As of the July, 2022, release via CMS

HOSPITAL MENONITA AIBONITO

CMS id: 400018
JOSE C VAZQUEZ, AIBONITO PR 705. County: AIBONITO
System: --
CBSA: San Juan-Bayamon-Caguas, PR

The 138-bed, acute-care hospital had $-5,500,598 in net service to patients*, with a total profit margin of 36.16283% in fiscal year 2021, the latest year available.
It spent 1.00% of its operating expenses on uncompensated care and reported $4,096,058 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	144 118	144 118	144 119.5	131 118	132 119
Total beds Median	150 162	150 162	150 162	137 162	138 163.5
FTEs Median	732.00 788.06	870.00 793.42	796.00 806.03	730.00 787.61	703.00 804.34

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	55,339,721 150,932,746	55,550,215 158,950,878	53,372,239 168,696,998	58,863,513 163,454,693	67,657,272 186,589,412
Operating expenses Median	78,611,187 149,311,209	79,667,957 156,110,414	77,507,343 164,890,568	79,470,855 166,516,854	73,157,870 180,120,888
Net income from service 2 patients (NS2P) ? Median	-23,271,466 -964,173	-24,117,742 -643,601.5	-24,135,104 -116,254	-20,607,342 -5,025,862	-5,500,598 -1,284,564
NS2P margin ? Median	-42.05% -0.62	-43.42% -0.29	-45.22% 0.18	-35.01% -5.07	-8.13% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HOSPITAL MENONITA AIBONITO 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	32,042,848 5,089,215	29,768,661 4,572,541	33,467,388 5,268,134	27,091,323 13,092,619	48,146,718 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ 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	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	0	0	0	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	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ 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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	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	32,042,848	29,768,661	33,467,388	27,091,323	48,146,718
Total income ? Median	8,771,382 6,586,430	5,650,919 6,767,106	9,332,284 8,419,950	6,483,981 8,094,175	42,646,120 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	568,774 89,880.5	700,559 106,761	768,120 31,473.5
Net income Median	8,771,382 6,043,842	5,650,919 5,845,112	8,763,510 7,606,259	5,783,422 7,283,041	41,878,000 14,957,241
Net margin Median	10.03791% 4.62%	6.62329% 4.42%	10.09160% 5.16%	6.72844% 5.2%	36.16283% 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 HOSPITAL MENONITA AIBONITO 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	6,265,263 23,241,334	5,888,508 23,709,545	5,198,281 24,248,380	5,903,497 22,858,541	6,535,928 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	6,265,263 21,577,146	5,888,508 22,041,594	5,198,281 22,722,063	5,903,497 21,570,441	6,535,928 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	519,595 11,160,864	802,645 11,987,345	762,502 12,926,866	822,071 11,884,480	912,787 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	519,595 10,918,923	491,856 11,706,976	471,145 12,615,917	465,795 11,458,116	462,485 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	310,789 1,407,728	291,357 1,341,512	356,276 1,407,046	450,302 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	163,176 594,888	172,730 595,761	126,696 577,894	163,814 542,168	143,717 549,667
Outlier Median	133,953 582,572	155,549 538,116	115,045 212,434	5,110 126,559	11,738 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	1,520,305 3,730,911	2,934,039 4,081,319	3,519,463 4,643,908	4,096,058 4,389,147
Charity care Median	115,094 2,654,636	87,064 2,940,659	0 3,380,215	0 3,488,738	0 3,233,405
Uncompensated care (UCC) Median	840,305 5,147,790	3,021,300 5,337,617	1,194,012 5,711,082	954,941 5,923,418	727,944 5,508,107
UCC as a % of operating expenses Median	1.07% 3.24	3.79% 3.12	1.54% 3.21	1.20% 3.3	1.00% 2.86
Total shortfall/UCC Median	840,305 9,489,989	4,541,605 9,424,297	4,128,051 10,120,158	4,474,404 11,171,337	4,824,002 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	30,146,244 52,142,039	30,443,120 54,485,252	31,184,657 57,395,589	29,895,682 58,830,919	29,267,024 61,722,907
Salaries as a % of operating expenses Median	38.35 36.68	38.21 36.56	40.23 36.37	37.62 35.93	40.01 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	236,660 1,449,244	165,988 1,475,986	252,744 1,563,078	211,513 1,721,954	116,708 2,991,828
Contract hours, direct-care Median	19,668.00 22,725	15,664.00 23,018.5	18,753.00 24,503.48	15,169.00 25,026.5	11,266.00 33,786
Contract wages, direct-care Median	12.03 64.67	10.60 64.53	13.48 65.06	13.94 68.97	10.36 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.