dealflow
envelope $200M

← Targets

St. Francis Hospital

dba Saint Francis Hospital · Memphis, Shelby County, TN · CCN 440183
Licensed to Amisub (Sfh), Inc.

Composite
63.1
rank score
Distress
70
FY2024
Fit
79
vs thesis
Estimated ticket
$117M–$468M
334 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • operating margin -10% to -5%
  • total margin -8% to -3%
  • under 30 days cash on hand
  • debt above 85% of assets
  • occupancy 45-60%
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • large — ticket likely stretches the envelope
  • ticket size at the top of the envelope — would need leverage
  • moderate occupancy
  • for-profit — no charitable conversion review

Latest financials · FY2024

Net patient revenue$268M
Operating margin -6.9%
Total margin -6.5%
Days cash on hand 0
Current ratio 2.40
Occupancy58%

Facility

Beds334
Facility typeSTH
Settingurban
Ownership classfor-profit
Per-bed (low) $350K
Per-bed (high) $1.4M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 353 $217M $4.9M -15.2% 1.9% 0 1.31 45% 10,832 70
2022 349 $213M $-62.0M -28.4% -29.3% 1 1.70 48% 11,161 77
2023 349 $244M $-30.2M -13.1% -12.3% 0 2.50 50% 12,101 80
2024 334 $268M $-17.5M -6.9% -6.5% 0 2.40 58% 13,817 70

Owners

OwnerRole%SinceType
Healthcare Network Holdings Inc
Dallas, TX
5% or greater indirect ownership interest 100 2010-05
Tenet Healthcare Corporation
Dallas, TX
5% or greater indirect ownership interest 100 2010-05
Tenet Healthsystem Medical, Inc.
Dallas, TX
5% or greater direct ownership interest 100 2010-05
Angelo Pagano corporate officer 2024-07
Joshua Burkett corporate officer 2024-10
Kristina Mack corporate officer 2008-07
Saumya Sutaria other 2019-09
Scott Smith corporate officer 2023-07
Scott Smith w-2 managing employee 2023-07
Sharilee Smith corporate director 2024-03

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