dealflow
envelope $200M

← Targets

Musc Health Columbia Medical Center

dba Columbia Medical Center Downtown · Columbia, SC · CCN 420026
Licensed to Medical University Hospital Authority

Composite
45.5
rank score
Distress
53
FY2024
Fit
54
vs thesis
Estimated ticket
$141M–$564M
332 beds · within envelope
Ownership
government
STH

Why it ranks here

  • operating margin under 2%
  • under 30 days cash on hand
  • current ratio below 0.8
  • liabilities exceed assets
  • occupancy 30-45%
  • urban — higher occupancy and iteration surface
  • large — ticket likely stretches the envelope
  • ticket size well above the envelope
  • thin occupancy
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$291M
Operating margin 0.4%
Total margin 5.2%
Days cash on hand 22
Current ratio 0.60
Occupancy33%

Facility

Beds332
Facility typeSTH
Settingurban
Ownership classgovernment
Per-bed (low) $425K
Per-bed (high) $1.7M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 332 $203M $-23.6M -15.9% -11.2% 3 0.77 28% 6,122 100
2021 332 $167M $-14.6M -12.6% -8.4% 0 2.21 24% 4,381 87
2022 332 $143M $-49.3M -41.7% -32.1% 0 0.38 15% 6,284 100
2023 332 $205M $-47.8M -25.3% -22.9% 2 1.17 28% 8,048 90
2024 332 $291M $15.9M 0.4% 5.2% 22 0.60 33% 10,171 53

Owners

OwnerRole%SinceType
Barbara Johnson Williams corporate director 2026-01
Bartlett Witherspoon corporate director 2026-01
Charles Castles corporate director 2026-01
Charles Schulze corporate director 2026-01
Donald Johnson corporate director 2026-01
Douglas Lischke w-2 managing employee 2023-12
George Smith corporate director 2026-01
Henry Butehorn corporate director 2026-01
James Battle corporate director 2026-01
James Lemon corporate director 2026-01
Karyn Rae corporate director 2021-08
Medical University Of South Carolina
Charleston, SC
operational/managerial control 2019-03
Michael Stavrinakis corporate director 2026-01
Patrick Cawley corporate officer 2021-08
Paul Davis corporate director 2026-01
Richard Christian corporate director 2026-01
Sonya Floyd w-2 managing employee 2021-08
Terri Barnes corporate director 2026-01
Thomas Stephenson corporate director 2026-01
William Brown corporate director 2026-01

Ownership changes

DateTypeBuyerSeller
2021-08-01 change of ownership Medical University Hospital Authority Providence Hospital Llc

Who has been buying in SC

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

DateBuyerSellerHospitalBeds
2025-10-01 Prisma Health-Midlands Prisma Health Tuomey Prisma Health Tuomey Hospital 161
2024-02-01 East Cooper Medical Center Llc East Cooper Community Hospital, Inc. East Cooper Regional Medical Center 120
2024-02-01 Hilton Head Medical Center Llc Hilton Head Health System, L.p. Hilton Head Hospital 93
2024-01-31 South Carolina Coastal Medical Center Llc Coastal Carolina Medical Center Inc Coastal Carolina Medical Center 41
2021-08-01 Medical University Hospital Authority Kershaw Hospital Llc Musc Health Kershaw Medical Center 99
2021-08-01 Medical University Hospital Authority Providence Hospital Llc Musc Health Columbia Medical Center 332
2021-02-01 Lexington Health Inc Lexington County Health Services... Lexington Medical Center 541
2020-12-31 Mcleod Regional Medical Center Of... Mcleod Regional Medical Center Of... Mcleod Regional Medical Center 524
2019-03-01 Medical University Hospital Authority Chester Hma Llc Musc Health Chester Medical Center 16
2019-03-01 Medical University Hospital Authority Qhg Of South Carolina Inc Musc Health Florence Medical Center 187
2019-03-01 Medical University Hospital Authority Qhg Of South Carolina Inc Musc Health Marion Medical Center 36
2019-01-01 Spartanburg Medical Center Mary Black Health System Llc Spartanburg Regional Medical Center 626
2019-01-01 Cherokee Medical Center Gaffney Hma Llc Cherokee Medical Center 24
2018-10-01 Prisma Health-Upstate Baptist Easley Hospital Ph Baptist Easley Hospital 74
2016-10-01 Prisma Health-Upstate Greenville Health System Ph Hillcrest Hospital 43