St Thomas Dekalb Hospital
dba Ascension Saint Thomas Dekalb ·
Smithville, De Kalb County, TN
· CCN 440148
Licensed to Saint Thomas Dekalb Hospital, Llc
Composite
53.9
rank score
Distress
77
FY2024
Fit
48
vs thesis
Estimated ticket
$1.3M–$2.5M
18 beds ·
within envelope
Ownership
nonprofit
STH
Why it ranks here
- operating margin below -10%
- total margin below -8%
- under 30 days cash on hand
- current ratio under 1.5
- occupancy below 30%
- margin deteriorating
- rural — cheaper but limited density
- very small facility
- very small ticket — sub-scale as a platform asset
- very low occupancy — limited volume to learn from
- nonprofit — expect AG conversion review
Latest financials · FY2024
| Net patient revenue | $10.9M |
| Operating margin | -36.0% |
| Total margin | -29.2% |
| Days cash on hand | 0 |
| Current ratio | 1.08 |
| Occupancy | 22% |
Facility
| Beds | 18 |
| Facility type | STH |
| Setting | rural |
| Ownership class | nonprofit |
| Per-bed (low) | $70.0K |
| Per-bed (high) | $140K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 18 | $11.2M | $-3.0M | -26.6% | -27.1% | 0 | 0.17 | 21% | 429 | 93 |
| 2022 | 18 | $12.8M | $-644K | -16.9% | -4.5% | 1 | 1.29 | 26% | 447 | 74 |
| 2023 | 18 | $10.8M | $-2.9M | -32.3% | -25.5% | 0 | 0.91 | 26% | 388 | 84 |
| 2024 | 18 | $10.9M | $-3.3M | -36.0% | -29.2% | 0 | 1.08 | 22% | 391 | 77 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Ascension Health | 5% or greater indirect ownership interest | 100 | 2015-08 | |
| Saint Thomas Health | 5% or greater indirect ownership interest | 100 | 2015-08 | |
| Saint Thomas Regional Hospitals | 5% or greater indirect ownership interest | 100 | 2015-08 | |
| Brandon Williams | corporate officer | 2022-10 | ||
| Lisa Davis | corporate director | 2015-08 | ||
| Raymond Johnson | corporate officer | 2021-07 | ||
| Raymond Johnson | w-2 managing employee | 2021-07 | ||
| Susan Conley | w-2 managing employee | 2015-08 |
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.
| 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 |