dealflow
envelope $200M

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Baylor Emergency Medical Center

dba Baylor Scott & White Emergency Hospital · Aubrey, Denton County, TX · CCN 670062
Licensed to Cr Emergency Room Llc

Composite
55.7
rank score
Distress
34
FY2023
Fit
80
vs thesis
Estimated ticket
$20.0M–$80.0M
40 beds · within envelope
Ownership
for-profit
PE 8y

Why it ranks here

  • under 30 days cash on hand
  • occupancy below 30%
  • margin deteriorating
  • PE-owned 8 years — well past a typical hold
  • TX: favorable regulatory climate
  • urban — higher occupancy and iteration surface
  • small but workable bed count
  • ticket size somewhat below the envelope
  • very low occupancy — limited volume to learn from
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$53.1M
Operating margin 15.0%
Total margin 18.9%
Days cash on hand 0
Current ratio 13.07
Occupancy6%

Facility

Beds40
Facility typeSTH
Settingurban
Ownership classfor-profit
Per-bed (low) $500K
Per-bed (high) $2.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 40 $45.3M $10.8M 18.2% 22.6% 0 11.88 10% 670 31
2021 40 $54.4M $15.9M 25.3% 28.1% 0 13.04 11% 528 31
2022 40 $49.6M $10.0M 17.2% 19.6% 0 16.88 6% 314 31
2023 40 $53.1M $10.5M 15.0% 18.9% 0 13.07 6% 347 34

Owners

OwnerRole%SinceType
Ebd Jv, Llp
The Woodlands, TX
5% or greater direct ownership interest 100 2012-07
Emerus Management Company, Llc
The Woodlands, TX
operational/managerial control 100 2012-07
Baylor Health Care System
Dallas, TX
5% or greater indirect ownership interest 51 2012-07
Baylor University Medical Center
Dallas, TX
5% or greater indirect ownership interest 51 2012-07
Emerus Group Holdings Lp
New York, NY
5% or greater indirect ownership interest 49 2015-09
Emerus Holdings, Inc.
The Woodlands, TX
5% or greater indirect ownership interest 49 2011-01
Emerus Intermediate Holdings Inc
New York, NY
5% or greater indirect ownership interest 49 2015-09
Emerus Investment Company Ii Llc
The Woodlands, TX
5% or greater indirect ownership interest 49 2012-04
Welsh Carson Anderson & Stowe Xii, Lp
New York, NY
5% or greater indirect ownership interest 13 2015-09 PE
Toby Hamilton 5% or greater indirect ownership interest 6 2008-08
Jaba Interest Llc
The Woodlands, TX
5% or greater indirect ownership interest 5 2014-10
Emerus Management Company, Llc
The Woodlands, TX
5% or greater security interest 2011-01
John Middlebrook general partnership interest 2009-08
John Middlebrook corporate director 2009-08
Thanh Tran corporate officer 2022-11
Thanh Tran w-2 managing employee 2022-11
Toby Hamilton general partnership interest 2008-08
Toby Hamilton corporate officer 2008-08
Vanessa Smith corporate officer 2022-11
Vanessa Smith w-2 managing employee 2022-11

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
2025-02-01 Texas Heart Hospital Of The Southwest Llc Baylor Heart & Vascular Center Llp Baylor Heart And Vascular Hospital 56
2024-10-30 Hsa Port Arthur, Llc The Medical Center Of Southeast Texas Lp The Medical Ctr Of Southeast Texas 196
2024-10-30 Hsa St. Joseph, Llc Sj Medical Center Llc St Joseph Medical Center 156
2024-10-17 Big Spring Texas Hospital Company Llc Steward Texas Hospital Holdings Llc Scenic Mountain Medical Center 75
2024-10-17 Odessa Texas Hospital Company Llc Odessa Regional Hospital Lp Odessa Regional Hospital 208
2024-06-01 Columbia Medical Center Of Denton... Decatur Health Services Llc Medical City Denton 184
2024-03-11 Nacogdoches County Hospital District Lion Star Nacogdoches Hospital, Llc Nacogdoches Memorial Hosp 160
2024-01-01 Ahs Sherman Llc Sherman Grayson Hospital Llc Wilson N Jones Regional Medical Ctr 214
2023-04-01 Methodist Healthcare System Of San... Hill Country Memorial Hospital Hill Country Memorial Hospital 57
2021-06-01 Methodist Hospitals Of Dallas Metsl, Llc Methodist Southlake Medical Center 22
2020-10-27 Hendrick Medical Center Armc Lp Hendrick Medical Center 533
2020-10-27 Hendrick Medical Center Brownwood Brownwood Hospital Lp Hendrick Medical Center Brownwood 63
2020-07-01 St Joseph Regional Health Center St Joseph Regional Health Center St. Joseph Regional Health Center 284
2020-04-01 Christus Santa Rosa Health Care Corporation Adventist Health System/sunbelt, Inc. Christus Santa Rosa - San Marcos 105
2020-03-01 Sana Healthcare Carrollton Baylor Medical Center At Carrollton Carrollton Regional Medical Center 89