dealflow
envelope $200M

← Targets

Bullock County Hospital

Union Springs, Bullock County, AL · CCN 010110

Composite
53.7
rank score
Distress
84
FY2023
Fit
40
vs thesis
Estimated ticket
$1.2M–$2.4M
17 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • current ratio under 1.5
  • debt above 70% of assets
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • very small facility
  • very small ticket — sub-scale as a platform asset
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$23.6M
Operating margin -19.5%
Total margin -16.1%
Days cash on hand 1
Current ratio 1.17
Occupancy

Facility

Beds17
Facility typeSTH
Settingrural
Ownership classfor-profit
Per-bed (low) $70.0K
Per-bed (high) $140K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 25 $11.4M $1.7M -36.3% 10.1% 3 2.28 28% 472 59
2021 25 $6.7M $-3.2M -110.0% -29.8% 8 1.44 14% 208 87
2022 29 $13.9M $890K -24.4% 4.9% 49 1.76 5% 84 53
2023 17 $23.6M $-3.9M -19.5% -16.1% 1 1.17 84

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.

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