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Psychiatric hospital · Cidra, Puerto Rico · 216 beds · CMS certification number 404004

First Hospital Panamericano

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS May 8, 2026. 30 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$37.4M
$37,403,542 · G-3 line 3
Operating expenses
$37.6M
$37,568,380 · G-3 line 4
Result from patient care
−$165K
−$164,838 · G-3 line 5
Margin on patient care
−0.4%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $9.2M in its first year on file (1996) to $37.4M in 2025.
  • Its result from patient care: $1.6M (2023), −$2.1M (2024), −$165K (2025).
  • 2 of the 5 psychiatric hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • ALTERNATIVE BEHAVIORAL SERVICES, INC. holds 100% of it, on its Medicare enrollment.

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

30 years of filings

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

Net patient revenueOperating expenses
1996
settled with audit
$9.2M
$7.8M
1997
settled with audit
$19.6M
$17.2M
1998
settled with audit
$20.9M
$17.9M
1999
settled with audit
$21.2M
$21.0M
2000
settled with audit
$22.3M
$22.1M
2001
settled with audit
$21.4M
$22.1M
2002
settled with audit
$23.6M
$23.8M
2003
settled
$24.0M
$23.9M
2004
settled with audit
$26.6M
$25.8M
2005
settled
$28.9M
$28.6M
2006
settled
$31.6M
$31.9M
2007
settled
$35.4M
$30.4M
2008
reopened
$37.1M
$31.7M
2009
settled
$39.9M
$34.9M
2010
settled
$40.8M
$37.5M
2011
settled
$36.0M
$43.6M
2012
settled
$35.9M
$33.0M
2013
settled
$39.0M
$33.8M
2014
settled
$40.8M
$35.6M
2015
reopened
$43.0M
$38.2M
2016
settled
$40.3M
$35.8M
2017
settled
$38.4M
$36.3M
2018
settled
$38.9M
$35.0M
2019
settled
$37.4M
$35.4M
2020
settled
$28.4M
$29.5M
2021
settled
$32.4M
$32.0M
2022
settled
$34.6M
$32.8M
2023
settled
$36.3M
$34.7M
2024
as submitted
$33.5M
$35.6M
2025
as submitted
$37.4M
$37.6M

Beside its peers

Hospitals of the same type (psychiatric hospital), nearest in size, from Puerto Rico first; each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
First Hospital Panamericano216$37,403,542$37,568,380−0.4%
Fairfax Hospital, Kirkland (WA)221$112,565,762$76,366,20232.2%
Centro de Salud Conductual Menonita Cima, Aibonito61$11,598,981$21,098,624−81.9%
Havenwyck Hospital, Auburn Hills (MI)215$101,031,794$68,773,75131.9%
Hospital Oasis de Vida, Cabo Rojo39$3,410,723$6,342,033−85.9%
San Juan Capestrano Hospital, San Juan154$38,596,994$38,039,7061.4%

Patients and payers

Discharges
14,330
S-3 line 14, col 15
Inpatient days
59,095
S-3 line 14, col 8
Beds in use, on an average day
162.3
days ÷ days in year
Occupancy
75.0%
days ÷ bed days
Medicare share of days
2.6%
S-3 cols 6 ÷ 8

Who owns it

  • ALTERNATIVE BEHAVIORAL SERVICES, INC.100%
  • PR HOLDING II INC100%
  • PSYCHIATRIC SOLUTIONS, INC.100%
  • UNIVERSAL HEALTH SERVICES INC100%
  • ALAN B MILLER87%

Related organizations on its own cost report: UHS OF DELAWARE, hospital mgt.

Other hospitals with the same owner: Hill Crest Behavioral Health Services (AL), Laurel Oaks Behavioral Health Center (AL), North Star Hospital (AK), Valley Hospital (AZ), Palo Verde Behavioral Health (AZ), Quail Run Behavioral Health (AZ), Via Linda Behavioral Hospital (AZ), The Bridgeway (AR), Rivendell Behavioral Health Services of Arkansas (AR), Pinnacle Pointe Behavioral Health System (AR), Springwoods Behavioral Health (AR), Palmdale Regional Medical Center (CA).

Type of control on its cost report: proprietary, corporation.

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 HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 404004. 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 HOSP10FY2025.ZIP, read May 8, 2026.