Northwest Texas Hospital
dba Northwest Texas Healthcare System ·
Amarillo, Potter County, TX
· CCN 450209
Licensed to Northwest Texas Healthcare System Inc
Composite
51.6
rank score
Distress
35
FY2023
Fit
85
vs thesis
Estimated ticket
$32.8M–$65.6M
328 beds ·
within envelope
Ownership
for-profit
STH
Why it ranks here
- under 30 days cash on hand
- current ratio below 0.8
- margin slipping
- part of a multi-hospital chain — divestiture candidate
- TX: favorable regulatory climate
- rural — cheaper but limited density
- large — ticket likely stretches the envelope
- ticket size somewhat below the envelope
- strong occupancy — good iteration surface
- for-profit — no charitable conversion review
Latest financials · FY2023
| Net patient revenue | $366M |
| Operating margin | 6.4% |
| Total margin | 8.0% |
| Days cash on hand | 0 |
| Current ratio | -8.93 |
| Occupancy | 60% |
Facility
| Beds | 328 |
| Facility type | STH |
| Setting | rural |
| Ownership class | for-profit |
| Per-bed (low) | $100K |
| Per-bed (high) | $200K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 342 | $318M | $30.7M | 3.6% | 9.1% | 0 | 0.67 | 61% | 14,313 | 36 |
| 2021 | 342 | $343M | $23.2M | 5.4% | 6.7% | 0 | 2.04 | 62% | 13,907 | 22 |
| 2022 | 341 | $383M | $48.7M | 11.5% | 12.6% | 0 | 4.00 | 62% | 13,713 | 22 |
| 2023 | 328 | $366M | $29.9M | 6.4% | 8.0% | 0 | -8.93 | 60% | 13,528 | 35 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Cheryl Ramagano | corporate officer | 100 | 1996-08 | |
| Edward Sim | corporate officer | 100 | 2022-12 | |
| Edward Sim | operational/managerial control | 100 | 2022-12 | |
| George Brunner | corporate officer | 100 | 1996-08 | |
| Katharine Lyver | corporate officer | 100 | 2024-01 | |
| Matthew Klein | corporate officer | 100 | 2015-01 | |
| Steve Filton | corporate officer | 100 | 1996-08 | |
| Steve Filton | operational/managerial control | 100 | 1996-08 | |
| Uhs Of Delaware Inc | operational/managerial control | 100 | 1996-08 | chain |
| Universal Health Services Inc | 5% or greater direct ownership interest | 100 | 1996-08 | |
| Alan Miller | 5% or greater indirect ownership interest | 87 | 2023-03 | |
| James Coleman | contracted managing employee | 50 | 1996-08 | |
| Edward Sim | corporate director | 33 | 2022-12 | |
| Matthew Klein | corporate director | 33 | 2015-01 | |
| Steve Filton | corporate director | 33 | 1996-08 | |
| Jason Barrett | contracted managing employee | 2023-09 | ||
| Jason Barrett | corporate officer | 2023-09 | ||
| Jesus Torres | contracted managing employee | 2024-07 | ||
| Jesus Torres | corporate officer | 2024-07 |
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.
| 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 |