Fillmore County Hospital
Geneva, Fillmore County, NE
· CCN 281301
Licensed to Fillmore County Hospital
Composite
30.0
rank score
Distress
39
FY2024
Fit
31
vs thesis
Estimated ticket
$1.7M–$3.4M
20 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin negative
- total margin under 2%
- 90-150 days cash on hand
- occupancy below 30%
- margin deteriorating sharply
- rural — cheaper but limited density
- very small facility
- 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 | $29.4M |
| Operating margin | -2.5% |
| Total margin | 0.4% |
| Days cash on hand | 115 |
| Current ratio | 3.40 |
| Occupancy | 14% |
Facility
| Beds | 20 |
| 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 | 20 | $23.6M | $5.3M | -0.3% | 18.2% | 220 | 6.46 | 23% | 231 | 24 |
| 2022 | 20 | $26.0M | $-60.4K | -3.2% | -0.2% | 161 | 3.43 | 17% | 264 | 32 |
| 2023 | 20 | $27.0M | $1.2M | -2.3% | 4.3% | 156 | 2.42 | 17% | 230 | 24 |
| 2024 | 20 | $29.4M | $115K | -2.5% | 0.4% | 115 | 3.40 | 14% | 197 | 39 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Allan Jefferson | corporate director | 2016-07 | ||
| Christopher Nichols | corporate officer | 2021-10 | ||
| Christopher Nichols | w-2 managing employee | 2017-08 | ||
| Christopher Nichols | operational/managerial control | 2017-08 | ||
| Dayle Harlow | w-2 managing employee | 2023-09 | ||
| Dayle Harlow | operational/managerial control | 2023-09 | ||
| Deborah Hoarty | corporate officer | 2011-01 | ||
| Deborah Hoarty | corporate director | 2006-07 | ||
| Jason Bespalec | operational/managerial control | 2014-05 | ||
| Richard Walter | corporate officer | 2016-07 | ||
| Richard Walter | corporate director | 2014-07 | ||
| Taylor Kahlandt | corporate director | 2018-06 | ||
| Tyler Williams | corporate director | 2019-01 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.