dealflow
envelope $200M

← Targets

Madison River Oaks Medical Center

dba Ummc Madison · Canton, Madison County, MS · CCN 250038
Licensed to State Of Mississippi-University Of Mississippi Medical Center

Already transacted. CMS recorded an ownership change effective 2025-05-01. Confirm the current owner before spending a call on this.
Composite
20.2
rank score
Distress
66
FY2023
Fit
65
vs thesis
Estimated ticket
$28.5M–$114M
67 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • operating margin under 2%
  • under 30 days cash on hand
  • current ratio below 0.8
  • liabilities exceed assets
  • occupancy below 30%
  • margin deteriorating sharply
  • part of a multi-hospital chain — divestiture candidate
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size somewhat below the envelope
  • very low occupancy — limited volume to learn from
  • for-profit — no charitable conversion review
  • changed ownership 2025-05-01 — likely already transacted

Latest financials · FY2023

Net patient revenue$38.6M
Operating margin 1.4%
Total margin 2.4%
Days cash on hand 0
Current ratio 0.23
Occupancy20%

Facility

Beds67
Facility typeSTH
Settingurban
Ownership classfor-profit
Per-bed (low) $425K
Per-bed (high) $1.7M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 67 $32.6M $2.7M -1.0% 7.5% 0 0.07 18% 1,029 71
2021 67 $35.8M $3.5M -0.1% 8.8% 0 0.21 19% 839 71
2022 67 $32.9M $-2.1M -1.2% -6.7% 0 0.17 19% 902 83
2023 67 $38.6M $942K 1.4% 2.4% 0 0.23 20% 1,106 66

Owners

OwnerRole%SinceType
State Of Mississippi-University Of Mississippi Medical Center
Jackson, MS
5% or greater direct ownership interest 100 2025-05 chain
Britton Phelps w-2 managing employee 2025-05
Dodie Mcelmurray w-2 managing employee 2025-05
Jeffrey Grimsley w-2 managing employee 2025-05

Ownership changes

DateTypeBuyerSeller
2025-05-01 change of ownership State Of... Madison Hma Llc

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