dealflow
envelope $200M

← Targets

Toppenish Community Hospital

dba Astria Toppenish Hospital · Toppenish, Yakima County, WA · CCN 500037
Licensed to Shc Medical Center Toppenish

Composite
69.2
rank score
Distress
84
FY2023
Fit
78
vs thesis
Estimated ticket
$16.4M–$65.8M
47 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • current ratio below 0.8
  • occupancy 45-60%
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • small but workable bed count
  • ticket size somewhat below the envelope
  • moderate occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2023

Net patient revenue$53.7M
Operating margin -19.2%
Total margin -9.2%
Days cash on hand 1
Current ratio -3.23
Occupancy46%

Facility

Beds47
Facility typeSTH
Settingurban
Ownership classnonprofit
Per-bed (low) $350K
Per-bed (high) $1.4M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 25 $37.1M $10.3M 0.9% 21.9% 17 1.33 88% 1,238 43
2021 47 $50.9M $-1.5M -8.1% -2.9% 1 -0.48 49% 673 79
2022 47 $55.4M $-5.5M -17.1% -9.3% 2 -1.35 53% 756 82
2023 47 $53.7M $-5.4M -19.2% -9.2% 1 -3.23 46% 610 84

Owners

OwnerRole%SinceType
Astria Health
Sunnyside, WA
5% or greater indirect ownership interest 100 2017-09
Shc Holdco Llc
Sunnyside, WA
5% or greater direct ownership interest 100 2017-09
Shc Holdco Llc
Sunnyside, WA
operational/managerial control 100 2017-09
Astria Health
Sunnyside, WA
other 2018-12
Bertha Ortega corporate officer 2021-01
Brian Gibbons corporate director 2023-01
Brian Gibbons w-2 managing employee 2023-01
Brian Gibbons operational/managerial control 2023-01
Carrie Story corporate officer 2021-01
Catherine Bambrick corporate officer 2021-01
Lori Alvord corporate officer 2019-01
Matthew Mathiesen corporate director 2024-06
Matthew Mathiesen w-2 managing employee 2024-06
Maxwell Owens corporate officer 2020-01
Maxwell Owens corporate director 2020-01
Maxwell Owens w-2 managing employee 2020-01
Steven Young corporate officer 2021-01

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