Clarke County Public Hospital
dba Clarke County Hospital ·
Osceola, Clarke County, IA
· CCN 161348
Licensed to Clarke County Public Hospital
Composite
32.8
rank score
Distress
39
FY2024
Fit
38
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin under 2%
- 30-60 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 | $40.3M |
| Operating margin | 1.2% |
| Total margin | 7.3% |
| Days cash on hand | 60 |
| Current ratio | 2.21 |
| Occupancy | 29% |
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 | $29.6M | $5.2M | -4.7% | 14.5% | 118 | 2.21 | 29% | 300 | 29 |
| 2022 | 25 | $33.1M | $2.8M | 0.9% | 8.0% | 117 | 1.95 | 35% | 333 | 17 |
| 2023 | 25 | $32.9M | $1.9M | -3.5% | 5.3% | 98 | 2.72 | 34% | 279 | 26 |
| 2024 | 25 | $40.3M | $3.1M | 1.2% | 7.3% | 60 | 2.21 | 29% | 207 | 39 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Amy Lampe | corporate director | 2020-02 | ||
| Angela Mcintosh | corporate officer | 2024-07 | ||
| Angela Mcintosh | w-2 managing employee | 2024-12 | ||
| Angela Mcintosh | operational/managerial control | 2022-03 | ||
| Central Iowa Hospital Corporation | operational/managerial control | 1987-12 | ||
| Deborah Lundquist | corporate officer | 2019-01 | ||
| Deborah Lundquist | corporate director | 2016-07 | ||
| Elizabeth Herrera | corporate director | 2025-01 | ||
| George Fotiadis | operational/managerial control | 2006-01 | ||
| Kelly Blanchard | corporate director | 2015-10 | ||
| Kevin Klemesrud | corporate officer | 2015-01 | ||
| Kevin Klemesrud | corporate director | 2011-02 | ||
| Melanie Boyd | contracted managing employee | 2020-07 | ||
| Melanie Boyd | corporate officer | 2024-07 | ||
| Melanie Boyd | operational/managerial control | 2020-07 | ||
| Susan Daniels | corporate officer | 2024-11 | ||
| Susan Daniels | w-2 managing employee | 2024-11 | ||
| Susan Daniels | operational/managerial control | 2024-11 | ||
| Teresa Woods | corporate officer | 2011-01 | ||
| Teresa Woods | corporate director | 2007-01 | ||
| Terry Jacobsen | corporate director | 2015-04 | ||
| Tessa Sandel | corporate officer | 2025-02 | ||
| Tessa Sandel | w-2 managing employee | 2025-02 | ||
| Tessa Sandel | operational/managerial control | 2025-02 |
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 |