Municipality Of San Juan Pr,Rio Piedras

San Juan, PR

136

Beds

3,743

Inpatient discharges a year

$47.3M

Net patient revenue a year

About this hospital

Municipality Of San Juan Pr,Rio Piedras is a 136-bed hospital in San Juan, PR.

Disproportionate share hospital
340B participant

CCN: 400015
NPI: 1609080498
Teaching: Major teaching hospital
County: San Juan Municipio
Metro area: San Juan-Bayamon-Caguas, PR MSA
Medicare contractor: Jurisdiction N, First Coast Service Options (09001)
In Medicare since: 1966
Last CMS survey: 2023

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

More about this hospital

Doctors and services
Accredited by The Joint Commission
- Major teaching hospital
- 17 affiliated clinicians
See doctors and services
Finances
$47.3M net patient revenue
- Operating margin on patient care -192.1%
- $36.4M unreimbursed and uncompensated care
- -$90.9M net income
See finances
Ownership and leadership
Local
- 340B drug pricing program participant
See ownership and leadership

Location

San Juan, PR

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Accreditation and services

The Joint Commission (since 2013)
Accreditation
None
Medical school affiliation
Local
Ownership type
450
Medicare-certified beds
208
Registered nurses (full-time equivalent)
1966
In Medicare since

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Municipality Of San Juan Pr,Rio Piedras reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.

3,743
Inpatient discharges
Medicare 4%, Medicaid 77%
26,867
Inpatient days
54% of available bed days used
247
Employees (full-time equivalent)
65
Interns and residents (full-time equivalent)

Source: CMS cost report (HCRIS) (report 836595). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Municipality Of San Juan Pr,Rio Piedras reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	953	16,501	9,413	26,867
Discharges	148	2,889	706	3,743
Average length of stay	6.4 days	5.7 days	13.3 days	7.2 days
Average daily census	2.6	45.2	25.8	73.6

2,812
Medicare Advantage days
296 discharges

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	102	17,647	739	47%
Intensive care unit	34	6,417	214	52%
Nursery		2,803

Source: CMS cost report (HCRIS, Form 2552-10), report 836595, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Where patients come from

ZIP codes with the most Medicare inpatient stays at Municipality Of San Juan Pr,Rio Piedras in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 278 in 2020 to 228 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
00926	52	23%	394	$893,522	2%	3%
00921	32	14%	268	$560,487	4%	5%
00923	29	13%	175	$437,771	4%	3%
00924	20	9%	137	$405,203	1%	1%
00929	19	8%	136	$299,575	21%
00754	18	8%	61	$147,655	2%	1%
00920	18	8%	145	$317,158	5%	4%
00915	14	6%	145	$312,099	2%	3%
00927	14	6%	174	$458,804	4%
00918	12	5%	161	$330,625	3%	4%

Source: CMS Hospital Service Area file. Shares are of the 228 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.

Staff and facilities

Staff by profession and the rooms and units Municipality Of San Juan Pr,Rio Piedras reported at its latest Medicare certification survey (2023). Counts are people, not full-time equivalents.

1
Operating rooms
2
Endoscopy rooms

208
Registered nurses
53
Licensed practical nurses
256
Physicians
118
Resident physicians
7
Pharmacists
13
Respiratory therapists
1
Physical therapists
1
Occupational therapists
24
Radiology technicians
7
Laboratory technicians
31
Medical technologists
3
Dietitians
6
Social workers
291
Other personnel

Source: CMS Provider of Services file.

Doctors and clinicians

17 clinicians who bill Medicare list Municipality Of San Juan Pr,Rio Piedras as a hospital affiliation. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Hematology & Oncology Physician 4
Endocrinology, Diabetes & Metabolism Physician 3
Internal Medicine Physician 3
Pulmonary Disease Physician 3
Emergency Medicine Physician 1
Nephrology Physician 1
Neurocritical Care Physician 1
Surgical Critical Care Physician 1

Joel Nieves Scharon, M.D.
Pulmonary Disease Physician
NPI 1841569308
See commercial rates for Joel Nieves Scharon, M.D.
Ricardo Fernandez, MD
Internal Medicine Physician
NPI 1588764013
See commercial rates for Ricardo Fernandez, MD
Sharon Velez-Maymi, MD
Endocrinology, Diabetes & Metabolism Physician
NPI 1982937728
See commercial rates for Sharon Velez-Maymi, MD
Ernesto Sola Sanchez, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1447511480
See commercial rates for Ernesto Sola Sanchez, M.D.
Dalianie Nieves, MD
Hematology & Oncology Physician
NPI 1073044517
See commercial rates for Dalianie Nieves, MD
Hiram Maldonado Quintana, MD
Neurocritical Care Physician
NPI 1942570064
See commercial rates for Hiram Maldonado Quintana, MD
Adelba Torres-Lopez, M.D.
Hematology & Oncology Physician
NPI 1063826543
See commercial rates for Adelba Torres-Lopez, M.D.
Joel Lopez-Figueroa
Hematology & Oncology Physician
NPI 1811271463
See commercial rates for Joel Lopez-Figueroa
Zahira Lugo Lopez, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1437509346
See commercial rates for Zahira Lugo Lopez, M.D.
Luis Gerena Montano, M.D.
Pulmonary Disease Physician
NPI 1104225523
See commercial rates for Luis Gerena Montano, M.D.
Alexis Cruz-Chacon, MD
Hematology & Oncology Physician
NPI 1083898969
See commercial rates for Alexis Cruz-Chacon, MD
Vanessa Torres Navarro, MD
Emergency Medicine Physician
NPI 1063717130
See commercial rates for Vanessa Torres Navarro, MD
Cyndia Rodriguez Negron, M.D.
Nephrology Physician
NPI 1174903835
See commercial rates for Cyndia Rodriguez Negron, M.D.
Marcos Salgado-Crespo, M.D.
Surgical Critical Care Physician
NPI 1285048199
See commercial rates for Marcos Salgado-Crespo, M.D.
Ivanisse Ortiz Velez
Pulmonary Disease Physician
NPI 1669953196
See commercial rates for Ivanisse Ortiz Velez
Nayrim Zayas Schulze
Internal Medicine Physician
NPI 1821605254
See commercial rates for Nayrim Zayas Schulze
Jenniffer Ramirez Gomez
Internal Medicine Physician
NPI 1851918338
See commercial rates for Jenniffer Ramirez Gomez

Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.

Income statement

Revenue, expenses and income Municipality Of San Juan Pr,Rio Piedras reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$93.4M	197.5%
Inpatient	$64.9M	137.2%
Outpatient	$28.5M	60.3%
Contractual allowances and discounts	-$46.1M	-97.5%
Net patient revenue	$47.3M	100.0%
Operating expenses	-$138.2M	-292.1%
Operating income from patient care	-$90.9M	-192.1%
Net income	-$90.9M	-192.1%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$850,558	0.9%
Other payers and self-pay	$90.7M	99.1%
Total charges	$91.6M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 836595, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Municipality Of San Juan Pr,Rio Piedras's latest cost report.

-192.1%
Operating margin
Operating income from patient care / net patient revenue
-192.1%
Total margin
Net income / net patient revenue plus other income
-190.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
17% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$17.29
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-1461.4%
Return on assets
Net income for a year / total assets
-1461.4%
Return on equity
Net income for a year / fund balance
7.61
Asset turnover
Total revenue for a year / total assets
24.3 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 836595, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Municipality Of San Juan Pr,Rio Piedras owned and owed at the end of its reporting period (Jun 2025), across all fund types: $6.2M in total assets and a $6.2M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Property and equipment, net of depreciation	$6.2M	100.0%
Total assets	$6.2M	100.0%
Fund balance (net assets)	$6.2M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 836595, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care Municipality Of San Juan Pr,Rio Piedras provided without full payment, as reported on Worksheet S-10 of its cost report.

$193,023
Bad debt
Patient bills written off as uncollectible, at charges
$36.3M
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$36.4M
Total unreimbursed and uncompensated care
26.3% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)

Source: CMS cost report (HCRIS, Form 2552-10), report 836595, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Municipality Of San Juan Pr,Rio Piedras's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Jun 2020	Jun 2021	Jun 2022	Jun 2023	Jun 2024	Jun 2025
Net patient revenue	$53M	$26.6M	$36.2M	$41.8M	$99.6M	$47.3M
Operating expenses	$88.6M	$101.4M	$128.2M	$106.8M	$124.3M	$138.2M
Operating margin	-67.1%	-280.8%	-253.9%	-155.3%	-24.8%	-192.1%
Net income	-$35.6M	-$74.8M	-$92M	-$64.9M	-$24.7M	-$90.9M
Total assets	$1.5M	$2.6M	$3M	$6.6M	$10.5M	$6.2M
Discharges	4,319	3,665	4,145	5,469	5,355	3,743
Inpatient days	30,740	23,121	25,457	29,320	30,392	26,867
Medicare Advantage days	2,844	1,854	2,584	3,096	3,198	2,812
Beds	162	170	158	151	145	136
Employees (FTE)	678	772	711	384	374	247

Source: CMS cost report (HCRIS, Form 2552-10), report 836595, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Municipality Of San Juan Pr,Rio Piedras reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 25 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Cdts	$6.7M	$48.3M	$15.5M	3.12
Drugs charged to patients	$272,459	$9M	$4.8M	1.85	5,896
Laboratory	$238,132	$5.6M	$5.1M	1.09	3,075
Medical supplies charged to patient	$93,471	$4.9M	$4.6M	1.07	4,377
Emergency	$597,353	$4.7M	$6.6M	0.71	15,892
Operating room	$480,627	$3.4M	$3.4M	1.01	17,717
Clinic	$820,833	$2.2M	$1.9M	1.16	25,745
Radiology-diagnostic	$81,024	$1.5M	$2.4M	0.62	2,655
Delivery room & labor room	$309,726	$1.3M	$2.4M	0.52	7,550
Respiratory therapy	$122,068	$906,563	$2.7M	0.34	1,519
Physical therapy		$54,187	$9,341	5.80	3,038

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$2.3M	$11.6M	$31.1M	0.37	58,160
Intensive care unit	$748,497	$5M	$10.8M	0.46	17,464
Nursery	$397,576	$1.8M	$186,386	9.60	3,400

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Administrative & general	$1.6M	$38.9M	85,623	$18.55	122,747
I&r services-salary & fringes apprv	$3.4M	$4.1M
Operation of plant	$194,310	$1.5M	12,499	$15.55	12,317
Medical records & library	$179,096	$1.4M	9,100	$19.68	1,556
Dietary	$243,728	$896,451	14,511	$16.80	5,250
Nursing administration	$365,600	$886,040	20,522	$17.82
Cap rel costs-mvble equip		$885,115
Laundry & linen service	$148,914	$279,197	11,456	$13.00	362
Social service	$179,805	$232,168	12,548	$14.33
Housekeeping		$33,681
Cap rel costs-bldg & fixt		$25,281			327,360

Source: CMS cost report (HCRIS, Form 2552-10), report 836595, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Medicare payment profile

The factors Medicare uses to set what it pays Municipality Of San Juan Pr,Rio Piedras for an inpatient stay.

1.43
Case mix index
Higher than 20% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Major teaching hospital
Teaching status
0.34 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
62.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
135
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).

Show FY 2021 to FY 2027

IPPS fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026	FY 2027
Case mix index	1.48	1.45	1.45	1.98	1.56	1.79	1.43
Wage index	0.624	0.616	0.614	0.613	0.583	0.554	0.526
Medicare inpatient stays	256	256	167	140	155	144	135

Source: CMS IPPS final rule Impact File (FY 2027).

Frequently asked questions

About Municipality Of San Juan Pr,Rio Piedras's rates and hospital price transparency.

Is Municipality Of San Juan Pr,Rio Piedras a teaching hospital?

Yes. CMS counts 0.34 Medicare-funded residents per bed at Municipality Of San Juan Pr,Rio Piedras for fiscal year 2027, so it is a major teaching hospital.

What is Municipality Of San Juan Pr,Rio Piedras's case mix index?

Municipality Of San Juan Pr,Rio Piedras's Medicare case mix index is 1.43 for fiscal year 2027, higher than 20% of hospitals paid under the inpatient prospective payment system.

How many patients does Municipality Of San Juan Pr,Rio Piedras admit?

Municipality Of San Juan Pr,Rio Piedras reported 3,743 inpatient discharges and 26,867 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Municipality Of San Juan Pr,Rio Piedras have?

Municipality Of San Juan Pr,Rio Piedras reported 247 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Municipality Of San Juan Pr,Rio Piedras make?

Municipality Of San Juan Pr,Rio Piedras reported $47.3M in net patient revenue on $93.4M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -192.1%, and net income of -$90.9M.

How much charity and uncompensated care does Municipality Of San Juan Pr,Rio Piedras provide?

Municipality Of San Juan Pr,Rio Piedras reported $36.4M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025.

Does Municipality Of San Juan Pr,Rio Piedras participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists Municipality Of San Juan Pr,Rio Piedras (340B ID DSH400015) as a participating disproportionate share hospital since 2004.

How many doctors are affiliated with Municipality Of San Juan Pr,Rio Piedras?

17 clinicians who bill Medicare list Municipality Of San Juan Pr,Rio Piedras as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are hematology & oncology physician (4), endocrinology, diabetes & metabolism physician (3), internal medicine physician (3).

Is Municipality Of San Juan Pr,Rio Piedras accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Municipality Of San Juan Pr,Rio Piedras, effective 2013.

Where do Municipality Of San Juan Pr,Rio Piedras's patients come from?

In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Municipality Of San Juan Pr,Rio Piedras came from ZIP codes 00926 (52), 00921 (32), 00923 (29).

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{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
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        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}

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Municipality Of San Juan Pr,Rio Piedras

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Accreditation and services

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Leadership

Officers and directors on the Medicare enrollment

Programs and facilities

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

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About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Accreditation and services

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Leadership

Officers and directors on the Medicare enrollment

Programs and facilities

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

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