Investment

One Investment. Two Equity Positions.

A structured opportunity to participate in a physician-aligned hospital acquisition strategy with exposure at both platform and asset level.

St. Raphael Health deploys capital into hospital assets already under operational control, with a defined path to performance and scale.

Detailed investment materials are available to qualified investors upon request.

Target Structure
  • • Platform + Asset-level participation
  • • Cash flow distributions + equity upside
  • • 3–5 year value creation cycle
Request Full Investment Overview
Physicians in a modern hospital setting
Platform Opportunity

A Defined Strategy to Build a Scaled Healthcare System

St. Raphael Health is executing a Texas-focused hospital acquisition strategy designed to assemble a high-performing regional healthcare system. The approach is not speculative — it is built on the institutionalization of underperforming hospital assets through operational control, disciplined execution, and structured expansion.

$100M+
Annual EBITDA target
within 3–5 years
$1B+
Enterprise value
at scale
3–5 yr
Defined horizon to
institutional exit
Investment Structure

Investment Structure

Participation is structured to provide exposure across both the platform and underlying hospital assets.

Platform-Level Participation

Parent Entity Exposure

Exposure to the parent entity, aligned with long-term platform growth and scale.

Asset-Level Participation

Hospital-Level Exposure

Direct exposure to individual hospital assets, aligned with operational performance and cash flow generation.

This dual structure is designed to align capital with both immediate operational improvement and long-term value creation.

Illustrative Participation

How A $200,000 Investment Participates

Example participation structure for illustrative purposes.

Platform Equity Participation (~0.4%)
Parent entity exposure
Aligned with long-term platform scale
+
Asset-Level Exposure (~1% per asset)
Hospital-level exposure
Aligned with operational performance

These examples are provided for context only and are not indicative of any specific offering. Actual participation structures vary by opportunity and are shared with qualified investors.

Illustrative Example

Illustrative Investment Example

A modeled scenario illustrating how participation may compound across platform and asset performance.

Assumptions
  • • $200,000 investment
  • • Platform scale to $100M+ EBITDA
  • • Exit at ~$1B Enterprise Value
  • • 3–5 year hold period
Illustrative Outcomes
  • • Total Distributions: ~$1.3M
  • • Exit Proceeds: ~$4.2M
  • • Total Value: ~$5.5M
~28x
MOIC
~90%+
IRR

Illustrative example based on modeled platform growth and asset performance. Actual results will vary.

Distribution Framework

Balancing distributions with reinvestment into growth.

The platform is structured to balance ongoing distributions with reinvestment into additional acquisitions and expansion.

This approach supports both income generation and long-term platform scale.

~25%
Distributed to Investors
~25% of available cash flow distributed quarterly to equity holders
~75%
Retained for Growth
~75% reinvested into additional acquisitions and expansion

This balance supports both income generation and long-term platform scaling.

Value Creation

How Value Is Created

The investment strategy is designed to generate returns through a combination of operational and platform-level value creation.

Asset Level
Operational Improvement
Cash flow stabilization and margin expansion
Asset Level
Revenue & Margin Expansion
Increased case volume and service line growth
Platform Level
Scale & Valuation Growth
Multiple expansion driven by platform scale

Returns are driven by operational control, not financial engineering.

Capital Deployment

Capital Deployment

Capital is deployed into hospital assets that are already under operational control. This approach reduces execution risk and provides a clear path to performance.

01
Stabilization of operations and cash flow
02
Resolution of critical liabilities and supplier relationships
03
Activation of physician-driven case volume
04
Working capital to support growth and expansion
Physician Alignment

Structured for Physician Participation

The platform is designed to align with physicians at every level of the operation.

Priority operating room access
Expansion rights across new facilities
Direct referral flow across the network
Centralized operational infrastructure
Risk Management

A Controlled Approach to Acquisition

Unlike traditional acquisition strategies, capital is not deployed into unknown or unstable assets.

Before Acquisition
Operational Control
Before Acquisition
Performance Visibility
Before Acquisition
Financial Stability

This approach is designed to reduce risk and improve predictability of outcomes.

Private Investment Materials

Available to Qualified Investors

Detailed investment materials, including specific opportunities, financial models, and participation structures, are shared with qualified investors and partners upon request.

Next Step

A Structured, Operator-Led Investment Strategy