dealflow
envelope $200M

← Targets

Vanderbilt University Medical Center

Nashville, Davidson County, TN · CCN 440039
Licensed to Vanderbilt University Medical Center

Composite
18.0
rank score
Distress
43
FY2024
Fit
64
vs thesis
Estimated ticket
$542M–$2.2B
1,084 beds · over envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin below -10%
  • 30-60 days cash on hand
  • margin slipping
  • urban — higher occupancy and iteration surface
  • very large — likely out of range
  • estimated price exceeds the capital envelope
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$6.1B
Operating margin -14.1%
Total margin 4.7%
Days cash on hand 46
Current ratio 1.84
Occupancy97%

Facility

Beds1,084
Facility typeSTH
Settingurban
Ownership classnonprofit
Per-bed (low) $500K
Per-bed (high) $2.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 1,056 $4.7B $284M -14.2% 5.0% 74 1.49 91% 60,138 41
2022 1,056 $5.0B $152M -15.0% 2.5% 62 2.01 97% 59,771 38
2023 1,084 $5.4B $174M -15.9% 2.7% 42 1.85 97% 61,018 44
2024 1,084 $6.1B $339M -14.1% 4.7% 46 1.84 97% 62,332 43

Owners

OwnerRole%SinceType
Angela Simmons w-2 managing employee 2016-04
Bruce Evans corporate director 2025-07
Cecelia Moore corporate officer 2016-04
Colin Reed corporate director 2023-07
Daniel Diermeier corporate director 2020-07
Edith Johnson corporate director 2016-04
Gail Williams corporate director 2023-07
Jamie Phillips w-2 managing employee 2026-01
Jane Freedman w-2 managing employee 2025-07
Jeffrey Balser corporate officer 2016-04
Jeffrey Balser corporate director 2016-04
John Ingram corporate director 2022-07
John Manning w-2 managing employee 2016-04
John Stein corporate director 2016-04
Lee Ann Liska w-2 managing employee 2024-01
Lucinda Baier corporate director 2022-07
Makeba Williams corporate director 2022-07
Raymond Mefford corporate officer 2024-07
Sara Finley corporate director 2022-01
Tanmay Mathur w-2 managing employee 2024-07
William Carpenter corporate director 2025-07

Ownership changes

DateTypeBuyerSeller
2016-04-30 change of ownership Vanderbilt University Medical Center Vanderbilt University

Who has been buying in TN

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

DateBuyerSellerHospitalBeds
2024-10-01 West Tennessee Healthcare Henry County Henry County Medical Center Henry County Medical Center 33
2024-08-01 Bradley Medical Center Llc Cleveland Tennessee Hospital Company Llc Skyridge Medical Center 176
2023-07-01 Erlanger Health Chattanooga Hamilton County... Erlanger Medical Center 662
2022-07-01 Hh Health System - Lincoln Inc Lincoln Medical Center Lincoln Medical Center 47
2021-09-01 Springfield Health Services, Llc Northcrest Medical Center Northcrest Medical Center 109
2021-01-01 Vanderbilt Coffee Hospital Llc Tullahoma Hma Llc Vanderbilt Tullahoma-Harton Hospital 76
2021-01-01 Vanderbilt Bedford Hospital Llc Shelbyville Hospital Company Llc Vanderbilt Bedford County Hospital 24
2019-08-01 Vanderbilt University Medical Center Lebanon Hma Llc Vanderbilt Wilson County Hospital 117
2016-04-30 Vanderbilt University Medical Center Vanderbilt University Vanderbilt University Medical Center 1,084