dealflow
envelope $200M

← Targets

Cobalt Rehab Hospital El Paso

dba Pam Health Rehabilitation Hospital Of El Paso · El Paso, TX · CCN 673075
Licensed to Cobalt Rehabilitation Hospital El Paso

Composite
54.1
rank score
Distress
36
FY2023
Fit
90
vs thesis
Estimated ticket
$13.7M–$54.6M
42 beds · within envelope
Ownership
for-profit
RH

Why it ranks here

  • operating margin under 2%
  • total margin under 2%
  • under 30 days cash on hand
  • 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
  • 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 · FY2023

Net patient revenue$17.5M
Operating margin 1.4%
Total margin 1.6%
Days cash on hand 3
Current ratio 1.55
Occupancy66%

Facility

Beds42
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
2020 40 $4.4M $-3.2M -74.2% -74.2% 116 -0.76 26% 214 82
2021 40 $5.8M $-7.8M -133.9% -133.8% 0.05 30% 306 96
2022 40 $13.7M $-1.3M -11.1% -9.5% 0 0.95 59% 647 86
2023 42 $17.5M $282K 1.4% 1.6% 3 1.55 66% 799 36

Owners

OwnerRole%SinceType
Pam Health Blocker Purchaser Inc.
Enola, PA
5% or greater indirect ownership interest 100 2023-05
Brittany Misitano 5% or greater indirect ownership interest 74 2021-11
Pam Cubed Llc
Enola, PA
5% or greater indirect ownership interest 72 2023-05 chain
Curahealth Rehabilitation Holdco, Llc
Enola, PA
5% or greater direct ownership interest 60 2023-05
Thomason Cares Inc
El Paso, TX
5% or greater direct ownership interest 40 2023-03
Curahealth Rehabilitation Blocker Corp
Enola, PA
5% or greater indirect ownership interest 28 2023-05
Anthony Estrada w-2 managing employee 2026-05
Anthony Misitano corporate officer 2021-11
Brittany Misitano corporate officer 2021-11
Karick Stober corporate officer 2021-11
Wells Fargo Bank, N.a.
Minneapolis, MN
5% or greater security interest 2024-07

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.

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