Howard County Medical Center
Saint Paul, Howard County, NE
· CCN 281338
Licensed to Howard County Medical Center
Composite
29.5
rank score
Distress
38
FY2024
Fit
31
vs thesis
Estimated ticket
$850K–$1.7M
10 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin -10% to -5%
- 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 | $24.0M |
| Operating margin | -8.1% |
| Total margin | 8.0% |
| Days cash on hand | 172 |
| Current ratio | 2.84 |
| Occupancy | 25% |
Facility
| Beds | 10 |
| 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 | 10 | $18.5M | $4.0M | -9.4% | 16.3% | 292 | 3.13 | 30% | 159 | 31 |
| 2022 | 10 | $20.0M | $1.5M | -8.1% | 6.4% | 254 | 4.66 | 25% | 159 | 31 |
| 2023 | 10 | $22.0M | $1.0M | -10.9% | 4.1% | 206 | 4.73 | 25% | 161 | 37 |
| 2024 | 10 | $24.0M | $2.3M | -8.1% | 8.0% | 172 | 2.84 | 25% | 153 | 38 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Arlan Johnson | corporate officer | 2024-10 | ||
| Arlan Johnson | w-2 managing employee | 2009-07 | ||
| Arlan Johnson | operational/managerial control | 2009-07 | ||
| Carol Schroeder | corporate officer | 1999-07 | ||
| Carol Schroeder | corporate director | 1999-07 | ||
| Danny Nielsen | corporate officer | 2025-01 | ||
| Danny Nielsen | corporate director | 2020-01 | ||
| Harriet Steenson | corporate officer | 1999-07 | ||
| Harriet Steenson | corporate director | 1999-07 | ||
| Kaitlin Hahn | w-2 managing employee | 2024-01 | ||
| Kaitlin Hahn | operational/managerial control | 2024-01 | ||
| Michael Nelson | corporate officer | 2012-02 | ||
| Michael Nelson | corporate director | 2012-02 | ||
| Morgan Meyer | corporate officer | 2024-10 | ||
| Morgan Meyer | w-2 managing employee | 2014-09 | ||
| Morgan Meyer | operational/managerial control | 2014-09 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.