dealflow
envelope $200M

← Targets

Phd#1 Dba Skagit Valley Hospital

dba Skagit Valley Hospital · Mount Vernon, Skagit County, WA · CCN 500003
Licensed to Public Hospital Dist No 1 Skagit

Composite
61.8
rank score
Distress
64
FY2023
Fit
82
vs thesis
Estimated ticket
$58.2M–$233M
137 beds · within envelope
Ownership
government
STH

Why it ranks here

  • operating margin below -10%
  • total margin -8% to -3%
  • 30-60 days cash on hand
  • current ratio under 1.5
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size uses the capital envelope well
  • strong occupancy — good iteration surface
  • government-owned — public process likely

Latest financials · FY2023

Net patient revenue$467M
Operating margin -12.4%
Total margin -7.1%
Days cash on hand 30
Current ratio 1.32
Occupancy85%

Facility

Beds137
Facility typeSTH
Settingurban
Ownership classgovernment
Per-bed (low) $425K
Per-bed (high) $1.7M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 137 $339M $-906K -15.4% -0.2% 90 1.28 73% 7,057 49
2021 137 $395M $14.8M -11.6% 3.5% 53 2.45 77% 7,007 44
2022 137 $413M $-40.2M -18.0% -9.0% 37 1.70 85% 6,946 61
2023 137 $467M $-35.5M -12.4% -7.1% 30 1.32 85% 7,625 64

Owners

OwnerRole%SinceType
Brian Ivie w-2 managing employee 2017-11
Bruce Lisser corporate director 2012-03
Jolanda Barnett w-2 managing employee 1986-07
Peter Browning corporate officer 2017-01
Public Hospital Dist No 1 Skagit
Mount Vernon, WA
5% or greater direct ownership interest 2004-01
Tamara Cesena w-2 managing employee 2023-01

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 WA

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

DateBuyerSellerHospitalBeds
2023-07-01 Central Washington Health Services... Wenatchee Valley Hospital Confluence Health 187
2021-12-05 Multicare Health System Columbia Capital Medical Center Lp Capital Medical Center 107
2020-01-01 University Of Washington Uw Medicine Northwest University Of Washington Med Ctr 617
2018-08-04 Rcch Trios Health Llc Kennewick Public Hospital District Trios Health 111
2016-06-01 Public Hospital Dist No 1 Skagit Public Hospital District 3 Snohomish County Cascade Valley Hospital 48