dealflow
envelope $200M

← Targets

Tristar Centennial Medical Center

Nashville, Davidson County, TN · CCN 440161
Licensed to Hca Health Services Of Tennessee, Inc

Composite
14.3
rank score
Distress
20
FY2023
Fit
67
vs thesis
Estimated ticket
$318M–$1.3B
635 beds · over envelope
Ownership
for-profit
STH

Why it ranks here

  • under 30 days cash on hand
  • urban — higher occupancy and iteration surface
  • very large — likely out of range
  • estimated price exceeds the capital envelope
  • strong occupancy — good iteration surface
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$1.1B
Operating margin 30.3%
Total margin 31.2%
Days cash on hand 0
Current ratio 2.50
Occupancy67%

Facility

Beds635
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 641 $946M $291M 30.6% 30.7% 0 2.68 64% 27,448 22
2021 604 $1.0B $285M 27.5% 27.7% 0 2.62 72% 28,214 22
2022 598 $992M $231M 23.0% 23.2% 0 2.72 71% 25,784 22
2023 635 $1.1B $334M 30.3% 31.2% 0 2.50 67% 26,971 20

Owners

OwnerRole%SinceType
Hca Healthcare Inc
Nashville, TN
5% or greater indirect ownership interest 100 2017-05
Hca Inc
Nashville, TN
5% or greater indirect ownership interest 100 2007-06
Healthserv Acquisition Llc
Nashville, TN
5% or greater direct ownership interest 100 2007-06
Healthtrust Inc - The Hospital Company
Nashville, TN
5% or greater indirect ownership interest 100 2007-06
Hercules Holding Ii
Nashville, TN
5% or greater indirect ownership interest 20 2016-09
Frisco Holding Ii
Nashville, TN
5% or greater indirect ownership interest 11 2016-09
Christopher Wyatt corporate director 2016-04
Deborah Mullin corporate officer 2010-01
Douglas Downey corporate officer 2014-04
Eric Smith contracted managing employee 2021-03
Henry Maxwell corporate officer 2024-01
Jaime Derensis corporate officer 2020-11
Jeffery Mcinturff corporate officer 2021-11
John Franck corporate director 2007-06
John Hackett corporate officer 2016-04
John Starling corporate officer 2019-10
Jon Foster corporate officer 2013-04
Joseph Sowell corporate officer 2011-08
Kevin Ball corporate officer 2014-04
Michael Bray corporate officer 2010-01
Michael Mcalevey corporate officer 2022-02
Mitchell Edgeworth corporate officer 2021-01
Monica Cintado corporate officer 2019-10
Natalie Cline corporate officer 2013-04
Samuel Hazen corporate director 2011-04

Showing 25 of 33. Full list via /api/targets/440161.

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