dealflow
envelope $200M

← Targets

Trios Health

Kennewick, Benton County, WA · CCN 500053
Licensed to Rcch Trios Health Llc

Composite
74.7
rank score
Distress
90
FY2023
Fit
86
vs thesis
Estimated ticket
$38.9M–$155M
111 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • under 30 days cash on hand
  • current ratio below 0.8
  • liabilities exceed assets
  • occupancy 45-60%
  • margin deteriorating
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size uses the capital envelope well
  • moderate occupancy
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$150M
Operating margin -13.3%
Total margin -11.1%
Days cash on hand 0
Current ratio 0.68
Occupancy51%

Facility

Beds111
Facility typeSTH
Settingurban
Ownership classfor-profit
Per-bed (low) $350K
Per-bed (high) $1.4M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 111 $149M $-10.1M -14.8% -6.3% 1.17 53% 4,905 73
2021 111 $167M $-2.9M -6.5% -1.6% 0 0.69 55% 4,613 72
2022 111 $155M $-12.8M -10.4% -8.1% 0 0.70 55% 4,289 90
2023 111 $150M $-17.0M -13.3% -11.1% 0 0.68 51% 4,953 90

Owners

OwnerRole%SinceType
Rcch ¿ Uw Medicine Healthcare Holdings Llc
Brentwood, TN
5% or greater direct ownership interest 100 2018-08
Capella Health Holdings Llc
Franklin, TN
5% or greater indirect ownership interest 96 2018-08
Capella Healthcare Llc
Franklin, TN
5% or greater indirect ownership interest 96 2018-08
Capella Holdings Llc
Franklin, TN
5% or greater indirect ownership interest 96 2018-08
Dsb Acquisition Llc
New York, NY
5% or greater indirect ownership interest 96 2018-08
Lifepoint Health Inc
Brentwood, TN
5% or greater indirect ownership interest 96 2018-11
Lima Holdco Llc
Brentwood, TN
5% or greater indirect ownership interest 96 2021-12
Rcch Northwest Llc
Brentwood, TN
5% or greater indirect ownership interest 96 2018-08
Charlotte Lawrence corporate officer 2022-01
Christopher Monte corporate officer 2018-11
David Elgarico operational/managerial control 2023-05
Elliott Brown corporate officer 2026-04
Marcus Poppell corporate officer 2018-11
Samuel Barrett corporate officer 2024-06
William Ziesmer corporate officer 2024-06

Ownership changes

DateTypeBuyerSeller
2018-08-04 change of ownership Rcch Trios Health Llc Kennewick Public Hospital District

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