dealflow
envelope $200M

← Targets

Southern Nevada Adult Mental Health

dba Southern Nevada Adult Mental Health Services · Las Vegas, Clark County, NV · CCN 294002
Licensed to State Of Nevada

Composite
64.8
rank score
Distress
72
FY2024
Fit
81
vs thesis
Estimated ticket
$55.6M–$223M
289 beds · within envelope
Ownership
government
PH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • occupancy 45-60%
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • specialty facility — narrower problem scope
  • large — ticket likely stretches the envelope
  • ticket size uses the capital envelope well
  • moderate occupancy
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$13.4M
Operating margin -741.3%
Total margin -8.1%
Days cash on hand 0
Current ratio 7.54
Occupancy57%

Facility

Beds289
Facility typePH
Settingurban
Ownership classgovernment
Per-bed (low) $192K
Per-bed (high) $770K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 289 $29.4M $24.2M -185.5% 22.3% 84 -39.99 32% 956 57
2022 289 $49.3M $35.0M -255.5% 16.7% 36 -60.37 27% 983 67
2023 289 $24.7M $15.7M -284.5% 14.2% 0 21.62 24% 874 59
2024 289 $13.4M $-8.4M -741.3% -8.1% 0 7.54 57% 888 72

Owners

OwnerRole%SinceType
State Of Nevada
Carson City, NV
5% or greater direct ownership interest 100 1966-01
Alan Sweet w-2 managing employee 17 2013-12
Paul Ripple corporate director 2010-05
Paul Ripple w-2 managing employee 2010-05

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 NV

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

DateBuyerSellerHospitalBeds
2024-08-01 Spring Valley Medical Center Uhs Of Spring Mountain Inc Spring Mountain Treatment Center 110
2024-08-01 Spring Valley Medical Center Uhs Sahara, Inc Spring Mountain Sahara 30
2024-08-01 Thrive Behavioral Hospital Llc Desert Winds Hospital Llc Desert Winds Hospital 114