dealflow
envelope $200M

← Targets

Hospital Metropolitano

Rio Piedras, PR · CCN 400106
Licensed to Metrohealth Inc

Composite
51.9
rank score
Distress
46
FY2023
Fit
78
vs thesis
Estimated ticket
$66.0M–$264M
132 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • operating margin -10% to -5%
  • total margin under 2%
  • 30-60 days cash on hand
  • occupancy 45-60%
  • margin deteriorating
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size uses the capital envelope well
  • moderate occupancy
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$49.8M
Operating margin -5.2%
Total margin 1.8%
Days cash on hand 47
Current ratio 1.64
Occupancy45%

Facility

Beds132
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 132 $41.1M $2.3M -12.2% 4.8% 82 2.18 38% 3,244 43
2021 132 $45.5M $279K -5.6% 0.6% 75 2.02 38% 3,274 41
2022 132 $48.1M $2.3M -4.4% 4.4% 77 1.67 45% 4,055 31
2023 132 $49.8M $942K -5.2% 1.8% 47 1.64 45% 4,353 46

Owners

OwnerRole%SinceType
Artau Holdings Llc
Guaynabo, PR
5% or greater direct ownership interest 100 2015-05
Artau Holdings Llc
Guaynabo, PR
operational/managerial control 100 2015-05
Carmen Feliciano Vargas corporate officer 100 2015-05
Deborah Acevedo Santos corporate officer 100 2023-01
Deborah Acevedo Santos w-2 managing employee 100 2023-01
Deborah Acevedo Santos operational/managerial control 100 2023-01
Eduardo Artau Feliciano operational/managerial control 100 2015-05
Eduardo Artau Gomez corporate officer 100 1998-01
Eduardo Artau Gomez operational/managerial control 100 2015-05
Francisco Artau Feliciano operational/managerial control 100 2015-05
Karen Artau Feliciano operational/managerial control 100 2015-05
Lizzette Rodriguez corporate director 50 2022-01
Lizzette Rodriguez w-2 managing employee 50 2022-01
Carmen Feliciano Vargas 5% or greater direct ownership interest 38 2015-05
Eduardo Artau Gomez 5% or greater direct ownership interest 38 1998-01
Eduardo Artau Feliciano 5% or greater direct ownership interest 8 2015-05
Francisco Artau Feliciano 5% or greater direct ownership interest 8 2015-05
Karen Artau Feliciano 5% or greater direct ownership interest 8 1998-01
Karen Artau Feliciano corporate officer 8 1998-01

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 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