dealflow
envelope $200M

← Targets

Clear Lake Reg Med Ctr

dba Hca Houston Healthcare Clear Lake · Webster, Harris County, TX · CCN 450617
Licensed to Chca Clear Lake Lp

Composite
16.7
rank score
Distress
28
FY2023
Fit
73
vs thesis
Estimated ticket
$264M–$1.1B
528 beds · over envelope
Ownership
for-profit
STH

Why it ranks here

  • under 30 days cash on hand
  • current liabilities exceed current assets
  • TX: favorable regulatory climate
  • urban — higher occupancy and iteration surface
  • very large — likely out of range
  • estimated price exceeds the capital envelope
  • strong occupancy — good iteration surface
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$705M
Operating margin 31.9%
Total margin 32.1%
Days cash on hand 0
Current ratio 0.96
Occupancy76%

Facility

Beds528
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
2020 517 $533M $104M 19.0% 19.4% 0 0.69 80% 29,076 36
2021 518 $585M $125M 20.8% 21.2% 0 0.45 81% 28,005 36
2022 518 $615M $156M 24.6% 25.2% 0 0.42 74% 28,076 36
2023 528 $705M $227M 31.9% 32.1% 0 0.96 76% 31,346 28

Owners

OwnerRole%SinceType
Columbia/hca Of Houston, Inc
Nashville, TN
5% or greater indirect ownership interest 100 2007-04
Hca Healthcare Inc
Nashville, TN
5% or greater indirect ownership interest 100 2011-07
Hca Inc
Nashville, TN
5% or greater indirect ownership interest 100 2007-04
Houston Healthcare Holdings, Inc
Nashville, TN
5% or greater indirect ownership interest 100 2007-04
Clear Lake Regional Medical Center, Inc
Nashville, TN
5% or greater indirect ownership interest 99 2007-04
Clear Lake Regional Partner, Llc
Nashville, TN
5% or greater direct ownership interest 99 2002-12
Hti Hospital Holdings Inc
Nashville, TN
5% or greater indirect ownership interest 25 2007-04
Women's Hospital Indianapolis, L.p.
Nashville, TN
5% or greater indirect ownership interest 18 2007-04
Indianapolis Hospital Partner, Llc
Nashville, TN
5% or greater indirect ownership interest 18 2007-04
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
Healthserv Acquisition Llc
Nashville, TN
5% or greater indirect ownership interest 11 2007-04
Hca Health Services Of Texas Inc
Nashville, TN
5% or greater indirect ownership interest 11 2007-04
Columbia Hospital Corporation - Delaware
Nashville, TN
5% or greater indirect ownership interest 6 2007-04
Columbia Hospital Corporation Of West Houston
Nashville, TN
5% or greater indirect ownership interest 6 2007-04
Hca Squared Llc
Nashville, TN
5% or greater indirect ownership interest 5 2011-10
Hospital Corp Llc
Nashville, TN
5% or greater indirect ownership interest 5 2007-04
Clear Lake Regional Medical Center, Inc
Nashville, TN
5% or greater direct ownership interest 1 2007-04
Bryan Shepherd corporate officer 2025-01
Bryan Shepherd w-2 managing employee 2025-01
Eric Smith contracted managing employee 2021-03
Healthtrust Inc The Hospital Company
Nashville, TN
5% or greater direct ownership interest 2012-02
Todd Caliva corporate officer 2016-10
Todd Caliva w-2 managing employee 2016-10

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