dealflow
envelope $200M

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Saint Thomas Stones River Hospital

dba Ascension Saint Thomas Stones River · Woodbury, Cannon County, TN · CCN 440200
Licensed to Saint Thomas Stones River Hospital Llc

Composite
55.4
rank score
Distress
68
FY2024
Fit
62
vs thesis
Estimated ticket
$8.9M–$35.7M
21 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • current ratio under 1.5
  • occupancy 30-45%
  • urban — higher occupancy and iteration surface
  • very small facility
  • small ticket — deploys little of the available capital
  • thin occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$9.4M
Operating margin -47.4%
Total margin -40.1%
Days cash on hand 0
Current ratio 1.14
Occupancy31%

Facility

Beds21
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 16 $6.7M $-4.2M -70.9% -58.9% 0 0.11 36% 499 97
2022 21 $9.0M $-1.7M -35.4% -16.8% 1 0.79 28% 455 89
2023 21 $9.9M $-2.4M -30.0% -22.9% 0 1.07 31% 439 76
2024 21 $9.4M $-4.0M -47.4% -40.1% 0 1.14 31% 375 68

Owners

OwnerRole%SinceType
Ascension Health
Saint 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
Lisa Davis corporate director 2015-08
Raymond Johnson w-2 managing employee 2021-07
Susan Conley w-2 managing employee 2015-08

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