Iron County Hospital
dba Iron County Medical Center ·
Pilot Knob, Iron County, MO
· CCN 261336
Licensed to Iron County Hospital District
Composite
35.5
rank score
Distress
38
FY2024
Fit
46
vs thesis
Estimated ticket
$1.3M–$2.5M
15 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin negative
- 60-90 days cash on hand
- debt above 85% of assets
- occupancy 45-60%
- margin deteriorating
- rural — cheaper but limited density
- very small facility
- very small ticket — sub-scale as a platform asset
- moderate occupancy
- government-owned — public process likely
Latest financials · FY2024
| Net patient revenue | $21.7M |
| Operating margin | -0.4% |
| Total margin | 6.3% |
| Days cash on hand | 87 |
| Current ratio | 1.68 |
| Occupancy | 46% |
Facility
| Beds | 15 |
| 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 | 15 | $15.5M | $1.7M | -15.9% | 8.5% | 146 | 2.07 | 30% | 127 | 49 |
| 2022 | 15 | $16.4M | $817K | -17.9% | 4.1% | 90 | 1.73 | 30% | 175 | 52 |
| 2023 | 15 | $17.9M | $633K | -9.8% | 3.1% | 64 | 1.53 | 34% | 139 | 49 |
| 2024 | 15 | $21.7M | $1.5M | -0.4% | 6.3% | 87 | 1.68 | 46% | 154 | 38 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Billie Russell | w-2 managing employee | 2025-12 |
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 MO
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 |
|---|---|---|---|---|
| 2023-10-01 | Mercy Hospital Perry | Perry County Health System | Perry County Memorial Hospital | 25 |