Freestone Medical Center
Fairfield, Freestone County, TX
· CCN 450658
Licensed to Fairfield Hospital District
Composite
52.9
rank score
Distress
66
FY2023
Fit
58
vs thesis
Estimated ticket
$3.1M–$6.3M
37 beds ·
within envelope
Ownership
government
STH
Why it ranks here
- operating margin below -10%
- total margin -8% to -3%
- 60-90 days cash on hand
- current ratio under 1.5
- occupancy below 30%
- margin deteriorating sharply
- 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 | $16.0M |
| Operating margin | -26.2% |
| Total margin | -5.5% |
| Days cash on hand | 68 |
| Current ratio | 1.41 |
| Occupancy | 8% |
Facility
| Beds | 37 |
| Facility type | STH |
| Setting | rural |
| Ownership class | government |
| Per-bed (low) | $85.0K |
| Per-bed (high) | $170K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 37 | $10.5M | $266K | -27.1% | 2.0% | 128 | 0.84 | 6% | 329 | 61 |
| 2021 | 37 | $13.7M | $3.7M | -26.5% | 17.5% | 48 | 2.05 | 11% | 411 | 53 |
| 2022 | 37 | $14.2M | $435K | -16.5% | 2.6% | 108 | 1.92 | 9% | 328 | 41 |
| 2023 | 37 | $16.0M | $-1.0M | -26.2% | -5.5% | 68 | 1.41 | 8% | 318 | 66 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Community Hospital Consulting, Inc | operational/managerial control | 100 | 2017-01 | |
| Fairfield Hospital District | 5% or greater direct ownership interest | 100 | 2017-01 | |
| Melissa Wilson | operational/managerial control | 100 | 2024-08 | |
| Brent Moore | corporate director | 2017-01 | ||
| Carman Mannen | corporate director | 2018-01 | ||
| Danny Wren | corporate director | 2021-08 | ||
| David Lott | corporate director | 2017-01 | ||
| George Robinson | corporate director | 2017-01 | ||
| Jennifer Azua | corporate officer | 2023-06 | ||
| Lisa Tate | corporate director | 2020-01 | ||
| Margaret Hagen | corporate officer | 2017-05 | ||
| Melissa Wilson | contracted managing employee | 2024-08 | ||
| Vance Oglesbee | corporate director | 2017-01 |
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 |