dealflow
envelope $200M

← Targets

St. Vincents East

dba St. Vincent's East · Birmingham, Jefferson County, AL · CCN 010011
Licensed to St. Vincent's East

Composite
65.0
rank score
Distress
78
FY2024
Fit
70
vs thesis
Estimated ticket
$98.0M–$392M
280 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • current liabilities exceed current assets
  • margin deteriorating sharply
  • part of a multi-hospital chain — divestiture candidate
  • 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 · FY2024

Net patient revenue$243M
Operating margin -10.8%
Total margin -9.8%
Days cash on hand 0
Current ratio 0.84
Occupancy69%

Facility

Beds280
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
2021 241 $240M $-5.8M -1.4% -2.4% 0 0.32 88% 12,783 63
2022 275 $238M $-21.8M -13.0% -8.8% 0 0.49 78% 12,201 80
2023 286 $249M $-43.6M -20.2% -17.0% 0 0.59 76% 13,109 80
2024 280 $243M $-24.1M -10.8% -9.8% 0 0.84 69% 12,766 78

Owners

OwnerRole%SinceType
St Vincent's Health System
Birmingham, AL
5% or greater direct ownership interest 100 2007-07 chain
St Vincent's Health System
Birmingham, AL
operational/managerial control 100 2007-07 chain
Uab St. Vincent's Health System Authority
Birmingham, AL
5% or greater indirect ownership interest 100 2024-11
Christopher Hughes corporate officer 2022-11
Christopher Hughes w-2 managing employee 2022-11
Kathleen Hedrick corporate director 2024-01
Suzannah Campbell corporate officer 2024-11
Suzannah Campbell corporate director 2024-11

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 AL

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

DateBuyerSellerHospitalBeds
2025-08-01 University Of Alabama At Birmingham Uab Callahan Eye Hospital Authority University Of Alabama Hospital 1,149
2025-05-01 Marion Regional Health - Winfield, Inc. Northwest Medical Center Inc. Northwest Medical Center 28
2024-09-30 City Of Jackson Healthcare Authority Jackson Medical Center, Llc Jackson Medical Center 35
2024-04-01 Hh Health System - Dekalb Llc Fort Payne Hospital Corporation Dekalb Regional Medical Center 97
2023-10-01 Usa Health Hca Providence Hospital Llc Providence Hospital Providence Hospital 349
2021-10-01 Hh Health System - Jackson Llc Jackson County Health Care Authority Highlands Medical Center 45
2018-06-01 Floyd Cherokee Medical Center Llc Centre Hospital Corporation Cherokee Medical Center 45
2017-11-01 The Health Care Authority Of The... Greenville Hospital Corporation Regional Medical Ctr Of Central Al 44
2016-01-01 Hh-Health System - Athens Limestone Llc Healthcare Authority Of Athens And... Athens Limestone 66