dealflow
envelope $200M

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Memorial Hermann Tirr

dba Tirr Memorial Hermann · Houston, Harris County, TX · CCN 453025
Licensed to Memorial Hermann Health System

Composite
55.0
rank score
Distress
36
FY2023
Fit
97
vs thesis
Estimated ticket
$43.5M–$174M
134 beds · within envelope
Ownership
nonprofit
RH

Why it ranks here

  • under 30 days cash on hand
  • current ratio below 0.8
  • debt above 70% of assets
  • TX: favorable regulatory climate
  • urban — higher occupancy and iteration surface
  • specialty facility — narrower problem scope
  • bed count in the target band
  • ticket size uses the capital envelope well
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review

Latest financials · FY2023

Net patient revenue$172M
Operating margin 4.4%
Total margin 7.8%
Days cash on hand 0
Current ratio 0.10
Occupancy76%

Facility

Beds134
Facility typeRH
Settingurban
Ownership classnonprofit
Per-bed (low) $325K
Per-bed (high) $1.3M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 134 $130M $9.6M -0.8% 6.9% 0 -1.58 71% 1,440 51
2021 134 $149M $15.5M 3.9% 9.7% 0 -0.79 81% 1,647 36
2022 134 $157M $13.2M 1.8% 7.9% 0 -15.62 75% 1,563 42
2023 134 $172M $14.0M 4.4% 7.8% 0 0.10 76% 1,643 36

Owners

OwnerRole%SinceType
Memorial Hermann Health System
Houston, TX
5% or greater direct ownership interest 100 2013-01
Memorial Hermann Health System
Houston, TX
operational/managerial control 100 2013-01
Brian Dean corporate officer 2018-08
Brian Dean w-2 managing employee 2018-08
Charmaine Ferguson w-2 managing employee 2018-08
Clarence Cazalot corporate director 2014-01
David Callender corporate officer 2025-01
David Graham corporate director 2013-01
Deborah Cannon corporate director 2013-01
Erin Asprec w-2 managing employee 2018-08
Gasper Mir corporate director 2013-01
Ira Flax corporate director 2018-08
James Montague corporate director 2015-01
Jason Few corporate director 2013-01
Jerry Ashworth w-2 managing employee 2018-01
Jerry Ashworth operational/managerial control 2018-01
John Giglio corporate director 2013-01
Max Reynolds corporate officer 2025-05
Melinda Perrin corporate director 2013-01
Myron Shabot corporate officer 2013-01
Myron Shabot w-2 managing employee 2013-01
Peter Huntsman corporate director 2016-01
Roland Garcia corporate director 2014-01
Scott Mcclelland corporate director 2014-01
Scott Mclean corporate director 2013-01

Showing 25 of 30. Full list via /api/targets/453025.

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
2023-03-01 Crh Of Temple Llc Everest Rehabilitation Hospital Temple Llc Temple Rehabilitation Hospital 36
2023-03-01 Crh Of Longview Llc Everest Rehabilitation Hospital... Longview Rehabilitation Hospital 36
2021-12-30 Pam Health Rehabilitation Hospital... Apollo Rehab Hospital Llc Pam Health Rehab Hosp Of Sugar Land 41
2019-08-01 Clear Lake Institute For Rehabilitation Llc Clear Lake Rehabilitation Hospital, Llc Bay Area Rehab Hospital 151
2019-08-01 Clear Lake Institute For Rehabilitation Llc Triumph Rehabilitation Hospital Of... Bay Area Rehab Hospital 151
2016-06-01 Pam Squared At Beaumont Llc Healthsouth Rehabilitation... Pam Squared At Beaumont 61