Burgess Health Center
Onawa, Monona County, IA
· CCN 161359
Licensed to Burgess Health Center
Composite
29.0
rank score
Distress
28
FY2024
Fit
41
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds ·
within envelope
Ownership
nonprofit
CAH
Why it ranks here
- operating margin under 2%
- 90-150 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
- nonprofit — expect AG conversion review
Latest financials · FY2024
| Net patient revenue | $36.9M |
| Operating margin | 1.5% |
| Total margin | 10.0% |
| Days cash on hand | 108 |
| Current ratio | 3.44 |
| Occupancy | 19% |
Facility
| Beds | 25 |
| 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 | 25 | $30.5M | $11.3M | -6.2% | 25.8% | 159 | 2.08 | 26% | 418 | 31 |
| 2022 | 25 | $30.5M | $-6.2M | -14.0% | -21.9% | 77 | 1.40 | 23% | 388 | 67 |
| 2023 | 25 | $30.7M | $853K | -16.2% | 2.3% | 74 | 1.72 | 22% | 369 | 47 |
| 2024 | 25 | $36.9M | $4.0M | 1.5% | 10.0% | 108 | 3.44 | 19% | 326 | 28 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Amy Maule | corporate officer | 2023-03 | ||
| Amy Maule | corporate director | 2020-10 | ||
| Andrew Tirevold | corporate director | 2020-10 | ||
| Beau Hupke | corporate director | 2024-04 | ||
| James Gobell | w-2 managing employee | 2023-10 | ||
| James Gobell | operational/managerial control | 2023-10 | ||
| Jeffrey Pratt | corporate director | 2024-04 | ||
| Keith Schrunk | corporate officer | 2020-06 | ||
| Keith Schrunk | corporate director | 2012-04 | ||
| Lynn Wold | corporate officer | 2023-07 | ||
| Lynn Wold | w-2 managing employee | 2023-07 | ||
| Lynn Wold | operational/managerial control | 2023-07 | ||
| Mari Miller | corporate officer | 2019-08 | ||
| Mari Miller | corporate director | 2007-06 | ||
| Matthew Minnihan | corporate director | 2023-01 | ||
| Paul Dudley | contracted managing employee | 2017-06 | ||
| Paul Dudley | corporate director | 2009-06 | ||
| Paul Dudley | operational/managerial control | 2017-06 | ||
| Shelia Duarte | corporate director | 2014-01 | ||
| Terry Murrell | corporate director | 2023-01 |
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 |