dealflow
envelope $200M

← Targets

Elmore Community Hospital

Wetumpka, Elmore County, AL · CCN 010097
Licensed to Ivy Creek Of Elmore Llc

Composite
62.0
rank score
Distress
85
FY2023
Fit
59
vs thesis
Estimated ticket
$11.6M–$46.2M
33 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • occupancy below 30%
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • small but workable bed count
  • small ticket — deploys little of the available capital
  • very low occupancy — limited volume to learn from
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$13.1M
Operating margin -35.5%
Total margin -19.5%
Days cash on hand
Current ratio
Occupancy26%

Facility

Beds33
Facility typeSTH
Settingurban
Ownership classfor-profit
Per-bed (low) $350K
Per-bed (high) $1.4M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 33 $12.0M $589K -38.9% 3.4% 27 -0.63 47% 785 66
2021 33 $16.2M $5.0M -9.7% 21.9% 12 -0.50 37% 849 63
2022 33 $13.5M $-1.5M -28.5% -9.6% 11 -0.74 30% 810 86
2023 33 $13.1M $-2.9M -35.5% -19.5% 26% 868 85

Owners

OwnerRole%SinceType
Ivy Creek Of Elmore Llc
Wetumpka, AL
5% or greater direct ownership interest 100 2000-06
Michael Bruce 5% or greater direct ownership interest 100 2011-03
Michael Bruce operational/managerial control 100 2011-03
Seven Oaks Holdings
Wetumpka, AL
5% or greater direct ownership interest 49 2012-07
Gerald Sweeney 5% or greater indirect ownership interest 24 2012-07
Robert England 5% or greater indirect ownership interest 24 2012-07

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