Metro Nashville General Hospital
dba Metropolitan Nashville General Hospital ·
Nashville, Davidson County, TN
· CCN 440111
Licensed to Nashville General Hospital
Composite
59.0
rank score
Distress
67
FY2024
Fit
72
vs thesis
Estimated ticket
$48.5M–$194M
114 beds ·
within envelope
Ownership
government
STH
Why it ranks here
- operating margin below -10%
- 30-60 days cash on hand
- current ratio below 0.8
- debt above 70% of assets
- occupancy below 30%
- margin slipping
- urban — higher occupancy and iteration surface
- bed count in the target band
- ticket size uses the capital envelope well
- very low occupancy — limited volume to learn from
- government-owned — public process likely
Latest financials · FY2024
| Net patient revenue | $59.4M |
| Operating margin | -157.7% |
| Total margin | 3.6% |
| Days cash on hand | 31 |
| Current ratio | 0.60 |
| Occupancy | 25% |
Facility
| Beds | 114 |
| Facility type | STH |
| Setting | urban |
| Ownership class | government |
| Per-bed (low) | $425K |
| Per-bed (high) | $1.7M |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 114 | $54.4M | $4.5M | -117.1% | 3.6% | 8 | 1.85 | 25% | 2,088 | 63 |
| 2022 | 114 | $54.7M | $-6.6M | -140.1% | -5.3% | 10 | 0.54 | 27% | 2,311 | 89 |
| 2023 | 114 | $287M | $141M | 48.9% | 48.9% | 28 | 1.09 | 27% | 2,269 | 34 |
| 2024 | 114 | $59.4M | $5.7M | -157.7% | 3.6% | 31 | 0.60 | 25% | 2,510 | 67 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Metropolitan Government Of Nashville & Davidson County | 5% or greater direct ownership interest | 100 | 2012-01 | |
| Veronica Elders | w-2 managing employee | 100 | 2025-03 | |
| Veronica Elders | 5% or greater direct ownership interest | 2025-03 | ||
| Veronica Elders | corporate officer | 2025-03 |
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 |