San Antonio State Hospital
San Antonio, Bexar County, TX
· CCN 454011
Licensed to Health And Human Services Commission
Composite
69.6
rank score
Distress
72
FY2024
Fit
93
vs thesis
Estimated ticket
$53.9M–$216M
280 beds ·
within envelope
Ownership
government
PH
Why it ranks here
- operating margin below -10%
- total margin below -8%
- 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 | $78.1M |
| Operating margin | -14.8% |
| Total margin | -114.8% |
| Days cash on hand | 0 |
| Current ratio | -93.43 |
| Occupancy | 86% |
Facility
| Beds | 280 |
| Facility type | PH |
| Setting | urban |
| Ownership class | government |
| Per-bed (low) | $192K |
| Per-bed (high) | $770K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 274 | $56.0M | $-60.1M | -7.3% | — | 0 | -76.29 | 73% | 252 | 69 |
| 2022 | 262 | $53.1M | $-68.6M | -29.3% | -129.3% | 0 | -93.23 | 71% | 289 | 80 |
| 2023 | 215 | $57.7M | $-79.5M | -24.2% | 1,015.7% | 0 | 81.66 | 91% | 181 | 50 |
| 2024 | 280 | $78.1M | $-89.6M | -14.8% | -114.8% | 0 | -93.43 | 86% | 384 | 72 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Health And Human Services Commission | operational/managerial control | 2017-09 | ||
| Kristy Carr | operational/managerial control | 2023-01 | ||
| Vincent Creazzo | w-2 managing employee | 2024-07 |
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.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 2020-07-01 | Lpnt Bh Acquisition 2, Llc | Srp Behavioral Hospital Of Fort Worth Llc | Wellbridge Healthcare Fort Worth | 48 |