Avera Gregory Hospital
Gregory, Gregory County, SD
· CCN 431338
Licensed to Avera Mckennan
Composite
53.5
rank score
Distress
85
FY2024
Fit
38
vs thesis
Estimated ticket
$774K–$1.5M
13 beds ·
within envelope
Ownership
nonprofit
CAH
Why it ranks here
- operating margin below -10%
- total margin below -8%
- under 30 days cash on hand
- current ratio under 1.5
- debt above 85% of assets
- occupancy 30-45%
- margin deteriorating sharply
- rural — cheaper but limited density
- very small facility
- very small ticket — sub-scale as a platform asset
- thin occupancy
- nonprofit — expect AG conversion review
Latest financials · FY2024
| Net patient revenue | $21.2M |
| Operating margin | -19.1% |
| Total margin | -8.1% |
| Days cash on hand | 0 |
| Current ratio | 1.30 |
| Occupancy | 33% |
Facility
| Beds | 13 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | nonprofit |
| Per-bed (low) | $59.5K |
| Per-bed (high) | $119K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 25 | $18.1M | $587K | -5.5% | 3.0% | 1 | 9.87 | 20% | 352 | 53 |
| 2022 | 25 | $17.5M | $-1.0M | -16.7% | -5.3% | 0 | 5.82 | 19% | 296 | 71 |
| 2023 | 13 | $17.5M | $-2.0M | -23.5% | -10.3% | 1 | 4.00 | 32% | 258 | 80 |
| 2024 | 13 | $21.2M | $-1.9M | -19.1% | -8.1% | 0 | 1.30 | 33% | 270 | 85 |
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 | ||
| Anthony Timanus | w-2 managing employee | 2014-01 | ||
| Avera Health | operational/managerial control | 1992-06 | ||
| 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 | ||
| Jamie Sachtjen | w-2 managing employee | 2009-12 | ||
| 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 | ||
| Tammy Graesser | w-2 managing employee | 2007-02 |
Showing 25 of 26. Full list via /api/targets/431338.
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.