dealflow
envelope $200M

← Targets

Paintsville Arh Hospital

Paintsville, Johnson County, KY · CCN 180078
Licensed to Arh Tug Valley Health Services Inc

Composite
49.8
rank score
Distress
62
FY2024
Fit
50
vs thesis
Estimated ticket
$3.3M–$6.6M
39 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 30-45%
  • part of a multi-hospital chain — divestiture candidate
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • thin occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$30.2M
Operating margin -17.2%
Total margin 24.8%
Days cash on hand 5
Current ratio -1.44
Occupancy36%

Facility

Beds39
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
2020 72 $37.9M $7.1M 8.5% 16.9% 0 -0.58 21% 1,638 44
2021 72 $30.8M $-5.6M -18.3% -18.3% 0 0.22 25% 1,671 100
2022 47 $18.9M $-5.4M -6.2% -36.6% 10 -50.49 35% 879 80
2023 39 $30.3M $3.6M -27.9% 8.6% 5 -3.48 30% 1,170 72
2024 39 $30.2M $11.7M -17.2% 24.8% 5 -1.44 36% 1,408 62

Owners

OwnerRole%SinceType
Appalachian Regional Healthcare Inc
Lexington, KY
5% or greater direct ownership interest 100 2013-07 chain
Byron Gabbard corporate officer 2023-11
Hollie Harris corporate officer 2021-05
Hollie Harris corporate director 2021-05
Jonathan Collins corporate officer 2022-11
Rocco Massey corporate director 2017-08
Vanessa Johnson w-2 managing employee 2017-08

Ownership changes

DateTypeBuyerSeller
2021-12-01 change of ownership Arh Tug Valley Health Services Inc Paintsville Hospital Company Llc

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