Pam Spc Hosp Of San Antonio Med Ctr
dba Pam Specialty Hospital Of San Antonio Medical Center ·
San Antonio, Bexar County, TX
· CCN 452059
Licensed to Pam Specialty Hospital Of San Antonio Llc
Composite
65.7
rank score
Distress
68
FY2024
Fit
83
vs thesis
Estimated ticket
$15.8M–$63.2M
62 beds ·
within envelope
Ownership
for-profit
LTCH
Why it ranks here
- operating margin -10% to -5%
- total margin -8% to -3%
- under 30 days cash on hand
- debt above 85% of assets
- margin deteriorating sharply
- part of a multi-hospital chain — divestiture candidate
- TX: favorable regulatory climate
- 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
- strong occupancy — good iteration surface
- for-profit — no charitable conversion review
Latest financials · FY2024
| Net patient revenue | $27.6M |
| Operating margin | -6.2% |
| Total margin | -4.3% |
| Days cash on hand | 3 |
| Current ratio | 1.59 |
| Occupancy | 66% |
Facility
| Beds | 62 |
| Facility type | LTCH |
| Setting | urban |
| Ownership class | for-profit |
| Per-bed (low) | $255K |
| Per-bed (high) | $1.0M |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 62 | $37.9M | $8.5M | 17.7% | 20.9% | 2 | 1.00 | 86% | 959 | 31 |
| 2022 | 62 | $34.3M | $1.9M | 3.4% | 5.4% | 2 | 1.20 | 82% | 819 | 26 |
| 2023 | 62 | $31.5M | $1.6M | 3.6% | 5.1% | 20 | 0.67 | 75% | 758 | 43 |
| 2024 | 62 | $27.6M | $-1.2M | -6.2% | -4.3% | 3 | 1.59 | 66% | 603 | 68 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Pam Cubed Llc | 5% or greater indirect ownership interest | 100 | 2019-09 | chain |
| Pam Cubed Specialty Hospitals Llc | 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 | ||
| Jennifer West | w-2 managing employee | 2025-08 | ||
| Karick Stober | corporate officer | 2019-08 | ||
| Wells Fargo Bank, N.a. | 5% or greater security interest | 2024-07 |
Ownership changes
| Date | Type | Buyer | Seller |
|---|---|---|---|
| 2019-09-30 | change of ownership | Pam Specialty Hospital Of San... | New San Antonio Specialty Hospital, Llc |
Who has been buying in TX
Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 2026-01-01 | Houston-Amg Specialty Hospital, Inc. | Plaza Specialty Hospital, Llc | Houston Healthcare Specialty Hosp. | 44 |
| 2026-01-01 | Clear Lake-Amg Specialty Hospital, Inc. | Chg Hospital Houston Llc | Vibra Hospital Of Clear Lake | 88 |
| 2024-08-01 | Hhn Tx1 Llc | Kpc Promise Hospital Of Wichita Falls Llc | Kpc Promise Hospital Of Wichita Fall | 31 |
| 2024-05-19 | Amarillo Specialty Hospital | Kpc Promise Hospital Of Amarillo Llc | Kpc Promise Hospital Of Amarillo Llc | 54 |
| 2019-09-30 | Pam Specialty Hospital Of San Antonio Llc | New San Antonio Specialty Hospital, Llc | Pam Spc Hosp Of San Antonio Med Ctr | 62 |
| 2019-09-30 | Lifecare 2.1, Llc | New Lifecare Hospitals Of North Texas, Llc | Lifecare Spec Hosp Of North Texas | 206 |
| 2016-06-28 | Knd Development 68 Llc | Select Specialty Hospital - San Antonio Inc | Kindred Hospital San Antonio Central | 44 |