dealflow
envelope $200M

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Houston Healthcare Specialty Hosp.

dba Houston Medical Center-Amg Specialty Hospital · Houston, Harris County, TX · CCN 452046
Licensed to Houston-Amg Specialty Hospital, Inc.

Already transacted. CMS recorded an ownership change effective 2026-01-01. Confirm the current owner before spending a call on this.
Composite
26.0
rank score
Distress
94
FY2024
Fit
80
vs thesis
Estimated ticket
$9.2M–$37.0M
44 beds · within envelope
Ownership
for-profit
LTCH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • current ratio below 0.8
  • liabilities exceed assets
  • occupancy 45-60%
  • margin deteriorating sharply
  • 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
  • moderate occupancy
  • for-profit — no charitable conversion review
  • changed ownership 2026-01-01 — likely already transacted

Latest financials · FY2024

Net patient revenue$15.7M
Operating margin -28.5%
Total margin -28.5%
Days cash on hand 0
Current ratio 0.31
Occupancy58%

Facility

Beds44
Facility typeLTCH
Settingurban
Ownership classfor-profit
Per-bed (low) $210K
Per-bed (high) $840K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 44 $27.3M $1.4M 3.2% 5.0% 3 1.90 94% 420 22
2022 39 $31.9M $3.4M 8.9% 10.6% 1 2.73 88% 435 22
2023 39 $21.2M $-175K -2.9% -0.8% 0 -11.03 53% 263 61
2024 44 $15.7M $-4.5M -28.5% -28.5% 0 0.31 58% 296 94

Owners

OwnerRole%SinceType
Amg 5.0, Llc
Lafayette, LA
5% or greater direct ownership interest 100 2026-01
August Rantz 5% or greater indirect ownership interest 50 2026-01
August Rantz corporate officer 50 2026-01
Rantz Iv Enterprises Llc
Lafayette, LA
5% or greater indirect ownership interest 50 2026-01
Shelby Heuer w-2 managing employee 50 2026-02
Benjamin Miller 5% or greater indirect ownership interest 25 2026-01
Benjamin Miller corporate officer 25 2026-01
Jessica Mcgee corporate officer 25 2026-01
Timothy Howard corporate officer 25 2026-01
Timothy Howard 5% or greater indirect ownership interest 20 2026-01
The 2024 Helena Catherine Howard Inter Vivos Trust No. 1
Lafayette, LA
5% or greater indirect ownership interest 5 2026-01

Ownership changes

DateTypeBuyerSeller
2026-01-01 change of ownership Houston-Amg Specialty Hospital, Inc. Plaza Specialty Hospital, Llc

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