Ascension St Thomas Three Rivers
dba Ascension Saint Thomas Three Rivers ·
Waverly, Humphreys County, TN
· CCN 441303
Licensed to Humphreys County Community Health Services, Inc.
Composite
58.6
rank score
Distress
78
FY2024
Fit
54
vs thesis
Estimated ticket
$1.5M–$3.0M
25 beds ·
within envelope
Ownership
nonprofit
CAH
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%
- margin deteriorating sharply
- part of a multi-hospital chain — divestiture candidate
- rural — cheaper but limited density
- small but workable bed count
- very small ticket — sub-scale as a platform asset
- thin occupancy
- nonprofit — expect AG conversion review
Latest financials · FY2024
| Net patient revenue | $12.0M |
| Operating margin | -11.2% |
| Total margin | -9.0% |
| Days cash on hand | 0 |
| Current ratio | 1.14 |
| Occupancy | 32% |
Facility
| Beds | 25 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | nonprofit |
| Per-bed (low) | $59.5K |
| Per-bed (high) | $119K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 25 | $6.5M | $-44.5K | -10.3% | -0.6% | 198 | 0.71 | 23% | 296 | 69 |
| 2021 | 25 | $7.9M | $1.0M | -17.5% | 10.1% | 50 | 0.83 | 24% | 385 | 73 |
| 2022 | 25 | $3.4M | $-4.3M | -128.6% | -124.5% | 50 | 0.27 | 21% | 138 | 94 |
| 2023 | 25 | $10.6M | $-11.5K | -8.9% | -0.1% | 1 | 0.34 | 28% | 215 | 86 |
| 2024 | 25 | $12.0M | $-1.1M | -11.2% | -9.0% | 0 | 1.14 | 32% | 249 | 78 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Ascension Health | other | 100 | 2022-03 | |
| Humphreys County Community Health Services, Inc. | 5% or greater direct ownership interest | 100 | 2008-08 | |
| Saint Thomas Health | operational/managerial control | 100 | 2022-03 | chain |
| Brandon Williams | corporate director | 2022-10 | ||
| Freda Russell | corporate officer | 2011-05 | ||
| Freda Russell | operational/managerial control | 2024-07 | ||
| Shannon Allison | corporate officer | 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.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 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 |