dealflow
envelope $200M

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Pam Specialty Hospital Of Miamisburg

dba Pam Health Specialty Hospital Of Miamisburg · Miamisburg, Montgomery County, OH · CCN 362028
Licensed to Pam Specialty Hospital Of Dayton Llc

Composite
64.4
rank score
Distress
79
FY2024
Fit
68
vs thesis
Estimated ticket
$7.6M–$30.2M
36 beds · within envelope
Ownership
for-profit
LTCH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • debt above 70% of assets
  • occupancy 30-45%
  • margin deteriorating sharply
  • part of a multi-hospital chain — divestiture candidate
  • urban — higher occupancy and iteration surface
  • LTCH — distress here is a payment-model artifact
  • small but workable bed count
  • small ticket — deploys little of the available capital
  • thin occupancy
  • for-profit — no charitable conversion review

Latest financials · FY2024

Net patient revenue$10.2M
Operating margin -18.8%
Total margin -14.7%
Days cash on hand 3
Current ratio 1.91
Occupancy44%

Facility

Beds36
Facility typeLTCH
Settingurban
Ownership classfor-profit
Per-bed (low) $210K
Per-bed (high) $840K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 44 $24.9M $6.2M 15.2% 22.7% 15 2.51 74% 512 22
2022 44 $21.7M $2.0M 8.2% 9.0% 7 3.88 69% 456 22
2023 44 $17.0M $743K 2.9% 4.3% 11 1.16 56% 380 32
2024 36 $10.2M $-1.6M -18.8% -14.7% 3 1.91 44% 217 79

Owners

OwnerRole%SinceType
Pam Cubed Llc
Enola, PA
5% or greater indirect ownership interest 100 2019-09 chain
Pam Cubed Specialty Hospitals Llc
Enola, PA
5% or greater direct ownership interest 100 2019-09
Brittany Misitano 5% or greater indirect ownership interest 74 2019-09
Anthony Misitano corporate officer 2019-08
Brittany Misitano corporate officer 2019-08
Elizabeth Hawkins w-2 managing employee 2026-04
Karick Stober corporate officer 2019-08
Wells Fargo Bank, N.a.
Minneapolis, MN
5% or greater security interest 2024-07

Ownership changes

DateTypeBuyerSeller
2019-09-30 change of ownership Pam Specialty Hospital Of Dayton Llc New Lifecare Hospitals Of Dayton Llc

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
2022-06-14 Select Specialty Hospital - Boardman, Inc. Vibra Hospital Of Mahoning Valley Llc Ssh - Boardman Inc 79
2019-09-30 Pam Specialty Hospital Of Dayton Llc New Lifecare Hospitals Of Dayton Llc Pam Specialty Hospital Of Miamisburg 36
2017-11-01 Select Specialty Hospital -... Regency Hospital Of Cincinnati, Llc Ssh - Cincinnati Inc. 71