As of the July, 2022, release via CMS

HOSPITAL DAMAS

CMS id: 400022
2213 PONCE BY PASS, PONCE PR 717. County: PONCE
System: --
CBSA: Ponce, PR

The 175-bed, acute-care hospital had $-8,231,328 in net service to patients*, with a total profit margin of 0.63506% in fiscal year 2020, the latest year available.
It spent 0.79% of its operating expenses on uncompensated care and reported $3,332,788 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	--
Ownership	nfp	nfp	nfp	nfp	--
Acute beds Median	142 118	150 118	151 119.5	123 118	-- 119
Total beds Median	199 162	207 162	208 162	175 162	-- 163.5
FTEs Median	722.55 788.06	696.17 793.42	695.20 806.03	668.00 787.61	-- 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	59,355,209 150,932,746	60,592,714 158,950,878	65,016,860 168,696,998	53,511,738 163,454,693	-- 186,589,412
Operating expenses Median	68,194,560 149,311,209	65,890,972 156,110,414	68,119,799 164,890,568	61,743,066 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	-8,839,351 -964,173	-5,298,258 -643,601.5	-3,102,939 -116,254	-8,231,328 -5,025,862	-- -1,284,564
NS2P margin ? Median	-14.89% -0.62	-8.74% -0.29	-4.77% 0.18	-15.38% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HOSPITAL DAMAS 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	5,512,226 5,089,215	5,149,666 4,572,541	6,466,560 5,268,134	8,625,937 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	50,000 206,870.5	32,196 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	264,366 299,524	256,444 188,688.5	373,902 370,813	266,395 309,361.5	-- 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	48,195	--	12--,587	171,736	--
⊳ Line 10: Purchase discounts	1,419,335	1,336,534	1,072,960	516,789	--
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	--
⊳ Line 12: Parking lot receipts	468,000	429,000	468,000	348,895	--
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	36,572	36,150	36,835	26,331	--
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	--
⊳ Line 17: Revenue from sale of drugs to other than patients	1,596,431	1,533,996	1,333,534	1,343,864	--
⊳ Line 18: Revenue from sale of medical records and abstracts	16,614	21,219	24,191	24,375	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	--
⊳ Line 21: Rental of vending machines	0	0	0	0	--
⊳ Line 22: Rental of hospital space	820,660	873,957	907,004	575,167	--
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	-- 1,597,664
⊳ Sum Line 24	841,723	662,306	2,079,522	5,320,174	--
Total income ? Median	-3,327,125 6,586,430	-148,592 6,767,106	3,363,621 8,419,950	394,609 8,094,175	-- 15,162,888
Non-operating expenses Median	0 146,289.5	335,259 164,857	0 89,880.5	0 106,761	-- 31,473.5
Net income Median	-3,327,125 6,043,842	-483,851 5,845,112	3,363,621 7,606,259	394,609 7,283,041	-- 14,957,241
Net margin Median	-5.12911% 4.62%	-0.73598% 4.42%	4.70546% 5.16%	0.63506% 5.2%	--% 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 DAMAS 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	9,124,297 23,241,334	8,461,094 23,709,545	9,801,787 24,248,380	8,996,893 22,858,541	-- 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	8,944,713 21,577,146	8,328,081 22,041,594	9,599,763 22,722,063	8,863,429 21,570,441	-- 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	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	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	-- 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	179,584 1,203,033	133,013 1,215,295	202,024 1,313,657	133,464 1,365,298	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	1,239,678 11,160,864	1,390,074 11,987,345	1,221,529 12,926,866	983,034 11,884,480	-- 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	1,055,760 10,918,923	1,253,403 11,706,976	1,140,704 12,615,917	955,495 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	183,918 1,282,808	136,671 1,407,728	80,825 1,341,512	27,539 1,407,046	-- 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	-- 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	-- --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	818,152 3,284,314	1,009,569 3,250,551	881,901 3,386,837	1,195,009 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	105,226 594,888	92,240 595,761	106,631 577,894	90,740 542,168	-- 549,667
Outlier Median	177,666 582,572	76,997 538,116	22,091 212,434	2,735 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	749,844 3,662,910	1,142,438 3,730,911	907,748 4,081,319	3,332,788 4,643,908	-- 4,389,147
Charity care Median	0 2,654,636	0 2,940,659	0 3,380,215	0 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	861,691 5,147,790	232,372 5,337,617	655,347 5,711,082	485,137 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	1.26% 3.24	0.35% 3.12	0.96% 3.21	0.79% 3.3	--% 2.86
Total shortfall/UCC Median	1,611,535 9,489,989	1,374,810 9,424,297	1,563,095 10,120,158	3,817,925 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	23,000,329 52,142,039	21,049,818 54,485,252	21,238,102 57,395,589	20,462,800 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	33.73 36.68	31.95 36.56	31.18 36.37	33.14 35.93	-- 35.24
Intern, resident salaries* Median	98,745 2,598,592	13,656 2,686,824	16,024 2,753,773	14,066 2,937,156	-- 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	0 1,449,244	0 1,475,986	187,157 1,563,078	0 1,721,954	-- 2,991,828
Contract hours, direct-care Median	0.00 22,725	0.00 23,018.5	12,872.00 24,503.48	0.00 25,026.5	-- 33,786
Contract wages, direct-care Median	0.00 64.67	0.00 64.53	14.54 65.06	0.00 68.97	-- 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.