dealflow
envelope $200M

← Targets

St. Simons By The Sea

dba St. Simons-By-The-Sea · St. Simons Island, GA · CCN 114016
Licensed to Hhc St. Simons Inc

Composite
63.5
rank score
Distress
65
FY2023
Fit
86
vs thesis
Estimated ticket
$23.6M–$94.4M
101 beds · within envelope
Ownership
for-profit
PH

Why it ranks here

  • operating margin negative
  • total margin negative
  • under 30 days cash on hand
  • current ratio below 0.8
  • occupancy 45-60%
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • specialty facility — narrower problem scope
  • bed count in the target band
  • ticket size somewhat below the envelope
  • moderate occupancy
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$14.2M
Operating margin -2.5%
Total margin -2.3%
Days cash on hand 0
Current ratio 0.21
Occupancy50%

Facility

Beds101
Facility typePH
Settingurban
Ownership classfor-profit
Per-bed (low) $234K
Per-bed (high) $935K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 101 $14.5M $2.2M 13.1% 14.7% 0 0.11 54% 2,828 38
2021 101 $15.5M $2.6M 16.3% 16.5% 0 0.16 57% 3,268 38
2022 101 $14.1M $933K 6.3% 6.6% 0 0.20 51% 2,774 38
2023 101 $14.2M $-323K -2.5% -2.3% 0 0.21 50% 2,497 65

Owners

OwnerRole%SinceType
Cheryl Ramagano corporate officer 100 2010-11
George Brunner corporate officer 100 2010-11
Horizon Health Corporation
Lewisville, TX
5% or greater indirect ownership interest 100 2006-02
Horizon Health Hospital Services Llc
King Of Prussia, PA
5% or greater direct ownership interest 100 2007-12
Matthew Klein corporate officer 100 2010-11
Matthew Peterson corporate officer 100 2019-09
Matthew Peterson operational/managerial control 100 2019-09
Psychiatric Solutions, Inc.
King Of Prussia, PA
5% or greater indirect ownership interest 100 2006-02
Robert Zurad corporate officer 100 2010-11
Steve Filton corporate officer 100 2010-11
Steve Filton operational/managerial control 100 2010-11
Thomas Day corporate officer 100 2021-07
Uhs Of Delaware Inc
King Of Prussia, PA
operational/managerial control 100 2010-11
Universal Health Services Inc
King Of Prussia, PA
5% or greater indirect ownership interest 100 2010-11
Alan Miller 5% or greater indirect ownership interest 85 2021-01
James Coleman contracted managing employee 50 2010-11
Matthew Peterson corporate director 33 2019-09
Steve Filton corporate director 33 2010-11
Thomas Day corporate director 33 2021-07
Cheryl Bullard contracted managing employee 2017-01
Cheryl Bullard corporate officer 2017-01
John Strachan contracted managing employee 2021-01
John Strachan corporate officer 2021-01

Ownership changes

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

Who has been buying in GA

Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.

DateBuyerSellerHospitalBeds
2017-01-05 Rv Behavioral, Llc Ridgeview Institute,inc Ridgeview Institute Smyrna 188