dealflow
envelope $200M

← Targets

Carilion Medical Center

dba Carilion Roanoke Memorial Hospital · Roanoke, Roanoke City County, VA · CCN 490024
Licensed to Carilion Medical Center

Composite
17.4
rank score
Distress
48
FY2023
Fit
55
vs thesis
Estimated ticket
$317M–$1.3B
634 beds · over envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin below -10%
  • under 30 days cash on hand
  • current ratio under 1.5
  • urban — higher occupancy and iteration surface
  • very large — likely out of range
  • estimated price exceeds the capital envelope
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review

Latest financials · FY2023

Net patient revenue$1.5B
Operating margin -11.5%
Total margin 5.6%
Days cash on hand 1
Current ratio 1.06
Occupancy74%

Facility

Beds634
Facility typeSTH
Settingurban
Ownership classnonprofit
Per-bed (low) $500K
Per-bed (high) $2.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 637 $1.2B $72.7M -4.4% 5.3% 4 0.73 70% 29,477 51
2021 637 $1.4B $329M -4.8% 18.1% 1 0.85 73% 25,046 47
2022 637 $1.5B $-185M -11.3% -12.8% 1 1.12 75% 33,230 70
2023 634 $1.5B $100.0M -11.5% 5.6% 1 1.06 74% 29,288 48

Owners

OwnerRole%SinceType
Abney Boxley corporate director 2022-12
Allen Williams corporate director 2013-01
Carilion Clinic
Roanoke, VA
5% or greater direct ownership interest 2010-11
Danielle Yarber corporate director 2022-12
Donald Halliwill corporate officer 2013-01
Elizabeth Mcclanahan corporate director 2022-12
Garry Norris corporate director 2022-12
George Vaughan corporate director 2022-12
J Boone corporate director 2022-12
James Hartley corporate director 2022-12
James Thompson corporate director 2022-12
James Williams corporate director 2022-12
Jason Bingman corporate director 2021-10
Jeri Lantz corporate director 2022-12
John Bond corporate director 2022-12
Joseph Scartelli corporate director 2022-12
Joseph Sheffey corporate director 2022-12
Kimberly Reynolds w-2 managing employee 2023-05
Mark Pace corporate director 2022-12
Nancy Agee corporate director 2022-12
Neil Wilkin corporate director 2022-12
Nicole Grisetti corporate director 2022-11
Terry Austin corporate director 2022-12
William Kingery corporate director 2022-12

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 VA

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

DateBuyerSellerHospitalBeds
2021-04-01 Maryview Hospital Llc Bon Secours Depaul Medical Center Llc Maryview Hospital Llc 176
2020-01-01 Bon Secours Mercy Health Franklin Llc Franklin Hospital Corporation Southampton Memorial Hospital 90
2020-01-01 Bon Secours Mercy Health Emporia Llc Emporia Hospital Corporation Southern Virginia Regional Med. Ctr. 70
2020-01-01 Bon Secours Mercy Health Petersburg Llc Petersburg Hospital Company Llc Bon Secours Southside Medical Center 300
2020-01-01 Inova Health Care Services Loudoun Hospital Center Inova Loudoun Hospital Center 189
2017-10-01 Danville Regional Medical Center Llc Phc-Martinsville Inc Danville Regional Medical Center 205