dealflow
envelope $200M

← Targets

Kossuth Regional Health Center

Algona, Kossuth County, IA · CCN 161353
Licensed to Kossuth Regional Health Center

Composite
27.1
rank score
Distress
29
FY2024
Fit
35
vs thesis
Estimated ticket
$2.0M–$4.1M
24 beds · within envelope
Ownership
government
CAH

Why it ranks here

  • operating margin negative
  • occupancy 30-45%
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • very small facility
  • very small ticket — sub-scale as a platform asset
  • thin occupancy
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$43.8M
Operating margin -0.8%
Total margin 14.5%
Days cash on hand 208
Current ratio 9.78
Occupancy36%

Facility

Beds24
Facility typeCAH
Settingrural
Ownership classgovernment
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 24 $35.7M $10.3M -9.0% 20.5% 221 7.26 51% 702 24
2022 24 $38.7M $6.4M -6.1% 13.1% 257 7.42 54% 793 24
2023 24 $38.2M $6.4M -9.6% 13.1% 253 7.62 50% 769 24
2024 24 $43.8M $7.6M -0.8% 14.5% 208 9.78 36% 624 29

Owners

OwnerRole%SinceType
Brenda Bormann corporate director 2016-10
Collete Mcconnell corporate officer 2021-02
Conley Nelson corporate director 2013-05
Darlene Elbert contracted managing employee 1987-01
Darlene Elbert corporate officer 1987-01
Greg Penning corporate officer 2023-01
Jason Wartick corporate director 2021-06
Kossuth Regional Health Center
Algona, IA
operational/managerial control 1973-01
Thomas Geelan corporate director 2013-05

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