Franklin County Medical Center
Preston, Franklin County, ID
· CCN 131322
Licensed to Franklin County Medical Center
Composite
35.2
rank score
Distress
47
FY2023
Fit
35
vs thesis
Estimated ticket
$1.7M–$3.4M
20 beds ·
within envelope
Ownership
government
CAH
Why it ranks here
- operating margin -10% to -5%
- total margin negative
- 60-90 days cash on hand
- occupancy 30-45%
- margin deteriorating
- rural — cheaper but limited density
- very small facility
- very small ticket — sub-scale as a platform asset
- thin occupancy
- government-owned — public process likely
Latest financials · FY2023
| Net patient revenue | $35.9M |
| Operating margin | -5.7% |
| Total margin | -1.3% |
| Days cash on hand | 84 |
| Current ratio | 4.36 |
| Occupancy | 35% |
Facility
| Beds | 20 |
| 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 | 20 | $26.2M | $550K | -2.2% | 2.0% | 162 | 1.97 | 38% | 690 | 21 |
| 2021 | 20 | $32.3M | $4.7M | 1.4% | 12.9% | 139 | 3.53 | 44% | 608 | 17 |
| 2022 | 20 | $33.0M | $-436K | -2.3% | -1.3% | 88 | 2.91 | 48% | 548 | 36 |
| 2023 | 20 | $35.9M | $-488K | -5.7% | -1.3% | 84 | 4.36 | 35% | 504 | 47 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| County Of Franklin | 5% or greater direct ownership interest | 100 | 1966-01 | |
| Paul Smart | corporate director | 2003-09 | ||
| Paul Smart | w-2 managing employee | 1996-03 |
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 |