Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY25, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY25, 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 Tamuning, GU. It ran an operating loss of 47.2% in FY24 on $115.8M of operating revenue. It held 18 days of cash on hand in FY25, its most recent reported liquidity (49th percentile of 1,446 Urban PPS hospitals on liquidity, FY25 pool). Operating margin declined from -38.2% in FY20 to -47.2% in FY24, though it rose 33.6 points in the most recent year. Including nonoperating items, the all-in result was positive at 5.3%.
Operating margin · FY24
-47.2%
Astrelis calculation · as-filed inputs
▲ 33.6 pts vs FY23
vs Urban PPS hospitals1st pctl of 2,563 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
18d
all sources
Astrelis calculation · as-filed inputs
▲ 17 days vs FY24
vs Urban PPS hospitals49th 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
$115.8M
Astrelis calculation · as-filed inputs
▼ $21.6M vs FY24
vs Urban PPS hospitals23rd 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 · FY24
+5.3%
Astrelis calculation · as-filed inputs
▲ 20.8 pts vs FY23
vs Urban PPS hospitals49th pctl of 2,563 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at GUAM MEMORIAL HOSPITAL AUTHORITY is about $1.2M per year (1% of FY25 total operating revenue).
Where GUAM MEMORIAL sits among Urban PPS hospitals
Operating margin · FY24 pool · n = 2,563 of 2,643 filed
Each point is one Urban PPS hospital in the national FY24 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 FY24 median is +2.0%. Descriptive context only, not a ranking.
One urban pps hospitalGUAM MEMORIALUrban 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.
245d (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
98,170
137,431
78,472
Other operating revenue
3,153
32
37,351
Total operating revenue
101,323
137,463
115,823
Total operating expenses
183,243
202,396
208,394
Operating income
(81,920)
(64,933)
(92,571)
Operating margin %
-80.9%
-47.2%
—
Grants & contributions
30,648
74,132
—
Investment income
—
(5)
—
Other non-operating, net
26,616
2,115
112,078
Net income
(24,656)
11,309
19,507
Net income %
-15.5%
+5.3%
—
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states.FY25 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -129,922K · Net patient revenue 78,472K
How it operates
quality & operational context · CMS public reporting
A 138-bed hospital running at 54% occupancy, where 15% 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
53.6%
Reported value2025
HCRIS WS S-3
Average daily census
74.15
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
138
Reported value2025
HCRIS WS S-3
Annual discharges
7,649
Reported value2025
HCRIS WS S-3
Average length of stay
4 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$7,721
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$27,245
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
15.4%
Reported value2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$39.5M
Reported value2023
HCRIS WS S-10 line 31
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
15.6%
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 · 6 reporting years
Operating margin
Days cash on hand
State context
Tamuning, GU
Located in Tamuning, GU. 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
$208.4M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$479.3M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
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 poolFY24Astrelis calculation
Operating margin vs its peer pool: FY24 pool · n = 2,563.
Performance Benchmark Report: FY24 peer pool · n = 2,563 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 13 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
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