dealflow
envelope $200M

← Targets

Ntsh - Witchita Falls & Vernon

dba North Texas State Hospital - Wichita Falls Campus · Wichita Falls, Wichita County, TX · CCN 454008
Licensed to Health And Human Services Commission

Composite
67.1
rank score
Distress
79
FY2024
Fit
79
vs thesis
Estimated ticket
$93.0M–$372M
483 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
  • margin deteriorating sharply
  • TX: favorable regulatory climate
  • urban — higher occupancy and iteration surface
  • specialty facility — narrower problem scope
  • very large — likely out of range
  • ticket size at the top of the envelope — would need leverage
  • strong occupancy — good iteration surface
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$106M
Operating margin -65.1%
Total margin
Days cash on hand 0
Current ratio -81.18
Occupancy93%

Facility

Beds483
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 277 $102M $-124M -21.4% -121.4% 0 -83.56 72% 397 80
2022 575 $81.7M $-115M -40.8% -140.8% 0 -99.38 61% 625 80
2023 603 $55.3M $-131M -137.2% -237.2% 0 -76.83 56% 739 82
2024 483 $106M $-175M -65.1% 0 -81.18 93% 1,064 79

Owners

OwnerRole%SinceType
Albert Ragland corporate director 2023-06
Health And Human Services Commission
Wichita Falls, TX
operational/managerial control 2022-05
Kristy Carr corporate director 2023-01
Kristy Carr operational/managerial control 2023-01

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