
23 Sep Presentation: Healthcare Industry Update
Galíndez LLC, recently presented the 2025 HFMA Annual Update, delivering an insightful session titled Healthcare Industry Update – Hospitals’ Financial Condition. The presentation was designed to provide healthcare leaders and financial professionals with a clear understanding of the demographic and financial challenges shaping Puerto Rico’s hospital system—an essential perspective for anyone involved in the industry’s future.
Galíndez guided attendees through the realities of Puerto Rico’s healthcare landscape, beginning with the demographic crisis—the island’s shrinking population, declining birth rates, and one of the world’s highest proportions of residents over age 65. This shift has transformed hospital case mixes toward higher-cost, less profitable care, putting increasing strain on institutions.
The presentation also highlighted practical elements of hospital finance, including comparisons between Puerto Rico and U.S. hospitals, the impact of reduced admissions and bed capacity, and the structural differences across acute, psychiatric, and rehabilitation hospitals. Using Galíndez’s proprietary scoring system, the analysis revealed many hospitals operating on thin or negative margins, with low occupancy rates, liquidity concerns, and equity disparities creating significant financial pressure.
Attendees also explored concepts such as the need to modernize payment models—moving away from per-diems toward diagnosis-based reimbursement—and the importance of strengthening governance, implementing real-time financial monitoring, and investing in technology such as electronic health records (EHR). The discussion emphasized that long-term success requires not just financial strategies, but also adaptability, collaboration with physicians, and the pursuit of innovative funding sources like investment alternatives under Puerto Rico’s Law 60.
By connecting financial analysis with broader qualities like strong leadership, efficient management, and forward-looking policy, the presentation encouraged attendees to think beyond the numbers and prepare holistically for the future of healthcare.
At Galíndez LLC, we believe these engagements are more than presentations—they are part of our responsibility to support Puerto Rico’s healthcare industry with the tools, strategies, and insights necessary to thrive. By sharing our expertise in audit, tax, and advisory services, and by collaborating with partners like Estudios Técnicos Inc., we help equip hospital leaders with the knowledge and resources to make informed decisions.
We invite you to explore the full presentation, available below, and benefit from the same insights shared at the 2025 HFMA Annual Update.
To learn more, please contact us: info@galindezllc.com