dealflow
envelope $200M

← Targets

Baptist Emergency Hospital

dba Baptist Neighborhood Hospital Thousand Oaks · San Antonio, Bexar County, TX · CCN 670078
Licensed to Emerus Bhs Sa Thousand Oaks Llc

Composite
53.0
rank score
Distress
28
FY2023
Fit
80
vs thesis
Estimated ticket
$29.0M–$116M
58 beds · within envelope
Ownership
for-profit
PE 8y

Why it ranks here

  • under 30 days cash on hand
  • occupancy below 30%
  • PE-owned 8 years — well past a typical hold
  • TX: favorable regulatory climate
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • 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$135M
Operating margin 30.0%
Total margin 32.8%
Days cash on hand 0
Current ratio 18.14
Occupancy19%

Facility

Beds58
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 50 $94.5M $26.6M 21.1% 26.3% 0 15.02 22% 1,921 31
2021 50 $108M $33.8M 26.1% 29.7% 1 21.94 25% 1,552 31
2022 58 $109M $36.3M 27.8% 31.5% 1 25.08 15% 1,316 31
2023 58 $135M $46.1M 30.0% 32.8% 0 18.14 19% 1,472 28

Owners

OwnerRole%SinceType
Emerus Bhs Sa Llc
The Woodlands, TX
5% or greater direct ownership interest 100 2011-06
Vhs San Antonio Partners Llc
Nashville, TN
5% or greater indirect ownership interest 51 2011-11
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 2011-11
Emerus Intermediate Holdings Inc
New York, NY
5% or greater indirect ownership interest 49 2015-09
Emerus Investment Company Llc
The Woodlands, TX
5% or greater indirect ownership interest 49 2011-11
Welsh Carson Anderson & Stowe Xii, Lp
New York, NY
5% or greater indirect ownership interest 19 2015-09 PE
Toby Hamilton 5% or greater indirect ownership interest 6 2020-11
Jaba Interest Llc
The Woodlands, TX
5% or greater indirect ownership interest 5 2014-10
Shannon Crinion corporate officer 2022-11
Shannon Crinion w-2 managing employee 2022-11
Toby Hamilton corporate officer 2020-11
Vanessa Smith corporate officer 2022-11
Vanessa Smith w-2 managing employee 2022-11
Victor Schmerbeck corporate officer 2022-11
Victor Schmerbeck w-2 managing employee 2020-02

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