dealflow
envelope $200M

← Targets

Story County Hospital

dba Story County Medical Center · Nevada, Story County, IA · CCN 161333
Licensed to Story County Hospital

Composite
21.8
rank score
Distress
12
FY2024
Fit
41
vs thesis
Estimated ticket
$1.4M–$2.9M
17 beds · within envelope
Ownership
government
CAH

Why it ranks here

  • current ratio under 1.5
  • debt above 70% of assets
  • occupancy 30-45%
  • urban — higher occupancy and iteration surface
  • very small facility
  • very small ticket — sub-scale as a platform asset
  • thin occupancy
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$34.5M
Operating margin 5.9%
Total margin 27.1%
Days cash on hand 268
Current ratio 1.11
Occupancy36%

Facility

Beds17
Facility typeCAH
Settingurban
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 $27.7M $4.9M -16.9% 13.1% 196 5.84 42% 48 38
2022 17 $29.0M $2.3M -11.2% 6.6% 176 6.15 34% 85 38
2023 17 $27.9M $5.6M -2.3% 16.3% 166 6.63 37% 65 21
2024 17 $34.5M $12.2M 5.9% 27.1% 268 1.11 36% 95 12

Owners

OwnerRole%SinceType
Arthur Check w-2 managing employee 2005-06
Arthur Check operational/managerial control 2005-06
Central Iowa Hospital Corporation
Des Moines, IA
operational/managerial control 2013-02
David Anderson corporate director 1990-12
Elizabeth Hertz corporate officer 2025-01
Elizabeth Hertz corporate director 2007-01
Gaylan Scofield corporate director 2004-01
Jane Ramthun corporate officer 2020-05
Jane Ramthun w-2 managing employee 2008-09
Jane Ramthun operational/managerial control 2008-09
Michelle Fullerton corporate director 2025-04
Nathan Thompson contracted managing employee 2015-09
Nathan Thompson corporate officer 2016-08
Nathan Thompson operational/managerial control 2015-09
Pamela Cain corporate officer 2024-01
Pamela Cain corporate director 2023-01
Patrick Sheets corporate officer 2023-01
Patrick Sheets corporate director 2007-01
Tiffany Thompson corporate director 2023-01

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