North Texas Medical Center
Gainsville, Cooke County, TX
· CCN 450090
Licensed to Gainesville Community Hospital Inc
Composite
58.6
rank score
Distress
68
FY2023
Fit
70
vs thesis
Estimated ticket
$3.0M–$6.0M
35 beds ·
within envelope
Ownership
nonprofit
STH
Why it ranks here
- operating margin below -10%
- total margin -8% to -3%
- under 30 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
- nonprofit — expect AG conversion review
Latest financials · FY2023
| Net patient revenue | $41.5M |
| Operating margin | -11.3% |
| Total margin | -4.1% |
| Days cash on hand | 3 |
| Current ratio | 2.17 |
| Occupancy | 52% |
Facility
| Beds | 35 |
| Facility type | STH |
| Setting | rural |
| Ownership class | nonprofit |
| 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 | 35 | $40.5M | $5.8M | 3.7% | 13.0% | 117 | 1.34 | 47% | 1,359 | 14 |
| 2021 | 35 | $43.8M | $1.0M | -2.2% | 2.2% | 52 | 1.20 | 55% | 1,392 | 38 |
| 2022 | 35 | $43.4M | $1.6M | -1.5% | 3.4% | 9 | 1.86 | 54% | 1,463 | 40 |
| 2023 | 35 | $41.5M | $-1.8M | -11.3% | -4.1% | 3 | 2.17 | 52% | 1,575 | 68 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Community Hospital Consulting, Inc | 5% or greater direct ownership interest | 100 | 2018-12 | |
| Ala'a Farahat | contracted managing employee | 2018-12 | ||
| Evonne Hess | corporate director | 2021-05 | ||
| Gainesville Hospital District | other | 2018-12 | ||
| Jim Kendrick | corporate director | 2018-12 | ||
| Joe Thomason | corporate director | 2018-12 | ||
| Kristi Rigsby | operational/managerial control | 2022-01 | ||
| Michael Ducote | corporate officer | 2024-03 | ||
| Shane Lee | corporate director | 2021-07 | ||
| Thomas Sledge | corporate officer | 2018-12 |
Ownership changes
| Date | Type | Buyer | Seller |
|---|---|---|---|
| 2018-12-01 | change of ownership | Gainesville Community Hospital Inc | Gainesville Hospital District |
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 |