dealflow
envelope $200M

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Holy Cross Hospital

dba Holy Cross Hospital, Holy Cross Hospital Of Silver Spring, Inc · Silver Spring, Montgomery County, MD · CCN 210004
Licensed to Holy Cross Health, Inc.

Composite
37.3
rank score
Distress
21
FY2024
Fit
65
vs thesis
Estimated ticket
$193M–$772M
386 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • 90-150 days cash on hand
  • current ratio under 1.5
  • debt above 70% of assets
  • margin deteriorating sharply
  • part of a multi-hospital chain — divestiture candidate
  • urban — higher occupancy and iteration surface
  • large — ticket likely stretches the envelope
  • ticket size well above the envelope
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review

Latest financials · FY2024

Net patient revenue$532M
Operating margin 4.7%
Total margin 9.9%
Days cash on hand 106
Current ratio 1.33
Occupancy80%

Facility

Beds386
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 423 $498M $149M 3.7% 23.7% 320 3.19 69% 22,259 0
2022 423 $523M $52.1M 7.4% 9.7% 160 -98.57 79% 21,819 13
2023 399 $516M $46.3M -16.7% 7.1% 74 18.60 83% 20,822 38
2024 386 $532M $55.4M 4.7% 9.9% 106 1.33 80% 25,050 21

Owners

OwnerRole%SinceType
Trinity Health Corporation
Livonia, MI
5% or greater indirect ownership interest 100 2014-07 chain
Ajay Gupta corporate officer 2026-01
Ajay Gupta corporate director 2018-01
Andre Boyd corporate officer 2025-01
Andre Boyd corporate director 2025-01
Barbara Buckley corporate director 2026-01
Carmen Larsen corporate director 2016-01
Catherine Mikus corporate officer 2025-01
Geraldine Hoyler corporate director 2026-01
Hiral Fontanilla corporate director 2025-01
Jacqueline Watson corporate director 2020-01
James Monihan corporate director 2025-01
Julie Keese corporate officer 2025-07
Julie Keese w-2 managing employee 2017-02
Julie Washington corporate director 2025-01
Ketty Taboada corporate director 2026-03
Ketty Taboada w-2 managing employee 2026-03
Larry Warren corporate director 2024-01
Marianne Grace corporate director 2025-01
Michelle Calope corporate director 2025-01
Robin Madden corporate director 2019-01
Sandra Kweder corporate director 2024-01
Shaila Kapur corporate director 2025-01
Vincent Gordon corporate officer 2026-01
Vincent Gordon corporate director 2025-01

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 MD

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

DateBuyerSellerHospitalBeds
2024-02-01 University Of Maryland Medical Center, Llc University Of Maryland Medical... University Of Maryland Med Sys 762
2022-07-01 Grmc, Inc. Garrett County Memorial Hospital Garrett County Memorial Hospital 20
2022-03-01 Sinai Hospital Of Baltimore, Inc Grace Medical Center Inc Sinai Hospital Of Baltimore Inc. 437
2020-03-01 Tidalhealth Peninsula Regional Inc Mccready Foundation Inc Tidalhealth Peninsula Regional Inc 284
2019-10-27 Adventist Healthcare Fort... Fort Washington Medical Center Inc Fort Washington Medical Center 34
2018-08-01 Adventist Healthcare, Inc. Adventist Healthcare, Inc. Ahc Shady Grove Medical Center 397