The US conglomerate Sanford Health acquired 12.5% stake in the Montecristo Grou, whose portfolio includes the Hospital Metropolitano, MediSmart, Labiclin, Drs. Dent and Laboratorios Páez.

In January 2018, Sanford and the Hospital Metropolitano signed a cooperation agreement to exchange knowledge in operational activities, personnel training and development of centers of excellence.

Through a press release, both companies indicated that the agreement will contribute to the opening of more locations, the expansion of services within the current service points in Costa Rica and the training for medical personnel.

Sanford Health is a non-profit, integrated health care delivery system, with its headquarters in Sioux Falls, South Dakota (USA).

One of the largest health systems in the United States, is dedicated to the integrated delivery of health care, genomic medicine, senior care and services, global clinics, research and affordable insurance. Sanford Health includes 44 hospitals, 482 clinics, 1,400 physicians, 48,622 employees and more than 200 Good Samaritan Society senior care locations in 26 states and nine countries.