dealflow
envelope $200M

← Targets

Hale Hoola Hamakua

Honokaa, Hawaii County, HI · CCN 121307
Licensed to Honokaa Hospital & Skilled Nursing

Composite
26.2
rank score
Distress
20
FY2024
Fit
43
vs thesis
Estimated ticket
$935K–$1.9M
11 beds · within envelope
Ownership
government
CAH

Why it ranks here

  • under 30 days cash on hand
  • rural — cheaper but limited density
  • very small facility
  • very small ticket — sub-scale as a platform asset
  • strong occupancy — good iteration surface
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$29.1M
Operating margin 10.6%
Total margin 28.8%
Days cash on hand 12
Current ratio 1.57
Occupancy62%

Facility

Beds11
Facility typeCAH
Settingrural
Ownership classgovernment
Per-bed (low) $85.0K
Per-bed (high) $170K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 11 $18.5M $3.5M -13.9% 14.2% 10 1.33 54% 2 60
2022 11 $19.9M $2.3M -11.2% 9.5% 9 1.23 49% 56
2023 11 $20.2M $3.0M -20.3% 11.1% 9 1.25 60% 1 53
2024 11 $29.1M $10.5M 10.6% 28.8% 12 1.57 62% 1 20

Owners

OwnerRole%SinceType
Daniel Brinkman corporate officer 100 2014-08
Daniel Brinkman operational/managerial control 100 2014-08
Denise Mackey corporate officer 100 2017-05
Denise Mackey operational/managerial control 100 2017-05
Joni Waltjen corporate officer 100 2018-04
Brenda Ho corporate director 2014-01
Chad Farias corporate director 2021-03
Clarysse Nunokawa corporate director 2019-06
Daniel Belcher corporate director 2014-01
Deanna Sako corporate director 2018-09
Hawaii Health Systems Corporation
Honolulu, HI
operational/managerial control 1996-07
Jay Ignacio corporate director 2019-04
Jennifer Zelko-Schlueter corporate director 2022-07
Jerry Gray corporate director 2018-01
Joseph Skruch corporate director 2022-03
Lara Gomez corporate director 2022-11
Rae Yamanaka corporate director 2018-01
Randall Kurohara corporate director 2021-02
Stephen Smith corporate director 2018-01
Yvonne Wong corporate director 2022-10

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 HI

Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.

DateBuyerSellerHospitalBeds
2017-07-01 Maui Health System A Kaiser... Lanai Community Hospital Lanai Community Hospital 4
2017-07-01 Maui Health System A Kaiser... Kula Hospital Kula Hospital 9