The Mcdowell Hospital
dba Mission Hospital Mcdowell ·
Marion, Mc Dowell County, NC
· CCN 340087
Licensed to Mh Mission Hospital Mcdowell, Lllp
Composite
52.2
rank score
Distress
55
FY2024
Fit
64
vs thesis
Estimated ticket
$2.8M–$5.6M
33 beds ·
within envelope
Ownership
for-profit
STH
Why it ranks here
- operating margin -10% to -5%
- total margin -8% to -3%
- under 30 days cash on hand
- debt above 70% of assets
- part of a multi-hospital chain — divestiture candidate
- rural — cheaper but limited density
- small but workable bed count
- very small ticket — sub-scale as a platform asset
- strong occupancy — good iteration surface
- for-profit — no charitable conversion review
Latest financials · FY2024
| Net patient revenue | $73.9M |
| Operating margin | -6.3% |
| Total margin | -4.8% |
| Days cash on hand | 0 |
| Current ratio | 1.62 |
| Occupancy | 66% |
Facility
| Beds | 33 |
| Facility type | STH |
| Setting | rural |
| Ownership class | for-profit |
| Per-bed (low) | $85.0K |
| Per-bed (high) | $170K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 30 | $47.6M | $-15.6M | -33.5% | -32.6% | 3 | 0.68 | 66% | 1,823 | 80 |
| 2022 | 30 | $68.1M | $1.7M | 1.4% | 2.5% | 0 | 1.85 | 71% | 1,994 | 29 |
| 2023 | 30 | $65.7M | $-4.0M | -6.7% | -6.0% | 0 | 1.63 | 68% | 1,852 | 57 |
| 2024 | 33 | $73.9M | $-3.6M | -6.3% | -4.8% | 0 | 1.62 | 66% | 2,052 | 55 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Hca Healthcare Inc | 5% or greater indirect ownership interest | 100 | 2019-02 | |
| Hca Inc | 5% or greater indirect ownership interest | 100 | 2019-02 | chain |
| Healthtrust Inc - The Hospital Company | 5% or greater indirect ownership interest | 100 | 2019-02 | |
| Hti Hospital Holdings Inc | 5% or greater indirect ownership interest | 100 | 2019-02 | |
| Mh Hospital Holding Inc | 5% or greater indirect ownership interest | 100 | 2019-02 | |
| Mh Master Holding Lllp | 5% or greater direct ownership interest | 99 | 2019-02 | |
| Mh Master Holding Lllp | limited partnership interest | 99 | 2019-02 | |
| Frisco Holding Ii | 5% or greater indirect ownership interest | 16 | 2026-02 | |
| Hercules Holding Ii | 5% or greater indirect ownership interest | 14 | 2026-02 | |
| Mh Master Llc | general partnership interest | 1 | 2019-02 | |
| Eric Smith | contracted managing employee | 2021-03 | ||
| James Higginbotham | corporate officer | 2024-06 | ||
| Tyler Groesser | corporate officer | 2025-04 |
Ownership changes
| Date | Type | Buyer | Seller |
|---|---|---|---|
| 2019-02-01 | change of ownership | Mh Mission Hospital Mcdowell, Lllp | The Mcdowell Hospital 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.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 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 |