dealflow
envelope $200M

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Trousdale Medical Center

dba Highpoint Health - Trousdale With Ascension Saint Thomas · Hartsville, Trousdale County, TN · CCN 441301
Licensed to Trousdale Medical Center Llc

Composite
35.2
rank score
Distress
31
FY2023
Fit
53
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds · within envelope
Ownership
for-profit
CAH

Why it ranks here

  • under 30 days cash on hand
  • current ratio under 1.5
  • occupancy below 30%
  • rural — cheaper but limited density
  • small but workable bed count
  • 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 · FY2023

Net patient revenue$12.6M
Operating margin 13.6%
Total margin 14.0%
Days cash on hand 0
Current ratio 1.18
Occupancy13%

Facility

Beds25
Facility typeCAH
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
2020 25 $8.0M $195K -10.6% 2.2% 1 0.46 10% 167 72
2021 25 $8.6M $-13.2K -3.7% -0.1% 1 0.27 14% 174 68
2022 25 $11.7M $4.4M 9.4% 29.3% 0 0.81 12% 134 40
2023 25 $12.6M $1.8M 13.6% 14.0% 0 1.18 13% 139 31

Owners

OwnerRole%SinceType
Highpoint Healthcare, Llc
Brentwood, TN
5% or greater direct ownership interest 100 2023-12
Dsb Acquisition Llc
New York, NY
5% or greater indirect ownership interest 80 2018-11
Highpoint Partner, Llc
Brentwood, TN
5% or greater indirect ownership interest 80 2023-12
Historic Lifepoint Hospitals, Llc
Brentwood, TN
5% or greater indirect ownership interest 80 2010-09
Legacy Lifepoint Health Llc
Brentwood, TN
5% or greater indirect ownership interest 80 2015-05
Lifepoint Health Inc
Brentwood, TN
5% or greater indirect ownership interest 80 2018-11
Lifepoint Holdings 2 Llc
Brentwood, TN
5% or greater indirect ownership interest 80 2010-09
Lifepoint Hospitals Holdings Llc
Brentwood, TN
5% or greater indirect ownership interest 80 2015-12
Ascension Health
Saint Louis, MO
5% or greater indirect ownership interest 20 2023-12
Baptist Health Care Affiliates Inc
Nashville, TN
5% or greater indirect ownership interest 20 2023-12
Saint Thomas Health
Nashville, TN
5% or greater indirect ownership interest 20 2023-12
Saint Thomas Network
Nashville, TN
5% or greater indirect ownership interest 20 2023-12
Carolyn Sparks contracted managing employee 2021-07
Charlotte Lawrence corporate officer 2022-01
Christopher Monte corporate officer 2010-09
Daniel Davis corporate officer 2019-06
Hsc Manager Llc
Brentwood, TN
operational/managerial control 2023-12
John Grooms corporate officer 2016-11
Marcus Poppell corporate officer 2010-09
Marcus Poppell other 2013-12
William Haugh corporate officer 2022-01

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
2023-07-01 Erlanger Health Chattanooga Hamilton County... Erlanger Bledsoe Hospital 25
2022-08-01 Shamrock Community Hospital Inc Houston County Community Hospital Houston County Community Hospital 25
2021-01-01 Lauderdale Community Hospital Llc Cah Acquisition Company 11 Llc Lauderdale Community Hospital 25