dealflow
envelope $200M

← Targets

Catholic Medical Center

Manchester, Hillsborough County, NH · CCN 300034
Licensed to Manchester Health Services Llc

Composite
56.9
rank score
Distress
60
FY2023
Fit
70
vs thesis
Estimated ticket
$111M–$445M
262 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin -10% to -5%
  • total margin negative
  • under 30 days cash on hand
  • current ratio under 1.5
  • debt above 70% of assets
  • margin deteriorating
  • part of a multi-hospital chain — divestiture candidate
  • urban — higher occupancy and iteration surface
  • large — ticket likely stretches the envelope
  • ticket size at the top of the envelope — would need leverage
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review

Latest financials · FY2023

Net patient revenue$481M
Operating margin -7.5%
Total margin -0.4%
Days cash on hand 12
Current ratio 1.23
Occupancy67%

Facility

Beds262
Facility typeSTH
Settingurban
Ownership classnonprofit
Per-bed (low) $425K
Per-bed (high) $1.7M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 250 $376M $6.9M -12.7% 1.6% 133 2.31 64% 10,750 43
2021 262 $440M $68.1M 0.3% 13.4% 92 1.81 64% 11,704 16
2022 262 $470M $6.5M -4.2% 1.3% 35 1.95 70% 11,544 40
2023 262 $481M $-2.3M -7.5% -0.4% 12 1.23 67% 12,407 60

Owners

OwnerRole%SinceType
Hca Holdings Inc
Nashville, TN
5% or greater indirect ownership interest 100 2025-02
Hca Inc
Nashville, TN
5% or greater indirect ownership interest 100 2025-02 chain
Hca Squared Llc
Nashville, TN
5% or greater indirect ownership interest 100 2025-02
Healthtrust Inc - The Hospital Company
Nashville, TN
5% or greater indirect ownership interest 100 2025-02
Hospital Corp Llc
Nashville, TN
5% or greater direct ownership interest 100 2025-02
Hercules Holding Ii
Nashville, TN
5% or greater indirect ownership interest 27 2025-02
Frisco Holding Ii
Wilmington, DE
5% or greater indirect ownership interest 16 2026-02
Eric Smith contracted managing employee 2025-02
John Skevington corporate officer 2025-02
John Skevington w-2 managing employee 2025-02
Pamela Martel w-2 managing employee 2025-02

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 NH

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

DateBuyerSellerHospitalBeds
2021-05-01 Concord Hospital-Laconia Lrghealthcare Concord Hospital - Laconia 86
2020-03-01 Fmh Health Services, Llc Frisbie Memorial Hospital Frisbie Memorial Hospital 39