dealflow
envelope $200M

← Targets

Insight Surgical Hospital

Warren, Macomb County, MI · CCN 230264
Licensed to Southeast Michigan Surgical Hospital Llc

Composite
55.7
rank score
Distress
81
FY2023
Fit
48
vs thesis
Estimated ticket
$4.5M–$18.2M
13 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
  • current ratio under 1.5
  • debt above 70% of assets
  • occupancy below 30%
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • very small facility
  • very small ticket — sub-scale as a platform asset
  • very low occupancy — limited volume to learn from
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$25.1M
Operating margin -39.6%
Total margin -3.7%
Days cash on hand 3
Current ratio 1.01
Occupancy11%

Facility

Beds13
Facility typeSTH
Settingurban
Ownership classfor-profit
Per-bed (low) $350K
Per-bed (high) $1.4M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 13 $18.6M $1.4M -1.5% 6.9% 37 1.21 16% 255 49
2021 13 $24.0M $261K -9.6% 1.0% 26 1.35 11% 176 64
2022 13 $28.3M $1.9M -8.5% 5.9% 11 1.34 10% 182 57
2023 13 $25.1M $-1.2M -39.6% -3.7% 3 1.01 11% 261 81

Owners

OwnerRole%SinceType
Iinn Holdings Inc
Flint, MI
5% or greater direct ownership interest 70 2018-12
Riazul Huda 5% or greater indirect ownership interest 70 2018-12
Jawad Shah 5% or greater indirect ownership interest 30 2018-12
Jsce Holdings Llc
Flint, MI
5% or greater direct ownership interest 30 2018-12
Jawad Shah corporate officer 2018-12
Nadir Ijaz corporate officer 2019-01
Nadir Ijaz operational/managerial control 2019-01

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