dealflow
envelope $200M

← Targets

Dorothea Dix Behavioral Health

dba Dorothea Dix Behavioral Health Center · Linville, Avery County, NC · CCN 344034
Licensed to Appalachian Regional Behavioral Healthcare Inc

Composite
55.4
rank score
Distress
68
FY2024
Fit
62
vs thesis
Estimated ticket
$1.7M–$3.5M
37 beds · within envelope
Ownership
nonprofit
PH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • 90-150 days cash on hand
  • current ratio below 0.8
  • liabilities exceed assets
  • occupancy 45-60%
  • rural — cheaper but limited density
  • specialty facility — narrower problem scope
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • moderate occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$8.1M
Operating margin -12.9%
Total margin -12.8%
Days cash on hand 109
Current ratio 0.29
Occupancy51%

Facility

Beds37
Facility typePH
Settingrural
Ownership classnonprofit
Per-bed (low) $46.8K
Per-bed (high) $93.5K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2022 37 $3.0M $-5.4M -192.1% -165.1% 52 -51.31 41% 569 80
2023 37 $2.0M $-5.7M -292.6% -267.2% 6 46.48 46% 600 69
2024 37 $8.1M $-1.0M -12.9% -12.8% 109 0.29 51% 997 68

Owners

OwnerRole%SinceType
Appalachian Regional Healthcare System Inc
Boone, NC
5% or greater direct ownership interest 100 2021-03
Allee Hollars w-2 managing employee 2020-08
David Nipper corporate officer 2022-12
Mary Long corporate director 2020-08
Richard Cassady corporate officer 2022-11
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 Iredell Memorial Hospital Incorporated Statesville Hma Llc Davis Regional Medical Center 17