dealflow
envelope $200M

← Targets

Avala

Covington, St. Tammany Parish County, LA · CCN 190267
Licensed to Fairway Medical Center Llc

Composite
36.5
rank score
Distress
35
FY2023
Fit
52
vs thesis
Estimated ticket
$10.5M–$42.0M
21 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • under 30 days cash on hand
  • debt above 70% of assets
  • occupancy below 30%
  • margin slipping
  • urban — higher occupancy and iteration surface
  • very small facility
  • small ticket — deploys little of the available capital
  • very low occupancy — limited volume to learn from
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$65.2M
Operating margin 15.1%
Total margin 12.8%
Days cash on hand 13
Current ratio 1.71
Occupancy21%

Facility

Beds21
Facility typeSTH
Settingurban
Ownership classfor-profit
Per-bed (low) $500K
Per-bed (high) $2.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 21 $50.2M $6.8M 11.3% 13.3% 4 0.87 22% 821 40
2021 21 $63.9M $13.5M 17.5% 20.3% 11 1.63 22% 819 31
2022 21 $64.0M $5.3M 7.4% 8.2% 0 1.24 23% 885 39
2023 21 $65.2M $8.1M 15.1% 12.8% 13 1.71 21% 811 35

Owners

OwnerRole%SinceType
Khader Shamieh 5% or greater indirect ownership interest 67 2018-06
Kss Surgical, Llc
Covington, LA
5% or greater direct ownership interest 67 2018-06
Brooke Cummings operational/managerial control 2024-10
Fayez Shamieh operational/managerial control 2017-02
John Hankins corporate officer 2021-08
Khader Shamieh operational/managerial control 2018-06

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 LA

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

DateBuyerSellerHospitalBeds
2024-10-30 Hsa Glenwood Llc Iasis Glenwood Regional Medical Center Lp Glenwood Regional Medical Center 212
2022-04-01 Ochsner American Legion Hospital, Llc Jennings American Legion Hospital Inc Ochsner American Legion Hospital 49
2020-07-01 Clhg-Ruston Llc Ruston Louisiana Hospital Company Llc North Louisiana Medical Center 122
2019-10-01 Thibodaux Regional Health System Inc Hospital Service District No. 3 Thibodaux Regional Health System 170
2019-10-01 Ochsner Morgan City Llc Phc-Morgan City Lp Ochsner St. Mary 105
2019-03-01 Our Lady Of Lourdes Regional... The Regional Health System Of Acadiana, Llc Our Lady Of Lourdes Rmc 383
2019-03-01 Our Lady Of The Lake Hospital Inc Our Lady Of The Lake Ascension... Our Lady Of The Lake Rmc 647
2018-10-01 University Health Shreveport, Llc Brfhh Shreveport Llc Ochsner Lsu Health Shreveport 237
2018-09-01 St Francis Medical Center Inc P & S Surgery Center Llc St. Francis Medical Center 332
2018-08-01 Clhg - Minden, Llc Phc - Minden, Lp Minden Medical Center 129
2018-08-01 Clhg-Ville Platte Llc Ville Platte Medical Center Llc Mercy Regional Medical Center 27
2017-10-01 Willis Knighton Medical Center, Inc. Willis Knighton Medical Center, Inc. Willis-Knighton Health Systems 674