As of the July, 2022, release via CMS

HOSPITAL DE LA CONCEPCION

CMS id: 400021
CARR. #2 KM 173.4 BO CAIN ALTO, SAN GERMAN PR 683. County: SAN GERMAN
System: --
CBSA: San German, PR

The 186-bed, acute-care hospital had $-1,332,145 in net service to patients*, with a total profit margin of 10.61366% in fiscal year 2021, the latest year available.
It spent 1.32% of its operating expenses on uncompensated care and reported $390,201 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	143 118	143 118	143 119.5	143 118	143 119
Total beds Median	186 162	186 162	186 162	186 162	186 163.5
FTEs Median	694.63 788.06	694.66 793.42	685.76 806.03	623.12 787.61	683.50 804.34

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	71,707,849 150,932,746	-5,922,447 158,950,878	74,874,645 168,696,998	68,197,972 163,454,693	82,632,299 186,589,412
Operating expenses Median	73,451,800 149,311,209	71,267,909 156,110,414	74,903,599 164,890,568	71,466,416 166,516,854	83,964,444 180,120,888
Net income from service 2 patients (NS2P) ? Median	-1,743,951 -964,173	-77,190,356 -643,601.5	-28,954 -116,254	-3,268,444 -5,025,862	-1,332,145 -1,284,564
NS2P margin ? Median	-2.43% -0.62	1,303.35% -0.29	-0.04% 0.18	-4.79% -5.07	-1.61% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HOSPITAL DE LA CONCEPCION 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	3,431,005 5,089,215	79,220,861 4,572,541	3,845,567 5,268,134	13,540,110 13,092,619	11,302,015 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	290,224 224,999	5,000 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	19,862 299,524	175,997 188,688.5	700,264 370,813	563,120 309,361.5	670,995 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	1--1,032	96,355	112,262	95,14--	1--2,879
⊳ Line 10: Purchase discounts	100,531	70,705	30,639	23,547	79,994
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	422,744	461,651	464,554	242,813	302,792
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,019,339	1,001,648	939,931	628,794	741,424
⊳ 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	329,723	683,269	748,632	762,170	841,863
⊳ 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	639,208	362,468	328,807	380,826	425,067
⊳ Line 21: Rental of vending machines	0	38,052	32,816	26,058	18,854
⊳ Line 22: Rental of hospital space	54,666	51,855	68,200	81,000	84,500
⊳ 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	453,676	76,273,909	419,462	10,736,642	8,033,647
Total income ? Median	1,687,054 6,586,430	2,030,505 6,767,106	3,816,613 8,419,950	10,271,666 8,094,175	9,969,870 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	1,687,054 6,043,842	2,030,505 5,845,112	3,816,613 7,606,259	10,271,666 7,283,041	9,969,870 14,957,241
Net margin Median	2.24525% 4.62%	2.77019% 4.42%	4.84833% 5.16%	12.56656% 5.2%	10.61366% 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 DE LA CONCEPCION 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	9,327,460 23,241,334	8,110,656 23,709,545	10,016,386 24,248,380	10,202,209 22,858,541	9,343,517 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	8,758,679 21,577,146	7,574,447 22,041,594	9,223,021 22,722,063	9,326,189 21,570,441	8,739,218 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	568,781 3,535,627	536,209 3,746,588	793,365 3,782,288	876,020 3,865,578	604,299 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	973,074 11,160,864	908,371 11,987,345	741,323 12,926,866	558,026 11,884,480	665,160 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	973,074 10,918,923	908,371 11,706,976	741,323 12,615,917	558,026 11,458,116	665,160 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	628,158 3,284,314	390,240 3,250,551	527,491 3,386,837	525,453 3,360,806	665,582 3,508,953
Disproportionate-share hospital (DSH) Median	67,575 594,888	80,879 595,761	378,415 577,894	379,900 542,168	313,472 549,667
Outlier Median	100,106 582,572	104,878 538,116	32,582 212,434	28,838 126,559	5,524 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	841,656 3,662,910	13,902,028 3,730,911	0 4,081,319	1,884,651 4,643,908	390,201 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	384,196 5,147,790	152,808 5,337,617	255,960 5,711,082	415,822 5,923,418	1,107,084 5,508,107
UCC as a % of operating expenses Median	0.52% 3.24	0.21% 3.12	0.34% 3.21	0.58% 3.3	1.32% 2.86
Total shortfall/UCC Median	1,225,852 9,489,989	14,054,836 9,424,297	255,960 10,120,158	2,300,473 11,171,337	1,497,285 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	25,503,406 52,142,039	26,046,750 54,485,252	25,999,404 57,395,589	23,406,121 58,830,919	26,502,610 61,722,907
Salaries as a % of operating expenses Median	34.72 36.68	36.55 36.56	34.71 36.37	32.75 35.93	31.56 35.24
Intern, resident salaries* Median	0 2,598,592	681,280 2,686,824	708,515 2,753,773	701,570 2,937,156	704,501 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.