Fall River Hospital
Hot Springs, Fall River County, SD
· CCN 431322
Licensed to Fall River Health Services
Composite
30.4
rank score
Distress
31
FY2023
Fit
41
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds ·
within envelope
Ownership
nonprofit
CAH
Why it ranks here
- operating margin negative
- 60-90 days cash on hand
- occupancy below 30%
- 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 · FY2023
| Net patient revenue | $29.2M |
| Operating margin | -3.2% |
| Total margin | 2.6% |
| Days cash on hand | 60 |
| Current ratio | 2.32 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 25 | $21.7M | $-63.2K | -12.4% | -0.3% | 321 | 3.40 | 20% | 115 | 49 |
| 2021 | 25 | $24.6M | $6.6M | -2.7% | 20.6% | 340 | 3.05 | 21% | 208 | 24 |
| 2022 | 25 | $28.4M | $3.6M | 0.3% | 11.4% | 283 | 5.36 | 20% | 213 | 16 |
| 2023 | 25 | $29.2M | $812K | -3.2% | 2.6% | 60 | 2.32 | 19% | 209 | 31 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Fall River Health Services | 5% or greater security interest | 100 | 1999-12 | |
| Nicholle Gilbertson | w-2 managing employee | 100 | 2021-08 | |
| Nicholle Gilbertson | operational/managerial control | 100 | 2021-08 | |
| Anna Merrill | corporate officer | 2001-10 | ||
| Anna Merrill | corporate director | 2001-10 | ||
| Barbara Miller | corporate director | 2021-01 | ||
| Don Devries | corporate director | 1999-12 | ||
| Fall River Health Services | operational/managerial control | 1999-12 | ||
| Gary Strauser | corporate officer | 1999-12 | ||
| Gary Strauser | corporate director | 1999-12 | ||
| Georgia Holmes | corporate director | 2011-04 | ||
| Jesse Naze | corporate officer | 2015-01 | ||
| Jesse Naze | corporate director | 2015-01 | ||
| Jesse Naze | w-2 managing employee | 2015-01 | ||
| Kristine Winter | corporate director | 2021-01 | ||
| Laura Tarrell | corporate director | 2021-01 | ||
| Nancy Nielsen | w-2 managing employee | 2015-01 | ||
| Nicholle Gilbertson | corporate officer | 2021-08 | ||
| Phil Wetzel | corporate director | 2021-01 | ||
| Rich Nelson | corporate director | 2000-11 | ||
| Richard Olstad | corporate officer | 2000-11 | ||
| Richard Olstad | corporate director | 2000-11 | ||
| Sally Rall | corporate director | 2021-01 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.