dealflow
envelope $200M

← Targets

Blue Ridge Regional Hospital

Spruce Pine, NC · CCN 341329
Licensed to Mh Blue Ridge Medical Center, Lllp

Composite
55.6
rank score
Distress
67
FY2023
Fit
59
vs thesis
Estimated ticket
$1.8M–$3.6M
25 beds · within envelope
Ownership
for-profit
CAH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • debt above 85% 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 · FY2023

Net patient revenue$51.0M
Operating margin -10.4%
Total margin -9.2%
Days cash on hand 0
Current ratio 1.91
Occupancy68%

Facility

Beds25
Facility typeCAH
Settingrural
Ownership classfor-profit
Per-bed (low) $72.2K
Per-bed (high) $144K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 25 $33.2M $-12.4M -38.4% -37.0% 0 1.63 41% 1,122 72
2021 25 $40.0M $-5.3M -14.4% -13.1% 0 1.15 55% 1,171 72
2022 25 $43.7M $-6.7M -16.3% -15.3% 1 1.01 58% 1,341 77
2023 25 $51.0M $-4.8M -10.4% -9.2% 0 1.91 68% 1,582 67

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
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
Tonia Hale w-2 managing employee 2019-12
Tyler Groesser corporate officer 2025-04

Ownership changes

DateTypeBuyerSeller
2019-02-01 change of ownership Mh Blue Ridge Medical Center, Lllp Blue Ridge Regional 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.

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