Syringa General Hospital
Grangeville, Idaho County, ID
· CCN 131315
Licensed to Syringa General Hospital District C I F
Composite
30.0
rank score
Distress
39
FY2023
Fit
31
vs thesis
Estimated ticket
$1.3M–$2.5M
15 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin -10% to -5%
- total margin negative
- 90-150 days cash on hand
- occupancy below 30%
- rural — cheaper but limited density
- very small facility
- 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 | $22.6M |
| Operating margin | -6.9% |
| Total margin | -1.1% |
| Days cash on hand | 113 |
| Current ratio | 5.24 |
| Occupancy | 16% |
Facility
| Beds | 15 |
| Facility type | CAH |
| Setting | rural |
| Ownership class | government |
| Per-bed (low) | $85.0K |
| Per-bed (high) | $170K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 15 | $15.0M | $-672K | -11.3% | -4.2% | 237 | 1.82 | 25% | 378 | 49 |
| 2021 | 15 | $20.1M | $6.5M | -1.6% | 24.1% | 158 | 3.81 | 27% | 403 | 24 |
| 2022 | 15 | $19.8M | $-283K | -9.1% | -1.3% | 119 | 5.62 | 25% | 328 | 43 |
| 2023 | 15 | $22.6M | $-261K | -6.9% | -1.1% | 113 | 5.24 | 16% | 252 | 39 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Syringa General Hospital District C I F | 5% or greater direct ownership interest | 100 | 2007-11 | |
| Charlene Boyer | w-2 managing employee | 2026-03 | ||
| David Mcknight | corporate director | 2025-06 | ||
| Gerald Zumwalt | corporate director | 2017-05 | ||
| Gunther Williams | corporate director | 2025-06 | ||
| James Paradiso | corporate director | 2025-06 | ||
| Jane Carlson | corporate director | 2017-05 | ||
| Laura Smith | corporate director | 2019-06 | ||
| Logan Staples | corporate director | 2025-02 | ||
| Randall Nightengale | w-2 managing employee | 2026-04 | ||
| Terri Tackett | corporate director | 2024-06 |
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.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 2021-08-01 | Caribou Medical Center, Inc | Caribou Memorial Hospital | Caribou Memorial Hospital | 25 |