Concho County Hospital
Eden, Concho County, TX
· CCN 451325
Licensed to Concho County Hospital District
Composite
54.9
rank score
Distress
81
FY2023
Fit
46
vs thesis
Estimated ticket
$952K–$1.9M
16 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin below -10%
- total margin below -8%
- under 30 days cash on hand
- current ratio under 1.5
- 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 | $7.4M |
| Operating margin | -58.6% |
| Total margin | -12.9% |
| Days cash on hand | 5 |
| Current ratio | 1.16 |
| Occupancy | 5% |
Facility
| Beds | 16 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | government |
| Per-bed (low) | $59.5K |
| Per-bed (high) | $119K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 16 | $5.1M | $1.2M | -72.2% | 12.4% | 206 | 6.64 | 6% | 37 | 37 |
| 2021 | 16 | $7.9M | $-463K | -25.1% | -4.9% | 81 | 8.89 | 8% | 44 | 59 |
| 2022 | 16 | $6.1M | $-2.4M | -73.4% | -28.9% | 54 | 3.35 | 7% | 36 | 70 |
| 2023 | 16 | $7.4M | $-1.3M | -58.6% | -12.9% | 5 | 1.16 | 5% | 32 | 81 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Concho County Hospital District | operational/managerial control | 2006-11 | ||
| Deborah Fort | corporate director | 2024-06 | ||
| Deborah Fort | w-2 managing employee | 2024-06 | ||
| Elizabeth Ruiz | w-2 managing employee | 2024-08 | ||
| Robert Pascasio | corporate director | 2024-08 | ||
| Robert Pascasio | operational/managerial control | 2024-08 |
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 |