Rankin County Hospital District
dba Rankin County Hospital ·
Rankin, Upton County, TX
· CCN 451329
Licensed to Rankin County Hospital District
Composite
33.2
rank score
Distress
33
FY2023
Fit
46
vs thesis
Estimated ticket
$1.3M–$2.5M
15 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin below -10%
- 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 | $9.6M |
| Operating margin | -82.7% |
| Total margin | 53.7% |
| Days cash on hand | 821 |
| Current ratio | 19.68 |
| Occupancy | 11% |
Facility
| Beds | 15 |
| 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 | 15 | $4.3M | $4.8M | -205.2% | 25.7% | 455 | 11.92 | 5% | 26 | 37 |
| 2021 | 15 | $8.4M | $7.6M | -74.9% | 32.7% | 493 | 9.89 | 14% | 36 | 37 |
| 2022 | 15 | $6.8M | $4.9M | -129.0% | 21.6% | 444 | 11.18 | 9% | 26 | 37 |
| 2023 | 15 | $9.6M | $21.3M | -82.7% | 53.7% | 821 | 19.68 | 11% | 17 | 33 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Rankin County Hospital District | operational/managerial control | 100 | 2015-06 | |
| James Horton | corporate officer | 2015-09 | ||
| James Horton | w-2 managing employee | 2015-09 | ||
| Kathy Parker | w-2 managing employee | 2015-09 | ||
| Traci Anderson | corporate director | 2017-02 | ||
| Traci Anderson | w-2 managing employee | 2017-02 |
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 |