dealflow
envelope $200M

← Targets

Mission Hospital Inc

Asheville, Buncombe County, NC · CCN 340002
Licensed to Mh Mission Hospital, Lllp

Composite
38.9
rank score
Distress
20
FY2023
Fit
70
vs thesis
Estimated ticket
$71.7M–$143M
717 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • under 30 days cash on hand
  • part of a multi-hospital chain — divestiture candidate
  • rural — cheaper but limited density
  • very large — likely out of range
  • ticket size uses the capital envelope well
  • strong occupancy — good iteration surface
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$1.3B
Operating margin 12.5%
Total margin 15.5%
Days cash on hand 0
Current ratio 2.27
Occupancy91%

Facility

Beds717
Facility typeSTH
Settingrural
Ownership classfor-profit
Per-bed (low) $100K
Per-bed (high) $200K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 733 $1.0B $-106K -12.6% -0.0% 1 0.74 76% 43,122 71
2021 733 $1.3B $273M 17.4% 20.5% 0 2.24 84% 43,795 22
2022 733 $1.3B $156M 7.4% 11.5% 0 2.30 85% 42,734 22
2023 717 $1.3B $218M 12.5% 15.5% 0 2.27 91% 44,878 20

Owners

OwnerRole%SinceType
Hca Healthcare Inc
Nashville, TN
5% or greater indirect ownership interest 100 2019-02
Hca Inc
Nashville, TN
5% or greater indirect ownership interest 100 2019-02 chain
Healthtrust Inc - The Hospital Company
Nashville, TN
5% or greater indirect ownership interest 100 2019-02
Hti Hospital Holdings Inc
Nashville, TN
5% or greater indirect ownership interest 100 2019-02
Mh Hospital Holding Inc
Nashville, TN
5% or greater indirect ownership interest 100 2019-02
Mh Master Holding Lllp
Nashville, TN
5% or greater direct ownership interest 99 2019-02
Mh Master Holding Lllp
Nashville, TN
limited partnership interest 99 2019-02
Frisco Holding Ii
Wilmington, DE
5% or greater indirect ownership interest 16 2026-02
Hercules Holding Ii
Nashville, TN
5% or greater indirect ownership interest 14 2026-02
Mh Master Llc
Nashville, TN
general partnership interest 1 2019-02
Eric Smith contracted managing employee 2021-03
Greg Lowe corporate officer 2024-09
Nicole Castleberry corporate officer 2025-07

Ownership changes

DateTypeBuyerSeller
2019-02-01 change of ownership Mh Mission Hospital, Lllp Mission Hospitals Inc.

Who has been buying in NC

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

DateBuyerSellerHospitalBeds
2026-02-01 Atrium Health Hospitals Inc The Charlotte-Mecklenburg Hospital... Atrium Health Lincoln 101
2026-02-01 Atrium Health Hospitals Inc The Charlotte-Mecklenburg Hospital... Atrium Health Cleveland 308
2025-07-01 Atrium Health Hospitals Inc The Charlotte-Mecklenburg Hospital... Atrium Health Stanly 97
2025-07-01 Atrium Health Hospitals Inc The Charlotte-Mecklenburg Hospital... Atrium Health Anson 15
2025-04-01 Duke Health Lake Norman Regional... Mooresville Hospital Management... Lake Norman Regional Medical Center 123
2024-03-02 North Carolina Baptist Hospital Davie Medical Center North Carolina Baptist Hospital 813
2021-10-01 Pitt County Memorial Hospital Inc East Carolina Health-Beaufort Inc Pitt County Memorial Hospital Inc 1,013
2021-10-01 American Healthcare Systems Llc Randolph Hospital, Inc. American Healthcare Systems 145
2021-02-01 Novant Health New Hanover Regional... New Hanover Regional Medical Center New Hanover Regional Medical Center 771
2019-02-01 Mh Mission Hospital, Lllp Mission Hospitals Inc. Mission Hospital Inc 717
2019-02-01 Mh Mission Hospital Mcdowell, Lllp The Mcdowell Hospital Inc The Mcdowell Hospital 33
2019-01-01 The Charlotte-Mecklenburg Hospital... Mercy Hospital Inc Atrium Health Pineville 352
2018-01-01 Unc Rockingham Health Care Inc Morehead Memorial Hospital Unc Rockingham Hospital 108