dealflow
envelope $200M

← Targets

Highsmith Rainey Memorial Hospital

dba Highsmith-Rainey Memorial Hospital · Fayetteville, Cumberland County, NC · CCN 342014
Licensed to Cumberland County Hospital System Inc

Composite
62.9
rank score
Distress
82
FY2023
Fit
65
vs thesis
Estimated ticket
$13.9M–$55.4M
66 beds · within envelope
Ownership
government
LTCH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • current ratio below 0.8
  • liabilities exceed assets
  • urban — higher occupancy and iteration surface
  • LTCH — distress here is a payment-model artifact
  • bed count in the target band
  • small ticket — deploys little of the available capital
  • strong occupancy — good iteration surface
  • government-owned — public process likely

Latest financials · FY2023

Net patient revenue$30.9M
Operating margin -20.7%
Total margin -19.7%
Days cash on hand 0
Current ratio 0.06
Occupancy62%

Facility

Beds66
Facility typeLTCH
Settingurban
Ownership classgovernment
Per-bed (low) $210K
Per-bed (high) $840K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 66 $21.8M $-16.6M -77.3% -75.3% 0 3.68 94% 307 78
2021 66 $30.8M $-9.5M -31.5% -30.5% 0 2.42 84% 269 78
2022 66 $32.1M $-10.7M -33.9% -33.0% 0 4.20 80% 216 78
2023 66 $30.9M $-6.2M -20.7% -19.7% 0 0.06 62% 246 82

Owners

OwnerRole%SinceType
Cumberland County Hospital System Inc
Fayetteville, NC
5% or greater direct ownership interest 100 1966-07
Ayub Ibrahim corporate director 2009-07
Ayub Ibrahim w-2 managing employee 2009-07
Billy King corporate director 1990-12
Bradley Broussard contracted managing employee 2012-10
Bradley Broussard corporate officer 2012-10
Bradley Broussard corporate director 2012-10
Charles Evans corporate director 2010-12
Christopher Aul corporate officer 2013-05
Christopher Aul w-2 managing employee 2013-05
Deborah Marshburn w-2 managing employee 1982-12
James Keefe corporate director 2008-12
Jeannette Council corporate director 2000-08
Joseph Fiser corporate officer 2022-02
Joseph Fiser w-2 managing employee 2022-02
Kenneth Edge corporate director 2000-12
Michael Nagowski corporate officer 2008-01
Michael Nagowski w-2 managing employee 2008-01
William Faircloth corporate director 2008-12

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
2019-09-30 Pam Specialty Hospital Of Rocky Mount Llc New Lifecare Hospitals Of North... Pam Specialty Hosp. Of Rocky Mount 50