dealflow
envelope $200M

← Targets

Graham Regional Medical Center

Graham, Young County, TX · CCN 450085
Licensed to Graham Hospital District

Composite
38.1
rank score
Distress
33
FY2023
Fit
58
vs thesis
Estimated ticket
$2.5M–$5.0M
25 beds · within envelope
Ownership
government
STH

Why it ranks here

  • operating margin below -10%
  • occupancy below 30%
  • TX: favorable regulatory climate
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • very low occupancy — limited volume to learn from
  • government-owned — public process likely

Latest financials · FY2023

Net patient revenue$17.6M
Operating margin -25.9%
Total margin 10.7%
Days cash on hand 183
Current ratio 4.78
Occupancy5%

Facility

Beds25
Facility typeSTH
Settingrural
Ownership classgovernment
Per-bed (low) $100K
Per-bed (high) $200K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 25 $15.1M $307K -47.9% 1.2% 202 1.27 17% 455 43
2021 25 $18.8M $3.3M -28.2% 11.5% 184 1.90 23% 491 37
2022 25 $18.3M $1.2M -27.5% 5.0% 197 2.58 14% 316 37
2023 25 $17.6M $2.6M -25.9% 10.7% 183 4.78 5% 130 33

Owners

OwnerRole%SinceType
Graham Hospital District
Graham, TX
5% or greater direct ownership interest 100 2014-02
Christie Wainscott corporate director 2018-01
Christie Wainscott w-2 managing employee 2018-01
Curtis Rojas operational/managerial control 2015-11
Robert Kernell corporate director 2016-02
Robert Kernell w-2 managing employee 2016-02
Robert Lonis corporate director 2022-01
Robert Lonis w-2 managing employee 2022-01
Sharon Hilliard corporate director 2018-01
Sharon Hilliard w-2 managing employee 2018-01

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.

DateBuyerSellerHospitalBeds
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