Bowdle Hospital
Bowdle, Edmunds County, SD
· CCN 431318
Licensed to Bowdle Hospital
Composite
34.9
rank score
Distress
50
FY2024
Fit
31
vs thesis
Estimated ticket
$867K–$1.7M
12 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin below -10%
- total margin under 2%
- 90-150 days cash on hand
- 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 | $10.3M |
| Operating margin | -10.1% |
| Total margin | 1.2% |
| Days cash on hand | 100 |
| Current ratio | 3.45 |
| Occupancy | 15% |
Facility
| Beds | 12 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | government |
| Per-bed (low) | $72.2K |
| Per-bed (high) | $144K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 12 | $9.9M | $4.2M | -5.7% | 28.8% | 204 | 1.85 | 20% | 148 | 31 |
| 2022 | 12 | $10.1M | $197K | -2.5% | 1.9% | 120 | 3.11 | 22% | 135 | 32 |
| 2023 | 12 | $10.2M | $-928K | -11.1% | -8.9% | 87 | 3.24 | 18% | 129 | 63 |
| 2024 | 12 | $10.3M | $141K | -10.1% | 1.2% | 100 | 3.45 | 15% | 100 | 50 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Erick Bieber | corporate director | 100 | 2015-05 | |
| City Of Bowdle | 5% or greater direct ownership interest | 1987-02 | ||
| City Of Bowdle | operational/managerial control | 1987-02 | ||
| Daniel Hardison | corporate director | 2020-07 | ||
| Darwyn Kleffman | corporate officer | 2019-10 | ||
| Darwyn Kleffman | w-2 managing employee | 2019-10 | ||
| Gary Frankfurth | corporate director | 2017-03 | ||
| Michael Gunderson | corporate director | 2017-05 | ||
| Rex Gab | corporate director | 2016-05 | ||
| Rick Boschee | corporate director | 2009-05 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.