A native of Gonzales County, Dr. George Holmes began practicing medicine in Gonzales in 1915, setting up his practice above Fitzgerald Drug Store on October 28.
On March 25, 1920, Dr. Holmes made plans for a state-of-the-art hospital building, envisioning a two-story brick structure with 20 rooms and a basement. He also planned to continue his education at prestigious institutions like Johns Hopkins and the Mayo Clinic. Prior to this, the only hospitals in town were a private facility, Guadalupe Sanitarium, run by Drs. J.A. Manness and G. Schulz. Dr. Holmes' dream for a fully equipped hospital for the county seat was realized with the completion of this building in 1921, reflecting the era’s drive for progress and modern healthcare. The construction was carried out by contractor Fred Miesenhelder.
The hospital’s completion came during a time when the nation was recovering from the devastation of World War I and the Spanish Flu pandemic, which had highlighted the critical need for modern medical infrastructure. The early 1920s, often called the "Roaring Twenties," was a time of significant change and growth, not just in Gonzales but across the country. The new hospital symbolized Gonzales’ commitment to improving the health and well-being of its residents in this new era of medical advancement.