As of the July, 2022, release via CMS

ADMIN DE SERVICIOS MEDICOS DE PR

CMS id: 400127
CENTRO MEDICO, SAN JUAN PR 922. County: SAN JUAN
System: --
CBSA: San Juan-Bayamon-Caguas, PR

The 69-bed, acute-care hospital had $-109,911,856 in net service to patients*, with a total profit margin of 0.00000% in fiscal year 2021, the latest year available.
It spent 0.00% of its operating expenses on uncompensated care and reported $16,804,774 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	gov	gov
Acute beds Median	0 118	0 118	0 119.5	0 118	0 119
Total beds Median	78 162	78 162	68 162	68 162	69 163.5
FTEs Median	1,241.12 788.06	1,233.87 793.42	1,272.54 806.03	1,216.26 787.61	0.00 804.34

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	133,996,538 150,932,746	144,341,712 158,950,878	127,492,408 168,696,998	173,215,788 163,454,693	148,740,106 186,589,412
Operating expenses Median	216,018,043 149,311,209	204,042,062 156,110,414	199,652,281 164,890,568	269,297,791 166,516,854	258,651,962 180,120,888
Net income from service 2 patients (NS2P) ? Median	-82,021,505 -964,173	-59,700,350 -643,601.5	-72,159,873 -116,254	-96,082,003 -5,025,862	-109,911,856 -1,284,564
NS2P margin ? Median	-61.21% -0.62	-41.36% -0.29	-56.60% 0.18	-55.47% -5.07	-73.90% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ADMIN DE SERVICIOS MEDICOS DE PR 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	43,050,215 5,089,215	76,991,539 4,572,541	114,981,305 5,268,134	96,082,006 13,092,619	109,911,858 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	42,350,000 224,999	75,990,000 199,009	108,261,411 206,870.5	93,413,747 194,343	108,216,349 249,496
⊳ Line 7: Investments ? ⊳ Median	14,196 299,524	73,022 188,688.5	456,178 370,813	310,022 309,361.5	42,105 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	104,426	17,005	117,275	246,005	136,796
⊳ 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	49,525	51,190	52,090	42,632	41,665
⊳ Line 22: Rental of hospital space	370,987	443,184	460,300	505,924	40,275
⊳ 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	161,081	417,138	5,634,051	1,563,676	1,430,838
Total income ? Median	-38,971,290 6,586,430	17,291,189 6,767,106	42,821,432 8,419,950	3 8,094,175	2 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	-38,971,290 6,043,842	17,291,189 5,845,112	42,821,432 7,606,259	3 7,283,041	2 14,957,241
Net margin Median	-22.01186% 4.62%	7.81229% 4.42%	17.66024% 5.16%	0.00000% 5.2%	0.00000% 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 ADMIN DE SERVICIOS MEDICOS DE PR 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	1,333,832 23,241,334	1,838,110 23,709,545	2,588,311 24,248,380	2,685,191 22,858,541	2,675,830 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	1,333,832 21,577,146	1,838,110 22,041,594	2,588,311 22,722,063	2,685,191 21,570,441	2,675,830 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	123,082 11,160,864	145,212 11,987,345	142,420 12,926,866	125,315 11,884,480	98,926 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	123,082 10,918,923	145,212 11,706,976	142,420 12,615,917	125,315 11,458,116	98,926 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	2,891 594,888	4,076 595,761	5,764 577,894	4,657 542,168	2,592 549,667
Outlier Median	0 582,572	41,607 538,116	115,484 212,434	0 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	18,665,506 3,662,910	17,143,877 3,730,911	13,516,495 4,081,319	15,050,134 4,643,908	16,804,774 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	0 5,147,790	0 5,337,617	0 5,711,082	0 5,923,418	0 5,508,107
UCC as a % of operating expenses Median	0.00% 3.24	0.00% 3.12	0.00% 3.21	0.00% 3.3	0.00% 2.86
Total shortfall/UCC Median	18,665,506 9,489,989	17,143,877 9,424,297	13,516,495 10,120,158	15,050,134 11,171,337	16,804,774 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	74,787,339 52,142,039	70,073,405 54,485,252	66,837,074 57,395,589	65,527,425 58,830,919	60,374,255 61,722,907
Salaries as a % of operating expenses Median	34.62 36.68	34.34 36.56	33.48 36.37	24.33 35.93	23.34 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.