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HOSPITAL MARKET INTELLIGENCE
Puerto Rico Hospital Market Structure and Bed Distribution
Published July 2026
Executive Summary
Puerto Rico’s hospital market remains dominated by general short-term hospitals, while bed capacity is unevenly distributed across regions and ownership groups. Although total reported bed capacity declined modestly from 2011 through 2024, the distribution of those beds provides important context for evaluating access, market concentration, and competitive position.
01
Approximately 48 general short-term hospitals reported Medicare cost report data in the most recent year.
1. Puerto Rico Hospitals by Facility Type
General short-term hospitals remained the dominant hospital category throughout the period. In the most recent year, Puerto Rico reported approximately 48 general short-term hospitals submitting Medicare cost reports. The next largest category was Psychiatric, with approximately 4 hospitals. This chart provides market structure context before reviewing utilization and financial indicators. As stated by CMS, “Medicare-certified institutional providers are required to submit an annual cost report to a Medicare Administrative Contractor (MAC).”, hence there is a reasonable expectation that most hospitals certified in Puerto Rico are accounted for in these statistics.
2. Puerto Rico Hospitals Beds by Region
Total reported beds across regions declined by 6.1% over the period. Regional bed capacity remains uneven across Puerto Rico. In the most recent year, the region with the largest reported bed count was SAN JUAN, with approximately 2,414 beds. The faceted view helps highlight regional differences that would be difficult to evaluate in a single combined chart.
3. Puerto Rico Hospitals Beds by Ownership / Control Type
Total reported beds by ownership / control group declined by 6.1% over the period. Among the three main groups, Proprietary hospitals reported the largest bed count in the most recent year, at approximately 3,900 beds. This chart helps show how bed supply is distributed across governmental, nonprofit, and proprietary hospitals.
Puerto Rico’s hospital market is not uniform. Capacity remains concentrated geographically and differs materially by ownership structure. These differences affect competitive position, access, regional demand, capital planning, and the relevance of peer comparisons.
02
San Juan reported the largest regional bed count, with approximately 2,414 beds.
03
Proprietary hospitals represented the largest ownership category, with approximately 3,900 reported beds.
04
Total reported bed capacity declined by approximately 6.1% from 2011 through 2024.