dealflow
envelope $200M

← Targets

Monument Health Sturgis Regional

dba Monument Health Sturgis Hospital · Sturgis, Meade County, SD · CCN 431321
Licensed to Monument Health Network Inc

Composite
32.4
rank score
Distress
32
FY2024
Fit
45
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds · within envelope
Ownership
nonprofit
CAH

Why it ranks here

  • under 30 days cash on hand
  • debt above 85% of assets
  • occupancy 30-45%
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • thin occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$38.4M
Operating margin 2.3%
Total margin 8.0%
Days cash on hand 0
Current ratio 1.63
Occupancy44%

Facility

Beds25
Facility typeCAH
Settingrural
Ownership classnonprofit
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 25 $31.8M $-654K -1.8% -1.9% 2 1.73 54% 403 59
2022 25 $36.8M $2.4M -1.9% 6.0% 0 0.86 49% 426 60
2023 25 $39.1M $1.0M -3.3% 2.4% 7 2.02 46% 465 44
2024 25 $38.4M $3.3M 2.3% 8.0% 0 1.63 44% 474 32

Owners

OwnerRole%SinceType
Monument Health Inc
Rapid City, SD
operational/managerial control 100 2005-07
Ruta Davidson w-2 managing employee 100 2018-08
Austin Willuweit w-2 managing employee 50 2016-05
Austin Willuweit operational/managerial control 50 2025-03
Mark Schmidt w-2 managing employee 25 2015-06
Mark Schmidt operational/managerial control 25 2015-06
Austin Willuweit corporate officer 2025-03
Charles Lewis corporate director 2022-07
Dan Leikvold corporate director 2020-07
Heather Brewer corporate director 2020-07
Jason Knudson corporate director 2021-07
Kathryn Johnson corporate director 2020-07
Kenneth Meirose corporate director 2021-08
Ruta Davidson corporate director 2018-08
Scott Sabers corporate director 2021-08
Steven Williams corporate director 2019-10

Ownership changes

No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.