Cumberland Surgical Hospital
dba Legent Orthopedic + Spine ·
San Antonio, TX
· CCN 670112
Licensed to Cumberland Surgical Hospital Of San Antonio Llc
Composite
74.6
rank score
Distress
100
FY2024
Fit
74
vs thesis
Estimated ticket
$8.8M–$35.0M
25 beds ·
within envelope
Ownership
for-profit
STH
Why it ranks here
- operating margin below -10%
- total margin below -8%
- under 30 days cash on hand
- current ratio below 0.8
- liabilities exceed assets
- occupancy below 30%
- margin deteriorating sharply
- TX: favorable regulatory climate
- urban — higher occupancy and iteration surface
- small but workable bed count
- small ticket — deploys little of the available capital
- very low occupancy — limited volume to learn from
- for-profit — no charitable conversion review
Latest financials · FY2024
| Net patient revenue | $61.8M |
| Operating margin | -28.5% |
| Total margin | -23.3% |
| Days cash on hand | 2 |
| Current ratio | 0.45 |
| Occupancy | 11% |
Facility
| Beds | 25 |
| Facility type | STH |
| Setting | urban |
| Ownership class | for-profit |
| Per-bed (low) | $350K |
| Per-bed (high) | $1.4M |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 26 | $78.4M | $11.7M | 10.1% | 13.9% | 0 | 2.62 | 26% | 5,535 | 39 |
| 2022 | 25 | $85.5M | $8.3M | 9.5% | 9.7% | 0 | 3.59 | 29% | 1,348 | 39 |
| 2023 | 25 | $76.2M | $-3.4M | -20.8% | -3.9% | 2 | 0.93 | 20% | 875 | 91 |
| 2024 | 25 | $61.8M | $-15.0M | -28.5% | -23.3% | 2 | 0.45 | 11% | 643 | 100 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Psn Affiliates, Llc- North Loop Series | 5% or greater direct ownership interest | 100 | 2022-03 | |
| Psn Group Llc | 5% or greater indirect ownership interest | 100 | 2022-08 | |
| Psn Holdings, Llc | 5% or greater indirect ownership interest | 100 | 2022-08 | |
| Psn Topco, Llc | 5% or greater indirect ownership interest | 80 | 2022-08 | |
| Mj Fowler 678 Trust | 5% or greater indirect ownership interest | 35 | 2022-08 | |
| Be Consultants, Llc | 5% or greater indirect ownership interest | 29 | 2022-08 | |
| Btg Kelly Aggregator Lp | 5% or greater indirect ownership interest | 15 | 2022-08 | |
| Brunton Family Irrevocable Trust | 5% or greater indirect ownership interest | 14 | 2022-08 | |
| Trinity River Partners I Lp | 5% or greater indirect ownership interest | 10 | 2022-08 | |
| Project Kelly Co-Investors Us Holdings Inc | 5% or greater indirect ownership interest | 5 | 2022-08 | |
| Project Kelly Co-Investors B, Lp | 5% or greater indirect ownership interest | 5 | 2022-08 | |
| Benjamin Brunton | 5% or greater indirect ownership interest | 2022-08 | ||
| Brittani Schmitz | w-2 managing employee | 2022-03 | ||
| Eric King | 5% or greater indirect ownership interest | 2022-08 | ||
| Jordan Fowler | corporate officer | 2018-10 | ||
| Melanie Fowler | 5% or greater indirect ownership interest | 2022-08 |
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.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 2025-02-01 | Texas Heart Hospital Of The Southwest Llc | Baylor Heart & Vascular Center Llp | Baylor Heart And Vascular Hospital | 56 |
| 2024-10-30 | Hsa Port Arthur, Llc | The Medical Center Of Southeast Texas Lp | The Medical Ctr Of Southeast Texas | 196 |
| 2024-10-30 | Hsa St. Joseph, Llc | Sj Medical Center Llc | St Joseph Medical Center | 156 |
| 2024-10-17 | Big Spring Texas Hospital Company Llc | Steward Texas Hospital Holdings Llc | Scenic Mountain Medical Center | 75 |
| 2024-10-17 | Odessa Texas Hospital Company Llc | Odessa Regional Hospital Lp | Odessa Regional Hospital | 208 |
| 2024-06-01 | Columbia Medical Center Of Denton... | Decatur Health Services Llc | Medical City Denton | 184 |
| 2024-03-11 | Nacogdoches County Hospital District | Lion Star Nacogdoches Hospital, Llc | Nacogdoches Memorial Hosp | 160 |
| 2024-01-01 | Ahs Sherman Llc | Sherman Grayson Hospital Llc | Wilson N Jones Regional Medical Ctr | 214 |
| 2023-04-01 | Methodist Healthcare System Of San... | Hill Country Memorial Hospital | Hill Country Memorial Hospital | 57 |
| 2021-06-01 | Methodist Hospitals Of Dallas | Metsl, Llc | Methodist Southlake Medical Center | 22 |
| 2020-10-27 | Hendrick Medical Center | Armc Lp | Hendrick Medical Center | 533 |
| 2020-10-27 | Hendrick Medical Center Brownwood | Brownwood Hospital Lp | Hendrick Medical Center Brownwood | 63 |
| 2020-07-01 | St Joseph Regional Health Center | St Joseph Regional Health Center | St. Joseph Regional Health Center | 284 |
| 2020-04-01 | Christus Santa Rosa Health Care Corporation | Adventist Health System/sunbelt, Inc. | Christus Santa Rosa - San Marcos | 105 |
| 2020-03-01 | Sana Healthcare Carrollton | Baylor Medical Center At Carrollton | Carrollton Regional Medical Center | 89 |