What Texas County Memorial Hospital does

Texas County Memorial Hospital (TCMH) is a 66-bed general acute care not-for-profit hospital located in Houston, Missouri, and is the only hospital serving Texas County. Founded in 1958 and operating under a county memorial governance structure, TCMH provides emergency, surgical, obstetric, intensive care, radiology, laboratory, rehabilitation, cardiac and pulmonary rehabilitation, hospice, home health, pharmacy, and medical transport services. Its 13-bed emergency department and 4-bed intensive care unit support a 24/7 acute care mission, with the lab processing more than 120,000 tests annually.

The hospital operates eight clinic locations spanning Texas County and adjacent Wright County, extending its primary care footprint beyond the main campus. TCMH subsidiaries include Home Health of the Ozarks (founded 1984), Hospice of Care, Hutcheson Pharmacy, and the TCMH Healthcare Foundation, which together extend the system into post-acute, retail pharmacy, and philanthropic revenue streams. Patient demographics skew heavily geriatric, with more than 38% of patients aged 65 or older, driving participation in the NICHE elder care program and a payer mix weighted toward Medicare.

Revenue is generated through standard fee-for-service billing across inpatient, outpatient, clinic, and ancillary service lines, supplemented by a quarter-cent Community Improvement District sales tax established in 2019-2020 to fund the ongoing surgery expansion project. Fiscal year 2025 operating revenue was $43.2 million against a $1.52 million decline in net position, indicating active capital investment ahead of margin performance. The hospital has earned the 2026 Missouri Perinatal Quality Collaborative Stars Recognition for maternal care quality, and runs DAISY, SUNFLOWER, and ELITE staff recognition programs.

Name

Texas County Memorial Hospital

Legal name

Texas County Memorial Hospital

Website

https://tcmh.org

Company type

Private

Founded year

1958

Operating status

Operating

Headcount range

51–100 employees

Short description

Texas County Memorial Hospital is a 66-bed not-for-profit acute care hospital in Houston, Missouri, and the only hospital in Texas County, operating eight clinics across Texas and Wright Counties and serving a predominantly geriatric rural patient base.

Ownership category

akta.pro rank

Headquarters

HQ city

Houston

HQ country

United States

HQ region

North America

Offices9 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Supply Chain, Technology or R&D, Marketing or Sales

Revenue model

1. Healthcare Services Revenue: Revenue generated from providing acute care hospital services, emergency care, outpatient clinic services, diagnostic imaging, laboratory services, surgical procedures, and other medical services to patients. The hospital accepts Medicare, Medicaid, and private insurance. The hospital reported $43.2 million in operating revenue in 2025.
2. Patient Billing and Self-Pay: Direct patient payments including co-pays, deductibles, and balances not covered by insurance. Payments accepted via cash, check, or credit card.
3. Hospice Services: End-of-life care services covered by Medicare, Medicaid, private insurance, or sliding fee scale for uninsured patients.
4. Hospice Memorial Fund Donations: Charitable donations to the Hospice Memorial Fund, administered by the TCMH Healthcare Foundation, to benefit hospice patients.

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels5 records

Core offering

Texas County Memorial Hospital is a 66-bed general acute care hospital in Houston, Missouri that delivers inpatient, outpatient, emergency, surgical, obstetric, diagnostic imaging, laboratory, cardiopulmonary, rehabilitation, sleep, intensive care, and skilled nursing services to the residents of Texas County and surrounding rural areas. The hospital anchors a network of eight primary care and specialty clinics across Texas and Wright Counties and is supported by affiliated service lines including Home Health of the Ozarks, Hospice of Care, Hutcheson Pharmacy, Medivan medical transportation, and the TCMH Healthcare Foundation.

Product overview

Texas County Memorial Hospital operates as a 66-bed general acute care hospital system with multiple affiliated outpatient clinics across Texas County and Wright County, Missouri. The core hospital in Houston provides emergency, surgical, diagnostic, and inpatient services, while the network includes specialty services such as cardiac and pulmonary rehabilitation, intensive care, obstetrics, radiology/imaging, laboratory, rehabilitation therapy, and sleep medicine. Supporting services include a patient portal (MyCareCorner), on-site pharmacy (Hutcheson Pharmacy), medical transportation (Medivan), home health (Home Health of the Ozarks), and hospice care (Hospice of Care). The system also operates eight clinic locations offering family medicine, general surgery, gynecology, internal medicine, pediatrics, and obstetrics services.

Differentiator

Problem solved

Functional benefit

Products and services

• Texas County Memorial Hospital (Acute Inpatient Services) 66-bed general acute care hospital providing inpatient medical, surgical, intensive care, obstetric, and skilled nursing services to residents of Texas County and surrounding rural south-central Missouri.
• Emergency Services 24/7 hospital emergency department providing emergent and trauma care to patients of all ages in Texas County and surrounding areas as the only hospital-based emergency department in the county.
• Surgical Services General surgical services for inpatients and outpatients of the hospital and surrounding clinics, covering scheduled and emergency surgical procedures.
• Obstetrics Department Obstetric and maternity services including prenatal care, labor and delivery, and postpartum care for expectant mothers in Texas County and surrounding rural communities.
• Radiology and Imaging Services Diagnostic imaging services including X-ray, CT, MRI, ultrasound, mammography, and other radiologic studies for inpatients, outpatients, clinic patients, and emergency department patients.
• Laboratory Services Clinical laboratory testing services supporting inpatient, outpatient, emergency, and clinic patients across the TCMH network.
• Rehabilitation Therapy Services Physical, occupational, and speech therapy rehabilitation services for inpatients and outpatients recovering from illness, injury, or surgery.
• Cardiopulmonary Services Diagnostic and therapeutic cardiopulmonary services including EKGs, stress testing, respiratory therapy, and pulmonary function testing for hospital and clinic patients.
• Cardiac Rehabilitation Supervised cardiac rehabilitation program for patients recovering from cardiac events or procedures, focused on exercise, education, and risk factor management.
• Pulmonary Rehabilitation Supervised pulmonary rehabilitation program for patients with chronic lung disease, providing exercise training, education, and breathing techniques to improve lung function and quality of life.
• Sleep Studies Sleep disorder diagnostic studies for patients with suspected sleep apnea, insomnia, and other sleep-related conditions, conducted at the hospital.
• Intensive Care Unit (ICU) Intensive care inpatient services for critically ill medical, surgical, and post-operative patients requiring close monitoring and specialized nursing care.
• Medical Surgical Unit Inpatient medical-surgical nursing unit providing acute care for adult medical and post-surgical patients admitted to the hospital.
• TCMH Clinic Network (Primary and Specialty Care) Network of eight clinic locations across Texas County and Wright County offering primary care and rotating specialty services to rural Missouri residents.
• Home Health of the Ozarks Hospital-affiliated home health agency providing skilled nursing, therapy, and personal care services to homebound patients in Texas County and surrounding communities.
• Hospice of Care Hospital-affiliated hospice program providing end-of-life care, pain management, and supportive services to terminally ill patients and their families in their homes or in facility settings.
• Hutcheson Pharmacy Hospital-based retail pharmacy providing prescription medications, refills, and medication counseling to patients discharged from TCMH and to the surrounding community.
• Medivan Medical Transportation Non-emergency medical transportation service operated by TCMH that provides rides for patients traveling to and from hospital, clinic, and therapy appointments in the service area.
• MyCareCorner Patient Portal Online patient portal allowing TCMH patients to access portions of their medical record, view test results, communicate with providers, request appointments, and pay bills online.

Quantifiable outcome

• Earned 2026 Missouri Perinatal Quality Collaborative (MO PQC) Stars Recognition as one of seven Missouri hospitals for maternal care quality improvement efforts
• +3 more outcomes

Named customers1 record

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Feature5 records

Partnerships

Two partnerships are on record, tiered minor and core.

• Community Blood Center of the Ozarks (CBCO)minorStrategic or Co-development Partner · 10 July 2026Community organization hosting blood drives at Texas County Memorial Hospital. Blood drives held regularly at the hospital facility.
• TCMH Healthcare FoundationcoreOthersHealthcare foundation affiliated with the hospital that administers the Hospice Memorial Fund and awards scholarships to area students ($10,000 awarded for 2026 academic year).

Scale indicators11 records

Recent moves7 records

Expansion highlights4 records

Regional players

• Mosaic Life Care: A regional health system serving northwest Missouri and northeast Kansas with acute care hospitals and clinic networks. Comparable as a mid-sized integrated health system serving a rural/mid-population region with similar service mix to TCMH.
• Hannibal Regional Healthcare System: A community hospital system in Hannibal, Missouri, serving rural northeast Missouri with acute care, clinics, and home health. Comparable as a rural community hospital with similar integrated delivery model, though operating in a different region of Missouri.
• Boone Health: A community hospital system in Columbia, Missouri, providing acute care and outpatient services to central Missouri. Comparable as a non-profit community hospital operating in a different part of Missouri with similar service breadth.

Broad incumbents

• CoxHealth: A large regional health system headquartered in Springfield, Missouri, with multiple hospitals, clinics, and ancillary services across southwest Missouri. Overlaps with TCMH's service area and represents the dominant regional referral destination; comparable as a multi-site acute care operator in the same geography.
• MU Health Care (University of Missouri Health Care): An academic health system based in Columbia, Missouri, providing tertiary and quaternary services across central Missouri. Comparable as a regional referral destination for TCMH and as an operator of community clinics in rural Missouri markets.
• Mercy Hospital Springfield: A flagship of the Mercy health system located in Springfield, Missouri, providing tertiary and quaternary care in the same southwest Missouri region as TCMH. Comparable as a large-scale acute care provider whose specialty offerings define the regional referral pathway for TCMH.

Direct peers

• Citizens Memorial Hospital: A community-owned critical access hospital in Bolivar, Missouri, operating a similar integrated model of acute care, clinics, home health, and hospice services in a rural southwest Missouri market. Closely comparable in scale, ownership structure, and service breadth to TCMH.
• Phelps Health: A community-based health system in Rolla, Missouri, operating an acute care hospital and network of clinics serving rural south-central Missouri. Comparable in scale, geographic context, and integrated service delivery model to TCMH.
• Bothwell Regional Health Center: A community hospital in Sedalia, Missouri, offering acute care, outpatient clinics, and ancillary services to a rural central Missouri market. Comparable to TCMH as a mid-sized rural acute care hospital with similar clinic-network model and community orientation.
• Lake Regional Health System: A community-owned health system in Osage Beach, Missouri, providing acute care, multiple specialty clinics, home health, and rehabilitation to a rural central Missouri population. Closely comparable in scale, integrated services, and rural community hospital positioning to TCMH.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/TexasCountyMemorialHospital
• LinkedInlinkedin.com/company/texas-county-memorial-hospital

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Subsidiaries4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Texas County Memorial Hospital