Five Rivers Medical Center
Pocahontas, Randolph County, AR · CCN 040047
Composite
56.8
rank score
Distress
88
FY2023
Fit
43
vs thesis
Estimated ticket
$2.0M–$3.9M
28 beds ·
within envelope
Ownership
government
STH
Why it ranks here
- operating margin below -10%
- total margin below -8%
- under 30 days cash on hand
- current ratio under 1.5
- debt above 85% of assets
- occupancy below 30%
- margin deteriorating sharply
- rural — cheaper but limited density
- small but workable bed count
- very small ticket — sub-scale as a platform asset
- very low occupancy — limited volume to learn from
- government-owned — public process likely
Latest financials · FY2023
| Net patient revenue | $14.4M |
| Operating margin | -39.4% |
| Total margin | -16.0% |
| Days cash on hand | 23 |
| Current ratio | 1.16 |
| Occupancy | 21% |
Facility
| Beds | 28 |
| Facility type | STH |
| Setting | rural |
| Ownership class | government |
| Per-bed (low) | $70.0K |
| Per-bed (high) | $140K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 32 | $16.4M | $-1.4M | -21.0% | -7.7% | 39 | 2.88 | 18% | 672 | 77 |
| 2021 | 38 | $18.3M | $5.4M | -19.6% | 19.7% | 67 | 2.53 | 18% | 820 | 47 |
| 2022 | 29 | $17.3M | $-1.7M | -35.4% | -7.8% | 27 | 2.74 | 23% | 637 | 71 |
| 2023 | 28 | $14.4M | $-2.8M | -39.4% | -16.0% | 23 | 1.16 | 21% | 447 | 88 |
Owners
No ownership records — CMS has no owner filings mapped to this CCN.
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 AR
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 |
|---|---|---|---|---|
| 2023-12-03 | Baptist Health | Drew Memorial Hospital, Inc | Drew Memorial Hospital Inc | 49 |
| 2023-07-01 | South Arkansas Regional Hospital Llc | Mcsa Llc | South Arkansas Regional Hospital Llc | 105 |
| 2021-08-01 | Siloam Springs Arkansas Hospital... | Fayetteville Arkansas Hospital Company Llc | Siloam Springs Memorial Hospital | 44 |
| 2020-10-01 | Magnolia Regional Health System Inc | Magnolia Regional Medical Center | Magnolia Regional Health System Inc | 29 |
| 2018-11-01 | Baptist Health Regional Hospitals | Fort Smith Hma, Llc | Baptist Health Medical Center - Fs | 314 |
| 2018-11-01 | Baptist Health Regional Hospitals | Van Buren Hma Llc | Baptist Health Medical Center - Vb | 74 |