Regional Health Services Of Howard C
dba Regional Health Services Of Howard County ·
Cresco, Howard County, IA
· CCN 161328
Licensed to Regional Health Services Of Howard County
Composite
31.8
rank score
Distress
43
FY2024
Fit
31
vs thesis
Estimated ticket
$1.5M–$3.1M
18 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin below -10%
- occupancy below 30%
- margin deteriorating sharply
- 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
- government-owned — public process likely
Latest financials · FY2024
| Net patient revenue | $40.0M |
| Operating margin | -18.6% |
| Total margin | 5.9% |
| Days cash on hand | 182 |
| Current ratio | 4.69 |
| Occupancy | 19% |
Facility
| Beds | 18 |
| 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 | 18 | $30.6M | $5.9M | -6.0% | 14.9% | 259 | 3.05 | 27% | 344 | 31 |
| 2022 | 18 | $35.5M | $6.4M | -12.3% | 13.3% | 178 | 4.93 | 27% | 394 | 37 |
| 2023 | 18 | $34.6M | $-769K | -32.4% | -1.6% | 151 | 5.57 | 20% | 286 | 44 |
| 2024 | 18 | $40.0M | $3.1M | -18.6% | 5.9% | 182 | 4.69 | 19% | 243 | 43 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Howard County | 5% or greater direct ownership interest | 100 | 1974-01 | |
| Brandon Brevig | w-2 managing employee | 2022-02 | ||
| Charles Malek | corporate director | 2022-07 | ||
| Darlene Vsetecka | corporate director | 2022-07 | ||
| Donald Recker | corporate director | 2015-02 | ||
| Helen Kapler | corporate officer | 2012-09 | ||
| Jeremy Johnston | corporate director | 2017-09 | ||
| John Wacha | corporate director | 2011-01 | ||
| Mike Mahr | corporate officer | 2013-01 | ||
| Robin Schluter | corporate officer | 2012-12 |
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 |