dealflow
envelope $200M

← Targets

Helen Keller Hospital

Sheffield, Colbert County, AL · CCN 010019
Licensed to Hh Health System - Shoals, Llc

Composite
64.2
rank score
Distress
83
FY2023
Fit
67
vs thesis
Estimated ticket
$62.3M–$249M
178 beds · within envelope
Ownership
government
STH

Why it ranks here

  • operating margin below -10%
  • total margin -8% to -3%
  • under 30 days cash on hand
  • current ratio below 0.8
  • occupancy 30-45%
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size uses the capital envelope well
  • thin occupancy
  • government-owned — public process likely

Latest financials · FY2023

Net patient revenue$93.7M
Operating margin -26.6%
Total margin -5.7%
Days cash on hand 1
Current ratio -1.38
Occupancy40%

Facility

Beds178
Facility typeSTH
Settingurban
Ownership classgovernment
Per-bed (low) $350K
Per-bed (high) $1.4M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 172 $106M $7.4M -24.8% 5.3% 1 1.87 39% 6,294 56
2021 172 $105M $8.5M -8.0% 7.0% 3 0.88 46% 6,973 56
2022 178 $92.0M $-8.9M -28.0% -8.1% 1 -0.67 43% 6,553 86
2023 178 $93.7M $-6.4M -26.6% -5.7% 1 -1.38 40% 6,389 83

Owners

OwnerRole%SinceType
Penny Westmoreland corporate officer 80 2015-03
Penny Westmoreland w-2 managing employee 2015-03
Tracy Martin corporate director 2024-06
Tracy Martin w-2 managing employee 2024-06

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