Avera Hand County Memorial Hospital
Miller, Hand County, SD
· CCN 431337
Licensed to Avera Mckennan
Composite
31.7
rank score
Distress
34
FY2024
Fit
41
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds ·
within envelope
Ownership
nonprofit
CAH
Why it ranks here
- operating margin under 2%
- under 30 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 · FY2024
| Net patient revenue | $10.5M |
| Operating margin | 1.2% |
| Total margin | 28.1% |
| Days cash on hand | 0 |
| Current ratio | 6.67 |
| Occupancy | 7% |
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 25 | $8.9M | $1.2M | 4.9% | 12.8% | 3 | 17.38 | 12% | 248 | 31 |
| 2022 | 25 | $10.2M | $1.6M | 13.5% | 15.1% | 3 | 3.44 | 10% | 194 | 31 |
| 2023 | 25 | $10.0M | $3.6M | 8.9% | 28.5% | 1 | -8.03 | 11% | 200 | 44 |
| 2024 | 25 | $10.5M | $4.1M | 1.2% | 28.1% | 0 | 6.67 | 7% | 159 | 34 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Avera Health | 5% or greater direct ownership interest | 100 | 1992-06 | |
| Alisa Reindl | corporate director | 2021-07 | ||
| Amanda Schutz | corporate officer | 2018-06 | ||
| Avera Health | operational/managerial control | 1992-06 | ||
| Benjamin Solomon | corporate director | 2022-07 | ||
| Bryan Breitling | w-2 managing employee | 2008-01 | ||
| 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 | 2018-07 | ||
| 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 | 2025-07 | ||
| 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.