dealflow
envelope $200M

← Targets

Holston Valley Hosp & Med Ctr

dba Holston Valley Medical Center · Kingsport, Sullivan County, TN · CCN 440017
Licensed to Wellmont Health System

Composite
62.7
rank score
Distress
73
FY2024
Fit
70
vs thesis
Estimated ticket
$20.3M–$40.6M
290 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin -10% to -5%
  • total margin below -8%
  • under 30 days cash on hand
  • current liabilities exceed current assets
  • margin deteriorating sharply
  • part of a multi-hospital chain — divestiture candidate
  • rural — cheaper but limited density
  • large — ticket likely stretches the envelope
  • small ticket — deploys little of the available capital
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$335M
Operating margin -9.8%
Total margin -8.9%
Days cash on hand 0
Current ratio 0.98
Occupancy72%

Facility

Beds290
Facility typeSTH
Settingrural
Ownership classnonprofit
Per-bed (low) $70.0K
Per-bed (high) $140K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 320 $355M $29.1M 2.4% 7.7% 0 0.68 72% 16,779 36
2022 321 $341M $-17.4M -8.5% -4.9% 0 1.11 76% 14,576 60
2023 286 $345M $-22.1M -7.4% -6.4% 0 1.75 76% 13,997 57
2024 290 $335M $-30.0M -9.8% -8.9% 0 0.98 72% 14,533 73

Owners

OwnerRole%SinceType
Ballad Health
Johnson City, TN
5% or greater indirect ownership interest 100 2018-02 chain
Alan Levine corporate officer 2018-02
Alan Levine corporate director 2018-02
Buford Deaton corporate officer 2018-02
Buford Deaton corporate director 2018-02
Gregory Wilgocki corporate director 2018-02
Gregory Wilgocki w-2 managing employee 2018-02
Julie Bennett corporate officer 2023-02
Julie Bennett corporate director 2023-02
Marvin Eichorn corporate officer 2018-02
Marvin Eichorn corporate director 2018-02
Shane Hilton corporate officer 2024-04
Shane Hilton corporate director 2024-04

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 TN

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 West Tennessee Healthcare Henry County Henry County Medical Center Henry County Medical Center 33
2024-08-01 Bradley Medical Center Llc Cleveland Tennessee Hospital Company Llc Skyridge Medical Center 176
2023-07-01 Erlanger Health Chattanooga Hamilton County... Erlanger Medical Center 662
2022-07-01 Hh Health System - Lincoln Inc Lincoln Medical Center Lincoln Medical Center 47
2021-09-01 Springfield Health Services, Llc Northcrest Medical Center Northcrest Medical Center 109
2021-01-01 Vanderbilt Coffee Hospital Llc Tullahoma Hma Llc Vanderbilt Tullahoma-Harton Hospital 76
2021-01-01 Vanderbilt Bedford Hospital Llc Shelbyville Hospital Company Llc Vanderbilt Bedford County Hospital 24
2019-08-01 Vanderbilt University Medical Center Lebanon Hma Llc Vanderbilt Wilson County Hospital 117
2016-04-30 Vanderbilt University Medical Center Vanderbilt University Vanderbilt University Medical Center 1,084