dealflow
envelope $200M

← Targets

Alliance Healthcare System

Holly Springs, Marshall County, MS · CCN 250012

Composite
65.8
rank score
Distress
100
FY2023
Fit
52
vs thesis
Estimated ticket
$7.0M–$28.0M
20 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 below 0.8
  • liabilities exceed assets
  • occupancy below 30%
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • very small facility
  • 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$1.4M
Operating margin -47.3%
Total margin -39.9%
Days cash on hand 0
Current ratio 0.46
Occupancy13%

Facility

Beds20
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 27 $9.3M $-2.4M -31.2% -25.1% 32 0.75 21% 278 94
2021 27 $9.9M $-1.7M -23.8% -15.6% 0 1.27 22% 342 90
2022 20 $7.8M $-2.3M -35.3% -27.0% 0 1.34 18% 206 90
2023 20 $1.4M $-597K -47.3% -39.9% 0 0.46 13% 37 100

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 MS

Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.

DateBuyerSellerHospitalBeds
2025-05-01 State Of Mississippi-University Of... Madison Hma Llc Madison River Oaks Medical Center 67
2024-02-01 Northwest Miss Regional Medical Center Delta Health System Delta Health-Northwest Regional 181
2023-05-01 Tate County Hospital Delta Health System Highland Hills Medical Center 15
2020-10-01 Singing River Gulfport Gpch-Gp, Inc. Singing River Gulfport 113
2019-11-01 Memorial Hospital At Gulfport Stone County Hospital, Inc Memorial Hospital At Gulfport 285
2019-01-01 Monroe Health Services Inc Amory Regional Medical Center Inc Monroe Health Services Inc. 95
2018-04-01 Ochsner Medical Center - Hancock, Llc Hancock Medical Center Ochsner Med Ctr - Hancock 41