dealflow
envelope $200M

← Targets

South Big Horn Hospital

dba South Big Horn County Hospital · Basin, Big Horn County, WY · CCN 531301
Licensed to South Big Horn County Hospital District

Composite
54.1
rank score
Distress
90
FY2024
Fit
34
vs thesis
Estimated ticket
$595K–$1.2M
10 beds · within envelope
Ownership
nonprofit
CAH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • current liabilities exceed current assets
  • debt above 70% of assets
  • occupancy below 30%
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • 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$9.4M
Operating margin -20.1%
Total margin -9.5%
Days cash on hand 12
Current ratio 0.82
Occupancy14%

Facility

Beds10
Facility typeCAH
Settingrural
Ownership classnonprofit
Per-bed (low) $59.5K
Per-bed (high) $119K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 10 $9.9M $1.1M -12.1% 9.2% 116 0.79 50% 98 48
2022 10 $11.6M $-288K -11.6% -2.3% 28 1.76 84% 118 58
2023 10 $7.5M $-1.2M -55.4% -11.9% 12 1.60 18% 118 76
2024 10 $9.4M $-976K -20.1% -9.5% 12 0.82 14% 75 90

Owners

OwnerRole%SinceType
Connie Werbelow corporate officer 2019-01
Fred Werner corporate officer 2023-01
Janet Evans corporate officer 2023-01
Jeff Petty corporate officer 2022-02
Marion Thompson corporate officer 2023-01
Marion Thompson w-2 managing employee 2023-01
Paul Thur corporate officer 2019-11
South Big Horn County Hospital District
Basin, WY
operational/managerial control 2008-04
Tamara Sawyer w-2 managing employee 2017-11

Ownership changes

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