dealflow
envelope $200M

← Targets

Highlands Medical Center

Scottsboro, Jackson County, AL · CCN 010061
Licensed to Hh Health System - Jackson Llc

Composite
63.1
rank score
Distress
94
FY2023
Fit
52
vs thesis
Estimated ticket
$3.1M–$6.3M
45 beds · within envelope
Ownership
government
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 45-60%
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • moderate occupancy
  • government-owned — public process likely

Latest financials · FY2023

Net patient revenue$53.2M
Operating margin -16.9%
Total margin -11.4%
Days cash on hand 0
Current ratio 0.35
Occupancy48%

Facility

Beds45
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 $38.2M $-818K -23.3% -1.8% 11 0.59 55% 2,138 84
2021 45 $41.2M $1.2M -24.4% 2.3% 0 0.44 60% 2,041 77
2022 45 $45.9M $-1.8M -30.2% -3.0% 104 2.04 54% 2,278 54
2023 45 $53.2M $-6.4M -16.9% -11.4% 0 0.35 48% 2,055 94

Owners

OwnerRole%SinceType
Clinton Carter corporate officer 2021-10
Jeffrey Samz corporate officer 2021-10
Jeffrey Samz w-2 managing employee 2021-10
John Anderson corporate officer 2021-10
John Anderson w-2 managing employee 2021-10
John Anderson operational/managerial control 2021-10
John Carrier corporate officer 2021-12
John Carrier w-2 managing employee 2021-12
John Carrier operational/managerial control 2021-12
Philip Bentley corporate officer 2021-10
Robert Matthews Jr corporate officer 2020-10
The Health Care Authority Of The City Of Huntsville
Huntsville, AL
5% or greater direct ownership interest 2021-10

Ownership changes

DateTypeBuyerSeller
2021-10-01 change of ownership Hh Health System - Jackson Llc Jackson County Health Care 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