dealflow
envelope $200M

← Targets

Parkwest Medical Center

Knoxville, Knox County, TN · CCN 440173
Licensed to Parkwest Medical Center

Composite
52.1
rank score
Distress
50
FY2024
Fit
74
vs thesis
Estimated ticket
$153M–$610M
359 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin negative
  • total margin under 2%
  • under 30 days cash on hand
  • current ratio under 1.5
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • large — ticket likely stretches the envelope
  • ticket size well above the envelope
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$424M
Operating margin -4.0%
Total margin 1.0%
Days cash on hand 0
Current ratio 1.15
Occupancy71%

Facility

Beds359
Facility typeSTH
Settingurban
Ownership classnonprofit
Per-bed (low) $425K
Per-bed (high) $1.7M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 392 $387M $46.7M 3.4% 11.1% 0 1.28 74% 21,695 26
2022 348 $375M $6.3M -3.7% 1.6% 0 1.09 76% 19,026 44
2023 361 $396M $-464K -5.5% -0.1% 0 1.15 73% 18,982 56
2024 359 $424M $4.4M -4.0% 1.0% 0 1.15 71% 19,404 50

Owners

OwnerRole%SinceType
Amy Delong corporate officer 100 2024-03
Covenant Health
Knoxville, TN
5% or greater direct ownership interest 100 1996-07
James Vandersteeg corporate officer 100 2016-04
Joseph Dolan corporate officer 100 2023-07
Rick Carringer corporate officer 100 2024-01
Devan Johnson corporate officer 2022-07
Devan Johnson w-2 managing employee 2022-07
Scott Hamilton corporate officer 2007-08
Scott Hamilton w-2 managing employee 2007-08

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.

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