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 (66th percentile among Urban PPS hospitals on liquidity). 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%
▼ 16.8 pts vs FY24
vs Urban PPS hospitals1st pctl of 1,475 (FY25)
Days cash on hand · FY25
78d
all sources
▼ 24.2 days vs FY24
vs Urban PPS hospitals66th pctl of 1,386 (FY25)
Total operating revenue · FY25
$214.3M
▼ 22.0 $M vs FY24
vs Urban PPS hospitals42nd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-7.2%
▼ 5.8 pts vs FY24
vs Urban PPS hospitals12th pctl of 1,475 (FY25)
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 2,681 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 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 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
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%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24, FY25 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).
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 evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Scale and flow
Annual discharges
1,633
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
76.9%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,622
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.3%
Verified fact2025
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
The number of cases/patients is too few to report.
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
Days cash on hand
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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