Avera Flandreau Hospital
Flandreau, Moody County, SD
· CCN 431310
Licensed to Avera Mckennan
Composite
31.6
rank score
Distress
40
FY2024
Fit
34
vs thesis
Estimated ticket
$1.5M–$3.1M
18 beds ·
within envelope
Ownership
nonprofit
CAH
Why it ranks here
- under 30 days cash on hand
- current ratio below 0.8
- occupancy below 30%
- 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 | $10.8M |
| Operating margin | 7.2% |
| Total margin | 25.9% |
| Days cash on hand | 1 |
| Current ratio | -16.00 |
| Occupancy | 10% |
Facility
| Beds | 18 |
| 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 | 18 | $10.3M | $2.4M | 11.4% | 20.9% | 3 | -0.17 | 12% | 140 | 44 |
| 2022 | 18 | $10.7M | $902K | 9.1% | 8.5% | 1 | 3.99 | 13% | 173 | 31 |
| 2023 | 18 | $10.7M | $2.7M | 13.8% | 22.5% | 1 | 3.78 | 12% | 120 | 31 |
| 2024 | 18 | $10.8M | $3.5M | 7.2% | 25.9% | 1 | -16.00 | 10% | 144 | 40 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Avera Health | 5% or greater direct ownership interest | 100 | 1992-06 | |
| Alisa Reindl | corporate director | 2021-07 | ||
| Amanda Schutz | corporate officer | 2018-06 | ||
| Avera Health | operational/managerial control | 1992-06 | ||
| Benjamin Solomon | corporate director | 2022-07 | ||
| Candyce Chrystal | corporate director | 2023-07 | ||
| Cristina Hill Jensen | corporate director | 2018-07 | ||
| Harriet Yocum | corporate director | 2021-07 | ||
| Jawad Nazir | corporate director | 2020-07 | ||
| Jennifer Bunkers | corporate director | 2021-07 | ||
| Jennifer Kirby | corporate director | 2020-07 | ||
| Joseph Costello | corporate director | 2017-07 | ||
| Julie Lautt | corporate officer | 2020-03 | ||
| Lindsay Flannery | w-2 managing employee | 2008-06 | ||
| Lucille Welbig | corporate officer | 2014-07 | ||
| Mary Curran | corporate director | 2018-07 | ||
| Randy Knecht | corporate director | 2018-07 | ||
| Ronald Place | corporate officer | 2023-06 | ||
| Ronald Place | operational/managerial control | 2023-06 | ||
| Roxanne Seifert | corporate director | 2022-07 | ||
| Ryan Boschee | corporate director | 2024-07 | ||
| Sanaa Abourezk | corporate director | 2024-07 | ||
| Tamera Sturm | corporate director | 2025-07 | ||
| Van Fishback | corporate director | 2018-07 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.