dealflow
envelope $200M

← Targets

Post Acute Medical Tulsa

dba Pam Specialty Hospital Of Tulsa · Tulsa, Tulsa County, OK · CCN 372018
Licensed to Post Acute Specialty Hospital Of Tulsa Llc

Composite
65.0
rank score
Distress
87
FY2024
Fit
60
vs thesis
Estimated ticket
$12.6M–$50.4M
60 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
  • current ratio below 0.8
  • 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
  • bed count in the target band
  • small ticket — deploys little of the available capital
  • thin occupancy
  • for-profit — no charitable conversion review

Latest financials · FY2024

Net patient revenue$15.1M
Operating margin -11.9%
Total margin -10.4%
Days cash on hand 0
Current ratio 0.65
Occupancy41%

Facility

Beds60
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 60 $29.0M $6.1M 16.3% 20.0% 0 1.45 76% 826 26
2022 60 $26.7M $3.6M 12.5% 13.4% 1 1.17 68% 703 26
2023 60 $23.5M $2.7M 11.1% 11.5% 0 1.07 58% 629 28
2024 60 $15.1M $-1.6M -11.9% -10.4% 0 0.65 41% 425 87

Owners

OwnerRole%SinceType
Wells Fargo Bank, N.a.
Minneapolis, MN
5% or greater security interest 100 2024-07
Anthony Misitano corporate officer 2013-09
Brittany Misitano 5% or greater indirect ownership interest 2020-07
Brittany Misitano corporate officer 2020-07
Elizabeth Waytula w-2 managing employee 2025-09
Karick Stober corporate officer 2013-09
Pam Cubed Llc
Enola, PA
5% or greater indirect ownership interest 2020-07 chain
Pam Cubed Llc
Enola, PA
other 2024-04 chain
Pam Cubed Specialty Hospitals Llc
Enola, PA
5% or greater direct ownership interest 2020-07

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 OK

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

DateBuyerSellerHospitalBeds
2017-09-01 Landmark Of Midwest City Specialty... Specialty Hospital Of Midwest City... Inspire Specialty Hospital - Mw City 31