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 (47th percentile among Urban PPS hospitals on liquidity). 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%
▲ 33.6 pts vs FY23
vs Urban PPS hospitals3rd pctl of 1,475 (FY25)
Days cash on hand · FY25
18d
all sources
▲ 17.3 days vs FY24
vs Urban PPS hospitals47th pctl of 1,386 (FY25)
Total operating revenue · FY25
$115.8M
▼ 21.6 $M vs FY24
vs Urban PPS hospitals23rd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY24
+5.3%
▲ 20.8 pts vs FY23
vs Urban PPS hospitals46th pctl of 1,475 (FY25)
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 · 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 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 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
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%
-79.9%
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%
+8.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
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).
FY25 operating and total margins are not shown: they compute from near-zero net patient revenue, so the ratio is not meaningful (display gate; statement values unchanged).
How it operates
quality & operational context · CMS public reporting
A 138-bed hospital at 54% occupancy 15% 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
53.6%
Verified fact2025
HCRIS WS S-3
Average daily census
74.15
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
138
Verified fact2025
HCRIS WS S-3
Annual discharges
7,649
Verified fact2025
HCRIS WS S-3
Average length of stay
3.5d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
15.4%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$39.5M
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
15.6%
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
The county this hospital serves
Location, GU
Located in Tamuning, GU. County demographic and economic context (Census, CDC, HRSA sources) extends to this hospital cohort in an upcoming release.
The Board Briefing$1,000
The free profile shows the record. The Board Briefing tells you what changed, what matters, and what your board should ask. 35+ pages, built entirely from public sources, no client data required. Delivered within 2 business days. If we cannot deliver the published scope for your facility, you pay nothing.
Every facility in your portfolio, benchmarked and triaged: which are fine, which need a closer look, which need attention now. Requires only a CCN roster. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.
