dealflow
envelope $200M

← Targets

Audubon County Memorial Hospital

Audubon, Audubon County, IA · CCN 161330
Licensed to Audubon County Memorial Hospital

Composite
31.8
rank score
Distress
43
FY2024
Fit
31
vs thesis
Estimated ticket
$1.4M–$2.9M
17 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$16.1M
Operating margin -10.4%
Total margin 10.9%
Days cash on hand 268
Current ratio 12.70
Occupancy8%

Facility

Beds17
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 17 $13.0M $3.1M -10.7% 17.5% 215 1.19 12% 89 40
2022 17 $13.8M $1.5M -11.2% 8.7% 90 1.20 11% 76 50
2023 17 $14.0M $984K -23.3% 5.4% 245 10.97 10% 91 37
2024 17 $16.1M $2.2M -10.4% 10.9% 268 12.70 8% 89 43

Owners

OwnerRole%SinceType
Audubon County Memorial Hospital
Audubon, IA
5% or greater direct ownership interest 100 1966-01
Callen Weispfennig corporate officer 100 2025-06
Callen Weispfennig w-2 managing employee 100 2025-06
Melinda Alt corporate officer 2016-06
Michelle Sprague other 2022-01

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