Shoals Hospital
Muscle Shoals, Colbert County, AL
· CCN 010157
Licensed to Rchp - Florence Llc
Composite
60.4
rank score
Distress
80
FY2024
Fit
61
vs thesis
Estimated ticket
$3.3M–$6.6M
47 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
- liabilities exceed assets
- margin deteriorating sharply
- rural — cheaper but limited density
- small but workable bed count
- very small ticket — sub-scale as a platform asset
- strong occupancy — good iteration surface
- for-profit — no charitable conversion review
Latest financials · FY2024
| Net patient revenue | $39.6M |
| Operating margin | -14.6% |
| Total margin | -12.6% |
| Days cash on hand | 0 |
| Current ratio | 4.09 |
| Occupancy | 61% |
Facility
| Beds | 47 |
| Facility type | STH |
| Setting | rural |
| Ownership class | for-profit |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 122 | $28.9M | $-584K | -3.3% | -2.0% | 0 | 0.99 | 20% | 1,383 | 74 |
| 2022 | 122 | $29.9M | $-3.8M | -13.3% | -12.5% | 0 | 2.49 | 16% | 1,365 | 87 |
| 2023 | 53 | $31.2M | $-3.7M | -14.2% | -11.6% | 0 | 13.12 | 41% | 1,227 | 83 |
| 2024 | 47 | $39.6M | $-5.1M | -14.6% | -12.6% | 0 | 4.09 | 61% | 1,602 | 80 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Dsb Acquisition Llc | 5% or greater indirect ownership interest | 100 | 2015-12 | |
| Lifepoint Health Inc | 5% or greater indirect ownership interest | 100 | 2011-11 | |
| Rchp Llc | 5% or greater indirect ownership interest | 100 | 2016-12 | |
| Regionalcare Hospital Partners Llc | 5% or greater direct ownership interest | 100 | 2019-12 | |
| Charlotte Lawrence | corporate officer | 2022-01 | ||
| Charlotte Lawrence | other | 2022-09 | ||
| Christopher Monte | corporate officer | 2018-11 | ||
| Daniel Davis | corporate officer | 2022-01 | ||
| John Grooms | corporate officer | 2018-11 | ||
| Marcus Poppell | corporate officer | 2018-11 | ||
| Michael Howard | w-2 managing employee | 2024-12 | ||
| William Haugh | corporate officer | 2022-01 |
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.
| 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 |