Siouxland Surgery Center
dba Dunes Surgical Hospital ·
Dakota Dunes, Union County, SD
· CCN 430089
Licensed to Siouxland Surgery Center Limited Liability Partnership
Composite
36.4
rank score
Distress
23
FY2023
Fit
65
vs thesis
Estimated ticket
$19.0M–$76.0M
38 beds ·
within envelope
Ownership
for-profit
STH
Why it ranks here
- 60-90 days cash on hand
- occupancy below 30%
- margin deteriorating
- urban — higher occupancy and iteration surface
- small but workable bed count
- ticket size somewhat below the envelope
- very low occupancy — limited volume to learn from
- for-profit — no charitable conversion review
Latest financials · FY2023
| Net patient revenue | $103M |
| Operating margin | 38.0% |
| Total margin | 38.1% |
| Days cash on hand | 76 |
| Current ratio | 2.31 |
| Occupancy | 12% |
Facility
| Beds | 38 |
| Facility type | STH |
| Setting | urban |
| Ownership class | for-profit |
| Per-bed (low) | $500K |
| Per-bed (high) | $2.0M |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 38 | $94.7M | $40.3M | 39.9% | 41.4% | 139 | 3.51 | 15% | 914 | 13 |
| 2021 | 38 | $104M | $41.2M | 37.0% | 38.6% | 91 | 2.66 | 14% | 917 | 13 |
| 2022 | 38 | $106M | $44.0M | 40.1% | 41.0% | 89 | 1.80 | 15% | 1,000 | 19 |
| 2023 | 38 | $103M | $39.2M | 38.0% | 38.1% | 76 | 2.31 | 12% | 810 | 23 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Mercy/usp Health Ventures Llc | 5% or greater direct ownership interest | 52 | 2019-06 | |
| Ssc Physician Investors, Llc | 5% or greater direct ownership interest | 48 | 2019-06 | |
| Hcn Surgery Center Holdings Inc | 5% or greater indirect ownership interest | 2023-08 | ||
| Houston Northwest Partners Ltd | 5% or greater indirect ownership interest | 2023-08 | ||
| Nicholas Crafts | corporate officer | 2023-01 | ||
| Nicholas Crafts | corporate director | 2023-01 | ||
| Nicholas Crafts | w-2 managing employee | 2023-01 | ||
| Robert Monical | corporate officer | 2020-10 | ||
| Robert Monical | w-2 managing employee | 2020-10 | ||
| Tenet Healthcare Corporation | 5% or greater indirect ownership interest | 2023-08 | ||
| United Surgical Partners Holdings Inc | 5% or greater indirect ownership interest | 2023-08 | ||
| United Surgical Partners International Inc | 5% or greater indirect ownership interest | 2023-08 | ||
| Usp Domestic Holdings Inc | 5% or greater indirect ownership interest | 2023-08 | ||
| Usp Siouxland Inc | 5% or greater indirect ownership interest | 2023-08 | ||
| Usp Siouxland Inc | operational/managerial control | 2014-07 | ||
| Uspi Group Holdings Inc | 5% or greater indirect ownership interest | 2014-07 | ||
| Uspi Holding Company Inc | 5% or greater indirect ownership interest | 2015-06 | ||
| Uspi Holdings Inc | 5% or greater indirect ownership interest | 2014-07 | ||
| Vhs San Antonio Partners Llc | 5% or greater indirect ownership interest | 2023-08 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.