Operating margin: -12.7% in FY2022, the 19th percentile of 2,503 urban pps hospitals in the FY2022 pool. Days cash on hand: 2 days in FY2022, the 32nd percentile of 2,441 urban pps hospitals in the FY2022 pool. Total operating revenue: $14.9M in FY2022, the 1st percentile of 2,545 urban pps hospitals in the FY2022 pool. Total margin (including nonoperating): -6.7% in FY2022, the 22nd percentile of 2,503 urban pps hospitals in the FY2022 pool. Figures as filed; not audited by Astrelis.
Financial anchor year: FY22. Margin and revenue are as filed for FY22. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY24, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Humacao, PR. It ran an operating loss of 12.7% in FY22 on $14.9M of operating revenue. It held 2 days of cash on hand (32nd percentile of 2,441 Urban PPS hospitals on liquidity, FY22 pool). Operating margin improved from -32.9% in FY20 to -31.5% in FY24, though it fell 18.8 points in the most recent year.
Operating margin · FY22
-12.7%
Astrelis calculation · as-filed inputs
▼ 0.8 pts vs FY21
vs Urban PPS hospitals19th pctl of 2,503 (FY22 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY22
2d
all sources
Astrelis calculation · as-filed inputs
▼ 6 days vs FY21
vs Urban PPS hospitals32nd pctl of 2,441 (FY22 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY22
$14.9M
Astrelis calculation · as-filed inputs
▲ $0.6M vs FY21
vs Urban PPS hospitals1st pctl of 2,545 (FY22 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY22
-6.7%
Astrelis calculation · as-filed inputs
▲ 2.9 pts vs FY21
vs Urban PPS hospitals22nd pctl of 2,503 (FY22 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at HOPE MEDICAL CENTER is about $149K per year (1% of FY22 total operating revenue).
Where HOPE MEDICAL CENTER sits among Urban PPS hospitals
Operating margin · FY22 pool · n = 2,503 of 2,652 filed
Each point is one Urban PPS hospital in the national FY22 distribution for Urban PPS hospitals, this hospital's comparison cohort, placed by operating margin. Facilities are not matched on size, case mix, or market; that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital FY22 median is -0.8%. Descriptive context only, not a ranking.
One urban pps hospitalHOPE MEDICALUrban PPS hospital median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
210d (FY24) — outside expected range; computed from the filed statement and not ranked against peers
Net patient receivables × days in the report's own period ÷ net patient revenue, same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23 · 346 days
FY24 · 385 days
Patient revenue
13,945
11,351
11,933
Other operating revenue
957
—
11
Total operating revenue
14,902
11,351
11,944
Total operating expenses
16,787
22,994
15,702
Operating income
(1,885)
(11,644)
(3,758)
Operating margin %
-12.7%
—
-31.5%
Investment income
—
28
—
Other non-operating, net
837
40
250
Net income
(1,049)
(11,576)
(3,509)
Net income %
-6.7%
—
-28.8%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
Display states.FY24 · Net patient A/R: 6,506K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY23 · Net patient A/R: 2,974K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY23 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -11,644K · Net patient revenue 11,351KFY22 · Net patient A/R: 4,137K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY21 · Net patient A/R: 2,319K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY20 · Net patient A/R: 5,643K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))
How it operates
quality & operational context · CMS public reporting
A 42-bed hospital running at 51% occupancy, where 24% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
51.3%
Reported value2024
HCRIS WS S-3
Average daily census
21.55
Reported value2024
HCRIS WS S-3
Staffed beds (acute)
42
Reported value2024
HCRIS WS S-3
Annual discharges
1,026
Reported value2024
HCRIS WS S-3
Average length of stay
8 days
Reported value2024
HCRIS WS S-3
Cost per patient day
$1,892
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$15,304
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
24.5%
Reported value2024
HCRIS WS G-2 L28
Total FTEs
179.40
Reported value2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
14.5%
Reported value2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$0.0M
Reported value2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Not reported in source (note 1)
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Not reported in source (note 2)
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Not reported in source (note 1)
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
Not reported in source (note 3)
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Note 1: Results are not available for this reporting period.Note 2: The number of cases/patients is too few to report.Note 3: Results cannot be calculated for this reporting period.
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
State context
Humacao, PR
Located in Humacao, PR. County-level statistics: linkage not established — this record's county mapping is not verified in the resolved spine, and we never place a facility in a county by guesswork. State-level context appears here once a state aggregate layer lands.
Illustrative advocacy scenario: what this hospital means to its county
Illustrative estimate · FY24 cost report
Direct annual spending
$15.7M
total operating expense · Reported value, not a local-capture estimate
Labor income
$8.0M
$6.7M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$36.1M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
1.1%
of all county jobs · Reported value
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY22Astrelis calculation
Operating margin vs its peer pool: FY22 pool · n = 2,503.
Performance Benchmark Report: FY22 peer pool · n = 2,503 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 15 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
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Astrelis Atlas, "Hope Medical Center", https://astrelis.co/hospitals/400005, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/400005.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
