Heart Of America Medical Center
Rugby, Pierce County, ND
· CCN 351332
Licensed to Good Samaritan Hospital Association
Composite
34.4
rank score
Distress
40
FY2024
Fit
41
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds ·
within envelope
Ownership
nonprofit
CAH
Why it ranks here
- operating margin below -10%
- 90-150 days cash on hand
- occupancy below 30%
- margin slipping
- 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
- nonprofit — expect AG conversion review
Latest financials · FY2024
| Net patient revenue | $28.3M |
| Operating margin | -10.7% |
| Total margin | 4.0% |
| Days cash on hand | 100 |
| Current ratio | 2.21 |
| Occupancy | 19% |
Facility
| Beds | 25 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | nonprofit |
| 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 | 25 | $23.7M | $1.1M | -15.3% | 4.0% | 112 | 1.32 | 23% | 204 | 44 |
| 2022 | 25 | $24.7M | $6.5M | -10.0% | 19.3% | 106 | 3.01 | 23% | 207 | 41 |
| 2023 | 25 | $25.5M | $6.2M | -12.1% | 17.8% | 102 | 4.21 | 18% | 188 | 41 |
| 2024 | 25 | $28.3M | $1.3M | -10.7% | 4.0% | 100 | 2.21 | 19% | 175 | 40 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Good Samaritan Hospital Association | 5% or greater direct ownership interest | 100 | 1966-01 | |
| Christine Jaeger | corporate director | 2025-11 | ||
| Craig Zachmeier | corporate director | 2019-11 | ||
| Erik Christenson | corporate officer | 2020-04 | ||
| Erik Christenson | w-2 managing employee | 2020-04 | ||
| Erik Christenson | operational/managerial control | 2020-04 | ||
| Jesse Fahnestock | corporate director | 2025-08 | ||
| Josalynne Hoff Rue | w-2 managing employee | 2023-03 | ||
| Josalynne Hoff Rue | operational/managerial control | 2023-03 | ||
| Kimberley Bott | corporate director | 2021-02 | ||
| Lisa Thorp | corporate director | 2022-11 | ||
| Melissa Shepard | corporate officer | 2019-08 | ||
| Melissa Shepard | w-2 managing employee | 2019-08 | ||
| Melissa Shepard | operational/managerial control | 2019-08 | ||
| Michael Graner | corporate officer | 2022-08 | ||
| Michael Graner | corporate director | 2021-04 | ||
| Richard Anderson | corporate director | 2025-11 | ||
| Tanner Johnson | corporate director | 2021-10 | ||
| Wayne Trottier | corporate officer | 2022-08 | ||
| Wayne Trottier | corporate director | 2019-11 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.