dealflow
envelope $200M

← Targets

Mayaguez Medical Center

Mayaguez, Mayaguez County, PR · CCN 400103
Licensed to Mayaguez Medical Center Dr Ramon Emeterio Betances Inc

Composite
38.2
rank score
Distress
19
FY2023
Fit
74
vs thesis
Estimated ticket
$108M–$432M
216 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • 30-60 days cash on hand
  • debt above 70% of assets
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size at the top of the envelope — would need leverage
  • strong occupancy — good iteration surface
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$110M
Operating margin 3.4%
Total margin 4.4%
Days cash on hand 33
Current ratio 1.54
Occupancy75%

Facility

Beds216
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
2020 206 $66.9M $-3.0M -20.0% -3.9% 61 0.93 61% 8,103 67
2021 206 $87.9M $3.4M -1.9% 3.6% 50 0.99 71% 9,492 46
2022 210 $103M $8.6M 7.6% 8.3% 38 1.51 75% 10,946 21
2023 216 $110M $4.9M 3.4% 4.4% 33 1.54 75% 12,031 19

Owners

OwnerRole%SinceType
Jose Quiros 5% or greater indirect ownership interest 82 2010-01
Quiros Investment Holdings, Llc
Guaynabo, PR
5% or greater direct ownership interest 82 2010-01
Firstbank Puerto Rico
San Juan, PR
5% or greater mortgage interest 49 2017-04
Firstbank Puerto Rico
San Juan, PR
5% or greater security interest 49 2017-04
Carlos Disdier corporate officer 33 2010-01
Carlos Disdier corporate director 33 2010-01
Jose Quiros corporate officer 33 2010-01
Jose Quiros corporate director 33 2010-01
Carlos Disdier 5% or greater indirect ownership interest 18 2010-01
Maycar Pr Investments, Llc
Ciales, PR
5% or greater direct ownership interest 18 2010-01
Jaime Maestre-Grau corporate officer 2010-03
Jaime Maestre-Grau w-2 managing employee 2010-03
Jenny Negron w-2 managing employee 2014-10
Noriselle Rivera corporate officer 2010-03
Noriselle Rivera w-2 managing employee 2010-03
Noriselle Rivera operational/managerial control 2010-03

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