dealflow
envelope $200M

← Targets

Grand Strand Regional Med Ctr

dba Grand Strand Medical Center · Myrtle Beach, Horry County, SC · CCN 420085
Licensed to Grand Strand Regional Medical Center Llc

Composite
36.2
rank score
Distress
20
FY2024
Fit
68
vs thesis
Estimated ticket
$173M–$692M
346 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • under 30 days cash on hand
  • urban — higher occupancy and iteration surface
  • large — ticket likely stretches the envelope
  • ticket size well above the envelope
  • strong occupancy — good iteration surface
  • for-profit — no charitable conversion review

Latest financials · FY2024

Net patient revenue$683M
Operating margin 35.2%
Total margin 35.9%
Days cash on hand 0
Current ratio 3.48
Occupancy89%

Facility

Beds346
Facility typeSTH
Settingurban
Ownership classfor-profit
Per-bed (low) $500K
Per-bed (high) $2.0M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 325 $491M $161M 30.2% 31.9% 0 3.23 85% 20,328 22
2022 331 $569M $181M 29.3% 31.0% 0 3.20 87% 19,957 22
2023 336 $602M $196M 32.8% 32.6% 0 3.48 87% 21,762 22
2024 346 $683M $248M 35.2% 35.9% 0 3.48 89% 23,222 20

Owners

OwnerRole%SinceType
Ac Med Llc
Nashville, TN
5% or greater direct ownership interest 100 2015-01
Hca Healthcare Inc
Nashville, TN
5% or greater indirect ownership interest 100 2011-08
Hca Inc
Nashville, TN
5% or greater indirect ownership interest 100 2007-05
Healthtrust Inc - The Hospital Company
Nashville, TN
5% or greater indirect ownership interest 100 2015-01
Frisco Holding Ii
Nashville, TN
5% or greater indirect ownership interest 16 2026-02
Hercules Holding Ii
Nashville, TN
5% or greater indirect ownership interest 14 2016-09
Eric Smith contracted managing employee 2021-03
Eric Smith other 2021-03
Jay Pettus corporate officer 2025-11
Jay Pettus w-2 managing employee 2025-11
Mark Sims corporate officer 2013-12
Mark Sims w-2 managing employee 2013-12

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 SC

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

DateBuyerSellerHospitalBeds
2025-10-01 Prisma Health-Midlands Prisma Health Tuomey Prisma Health Tuomey Hospital 161
2024-02-01 East Cooper Medical Center Llc East Cooper Community Hospital, Inc. East Cooper Regional Medical Center 120
2024-02-01 Hilton Head Medical Center Llc Hilton Head Health System, L.p. Hilton Head Hospital 93
2024-01-31 South Carolina Coastal Medical Center Llc Coastal Carolina Medical Center Inc Coastal Carolina Medical Center 41
2021-08-01 Medical University Hospital Authority Kershaw Hospital Llc Musc Health Kershaw Medical Center 99
2021-08-01 Medical University Hospital Authority Providence Hospital Llc Musc Health Columbia Medical Center 332
2021-02-01 Lexington Health Inc Lexington County Health Services... Lexington Medical Center 541
2020-12-31 Mcleod Regional Medical Center Of... Mcleod Regional Medical Center Of... Mcleod Regional Medical Center 524
2019-03-01 Medical University Hospital Authority Chester Hma Llc Musc Health Chester Medical Center 16
2019-03-01 Medical University Hospital Authority Qhg Of South Carolina Inc Musc Health Florence Medical Center 187
2019-03-01 Medical University Hospital Authority Qhg Of South Carolina Inc Musc Health Marion Medical Center 36
2019-01-01 Spartanburg Medical Center Mary Black Health System Llc Spartanburg Regional Medical Center 626
2019-01-01 Cherokee Medical Center Gaffney Hma Llc Cherokee Medical Center 24
2018-10-01 Prisma Health-Upstate Baptist Easley Hospital Ph Baptist Easley Hospital 74
2016-10-01 Prisma Health-Upstate Greenville Health System Ph Hillcrest Hospital 43