dealflow
envelope $200M

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Elkhorn Valley Rehabilitation Hospit

dba Elkhorn Valley Rehabilitation Hospital · Casper, Natrona County, WY · CCN 533027
Licensed to Elkhorn Valley Rehabilitation Hospital Llc

Composite
56.8
rank score
Distress
45
FY2024
Fit
75
vs thesis
Estimated ticket
$13.0M–$52.0M
40 beds · within envelope
Ownership
for-profit
PE 6y

Why it ranks here

  • under 30 days cash on hand
  • current ratio below 0.8
  • debt above 85% of assets
  • margin deteriorating
  • PE-owned 6 years — approaching exit window
  • urban — higher occupancy and iteration surface
  • specialty facility — narrower problem scope
  • small but workable bed count
  • 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$19.7M
Operating margin 14.7%
Total margin 14.9%
Days cash on hand 0
Current ratio 0.01
Occupancy69%

Facility

Beds40
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 40 $17.2M $3.1M 13.4% 17.2% 8 0.01 71% 684 43
2022 40 $16.2M $2.2M 11.6% 13.5% 20 0.01 68% 636 43
2023 40 $17.0M $1.8M 10.2% 10.4% 7 0.01 68% 628 43
2024 40 $19.7M $2.9M 14.7% 14.9% 0 0.01 69% 681 45

Owners

OwnerRole%SinceType
Elkhorn Valley Rehabilitation Hospital Holdings Inc
Mesquite, TX
5% or greater direct ownership interest 75 2007-12
Epoch Acquisition Inc
New York, NY
5% or greater indirect ownership interest 75 2018-10
Epoch Midco, Inc
New York, NY
5% or greater indirect ownership interest 75 2018-10
Epoch Parent Holdings Llc
New York, NY
5% or greater indirect ownership interest 75 2018-10
Epoch Parent Inc
New York, NY
5% or greater indirect ownership interest 75 2018-10
Ernest Health Holdings Llc
Mesquite, TX
5% or greater indirect ownership interest 75 2012-02
Ernest Health, Inc
Mesquite, TX
5% or greater indirect ownership interest 75 2006-09
Capital One Na
Mclean, VA
5% or greater security interest 65 2018-10
One Equity Partners Vii Lp
New York, NY
5% or greater indirect ownership interest 44 2018-10 PE
Mpt Of Casper Llc
Vestavia, AL
5% or greater security interest 35 2019-01
Wyoming Medical Center Inc
Casper, WY
5% or greater direct ownership interest 25 2007-12
One Equity Partners Vii-A Lp
New York, NY
5% or greater indirect ownership interest 22 2018-10 PE
One Equity Partners Vii-B Lp
New York, NY
5% or greater indirect ownership interest 9 2018-10 PE
Connie Longwell corporate director 2019-03
Connie Longwell w-2 managing employee 2016-01
Denise Kann corporate director 2012-02
Ernest Health, Inc
Mesquite, TX
other 2007-12
Eudora Cannon other 2023-06
Jacob Socha corporate director 2018-10
Jacob Socha other 2023-06
Lance Porter corporate director 2020-12
Rachel Bryant corporate director 2020-12

Ownership changes

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