dealflow
envelope $200M

← Targets

Ahc Shady Grove Medical Center

dba Adventist Healthcare Shady Grove Medical Center · Rockville, Montgomery County, MD · CCN 210057
Licensed to Adventist Healthcare, Inc.

Composite
30.1
rank score
Distress
9
FY2023
Fit
65
vs thesis
Estimated ticket
$198M–$794M
397 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin under 2%
  • margin slipping
  • urban — higher occupancy and iteration surface
  • large — ticket likely stretches the envelope
  • ticket size well above the envelope
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review

Latest financials · FY2023

Net patient revenue$456M
Operating margin 0.2%
Total margin 6.6%
Days cash on hand 258
Current ratio 4.03
Occupancy73%

Facility

Beds397
Facility typeSTH
Settingurban
Ownership classnonprofit
Per-bed (low) $500K
Per-bed (high) $2.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 360 $416M $33.6M -1.2% 7.4% 284 4.61 80% 19,857 16
2021 360 $431M $31.6M -2.4% 6.7% 292 2.93 84% 20,399 16
2022 381 $447M $8.3M -3.8% 1.7% 220 3.80 77% 19,852 19
2023 397 $456M $31.9M 0.2% 6.6% 258 4.03 73% 20,335 9

Owners

OwnerRole%SinceType
Adventist Healthcare, Inc.
Gaithersburg, MD
operational/managerial control 2003-12
Kristen Pulio corporate officer 2020-06
Kristen Pulio w-2 managing employee 2020-06
Terry Forde corporate officer 2014-04
Terry Forde corporate director 2014-04

Ownership changes

DateTypeBuyerSeller
2018-08-01 acquisition/merger Adventist Healthcare, Inc. Adventist Healthcare, Inc.

Who has been buying in MD

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

DateBuyerSellerHospitalBeds
2024-02-01 University Of Maryland Medical Center, Llc University Of Maryland Medical... University Of Maryland Med Sys 762
2022-07-01 Grmc, Inc. Garrett County Memorial Hospital Garrett County Memorial Hospital 20
2022-03-01 Sinai Hospital Of Baltimore, Inc Grace Medical Center Inc Sinai Hospital Of Baltimore Inc. 437
2020-03-01 Tidalhealth Peninsula Regional Inc Mccready Foundation Inc Tidalhealth Peninsula Regional Inc 284
2019-10-27 Adventist Healthcare Fort... Fort Washington Medical Center Inc Fort Washington Medical Center 34
2018-08-01 Adventist Healthcare, Inc. Adventist Healthcare, Inc. Ahc Shady Grove Medical Center 397