dealflow
envelope $200M

← Targets

Fayette Medical Center

Fayette, Fayette County, AL · CCN 010045
Licensed to Fayette Medical Center

Composite
52.8
rank score
Distress
79
FY2023
Fit
43
vs thesis
Estimated ticket
$2.5M–$4.9M
35 beds · within envelope
Ownership
government
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • 60-90 days cash on hand
  • current ratio below 0.8
  • occupancy below 30%
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • very low occupancy — limited volume to learn from
  • government-owned — public process likely

Latest financials · FY2023

Net patient revenue$23.0M
Operating margin -36.5%
Total margin -36.5%
Days cash on hand 89
Current ratio 0.75
Occupancy23%

Facility

Beds35
Facility typeSTH
Settingrural
Ownership classgovernment
Per-bed (low) $70.0K
Per-bed (high) $140K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 45 $23.1M $-126K -15.0% -0.5% 78 0.92 21% 582 63
2021 45 $26.7M $1.4M -8.5% 4.6% 76 1.00 24% 725 50
2022 32 $-28.6M 23% 554
2023 35 $23.0M $-8.4M -36.5% -36.5% 89 0.75 23% 548 79

Owners

OwnerRole%SinceType
The Dch Healthcare Authority
Tuscaloosa, AL
operational/managerial control 100 1996-08
Alex Dobbins w-2 managing employee 2023-12
David Gay corporate director 2021-01
David Herman w-2 managing employee 2025-10
David Hudson corporate officer 2019-02
James Harrison corporate director 2008-11
Joe Bedwell w-2 managing employee 2024-01
Joseph Colquitt corporate director 2008-11
Lewis Standeffer corporate director 2008-11
Lewis Standeffer w-2 managing employee 2008-11
Rodney Clark w-2 managing employee 2024-08

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 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