dealflow
envelope $200M

← Targets

Valley Hospital & Medical Center

dba Multicare Valley Hospital · Spokane, Spokane County, WA · CCN 500119
Licensed to Multicare Health System

Composite
63.2
rank score
Distress
63
FY2023
Fit
82
vs thesis
Estimated ticket
$52.3M–$209M
123 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin -10% to -5%
  • total margin -8% to -3%
  • under 30 days cash on hand
  • occupancy 45-60%
  • margin deteriorating sharply
  • part of a multi-hospital chain — divestiture candidate
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size uses the capital envelope well
  • moderate occupancy
  • nonprofit — expect AG conversion review

Latest financials · FY2023

Net patient revenue$163M
Operating margin -9.1%
Total margin -3.7%
Days cash on hand 0
Current ratio 3.86
Occupancy46%

Facility

Beds123
Facility typeSTH
Settingurban
Ownership classnonprofit
Per-bed (low) $425K
Per-bed (high) $1.7M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 123 $145M $15.1M 7.2% 10.1% 6.11 46% 4,588 3
2021 123 $147M $20.5M 2.8% 12.5% 6.67 50% 4,563 3
2022 123 $158M $-1.4M -1.5% -0.9% 5.92 48% 4,833 33
2023 123 $163M $-6.4M -9.1% -3.7% 0 3.86 46% 4,298 63

Owners

OwnerRole%SinceType
Multicare Health System
Tacoma, WA
5% or greater direct ownership interest 100 2017-06 chain
Deedee Walkey corporate director 2011-04
Florence Chang corporate officer 2015-01
Florence Chang w-2 managing employee 2015-01
Frank Tombari corporate director 2022-01
James Lee corporate officer 2022-06
James Lee w-2 managing employee 2022-06
Janine Terrano corporate director 2014-12
Joanna Monroe corporate director 2024-03
John Wiborg corporate director 2001-04
Leslie Sowell corporate director 2011-04
Robert Yost corporate director 2009-09
Robin Thomashauer corporate director 2020-11
Sally Leighton corporate director 2011-04
Tara Perry corporate director 2021-08
Tariq Salam w-2 managing employee 2020-11
William Robertson corporate officer 2014-12
William Robertson corporate director 2014-12
William Robertson w-2 managing employee 2014-12

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