dealflow
envelope $200M

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Texas Neuro Rehab Center

dba Texas Neurorehab Center · Austin, Travis County, TX · CCN 452038
Licensed to Neuro Institute Of Austin Lp

Composite
54.0
rank score
Distress
42
FY2023
Fit
83
vs thesis
Estimated ticket
$14.1M–$56.4M
47 beds · within envelope
Ownership
for-profit
LTCH

Why it ranks here

  • under 30 days cash on hand
  • current ratio below 0.8
  • margin deteriorating sharply
  • part of a multi-hospital chain — divestiture candidate
  • TX: favorable regulatory climate
  • urban — higher occupancy and iteration surface
  • LTCH — distress here is a payment-model artifact
  • small but workable bed count
  • small ticket — deploys little of the available capital
  • strong occupancy — good iteration surface
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$38.7M
Operating margin 9.0%
Total margin 9.3%
Days cash on hand 0
Current ratio -0.02
Occupancy80%

Facility

Beds47
Facility typeLTCH
Settingurban
Ownership classfor-profit
Per-bed (low) $300K
Per-bed (high) $1.2M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 47 $34.8M $5.5M 11.4% 15.1% 0 1.40 87% 540 26
2021 47 $36.8M $3.2M 7.9% 8.7% 0 -0.80 87% 482 36
2022 47 $38.4M $4.5M 11.6% 11.8% 0 -0.07 86% 498 36
2023 47 $38.7M $3.6M 9.0% 9.3% 0 -0.02 80% 479 42

Owners

OwnerRole%SinceType
Cheryl Ramagano corporate officer 100 2010-11
Edgar Prettyman contracted managing employee 100 2016-01
Edgar Prettyman corporate officer 100 2016-01
George Brunner corporate officer 100 2010-11
Katharine Lyver corporate officer 100 2024-01
Matthew Klein corporate officer 100 2010-11
Matthew Peterson corporate officer 100 2019-09
Matthew Peterson operational/managerial control 100 2019-09
Omar Correa corporate officer 100 2010-11
Psychiatric Solutions Hospitals Llc
King Of Prussia, PA
5% or greater indirect ownership interest 100 2001-10
Psychiatric Solutions, Inc.
King Of Prussia, PA
5% or greater indirect ownership interest 100 2001-10
Steve Filton corporate officer 100 2010-11
Steve Filton operational/managerial control 100 2010-11
Thomas Day corporate officer 100 2021-07
Uhs Of Delaware Inc
King Of Prussia, PA
operational/managerial control 100 2010-11 chain
Universal Health Services Inc
King Of Prussia, PA
5% or greater indirect ownership interest 100 2010-11
Texas Hospital Holdings Inc
King Of Prussia, PA
5% or greater direct ownership interest 99 2001-10
Texas Hospital Holdings Inc
King Of Prussia, PA
limited partnership interest 99 2001-10
Alan Miller 5% or greater indirect ownership interest 87 2024-03
James Coleman contracted managing employee 50 2010-11
Matthew Peterson corporate director 33 2019-09
Steve Filton corporate director 33 2010-11
Thomas Day corporate director 33 2021-07
Texas Hospital Holdings Llc
King Of Prussia, PA
5% or greater direct ownership interest 1 2001-10
Texas Hospital Holdings Llc
King Of Prussia, PA
general partnership interest 1 2001-10

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.

DateBuyerSellerHospitalBeds
2026-01-01 Houston-Amg Specialty Hospital, Inc. Plaza Specialty Hospital, Llc Houston Healthcare Specialty Hosp. 44
2026-01-01 Clear Lake-Amg Specialty Hospital, Inc. Chg Hospital Houston Llc Vibra Hospital Of Clear Lake 88
2024-08-01 Hhn Tx1 Llc Kpc Promise Hospital Of Wichita Falls Llc Kpc Promise Hospital Of Wichita Fall 31
2024-05-19 Amarillo Specialty Hospital Kpc Promise Hospital Of Amarillo Llc Kpc Promise Hospital Of Amarillo Llc 54
2019-09-30 Pam Specialty Hospital Of San Antonio Llc New San Antonio Specialty Hospital, Llc Pam Spc Hosp Of San Antonio Med Ctr 62
2019-09-30 Lifecare 2.1, Llc New Lifecare Hospitals Of North Texas, Llc Lifecare Spec Hosp Of North Texas 206
2016-06-28 Knd Development 68 Llc Select Specialty Hospital - San Antonio Inc Kindred Hospital San Antonio Central 44