Monroe County Hospital
Monroeville, Monroe County, AL · CCN 010120
Composite
37.5
rank score
Distress
45
FY2023
Fit
43
vs thesis
Estimated ticket
$4.6M–$9.2M
46 beds ·
within envelope
Ownership
government
STH
Why it ranks here
- operating margin below -10%
- total margin under 2%
- 60-90 days cash on hand
- occupancy below 30%
- 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 | $22.3M |
| Operating margin | -22.6% |
| Total margin | 1.0% |
| Days cash on hand | 61 |
| Current ratio | 1.54 |
| Occupancy | 17% |
Facility
| Beds | 46 |
| Facility type | STH |
| Setting | rural |
| Ownership class | government |
| Per-bed (low) | $100K |
| Per-bed (high) | $200K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 46 | $21.4M | $-730K | -16.9% | -3.0% | 190 | 3.45 | 20% | 920 | 52 |
| 2021 | 46 | $26.6M | $3.7M | -12.9% | 10.9% | 104 | 1.35 | 26% | 982 | 44 |
| 2022 | 46 | $23.8M | $-702K | -14.1% | -2.6% | 97 | 1.69 | 20% | 917 | 49 |
| 2023 | 46 | $22.3M | $284K | -22.6% | 1.0% | 61 | 1.54 | 17% | 810 | 45 |
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 |