Flagler Hospital
dba Uf Health Flagler Hospital ·
St Augustine, St. Johns County, FL
· CCN 100090
Licensed to Flagler Hospital Inc
Composite
61.6
rank score
Distress
76
FY2023
Fit
68
vs thesis
Estimated ticket
$23.4M–$46.9M
335 beds ·
within envelope
Ownership
nonprofit
STH
Why it ranks here
- operating margin below -10%
- total margin below -8%
- under 30 days cash on hand
- debt above 70% of assets
- occupancy 45-60%
- margin deteriorating sharply
- rural — cheaper but limited density
- large — ticket likely stretches the envelope
- small ticket — deploys little of the available capital
- moderate occupancy
- nonprofit — expect AG conversion review
Latest financials · FY2023
| Net patient revenue | $295M |
| Operating margin | -16.7% |
| Total margin | -15.0% |
| Days cash on hand | 7 |
| Current ratio | 1.61 |
| Occupancy | 51% |
Facility
| Beds | 335 |
| Facility type | STH |
| Setting | rural |
| Ownership class | nonprofit |
| Per-bed (low) | $70.0K |
| Per-bed (high) | $140K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 335 | $267M | $8.7M | -6.2% | 3.0% | 106 | 1.93 | 48% | 13,016 | 29 |
| 2021 | 335 | $314M | $37.1M | 2.4% | 10.8% | 55 | 2.17 | 56% | 13,328 | 19 |
| 2022 | 335 | $293M | $-51.6M | -17.2% | -17.6% | 8 | 2.32 | 54% | 12,716 | 73 |
| 2023 | 335 | $295M | $-47.8M | -16.7% | -15.0% | 7 | 1.61 | 51% | 13,928 | 76 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Cindy Charyulu-D'orra | w-2 managing employee | 100 | 2024-06 | |
| Flagler Hospital Inc | operational/managerial control | 100 | 1966-01 | |
| Shands Teaching Hospital And Clinics Inc | 5% or greater direct ownership interest | 100 | 2023-09 | |
| Chris Kamienski | corporate director | 2023-09 | ||
| Cindy Charyulu-D'orra | contracted managing employee | 2024-06 | ||
| David Nelson | corporate director | 2023-09 | ||
| George Bailey | corporate officer | 2023-09 | ||
| George Bailey | w-2 managing employee | 2023-09 | ||
| James Kelly | corporate director | 2023-09 | ||
| Susan Ponder Stansel | corporate director | 2023-09 | ||
| Timothy Morey | corporate director | 2023-09 |
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 |