dealflow
envelope $200M

← Targets

Tennova Healthcare - Turkey Creek Mc

dba Tennova Healthcare · Knoxville, Knox County, TN · CCN 440120
Licensed to Metro Knoxville Hma Llc

Composite
54.8
rank score
Distress
48
FY2023
Fit
83
vs thesis
Estimated ticket
$110M–$438M
219 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • operating margin under 2%
  • under 30 days cash on hand
  • current ratio below 0.8
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size at the top of the envelope — would need leverage
  • strong occupancy — good iteration surface
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$324M
Operating margin 1.4%
Total margin 4.5%
Days cash on hand 0
Current ratio 0.45
Occupancy82%

Facility

Beds219
Facility typeSTH
Settingurban
Ownership classfor-profit
Per-bed (low) $500K
Per-bed (high) $2.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 219 $286M $37.2M 3.9% 11.9% 0 0.25 69% 11,806 40
2021 218 $317M $21.5M 4.8% 6.6% 0 0.29 90% 13,434 36
2022 219 $326M $28.1M 8.1% 8.6% 0 0.36 88% 13,391 36
2023 219 $324M $15.2M 1.4% 4.5% 0 0.45 82% 13,293 48

Owners

OwnerRole%SinceType
Chs Community Health Systems Inc
Franklin, TN
5% or greater indirect ownership interest 100 2014-01
Community Health Systems Inc
Franklin, TN
5% or greater indirect ownership interest 100 2014-01
Hma-Tri Holdings Llc
Franklin, TN
5% or greater indirect ownership interest 100 2015-12
Hospital Management Services Of Florida Lp
Franklin, TN
5% or greater indirect ownership interest 100 2014-01
Tennessee Hma Holdings, Lp
Franklin, TN
5% or greater indirect ownership interest 100 2014-01
Health Management Associates Llc
Franklin, TN
5% or greater indirect ownership interest 99 2015-12
Christopher Cobb corporate officer 2017-04
Edna Buffington-Price corporate director 2022-03
George Benton w-2 managing employee 2017-04
Health Management Associates Lp
Naples, FL
5% or greater indirect ownership interest 2011-10
Jason Johnson corporate officer 2020-01
Justin Pitt corporate officer 2022-03
Justin Pitt corporate director 2022-03
Kevin Hammons corporate officer 2012-02
Kevin Hammons corporate director 2020-01
Knoxville Hma Holdings, Llc
Naples, FL
5% or greater direct ownership interest 2011-10
Nathaniel Summar corporate director 2017-07
Paula Lalor corporate director 2017-04
Roman Ottinger corporate officer 2020-01
William Cash corporate officer 2018-06

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