dealflow
envelope $200M

← Targets

Pagosa Springs Medical Center

Pagosa Springs, Archuleta County, CO · CCN 061328
Licensed to Upper San Juan Health Service District

Composite
31.9
rank score
Distress
38
FY2023
Fit
37
vs thesis
Estimated ticket
$935K–$1.9M
11 beds · within envelope
Ownership
government
CAH

Why it ranks here

  • operating margin -10% to -5%
  • 90-150 days cash on hand
  • occupancy below 30%
  • margin deteriorating
  • 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
  • government-owned — public process likely

Latest financials · FY2023

Net patient revenue$41.0M
Operating margin -5.1%
Total margin 2.9%
Days cash on hand 129
Current ratio 5.59
Occupancy14%

Facility

Beds11
Facility typeCAH
Settingrural
Ownership classgovernment
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 11 $31.4M $2.1M -21.9% 5.3% 172 2.16 19% 277 41
2021 11 $33.4M $9.0M -19.5% 18.4% 174 3.01 22% 330 37
2022 11 $33.8M $-2.9M -32.9% -6.9% 118 3.68 20% 319 53
2023 11 $41.0M $1.3M -5.1% 2.9% 129 5.59 14% 244 38

Owners

OwnerRole%SinceType
Ann Bruzzese corporate officer 2015-02
Ann Bruzzese corporate director 2015-02
Ann Bruzzese w-2 managing employee 2015-02
Michelle Keplinger corporate officer 2018-04
Michelle Keplinger corporate director 2018-04
Rhonda Webb corporate officer 2018-01
Upper San Juan Health Service District
Pagosa Springs, CO
operational/managerial control 1984-08

Ownership changes

No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.