Medina Regional Hospital
Hondo, Medina County, TX
· CCN 451330
Licensed to Medina County Hospital District
Composite
36.3
rank score
Distress
30
FY2023
Fit
57
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin below -10%
- occupancy 30-45%
- TX: favorable regulatory climate
- rural — cheaper but limited density
- small but workable bed count
- very small ticket — sub-scale as a platform asset
- thin occupancy
- government-owned — public process likely
Latest financials · FY2023
| Net patient revenue | $33.3M |
| Operating margin | -15.2% |
| Total margin | 23.0% |
| Days cash on hand | 320 |
| Current ratio | 7.08 |
| Occupancy | 38% |
Facility
| Beds | 25 |
| 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 | 25 | $24.4M | $6.5M | -23.4% | 9.0% | 371 | 4.84 | 33% | 490 | 33 |
| 2021 | 25 | $27.6M | $12.0M | -25.8% | 14.4% | 340 | 8.93 | 31% | 408 | 33 |
| 2022 | 25 | $31.6M | $9.0M | -10.5% | 9.9% | 357 | 8.14 | 34% | 367 | 33 |
| 2023 | 25 | $33.3M | $11.2M | -15.2% | 23.0% | 320 | 7.08 | 38% | 494 | 30 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Billie Bell | w-2 managing employee | 100 | 2023-06 | |
| Methodist Healthcare System Of San Antonio Ltd Llp | operational/managerial control | 100 | 2013-04 | |
| Carlton Young | corporate director | 12 | 2012-11 | |
| Judy Winkler | corporate director | 12 | 2012-12 | |
| Mary Mangold | 5% or greater indirect ownership interest | 12 | 2023-08 | |
| Timothy Hardt | corporate director | 12 | 2011-05 | |
| Tony Johnson | corporate director | 12 | 2012-11 | |
| William Bain | corporate director | 12 | 2011-05 | |
| Zachary Windrow | corporate director | 12 | 2012-11 | |
| Billie Bell | operational/managerial control | 2023-06 | ||
| Kevin Frosch | corporate officer | 2013-05 | ||
| Kevin Frosch | w-2 managing employee | 2013-05 |
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 |