dealflow
envelope $200M

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The Center For Spinal Surgery

dba Saint Thomas Hospital For Specialty Surgery · Nashville, Davidson County, TN · CCN 440218
Licensed to Baptist Women's Health Center Llc

Composite
37.5
rank score
Distress
29
FY2023
Fit
61
vs thesis
Estimated ticket
$11.5M–$46.0M
23 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • 30-60 days cash on hand
  • occupancy below 30%
  • margin deteriorating
  • urban — higher occupancy and iteration surface
  • very small facility
  • small ticket — deploys little of the available capital
  • very low occupancy — limited volume to learn from
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$84.7M
Operating margin 40.9%
Total margin 40.9%
Days cash on hand 37
Current ratio 2.78
Occupancy27%

Facility

Beds23
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 23 $68.2M $30.8M 43.0% 44.2% 35 2.35 31% 1,363 22
2021 23 $74.7M $31.7M 41.6% 42.1% 40 2.06 27% 1,315 26
2022 23 $78.7M $31.0M 39.3% 39.4% 26 2.50 30% 1,316 31
2023 23 $84.7M $34.6M 40.9% 40.9% 37 2.78 27% 1,203 29

Owners

OwnerRole%SinceType
Baptist Health Care Affiliates Inc
Nashville, TN
5% or greater direct ownership interest 52 1998-05
Ns Investments Llc
Nashville, TN
5% or greater direct ownership interest 28 1998-05
United Surgical Partners International Inc
Addison, TX
5% or greater indirect ownership interest 20 2008-12
Usp Domestic Holdings Inc
Addison, TX
5% or greater indirect ownership interest 20 2008-12
Usp Tennessee Inc
Addison, TX
5% or greater direct ownership interest 20 2008-12
Usp Tennessee Inc
Addison, TX
operational/managerial control 20 2008-12
Uspi Group Holdings Inc
Addison, TX
5% or greater indirect ownership interest 20 2008-12
Uspi Holding Company Inc
Addison, TX
5% or greater indirect ownership interest 20 2015-06
Uspi Holdings Inc
Addison, TX
5% or greater indirect ownership interest 20 2008-12
Hcn Surgery Center Holdings Inc
Dallas, TX
5% or greater indirect ownership interest 10 2015-06
Tenet Healthcare Corporation
Addison, TX
5% or greater indirect ownership interest 6 2015-06
Vhs San Antonio Partners Llc
Dallas, TX
5% or greater indirect ownership interest 1 2015-06
Vhs San Antonio Partners Llc
Dallas, TX
other 1 2015-06
Kristen Oconnor corporate officer 2023-01
Kristen Oconnor w-2 managing employee 2023-01
William Montgomery corporate officer 2023-07
William Montgomery corporate director 2023-07
William Montgomery w-2 managing employee 2023-07

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