Metrowest Medical Center
Natick, Middlesex County, MA
· CCN 220175
Licensed to Vhs Acquisition Subsidiary Number 9, Inc.
Composite
55.8
rank score
Distress
75
FY2024
Fit
55
vs thesis
Estimated ticket
$9.4M–$18.8M
134 beds ·
within envelope
Ownership
for-profit
STH
Why it ranks here
- operating margin below -10%
- total margin below -8%
- under 30 days cash on hand
- current ratio under 1.5
- occupancy 45-60%
- margin deteriorating sharply
- rural — cheaper but limited density
- bed count in the target band
- very small ticket — sub-scale as a platform asset
- moderate occupancy
- for-profit — no charitable conversion review
Latest financials · FY2024
| Net patient revenue | $196M |
| Operating margin | -12.9% |
| Total margin | -11.0% |
| Days cash on hand | 0 |
| Current ratio | 1.43 |
| Occupancy | 59% |
Facility
| Beds | 134 |
| Facility type | STH |
| Setting | rural |
| Ownership class | for-profit |
| Per-bed (low) | $70.0K |
| Per-bed (high) | $140K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 210 | $213M | $7.6M | -12.5% | 3.1% | 0 | 0.67 | 46% | 7,738 | 73 |
| 2022 | 144 | $229M | $-10.8M | -3.7% | -4.8% | 0 | 0.86 | 64% | 7,224 | 63 |
| 2023 | 143 | $208M | $-13.1M | -11.3% | -6.0% | 2 | 1.48 | 59% | 6,434 | 68 |
| 2024 | 134 | $196M | $-21.8M | -12.9% | -11.0% | 0 | 1.43 | 59% | 6,200 | 75 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Tenet Healthcare Corporation | 5% or greater indirect ownership interest | 100 | 2013-10 | |
| Vanguard Health Financial Company Llc | 5% or greater direct ownership interest | 100 | 2007-07 | |
| Vanguard Health Holding Company I Llc | 5% or greater indirect ownership interest | 100 | 2011-06 | |
| Vanguard Health Holding Company Ii Llc | 5% or greater indirect ownership interest | 100 | 2011-06 | |
| Vanguard Health Management Inc | 5% or greater indirect ownership interest | 100 | 2005-01 | |
| Vanguard Health Systems Inc | 5% or greater indirect ownership interest | 100 | 2005-01 | |
| Vhs Acquisition Subsidiary Number 9, Inc. | 5% or greater direct ownership interest | 100 | 2005-01 | |
| Morgan Stanley Dean Witter Capital | 5% or greater indirect ownership interest | 8 | 2005-01 | |
| Angelo Pagano | corporate officer | 2024-07 | ||
| Denten Park | w-2 managing employee | 2025-04 | ||
| Joshua Burkett | corporate officer | 2024-10 | ||
| Kristina Mack | corporate officer | 2014-07 | ||
| Morgan Stanley Dean Witter Capital | 5% or greater direct ownership interest | 2005-01 | ||
| Saumya Sutaria | other | 2019-09 | ||
| Sharilee Smith | corporate director | 2024-03 |
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 MA
Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 2024-10-01 | Bmc Community Hospital Corporation | Steward Good Samaritan Medical Center, Inc. | Good Samaritan Medical Center | 208 |
| 2024-10-01 | Lg Newcorp Inc. | Steward Holy Family Hospital Inc | Steward Holy Family Hospital | 293 |
| 2024-10-01 | Lifespan Of Massachusetts - Fall River Inc | Steward St. Annes Hospital Corporation | Steward St. Annes Hospital | 154 |
| 2024-10-01 | Lifespan Of Massachusetts - Taunton Inc | Morton Hospital, A Steward Family... | Morton Hospital | 125 |
| 2024-10-01 | Bmc Community Hospital Corporation Ii | Steward St Elizabeths Medical... | Steward St. Elizabeths Medical Ctr | 244 |