dealflow
envelope $200M

← Targets

Ssh - Des Moines

dba Select Specialty Hospital- Des Moines · Des Moines, Polk County, IA · CCN 162003
Licensed to Select Specialty Hospital - Des Moines, Inc.

Composite
53.5
rank score
Distress
61
FY2023
Fit
65
vs thesis
Estimated ticket
$7.7M–$30.6M
30 beds · within envelope
Ownership
for-profit
LTCH

Why it ranks here

  • operating margin negative
  • total margin below -8%
  • current liabilities exceed current assets
  • occupancy 45-60%
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • LTCH — distress here is a payment-model artifact
  • small but workable bed count
  • small ticket — deploys little of the available capital
  • moderate occupancy
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$10.7M
Operating margin -3.1%
Total margin -9.7%
Days cash on hand
Current ratio 0.88
Occupancy58%

Facility

Beds30
Facility typeLTCH
Settingurban
Ownership classfor-profit
Per-bed (low) $255K
Per-bed (high) $1.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 30 $16.8M $3.3M 23.0% 18.4% 0.41 93% 330 17
2021 30 $14.5M $2.6M 23.1% 16.8% 0.84 80% 327 11
2022 30 $12.3M $-928K 4.3% -7.4% 0.60 66% 273 33
2023 30 $10.7M $-1.0M -3.1% -9.7% 0.88 58% 260 61

Owners

OwnerRole%SinceType
Select Medical Corporation
Mechanicsburg, PA
5% or greater indirect ownership interest 100 2014-03
Select Medical Corporation
Mechanicsburg, PA
operational/managerial control 100 2014-03
Select Specialty Hospitals Inc
Mechanicsburg, PA
5% or greater direct ownership interest 100 2014-03
John Duggan corporate officer 2014-03
John Duggan corporate director 2025-09
John Saich corporate officer 2025-09
Michael Malatesta corporate officer 2025-09
Robert Breighner w-2 managing employee 2025-09
Robert Kido corporate officer 2025-09
Sam Ayres corporate officer 2023-06
Sam Ayres w-2 managing employee 2023-06
Sam Ayres operational/managerial control 2023-06
Thomas Mullin corporate officer 2025-09

Ownership changes

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