A hospital in San Francisco, CA. It ran an operating loss of 35.6% in FY25 on $1126.1M of operating revenue. It held 46 days of cash on hand (57th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -45.7% in FY21 to -35.6% in FY25, though it fell 1.5 points in the most recent year.
Operating margin · FY25
-35.6%
▼ 1.5 pts vs FY24
vs Urban PPS hospitals4th pctl of 1,475 (FY25)
Days cash on hand · FY25
46d
all sources
▼ 30.1 days vs FY24
vs Urban PPS hospitals57th pctl of 1,386 (FY25)
Total operating revenue · FY25
$1.13B
▲ 63.7 $M vs FY24
vs Urban PPS hospitals89th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-6.5%
▲ 0.7 pts vs FY24
vs Urban PPS hospitals13th pctl of 1,475 (FY25)
One point of operating margin at ZUCKERBERG SAN FRANCISCO GENERAL HOSP & TRAUMA CTR is about $11.3M per year (1% of FY25 total operating revenue).
Where ZUCKERBERG SAN FRANCISCO sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 1,475 of 2,681 filed
Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.
One urban pps hospitalZUCKERBERG SANUrban PPS hospital median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
889,527
998,938
1,059,025
Other operating revenue
67,912
63,436
67,053
Total operating revenue
957,439
1,062,374
1,126,078
Total operating expenses
1,260,709
1,425,194
1,527,382
Operating income
(303,270)
(362,820)
(401,304)
Operating margin %
-31.7%
-34.2%
-35.6%
Grants & contributions
(1,135)
1,668
2,318
Investment income
(3,540)
(66)
424
Other non-operating, net
221,615
265,275
305,237
Net income
(86,330)
(95,943)
(93,325)
Net income %
-7.4%
-7.2%
-6.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).
How it operates
quality & operational context · CMS public reporting
A 213-bed hospital at 93% occupancy 44% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Scale and flow
Occupancy
93.1%
Verified fact2025
HCRIS WS S-3
Average daily census
198.90
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
213
Verified fact2025
HCRIS WS S-3
Annual discharges
13,909
Verified fact2025
HCRIS WS S-3
Average length of stay
5.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
44.2%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
3,202
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
26.5%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.507
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.2%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.91
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.12385
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
SAN FRANCISCO County, CA
Median household income
$141.4K
vs $82.1K US · $59.7K rural median
Poverty rate
10.6%
vs 12.5% US · 14.3% rural median
Uninsured
3.5%
vs 8.6% US · 8.4% rural median
Age 65+
17.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 4.5% of county personal income is Medicare/Medicaid medical benefits; 8.7% arrives as government transfers (BEA, 2022).
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