Palacios Community Medical Center
Palacios, Matagorda County, TX
· CCN 451332
Licensed to Palacios Community Medical Center
Composite
37.6
rank score
Distress
40
FY2023
Fit
49
vs thesis
Estimated ticket
$1.4M–$2.9M
17 beds ·
within envelope
Ownership
nonprofit
CAH
Why it ranks here
- under 30 days cash on hand
- current ratio below 0.8
- 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
- nonprofit — expect AG conversion review
Latest financials · FY2023
| Net patient revenue | $5.9M |
| Operating margin | 3.8% |
| Total margin | 22.6% |
| Days cash on hand | 0 |
| Current ratio | 0.34 |
| Occupancy | 20% |
Facility
| Beds | 17 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | nonprofit |
| 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 | 17 | $5.0M | $-9.1K | -20.9% | -0.2% | 206 | 1.78 | 13% | 62 | 44 |
| 2021 | 17 | $6.2M | $691K | -13.1% | 9.0% | 12 | 0.76 | 20% | 76 | 72 |
| 2022 | 17 | $7.5M | $4.2M | 27.6% | 43.9% | 7 | 4.16 | 24% | 72 | 31 |
| 2023 | 17 | $5.9M | $1.7M | 3.8% | 22.6% | 0 | 0.34 | 20% | 62 | 40 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Brett Kirkham | corporate director | 2023-10 | ||
| Brett Kirkham | operational/managerial control | 2023-11 | ||
| David Mak | corporate director | 2018-12 | ||
| David Mak | operational/managerial control | 2018-12 | ||
| Lisa Altenhoff | w-2 managing employee | 2020-01 | ||
| Melanie Longoria | w-2 managing employee | 2018-07 | ||
| Palacios Community Medical Center | other | 2002-03 |
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 |