Astrelis
Urban PPS hospital · Dededo, GU

GUAM REGIONAL MEDICAL CITY

CCN 650003Voluntary non-profit - Private136 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Dededo, GU. It ran an operating surplus of 3.0% in FY24 on $254.2M of operating revenue. It held 62 days of cash on hand (64th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -6.6% in FY20 to 3.0% in FY24.

Operating margin · FY24
+3.0%
8.5 pts vs FY23
vs Urban PPS hospitals53rd pctl of 2,562 (FY24)
Days cash on hand · FY24
62d
all sources
23.8 days vs FY23
vs Urban PPS hospitals64th pctl of 2,354 (FY24)
Total operating revenue · FY24
$254.2M
35.2 $M vs FY23
vs Urban PPS hospitals48th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+1.6%
10.5 pts vs FY23
vs Urban PPS hospitals34th pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at GUAM REGIONAL MEDICAL CITY is about $2.5M per year (1% of FY24 total operating revenue).

Where GUAM REGIONAL MEDICAL sits among Urban PPS hospitals

Operating margin · FY24 pool · n = 2,562 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 +2.0%. Descriptive context only, not a ranking.

Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Urban PPS hospital median +2.027429837815152%GUAM REGIONAL +2.952944624420487%-20%0%+20%Urban PPS hospital median +2.027429837815152%GUAM REGIONAL +2.952944624420487%
One urban pps hospitalGUAM REGIONALUrban 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.

Operating margin
+3.0% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+1.6% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
62d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
0.53× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
-25% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
111d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue168,728217,936251,390
Other operating revenue831,0902,810
Total operating revenue168,811219,026254,201
Total operating expenses210,462231,270246,694
Operating income(41,651)(12,245)7,506
Operating margin %-24.7%-5.6%+3.0%
Other non-operating, net15,322(7,129)(3,171)
Net income(26,329)(19,374)4,335
Net income %-14.3%-9.1%+1.7%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 136-bed hospital at 89% occupancy 34% 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
89.1%
Verified fact2024
HCRIS WS S-3
Average daily census
121.55
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
136
Verified fact2024
HCRIS WS S-3
Annual discharges
5,484
Verified fact2024
HCRIS WS S-3
Average length of stay
8.1d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
33.8%
Verified fact2024
HCRIS WS G-2 L28
How the care measures up
C. difficile infection (SIR)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-6.6%-5.4%-24.7%-5.6%+3.0%FY20FY21FY22FY23FY24
Days cash on hand
131 days82 days42 days38 days62 daysFY20FY21FY22FY23FY24

The county this hospital serves

Location, GU
Located in Dededo, GU. County demographic and economic context (Census, CDC, HRSA sources) extends to this hospital cohort in an upcoming release.

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