Twin County Regional Hospital
Galax, Carroll County, VA
· CCN 490115
Licensed to Dlp Twin County Regional Healthcare Llc
Composite
51.1
rank score
Distress
70
FY2023
Fit
49
vs thesis
Estimated ticket
$9.9M–$19.7M
141 beds ·
within envelope
Ownership
for-profit
STH
Why it ranks here
- operating margin negative
- total margin -8% to -3%
- under 30 days cash on hand
- 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
- for-profit — no charitable conversion review
Latest financials · FY2023
| Net patient revenue | $62.0M |
| Operating margin | -4.0% |
| Total margin | -3.2% |
| Days cash on hand | 0 |
| Current ratio | 2.79 |
| Occupancy | 16% |
Facility
| Beds | 141 |
| Facility type | STH |
| Setting | rural |
| Ownership class | for-profit |
| Per-bed (low) | $70.0K |
| Per-bed (high) | $140K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 141 | $52.3M | $1.2M | -9.0% | 2.0% | 0 | 0.77 | 17% | 2,514 | 71 |
| 2021 | 141 | $54.8M | $128K | -1.8% | 0.2% | 1 | 2.89 | 15% | 1,863 | 54 |
| 2022 | 141 | $60.1M | $-341K | -1.5% | -0.6% | 0 | 3.67 | 16% | 2,028 | 59 |
| 2023 | 141 | $62.0M | $-2.0M | -4.0% | -3.2% | 0 | 2.79 | 16% | 2,072 | 70 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Dlp Twin County Holding Company Llc | 5% or greater direct ownership interest | 100 | 2012-01 | |
| Dlp Healthcare Llc | 5% or greater indirect ownership interest | 80 | 2012-01 | |
| Dlp Partner Llc | 5% or greater indirect ownership interest | 78 | 2012-01 | |
| Dsb Acquisition Llc | 5% or greater indirect ownership interest | 78 | 2018-11 | |
| Historic Lifepoint Hospitals, Llc | 5% or greater indirect ownership interest | 78 | 2012-01 | |
| Legacy Lifepoint Health Llc | 5% or greater indirect ownership interest | 78 | 2018-11 | |
| Lifepoint Health Inc | 5% or greater indirect ownership interest | 78 | 2018-11 | |
| Lifepoint Holdings 2 Llc | 5% or greater indirect ownership interest | 78 | 2012-01 | |
| Lifepoint Hospitals Holdings Llc | 5% or greater indirect ownership interest | 78 | 2012-01 | |
| Twin County Regional Healthcare, Inc | 5% or greater indirect ownership interest | 20 | 2012-04 | |
| Blake Edwards | other | 2023-04 | ||
| Carlos Blattner | other | 2018-01 | ||
| Charlotte Lawrence | corporate officer | 2022-03 | ||
| Christopher Monte | corporate officer | 2012-04 | ||
| Dlp Partner Twin County Llc | operational/managerial control | 2012-04 | ||
| Donna Peter | other | 2023-04 | ||
| Douglas Vaught | other | 2012-04 | ||
| Elliott Brown | corporate officer | 2026-04 | ||
| Elmer Polite | corporate officer | 2023-06 | ||
| Elmer Polite | other | 2020-12 | ||
| Jonathan Wall | corporate director | 2025-09 | ||
| Marcus Poppell | corporate officer | 2018-11 | ||
| Teresa Williams | corporate director | 2024-05 | ||
| William Alley | w-2 managing employee | 2025-06 | ||
| William Vaughan | other | 2021-12 |
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.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 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 |