Arh Advanced Care - Big Sandy
South Williamson, Pike County, KY
· CCN 182010
Licensed to Arh Advanced Care Inc
Composite
62.2
rank score
Distress
100
FY2024
Fit
43
vs thesis
Estimated ticket
$1.1M–$2.1M
25 beds ·
within envelope
Ownership
nonprofit
LTCH
Why it ranks here
- operating margin below -10%
- total margin below -8%
- under 30 days cash on hand
- occupancy below 30%
- rural — cheaper but limited density
- LTCH — distress here is a payment-model artifact
- small but workable bed count
- very small ticket — sub-scale as a platform asset
- very low occupancy — limited volume to learn from
- nonprofit — expect AG conversion review
Latest financials · FY2024
| Net patient revenue | $367K |
| Operating margin | -867.1% |
| Total margin | -845.1% |
| Days cash on hand | 0 |
| Current ratio | — |
| Occupancy | 8% |
Facility
| Beds | 25 |
| Facility type | LTCH |
| Setting | rural |
| Ownership class | nonprofit |
| Per-bed (low) | $42.0K |
| Per-bed (high) | $84.0K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2024 | 25 | $367K | $-3.2M | -867.1% | -845.1% | 0 | — | 8% | 42 | 100 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Appalachian Regional Healthcare Inc | 5% or greater direct ownership interest | 100 | 2021-05 | |
| Aaron Crum | corporate director | 2023-01 | ||
| Byron Gabbard | corporate officer | 2023-08 | ||
| Byron Gabbard | corporate director | 2023-08 | ||
| Hollie Harris | corporate officer | 2021-09 | ||
| Hollie Harris | corporate director | 2021-09 | ||
| James Maynard Ii | corporate officer | 2022-03 | ||
| Jill Maynard | corporate director | 2021-12 | ||
| Leon Hollon | corporate officer | 2023-03 | ||
| Leon Hollon | corporate director | 2021-09 | ||
| Russell Barker | corporate officer | 2022-03 | ||
| Russell Barker | w-2 managing employee | 2022-03 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.