dealflow
envelope $200M

← Targets

Reagan Memorial Hospital

Big Lake, Reagan County, TX · CCN 451301
Licensed to Reagan Hospital District

Composite
34.6
rank score
Distress
36
FY2023
Fit
46
vs thesis
Estimated ticket
$595K–$1.2M
7 beds · within envelope
Ownership
government
CAH

Why it ranks here

  • operating margin below -10%
  • current ratio under 1.5
  • occupancy below 30%
  • TX: favorable regulatory climate
  • rural — cheaper but limited density
  • very small facility
  • 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$7.9M
Operating margin -124.7%
Total margin 5.4%
Days cash on hand 174
Current ratio 1.21
Occupancy7%

Facility

Beds7
Facility typeCAH
Settingrural
Ownership classgovernment
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 7 $5.6M $-2.4M -206.1% -16.3% 132 0.46 7% 6 82
2021 7 $5.3M $2.3M -172.7% 13.5% 217 0.53 4% 10 58
2022 7 $7.1M $2.8M -118.3% 15.3% 196 1.03 5% 11 44
2023 7 $7.9M $1.0M -124.7% 5.4% 174 1.21 7% 16 36

Owners

OwnerRole%SinceType
Reagan Hospital District
Big Lake, TX
operational/managerial control 100 1966-01
Elizabeth Thomas contracted managing employee 2022-12
Elizabeth Thomas corporate officer 2022-12
Heath Holt corporate director 2022-12
Jonathon Voelkel corporate officer 2018-10
Jonathon Voelkel corporate director 2018-10
Jonathon Voelkel w-2 managing employee 2018-10

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
2024-03-01 Muleshoe Area Hospital District Preferred Hospital Leasing Muleshoe Inc Muleshoe Area Medical Center 25
2023-07-01 Pecos County Memorial Hospital District Pecos County Memorial Hospital Pecos County Memorial Hospital 25
2021-10-01 Preferred Hospital Leasing Shamrock Inc South Wheeler County Hospital District Shamrock General Hospital 25
2019-07-01 Bosque County Hospital District Goodall-Witcher Hospital Authority Goodall-Witcher Hospital Authority 25
2017-10-01 Winkler County Hospital District County Of Winkler Memorial Hospital 16