dealflow
envelope $200M

← Targets

Legacy Salmon Creek Hospital

dba Legacy Salmon Creek Medical Center · Vancouver, Clark County, WA · CCN 500150
Licensed to Legacy Salmon Creek Hospital

Composite
51.2
rank score
Distress
44
FY2024
Fit
78
vs thesis
Estimated ticket
$89.0M–$356M
178 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin negative
  • under 30 days cash on hand
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size at the top of the envelope — would need leverage
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$507M
Operating margin -1.0%
Total margin 6.1%
Days cash on hand 0
Current ratio 2.54
Occupancy95%

Facility

Beds178
Facility typeSTH
Settingurban
Ownership classnonprofit
Per-bed (low) $500K
Per-bed (high) $2.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 166 $413M $52.1M 7.9% 12.0% 0 0.91 86% 12,438 31
2022 147 $447M $21.9M -1.9% 4.6% 0 1.18 110% 11,654 41
2023 178 $480M $14.1M -5.2% 2.7% 0 2.22 98% 12,359 44
2024 178 $507M $33.1M -1.0% 6.1% 0 2.54 95% 12,769 44

Owners

OwnerRole%SinceType
Carolyn Coggins corporate director 2025-09
Charles Wilhoite corporate director 2015-09
Craig Armstrong corporate director 2023-09
David Ramus corporate director 2014-05
Edgar Navas corporate director 2020-06
Gayle Goschie corporate director 2016-06
George Brown corporate officer 2024-06
Jack Friedman corporate director 2018-06
Jeffrey Barber corporate director 2013-07
Jerry Petty corporate director 2018-06
Joseph Frankhouse corporate director 2023-06
Legacy Health
Portland, OR
5% or greater direct ownership interest 2005-08
Legacy Health
Portland, OR
operational/managerial control 2005-08
Leslie Root corporate director 2012-01
Lisa Freedman corporate director 2019-06
Lynn Gust corporate director 2017-06
Nancy Horton corporate director 2019-06
Nancy Locke corporate director 2016-06
Nasreen Ilias-Khan corporate director 2021-05
Nathalie Johnson corporate director 2023-06
Richard Reiten corporate director 2013-07
Samir Desai corporate director 2017-06
Sarah Jensen corporate officer 2017-05
Sarah Jensen w-2 managing employee 2015-10
Teresa Handy corporate officer 2012-03

Showing 25 of 26. Full list via /api/targets/500150.

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