dealflow
envelope $200M

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Santa Rosa Healthcare

dba Christus Santa Rosa Hospital · San Antonio, Bexar County, TX · CCN 450237
Licensed to Christus Santa Rosa Health Care Corporation

Composite
57.6
rank score
Distress
51
FY2024
Fit
82
vs thesis
Estimated ticket
$32.9M–$65.8M
387 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin negative
  • total margin negative
  • under 30 days cash on hand
  • margin deteriorating sharply
  • 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
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$574M
Operating margin -3.3%
Total margin -2.2%
Days cash on hand 0
Current ratio 5.54
Occupancy69%

Facility

Beds387
Facility typeSTH
Settingrural
Ownership classnonprofit
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 367 $462M $16.2M -3.5% 3.3% 1 3.68 73% 20,685 38
2022 387 $530M $-19.0M -6.5% -3.5% 1 3.58 68% 19,631 57
2023 387 $524M $-41.5M -9.1% -7.8% 0 3.12 67% 21,559 57
2024 387 $574M $-12.6M -3.3% -2.2% 0 5.54 69% 22,897 51

Owners

OwnerRole%SinceType
Christus Health
Irving, TX
5% or greater direct ownership interest 100 1999-02 chain
Charles Amato corporate director 2018-01
Cris Daskevich corporate director 2018-10
Gabriela Saenz corporate director 2025-01
John Wicklund corporate officer 2023-09
John Wicklund w-2 managing employee 2023-09
Lee Sonne corporate director 2025-05
Margaret Bonnot corporate director 2026-01
Patrick Frost corporate director 2018-10
Sam Bagchi corporate director 2025-01
Sonia Acosta corporate director 2025-08
Steven Chen corporate officer 2022-03

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