Hot Springs County Memorial
dba Hot Springs County Memorial Hospital ·
Thermopolis, Hot Springs County, WY
· CCN 531304
Licensed to Hot Springs County Hospital District
Composite
37.9
rank score
Distress
54
FY2024
Fit
34
vs thesis
Estimated ticket
$1.1M–$2.2M
15 beds ·
within envelope
Ownership
nonprofit
CAH
Why it ranks here
- operating margin below -10%
- total margin negative
- 90-150 days cash on hand
- 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 | $34.0M |
| Operating margin | -13.7% |
| Total margin | -0.4% |
| Days cash on hand | 133 |
| Current ratio | 5.36 |
| Occupancy | 28% |
Facility
| Beds | 15 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | nonprofit |
| Per-bed (low) | $72.2K |
| Per-bed (high) | $144K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 15 | $26.3M | $3.7M | -10.9% | 11.3% | 180 | 2.35 | 28% | 391 | 37 |
| 2022 | 15 | $29.4M | $2.7M | -12.0% | 7.6% | 105 | 3.29 | 31% | 393 | 38 |
| 2023 | 15 | $31.6M | $-52.7K | -15.0% | -0.1% | 129 | 6.21 | 33% | 499 | 46 |
| 2024 | 15 | $34.0M | $-152K | -13.7% | -0.4% | 133 | 5.36 | 28% | 378 | 54 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| County Of Hot Springs | 5% or greater direct ownership interest | 100 | 1966-01 | |
| Scott Alwin | corporate officer | 2022-07 | ||
| Scott Alwin | corporate director | 2022-07 | ||
| Scott Alwin | w-2 managing employee | 2022-07 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.