dealflow
envelope $200M

← Targets

Vcu Health Tappahannock Hospital

Tappahannock, Essex County, VA · CCN 490084
Licensed to Vcu Health Tappahannock Hospital

Composite
60.8
rank score
Distress
97
FY2024
Fit
43
vs thesis
Estimated ticket
$4.6M–$9.2M
66 beds · within envelope
Ownership
government
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 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
  • bed count in the target band
  • very small ticket — sub-scale as a platform asset
  • very low occupancy — limited volume to learn from
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$60.4M
Operating margin -12.1%
Total margin -10.7%
Days cash on hand 0
Current ratio 0.05
Occupancy27%

Facility

Beds66
Facility typeSTH
Settingrural
Ownership classgovernment
Per-bed (low) $70.0K
Per-bed (high) $140K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 67 $52.2M $4.3M -4.2% 7.0% 7 3.28 22% 1,274 47
2021 67 $27.7M $-1.5M -7.1% -5.3% 3 0.82 25% 715 74
2022 67 $51.1M $-2.5M -6.2% -4.9% 44 0.19 24% 1,376 81
2023 57 $59.2M $-1.1M -3.3% -1.9% 0 0.06 34% 1,678 72
2024 66 $60.4M $-6.6M -12.1% -10.7% 0 0.05 27% 1,716 97

Owners

OwnerRole%SinceType
Virginia Commonwealth University Health System Authority
Philadelphia, PA
5% or greater direct ownership interest 100 2021-01
Alexander F Dillard corporate director 2007-02
Alice Burgess corporate director 2013-02
Christopher Mcmillan corporate officer 2021-11
Darryl Fisher corporate director 2010-02
Elizabeth Harlan w-2 managing employee 2023-05
Garfield Parker corporate director 2021-01
George Merl Longest corporate director 2021-01
Iris Lane corporate director 2021-01
James Siegel corporate officer 2021-11
Joshua Hammond corporate officer 2025-05
Lisa Dodd corporate director 2021-01
Nancy Weakley corporate director 2021-01
Patricia Gallagher corporate director 2021-01
Richard Farmar corporate director 2021-01
Sandra Noel w-2 managing employee 2024-04
William Hundley corporate director 2021-01

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