dealflow
envelope $200M

← Targets

Alliance Health Center

Meridian, Lauderdale County, MS · CCN 250151
Licensed to Alliance Health Center Inc

Composite
37.6
rank score
Distress
40
FY2023
Fit
49
vs thesis
Estimated ticket
$7.9M–$15.8M
79 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • under 30 days cash on hand
  • current ratio below 0.8
  • occupancy below 30%
  • rural — cheaper but limited density
  • bed count in the target band
  • very small ticket — sub-scale as a platform asset
  • very low occupancy — limited volume to learn from
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$54.5M
Operating margin 28.6%
Total margin 30.1%
Days cash on hand 0
Current ratio 0.40
Occupancy12%

Facility

Beds79
Facility typeSTH
Settingrural
Ownership classfor-profit
Per-bed (low) $100K
Per-bed (high) $200K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 83 $30.5M $-728K -9.7% -2.2% 0 0.08 28% 1,545 74
2021 79 $41.1M $7.7M 16.1% 18.3% 0 0.17 19% 912 44
2022 79 $46.1M $27.4M 32.5% 46.8% 0 0.76 15% 746 44
2023 79 $54.5M $16.8M 28.6% 30.1% 0 0.40 12% 722 40

Owners

OwnerRole%SinceType
Cheryl Ramagano corporate officer 100 2010-11
James Shehi contracted managing employee 100 2017-11
James Shehi corporate officer 100 2017-11
Katharine Lyver corporate officer 100 2024-01
Matthew Klein corporate officer 100 2010-11
Matthew Peterson corporate officer 100 2019-09
Matthew Peterson operational/managerial control 100 2019-09
Psychiatric Solutions, Inc.
King Of Prussia, PA
5% or greater indirect ownership interest 100 2006-12
Steve Filton corporate officer 100 2019-09
Steve Filton operational/managerial control 100 2019-09
Thomas Day corporate officer 100 2021-07
Uhs Of Delaware Inc
King Of Prussia, PA
operational/managerial control 100 2010-11
Universal Health Services Inc
King Of Prussia, PA
5% or greater indirect ownership interest 100 2010-11
Alan Miller 5% or greater indirect ownership interest 87 2024-03
James Coleman contracted managing employee 50 2010-11
Matthew Peterson corporate director 33 2019-09
Steve Filton corporate director 33 2019-09
Thomas Day corporate director 33 2021-07
Bradley Smith contracted managing employee 2022-05
Bradley Smith corporate officer 2022-05
George Brunner corporate officer 2010-11
Psychiatric Solutions Hospitals Llc
King Of Prussia, PA
5% or greater direct ownership interest 2006-12

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