | 2023-04 | ||
| Robert Hankey | corporate director | 2021-02 | ||
| Robert Hauber | corporate officer | 2021-09 | ||
| Robert Hauber | corporate director | 2020-04 | ||
| Sandra Christensen | corporate officer | 2024-07 | ||
| Sandra Christensen | operational/managerial control | 2024-07 | ||
| Stuart Kilpinen | operational/managerial control | 2023-06 |
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 |