dealflow
envelope $200M

← Targets

Nacogdoches Memorial Hosp

dba Nchd Memorial Hospital · Nacogdoches, Nacogdoches County, TX · CCN 450508
Licensed to Nacogdoches County Hospital District

Already transacted. CMS recorded an ownership change effective 2024-03-11. Confirm the current owner before spending a call on this.
Composite
23.8
rank score
Distress
96
FY2024
Fit
62
vs thesis
Estimated ticket
$11.2M–$22.4M
160 beds · within envelope
Ownership
government
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • current liabilities exceed current assets
  • liabilities exceed assets
  • occupancy below 30%
  • margin deteriorating sharply
  • TX: favorable regulatory climate
  • rural — cheaper but limited density
  • bed count in the target band
  • small ticket — deploys little of the available capital
  • very low occupancy — limited volume to learn from
  • government-owned — public process likely
  • changed ownership 2024-03-11 — likely already transacted

Latest financials · FY2024

Net patient revenue$26.6M
Operating margin -59.9%
Total margin -19.9%
Days cash on hand 0
Current ratio 0.82
Occupancy15%

Facility

Beds160
Facility typeSTH
Settingrural
Ownership classgovernment
Per-bed (low) $70.0K
Per-bed (high) $140K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 120 $60.4M $-502K -31.8% -0.6% 24 0.92 44% 3,485 83
2022 160 $54.4M $773K -30.3% 1.1% 1 1.47 31% 3,021 70
2023 160 $62.5M $818K -21.5% 1.1% 1 1.11 26% 2,821 77
2024 160 $26.6M $-7.1M -59.9% -19.9% 0 0.82 15% 1,824 96

Owners

OwnerRole%SinceType
Lynn Lindsey w-2 managing employee 100 2024-03
Rhonda Mccabe corporate officer 100 2024-03
Rhonda Mccabe w-2 managing employee 2024-03

Ownership changes

DateTypeBuyerSeller
2024-03-11 change of ownership Nacogdoches County Hospital District Lion Star Nacogdoches Hospital, Llc

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