Preferred Management

What Preferred Management does

Preferred Management Corporation, founded in 1987 and headquartered in Shawnee, Oklahoma, is a privately-held healthcare management firm specializing in the operation of rural Critical Access Hospitals (CAHs) and Rural Health Clinics across Texas and Oklahoma. The company provides turnkey hospital management under two primary structures: traditional management contracts (e.g., Parmer Medical Center in Friona, TX and Arbuckle Memorial Hospital in Sulphur, OK) and long-term lease arrangements with local hospital districts (including Coleman County Medical Center, Collingsworth General Hospital, Culberson Hospital, Kimble Hospital, Sabine County Hospital, Schleicher County Medical Center, and Shamrock General Hospital). The firm's service portfolio spans six core offerings — hospital management, consulting, financial services, strategic planning, Rural Health Clinic development and management, and interim administration — supplemented by physician recruitment and retention support delivered through a Texas 501(a) Physician Employment Corporation.

The business is operationally intensive and relationship-driven rather than technology-driven. A 25+ member home office staff in Shawnee provides centralized expertise in physician recruitment, human resources, pharmacy management, quality assurance, regulatory compliance, 1115 waiver funding, strategic planning, healthcare informatics, and rural health clinic operations and billing. Revenue is generated via management contracts, lease payments from hospital districts, consulting engagements, financial services (including Medicare Cost Report preparation and accounts receivable management), and ancillary management of physician clinics, home health agencies, skilled nursing facilities, and assisted living facilities. The customer base comprises roughly 17 Critical Access Hospitals and Rural Health Clinics with 30 contracted physicians and mid-level providers, primarily located in West Texas, the Texas Panhandle, East Texas, and Oklahoma.

The company is led by President Donald "Andy" Freeman (RN, since 1987) and CEO Jared Chanski (MBA, since 2011), with CFO Josh Tucker (MBA/FACHE, since 2017), VP of Finance Luke Campbell (CPA, since 2024), and functional directors overseeing rural health clinics, revenue cycle, and HR. No outside equity, venture, or private equity backing is disclosed. The go-to-market motion is enterprise field sales: direct, individualized engagement with rural hospital district boards seeking professional management to keep facilities operational amid capitated payment reimbursement pressures. No public pricing exists; all engagements are bespoke contractual agreements.

Name

Preferred Management

Legal name

Preferred Management Corporation

Website

https://pm-hs.com

Company type

Private

Founded year

1987

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Preferred Management Corporation, founded in 1987, provides hospital management, consulting, financial services, and long-term lease arrangements for Critical Access Hospitals and Rural Health Clinics across rural Texas and Oklahoma.

Ownership category

akta.pro rank

Product category

Rural Hospital Management Services

NAICS

Management Consulting Services (54161)

SIC

Services-Facilities Support Management Services (8744)

akta.pro primary industry

Critical Access & Rural Hospitals (HLAFAAAG)

akta.pro secondary industry

Hospital Shared Services, GPOs & System Support Organizations (HLAFAAAO)

Keywords

• Rural hospital management
• Critical access hospital operations
• Healthcare consulting services
• Rural health clinic management
• Hospital financial services

Headquarters

HQ city

Shawnee

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Hospital Management Contracts: Preferred Management generates revenue through management contracts and leasing arrangements with rural hospitals. The leasing model allows hospital districts or boards to maintain oversight while Preferred Management provides professional operational management. The company also generates revenue from consulting services, financial services including accounting and analytics, rural health clinic operations and billing, and interim administration placement services.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

Preferred Management Corporation manages and leases rural and community hospitals, providing comprehensive operational, financial, regulatory, and strategic oversight under management contracts and long-term lease arrangements with local hospital districts. Beyond hospital management, the firm delivers consulting, financial (Medicare Cost Reports, A/R management), strategic planning, Rural Health Clinic development, interim CEO placement, and physician recruitment services tailored to Critical Access Hospitals.

Product overview

Preferred Management Corporation offers a suite of integrated healthcare management services designed for rural and community hospitals. The core offering consists of Hospital Management, supplemented by Consulting, Financial Services, Strategic Planning, Rural Health Clinic Development and Management, and Interim Administration services. The company also provides physician recruitment and retention support. These services work together to provide rural hospitals with comprehensive operational, financial, and strategic oversight—managing over 17 Critical Access Hospitals and Rural Health Clinics across Texas and Oklahoma. The company was incorporated in 1987 and maintains a home office staff of over 25 members.

Differentiator

Problem solved

Functional benefit

Quantifiable outcome

• Successfully keeping rural hospitals operational and local
• +1 more outcomes

Named customers9 records

Segments4 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Ten partnerships are on record, tiered core.

• Parmer Medical CentercoreStrategic or Co-development Partner25-bed Critical Access Hospital managed by Preferred Management in Friona, Texas. The hospital offers outpatient, inpatient, OB/GYN, pediatrics, surgery and emergency care with Level IV Trauma designation.
• Arbuckle Memorial HospitalcoreStrategic or Co-development PartnerManaged hospital located in Sulphur, Oklahoma.
• Coleman County Medical CentercoreStrategic or Co-development Partner25-bed Critical Access Hospital leased since 2011, located in Coleman, Texas. Offers outpatient, inpatient, OB/GYN, pediatrics, surgery and emergency care with Level IV Trauma designation.
• Collingsworth General HospitalcoreStrategic or Co-development Partner13-bed Critical Access Hospital leased since 2004, located in Wellington, Texas. Offers outpatient, inpatient and emergency care with Level IV Trauma designation.
• Culberson HospitalcoreStrategic or Co-development Partner14-bed Critical Access Hospital in Van Horn, Texas. Offers outpatient, inpatient and emergency care with Level IV Trauma designation.
• Kimble HospitalcoreStrategic or Co-development Partner15-bed Critical Access Hospital leased since 2008, located in Junction, Texas. Offers outpatient, inpatient and emergency care with Level IV Trauma designation.
• Sabine County HospitalcoreStrategic or Co-development Partner25-bed Critical Access Hospital in Hemphill, Texas. Offers outpatient, inpatient and emergency care with Level IV Trauma designation.
• Schleicher County Medical CentercoreStrategic or Co-development Partner14-bed Critical Access Hospital leased since 2000, located in Eldorado, Texas. Offers outpatient, inpatient and emergency care with Level IV Trauma designation.
• Shamrock General HospitalcoreStrategic or Co-development Partner25-bed Critical Access Hospital leased since 2021, located in Shamrock, Texas on Interstate 40. Offers outpatient, inpatient and emergency care with Level IV Trauma designation.
• Texas 501(a) Physician Employment CorporationcoreStrategic or Co-development PartnerAlmost all physician employment agreements are through a Texas 501(a) corporation with a board comprised of physicians who provide oversight to peer review, credentialing, and quality of care initiatives.

Scale indicators5 records

Recent moves6 records

Expansion highlights4 records

Emerging players

• Capella Healthcare (now part of LifePoint): Pre-merger, Capella Healthcare was a community and rural hospital operator focused on non-urban markets. Its original focus on rural hospital partnerships is directly comparable to Preferred Management's segment, though Capella pursued ownership rather than management leasing.
• RegionalCare Hospital Partners: Community hospital operator focused on non-urban and rural markets before merging with LifePoint Health. Comparable target customer base (community hospitals and districts) and operational model, though ownership-oriented rather than management-contract oriented.

Others

• National Rural Health Association (NRHA): Not a competitor but a primary industry body serving rural healthcare providers, including CAHs and RHCs. Relevant as the ecosystem anchor that shapes policy, advocacy, and best practices that Preferred Management's regulatory expertise is built around.

Broad incumbents

• LifePoint Health: Large operator of community and rural hospitals across the U.S. with a portfolio that overlaps the same small-market, community hospital segment Preferred Management serves, though LifePoint typically owns/acquires facilities rather than operating them under management leases for hospital districts.
• Trinity Health: Catholic health system with a substantial portfolio of community hospitals, including rural facilities. Comparable in delivering operational management, revenue cycle, and physician recruitment support to community hospitals, though as part of a broader integrated system.
• Sanford Health: Large rural and community health system with significant Critical Access Hospital presence across the Dakotas and Upper Midwest. Engages in similar rural hospital management, physician recruitment, and RHC operations, though through an owned-facility model rather than Preferred Management's leasing model.
• Ascension Health: National non-profit health system operating numerous community and Critical Access Hospitals, often in partnership with local hospital districts. Comparable in providing system-level management and shared services to small, community-owned facilities, though at vastly greater scale.
• Ardent Health Services: Operator of acute care hospitals including community and regional facilities, with comparable rural and community hospital service offerings. Larger in scale and ownership-oriented rather than management-contract oriented, but serves similar patient populations and district customers.

Regional players

• Essentia Health: Integrated health system operating rural and community hospitals primarily across the Upper Midwest. Comparable in serving small, rural communities with Critical Access-type facilities and addressing similar capitated-payment and physician-recruitment challenges, though operating as an integrated provider system rather than a third-party manager.

Direct peers

• Quorum Health Resources (QHR Health): One of the longest-standing rural and community hospital management and consulting firms in the U.S. QHR Health provides operational, financial, and strategic management services to non-urban hospitals — directly overlapping with Preferred Management's core offering to Critical Access and rural community hospitals.

Market position

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/preferre

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 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 Preferred Management