Tug Valley Arh
dba Tug Valley Arh Regional Medical Center ·
South Williamson, Pike County, KY
· CCN 180069
Licensed to Appalachian Regional Healthcare Inc
Composite
51.2
rank score
Distress
65
FY2024
Fit
55
vs thesis
Estimated ticket
$3.1M–$6.3M
37 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
- occupancy 45-60%
- margin deteriorating
- rural — cheaper but limited density
- small but workable bed count
- very small ticket — sub-scale as a platform asset
- moderate occupancy
- nonprofit — expect AG conversion review
Latest financials · FY2024
| Net patient revenue | $51.8M |
| Operating margin | -21.3% |
| Total margin | 5.1% |
| Days cash on hand | 0 |
| Current ratio | -0.39 |
| Occupancy | 53% |
Facility
| Beds | 37 |
| Facility type | STH |
| Setting | rural |
| Ownership class | nonprofit |
| Per-bed (low) | $85.0K |
| Per-bed (high) | $170K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 88 | $42.7M | $4.0M | -16.5% | 7.4% | 0 | -1.10 | 27% | 1,912 | 72 |
| 2022 | 88 | $43.7M | $-6.8M | -42.2% | -12.3% | 0 | -0.37 | 28% | 1,927 | 89 |
| 2023 | 88 | $46.3M | $-1.7M | -29.2% | -2.9% | 0 | -0.63 | 20% | 1,727 | 80 |
| 2024 | 37 | $51.8M | $3.4M | -21.3% | 5.1% | 0 | -0.39 | 53% | 1,937 | 65 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Andrea Massey | corporate director | 2019-11 | ||
| Bessie Wright | corporate officer | 2010-05 | ||
| Christi Lee | corporate officer | 2021-11 | ||
| Danny Harris | corporate officer | 2013-05 | ||
| Gregory Couch | corporate director | 2013-11 | ||
| Gregory Pauley | corporate director | 2010-11 | ||
| Gregory Wilson | corporate director | 2019-11 | ||
| Hollie Harris | corporate officer | 2021-05 | ||
| Jeffrey Hollon | corporate director | 2012-11 | ||
| Joann Anderson | corporate director | 2017-11 | ||
| Joanna Santiesteban | corporate director | 2020-11 | ||
| Julie Rose | corporate director | 2014-11 | ||
| Ken Allman | corporate director | 2019-11 | ||
| Larry Francis | corporate director | 2017-11 | ||
| Maria Braman | corporate officer | 2016-03 | ||
| Michael Rust | corporate director | 2019-11 | ||
| Onzie Sizemore | corporate director | 2014-11 | ||
| Randall Evans | corporate director | 2013-11 | ||
| Samuel Dunn | corporate director | 2021-11 | ||
| Susan Neace | w-2 managing employee | 2005-01 | ||
| Theodore Myre | corporate director | 2017-11 | ||
| Timothy Hatfield | corporate director | 2020-03 |
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.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 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 |