dealflow
envelope $200M

← Targets

Hosp. Metropolitano De San German

San German, San German County, PR · CCN 400126

Composite
65.5
rank score
Distress
77
FY2023
Fit
77
vs thesis
Estimated ticket
$19.9M–$79.8M
57 beds · within envelope
Ownership
for-profit
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • 30-60 days cash on hand
  • current liabilities exceed current assets
  • debt above 70% of assets
  • margin deteriorating sharply
  • urban — higher occupancy and iteration surface
  • bed count in the target band
  • ticket size somewhat below the envelope
  • strong occupancy — good iteration surface
  • for-profit — no charitable conversion review

Latest financials · FY2023

Net patient revenue$28.1M
Operating margin -13.0%
Total margin -9.3%
Days cash on hand 37
Current ratio 0.83
Occupancy64%

Facility

Beds57
Facility typeSTH
Settingurban
Ownership classfor-profit
Per-bed (low) $350K
Per-bed (high) $1.4M

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 57 $18.8M $1.1M -15.9% 4.6% 13 1.14 59% 2,595 56
2021 63 $25.0M $698K -4.2% 2.6% 22 1.08 59% 2,800 43
2022 63 $28.5M $-460K -8.2% -1.5% 13 0.89 61% 2,724 61
2023 57 $28.1M $-2.7M -13.0% -9.3% 37 0.83 64% 2,785 77

Owners

No ownership records — CMS has no owner filings mapped to this CCN.

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