dealflow
envelope $200M

← Targets

Greater Regional Medical Center

Creston, Union County, IA · CCN 161365
Licensed to Greater Regional Medical Center

Composite
24.5
rank score
Distress
17
FY2024
Fit
42
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds · within envelope
Ownership
government
CAH

Why it ranks here

  • 60-90 days cash on hand
  • occupancy 30-45%
  • margin slipping
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • thin occupancy
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$112M
Operating margin 6.5%
Total margin 13.1%
Days cash on hand 64
Current ratio 3.09
Occupancy39%

Facility

Beds25
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 25 $76.2M $13.6M -3.5% 14.7% 113 3.97 39% 874 26
2022 25 $85.2M $8.8M 2.3% 9.5% 62 2.52 40% 1,015 16
2023 25 $89.4M $5.6M -4.4% 5.7% 69 2.46 39% 896 31
2024 25 $112M $15.9M 6.5% 13.1% 64 3.09 39% 766 17

Owners

OwnerRole%SinceType
Central Iowa Hospital Corporation
Des Moines, IA
operational/managerial control 2017-07
Julie Lanning corporate director 2019-08
Kenneth Stults corporate officer 2025-01
Kenneth Stults corporate director 2015-01
Matthew Epp w-2 managing employee 2025-01
Matthew Epp operational/managerial control 2025-01
Matthew Mccutchan corporate officer 2013-11
Matthew Mccutchan w-2 managing employee 2009-03
Matthew Mccutchan operational/managerial control 2009-03
Monte Neitzel corporate officer 2013-11
Monte Neitzel w-2 managing employee 2003-08
Monte Neitzel operational/managerial control 2003-08
R Davis corporate officer 2012-01
R Davis corporate director 1995-01
Sharon Mckie corporate officer 2011-01
Sharon Mckie corporate director 1997-01
Thomas Lesan corporate officer 2023-01
Thomas Lesan corporate director 2010-03

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