dealflow
envelope $200M

← Targets

Avera Dells Area Hospital

Dell Rapids, Minnehaha County, SD · CCN 431331
Licensed to Avera Mckennan

Composite
34.9
rank score
Distress
42
FY2024
Fit
40
vs thesis
Estimated ticket
$2.0M–$3.9M
23 beds · within envelope
Ownership
nonprofit
CAH

Why it ranks here

  • under 30 days cash on hand
  • current liabilities exceed current assets
  • occupancy below 30%
  • margin deteriorating
  • urban — higher occupancy and iteration surface
  • 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$13.6M
Operating margin 11.5%
Total margin 27.5%
Days cash on hand 1
Current ratio 0.86
Occupancy9%

Facility

Beds23
Facility typeCAH
Settingurban
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 21 $12.3M $4.4M 23.8% 31.7% 570 7.75 16% 155 9
2022 23 $12.1M $2.4M 14.5% 19.0% 609 5.95 12% 119 9
2023 23 $12.2M $3.3M 14.7% 23.9% 691 49.91 9% 106 9
2024 23 $13.6M $4.6M 11.5% 27.5% 1 0.86 9% 133 42

Owners

OwnerRole%SinceType
Avera Health
Sioux Falls, SD
5% or greater direct ownership interest 100 2003-07
Alisa Reindl corporate director 2021-07
Amanda Schutz corporate officer 2018-06
Avera Health
Sioux Falls, SD
operational/managerial control 2003-07
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
Lucille Welbig corporate director 2016-07
Mary Curran corporate director 2017-07
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 2025-07
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.