dealflow
envelope $200M

← Targets

Garden City Hospital Osteopathic

dba Garden City Hospital · Garden City, Wayne County, MI · CCN 230244
Licensed to Prime Healthcare Services - Garden City Llc

Composite
51.0
rank score
Distress
44
FY2023
Fit
78
vs thesis
Estimated ticket
$64.5M–$258M
129 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • under 30 days cash on hand
  • current ratio below 0.8
  • occupancy 45-60%
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size uses the capital envelope well
  • moderate occupancy
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$151M
Operating margin 11.4%
Total margin 15.3%
Days cash on hand 4
Current ratio -0.19
Occupancy56%

Facility

Beds129
Facility typeSTH
Settingurban
Ownership classfor-profit
Per-bed (low) $500K
Per-bed (high) $2.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 146 $152M $41.6M 22.5% 26.1% 39 2.19 61% 8,137 17
2021 146 $124M $17.7M 4.6% 13.0% 41 3.00 56% 6,539 19
2022 151 $148M $27.5M 11.5% 17.4% 8 6.37 61% 7,191 22
2023 129 $151M $24.2M 11.4% 15.3% 4 -0.19 56% 6,777 44

Owners

OwnerRole%SinceType
Prime Healthcare Holdings Inc
Ontario, CA
5% or greater indirect ownership interest 100 2014-07
Prime Healthcare Services, Inc
Ontario, CA
5% or greater direct ownership interest 100 2014-07
Alicia Vazquez corporate officer 2001-10
Alicia Vazquez w-2 managing employee 2001-10
Christopher Doan corporate officer 2015-03
Christopher Fulks corporate officer 2021-02
Steven Aleman corporate officer 2020-06

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