dealflow
envelope $200M

← Targets

St Thomas Ascension

dba Ascension Saint Thomas Behavioral Health Hospital · Nashville, TN · CCN 444030
Licensed to Cumberland Behavioral Health Llc

Composite
64.6
rank score
Distress
62
FY2023
Fit
87
vs thesis
Estimated ticket
$21.0M–$84.2M
90 beds · within envelope
Ownership
for-profit
PH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • occupancy 45-60%
  • part of a multi-hospital chain — divestiture candidate
  • urban — higher occupancy and iteration surface
  • specialty facility — narrower problem scope
  • bed count in the target band
  • ticket size somewhat below the envelope
  • moderate occupancy
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$15.2M
Operating margin -24.0%
Total margin -24.0%
Days cash on hand 0
Current ratio 2.56
Occupancy53%

Facility

Beds90
Facility typePH
Settingurban
Ownership classfor-profit
Per-bed (low) $234K
Per-bed (high) $935K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020
2021 90 $5.7M $-5.5M -96.9% -96.8% 0 1.26 21% 837 79
2022 90 $11.0M $-4.2M -38.5% -38.4% 0 1.97 38% 1,602 72
2023 90 $15.2M $-3.6M -24.0% -24.0% 0 2.56 53% 2,361 62

Owners

OwnerRole%SinceType
Saint Thomas Health
Nashville, TN
5% or greater direct ownership interest 50 2017-04
Acadia Healthcare Company Inc
Franklin, TN
5% or greater indirect ownership interest 50 2017-04 chain
Acadia Jv Holdings Llc
Franklin, TN
5% or greater indirect ownership interest 50 2017-04
Acadia Nashville Jv Holdings Llc
Franklin, TN
5% or greater direct ownership interest 50 2017-04
Brian Farley corporate officer 2023-07
Deborah Kraemer w-2 managing employee 2012-06
Debra Osteen corporate officer 2026-01
Jeremy Mercer w-2 managing employee 2025-09
Stacie Harty w-2 managing employee 2018-06
Timothy Sides w-2 managing employee 2023-06
Todd Young corporate officer 2025-10

Ownership changes

No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.