Twin City Hospital
dba Twin City Medical Center ·
Dennison, Tuscarawas County, OH
· CCN 361302
Licensed to Trinity Hospital Twin City
Composite
58.1
rank score
Distress
86
FY2024
Fit
48
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%
- 60-90 days cash on hand
- current ratio below 0.8
- debt above 85% of assets
- 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 · FY2024
| Net patient revenue | $22.4M |
| Operating margin | -19.6% |
| Total margin | -12.2% |
| Days cash on hand | 69 |
| Current ratio | 0.70 |
| Occupancy | 6% |
Facility
| Beds | 25 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | nonprofit |
| Per-bed (low) | $59.5K |
| Per-bed (high) | $119K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 25 | $20.6M | $-468K | -22.9% | -1.9% | 94 | 0.98 | 5% | 91 | 58 |
| 2022 | 25 | $24.2M | $-190K | -9.1% | -0.7% | 73 | 1.02 | 10% | 164 | 52 |
| 2023 | 25 | $23.8M | $-2.7M | -16.2% | -10.6% | 66 | 1.03 | 5% | 73 | 71 |
| 2024 | 25 | $22.4M | $-2.9M | -19.6% | -12.2% | 69 | 0.70 | 6% | 116 | 86 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Commonspirit Health | 5% or greater indirect ownership interest | 100 | 2020-06 | |
| Sylvania Franciscan Health | 5% or greater indirect ownership interest | 100 | 2020-06 | |
| Trinity Health System | 5% or greater direct ownership interest | 100 | 2017-07 | |
| Aaron Provenzano | corporate director | 2021-06 | ||
| Brenan Pergi | corporate director | 2024-07 | ||
| Charn Nandra | corporate director | 2021-06 | ||
| Claudia Bronsing | corporate director | 2022-04 | ||
| Dave Werkin | corporate officer | 2017-08 | ||
| David Skiviat | corporate officer | 2021-07 | ||
| David Skiviat | corporate director | 2017-07 | ||
| Dennis Wolters | corporate director | 2017-07 | ||
| Doug Lawson | corporate officer | 2018-03 | ||
| Dwayne Richardson | corporate officer | 2021-03 | ||
| Dwayne Richardson | w-2 managing employee | 2021-03 | ||
| James May | corporate officer | 2025-01 | ||
| Jason Elliott | corporate director | 2024-07 | ||
| Jeffrey Neidig | corporate director | 2024-07 | ||
| John Columbus | corporate director | 2023-01 | ||
| Joseph Luckino | corporate director | 2022-04 | ||
| Karla Gregory-Martin | corporate director | 2021-07 | ||
| Michelle Gorman | corporate director | 2024-07 | ||
| Rita Dutton | corporate director | 2023-07 | ||
| Samuel Licata | corporate officer | 2023-01 | ||
| Shawn Blake | corporate director | 2024-05 | ||
| Shawn Hervey | corporate director | 2024-07 |
Showing 25 of 27. Full list via /api/targets/361302.
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 OH
Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 2025-01-01 | Ohiohealth Morrow County Hospital Inc | Morrow County Hospital | Morrow County Hospital | 23 |
| 2021-05-02 | Adena Fayette Medical Center | Fayette County Memorial Hospital | Fayette County Memorial Hosp | 25 |
| 2019-10-01 | Adams County Regional Medical Center | Adams County Hospital | Adams County Regional Medical Center | 25 |