dealflow
envelope $200M

← Targets

Avera St. Anthonys Hospital

dba Avera St Anthonys Hospital · Oneill, Holt County, NE · CCN 281329
Licensed to Avera St Anthonys Hospital

Composite
33.8
rank score
Distress
35
FY2024
Fit
45
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds · within envelope
Ownership
nonprofit
CAH

Why it ranks here

  • under 30 days cash on hand
  • occupancy 30-45%
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • thin occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$44.8M
Operating margin 3.4%
Total margin 22.0%
Days cash on hand 0
Current ratio 1.68
Occupancy33%

Facility

Beds25
Facility typeCAH
Settingrural
Ownership classnonprofit
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 $39.4M $15.7M 4.6% 29.5% 8 1.63 32% 622 28
2022 25 $41.6M $-3.4M 3.7% -9.3% 6 1.45 36% 638 48
2023 25 $42.8M $10.3M 4.9% 20.2% 0 1.85 34% 598 28
2024 25 $44.8M $12.2M 3.4% 22.0% 0 1.68 33% 674 35

Owners

OwnerRole%SinceType
Avera Health
Sioux Falls, SD
5% or greater direct ownership interest 100 2000-09
Amanda Schutz corporate officer 2019-09
Amy Shane corporate director 2020-07
Avera Health
Sioux Falls, SD
operational/managerial control 2000-09
Barton Becker corporate director 2021-07
Bonita Gacnik corporate director 2022-07
Cody Boettcher corporate director 2023-07
Debra Kelly corporate director 2020-07
James Dover corporate officer 2023-10
Jewel Swanson corporate director 2023-07
John Kozyra corporate officer 2024-01
John Kozyra operational/managerial control 2024-01
Julie Lautt corporate officer 2020-03
Mark Hunhoff corporate director 2023-07
Mary Wickersham corporate officer 2019-09
Merri Schneider corporate director 2020-07
Russell Mcintosh corporate director 2020-07
Sacred Heart Health Services
Yankton, SD
operational/managerial control 1998-02
Susan Dennis corporate director 2022-07

Ownership changes

No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.