Decatur County Hospital
Leon, Decatur County, IA
· CCN 161340
Licensed to Decatur County Hospital
Composite
17.8
rank score
Distress
12
FY2024
Fit
31
vs thesis
Estimated ticket
$935K–$1.9M
11 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- 90-150 days cash on hand
- occupancy below 30%
- 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 | $26.1M |
| Operating margin | 8.8% |
| Total margin | 15.2% |
| Days cash on hand | 121 |
| Current ratio | 4.05 |
| Occupancy | 18% |
Facility
| Beds | 11 |
| 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 | 11 | $17.1M | $3.1M | -10.2% | 14.3% | 161 | 5.01 | 23% | 126 | 37 |
| 2022 | 11 | $20.6M | $2.2M | 1.0% | 9.8% | 166 | 3.61 | 27% | 175 | 16 |
| 2023 | 11 | $22.6M | $1.9M | -0.0% | 7.9% | 110 | 3.72 | 26% | 178 | 29 |
| 2024 | 11 | $26.1M | $4.3M | 8.8% | 15.2% | 121 | 4.05 | 18% | 137 | 12 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Denise Elefson | corporate director | 2019-01 | ||
| Guy Clark | corporate director | 2007-10 | ||
| Larry Griffin | corporate director | 2019-01 | ||
| Mercy Health Network Inc | operational/managerial control | 2001-03 | ||
| Michael Johnston | contracted managing employee | 2018-11 | ||
| Michael Johnston | corporate officer | 2018-11 | ||
| Sheri Frost | corporate director | 2017-01 | ||
| Tara Spidle | corporate officer | 2010-02 | ||
| Tara Spidle | w-2 managing employee | 2010-02 | ||
| Teri Foster | corporate director | 2019-02 |
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 |