dealflow
envelope $200M

← Targets

St Joseph Regional Medical Center

Lewiston, Nez Perce County, ID · CCN 130003
Licensed to St Joseph Hospital Llc

Composite
67.2
rank score
Distress
88
FY2024
Fit
69
vs thesis
Estimated ticket
$37.8M–$151M
108 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • liabilities exceed assets
  • occupancy below 30%
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size uses the capital envelope well
  • very low occupancy — limited volume to learn from
  • for-profit — no charitable conversion review

Latest financials · FY2024

Net patient revenue$162M
Operating margin -14.1%
Total margin -13.3%
Days cash on hand 3
Current ratio 2.01
Occupancy26%

Facility

Beds108
Facility typeSTH
Settingurban
Ownership classfor-profit
Per-bed (low) $350K
Per-bed (high) $1.4M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 110 $165M $1.3M -3.9% 0.7% 0 2.24 29% 3,508 61
2022 110 $159M $-7.5M -5.4% -4.6% 0 0.40 30% 3,302 90
2023 110 $168M $-3.1M -3.0% -1.8% 1 1.00 28% 3,212 69
2024 108 $162M $-21.7M -14.1% -13.3% 3 2.01 26% 3,342 88

Owners

OwnerRole%SinceType
Kindred Healthcare Operating Llc
Louisville, KY
operational/managerial control 100 2021-12
Knight Health Holdings Llc
Louisville, KY
5% or greater indirect ownership interest 100 2021-12
Knight Health Ii, Llc
Louisville, KY
5% or greater indirect ownership interest 100 2021-12
Knight Healthcare New-B, Llc
Louisville, KY
5% or greater indirect ownership interest 100 2021-12
St Joseph Holdings Llc
Louisville, KY
5% or greater direct ownership interest 100 2017-05
Alan Wenk corporate officer 2025-03
Dana Rock corporate officer 2024-12
Jacquelyn Davis operational/managerial control 2023-12
Johnetta Traylor corporate officer 2024-12
Johnetta Traylor w-2 managing employee 2025-03
Michael Bean corporate officer 2022-01
Russell Pigg corporate officer 2025-03
Scott Graeser corporate officer 2022-08

Ownership changes

DateTypeBuyerSeller
2017-05-01 change of ownership St Joseph Hospital Llc St Joseph Regional Medical Center

Who has been buying in ID

Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.

DateBuyerSellerHospitalBeds
2024-01-01 Kootenai Health Inc Kootenai Health, Inc. Kootenai Hospital District 326
2017-05-01 St Joseph Hospital Llc St Joseph Regional Medical Center St Joseph Regional Medical Center 108