Astrelis
Urban PPS hospital · San Juan, PR

METROPOLITAN HOSPITAL

CCN 400106ProprietaryUrban (USDA RUCC)127 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in San Juan, PR. It ran an operating loss of 3.4% in FY24 on $49.9M of operating revenue. It held 93 days of cash on hand (71st percentile among Urban PPS hospitals on liquidity). Operating margin improved from -10.1% in FY20 to -3.4% in FY24.

Operating margin · FY24
-3.4%
vs Urban PPS hospitals33rd pctl of 2,562 (FY24)
Days cash on hand · FY24
93d
all sources
vs Urban PPS hospitals71st pctl of 2,354 (FY24)
Total operating revenue · FY24
$49.9M
vs Urban PPS hospitals10th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
-0.4%
vs Urban PPS hospitals26th pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at METROPOLITAN HOSPITAL is about $499K per year (1% of FY24 total operating revenue).

Where METROPOLITAN HOSPITAL sits among Urban PPS hospitals

Operating margin · FY24 pool · n = 2,562 of 2,681 filed

Each point is one Urban PPS hospital in the national 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 median is +2.0%. Descriptive context only, not a ranking.

Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Urban PPS hospital median +2.027429837815152%METROPOLITAN HOSPITAL -3.3510495452705333%-20%0%+20%Urban PPS hospital median +2.027429837815152%METROPOLITAN HOSPITAL -3.3510495452705333%
One urban pps hospitalMETROPOLITAN HOSPITALUrban 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 renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.

Operating margin
-3.4% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-0.4% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
93d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.42× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
37% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
93d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue48,06349,82949,826
Other operating revenue28610372
Total operating revenue48,34949,93249,898
Total operating expenses50,16252,40451,570
Operating income(1,813)(2,472)(1,672)
Operating margin %-3.7%-5.0%-3.4%
Investment income3218695
Other non-operating, net4,0893,2281,395
Net income2,308942(182)
Net income %+4.4%+1.8%-0.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 127-bed hospital at 50% occupancy 64% of patient revenue is outpatient.

The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Scale and flow
Occupancy
50.0%
Verified fact2024
HCRIS WS S-3
Average daily census
63.68
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
127
Verified fact2024
HCRIS WS S-3
Annual discharges
4,038
Verified fact2024
HCRIS WS S-3
Average length of stay
5.8d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
63.8%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
346.30
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
15.7%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$0.4M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results are not available for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.5%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Results are not available for this reporting period.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-10.1%-4.6%-3.8%-5.0%-3.4%FY20FY21FY22FY23FY24
Days cash on hand
213 days171 days168 days132 days93 daysFY20FY21FY22FY23FY24

The county this hospital serves

Location, PR
Located in San Juan, PR. County demographic and economic context (Census, CDC, HRSA sources) extends to this hospital cohort in an upcoming release.

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