dealflow
envelope $200M

← Targets

University Of Alabama Hospital

Birmingham, Jefferson County, AL · CCN 010033
Licensed to University Of Alabama At Birmingham

Already transacted. CMS recorded an ownership change effective 2025-08-01. Confirm the current owner before spending a call on this.
Composite
4.7
rank score
Distress
29
FY2023
Fit
52
vs thesis
Estimated ticket
$574M–$2.3B
1,149 beds · over envelope
Ownership
government
STH

Why it ranks here

  • operating margin below -10%
  • 90-150 days cash on hand
  • urban — higher occupancy and iteration surface
  • very large — likely out of range
  • estimated price exceeds the capital envelope
  • strong occupancy — good iteration surface
  • government-owned — public process likely
  • changed ownership 2025-08-01 — likely already transacted

Latest financials · FY2023

Net patient revenue$2.5B
Operating margin -13.6%
Total margin 9.1%
Days cash on hand 123
Current ratio 5.70
Occupancy90%

Facility

Beds1,149
Facility typeSTH
Settingurban
Ownership classgovernment
Per-bed (low) $500K
Per-bed (high) $2.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 1,076 $1.9B $138M -8.3% 6.4% 180 3.61 81% 44,963 22
2021 1,129 $2.2B $365M -5.3% 13.6% 171 4.01 88% 48,579 22
2022 1,138 $2.3B $-275M -13.9% -11.8% 131 6.10 89% 47,810 49
2023 1,149 $2.5B $287M -13.6% 9.1% 123 5.70 90% 47,857 29

Owners

OwnerRole%SinceType
Dawn Bulgarella corporate director 2023-02
Jennifer Schneider w-2 managing employee 2023-10
Lou Baverso corporate director 2023-09
Susan Jennings w-2 managing employee 2006-06
University At Birmingham Health System Inc
Birmingham, AL
operational/managerial control 2010-09

Ownership changes

DateTypeBuyerSeller
2025-08-01 acquisition/merger University Of Alabama At Birmingham Uab Callahan Eye Hospital Authority

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