dealflow
envelope $200M

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Ascension St Thomas River Park

dba Ascension Saint Thomas River Park · Mcminnville, Warren County, TN · CCN 440151
Licensed to Saint Thomas River Park Hospital, Llc

Composite
55.1
rank score
Distress
70
FY2024
Fit
59
vs thesis
Estimated ticket
$3.2M–$6.4M
46 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin below -10%
  • total margin -8% to -3%
  • under 30 days cash on hand
  • current ratio under 1.5
  • occupancy 30-45%
  • margin deteriorating
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • thin occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$55.7M
Operating margin -12.7%
Total margin -6.6%
Days cash on hand 0
Current ratio 1.19
Occupancy38%

Facility

Beds46
Facility typeSTH
Settingrural
Ownership classnonprofit
Per-bed (low) $70.0K
Per-bed (high) $140K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 48 $50.1M $-864K 0.1% -1.8% 0 0.14 42% 2,037 56
2022 55 $57.6M $368K -3.0% 0.6% 2 0.53 39% 2,140 60
2023 56 $53.9M $-5.0M -11.2% -9.1% 1 0.78 29% 1,849 89
2024 46 $55.7M $-3.9M -12.7% -6.6% 0 1.19 38% 1,711 70

Owners

OwnerRole%SinceType
Ascension Health
St Louis, MO
5% or greater indirect ownership interest 100 2015-08
Saint Thomas Health
Nashville, TN
5% or greater indirect ownership interest 100 2015-08
Saint Thomas Regional Hospitals
Nashville, TN
5% or greater indirect ownership interest 100 2015-08
Brandon Williams corporate officer 2022-10
Robert Humphrey w-2 managing employee 2017-07

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