Sistema de Salud Menonita ceased medical-office operations at the Culebra CDT effective August 31, 2026, and the Health Department signed a temporary agreement with HPM Foundation, Inc., operating as HealthProMed, effective September 1 and initially valid through November 30, 2026. The Health Department's release notes HealthProMed “llevan más de 20 años en Culebra con su Centro de Salud Primaria 330.”
The trigger is financial and procedural, and Secretary Víctor Ramos Otero states both parts: Menonita asked to nearly double a $200,000 subsidy for the same services, and “por orden ejecutiva todo contrato de más de $250,000 tiene que ir a un proceso competitivo.” Services under the agreement include general medicine, pediatrics, gynecology, psychology, nutrition, dental, optometry, telemedicine, pharmacy and lab, with “descuentos escalonados de hasta 90 por ciento” for the uninsured and “sin impacto de desembolso de fondos públicos en esta etapa.”
The process was contested the same day. Luz Rivera Cantwell of the Fundación de Culebra called it “una falta de respeto del Secretario de Salud al pueblo de Culebra”; Dennis Rivera of the Foundation for a Better Puerto Rico, which contributed $3 million toward the CDT's post-María reconstruction, called a three-month award “muy irregular.”
By September 1 the staffing question was partly resolved — HealthProMed agreed that all existing employees “ivan a ser contratados por HealthProMed por un periodo de 90 días” to avoid a gap in operations. A formal RFP is now running for a permanent five-year operator, and the emergency room remains under Health Department control.
This is a Centro 330 absorbing government primary-care infrastructure in an island municipality — a different pattern from the self-funded Vieques expansion we already track, and a live five-year procurement to follow.