Avera Merrill Pioneer Hospital
Rock Rapids, Lyon County, IA
· CCN 161321
Licensed to Avera Mckennan
Composite
47.8
rank score
Distress
76
FY2024
Fit
34
vs thesis
Estimated ticket
$654K–$1.3M
11 beds ·
within envelope
Ownership
nonprofit
CAH
Why it ranks here
- operating margin -10% to -5%
- under 30 days cash on hand
- current ratio below 0.8
- liabilities exceed assets
- occupancy below 30%
- margin deteriorating
- 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 | $10.9M |
| Operating margin | -6.7% |
| Total margin | 2.1% |
| Days cash on hand | 0 |
| Current ratio | 0.35 |
| Occupancy | 16% |
Facility
| Beds | 11 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | nonprofit |
| Per-bed (low) | $59.5K |
| Per-bed (high) | $119K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 11 | $8.2M | $455K | -13.8% | 4.7% | 0 | 0.33 | 18% | 111 | 83 |
| 2022 | 11 | $9.1M | $-143K | -6.4% | -1.5% | 0 | 0.30 | 16% | 115 | 86 |
| 2023 | 11 | $9.1M | $-195K | -9.7% | -2.0% | 0 | 0.33 | 15% | 74 | 86 |
| 2024 | 11 | $10.9M | $243K | -6.7% | 2.1% | 0 | 0.35 | 16% | 64 | 76 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Avera Health | 5% or greater direct ownership interest | 100 | 2019-05 | |
| Alisa Reindl | corporate director | 2021-07 | ||
| Amanda Schutz | corporate officer | 2018-06 | ||
| Benjamin Solomon | corporate director | 2022-07 | ||
| Candyce Chrystal | corporate director | 2023-07 | ||
| Craig Hohn | w-2 managing employee | 2019-05 | ||
| Cristina Hill Jensen | corporate director | 2019-05 | ||
| Harriet Yocum | corporate director | 2021-07 | ||
| James Dover | corporate officer | 2023-10 | ||
| Jawad Nazir | corporate director | 2020-07 | ||
| Jennifer Bunkers | corporate director | 2021-07 | ||
| Jennifer Kirby | corporate director | 2020-07 | ||
| Joseph Costello | corporate director | 2019-05 | ||
| Julie Lautt | corporate officer | 2020-03 | ||
| Lucille Welbig | corporate director | 2019-05 | ||
| Mary Curran | corporate director | 2019-05 | ||
| Randy Knecht | corporate director | 2019-05 | ||
| Ronald Place | corporate officer | 2023-06 | ||
| Ronald Place | operational/managerial control | 2023-06 | ||
| Roxanne Seifert | corporate director | 2022-07 | ||
| Ryan Boschee | corporate director | 2025-07 | ||
| Sanaa Abourezk | corporate director | 2024-07 | ||
| Tamera Sturm | corporate director | 2025-07 | ||
| Van Fishback | corporate director | 2019-05 |
Ownership changes
| Date | Type | Buyer | Seller |
|---|---|---|---|
| 2019-05-01 | change of ownership | Avera Mckennan | Sanford Health Network |
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 |