dealflow
envelope $200M

← Targets

Greene County Medical Center

Jefferson, Greene County, IA · CCN 161325
Licensed to Greene County Medical Center

Composite
23.6
rank score
Distress
15
FY2024
Fit
42
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds · within envelope
Ownership
government
CAH

Why it ranks here

  • operating margin under 2%
  • 90-150 days cash on hand
  • occupancy 30-45%
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • thin occupancy
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$32.9M
Operating margin 1.0%
Total margin 16.2%
Days cash on hand 118
Current ratio 2.31
Occupancy36%

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 $27.0M $1.9M -26.7% 5.3% 109 1.37 11% 156 52
2022 25 $28.1M $3.9M -15.6% 10.8% 94 0.82 12% 134 54
2023 25 $25.2M $4.5M -20.4% 13.0% 119 4.50 11% 124 46
2024 25 $32.9M $6.3M 1.0% 16.2% 118 2.31 36% 148 15

Owners

OwnerRole%SinceType
Angela Jewett corporate director 2021-11
Central Iowa Hospital Corporation
Des Moines, IA
operational/managerial control 2011-07
Chad Butterfield contracted managing employee 2020-07
Chad Butterfield corporate officer 2020-07
Chad Butterfield operational/managerial control 2020-07
Doug Carman corporate director 2022-03
Douglas Hawn corporate officer 2020-01
Douglas Hawn corporate director 2009-01
James Schleisman corporate officer 1997-01
James Schleisman corporate director 1995-07
Katherine Neese corporate director 2020-01
Kim Bates corporate director 2010-01
Mark Wall contracted managing employee 2022-02
Mark Wall corporate officer 2022-02
Mark Wall operational/managerial control 2022-02
Rochelle Guess w-2 managing employee 2021-12
Rochelle Guess operational/managerial control 2021-12
William Raney corporate officer 2021-12
William Raney corporate director 2013-03

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