dealflow
envelope $200M

← Targets

Methodist Hospital South

dba Methodist Hospital | Atascosa · Jourdanton, Atascosa County, TX · CCN 450165
Licensed to Methodist Healthcare System Of San Antonio Ltd Llp

Composite
52.6
rank score
Distress
38
FY2024
Fit
84
vs thesis
Estimated ticket
$33.5M–$134M
67 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • under 30 days cash on hand
  • debt above 85% of assets
  • occupancy below 30%
  • margin slipping
  • part of a multi-hospital chain — divestiture candidate
  • TX: favorable regulatory climate
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size uses the capital envelope well
  • very low occupancy — limited volume to learn from
  • for-profit — no charitable conversion review

Latest financials · FY2024

Net patient revenue$42.9M
Operating margin 7.5%
Total margin 7.8%
Days cash on hand 0
Current ratio 1.56
Occupancy18%

Facility

Beds67
Facility typeSTH
Settingurban
Ownership classfor-profit
Per-bed (low) $500K
Per-bed (high) $2.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 67 $38.4M $3.4M 8.4% 8.7% 0 1.44 29% 1,711 46
2022 67 $40.6M $1.8M 4.0% 4.4% 0 1.48 26% 1,574 46
2023 67 $38.6M $1.3M 2.7% 3.3% 0 1.59 17% 1,375 42
2024 67 $42.9M $3.4M 7.5% 7.8% 0 1.56 18% 1,571 38

Owners

OwnerRole%SinceType
Hca Healthcare Inc
Nashville, TN
5% or greater indirect ownership interest 100 2017-07
Hca Inc
Nashville, TN
5% or greater indirect ownership interest 100 2017-07 chain
Healthtrust Inc - The Hospital Company
Nashville, TN
5% or greater indirect ownership interest 100 2017-07
Hti Hospital Holdings Inc
Nashville, TN
5% or greater indirect ownership interest 100 2017-07
Women's Hospital Indianapolis, L.p.
Nashville, TN
5% or greater indirect ownership interest 100 2017-07
Indianapolis Hospital Partner, Llc
Nashville, TN
5% or greater indirect ownership interest 99 2017-07
Methodist Healthcare Ministries Of South Texas, Inc.
San Antonio, TX
5% or greater direct ownership interest 50 2017-07
Methodist Healthcare Ministries Of South Texas, Inc.
San Antonio, TX
limited partnership interest 30 2017-07
Columbia-Hca Healthcare Corporation Of Central Texas
Nashville, TN
5% or greater direct ownership interest 23 2017-07
Methodist Healthcare Ministries Of South Texas, Inc.
San Antonio, TX
general partnership interest 20 2017-07
Frisco Holding Ii
Wilmington, DE
5% or greater indirect ownership interest 16 2026-02
Hercules Holding Ii
Nashville, TN
5% or greater indirect ownership interest 16 2026-02
Mgh Medical Inc.
Nashville, TN
5% or greater direct ownership interest 10 2017-07
Mgh Medical Inc.
Nashville, TN
limited partnership interest 10 2017-07
W & C Hospital, Inc.
Nashville, TN
5% or greater direct ownership interest 8 2017-07
W & C Hospital, Inc.
Nashville, TN
limited partnership interest 8 2017-07
San Antonio Regional Hospital, Inc.
Nashville, TN
5% or greater direct ownership interest 7 2017-07
San Antonio Regional Hospital, Inc.
Nashville, TN
limited partnership interest 7 2017-07
David Heckman corporate officer 2025-08
David Heckman w-2 managing employee 2025-08
Enrique Bernal corporate officer 2021-05
Eric Smith contracted managing employee 2021-03
Gregory Seiler corporate officer 2019-01
Gregory Seiler w-2 managing employee 2019-01
Methodist Healthcare Ministries Of South Texas, Inc.
San Antonio, TX
operational/managerial control 2017-07

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