dealflow
envelope $200M

← Targets

Charles A. Cannon Memorial Hospital

Linville, Avery County, NC · CCN 341323
Licensed to Charles A Cannon Jr Memorial Hospital Inc

Composite
36.4
rank score
Distress
48
FY2024
Fit
37
vs thesis
Estimated ticket
$2.0M–$3.9M
23 beds · within envelope
Ownership
nonprofit
CAH

Why it ranks here

  • operating margin negative
  • 90-150 days cash on hand
  • current ratio below 0.8
  • debt above 85% of assets
  • occupancy below 30%
  • margin slipping
  • rural — cheaper but limited density
  • very small facility
  • very small ticket — sub-scale as a platform asset
  • very low occupancy — limited volume to learn from
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$26.6M
Operating margin -3.8%
Total margin 9.2%
Days cash on hand 128
Current ratio 0.53
Occupancy19%

Facility

Beds23
Facility typeCAH
Settingrural
Ownership classnonprofit
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 21 $17.2M $-2.0M -34.8% -9.5% 158 1.66 17% 354 53
2021 21 $21.2M $3.1M -22.0% 10.9% 178 3.24 18% 272 41
2022 23 $20.2M $-1.1M -22.6% -4.7% 78 4.66 17% 305 59
2023 23 $16.0M $-1.4M -24.2% -7.6% 19 3.10 19% 217 76
2024 23 $26.6M $2.8M -3.8% 9.2% 128 0.53 19% 384 48

Owners

OwnerRole%SinceType
Appalachian Regional Healthcare System Inc
Boone, NC
5% or greater direct ownership interest 2004-06
Arvil Burks corporate officer 2022-07
Charles Mantooth corporate officer 2015-04
John Lewis corporate officer 2022-07
Mary Long corporate director 2008-10
Mary Long w-2 managing employee 2012-10
Matthew Thomas corporate officer 2020-08
Stephanie Greer w-2 managing employee 2021-10
University Of North Carolina Health Care System
Morrisville, NC
operational/managerial control 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 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