dealflow
envelope $200M

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St Vincents Birmingham

dba St. Vincent's Birmingham · Birmingham, Jefferson County, AL · CCN 010056
Licensed to St. Vincent's Birmingham

Composite
60.7
rank score
Distress
73
FY2024
Fit
65
vs thesis
Estimated ticket
$140M–$559M
399 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin -10% to -5%
  • total margin -8% to -3%
  • under 30 days cash on hand
  • current ratio below 0.8
  • 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 well above the envelope
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$477M
Operating margin -9.9%
Total margin -5.5%
Days cash on hand 0
Current ratio 0.52
Occupancy66%

Facility

Beds399
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 401 $454M $26.2M -2.7% 5.3% 0 0.23 63% 17,790 59
2022 401 $471M $-9.9M -6.9% -2.0% 0 0.31 64% 17,193 70
2023 399 $480M $-3.9M -5.5% -0.8% 0 0.29 67% 18,405 70
2024 399 $477M $-27.4M -9.9% -5.5% 0 0.52 66% 18,511 73

Owners

OwnerRole%SinceType
St Vincent's Health System
Birmingham, AL
5% or greater direct ownership interest 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
Kathleen Hedrick w-2 managing employee 2024-05
Timothy Puthoff corporate officer 2024-11
Timothy Puthoff 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