dealflow
envelope $200M

← Targets

Terrell State Hospital

Terrell, Kaufman County, TX · CCN 454006
Licensed to Health And Human Services Commission

Composite
71.4
rank score
Distress
76
FY2024
Fit
93
vs thesis
Estimated ticket
$58.7M–$235M
305 beds · within envelope
Ownership
government
PH

Why it ranks here

  • operating margin below -10%
  • under 30 days cash on hand
  • current ratio below 0.8
  • TX: favorable regulatory climate
  • urban — higher occupancy and iteration surface
  • specialty facility — narrower problem scope
  • large — ticket likely stretches the envelope
  • ticket size uses the capital envelope well
  • strong occupancy — good iteration surface
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$52.8M
Operating margin -64.9%
Total margin
Days cash on hand 0
Current ratio -91.45
Occupancy65%

Facility

Beds305
Facility typePH
Settingurban
Ownership classgovernment
Per-bed (low) $192K
Per-bed (high) $770K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 305 $54.8M $-65.2M -18.9% 0 -78.79 68% 1,011 76
2022 305 $43.1M $-63.1M -46.3% 0 -87.61 54% 984 79
2023 305 $43.6M $-75.5M -73.1% 0 -75.21 64% 1,298 76
2024 305 $52.8M $-87.0M -64.9% 0 -91.45 65% 1,311 76

Owners

OwnerRole%SinceType
Health And Human Services Commission
Terrell, TX
operational/managerial control 2017-09
Kristy Carr corporate director 2023-01
Kristy Carr operational/managerial control 2023-01
Mark Messer corporate director 2020-01
Mark Messer operational/managerial control 2020-01

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
2020-07-01 Lpnt Bh Acquisition 2, Llc Srp Behavioral Hospital Of Fort Worth Llc Wellbridge Healthcare Fort Worth 48