dealflow
envelope $200M

← Targets

Medical City Lewisville

Lewisville, TX · CCN 450669
Licensed to Columbia Medical Center Of Lewisville Subsidiary Lp

Composite
51.9
rank score
Distress
30
FY2024
Fit
96
vs thesis
Estimated ticket
$80.0M–$320M
160 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • under 30 days cash on hand
  • liabilities exceed assets
  • TX: favorable regulatory climate
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size uses the capital envelope well
  • strong occupancy — good iteration surface
  • for-profit — no charitable conversion review

Latest financials · FY2024

Net patient revenue$192M
Operating margin 11.1%
Total margin 11.5%
Days cash on hand 0
Current ratio 2.39
Occupancy71%

Facility

Beds160
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
2021 155 $159M $14.3M 8.7% 9.0% 0 1.93 56% 7,086 36
2022 155 $180M $24.4M 13.1% 13.5% 0 2.52 62% 7,659 33
2023 161 $198M $41.0M 20.3% 20.6% 0 3.08 59% 7,669 36
2024 160 $192M $22.1M 11.1% 11.5% 0 2.39 71% 7,756 30

Owners

OwnerRole%SinceType
Columbia-Sdh Holdings Inc
Nashville, TN
5% or greater indirect ownership interest 100 2011-07
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 2011-07
Healthtrust Inc - The Hospital Company
Nashville, TN
5% or greater indirect ownership interest 100 2011-07
Columbia North Texas Healthcare System Lp
Nashville, TN
limited partnership interest 100 2011-07
Hca Squared Llc
Nashville, TN
5% or greater indirect ownership interest 27 2011-07
Hospital Corp Llc
Nashville, TN
5% or greater indirect ownership interest 27 2011-07
Hca Health Services Of Texas Inc
Nashville, TN
5% or greater indirect ownership interest 21 2011-07
Healthserv Acquisition Llc
Nashville, TN
5% or greater indirect ownership interest 21 2011-07
Galtex Llc
Nashville, TN
5% or greater indirect ownership interest 20 2011-07
Medical City Dallas Hospital Inc
Nashville, TN
5% or greater indirect ownership interest 20 2011-07
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
Brownsville-Valley Regional Medical Center, Inc
Nashville, TN
5% or greater indirect ownership interest 6 2011-07
Hti Hospital Holdings Inc
Nashville, TN
5% or greater indirect ownership interest 6 2011-07
Sa Medical Center Inc
Nashville, TN
5% or greater indirect ownership interest 5 2011-07
Notco, Llc
Nashville, TN
5% or greater indirect ownership interest 5 2011-07
Columbia North Texas Healthcare System Lp
Nashville, TN
5% or greater indirect ownership interest 0 2011-07
Columbia North Texas Subsidiary Gp Llc
Nashville, TN
general partnership interest 0 2011-07
Brownsville-Valley Regional Medical Center, Inc
Nashville, TN
general partnership interest 2012-06
Columbia North Texas Subsidiary Gp Llc
Nashville, TN
operational/managerial control 2011-07
Eric Smith contracted managing employee 2021-03
John Walker corporate officer 2022-10
John Walker corporate director 2022-10
John Walker w-2 managing employee 2022-10

Showing 25 of 28. Full list via /api/targets/450669.

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