As of the July, 2022, release via CMS

ASOCIACION HOSPITAL DEL MAESTRO INC

CMS id: 400004
SERVIO CUEVAS BUSTAMANTE, SAN JUAN PR 936. County: SAN JUAN
System: --
CBSA: San Juan-Bayamon-Caguas, PR

The 126-bed, acute-care hospital had $-4,841,080 in net service to patients*, with a total profit margin of -6.22994% in fiscal year 2021, the latest year available.
It spent 0.03% of its operating expenses on uncompensated care and reported $0 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	167 118	115 118	115 119.5	115 118	115 119
Total beds Median	178 162	126 162	126 162	126 162	126 163.5
FTEs Median	319.00 788.06	338.88 793.42	304.46 806.03	252.00 787.61	192.66 804.34

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	25,749,140 150,932,746	20,396,226 158,950,878	19,488,065 168,696,998	16,996,631 163,454,693	15,062,208 186,589,412
Operating expenses Median	27,697,896 149,311,209	26,604,352 156,110,414	24,230,496 164,890,568	21,581,079 166,516,854	19,903,288 180,120,888
Net income from service 2 patients (NS2P) ? Median	-1,948,756 -964,173	-6,208,126 -643,601.5	-4,742,431 -116,254	-4,584,448 -5,025,862	-4,841,080 -1,284,564
NS2P margin ? Median	-7.57% -0.62	-30.44% -0.29	-24.34% 0.18	-26.97% -5.07	-32.14% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ASOCIACION HOSPITAL DEL MAESTRO INC 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	785,800 5,089,215	780,840 4,572,541	1,668,395 5,268,134	515,983 13,092,619	3,673,835 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	13,573 224,999	0 199,009	0 206,870.5	47,107 194,343	295,991 249,496
⊳ Line 7: Investments ? ⊳ Median	3,499 299,524	1,816 188,688.5	6,509 370,813	17,125 309,361.5	10,397 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	43,769	26,276	17,--51	28,--03	27,232
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	72,000	67,935	0	82,500	90,000
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	62,000	0	0
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	1,230	640	0	1,383	0
⊳ Line 17: Revenue from sale of drugs to other than patients	40,481	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	11,948	14,473	11,816	6,598	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	7,890
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	147,290	97,311	82,500	66,000
⊳ Line 21: Rental of vending machines	26,885	0	10,598	9,875	4,576
⊳ Line 22: Rental of hospital space	557,271	0	199,371	221,905	224,348
⊳ 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	15,144	522,410	1,263,739	18,987	2,947,401
Total income ? Median	-1,162,956 6,586,430	-5,427,286 6,767,106	-3,074,036 8,419,950	-4,068,465 8,094,175	-1,167,245 15,162,888
Non-operating expenses Median	13,696 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-1,176,652 6,043,842	-5,427,286 5,845,112	-3,074,036 7,606,259	-4,068,465 7,283,041	-1,167,245 14,957,241
Net margin Median	-4.43435% 4.62%	-25.62813% 4.42%	-14.53001% 5.16%	-23.23163% 5.2%	-6.22994% 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 ASOCIACION HOSPITAL DEL MAESTRO INC 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	2,210,607 23,241,334	1,984,812 23,709,545	1,744,851 24,248,380	1,846,383 22,858,541	1,401,273 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	2,210,607 21,577,146	1,984,812 22,041,594	1,744,851 22,722,063	1,846,383 21,570,441	1,401,273 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	390,975 11,160,864	316,004 11,987,345	281,047 12,926,866	212,263 11,884,480	211,244 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	390,975 10,918,923	316,004 11,706,976	281,047 12,615,917	212,263 11,458,116	211,244 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	12,140 549,667
Outlier Median	154,372 582,572	196,972 538,116	200,408 212,434	11,036 126,559	1,211 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	2,861,678 3,730,911	0 4,081,319	0 4,643,908	0 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	954,149 5,147,790	10,656 5,337,617	593,772 5,711,082	614,039 5,923,418	5,741 5,508,107
UCC as a % of operating expenses Median	3.44% 3.24	0.04% 3.12	2.45% 3.21	2.85% 3.3	0.03% 2.86
Total shortfall/UCC Median	954,149 9,489,989	2,872,334 9,424,297	593,772 10,120,158	614,039 11,171,337	5,741 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	9,964,970 52,142,039	9,177,434 54,485,252	8,600,025 57,395,589	7,332,799 58,830,919	5,877,155 61,722,907
Salaries as a % of operating expenses Median	35.98 36.68	34.50 36.56	35.49 36.37	33.98 35.93	29.53 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.