Floyd Valley Healthcare
Lemars, Plymouth County, IA
· CCN 161368
Licensed to Floyd Valley Healthcare
Composite
29.2
rank score
Distress
31
FY2024
Fit
38
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin -10% to -5%
- occupancy below 30%
- margin slipping
- 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
- government-owned — public process likely
Latest financials · FY2024
| Net patient revenue | $50.7M |
| Operating margin | -5.2% |
| Total margin | 11.1% |
| Days cash on hand | 182 |
| Current ratio | 5.16 |
| Occupancy | 22% |
Facility
| Beds | 25 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | government |
| 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 | $42.5M | $6.3M | -9.5% | 11.9% | 163 | 2.18 | 26% | 555 | 31 |
| 2022 | 25 | $43.0M | $6.9M | -7.3% | 13.0% | 171 | 2.87 | 24% | 525 | 31 |
| 2023 | 25 | $44.1M | $3.6M | -8.4% | 7.0% | 178 | 5.65 | 23% | 476 | 31 |
| 2024 | 25 | $50.7M | $6.7M | -5.2% | 11.1% | 182 | 5.16 | 22% | 434 | 31 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| City Of Lemars | 5% or greater direct ownership interest | 100 | 2007-11 | |
| Dustin Wright | contracted managing employee | 100 | 2018-12 | |
| Danna Schuster | corporate director | 20 | 2016-01 | |
| Douglas Carlsen | corporate director | 20 | 2024-01 | |
| Kelli Flack | corporate director | 20 | 2021-01 | |
| Patrick Rosacker | corporate director | 20 | 2024-01 | |
| Craig Bauerly | corporate director | 2004-10 | ||
| Daryl Friedenbach | corporate officer | 2004-10 | ||
| Daryl Friedenbach | w-2 managing employee | 2004-10 | ||
| Floyd Valley Healthcare | operational/managerial control | 2007-11 |
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 |