Clay County Hospital
Ashland, Clay County, AL · CCN 010073
Composite
53.7
rank score
Distress
81
FY2023
Fit
43
vs thesis
Estimated ticket
$3.2M–$6.4M
46 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 under 1.5
- 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 | $17.6M |
| Operating margin | -21.8% |
| Total margin | -9.4% |
| Days cash on hand | 8 |
| Current ratio | 1.19 |
| Occupancy | 24% |
Facility
| Beds | 46 |
| Facility type | STH |
| Setting | rural |
| Ownership class | government |
| Per-bed (low) | $70.0K |
| Per-bed (high) | $140K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 46 | $18.2M | $-682K | -9.6% | -3.5% | 191 | 1.06 | 29% | 984 | 51 |
| 2021 | 46 | $19.5M | $217K | -15.9% | 1.0% | 114 | 0.89 | 27% | 938 | 58 |
| 2022 | 46 | $18.5M | $-366K | -17.6% | -1.7% | 22 | 2.17 | 26% | 873 | 67 |
| 2023 | 46 | $17.6M | $-1.8M | -21.8% | -9.4% | 8 | 1.19 | 24% | 736 | 81 |
Owners
No ownership records — CMS has no owner filings mapped to this CCN.
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.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 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 |