dealflow
envelope $200M

← Targets

Ssh - Tri-Cities Inc.

dba Select Specialty Hospital Tricities · Bristol, Sullivan County, TN · CCN 442016
Licensed to Select Specialty Hospital - Tricities Llc

Composite
36.4
rank score
Distress
12
FY2023
Fit
77
vs thesis
Estimated ticket
$10.5M–$42.0M
35 beds · within envelope
Ownership
for-profit
LTCH

Why it ranks here

  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • LTCH — distress here is a payment-model artifact
  • small but workable bed count
  • small ticket — deploys little of the available capital
  • strong occupancy — good iteration surface
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$19.1M
Operating margin 10.3%
Total margin 5.8%
Days cash on hand
Current ratio 2.58
Occupancy88%

Facility

Beds35
Facility typeLTCH
Settingurban
Ownership classfor-profit
Per-bed (low) $300K
Per-bed (high) $1.2M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 33 $18.5M $2.0M 21.0% 11.0% 0.83 94% 381 11
2021 35 $18.7M $4.7M 24.9% 22.6% 1.01 90% 358 4
2022 35 $20.0M $-283K 9.0% -1.4% 2.36 87% 343 10
2023 35 $19.1M $1.1M 10.3% 5.8% 2.58 88% 357 12

Owners

OwnerRole%SinceType
Select Medical Corporation
Mechanicsburg, PA
5% or greater indirect ownership interest 100 2000-03
Select Medical Corporation
Mechanicsburg, PA
operational/managerial control 100 2000-03
Select Specialty Hospitals Inc
Mechanicsburg, PA
5% or greater indirect ownership interest 100 2000-03
Hospital Holdings Corporation
Mechanicsburg, PA
5% or greater direct ownership interest 60 2000-03
Blue Ridge Medical Management Corporation
Johnson City, TN
5% or greater direct ownership interest 40 2026-02
John Duggan corporate officer 2000-03
John Duggan corporate director 2025-09
John Saich corporate officer 2025-09
Michael Malatesta corporate officer 2025-09
Robert Breighner w-2 managing employee 2025-09
Robert Kido corporate officer 2025-09
Tammy Ratliff corporate officer 2024-08
Tammy Ratliff w-2 managing employee 2024-08
Tammy Ratliff operational/managerial control 2024-08
Thomas Mullin corporate officer 2025-09

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
2025-08-01 Select Specialty Hospital - Memphis, Inc. Baptist Memorial Regional... Baptist Mem Restorative Care Hosp. 30
2018-01-01 Select Specialty Hospital - North... Select Specialty Hospital - Knoxville, Inc. Ssh -North Knoxville 65