dealflow
envelope $200M

← Targets

Metrohealth Medical Center

Cleveland, Cuyahoga County, OH · CCN 360059
Licensed to The Metrohealth System

Composite
19.6
rank score
Distress
56
FY2023
Fit
60
vs thesis
Estimated ticket
$213M–$852M
501 beds · over envelope
Ownership
government
STH

Why it ranks here

  • operating margin below -10%
  • total margin under 2%
  • 30-60 days cash on hand
  • debt above 85% of assets
  • margin deteriorating
  • urban — higher occupancy and iteration surface
  • very large — likely out of range
  • estimated price exceeds the capital envelope
  • strong occupancy — good iteration surface
  • government-owned — public process likely

Latest financials · FY2023

Net patient revenue$1.3B
Operating margin -44.5%
Total margin 1.7%
Days cash on hand 35
Current ratio 1.67
Occupancy62%

Facility

Beds501
Facility typeSTH
Settingurban
Ownership classgovernment
Per-bed (low) $425K
Per-bed (high) $1.7M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 539 $1.1B $81.9M -34.5% 5.4% 94 2.41 57% 19,672 46
2021 552 $1.2B $122M -23.8% 7.6% 78 1.86 61% 21,065 46
2022 580 $1.2B $-24.6M -35.5% -1.6% 43 1.49 57% 19,432 62
2023 501 $1.3B $31.2M -44.5% 1.7% 35 1.67 62% 20,086 56

Owners

OwnerRole%SinceType
Jennifer Walker-Rosario w-2 managing employee 2020-10
Joseph Varga w-2 managing employee 2009-08

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 OH

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

DateBuyerSellerHospitalBeds
2022-03-01 Mercy Health - St Vincent Medical... Mercy Health-St Charles Hospital Llc St Vincent Medical Center 516
2022-03-01 Mercy Health - St Vincent Medical... Mercy Health-St Charles Hospital Llc St Vincent Medical Center 516
2022-03-01 Mercy Health - St Vincent Medical... Mercy Health-St Charles Hospital Llc St Vincent Medical Center 516
2022-03-01 Mercy Health - St Vincent Medical... Mercy Health - St Anne Hospital Llc St Vincent Medical Center 516
2020-10-01 The Good Samaritan Hospital Of... Trihealth Hospital, Inc Good Samaritan Hospital 362
2019-04-01 Ohiohealth Berger Hospital Llc Berger Hospital Berger Hospital 83
2018-12-02 The Toledo Hospital Flower Hospital The Toledo Hospital 730
2016-10-31 Prime Healthcare Foundation -... Coshocton County Memorial Hospital... Coshocton Regional Medical Center 56