Dekalb Regional Medical Center
Fort Payne, Dekalb County, AL
· CCN 010012
Licensed to Hh Health System - Dekalb Llc
Already transacted. CMS recorded an ownership change effective
2024-04-01. Confirm the current owner before spending a call on this.
Composite
22.6
rank score
Distress
100
FY2024
Fit
49
vs thesis
Estimated ticket
$6.8M–$13.6M
97 beds ·
within envelope
Ownership
for-profit
STH
Why it ranks here
- operating margin below -10%
- total margin below -8%
- under 30 days cash on hand
- current ratio below 0.8
- liabilities exceed 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
- changed ownership 2024-04-01 — likely already transacted
Latest financials · FY2024
| Net patient revenue | $52.0M |
| Operating margin | -28.9% |
| Total margin | -25.8% |
| Days cash on hand | 0 |
| Current ratio | 0.15 |
| Occupancy | 22% |
Facility
| Beds | 97 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 97 | $49.5M | $3.5M | -8.5% | 6.0% | 0 | 0.27 | 33% | 2,761 | 71 |
| 2022 | 97 | $57.5M | $1.4M | -1.8% | 2.3% | 0 | 0.23 | 30% | 2,440 | 71 |
| 2023 | 97 | $50.3M | $-6.3M | -15.9% | -12.2% | 0 | 0.22 | 25% | 2,556 | 100 |
| 2024 | 97 | $52.0M | $-13.7M | -28.9% | -25.8% | 0 | 0.15 | 22% | 2,537 | 100 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| The Health Care Authority Of The City Of Huntsville | 5% or greater direct ownership interest | 100 | 2024-04 | |
| The Health Care Authority Of The City Of Huntsville | operational/managerial control | 100 | 2024-04 | |
| Clinton Carter | corporate officer | 2024-04 | ||
| Darrell Blaylock | w-2 managing employee | 2024-04 | ||
| Jeffrey Samz | corporate officer | 2024-04 | ||
| Steven Smith | w-2 managing employee | 2024-04 |
Ownership changes
| Date | Type | Buyer | Seller |
|---|---|---|---|
| 2024-04-01 | change of ownership | Hh Health System - Dekalb Llc | Fort Payne Hospital Corporation |
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.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 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 |