dealflow
envelope $200M

← Targets

Same Day Surgery Center

Rapid City, Pennington County, SD · CCN 430093
Licensed to Same Day Surgery Center Llc

Composite
28.4
rank score
Distress
23
FY2024
Fit
45
vs thesis
Estimated ticket
$3.0M–$12.0M
6 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • 60-90 days cash on hand
  • occupancy below 30%
  • margin deteriorating
  • urban — higher occupancy and iteration surface
  • very small facility
  • very small ticket — sub-scale as a platform asset
  • very low occupancy — limited volume to learn from
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$18.2M
Operating margin 35.3%
Total margin 35.5%
Days cash on hand 75
Current ratio 5.32
Occupancy3%

Facility

Beds6
Facility typeSTH
Settingurban
Ownership classnonprofit
Per-bed (low) $500K
Per-bed (high) $2.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 6 $16.1M $7.6M 29.6% 40.0% 26 4.14 8% 79 31
2022 6 $16.4M $4.8M 28.9% 29.1% 62 6.27 12% 139 19
2023 6 $16.4M $4.7M 29.0% 29.0% 63 3.66 7% 139 19
2024 6 $18.2M $6.5M 35.3% 35.5% 75 5.32 3% 36 23

Owners

OwnerRole%SinceType
Monument Health Rapid City Hospital Inc
Rapid City, SD
5% or greater mortgage interest 100 2001-07
Rapid City Ambulatory Surgery Llc
Rapid City, SD
5% or greater direct ownership interest 60 2001-07
Monument Health Rapid City Hospital Inc
Rapid City, SD
5% or greater direct ownership interest 40 1997-11
Beth Nelson corporate director 15 2025-01
E Blickensderfer 5% or greater indirect ownership interest 12 2001-07
West River Anesthesiology Consultants Pc
Rapid City, SD
5% or greater indirect ownership interest 12 2001-07
Wesley Sufficool 5% or greater indirect ownership interest 11 2019-05
Austin Willuweit corporate officer 10 2018-04
David Ellenbecker corporate officer 10 2022-09
Michael Tilles corporate officer 10 2024-07
Steven Maser corporate officer 10 2022-10
Brent Bradley corporate officer 7 2025-01
E Blickensderfer corporate officer 7 2024-01
Heather Moline corporate officer 7 2021-01
Katherine Whaley corporate officer 7 2025-01
Troy Howard corporate officer 7 2026-01
Wesley Sufficool corporate officer 7 2023-01
Wesley Sufficool 5% or greater direct ownership interest 7 2019-04
Wesley Sufficool limited partnership interest 7 2019-04
Katherine Degen 5% or greater direct ownership interest 6 2025-01
Troy Howard limited partnership interest 4 2017-01
Amy Hartshorn w-2 managing employee 3 2008-09
Katherine Whaley limited partnership interest 1 2019-01
Brent Bradley limited partnership interest 0 2011-01
Heather Moline limited partnership interest 0 2024-04

Showing 25 of 26. Full list via /api/targets/430093.

Ownership changes

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