De Smet Memorial Hospital
dba Avera De Smet Memorial Hospital ·
De Smet, Kingsbury County, SD
· CCN 431332
Licensed to Avera Queen Of Peace
Composite
30.7
rank score
Distress
38
FY2024
Fit
34
vs thesis
Estimated ticket
$510K–$1.0M
6 beds ·
within envelope
Ownership
nonprofit
CAH
Why it ranks here
- under 30 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
- nonprofit — expect AG conversion review
Latest financials · FY2024
| Net patient revenue | $8.3M |
| Operating margin | 10.3% |
| Total margin | 18.3% |
| Days cash on hand | 0 |
| Current ratio | 42.88 |
| Occupancy | 11% |
Facility
| Beds | 6 |
| 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 | 6 | $8.7M | $2.4M | 23.3% | 26.8% | 0 | 36.93 | 16% | 76 | 31 |
| 2022 | 6 | $8.9M | $2.1M | 22.8% | 23.1% | 0 | 22.43 | 14% | 78 | 31 |
| 2023 | 6 | $8.3M | $1.8M | 20.3% | 21.4% | 0 | 2.25 | 16% | 79 | 31 |
| 2024 | 6 | $8.3M | $1.7M | 10.3% | 18.3% | 0 | 42.88 | 11% | 60 | 38 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Avera Health | 5% or greater direct ownership interest | 100 | 2000-06 | |
| Amanda Schutz | corporate officer | 2018-06 | ||
| Avera Health | operational/managerial control | 2000-06 | ||
| Brad Zomer | corporate director | 2018-07 | ||
| Darlene Bergeleen | corporate director | 2023-07 | ||
| Diane Sandhoff | corporate director | 2023-07 | ||
| Hilary Rockwell | corporate officer | 2023-07 | ||
| Hilary Rockwell | operational/managerial control | 2023-07 | ||
| James Dover | corporate officer | 2023-10 | ||
| Jay Tolsma | corporate director | 2018-07 | ||
| Jean Koehler | corporate director | 2018-07 | ||
| Jennifer Tegethoff | corporate director | 2021-07 | ||
| Jessica Claussen | corporate director | 2021-07 | ||
| Julie Brookbank | corporate director | 2018-07 | ||
| Julie Lautt | corporate officer | 2020-03 | ||
| Mark Hunhoff | corporate director | 2019-07 | ||
| Mark Puetz | corporate director | 2023-07 | ||
| Nicole Stahle | corporate director | 2023-07 | ||
| Ryan Thompson | corporate director | 2018-07 | ||
| Tracey Larson | corporate director | 2019-07 | ||
| Trevor Dierks | corporate director | 2023-07 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.