dealflow
envelope $200M

← Targets

St. James Hospital

Hornell, Steuben County, NY · CCN 330151
Licensed to St James Hospital

Composite
34.6
rank score
Distress
33
FY2024
Fit
50
vs thesis
Estimated ticket
$1.5M–$3.0M
15 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin negative
  • 60-90 days cash on hand
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • very small facility
  • very small ticket — sub-scale as a platform asset
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$57.6M
Operating margin -4.2%
Total margin 2.5%
Days cash on hand 89
Current ratio 2.06
Occupancy69%

Facility

Beds15
Facility typeSTH
Settingrural
Ownership classnonprofit
Per-bed (low) $100K
Per-bed (high) $200K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 15 $13.9M $8.6M -47.9% 29.4% 220 1.01 45% 349 33
2021 15 $38.6M $7.6M -17.4% 14.3% 101 1.75 64% 795 32
2022 15 $44.1M $-4.0M -25.0% -7.9% 56 1.71 86% 960 57
2023 15 $46.3M $-8.2M -27.4% -16.1% 42 1.80 86% 887 61
2024 15 $57.6M $1.6M -4.2% 2.5% 89 2.06 69% 911 33

Owners

OwnerRole%SinceType
Bilal Ahmed contracted managing employee 2017-07
Bilal Ahmed corporate director 2023-06
Carrie Cokely corporate director 2024-02
Denise Becher w-2 managing employee 1989-06
Ismail Mehr corporate director 2015-05
Jennifer Donlon corporate director 2024-02
Jeremy Palotti corporate director 2024-02
John Weyand corporate director 2015-05
Katherine Warner w-2 managing employee 2012-11
Kathleen Parrinello corporate director 2023-09
Mark Whitman corporate director 2024-02
Melissa Ponticello corporate director 2024-02
Nicholas Kelley corporate director 2021-06
Peter Wall corporate director 2015-01
Shawn Hogan corporate director 2015-05
Steven Goldstein corporate director 2018-03
Wendy Disbrow corporate officer 2022-07
Wendy Disbrow w-2 managing employee 2022-07

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 NY

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

DateBuyerSellerHospitalBeds
2025-03-01 Nyu Langone Hospitals Brookhaven Memorial Hospital... Long Island Community Hospital 157
2022-10-01 The New York And Presbyterian Hospital Newyork-Presbyterian... New York Presbyterian Hospital 2,850
2021-02-27 New York City Health And Hospitals... New York City Health And Hospitals... Jacobi Medical Center 440
2021-01-01 The Brookdale Hospital Medical Center Kingsbrook Jewish Medical Center Brookdale Hospital Medical Center 450
2020-10-01 Samaritan Hospital Of Troy, New York Burdett Care Center, Inc. Samaritan Hospital 252
2020-09-23 Healthalliance Hospital Marys Avenue Campus Healthalliance Hospital Broadway Campus Healthalliance Hospital Marys Ave Ca 111
2020-01-01 Samaritan Hospital Of Troy, New York Memorial Hospital, Albany N.y. Samaritan Hospital 252
2019-07-01 University Hospital At Stony Brook Eastern Long Island Hospital Assoc Inc Stony Brook University Hospital 725
2019-01-01 Samaritan Hospital Of Troy, New York Seton Health System, Inc Samaritan Hospital 252
2016-01-14 Long Island Jewish Medical Center Forest Hills Hospital Long Island Jewish Medical Center 1,153