Monroe County Hospital
Albia, Monroe County, IA
· CCN 161342
Licensed to Monroe County Hospital
Composite
36.4
rank score
Distress
47
FY2024
Fit
38
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin -10% to -5%
- 60-90 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 | $32.2M |
| Operating margin | -5.2% |
| Total margin | 9.5% |
| Days cash on hand | 88 |
| Current ratio | 2.71 |
| Occupancy | 11% |
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 | $27.1M | $5.9M | -9.8% | 16.6% | 112 | 1.97 | 11% | 111 | 40 |
| 2022 | 25 | $29.0M | $2.8M | -4.7% | 8.4% | 135 | 3.20 | 12% | 176 | 33 |
| 2023 | 25 | $28.4M | $899K | -13.3% | 2.7% | 83 | 3.96 | 10% | 123 | 47 |
| 2024 | 25 | $32.2M | $3.6M | -5.2% | 9.5% | 88 | 2.71 | 11% | 122 | 47 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Amanda Buckingham | corporate officer | 2024-12 | ||
| Amanda Buckingham | w-2 managing employee | 2024-12 | ||
| Amanda Buckingham | operational/managerial control | 2024-12 | ||
| Ann Stocker | corporate officer | 2020-06 | ||
| Ann Stocker | corporate director | 2017-10 | ||
| Brian Teeter | corporate officer | 2021-03 | ||
| Brian Teeter | w-2 managing employee | 2021-03 | ||
| Brian Teeter | operational/managerial control | 2021-03 | ||
| Cody Deforest | corporate director | 2024-05 | ||
| Jason Summers | corporate director | 2010-07 | ||
| Joseph Bates | corporate director | 2013-01 | ||
| Marilee Scieszinski | corporate officer | 2016-01 | ||
| Marilee Scieszinski | corporate director | 2006-08 | ||
| Matthew Foster | corporate officer | 2017-10 | ||
| Matthew Foster | corporate director | 2012-01 | ||
| Mercy Health Network Inc | operational/managerial control | 2012-11 | ||
| Tanner Crossley | w-2 managing employee | 2021-01 | ||
| Tanner Crossley | operational/managerial control | 2021-01 | ||
| Tiffany Havard | corporate director | 2020-06 | ||
| Veronica Fuhs | contracted managing employee | 2015-04 | ||
| Veronica Fuhs | corporate officer | 2015-08 | ||
| Veronica Fuhs | operational/managerial control | 2015-04 |
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 |