Ascension Seton Highland Lakes
Burnet, Burnet County, TX
· CCN 451365
Licensed to Ascension Seton
Composite
35.2
rank score
Distress
25
FY2024
Fit
60
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds ·
within envelope
Ownership
nonprofit
CAH
Why it ranks here
- under 30 days cash on hand
- 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
- nonprofit — expect AG conversion review
Latest financials · FY2024
| Net patient revenue | $63.0M |
| Operating margin | 15.3% |
| Total margin | 16.7% |
| Days cash on hand | 0 |
| Current ratio | 1.81 |
| Occupancy | 36% |
Facility
| Beds | 25 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 25 | $47.3M | $5.6M | 2.6% | 10.8% | 0 | 1.82 | 35% | 563 | 28 |
| 2022 | 25 | $56.4M | $9.5M | 10.8% | 16.0% | 0 | 1.41 | 30% | 544 | 31 |
| 2023 | 25 | $59.8M | $7.8M | 10.9% | 12.7% | 0 | 1.02 | 31% | 541 | 31 |
| 2024 | 25 | $63.0M | $10.7M | 15.3% | 16.7% | 0 | 1.81 | 36% | 623 | 25 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Ascension Seton | 5% or greater direct ownership interest | 100 | 2006-06 | |
| Ascension Health | operational/managerial control | 2006-06 | ||
| Ascension Texas | operational/managerial control | 2012-05 | ||
| Ashley Dickinson | corporate director | 2023-08 | ||
| Ashley Dickinson | w-2 managing employee | 2023-08 | ||
| Chris Wheeler | corporate director | 2022-07 | ||
| Dave Clarke | corporate director | 2021-07 | ||
| Jeffrey Manning | corporate director | 2020-07 | ||
| John Atkins | corporate director | 2022-07 | ||
| Julie Holly | corporate director | 2013-03 | ||
| Julie Holly | w-2 managing employee | 2013-03 | ||
| Karen Kennards | corporate director | 2024-11 | ||
| Karen Litterer | w-2 managing employee | 2015-10 | ||
| William Davis | corporate director | 2017-11 | ||
| William Davis | w-2 managing employee | 2017-11 |
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 |