dealflow
envelope $200M

← Targets

Auxilio Mutuo Hospital

San Juan, PR · CCN 400016
Licensed to Hospital Espanol Auxilio Mutuo De Puerto Rico, Inc.

Composite
13.5
rank score
Distress
26
FY2023
Fit
55
vs thesis
Estimated ticket
$244M–$976M
488 beds · over envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin negative
  • 60-90 days cash on hand
  • current ratio under 1.5
  • urban — higher occupancy and iteration surface
  • very large — likely out of range
  • estimated price exceeds the capital envelope
  • strong occupancy — good iteration surface
  • nonprofit — expect AG conversion review

Latest financials · FY2023

Net patient revenue$247M
Operating margin -2.8%
Total margin 2.8%
Days cash on hand 61
Current ratio 1.48
Occupancy67%

Facility

Beds488
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
2020 492 $201M $3.1M -11.8% 1.4% 76 1.91 55% 14,451 43
2021 476 $205M $3.0M -12.7% 1.3% 64 1.59 56% 14,306 43
2022 481 $232M $8.7M -1.7% 3.6% 62 1.76 64% 16,103 26
2023 488 $247M $7.3M -2.8% 2.8% 61 1.48 67% 17,410 26

Owners

OwnerRole%SinceType
Jose Gomez 5% or greater direct ownership interest 100 2026-01
Jose Gomez corporate director 100 2026-01
Hospital Espanol Auxilio Mutuo De Puerto Rico, Inc.
San Juan, PR
other 1991-10
Jorge L. Matta corporate director 2005-04
Jorge L. Matta w-2 managing employee 2005-04
Milagros Matos Diaz w-2 managing employee 2025-12

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 PR

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

DateBuyerSellerHospitalBeds
2024-06-07 The San Jorge Hospital Inc San Jorge Children's Hospital, Inc. San Jorge Childrens & Women Hospital
2023-12-20 Metro Caguas Incorporated Centro Medico Del Turabo Inc Hospital Hima San Pablo Caguas 421
2023-12-15 Am Acquisition I, Llc Centro Medico Del Turabo Inc Hospital Hima San Pablo Bayamon 424
2020-02-29 Hospital Menonita Humacao, Inc. Hospital Oriente Inc Hospital Menonita Humacao 73
2017-09-13 Hospital Menonita Guayama Inc Hospital Episcopal San Lucas Guayama, Inc. Hospital Menonita Guayama 140