dealflow
envelope $200M

← Targets

Sinai-Grace Hospital

Detroit, Wayne County, MI · CCN 230024
Licensed to Vhs Sinai-Grace Hospital Inc

Composite
57.5
rank score
Distress
70
FY2023
Fit
65
vs thesis
Estimated ticket
$16.9M–$33.9M
242 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
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • bed count in the target band
  • small ticket — deploys little of the available capital
  • strong occupancy — good iteration surface
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$306M
Operating margin -10.5%
Total margin -8.7%
Days cash on hand 0
Current ratio 3.65
Occupancy85%

Facility

Beds242
Facility typeSTH
Settingrural
Ownership classfor-profit
Per-bed (low) $70.0K
Per-bed (high) $140K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 317 $345M $54.0M 5.1% 14.2% 25 1.29 69% 15,245 26
2021 278 $322M $4.1M -8.4% 1.2% 1 1.37 80% 13,838 51
2022 281 $316M $-24.9M -9.2% -7.8% 1 2.98 82% 12,887 57
2023 242 $306M $-27.1M -10.5% -8.7% 0 3.65 85% 12,564 70

Owners

OwnerRole%SinceType
Tenet Healthcare Corporation
Dallas, TX
5% or greater indirect ownership interest 100 2013-10
Vanguard Health Financial Company Llc
Dallas, TX
5% or greater indirect ownership interest 100 2011-01
Vanguard Health Holding Company I Llc
Dallas, TX
5% or greater indirect ownership interest 100 2011-01
Vanguard Health Holding Company Ii Llc
Dallas, TX
5% or greater indirect ownership interest 100 2011-01
Vanguard Health Management Inc
Dallas, TX
5% or greater indirect ownership interest 100 2011-01
Vanguard Health Systems Inc
Dallas, TX
5% or greater indirect ownership interest 100 2011-01
Vhs Of Michigan Inc
Dallas, TX
5% or greater direct ownership interest 100 2011-01
Morgan Stanley Dean Witter Capital
New York, NY
5% or greater indirect ownership interest 8 2011-01
Angelo Pagano corporate officer 2024-07
Giridhar Purushotham corporate officer 2022-07
Giridhar Purushotham w-2 managing employee 2022-07
Joshua Burkett corporate officer 2024-10
Kristina Mack corporate officer 2014-07
Morgan Stanley Dean Witter Capital
New York, NY
5% or greater direct ownership interest 2011-01
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 MI

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

DateBuyerSellerHospitalBeds
2018-07-01 St Joseph Mercy Chelsea Inc Trinity Health-Michigan Chelsea Hospital 79