dealflow
envelope $200M

← Targets

Troy Regional Medical Center

Troy, Pike County, AL · CCN 010126
Licensed to Troy Hospital Health Care Authority

Composite
33.9
rank score
Distress
37
FY2024
Fit
43
vs thesis
Estimated ticket
$4.1M–$8.2M
41 beds · within envelope
Ownership
government
STH

Why it ranks here

  • operating margin -10% to -5%
  • 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 · FY2024

Net patient revenue$40.9M
Operating margin -6.6%
Total margin 8.0%
Days cash on hand 89
Current ratio 4.03
Occupancy26%

Facility

Beds41
Facility typeSTH
Settingrural
Ownership classgovernment
Per-bed (low) $100K
Per-bed (high) $200K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 41 $30.0M $1.7M -16.7% 4.6% 95 1.13 27% 1,058 52
2022 41 $35.1M $5.2M -15.3% 11.3% 109 2.30 26% 921 46
2023 41 $39.0M $4.2M -9.1% 8.9% 67 2.95 26% 986 41
2024 41 $40.9M $3.8M -6.6% 8.0% 89 4.03 26% 921 37

Owners

OwnerRole%SinceType
Troy Hospital Health Care Authority
Troy, AL
5% or greater direct ownership interest 100 2010-01
Brenda Debose corporate director 2010-01
Henry Myers corporate officer 2017-05
Henry Myers corporate director 2017-05
Rick Smith w-2 managing employee 2020-01
Sherrill Crowe corporate officer 2010-01
Sherrill Crowe corporate director 2010-01
William Colquett corporate director 2010-01

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