dealflow
envelope $200M

← Targets

Bay Area Rehab Hospital

dba Pam Rehabilitation Hospital Of Clear Lake · Webster, Harris County, TX · CCN 673061
Licensed to Clear Lake Institute For Rehabilitation Llc

Composite
55.4
rank score
Distress
30
FY2024
Fit
100
vs thesis
Estimated ticket
$49.1M–$196M
151 beds · within envelope
Ownership
for-profit
RH

Why it ranks here

  • under 30 days cash on hand
  • current ratio under 1.5
  • debt above 85% of 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$86.6M
Operating margin 22.2%
Total margin 22.7%
Days cash on hand 0
Current ratio 1.21
Occupancy73%

Facility

Beds151
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 151 $74.1M $14.8M 18.9% 19.8% 3 0.80 71% 3,073 47
2022 151 $79.3M $14.9M 18.4% 18.7% 3 1.99 73% 3,134 22
2023 151 $84.9M $17.0M 20.0% 20.1% 3 1.75 74% 3,315 30
2024 151 $86.6M $19.8M 22.2% 22.7% 0 1.21 73% 3,227 30

Owners

OwnerRole%SinceType
Pam Rehabilitation Hospital At Webster, Llc
Enola, PA
5% or greater indirect ownership interest 100 2023-11
Pam Squared, Llc
Enola, PA
5% or greater indirect ownership interest 100 2018-12
Anthony Misitano 5% or greater indirect ownership interest 66 2021-10
Alyson Case w-2 managing employee 2025-04
Anthony Misitano corporate officer 2014-05
John Bauer corporate officer 2014-05
Karick Stober corporate officer 2014-05
Pam Cubed Llc
Enola, PA
other 2024-04 chain
Wells Fargo Bank, N.a.
Minneapolis, MN
5% or greater security interest 2024-07

Ownership changes

DateTypeBuyerSeller
2019-08-01 change of ownership Clear Lake Institute For... Clear Lake Rehabilitation Hospital, Llc
2019-08-01 acquisition/merger Clear Lake Institute For... Triumph Rehabilitation...

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