Holmes Regl Medical Center
dba Holmes Regional Medical Center ·
Melbourne, Brevard County, FL
· CCN 100019
Licensed to Holmes Regional Medical Center, Inc.
Composite
12.6
rank score
Distress
12
FY2023
Fit
66
vs thesis
Estimated ticket
$275M–$1.1B
550 beds ·
over envelope
Ownership
nonprofit
STH
Why it ranks here
- operating margin under 2%
- margin deteriorating
- urban — higher occupancy and iteration surface
- very large — likely out of range
- estimated price exceeds the capital envelope
- strong occupancy — good iteration surface
- nonprofit — expect AG conversion review
Latest financials · FY2023
| Net patient revenue | $639M |
| Operating margin | 0.7% |
| Total margin | 4.5% |
| Days cash on hand | 259 |
| Current ratio | 5.45 |
| Occupancy | 71% |
Facility
| Beds | 550 |
| Facility type | STH |
| Setting | urban |
| Ownership class | nonprofit |
| Per-bed (low) | $500K |
| Per-bed (high) | $2.0M |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 550 | $512M | $36.9M | 0.6% | 6.8% | 315 | 4.24 | 66% | 29,684 | 7 |
| 2021 | 550 | $557M | $79.0M | 4.3% | 12.9% | 315 | 4.00 | 70% | 29,418 | 0 |
| 2022 | 550 | $593M | $31.1M | 0.3% | 5.0% | 288 | 4.57 | 72% | 29,193 | 7 |
| 2023 | 550 | $639M | $29.6M | 0.7% | 4.5% | 259 | 5.45 | 71% | 29,971 | 12 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Anthony Tran | corporate director | 2018-01 | ||
| Dana Kiborne | corporate director | 2018-01 | ||
| Health First Shared Services, Inc | operational/managerial control | 2020-09 | ||
| James Shaw | corporate director | 2010-11 | ||
| Joseph Gurri | corporate director | 2017-05 | ||
| Kim Patrick | corporate director | 2022-10 | ||
| Kristen Pulio | corporate officer | 2024-09 | ||
| Larry Bishop | corporate director | 2022-10 | ||
| Nicholas Romanello | corporate officer | 2017-06 | ||
| Nicholas Romanello | w-2 managing employee | 2017-06 | ||
| Robert Henry | corporate director | 2017-05 | ||
| Scott Mikuen | corporate director | 2019-10 | ||
| T. Kent Smith | corporate director | 2018-01 | ||
| Terry Forde | corporate officer | 2024-08 |
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 FL
Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 2025-08-01 | Galen Of Florida Inc | West Florida - Pph, Llc | St. Petersburg General | 162 |
| 2025-03-01 | Adventhealth Port Charlotte Inc | Port Charlotte Hma Llc | Bayfront Health Port Charlotte | 254 |
| 2025-02-27 | Hope 97 Llc | Prime Healthcare Services-Lehigh Acres Llc | Lehigh Regional | 53 |
| 2024-11-01 | Lee Health System Inc | Lee Memorial Health System | Gulf Coast Medical Center | 624 |
| 2024-11-01 | Lee Health System Inc | Lee Memorial Health System | Lee Memorial Hospital | 746 |
| 2024-10-30 | Hsa Cgh Llc | Steward Cgh Inc | Coral Gables Hospital | 245 |
| 2024-10-30 | Hsa Hh Llc | Steward Hh, Inc. | Hialeah Hospital | 340 |
| 2024-10-30 | Hsa Pgh Llc | Steward Pgh, Inc. | Palmetto General Hospital | 358 |
| 2024-10-30 | Hsa Nsmc Llc | Steward Nsmc Inc | North Shore Medical Center And Fmc | 748 |
| 2024-10-23 | Ohsrh, Llc | Steward Sebastian River Medical Center Inc | Sebastian River Medical Center | 145 |
| 2023-12-01 | Tampa General Hospital Citrus Llc | Citrus Hma Llc | Seven Rivers Regional Medical Center | 121 |
| 2023-12-01 | Tampa General Hospital Hernando Llc | Hernando Hma Llc | Brooksville Regional Hosptal | 244 |
| 2020-10-01 | Ohi West, Inc. | Bayfront Hma Medical Center Llc | Bayfront Health St. Petersburg | 262 |
| 2019-09-01 | Adventhealth Polk South Inc | Lake Wales Hospital Corporation | Adventhealth Lake Wales | 118 |
| 2019-09-01 | Adventhealth Polk North Inc | Haines City Hma Llc | Adventhealth Heart Of Florida | 202 |