dealflow
envelope $200M

← Targets

Carilion Rockbridge Community Hosp

Lexington, Rockbridge County, VA · CCN 491304
Licensed to Carilion Rockbridge Community Hospital

Composite
36.2
rank score
Distress
36
FY2023
Fit
50
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds · within envelope
Ownership
nonprofit
CAH

Why it ranks here

  • operating margin negative
  • under 30 days cash on hand
  • occupancy 45-60%
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • moderate occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2023

Net patient revenue$65.1M
Operating margin -0.8%
Total margin 13.1%
Days cash on hand 0
Current ratio 2.13
Occupancy53%

Facility

Beds25
Facility typeCAH
Settingrural
Ownership classnonprofit
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 25 $43.2M $3.8M 2.7% 8.2% 0 1.74 41% 932 28
2021 25 $54.5M $9.0M 2.2% 14.3% 0 1.59 47% 978 24
2022 25 $60.2M $683K -0.8% 1.1% 0 2.91 51% 1,170 43
2023 25 $65.1M $9.9M -0.8% 13.1% 0 2.13 53% 1,337 36

Owners

OwnerRole%SinceType
Carilion Clinic
Roanoke, VA
5% or greater direct ownership interest 100 2005-07
Alicia Devine corporate officer 2021-10
Amy Dehart corporate officer 2021-10
Ayesha Kelly corporate director 2024-01
Carilion Clinic
Roanoke, VA
operational/managerial control 2005-07
Donald Halliwill corporate director 2011-01
Donald Halliwill w-2 managing employee 2011-01
Duaine Fitzgerald corporate officer 2021-10
Eleanor Prescott corporate director 2025-10
George Vaughan corporate director 2010-01
Gregory Madsen corporate officer 2021-10
Joshua Elrod corporate director 2022-09
Joshua Hartle corporate director 2025-10
Kimberly Reynolds w-2 managing employee 2023-05
Kimberly Shaw corporate officer 2021-10
Kristina Werner corporate director 2026-01
Marylin Alexander corporate officer 2021-10
Matthew Barr corporate director 2025-01
Nathan Ramsey corporate director 2022-09
Reginald Early corporate director 2023-10
Tracy Lyons corporate officer 2021-10

Ownership changes

No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.