dealflow
envelope $200M

← Targets

Comanche County Memorial Hospital

dba Memorial Health · Lawton, OK · CCN 370056
Licensed to Comanche County Hospital Authority

Already transacted. CMS recorded an ownership change effective 2025-12-01. Confirm the current owner before spending a call on this.
Composite
14.6
rank score
Distress
32
FY2024
Fit
68
vs thesis
Estimated ticket
$91.5M–$366M
183 beds · within envelope
Ownership
government
STH

Why it ranks here

  • operating margin negative
  • 30-60 days cash on hand
  • current ratio under 1.5
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size at the top of the envelope — would need leverage
  • strong occupancy — good iteration surface
  • government-owned — public process likely
  • changed ownership 2025-12-01 — likely already transacted

Latest financials · FY2024

Net patient revenue$340M
Operating margin -4.2%
Total margin 7.5%
Days cash on hand 46
Current ratio 1.06
Occupancy70%

Facility

Beds183
Facility typeSTH
Settingurban
Ownership classgovernment
Per-bed (low) $500K
Per-bed (high) $2.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 201 $274M $8.1M -1.2% 2.9% 90 1.18 65% 10,119 29
2022 201 $298M $-3.5M -5.6% -1.1% 54 1.26 69% 10,168 50
2023 201 $304M $1.8M -7.9% 0.5% 22 1.13 63% 10,174 51
2024 183 $340M $28.8M -4.2% 7.5% 46 1.06 70% 10,649 32

Owners

OwnerRole%SinceType
Brent Smith corporate officer 2014-04
Brent Smith w-2 managing employee 2014-04
Brent Smith operational/managerial control 2014-04
Comanche County Hospital Authority
Lawton, OK
operational/managerial control 1971-01
Dustin Hilliary corporate director 2024-07
Edward Legako corporate director 2016-05
George Kruger corporate officer 2015-08
George Kruger w-2 managing employee 2015-08
George Kruger operational/managerial control 2015-08
John Zelbst corporate officer 2023-07
John Zelbst corporate director 1997-07
Mark Henry corporate officer 2024-07
Mark Henry corporate director 2021-07
Natalie Fitch corporate officer 2021-07
Natalie Fitch corporate director 2021-01

Ownership changes

DateTypeBuyerSeller
2025-12-01 acquisition/merger Comanche County Hospital Authority Southwestern Medical Center, Llc

Who has been buying in OK

Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.

DateBuyerSellerHospitalBeds
2025-12-01 Comanche County Hospital Authority Southwestern Medical Center, Llc Comanche County Memorial Hospital 183
2023-11-01 Integris Health Ponca City Hospital Inc Kay County Oklahoma Hospital Company, Llc Ponca City Medical Center 47
2023-11-01 Integris Health Woodward Hospital Inc Woodward Health System Llc Alliancehealth Woodward 40
2022-07-01 St Anthony Shawnee Hospital Inc Seminole Hma Llc St Anthony Shawnee Hospital 61
2021-04-01 Ssm Health Care Of Oklahoma, Inc. Midwest Regional Medical Center, Llc Ssm Health St Anthony Hospital - Mid 126
2019-01-01 Saint Francis Hospital, Inc. Saint Francis Home Health Inc. Saint Francis Hospital 903
2018-10-01 Integris Baptist Medical Center Inc Deaconess Health System Llc Integris Baptist Medical Center 615
2017-05-01 Ahs Pryor Hospital, Llc Mayes County Hma, Llc Hillcrest Hospital Pryor 21
2017-04-01 Saint Francis Hospital Muskogee Inc Muskogee Regional Medical Center Llc Saint Francis Hospital Muskogee 236