dealflow
envelope $200M

← Targets

Boone County Hospital

dba Boone County Hospital · Boone, Boone County, IA · CCN 161372
Licensed to Boone County Hospital

Composite
29.6
rank score
Distress
32
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%
  • 90-150 days cash on hand
  • occupancy below 30%
  • 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$51.8M
Operating margin -5.5%
Total margin 8.7%
Days cash on hand 107
Current ratio 3.49
Occupancy22%

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 $40.0M $3.3M -24.5% 6.3% 104 4.64 28% 658 46
2022 25 $44.0M $1.4M -13.4% 2.7% 104 3.56 27% 503 41
2023 25 $44.5M $961K -19.8% 1.8% 86 3.17 22% 329 50
2024 25 $51.8M $5.2M -5.5% 8.7% 107 3.49 22% 341 32

Owners

OwnerRole%SinceType
Boone County Hospital
Boone, IA
operational/managerial control 2005-09
Brian Reimers corporate officer 2021-01
Catherine Wetzeler corporate officer 2022-01
Christopher Torres corporate officer 2024-06
Christopher Torres w-2 managing employee 2024-06
Emily Mccarty corporate officer 2019-10
Kathryn Linkenmeyer w-2 managing employee 2026-01
Lisa Kobernusz corporate officer 2014-04
Meredith Nerem corporate officer 2014-04
Mikaela Kienitz corporate officer 2023-01
Mikaela Kienitz w-2 managing employee 2023-01
Robert Getschman corporate officer 2017-01
Troy Thompson corporate officer 2013-01

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.

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