dealflow
envelope $200M

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Palmetto Low Country Bhd

dba Palmetto Low Country Behavioral Health · Charleston, Charleston County, SC · CCN 424006
Licensed to Palmetto Lowcountry Behavioral Health, Llc

Composite
66.8
rank score
Distress
75
FY2023
Fit
78
vs thesis
Estimated ticket
$19.8M–$79.3M
103 beds · within envelope
Ownership
for-profit
PH

Why it ranks here

  • operating margin -10% to -5%
  • total margin -8% to -3%
  • under 30 days cash on hand
  • current ratio below 0.8
  • occupancy 45-60%
  • margin deteriorating sharply
  • part of a multi-hospital chain — divestiture candidate
  • urban — higher occupancy and iteration surface
  • specialty facility — narrower problem scope
  • bed count in the target band
  • ticket size somewhat below the envelope
  • moderate occupancy
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$15.2M
Operating margin -7.1%
Total margin -7.0%
Days cash on hand 0
Current ratio 0.30
Occupancy57%

Facility

Beds103
Facility typePH
Settingurban
Ownership classfor-profit
Per-bed (low) $192K
Per-bed (high) $770K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 108 $14.5M $1.4M 6.6% 9.1% 0 0.46 61% 3,004 36
2021 108 $12.7M $-519K -4.4% -4.1% 0 0.40 51% 2,650 66
2022 108 $13.7M $-947K -7.0% -6.9% 0 0.37 52% 2,639 72
2023 103 $15.2M $-1.1M -7.1% -7.0% 0 0.30 57% 2,645 75

Owners

OwnerRole%SinceType
Cheryl Ramagano corporate officer 100 2010-11
Cheryl Ramagano operational/managerial control 100 2010-11
George Brunner corporate officer 100 2010-11
Katharine Lyver corporate officer 100 2024-01
Matthew Klein corporate officer 100 2010-11
Matthew Peterson corporate officer 100 2019-09
Matthew Peterson operational/managerial control 100 2019-09
Palmetto Behavioral Health Holdings, Llc
King Of Prussia, PA
5% or greater indirect ownership interest 100 2000-07
Palmetto Behavioral Health System, Llc
North Charleston, SC
5% or greater direct ownership interest 100 2000-07
Premier Behavioral Solutions, Inc.
King Of Prussia, PA
5% or greater indirect ownership interest 100 2000-07
Psychiatric Solutions, Inc.
King Of Prussia, PA
5% or greater indirect ownership interest 100 2000-07
Steve Filton corporate officer 100 2010-11
Steve Filton operational/managerial control 100 2010-11
Thomas Day corporate officer 100 2021-07
Universal Health Services Inc
King Of Prussia, PA
5% or greater indirect ownership interest 100 2010-11
Alan Miller 5% or greater indirect ownership interest 85 2010-11
James Coleman contracted managing employee 50 2010-11
Uhs Of Delaware Inc
King Of Prussia, PA
operational/managerial control 50 2010-11 chain
Steve Filton corporate director 33 2010-11
Matthew Peterson corporate director 33 2019-09
Thomas Day corporate director 33 2021-07
Cheryl Ramagano corporate director 2010-11
Derrick Ouzts contracted managing employee 2021-10
Derrick Ouzts corporate officer 2021-10
Patrick Mcdaniel contracted managing employee 2023-12

Showing 25 of 26. Full list via /api/targets/424006.

Ownership changes

No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.