Cape Fear Valley Hoke Hospital
Raeford, Hoke County, NC
· CCN 340188
Licensed to Hoke Healthcare Llc
Composite
35.9
rank score
Distress
21
FY2023
Fit
66
vs thesis
Estimated ticket
$18.5M–$74.0M
37 beds ·
within envelope
Ownership
government
STH
Why it ranks here
- 60-90 days cash on hand
- current ratio under 1.5
- debt above 70% of assets
- occupancy 30-45%
- urban — higher occupancy and iteration surface
- small but workable bed count
- ticket size somewhat below the envelope
- thin occupancy
- government-owned — public process likely
Latest financials · FY2023
| Net patient revenue | $73.1M |
| Operating margin | 24.0% |
| Total margin | 28.7% |
| Days cash on hand | 84 |
| Current ratio | 1.44 |
| Occupancy | 39% |
Facility
| Beds | 37 |
| Facility type | STH |
| Setting | urban |
| Ownership class | government |
| Per-bed (low) | $500K |
| Per-bed (high) | $2.0M |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 41 | $43.3M | $7.0M | 9.6% | 15.3% | 215 | 1.01 | 19% | 1,187 | 23 |
| 2021 | 41 | $62.5M | $28.9M | 21.5% | 37.1% | 256 | 2.40 | 40% | 1,831 | 10 |
| 2022 | 41 | $71.5M | $18.1M | 19.3% | 23.8% | 116 | 4.94 | 36% | 1,733 | 10 |
| 2023 | 37 | $73.1M | $22.3M | 24.0% | 28.7% | 84 | 1.44 | 39% | 1,787 | 21 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Cumberland County Hospital System Inc | 5% or greater direct ownership interest | 100 | 2009-06 | |
| Afua Arhin | corporate director | 2023-09 | ||
| Alicia Flowers | corporate director | 2022-12 | ||
| Bret Johnson | w-2 managing employee | 2022-08 | ||
| Bret Johnson | operational/managerial control | 2022-08 | ||
| Chukwuemeka Chima | corporate officer | 2022-08 | ||
| Chukwuemeka Chima | operational/managerial control | 2022-08 | ||
| Cumberland County Hospital System Inc | operational/managerial control | 2014-12 | ||
| Ernest Jones | corporate director | 2023-09 | ||
| Girum Feyissa | w-2 managing employee | 2022-08 | ||
| Girum Feyissa | operational/managerial control | 2022-08 | ||
| Glenn Adams | corporate officer | 2022-08 | ||
| Glenn Adams | operational/managerial control | 2022-08 | ||
| James Keefe | corporate officer | 2022-08 | ||
| James Keefe | operational/managerial control | 2022-08 | ||
| Jeannette Council | corporate officer | 2022-08 | ||
| Jeannette Council | operational/managerial control | 2022-08 | ||
| Joseph Fiser | w-2 managing employee | 2012-02 | ||
| Michael Boose | corporate officer | 2022-08 | ||
| Michael Boose | operational/managerial control | 2022-08 | ||
| Michael Jones | w-2 managing employee | 2022-08 | ||
| Michael Jones | operational/managerial control | 2022-08 | ||
| Michael Nagowski | corporate director | 2011-05 | ||
| Michael Nagowski | w-2 managing employee | 2011-05 | ||
| Myron Strickland | corporate officer | 2022-08 |
Showing 25 of 41. Full list via /api/targets/340188.
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 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 |