dealflow
envelope $200M

← Targets

Sa Warm Springs Rehab Hosp

dba Warm Springs Rehabilitation Hospital Of San Antonio · San Antonio, Bexar County, TX · CCN 453035
Licensed to Post Acute Medical At San Antonio Llc

Composite
60.8
rank score
Distress
42
FY2024
Fit
100
vs thesis
Estimated ticket
$47.1M–$188M
145 beds · within envelope
Ownership
for-profit
RH

Why it ranks here

  • under 30 days cash on hand
  • current ratio below 0.8
  • liabilities exceed assets
  • part of a multi-hospital chain — divestiture candidate
  • TX: favorable regulatory climate
  • urban — higher occupancy and iteration surface
  • specialty facility — narrower problem scope
  • bed count in the target band
  • ticket size uses the capital envelope well
  • strong occupancy — good iteration surface
  • for-profit — no charitable conversion review

Latest financials · FY2024

Net patient revenue$81.9M
Operating margin 18.1%
Total margin 18.3%
Days cash on hand 0
Current ratio 0.79
Occupancy79%

Facility

Beds145
Facility typeRH
Settingurban
Ownership classfor-profit
Per-bed (low) $325K
Per-bed (high) $1.3M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 139 $68.5M $11.2M 13.8% 15.9% 0 0.42 78% 3,405 47
2022 134 $71.8M $9.8M 12.7% 13.5% 0 0.48 81% 3,368 47
2023 134 $78.4M $10.9M 13.7% 13.9% 0 0.81 86% 3,678 42
2024 145 $81.9M $15.0M 18.1% 18.3% 0 0.79 79% 3,671 42

Owners

OwnerRole%SinceType
Post Acute Medical, Llc
Enola, PA
5% or greater direct ownership interest 69 2006-12
Anthony Misitano 5% or greater indirect ownership interest 34 2022-01
Ba Healthcare Holdings, Llc
Enola, PA
5% or greater indirect ownership interest 34 2022-01
University Health System Services Of Texas, Inc.
San Antonio, TX
5% or greater direct ownership interest 31 2022-01
Brittany Misitano 5% or greater indirect ownership interest 25 2024-07
Anthony Misitano corporate officer 2016-04
Brittany Misitano corporate officer 2021-12
Joshua Davis w-2 managing employee 2025-09
Karick Stober corporate officer 2016-04
Pam Cubed Llc
Enola, PA
5% or greater indirect ownership interest 2024-07 chain
Wells Fargo Bank, N.a.
Minneapolis, MN
5% or greater security interest 2024-07

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 TX

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

DateBuyerSellerHospitalBeds
2023-03-01 Crh Of Temple Llc Everest Rehabilitation Hospital Temple Llc Temple Rehabilitation Hospital 36
2023-03-01 Crh Of Longview Llc Everest Rehabilitation Hospital... Longview Rehabilitation Hospital 36
2021-12-30 Pam Health Rehabilitation Hospital... Apollo Rehab Hospital Llc Pam Health Rehab Hosp Of Sugar Land 41
2019-08-01 Clear Lake Institute For Rehabilitation Llc Clear Lake Rehabilitation Hospital, Llc Bay Area Rehab Hospital 151
2019-08-01 Clear Lake Institute For Rehabilitation Llc Triumph Rehabilitation Hospital Of... Bay Area Rehab Hospital 151
2016-06-01 Pam Squared At Beaumont Llc Healthsouth Rehabilitation... Pam Squared At Beaumont 61