Iraan General Hospital District
Iraan, Pecos County, TX
· CCN 451307
Licensed to General Hospital
Composite
37.8
rank score
Distress
43
FY2023
Fit
46
vs thesis
Estimated ticket
$1.2M–$2.4M
14 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin below -10%
- occupancy below 30%
- margin deteriorating sharply
- 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 | $4.4M |
| Operating margin | -96.6% |
| Total margin | 11.4% |
| Days cash on hand | 974 |
| Current ratio | 5.39 |
| Occupancy | 6% |
Facility
| Beds | 14 |
| Facility type | CAH |
| 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 | 14 | $4.4M | $4.8M | -97.9% | 34.6% | 885 | 45.49 | 13% | 26 | 37 |
| 2021 | 14 | $3.0M | $387K | -172.2% | 4.5% | 976 | 2.30 | 8% | 89 | 37 |
| 2022 | 14 | $5.2M | $3.0M | -60.5% | 25.8% | 1,055 | 5.42 | 5% | 28 | 37 |
| 2023 | 14 | $4.4M | $1.1M | -96.6% | 11.4% | 974 | 5.39 | 6% | 31 | 43 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Nelia Hernandez | w-2 managing employee | 2024-07 | ||
| Nelia Hernandez | other | 2024-07 | ||
| William Nall | w-2 managing employee | 2024-07 | ||
| William Nall | operational/managerial control | 2024-07 |
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 |
|---|---|---|---|---|
| 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 |