dealflow
envelope $200M

← Targets

Harper- Hutzel Hospital

dba Harper University Hospital · Detroit, Wayne County, MI · CCN 230104
Licensed to Vhs Harper-Hutzel Hospital Inc

Composite
53.9
rank score
Distress
62
FY2023
Fit
65
vs thesis
Estimated ticket
$19.0M–$38.1M
224 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • operating margin below -10%
  • total margin -8% to -3%
  • under 30 days cash on hand
  • margin deteriorating
  • 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$382M
Operating margin -11.3%
Total margin -4.0%
Days cash on hand 0
Current ratio 4.13
Occupancy76%

Facility

Beds224
Facility typeSTH
Settingrural
Ownership classfor-profit
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 370 $385M $3.8M -18.2% 0.8% 0 1.11 68% 16,219 57
2021 328 $422M $5.0M -4.9% 1.1% 0 1.70 63% 14,014 41
2022 237 $376M $-23.5M -13.6% -5.8% 0 3.37 76% 11,438 62
2023 224 $382M $-16.4M -11.3% -4.0% 0 4.13 76% 11,160 62

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
Angelo Pagano corporate officer 2024-07
Joshua Burkett corporate officer 2024-10
Joshua Hester corporate officer 2024-04
Joshua Hester w-2 managing employee 2024-04
Kristina Mack corporate officer 2014-07
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