A hospital in Guayama, PR. It ran an operating surplus of 12.6% in FY25 on $77.5M of operating revenue. It held 470 days of cash on hand (97th percentile of 1,446 Urban PPS hospitals on liquidity, FY25 pool). Operating margin declined from 21.6% in FY21 to 12.6% in FY25, though it rose 1.4 points in the most recent year.
Operating margin · FY25
+12.6%
Astrelis calculation · as-filed inputs
▲ 1.4 pts vs FY24
vs Urban PPS hospitals78th pctl of 1,475 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
470d
all sources
Astrelis calculation · as-filed inputs
▲ 62 days vs FY24
vs Urban PPS hospitals97th pctl of 1,446 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$77.5M
Astrelis calculation · as-filed inputs
▲ $2.9M vs FY24
vs Urban PPS hospitals16th pctl of 1,503 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY25
+33.9%
Astrelis calculation · as-filed inputs
▲ 1.8 pts vs FY24
vs Urban PPS hospitals96th pctl of 1,476 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at HOSPITAL MENONITA GUAYAMA is about $775K per year (1% of FY25 total operating revenue).
Where HOSPITAL MENONITA GUAYAMA sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 1,475 of 2,643 filed
Each point is one Urban PPS hospital in the national FY25 distribution for this provider type, 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 FY25 median is +1.3%. Descriptive context only, not a ranking.
One urban pps hospitalHOSPITAL MENONITAUrban 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
73,185
74,577
77,512
Other operating revenue
1,422
4
5
Total operating revenue
74,608
74,582
77,517
Total operating expenses
59,000
66,192
67,737
Operating income
15,608
8,390
9,779
Operating margin %
+20.9%
+11.2%
+12.6%
Other non-operating, net
19,432
22,901
24,987
Net income
35,040
31,291
34,766
Net income %
+37.3%
+32.1%
+33.9%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 142-bed hospital running at 62% occupancy, where 46% 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
61.7%
Reported value2025
HCRIS WS S-3
Average daily census
87.80
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
142
Reported value2025
HCRIS WS S-3
Annual discharges
7,246
Reported value2025
HCRIS WS S-3
Average length of stay
4 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$2,120
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$9,348
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
45.6%
Reported value2025
HCRIS WS G-2 L28
Total FTEs
492.40
Reported value2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
21.1%
Reported value2025
HCRIS WS S-3 Pt V
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
16.4%
No Different Than the National Rate
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 2)
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Note 1: Results are not available for this reporting period.Note 2: Results cannot be calculated for this reporting period.
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
State context
Guayama, PR
Located in Guayama, 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 · FY25 cost report
Direct annual spending
$67.7M
total operating expense · Reported value, not a local-capture estimate
Labor income
$21.7M
$18.3M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$155.8M
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
21.8%
the county's largest employer · 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 poolFY25Astrelis calculation
Operating margin vs its peer pool: FY25 pool · n = 1,475.
Performance Benchmark Report: FY25 peer pool · n = 1,475 · conservative low band; acuity limits stated in the report.
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