dealflow
envelope $200M

← Targets

Houston Healthcare Medical Center

dba Hca Houston Healthcare Medical Center · Houston, TX · CCN 450659
Licensed to Houston - Pph, Llc

Composite
74.2
rank score
Distress
78
FY2024
Fit
93
vs thesis
Estimated ticket
$54.6M–$218M
156 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • liabilities exceed assets
  • occupancy 45-60%
  • margin deteriorating
  • part of a multi-hospital chain — divestiture candidate
  • TX: favorable regulatory climate
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size uses the capital envelope well
  • moderate occupancy
  • for-profit — no charitable conversion review

Latest financials · FY2024

Net patient revenue$233M
Operating margin -10.7%
Total margin -8.9%
Days cash on hand 0
Current ratio 2.58
Occupancy53%

Facility

Beds156
Facility typeSTH
Settingurban
Ownership classfor-profit
Per-bed (low) $350K
Per-bed (high) $1.4M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 147 $133M $-9.0M -8.6% -6.6% 0 2.09 36% 3,792 73
2022 147 $146M $-9.1M -8.3% -6.1% 0 2.57 40% 4,091 73
2023 147 $170M $-14.4M -11.0% -8.2% 1 1.86 47% 4,438 80
2024 156 $233M $-21.2M -10.7% -8.9% 0 2.58 53% 5,342 78

Owners

OwnerRole%SinceType
Columbia/hca Of Houston, Inc
Nashville, TN
5% or greater indirect ownership interest 100 2017-05
Hca Healthcare Inc
Nashville, TN
5% or greater indirect ownership interest 100 2017-05
Hca Inc
Nashville, TN
5% or greater indirect ownership interest 100 2017-05 chain
Healthtrust Inc - The Hospital Company
Nashville, TN
5% or greater indirect ownership interest 100 2017-05
Houston Healthcare Holdings, Inc
Nashville, TN
5% or greater direct ownership interest 100 2017-05
Hti Hospital Holdings Inc
Nashville, TN
5% or greater indirect ownership interest 25 2017-05
Women's Hospital Indianapolis, L.p.
Nashville, TN
5% or greater indirect ownership interest 18 2017-05
Indianapolis Hospital Partner, Llc
Nashville, TN
5% or greater indirect ownership interest 18 2017-05
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 2017-05
Hca Health Services Of Texas Inc
Nashville, TN
5% or greater indirect ownership interest 11 2017-05
Healthserv Acquisition Llc
Nashville, TN
5% or greater indirect ownership interest 11 2017-05
Columbia Hospital Corporation - Delaware
Nashville, TN
5% or greater indirect ownership interest 6 2017-05
Columbia Hospital Corporation Of West Houston
Nashville, TN
5% or greater indirect ownership interest 6 2017-05
Hca Squared Llc
Nashville, TN
5% or greater indirect ownership interest 5 2017-05
Hospital Corp Llc
Nashville, TN
5% or greater indirect ownership interest 5 2017-05
Ella Stenstrom corporate officer 2025-12
Ella Stenstrom w-2 managing employee 2025-12
Eric Smith contracted managing employee 2021-03
Robert Sabina corporate officer 2024-12
Robert Sabina w-2 managing employee 2024-12

Ownership changes

DateTypeBuyerSeller
2017-08-01 change of ownership Houston - Pph, Llc Th Healthcare ,ltd.

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