Hamilton General Hospital
Hamilton, Hamilton County, TX
· CCN 451392
Licensed to Hamilton County Hospital District
Composite
37.4
rank score
Distress
36
FY2023
Fit
53
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin below -10%
- occupancy below 30%
- margin slipping
- TX: favorable regulatory climate
- rural — cheaper but limited density
- small but workable bed count
- 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 | $40.4M |
| Operating margin | -26.7% |
| Total margin | 5.3% |
| Days cash on hand | 176 |
| Current ratio | 5.96 |
| Occupancy | 28% |
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 | $22.0M | $2.8M | -54.6% | 6.2% | 143 | 3.18 | 23% | 444 | 41 |
| 2021 | 25 | $31.3M | $10.5M | -30.8% | 15.1% | 196 | 3.19 | 32% | 578 | 33 |
| 2022 | 25 | $35.5M | $6.4M | -29.8% | 8.6% | 230 | 4.16 | 32% | 470 | 33 |
| 2023 | 25 | $40.4M | $4.0M | -26.7% | 5.3% | 176 | 5.96 | 28% | 384 | 36 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Hamilton County Hospital District | 5% or greater direct ownership interest | 100 | 2007-10 | |
| Grady Hooper | w-2 managing employee | 2015-12 | ||
| Grady Hooper | operational/managerial control | 2015-12 | ||
| Hamilton County Hospital District | operational/managerial control | 2007-10 | ||
| Janice Lewis | w-2 managing employee | 2024-05 | ||
| Tammy Schreiber | corporate director | 2023-05 | ||
| Tammy Schreiber | w-2 managing employee | 2023-05 | ||
| Tammy Schreiber | operational/managerial control | 2023-05 |
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 |