Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY24, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY24, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in San German, PR. It ran an operating loss of 4.3% in FY25 on $15.6M of operating revenue. It held 32 days of cash on hand in FY24, its most recent reported liquidity (54th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -7.4% in FY20 to -4.3% in FY25.
Operating margin · FY25
-4.3%
▲ 7.6 pts vs FY24
vs Urban PPS hospitals33rd pctl of 1,475 (FY25)
Days cash on hand · FY24
32d
all sources
▼ 5.1 days vs FY23
vs Urban PPS hospitals54th pctl of 1,386 (FY25)
Total operating revenue · FY25
$15.6M
▼ 9.9 $M vs FY24
vs Urban PPS hospitals2nd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-3.4%
▲ 7.4 pts vs FY24
vs Urban PPS hospitals19th pctl of 1,475 (FY25)
One point of operating margin at HOSPITAL METROPOLITANO DE SAN GERMAN is about $156K per year (1% of FY25 total operating revenue).
Where HOSPITAL METROPOLITANO DE sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 1,475 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 +1.3%. Descriptive context only, not a ranking.
One urban pps hospitalHOSPITAL METROPOLITANOUrban 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
28,111
25,212
15,514
Other operating revenue
97
247
51
Total operating revenue
28,208
25,459
15,565
Total operating expenses
31,769
28,502
16,240
Operating income
(3,560)
(3,043)
(675)
Operating margin %
-12.6%
-12.0%
-4.3%
Other non-operating, net
853
264
139
Net income
(2,707)
(2,779)
(536)
Net income %
-9.3%
-10.8%
-3.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 57-bed hospital at 44% occupancy 67% 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
43.7%
Verified fact2025
HCRIS WS S-3
Average daily census
25.02
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
57
Verified fact2025
HCRIS WS S-3
Annual discharges
1,564
Verified fact2025
HCRIS WS S-3
Average length of stay
4.3d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
66.7%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
140.40
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
15.0%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$1.3M
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
14.8%
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 · 6 reporting years
Operating margin
Days cash on hand
FY25 days cash suppressed: out of display range.
The county this hospital serves
Location, PR
Located in San German, PR. County demographic and economic context (Census, CDC, HRSA sources) extends to this hospital cohort in an upcoming release.
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