Starr County Memorial Hospital
Rio Grande City, Starr County, TX
· CCN 450654
Licensed to Starr County Hospital District
Composite
38.1
rank score
Distress
33
FY2023
Fit
58
vs thesis
Estimated ticket
$4.8M–$9.6M
48 beds ·
within envelope
Ownership
government
STH
Why it ranks here
- operating margin below -10%
- occupancy below 30%
- TX: favorable regulatory climate
- rural — cheaper but limited density
- small but workable bed count
- very small ticket — sub-scale as a platform asset
- very low occupancy — limited volume to learn from
- government-owned — public process likely
Latest financials · FY2023
| Net patient revenue | $37.6M |
| Operating margin | -27.7% |
| Total margin | 14.3% |
| Days cash on hand | 299 |
| Current ratio | 11.36 |
| Occupancy | 21% |
Facility
| Beds | 48 |
| Facility type | STH |
| Setting | rural |
| Ownership class | government |
| 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 | 48 | $30.2M | $5.5M | -37.6% | 11.6% | 217 | 7.90 | 22% | 860 | 37 |
| 2021 | 48 | $33.2M | $4.6M | -27.5% | 9.8% | 250 | 10.21 | 21% | 917 | 37 |
| 2022 | 48 | $37.2M | $7.3M | -19.0% | 14.2% | 264 | 12.73 | 22% | 976 | 37 |
| 2023 | 48 | $37.6M | $8.0M | -27.7% | 14.3% | 299 | 11.36 | 21% | 958 | 33 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Starr County Hospital District | 5% or greater direct ownership interest | 80 | 1978-02 | |
| Thalia Munoz | w-2 managing employee | 60 | 1983-01 | |
| Thalia Munoz | corporate officer | 10 | 1983-01 | |
| Rafael Olivares | corporate officer | 6 | 2001-08 | |
| Rafael Olivares | w-2 managing employee | 6 | 2001-08 | |
| Adrian Guerra | corporate director | 5 | 2016-06 |
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 |