Thayer County Health Services
Hebron, Thayer County, NE
· CCN 281304
Licensed to Thayer County Memorial Hospital
Composite
34.9
rank score
Distress
50
FY2024
Fit
31
vs thesis
Estimated ticket
$1.4M–$2.7M
19 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin below -10%
- 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 | $26.1M |
| Operating margin | -19.2% |
| Total margin | 0.7% |
| Days cash on hand | 96 |
| Current ratio | 4.01 |
| Occupancy | 10% |
Facility
| Beds | 19 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | government |
| Per-bed (low) | $72.2K |
| Per-bed (high) | $144K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 19 | $21.4M | $2.3M | -17.9% | 8.1% | 192 | 2.24 | 21% | 191 | 37 |
| 2022 | 19 | $24.4M | $3.5M | -13.2% | 11.2% | 130 | 3.25 | 17% | 176 | 41 |
| 2023 | 19 | $27.1M | $1.1M | -13.4% | 3.5% | 109 | 4.27 | 13% | 148 | 41 |
| 2024 | 19 | $26.1M | $219K | -19.2% | 0.7% | 96 | 4.01 | 10% | 107 | 50 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Alegent Creighton Health | operational/managerial control | 2016-07 | ||
| Brian Rokusek | contracted managing employee | 2021-12 | ||
| Brian Rokusek | corporate officer | 2021-12 | ||
| Brian Rokusek | operational/managerial control | 2021-12 | ||
| Karen Dahlkoetter | corporate officer | 2017-02 | ||
| Karen Dahlkoetter | corporate director | 2017-02 | ||
| Laura Tuma | corporate officer | 2019-01 | ||
| Laura Tuma | corporate director | 2017-01 | ||
| Lindsey Myers | w-2 managing employee | 2025-01 | ||
| Lindsey Myers | operational/managerial control | 2025-01 | ||
| Loren Wiedel | corporate officer | 2017-01 | ||
| Loren Wiedel | corporate director | 2013-01 | ||
| Michael Defoe | w-2 managing employee | 2021-08 | ||
| Michael Defoe | operational/managerial control | 2021-08 | ||
| Michael Long | corporate officer | 2025-01 | ||
| Michael Long | corporate director | 2021-01 | ||
| Zachary Messman | corporate director | 2025-01 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.