dealflow
envelope $200M

← Targets

Pelham Medical Center

Greer, Spartanburg County, SC · CCN 420103
Licensed to Pelham Medical Center

Composite
30.8
rank score
Distress
0
FY2023
Fit
77
vs thesis
Estimated ticket
$24.0M–$96.0M
48 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • urban — higher occupancy and iteration surface
  • small but workable bed count
  • ticket size somewhat below the envelope
  • strong occupancy — good iteration surface
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$148M
Operating margin 18.0%
Total margin 18.9%
Days cash on hand
Current ratio 7.19
Occupancy70%

Facility

Beds48
Facility typeSTH
Settingurban
Ownership classfor-profit
Per-bed (low) $500K
Per-bed (high) $2.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 48 $92.5M $14.4M 5.9% 14.2% 1 3.47 52% 2,350 24
2021 48 $114M $16.2M 11.6% 13.9% 10 5.15 76% 2,888 22
2022 48 $137M $24.6M 17.1% 17.8% 1 5.39 86% 3,135 22
2023 48 $148M $28.4M 18.0% 18.9% 7.19 70% 2,970 0

Owners

OwnerRole%SinceType
Spartanburg Regional Health Services District Inc
Spartanburg, SC
5% or greater direct ownership interest 100 2008-10
Anthony Kouskolekas corporate officer 2012-09
Anthony Kouskolekas w-2 managing employee 2012-09
Anthony Kouskolekas operational/managerial control 2012-09
Bruce Davis corporate officer 2020-01
Bruce Davis w-2 managing employee 2020-01
Bruce Davis operational/managerial control 2020-01
Charles Morrow w-2 managing employee 2023-12
Charles Morrow operational/managerial control 2023-12
Elmer Holstien corporate officer 2011-08
Elmer Holstien w-2 managing employee 2011-08
Elmer Holstien operational/managerial control 2011-08

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 SC

Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.

DateBuyerSellerHospitalBeds
2025-10-01 Prisma Health-Midlands Prisma Health Tuomey Prisma Health Tuomey Hospital 161
2024-02-01 East Cooper Medical Center Llc East Cooper Community Hospital, Inc. East Cooper Regional Medical Center 120
2024-02-01 Hilton Head Medical Center Llc Hilton Head Health System, L.p. Hilton Head Hospital 93
2024-01-31 South Carolina Coastal Medical Center Llc Coastal Carolina Medical Center Inc Coastal Carolina Medical Center 41
2021-08-01 Medical University Hospital Authority Kershaw Hospital Llc Musc Health Kershaw Medical Center 99
2021-08-01 Medical University Hospital Authority Providence Hospital Llc Musc Health Columbia Medical Center 332
2021-02-01 Lexington Health Inc Lexington County Health Services... Lexington Medical Center 541
2020-12-31 Mcleod Regional Medical Center Of... Mcleod Regional Medical Center Of... Mcleod Regional Medical Center 524
2019-03-01 Medical University Hospital Authority Chester Hma Llc Musc Health Chester Medical Center 16
2019-03-01 Medical University Hospital Authority Qhg Of South Carolina Inc Musc Health Florence Medical Center 187
2019-03-01 Medical University Hospital Authority Qhg Of South Carolina Inc Musc Health Marion Medical Center 36
2019-01-01 Spartanburg Medical Center Mary Black Health System Llc Spartanburg Regional Medical Center 626
2019-01-01 Cherokee Medical Center Gaffney Hma Llc Cherokee Medical Center 24
2018-10-01 Prisma Health-Upstate Baptist Easley Hospital Ph Baptist Easley Hospital 74
2016-10-01 Prisma Health-Upstate Greenville Health System Ph Hillcrest Hospital 43