dealflow
envelope $200M

← Targets

Cookeville Regional Medical Center

Cookeville, Putnam County, TN · CCN 440059
Licensed to Cookeville Regional Medical Center

Composite
36.7
rank score
Distress
21
FY2024
Fit
68
vs thesis
Estimated ticket
$20.4M–$40.8M
204 beds · within envelope
Ownership
government
STH

Why it ranks here

  • 60-90 days cash on hand
  • current ratio below 0.8
  • rural — cheaper but limited density
  • bed count in the target band
  • small ticket — deploys little of the available capital
  • strong occupancy — good iteration surface
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$405M
Operating margin 5.5%
Total margin 3.1%
Days cash on hand 72
Current ratio -10.76
Occupancy77%

Facility

Beds204
Facility typeSTH
Settingrural
Ownership classgovernment
Per-bed (low) $100K
Per-bed (high) $200K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 211 $326M $5.6M 2.8% 1.7% 140 3.57 90% 13,531 8
2022 212 $364M $5.9M 0.9% 1.6% 79 7.33 90% 13,384 20
2023 212 $372M $-1.8M 2.1% -0.5% 59 -19.71 76% 12,330 38
2024 204 $405M $12.2M 5.5% 3.1% 72 -10.76 77% 12,570 21

Owners

OwnerRole%SinceType
Laurin Wheaton corporate director 10 2021-01
Alma Anderson corporate director 2022-10
Bert Geer corporate director 2024-08
Danny Rader corporate director 2020-08
Jack Carey corporate director 1980-06
Joseph Albrecht corporate director 2025-08
Justin David Cumby corporate director 2024-06
Marilyn Key corporate officer 2023-05
Marilyn Key w-2 managing employee 2023-05
Marilyn Key operational/managerial control 2023-05
Randel Wallace corporate director 2023-08
Scott Copeland corporate director 2021-08

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 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