dealflow
envelope $200M

← Targets

Alleghany Memorial Hospital

Sparta, Alleghany County, NC · CCN 341320
Licensed to Alleghany County Memorial Hospital Inc

Composite
55.9
rank score
Distress
85
FY2023
Fit
44
vs thesis
Estimated ticket
$1.5M–$3.0M
25 beds · within envelope
Ownership
nonprofit
CAH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • 30-60 days cash on hand
  • current ratio below 0.8
  • occupancy below 30%
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • very low occupancy — limited volume to learn from
  • nonprofit — expect AG conversion review

Latest financials · FY2023

Net patient revenue$12.2M
Operating margin -25.8%
Total margin -17.6%
Days cash on hand 46
Current ratio 0.50
Occupancy7%

Facility

Beds25
Facility typeCAH
Settingrural
Ownership classnonprofit
Per-bed (low) $59.5K
Per-bed (high) $119K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 25 $9.1M $3.9M -26.7% 25.3% 204 0.97 8% 158 46
2021 25 $11.2M $6.8M -16.9% 34.2% 116 0.84 6% 141 50
2022 25 $11.0M $-3.0M -31.7% -25.6% 59 0.68 9% 210 83
2023 25 $12.2M $-2.3M -25.8% -17.6% 46 0.50 7% 139 85

Owners

OwnerRole%SinceType
Alleghany County Memorial Hospital Inc
Sparta, NC
5% or greater direct ownership interest 100 2018-02
Alleghany County Memorial Hospital Inc
Sparta, NC
operational/managerial control 100 2018-02
Alleghany Health, Llc
Sparta, NC
5% or greater direct ownership interest 100 2018-02
Advocate Health Inc
Charlotte, NC
operational/managerial control 2025-07
Alleghany Health, Llc
Sparta, NC
operational/managerial control 2018-02
Atrium Health Inc
Charlotte, NC
operational/managerial control 2025-07
Forrest Becher corporate director 2018-02
Hugh Chatham Memorial Hospital Inc
Elkin, NC
5% or greater indirect ownership interest 2018-02
Hugh Chatham Memorial Hospital Inc
Elkin, NC
operational/managerial control 2018-02
Hugh Chatham Memorial Hospital Inc
Elkin, NC
other 2001-02
James Hoekstra corporate director 2018-02
Jena Folger corporate director 2018-02
Paula Moore w-2 managing employee 2025-07
Ricky Brown corporate director 2018-02
Wake Forest Univ
Winston Salem, NC
other 2018-02
Wake Forest University Baptist Medical Center
Winston Salem, NC
other 2025-07
Whitney Ivey corporate director 2018-02

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 NC

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

DateBuyerSellerHospitalBeds
2024-10-01 Fletcher Hospital Inc St. Luke's Hospital Inc St Lukes Hospital 25
2020-10-01 Centennial Housing & Community... Cah Acquisition Company 1 Llc Cah #1 - Washington 25
2019-02-01 Mh Angel Medical Center, Lllp Angel Medical Center Inc Mh Angel Medical Center Lllp 30
2019-02-01 Mh Transylvania Regional Hospital, Lllp Transylvania Community Hospital Inc Transylvania Community Hospital 25
2019-02-01 Mh Blue Ridge Medical Center, Lllp Blue Ridge Regional Hospital, Inc. Blue Ridge Regional Hospital 25
2019-02-01 Mh Highlands-Cashiers Medical Center, Lllp Highlands-Cashiers Hospital Inc Highlands Cashiers Hospital 24
2017-01-31 Lifebrite Hospital Group Of Stokes Llc Pioneer Health Services Of Stokes... Lifebrite Comm Hosp Of Stokes 25