dealflow
envelope $200M

← Targets

Tristar Ashland City Medical Center

Ashland City, Cheatham County, TN · CCN 440779
Licensed to Hca Health Services Of Tennessee, Inc

Composite
13.1
rank score
Distress
33
FY2024
Fit
45
vs thesis
Estimated ticket
—–—
— beds · over envelope
Ownership
for-profit
STH

Why it ranks here

  • under 30 days cash on hand
  • debt above 85% of assets
  • rural — cheaper but limited density
  • for-profit — no charitable conversion review

Latest financials · FY2024

Net patient revenue$12.7M
Operating margin 47.2%
Total margin 47.2%
Days cash on hand 0
Current ratio 3.67
Occupancy

Facility

Beds
Facility typeSTH
Settingrural
Ownership classfor-profit
Per-bed (low)
Per-bed (high)

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2024 $12.7M $6.0M 47.2% 47.2% 0 3.67 33

Owners

OwnerRole%SinceType
Hca Healthcare Inc
Nashville, TN
5% or greater indirect ownership interest 100 2017-05
Hca Inc
Nashville, TN
5% or greater indirect ownership interest 100 2007-06
Healthserv Acquisition Llc
Nashville, TN
5% or greater direct ownership interest 100 2000-06
Healthtrust Inc - The Hospital Company
Nashville, TN
5% or greater indirect ownership interest 100 2007-06
Hercules Holding Ii
Nashville, TN
5% or greater indirect ownership interest 18 2016-09
Frisco Holding Ii
Nashville, TN
5% or greater indirect ownership interest 10 2016-09
Andrew Tyrer corporate officer 2022-09
Ashley Johnson corporate officer 2017-10
Bank Of America, N.a.
Charlotte, NC
5% or greater security interest 2006-11
Brad Spicer corporate officer 2023-01
Brittain Sexton corporate officer 2023-01
Christopher Wyatt corporate director 2016-04
Daniel Winkler corporate officer 2020-11
Daphne David corporate officer 2022-06
David Whalen corporate officer 2011-05
Deborah Mullin corporate officer 2010-01
Dennis Green corporate officer 2010-01
Douglas Downey corporate officer 2014-04
Eric Smith contracted managing employee 2021-03
Eric Smith other 2021-03
Gregary Beasley corporate officer 2010-01
Jaime Derensis corporate officer 2020-11
Jeffery Mcinturff corporate officer 2021-11
John Franck corporate director 2004-12
John Hackett corporate officer 2016-04

Showing 25 of 52. Full list via /api/targets/440779.

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