dealflow
envelope $200M

← Targets

Medical City Mckinney

Mckinney, Collin County, TX · CCN 450403
Licensed to Columbia Medical Center Of Mckinney Subsidiary Lp

Composite
53.6
rank score
Distress
40
FY2024
Fit
89
vs thesis
Estimated ticket
$103M–$412M
206 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • under 30 days cash on hand
  • liabilities exceed assets
  • margin deteriorating sharply
  • TX: favorable regulatory climate
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size at the top of the envelope — would need leverage
  • strong occupancy — good iteration surface
  • for-profit — no charitable conversion review

Latest financials · FY2024

Net patient revenue$338M
Operating margin 3.3%
Total margin 3.5%
Days cash on hand 0
Current ratio 2.23
Occupancy89%

Facility

Beds206
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 152 $252M $22.0M 10.3% 8.9% 0 1.63 98% 12,476 33
2022 166 $272M $15.9M 5.7% 5.8% 0 2.02 101% 13,578 33
2023 166 $302M $-751K -0.4% -0.2% 0 2.00 100% 14,874 57
2024 206 $338M $11.9M 3.3% 3.5% 0 2.23 89% 15,988 40

Owners

OwnerRole%SinceType
Columbia-Sdh Holdings Inc
Nashville, TN
5% or greater indirect ownership interest 100 2007-05
Hca Healthcare Inc
Nashville, TN
5% or greater indirect ownership interest 100 2011-08
Hca Inc
Nashville, TN
5% or greater indirect ownership interest 100 2007-05
Healthtrust Inc - The Hospital Company
Nashville, TN
5% or greater indirect ownership interest 100 2007-05
Columbia North Texas Healthcare System Lp
Nashville, TN
limited partnership interest 100 2007-05
Hca Squared Llc
Nashville, TN
5% or greater indirect ownership interest 27 2011-10
Hospital Corp Llc
Nashville, TN
5% or greater indirect ownership interest 27 2011-08
Hca Health Services Of Texas Inc
Nashville, TN
5% or greater indirect ownership interest 21 2011-08
Healthserv Acquisition Llc
Nashville, TN
5% or greater indirect ownership interest 21 2011-08
Galtex Llc
Nashville, TN
5% or greater indirect ownership interest 20 2016-06
Medical City Dallas Hospital Inc
Nashville, TN
5% or greater indirect ownership interest 20 2016-06
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 14 2026-02
Brownsville-Valley Regional Medical Center, Inc
Nashville, TN
5% or greater indirect ownership interest 6 2011-08
Hti Hospital Holdings Inc
Nashville, TN
5% or greater indirect ownership interest 6 2011-08
Sa Medical Center Inc
Nashville, TN
5% or greater indirect ownership interest 5 2011-08
Notco, Llc
Nashville, TN
5% or greater indirect ownership interest 5 2011-08
Columbia North Texas Healthcare System Lp
Nashville, TN
5% or greater indirect ownership interest 0 2007-05
Columbia North Texas Subsidiary Gp Llc
Nashville, TN
general partnership interest 0 2007-05
Eric Smith w-2 managing employee 2021-03
Mark Deno corporate officer 2024-08
Mark Deno w-2 managing employee 2024-08
Renee Sturgeon corporate officer 2022-09
Renee Sturgeon w-2 managing employee 2022-09

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