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Short-term acute care hospital · San Juan, Puerto Rico · 69 beds · CMS certification number 400127

Asem

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS March 5, 2026. 22 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$214.8M
$214,754,076 · G-3 line 3
Operating expenses
$346.9M
$346,876,225 · G-3 line 4
Result from patient care
−$132.1M
−$132,122,149 · G-3 line 5
Margin on patient care
−61.5%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $28.9M in its first year on file (2004) to $214.8M in 2025.
  • Its result from patient care: −$120.6M (2023), −$108.5M (2024), −$132.1M (2025).
  • 3 of the 5 short-term acute care hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 41.2% of its inpatient days and Medicare for 2.2%.
  • ADMINISTRACION DE SERVICIOS MEDICOS DE PUERTO RICO holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

22 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
2004
settled with audit
$28.9M
$34.5M
2005
settled with audit
$41.0M
$50.8M
2006
settled with audit
$47.1M
$58.5M
2007
settled
$75.6M
$50.4M
2008
settled
$119.9M
$73.5M
2009
settled
$107.1M
$78.8M
2010
settled
$97.1M
$92.4M
2011
reopened
$47.9M
$86.8M
2012
reopened
$87.7M
$120.9M
2013
reopened
$138.3M
$210.2M
2014
reopened
$131.5M
$216.0M
2015
reopened
$153.0M
$216.3M
2016
settled
$146.9M
$218.9M
2017
settled
$134.0M
$216.0M
2018
settled
$144.3M
$204.0M
2019
settled
$127.5M
$199.7M
2020
settled
$173.2M
$269.3M
2021
settled
$148.7M
$258.7M
2022
settled
$195.7M
$289.6M
2023
settled
$179.7M
$300.2M
2024
settled
$234.3M
$342.7M
2025
as submitted
$214.8M
$346.9M

Beside its peers

Short-term acute care hospitals in Puerto Rico with 50 to 99 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Asem69$214,754,076$346,876,225−61.5%
Caribbean Medical Center, Fajardo54$29,183,481$27,573,6615.5%
Hospital Centro Comprensivo Del Cancer, San Juan76$44,853,786$80,681,963−79.9%
Hosp. Metropolitano de San German, San German63$15,514,347$16,240,330−4.7%
Hospital Menonita Humacao, Humacao73$60,608,746$44,696,12426.3%
The San Jorge Hospital, San Juan71$21,110,893$31,533,799−49.4%

Patients and payers

Discharges
1,633
S-3 line 14, col 15
Inpatient days
22,015
S-3 line 14, col 8
Beds in use, on an average day
60.5
days ÷ days in year
Occupancy
87.4%
days ÷ bed days
Medicare share of days
2.2%
S-3 cols 6 ÷ 8
Medicaid share of days
41.2%
S-3 cols 7 ÷ 8

Who owns it

  • ADMINISTRACION DE SERVICIOS MEDICOS DE PUERTO RICO100%

Type of control on its cost report: governmental, state.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 400127. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read March 5, 2026.