dealflow
envelope $200M

← Targets

Northern Idaho Advanced Care Hospita

dba Northern Idaho Advanced Care Hospital · Post Falls, Kootenai County, ID · CCN 132001
Licensed to Northern Idaho Advanced Care Hospital Inc

Composite
58.1
rank score
Distress
65
FY2023
Fit
65
vs thesis
Estimated ticket
$10.2M–$40.8M
40 beds · within envelope
Ownership
for-profit
PE

Why it ranks here

  • operating margin negative
  • total margin negative
  • under 30 days cash on hand
  • current ratio below 0.8
  • liabilities exceed assets
  • occupancy 45-60%
  • recently acquired by private equity
  • part of a multi-hospital chain — divestiture candidate
  • urban — higher occupancy and iteration surface
  • LTCH — distress here is a payment-model artifact
  • small but workable bed count
  • small ticket — deploys little of the available capital
  • moderate occupancy
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$16.4M
Operating margin -4.3%
Total margin -2.8%
Days cash on hand 2
Current ratio 0.01
Occupancy57%

Facility

Beds40
Facility typeLTCH
Settingurban
Ownership classfor-profit
Per-bed (low) $255K
Per-bed (high) $1.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 40 $14.1M $-700K -6.6% -4.9% 2 0.01 63% 350 81
2021 40 $15.1M $459K -2.2% 2.9% 1 0.01 67% 380 62
2022 40 $16.0M $148K -2.3% 0.9% 2 0.01 58% 370 68
2023 40 $16.4M $-466K -4.3% -2.8% 2 0.01 57% 343 65

Owners

OwnerRole%SinceType
Epoch Acquisition Inc
New York, NY
5% or greater indirect ownership interest 75 2018-10
Epoch Midco, Inc
New York, NY
5% or greater indirect ownership interest 75 2018-10
Epoch Parent Holdings Llc
New York, NY
5% or greater indirect ownership interest 75 2018-10
Epoch Parent Inc
New York, NY
5% or greater indirect ownership interest 75 2018-10
Ernest Health Holdings Llc
Mesquite, TX
5% or greater indirect ownership interest 75 2012-02
Ernest Health, Inc
Mesquite, TX
5% or greater direct ownership interest 75 2005-11 chain
Truist Bank
Charlotte, NC
5% or greater security interest 70 2025-11
One Equity Partners Vii Lp
New York, NY
5% or greater indirect ownership interest 44 2025-11 PE
Mpt Of Post Falls, Llc
Vestavia, AL
5% or greater security interest 30 2019-01
Kootenai Health, Inc.
Coeur D Alene, ID
5% or greater direct ownership interest 25 2025-09
One Equity Partners Vii-A Lp
New York, NY
5% or greater indirect ownership interest 22 2025-11 PE
One Equity Partners Vii-B Lp
New York, NY
5% or greater indirect ownership interest 9 2025-11 PE
Caleb Reed corporate officer 2023-06
Denise Kann corporate officer 2023-06
Eudora Cannon corporate officer 2023-06
Eudora Cannon other 2023-06
Jacob Socha corporate officer 2023-06
Sara Ambrose w-2 managing employee 2025-07

Ownership changes

No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.