Van Buren County Hospital
Keosauqua, Van Buren County, IA
· CCN 161337
Licensed to Van Buren County Hospital
Composite
31.4
rank score
Distress
36
FY2024
Fit
38
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin negative
- 90-150 days cash on hand
- occupancy below 30%
- margin deteriorating sharply
- rural — cheaper but limited density
- small but workable bed count
- 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 | $25.4M |
| Operating margin | -0.5% |
| Total margin | 17.1% |
| Days cash on hand | 118 |
| Current ratio | 5.42 |
| Occupancy | 16% |
Facility
| Beds | 25 |
| 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 | 25 | $16.4M | $6.6M | -13.8% | 26.0% | 184 | 2.42 | 18% | 187 | 37 |
| 2022 | 25 | $19.5M | $2.0M | -4.0% | 9.1% | 133 | 4.25 | 19% | 208 | 29 |
| 2023 | 25 | $20.7M | $2.9M | -8.5% | 11.3% | 109 | 8.00 | 16% | 222 | 36 |
| 2024 | 25 | $25.4M | $5.3M | -0.5% | 17.1% | 118 | 5.42 | 16% | 221 | 36 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Ann Mcbride | corporate officer | 2021-02 | ||
| Ann Mcbride | corporate director | 2020-05 | ||
| Benjamin Sherod | corporate officer | 2013-01 | ||
| Benjamin Sherod | corporate director | 2010-10 | ||
| Dana Brecount | w-2 managing employee | 2017-07 | ||
| Dana Brecount | operational/managerial control | 2017-07 | ||
| Garen Carpenter | contracted managing employee | 2020-08 | ||
| Garen Carpenter | corporate officer | 2020-08 | ||
| Garen Carpenter | operational/managerial control | 2020-08 | ||
| Heather Charbonneau | corporate officer | 2018-02 | ||
| Heather Charbonneau | corporate director | 2017-11 | ||
| Kara Mcentee | corporate officer | 2013-07 | ||
| Kara Mcentee | w-2 managing employee | 2007-04 | ||
| Kara Mcentee | operational/managerial control | 2007-04 | ||
| Lori Gaydusek | w-2 managing employee | 2025-04 | ||
| Lori Gaydusek | operational/managerial control | 2025-04 | ||
| Mercy Health Network Inc | operational/managerial control | 2020-03 | ||
| Michael Thomas | corporate director | 1998-01 | ||
| Patricia Tucker | corporate director | 2022-12 | ||
| Quenton Dodson | corporate officer | 2018-02 | ||
| Quenton Dodson | corporate director | 2016-03 | ||
| Richard Nichols | corporate director | 2024-10 |
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 |