dealflow
envelope $200M

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Stewart Memorial Hospital

dba Stewart Memorial Community Hospital · Lake City, Calhoun County, IA · CCN 161350
Licensed to Stewart Memorial Community Hospital

Composite
37.9
rank score
Distress
54
FY2023
Fit
34
vs thesis
Estimated ticket
$1.7M–$3.3M
23 beds · within envelope
Ownership
nonprofit
CAH

Why it ranks here

  • operating margin negative
  • under 30 days cash on hand
  • current ratio below 0.8
  • 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
  • nonprofit — expect AG conversion review

Latest financials · FY2023

Net patient revenue$36.7M
Operating margin -1.6%
Total margin 4.8%
Days cash on hand 9
Current ratio 0.24
Occupancy15%

Facility

Beds23
Facility typeCAH
Settingrural
Ownership classnonprofit
Per-bed (low) $72.2K
Per-bed (high) $144K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 25 $24.0M $1.2M -14.1% 4.3% 55 1.04 15% 329 57
2021 25 $26.9M $4.4M -9.5% 12.9% 37 0.86 14% 358 57
2022 25 $29.8M $428K -6.6% 1.3% 2 0.62 15% 348 70
2023 23 $36.7M $1.9M -1.6% 4.8% 9 0.24 15% 332 54

Owners

OwnerRole%SinceType
Ann Lengeling w-2 managing employee 2020-08
Ann Lengeling operational/managerial control 2020-08
Charles Schmitt corporate director 2023-10
James Henkenius corporate officer 2013-11
James Henkenius w-2 managing employee 1997-09
James Henkenius operational/managerial control 1997-09
Jennifer Lane corporate director 2022-04
Jordan Lietz corporate officer 2022-04
Jordan Lietz corporate director 2018-04
Julia Richardson corporate director 2026-01
Julia Richardson w-2 managing employee 2026-01
Julia Richardson operational/managerial control 2026-01
Linn Block contracted managing employee 2023-12
Linn Block corporate officer 2023-12
Linn Block operational/managerial control 2023-12
Mary Lauver corporate director 2022-04
Scott Nesbitt corporate officer 2023-04
Scott Nesbitt corporate director 2012-04
Stacy Corey corporate officer 2024-04
Stacy Corey corporate director 2022-04
Theresa Hildreth corporate officer 2019-04
Theresa Hildreth corporate director 2016-05
Trinity Health Systems, Inc
Fort Dodge, IA
operational/managerial control 2012-08

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