Douglas County Memorial Hospital
Armour, Douglas County, SD
· CCN 431305
Licensed to Douglas County Memorial Hospital
Composite
28.0
rank score
Distress
32
FY2024
Fit
34
vs thesis
Estimated ticket
$935K–$1.9M
11 beds ·
within envelope
Ownership
nonprofit
CAH
Why it ranks here
- operating margin negative
- 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
- nonprofit — expect AG conversion review
Latest financials · FY2024
| Net patient revenue | $12.5M |
| Operating margin | -1.4% |
| Total margin | 5.0% |
| Days cash on hand | 267 |
| Current ratio | 12.21 |
| Occupancy | 17% |
Facility
| Beds | 11 |
| 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 | 11 | $10.7M | $2.5M | -3.0% | 18.5% | 248 | 11.36 | 23% | 131 | 24 |
| 2022 | 11 | $11.6M | $535K | 3.0% | 4.5% | 258 | 8.41 | 20% | 126 | 9 |
| 2023 | 11 | $12.5M | $76.5K | -0.6% | 0.6% | 243 | 13.38 | 21% | 130 | 28 |
| 2024 | 11 | $12.5M | $672K | -1.4% | 5.0% | 267 | 12.21 | 17% | 118 | 32 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Heath Brouwer | corporate officer | 100 | 1999-05 | |
| Brad Vandenberg | corporate director | 2016-01 | ||
| Denise Vander Pol | corporate director | 2025-09 | ||
| Heath Brouwer | w-2 managing employee | 1999-05 | ||
| Joann Schrank | corporate director | 2016-01 | ||
| Joel Baier | corporate director | 2016-01 | ||
| Merna Bye | corporate director | 2025-09 | ||
| Samuel Schuman | corporate director | 2022-07 | ||
| Scott Holbeck | corporate director | 2016-01 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.