dealflow
envelope $200M

← Targets

Boone County Health Center

Albion, Boone County, NE · CCN 281334
Licensed to Boone County Health Center

Composite
35.9
rank score
Distress
46
FY2023
Fit
38
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds · within envelope
Ownership
government
CAH

Why it ranks here

  • operating margin below -10%
  • total margin under 2%
  • occupancy below 30%
  • margin deteriorating sharply
  • 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 · FY2023

Net patient revenue$39.2M
Operating margin -10.4%
Total margin 0.2%
Days cash on hand 226
Current ratio 3.64
Occupancy24%

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
2020 25 $31.1M $3.6M -5.2% 9.9% 298 2.80 31% 543 28
2021 25 $34.2M $8.4M -0.7% 19.6% 252 3.93 28% 537 24
2022 25 $37.0M $3.0M -0.2% 7.6% 275 1.15 26% 583 28
2023 25 $39.2M $80.3K -10.4% 0.2% 226 3.64 24% 509 46

Owners

OwnerRole%SinceType
Anthony Kusek w-2 managing employee 2012-10
Anthony Kusek operational/managerial control 2012-10
Caleb Poore corporate officer 2023-10
Caleb Poore w-2 managing employee 2023-10
Caleb Poore operational/managerial control 2023-10
Dana Cox corporate officer 2024-08
Dana Cox corporate director 2024-07
Gary Stokes corporate director 2025-07
Kim Beierman corporate officer 2021-10
Kim Beierman corporate director 2015-07
Paul Groeteke corporate officer 2016-10
Paul Groeteke corporate director 2015-07
Rita Liss w-2 managing employee 2017-07
Rita Liss operational/managerial control 2017-07
Tony Kurtenbach corporate director 2019-07

Ownership changes

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