A hospital in San Juan, PR. It ran an operating loss of 61.9% in FY25 on $214.3M of operating revenue. It held 78 days of cash on hand (67th percentile of 1,446 Urban PPS hospitals on liquidity, FY25 pool). Operating margin improved from -72.2% in FY21 to -61.9% in FY25, though it fell 16.8 points in the most recent year.
Operating margin · FY25
-61.9%
Astrelis calculation · as-filed inputs
▼ 16.8 pts vs FY24
vs Urban PPS hospitals1st 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
78d
all sources
Astrelis calculation · as-filed inputs
▼ 24 days vs FY24
vs Urban PPS hospitals67th 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
$214.3M
Astrelis calculation · as-filed inputs
▼ $22.0M vs FY24
vs Urban PPS hospitals42nd 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
-7.2%
Astrelis calculation · as-filed inputs
▼ 5.8 pts vs FY24
vs Urban PPS hospitals12th 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 ASEM is about $2.1M per year (1% of FY25 total operating revenue).
Where ASEM 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 hospitalASEMUrban 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.
223d (FY25) — outside expected range; shown at the chart boundary and included in peer statistics
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
179,655
234,252
214,754
Other operating revenue
1,835
2,079
(435)
Total operating revenue
181,489
236,332
214,319
Total operating expenses
300,244
342,705
346,876
Operating income
(118,755)
(106,373)
(132,557)
Operating margin %
-65.4%
-45.0%
-61.9%
Grants & contributions
115,061
96,631
105,317
Investment income
3,217
4,531
3,461
Other non-operating, net
473
438
515
Net income
(4)
(4,773)
(23,264)
Net income %
0.0%
-1.4%
-7.2%
— = 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
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
Annual discharges
1,633
Reported value2025
HCRIS WS S-3
Cost per discharge (unadjusted)
$212,417
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
76.9%
Reported value2025
HCRIS WS G-2 L28
Total FTEs
1,622
Reported value2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.3%
Reported value2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.105
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Not reported in source (note 1)
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Not reported in source (note 2)
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: The number of cases/patients is too few to report.Note 2: Results are not available for this reporting period.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
San Juan, PR
Located in San Juan, 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
$346.9M
total operating expense · Reported value, not a local-capture estimate
Labor income
$106.8M
$89.8M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$797.8M
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
0.6%
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 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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