As of the July, 2022, release via CMS

ASHFORD PRESBYTERIAN COMMUNITY CORP

CMS id: 400001
1451 ASHFORD AVE., SAN JUAN PR 902. County: SAN JUAN
System: --
CBSA: San Juan-Bayamon-Caguas, PR

The 173-bed, acute-care hospital had $-9,713,193 in net service to patients*, with a total profit margin of 10.97859% in fiscal year 2021, the latest year available.
It spent 1.17% of its operating expenses on uncompensated care and reported $1,187,392 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	153 118	151 118	151 119.5	151 118	147 119
Total beds Median	177 162	175 162	175 162	175 162	173 163.5
FTEs Median	726.65 788.06	692.90 793.42	686.80 806.03	648.01 787.61	611.00 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	63,344,807 150,932,746	57,749,500 158,950,878	58,336,275 168,696,998	48,711,882 163,454,693	53,872,053 186,589,412
Operating expenses Median	66,485,318 149,311,209	65,922,714 156,110,414	62,015,812 164,890,568	58,693,684 166,516,854	63,585,246 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,140,511 -964,173	-8,173,214 -643,601.5	-3,679,537 -116,254	-9,981,802 -5,025,862	-9,713,193 -1,284,564
NS2P margin ? Median	-4.96% -0.62	-14.15% -0.29	-6.31% 0.18	-20.49% -5.07	-18.03% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ASHFORD PRESBYTERIAN COMMUNITY CORP compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	3,140,517 5,089,215	8,173,212 4,572,541	3,679,537 5,268,134	9,981,804 13,092,619	17,554,860 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	200,343 224,999	88,099 199,009	73,067 206,870.5	33,479 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	38,437 299,524	64,212 188,688.5	294,669 370,813	173,018 309,361.5	36,395 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	57,585	51,589	55,89--	56,246	21,593
⊳ Line 10: Purchase discounts	110,951	120,903	42,057	3,355	104,393
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	55,861	53,194	53,475	58,026	60,131
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	1,084,873	1,130,884	1,097,815	966,661	798,509
⊳ Line 18: Revenue from sale of medical records and abstracts	24,612	18,907	15,725	9,571	7,600
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	33,997	33,925	33,364	25,743	19,657
⊳ Line 22: Rental of hospital space	56,785	66,407	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	1,476,908	6,545,092	2,013,475	8,655,705	16,506,582
Total income ? Median	6 6,586,430	-2 6,767,106	0 8,419,950	2 8,094,175	7,841,667 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	6 6,043,842	-2 5,845,112	0 7,606,259	2 7,283,041	7,841,667 14,957,241
Net margin Median	0.00001% 4.62%	0.00000% 4.42%	0.00000% 5.16%	0.00000% 5.2%	10.97859% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for ASHFORD PRESBYTERIAN COMMUNITY CORP compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	4,260,556 23,241,334	3,913,483 23,709,545	3,530,009 24,248,380	2,482,881 22,858,541	3,267,999 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	4,260,556 21,577,146	3,913,483 22,041,594	3,530,009 22,722,063	2,482,881 21,570,441	3,267,999 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	1,411,219 11,160,864	1,211,780 11,987,345	1,306,806 12,926,866	1,141,299 11,884,480	1,298,182 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	1,411,219 10,918,923	1,211,780 11,706,976	1,306,806 12,615,917	1,141,299 11,458,116	1,298,182 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	237,204 582,572	434,726 538,116	482,617 212,434	8,257 126,559	13,676 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	429,818 3,662,910	569,982 3,730,911	514,684 4,081,319	1,153,028 4,643,908	1,187,392 4,389,147
Charity care Median	0 2,654,636	0 2,940,659	0 3,380,215	0 3,488,738	0 3,233,405
Uncompensated care (UCC) Median	409,440 5,147,790	71,264 5,337,617	931,684 5,711,082	8,261 5,923,418	741,765 5,508,107
UCC as a % of operating expenses Median	0.62% 3.24	0.11% 3.12	1.50% 3.21	0.01% 3.3	1.17% 2.86
Total shortfall/UCC Median	839,258 9,489,989	641,246 9,424,297	1,446,368 10,120,158	1,161,289 11,171,337	1,929,157 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	22,316,656 52,142,039	20,972,959 54,485,252	20,951,013 57,395,589	18,959,607 58,830,919	20,312,869 61,722,907
Salaries as a % of operating expenses Median	33.57 36.68	31.81 36.56	33.78 36.37	32.30 35.93	31.95 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	0 1,449,244	0 1,475,986	0 1,563,078	0 1,721,954	0 2,991,828
Contract hours, direct-care Median	0.00 22,725	0.00 23,018.5	0.00 24,503.48	0.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	0.00 64.67	0.00 64.53	0.00 65.06	0.00 68.97	0.00 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.