Titus Regional Medical Center
Mt. Pleasant, Titus County, TX
· CCN 450080
Licensed to Titus County Hospital District
Composite
55.2
rank score
Distress
63
FY2023
Fit
67
vs thesis
Estimated ticket
$4.2M–$8.3M
49 beds ·
within envelope
Ownership
government
STH
Why it ranks here
- operating margin below -10%
- total margin -8% to -3%
- 30-60 days cash on hand
- occupancy 45-60%
- margin deteriorating sharply
- TX: favorable regulatory climate
- rural — cheaper but limited density
- small but workable bed count
- very small ticket — sub-scale as a platform asset
- moderate occupancy
- government-owned — public process likely
Latest financials · FY2023
| Net patient revenue | $98.2M |
| Operating margin | -21.1% |
| Total margin | -4.6% |
| Days cash on hand | 45 |
| Current ratio | 2.05 |
| Occupancy | 58% |
Facility
| Beds | 49 |
| Facility type | STH |
| Setting | rural |
| Ownership class | government |
| Per-bed (low) | $85.0K |
| Per-bed (high) | $170K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 49 | $75.5M | $7.5M | -15.0% | 7.9% | 144 | 1.85 | 54% | 2,907 | 34 |
| 2021 | 49 | $91.0M | $4.9M | -10.6% | 4.6% | 129 | 2.19 | 66% | 3,071 | 32 |
| 2022 | 49 | $89.7M | $-2.2M | -23.7% | -2.0% | 86 | 2.68 | 58% | 2,843 | 48 |
| 2023 | 49 | $98.2M | $-5.3M | -21.1% | -4.6% | 45 | 2.05 | 58% | 2,913 | 63 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Andy Fortenberry | corporate officer | 2025-02 | ||
| Andy Fortenberry | corporate director | 2025-02 | ||
| Andy Fortenberry | w-2 managing employee | 2025-02 | ||
| Andy Fortenberry | operational/managerial control | 2025-02 | ||
| Kristyl Huff | operational/managerial control | 2024-01 | ||
| Titus County Hospital District | operational/managerial control | 1963-05 |
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 TX
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 |
|---|---|---|---|---|
| 2025-02-01 | Texas Heart Hospital Of The Southwest Llc | Baylor Heart & Vascular Center Llp | Baylor Heart And Vascular Hospital | 56 |
| 2024-10-30 | Hsa Port Arthur, Llc | The Medical Center Of Southeast Texas Lp | The Medical Ctr Of Southeast Texas | 196 |
| 2024-10-30 | Hsa St. Joseph, Llc | Sj Medical Center Llc | St Joseph Medical Center | 156 |
| 2024-10-17 | Big Spring Texas Hospital Company Llc | Steward Texas Hospital Holdings Llc | Scenic Mountain Medical Center | 75 |
| 2024-10-17 | Odessa Texas Hospital Company Llc | Odessa Regional Hospital Lp | Odessa Regional Hospital | 208 |
| 2024-06-01 | Columbia Medical Center Of Denton... | Decatur Health Services Llc | Medical City Denton | 184 |
| 2024-03-11 | Nacogdoches County Hospital District | Lion Star Nacogdoches Hospital, Llc | Nacogdoches Memorial Hosp | 160 |
| 2024-01-01 | Ahs Sherman Llc | Sherman Grayson Hospital Llc | Wilson N Jones Regional Medical Ctr | 214 |
| 2023-04-01 | Methodist Healthcare System Of San... | Hill Country Memorial Hospital | Hill Country Memorial Hospital | 57 |
| 2021-06-01 | Methodist Hospitals Of Dallas | Metsl, Llc | Methodist Southlake Medical Center | 22 |
| 2020-10-27 | Hendrick Medical Center | Armc Lp | Hendrick Medical Center | 533 |
| 2020-10-27 | Hendrick Medical Center Brownwood | Brownwood Hospital Lp | Hendrick Medical Center Brownwood | 63 |
| 2020-07-01 | St Joseph Regional Health Center | St Joseph Regional Health Center | St. Joseph Regional Health Center | 284 |
| 2020-04-01 | Christus Santa Rosa Health Care Corporation | Adventist Health System/sunbelt, Inc. | Christus Santa Rosa - San Marcos | 105 |
| 2020-03-01 | Sana Healthcare Carrollton | Baylor Medical Center At Carrollton | Carrollton Regional Medical Center | 89 |