dealflow
envelope $200M

← Targets

Mid-Columbia Medical Center

dba Adventist Health Columbia Gorge · The Dalles, Wasco County, OR · CCN 380001
Licensed to Mid-Columbia Medical Center

Composite
55.6
rank score
Distress
79
FY2023
Fit
50
vs thesis
Estimated ticket
$3.4M–$6.9M
49 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • debt above 70% of assets
  • occupancy 30-45%
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • thin occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2023

Net patient revenue$108M
Operating margin -30.3%
Total margin -17.4%
Days cash on hand 11
Current ratio 1.70
Occupancy35%

Facility

Beds49
Facility typeSTH
Settingrural
Ownership classnonprofit
Per-bed (low) $70.0K
Per-bed (high) $140K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 43 $119M $5.8M -12.2% 4.1% 88 1.60 42% 1,658 43
2021 43 $130M $1.4M -10.5% 1.0% 58 1.77 47% 2,002 50
2022 44 $123M $-12.0M -20.0% -8.9% 14 2.19 49% 2,016 69
2023 49 $108M $-20.9M -30.3% -17.4% 11 1.70 35% 1,693 79

Owners

OwnerRole%SinceType
Eric Stevens corporate officer 2025-03
Kerry Heinrich corporate officer 2023-06
Kyle King contracted managing employee 2024-04
Kyle King corporate officer 2024-04
Kyle King w-2 managing employee 2024-04
Larry Innocent corporate director 2023-06
Meredith Jobe corporate officer 2023-06
Meredith Jobe corporate director 2023-06
Meredith Jobe w-2 managing employee 2023-06
Micah Smith corporate officer 2025-02
Micah Smith w-2 managing employee 2025-02
Richard Reiner corporate director 2023-06
Stone Point Health
Roseville, CA
operational/managerial control 2023-06

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 OR

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

DateBuyerSellerHospitalBeds
2023-12-15 Peacehealth Peacehealth Shmc-Riverbend 354
2018-05-01 Asante Ashland Community Hospital Llc Ashland Community Healthcare Services Ashland Community Hospital 41