dealflow
envelope $200M

← Targets

St. Marys Medical Center Inc.

Huntington, Cabell County, WV · CCN 510007
Licensed to St Marys Medical Center, Inc

Composite
61.3
rank score
Distress
74
FY2023
Fit
70
vs thesis
Estimated ticket
$127M–$507M
362 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin below -10%
  • total margin negative
  • under 30 days cash on hand
  • current liabilities exceed current assets
  • debt above 70% of assets
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • large — ticket likely stretches the envelope
  • ticket size at the top of the envelope — would need leverage
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review

Latest financials · FY2023

Net patient revenue$526M
Operating margin -10.5%
Total margin -2.4%
Days cash on hand 3
Current ratio 0.96
Occupancy70%

Facility

Beds362
Facility typeSTH
Settingurban
Ownership classnonprofit
Per-bed (low) $350K
Per-bed (high) $1.4M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 350 $389M $19.8M -5.4% 4.6% 18 1.51 70% 14,533 49
2021 350 $474M $11.5M -7.5% 2.2% 6 0.99 76% 14,807 58
2022 350 $508M $-23.9M -9.8% -4.5% 6 1.00 76% 14,295 64
2023 362 $526M $-13.8M -10.5% -2.4% 3 0.96 70% 13,845 74

Owners

OwnerRole%SinceType
Marshall Health Network Inc
Huntington, WV
5% or greater direct ownership interest 100 2023-10
Mike Cartwright w-2 managing employee 2023-08

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 WV

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

DateBuyerSellerHospitalBeds
2023-01-01 Camc Greenbrier Valley Medical Center Inc Greenbrier Vmc Llc Greenbrier Valley Medical Center 66
2020-07-01 Wetzel County Hospital Inc Wetzel County Hospital Association Wetzel County Hospital 25