The winners of the ten-year contracts to run six of Madrid’s public hospitals have been announced. The administrative concessions - under which private operators will run the hospitals covering over one million people as well as co-funding capital investments with the Madrid region - have been controversial, drawing protests from the public and loud complaints from hospital providers. Who are the winners? Why did market leader IDCSalud (formerly Capio Sanidad) not bid? What does this mean for embattled operator Ribera Salud? And why are Puerto Ricans suddenly interested in Spain?