dealflow
envelope $200M

← Targets

Altru Rehabilitation Hospital

Grand Forks, Grand Forks County, ND · CCN 353027
Licensed to Rehabilitation Hospital Of Grand Forks, Llc

Composite
69.9
rank score
Distress
84
FY2023
Fit
75
vs thesis
Estimated ticket
$9.1M–$36.4M
40 beds · within envelope
Ownership
for-profit
RH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • current ratio below 0.8
  • debt above 70% of assets
  • part of a multi-hospital chain — divestiture candidate
  • urban — higher occupancy and iteration surface
  • specialty facility — narrower problem scope
  • small but workable bed count
  • 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$15.3M
Operating margin -18.3%
Total margin -18.2%
Days cash on hand 0
Current ratio -4.28
Occupancy63%

Facility

Beds40
Facility typeRH
Settingurban
Ownership classfor-profit
Per-bed (low) $228K
Per-bed (high) $910K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2023 40 $15.3M $-2.8M -18.3% -18.2% 0 -4.28 63% 804 84

Owners

OwnerRole%SinceType
Encompass Health Corporation
Birmingham, AL
5% or greater indirect ownership interest 60 2021-05 chain
Encompass Health Grand Forks Holdings, Llc
Birmingham, AL
5% or greater direct ownership interest 60 2021-05
Encompass Health Joint Ventures Holdings, Llc
Birmingham, AL
5% or greater indirect ownership interest 60 2021-05
Altru Health System
Grand Forks, ND
5% or greater direct ownership interest 40 2021-05
Vanguard Group Inc
Malvern, PA
5% or greater indirect ownership interest 6 2023-12
Blackrock Inc
New York, NY
5% or greater indirect ownership interest 5 2023-12
Carey Mcrae operational/managerial control 2025-01
Carey Mcrae other 2025-01
Encompass Health Corporation
Birmingham, AL
operational/managerial control 2021-05 chain
Lucas Lawrimore w-2 managing employee 2021-11
Mark Tarr operational/managerial control 2021-05
Robert Mccallum operational/managerial control 2025-01
Robert Mccallum other 2025-01

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 ND

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

DateBuyerSellerHospitalBeds
2020-10-01 Pam Cubed Rehabilitation Hospital... Cobalt Rehabilitation Hospital Fargo Llc Pam Rehabilitation Hospital Of Fargo 42