dealflow
envelope $200M

← Targets

Hazard Arh

dba Hazard Arh Regional Medical Center · Hazard, Perry County, KY · CCN 180029
Licensed to Appalachian Regional Healthcare Inc

Composite
53.4
rank score
Distress
67
FY2024
Fit
58
vs thesis
Estimated ticket
$8.8M–$17.5M
103 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin below -10%
  • under 30 days cash on hand
  • current ratio below 0.8
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • bed count in the target band
  • very small ticket — sub-scale as a platform asset
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$213M
Operating margin -22.9%
Total margin 14.8%
Days cash on hand 1
Current ratio -0.27
Occupancy79%

Facility

Beds103
Facility typeSTH
Settingrural
Ownership classnonprofit
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 230 $241M $79.9M 5.3% 25.9% 1 -0.34 61% 7,584 36
2022 230 $225M $-22.9M -22.9% -9.0% 1 -0.37 55% 8,412 82
2023 109 $201M $5.0M -32.3% 1.8% 1 -0.29 91% 6,935 67
2024 103 $213M $45.7M -22.9% 14.8% 1 -0.27 79% 5,878 67

Owners

OwnerRole%SinceType
Andrea Massey corporate director 2019-11
Angela Hatton corporate director 2025-11
Brian Springate operational/managerial control 2022-10
Byron Gabbard corporate officer 2023-11
Christi Lee corporate officer 2021-11
Eric Smith corporate director 2025-11
Gregory Couch corporate director 2013-11
Hollie Harris corporate officer 2021-05
Jeffrey Hollon corporate director 2012-11
Joann Anderson corporate director 2017-11
Karen Newman corporate director 2022-11
Ken Allman corporate director 2019-11
Maria Braman corporate officer 2016-03
Martha Ellis corporate director 2024-11
Michael Rust corporate director 2019-11
Randall Evans corporate director 2013-11
Robert Wilson corporate director 2025-11
Samuel Dunn corporate director 2021-11
Sonya Bergman corporate officer 2021-11
Vanessa Johnson w-2 managing employee 2017-08

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 KY

Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.

DateBuyerSellerHospitalBeds
2024-07-01 Bowling Green-Warren County... Logan Memorial Hospital Llc Logan Memorial Hospital 37
2021-12-01 Arh Tug Valley Health Services Inc Paintsville Hospital Company Llc Paintsville Arh Hospital 39
2021-01-01 Owensboro Health Twin Lakes... Grayson County Hospital Foundation Inc Owensboro Health Twin Lakes Medical 49
2020-09-01 Baptist Healthcare System Inc Hardin Memorial Hospital Baptist Health Hardin 271
2019-11-01 Uofl Health-Louisville Inc Jewish Hospital & St. Mary's... Uofl Health-Louisville 789
2019-11-01 Uofl Health-Shelbyville Inc Jewish Hospital & St. Mary's... Uofl Health-Shelbyville 32
2019-09-01 Baptist Healthcare System Inc Baptist Health Richmond Inc Baptist Health Richmond 53
2019-08-01 Arh Tug Valley Health Services Inc Highlands Hospital Corp Highlands Regional Medical Center 63
2016-02-11 T J Health Columbia Inc Adair County Hospital District Tj Health Columbia 49