Saint Thomas West Hospital
Nashville, Davidson County, TN
· CCN 440082
Licensed to Saint Thomas West Hospital
Composite
18.7
rank score
Distress
47
FY2024
Fit
64
vs thesis
Estimated ticket
$343M–$1.4B
686 beds ·
over envelope
Ownership
nonprofit
STH
Why it ranks here
- operating margin negative
- under 30 days cash on hand
- current ratio under 1.5
- debt above 70% of assets
- margin deteriorating
- 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 | $1.1B |
| Operating margin | -2.2% |
| Total margin | 6.8% |
| Days cash on hand | 0 |
| Current ratio | 1.24 |
| Occupancy | 88% |
Facility
| Beds | 686 |
| Facility type | STH |
| Setting | urban |
| Ownership class | nonprofit |
| Per-bed (low) | $500K |
| Per-bed (high) | $2.0M |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 707 | $1.0B | $94.4M | 4.3% | 8.8% | 3 | 0.22 | 83% | 37,533 | 47 |
| 2022 | 686 | $1.0B | $21.1M | -4.9% | 1.9% | 1 | 0.69 | 87% | 37,655 | 59 |
| 2023 | 643 | $1.1B | $57.9M | 0.2% | 5.2% | 8 | 0.94 | 88% | 36,938 | 42 |
| 2024 | 686 | $1.1B | $85.2M | -2.2% | 6.8% | 0 | 1.24 | 88% | 38,507 | 47 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Ascension Health | 5% or greater direct ownership interest | 1999-11 | ||
| Ashley Bennett | w-2 managing employee | 2018-07 | ||
| Brandon Williams | corporate officer | 2022-10 | ||
| Brandon Williams | w-2 managing employee | 2022-10 | ||
| David Neu | w-2 managing employee | 2018-07 | ||
| Lisa Davis | corporate director | 2005-04 | ||
| Lisa Davis | w-2 managing employee | 2006-06 | ||
| Mark Marsden | w-2 managing employee | 2013-10 | ||
| Pamela Hess | w-2 managing employee | 2012-09 | ||
| Saint Thomas Health | 5% or greater direct ownership interest | 2001-12 |
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 TN
Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 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 |