The purchases and alliances characterize the development of the private sector, which seeks to exploit the opportunities offered by collaboration with public health. Quirónsalud is the market leader, followed by Vithas. The Spanish private hospital sector has changed towards concentration in recent years. The acquisition of Quirónsalud by Fresenius and Nisa by Vithas, as well as the purchase of additional assets by various sector representatives, show a trend that is leading to large companies seeking to harness the future growth of the healthcare sector. According to experts, spending on public health could increase by up to € 50,000 million by 2025 to test the state’s ability to finance the national health system and give private companies a chance. This potential has attracted investors, including venture capital, to a market in which corporations not only give corporations the opportunity to complement their business and medical operations, but, above all, to increase their size in order to better their prices To negotiate policies with the EU Insurers The concerts with these contribute to the hospitals 65% of the income; 25% comes from consultations and public health services and 10% from private patients.

Mergers
The mergers are the source of groups such as the Quirónsalud chief, the owner of the Teknon clinic and the University Hospital Quirón-Dexeus in Barcelona or the Jiménez Díaz Foundation and the Ruber Internacional in Madrid. The company was founded in Zaragoza in the middle of the last century by the late businessman Publio Cordón and quickly raised risk capital, one of the main drivers of business activity in this sector. Doughty Hanson entered the capital and merged with USP Hospitals in 2012. Two years later, Doughty sold his stake in CVC, which merged him with IDC Salud (formerly Capio).

In January 2017, the German Fresenius completed the purchase of Quirónsalud for 5,760 million euros, which is the largest private operator in Europe (in his country, the Helios Kliniken network). Quirónsalud has 43 hospitals, 39 day centers and 300 occupational risk prevention centers and 35,000 employees. With sales of € 2,540 million in 2016 and an increase of 16.3%, Fresenius sees great potential in Spain, both organically and through acquisitions. By September, the Spaniards have paid 1,860 million euros.

Quirónsalud is the market leader in a market in which the first ten hospital groups operating in Spain invoiced 4,945 million in 2016, 16% more, according to EXPANSIÓN.

According to the report of the Institute for Development and Integration of Health (Idis), the value of the market for private hospitals in 2015 was around 10,000 million, of which 6,000 million corresponded to private non-profit hospitals and 4,000 million non-profit institutions. The report shows that private health spending continues to rise.

In 2014, it reached 28,558 million, almost 6% more than in the previous year, which equals 2.7% of GDP (one tenth more). Meanwhile, public spending fell by 0.4% to 65.976 million or 6.3% of GDP (one-tenth less).

After Quirón Salud lies Vithas, a name adopted by the old Adeslas hospitals in 2012. Vithas was founded in 2017 by the Gallardo family (owners of Almirall) and CaixaBank with 100% of the Valencian Nisa, which was already 45%. The operation strengthened its position as the second group in the sector and enabled it to jointly generate the revenues of To exceed 500 million euros. With a large presence, especially in Madrid and Valencia, it has 19 hospitals, 25 specialized centers and nearly 6,800 employees.

The increase in participation in the hospitals of Alzira, Torrevieja and Elche increased the revenue of the Valencian Ribera Salud in 2016 by almost 29% to 448.9 million euros. The concessionaire, which participated until 2014 by Bankia, accelerated the year after its international expansion (it is involved in hospitals in Peru and is a provider of computer systems for centers in Chile) and becomes the consortium management of Cafésalud, the largest insurer in Colombia. Ribera is facing the possible renewal of concessions such as the 2018 expiring Hospital de Alzira in the context of the project of the Valencian Community for the rescue of hospital concessions.