dealflow
envelope $200M

← Targets

Madison Memorial Hospital

Rexburg, Madison County, ID · CCN 130025
Licensed to Madison Co Memorial Hospital

Composite
29.1
rank score
Distress
23
FY2023
Fit
47
vs thesis
Estimated ticket
$5.3M–$10.6M
53 beds · within envelope
Ownership
government
STH

Why it ranks here

  • operating margin under 2%
  • 60-90 days cash on hand
  • occupancy 30-45%
  • margin slipping
  • rural — cheaper but limited density
  • bed count in the target band
  • very small ticket — sub-scale as a platform asset
  • thin occupancy
  • government-owned — public process likely

Latest financials · FY2023

Net patient revenue$98.0M
Operating margin 1.8%
Total margin 6.6%
Days cash on hand 76
Current ratio 2.80
Occupancy40%

Facility

Beds53
Facility typeSTH
Settingrural
Ownership classgovernment
Per-bed (low) $100K
Per-bed (high) $200K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 65 $83.8M $7.2M -1.5% 7.8% 122 1.95 33% 2,240 26
2021 53 $90.7M $5.6M 2.6% 5.9% 99 1.99 40% 2,183 10
2022 53 $94.0M $5.2M 1.1% 5.2% 85 2.45 43% 2,136 22
2023 53 $98.0M $6.8M 1.8% 6.6% 76 2.80 40% 1,942 23

Owners

OwnerRole%SinceType
Dan Kettle other 2018-01
Holly Forbush other 2015-01
Jerry Rigby other 2011-04
Joseph Christensen corporate officer 2013-08
Ken Burt other 1999-06
Marshall Merrell other 2006-04
Maurie Barton other 2011-04
Neil Erickson other 2011-04
Rachel Gonzales corporate officer 2008-06
Scott Dixon other 2012-09
Taunia Berrett w-2 managing employee 2011-01

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 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