Avera Holy Family Health
dba Avera Holy Family Hospital ·
Estherville, Emmet County, IA
· CCN 161351
Licensed to Avera Holy Family
Composite
28.9
rank score
Distress
34
FY2024
Fit
34
vs thesis
Estimated ticket
$1.9M–$3.7M
22 beds ·
within envelope
Ownership
nonprofit
CAH
Why it ranks here
- under 30 days cash on hand
- occupancy below 30%
- margin deteriorating
- 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 · FY2024
| Net patient revenue | $31.8M |
| Operating margin | 6.0% |
| Total margin | 24.7% |
| Days cash on hand | 0 |
| Current ratio | 2.00 |
| Occupancy | 18% |
Facility
| Beds | 22 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | nonprofit |
| 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 | 22 | $26.2M | $9.7M | 0.0% | 27.1% | 21 | 1.03 | 24% | 340 | 41 |
| 2022 | 22 | $27.9M | $-1.5M | -0.4% | -5.5% | 11 | 1.21 | 25% | 338 | 62 |
| 2023 | 22 | $24.5M | $4.2M | -10.3% | 13.4% | 7 | 1.14 | 21% | 306 | 62 |
| 2024 | 22 | $31.8M | $9.8M | 6.0% | 24.7% | 0 | 2.00 | 18% | 236 | 34 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Avera Health | 5% or greater direct ownership interest | 100 | 1994-10 | |
| Amanda Schutz | corporate officer | 2019-10 | ||
| Avera Health | operational/managerial control | 2007-12 | ||
| Avera Holy Family | operational/managerial control | 2007-11 | ||
| Avera Mckennan | operational/managerial control | 1994-10 | ||
| Candyce Chrystal | corporate director | 2022-07 | ||
| Edward Rosendahl | corporate director | 2023-07 | ||
| James Dover | corporate officer | 2023-10 | ||
| Janet Schumacher | corporate director | 2020-07 | ||
| Michelle Majerus | corporate officer | 2024-09 | ||
| Michelle Majerus | w-2 managing employee | 2024-09 | ||
| Michelle Majerus | operational/managerial control | 2024-09 | ||
| Mike Cornwall | corporate director | 2018-07 | ||
| Penny Clayton | corporate director | 2023-07 | ||
| Robert Jensen | corporate director | 2022-07 | ||
| Yas Mata | corporate director | 2022-07 |
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 |