dealflow
envelope $200M

← Targets

Graham Regional Medical Center

Graham, Young County, TX · CCN 671300
Licensed to Graham Hospital District

Composite
37.7
rank score
Distress
37
FY2023
Fit
53
vs thesis
Estimated ticket
$2.1M–$4.2M
25 beds · within envelope
Ownership
government
CAH

Why it ranks here

  • operating margin below -10%
  • occupancy below 30%
  • TX: favorable regulatory climate
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • very low occupancy — limited volume to learn from
  • government-owned — public process likely

Latest financials · FY2023

Net patient revenue$3.1M
Operating margin -44.3%
Total margin 15.8%
Days cash on hand 880
Current ratio 4.19
Occupancy5%

Facility

Beds25
Facility typeCAH
Settingrural
Ownership classgovernment
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2023 25 $3.1M $820K -44.3% 15.8% 880 4.19 5% 25 37

Owners

OwnerRole%SinceType
Graham Hospital District
Graham, TX
5% or greater direct ownership interest 100 2014-02
Barrie Strickland corporate director 2023-01
Christie Wainscott corporate director 2023-01
Christie Wainscott w-2 managing employee 2023-01
Donald Behr corporate director 2023-01
Graham Hospital District
Graham, TX
operational/managerial control 2023-01
Jon Garvey corporate director 2023-01
Robert Kernell corporate director 2023-01
Robert Kernell w-2 managing employee 2023-01
Robert Kernell operational/managerial control 2023-01
Robert Lonis corporate director 2023-01
Robert Lonis w-2 managing employee 2023-01
Robert Lonis operational/managerial control 2023-01
Susan Graham corporate director 2023-01
Sylvia Overton corporate director 2023-01
Terry Bishop corporate director 2023-01
Wyatt Pettus corporate director 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
2024-03-01 Muleshoe Area Hospital District Preferred Hospital Leasing Muleshoe Inc Muleshoe Area Medical Center 25
2023-07-01 Pecos County Memorial Hospital District Pecos County Memorial Hospital Pecos County Memorial Hospital 25
2021-10-01 Preferred Hospital Leasing Shamrock Inc South Wheeler County Hospital District Shamrock General Hospital 25
2019-07-01 Bosque County Hospital District Goodall-Witcher Hospital Authority Goodall-Witcher Hospital Authority 25
2017-10-01 Winkler County Hospital District County Of Winkler Memorial Hospital 16