dealflow
envelope $200M

← Targets

Livingston Regional Hospital

Livingston, Overton County, TN · CCN 440187
Licensed to Livingston Regional Hospital Llc

Composite
54.2
rank score
Distress
69
FY2024
Fit
58
vs thesis
Estimated ticket
$7.7M–$15.3M
90 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
  • occupancy below 30%
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • bed count in the target band
  • very small ticket — sub-scale as a platform asset
  • very low occupancy — limited volume to learn from
  • for-profit — no charitable conversion review

Latest financials · FY2024

Net patient revenue$51.8M
Operating margin -5.1%
Total margin -4.8%
Days cash on hand 12
Current ratio 7.11
Occupancy19%

Facility

Beds90
Facility typeSTH
Settingrural
Ownership classfor-profit
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 90 $37.8M $3.4M 1.7% 8.3% 0 0.49 16% 1,209 51
2022 90 $-39.7M 17% 1,269
2023 90 $40.5M $-2.0M -5.1% -5.0% 32 4.74 17% 1,324 60
2024 90 $51.8M $-2.5M -5.1% -4.8% 12 7.11 19% 1,611 69

Owners

OwnerRole%SinceType
Kindred Healthcare Operating Llc
Louisville, KY
operational/managerial control 100 2021-12
Knight Health Holdings Llc
Louisville, KY
5% or greater indirect ownership interest 100 2021-12
Knight Health Ii, Llc
Louisville, KY
5% or greater indirect ownership interest 100 2021-12
Knight Healthcare New-D, Llc
Louisville, KY
5% or greater direct ownership interest 100 2021-12
Knight Intermediate Holdings Llc
Louisville, KY
5% or greater indirect ownership interest 100 2021-12
Brian Craven corporate officer 2022-04
Dana Rock corporate officer 2024-12
Jacquelyn Davis contracted managing employee 2023-12
Johnetta Traylor corporate officer 2024-12
Kathy Teague corporate officer 2022-01
Michael Bean corporate officer 2022-01
Scott Graeser corporate officer 2022-08
Timothy Mcgill contracted managing employee 2015-11

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