A hospital in San Francisco, CA. It ran an operating loss of 43.1% in FY25 on $181.8M of operating revenue. It held 0 days of cash on hand (0th percentile among Urban PPS hospitals on liquidity). Operating margin declined from -40.8% in FY21 to -43.1% in FY25, though it rose 5.6 points in the most recent year.
Operating margin · FY25
-43.1%
▲ 5.6 pts vs FY23
vs Urban PPS hospitals3rd pctl of 1,475 (FY25)
Days cash on hand · FY25
0d
all sources
vs Urban PPS hospitals0th pctl of 1,386 (FY25)
Total operating revenue · FY25
$181.8M
▼ 31.7 $M vs FY24
vs Urban PPS hospitals36th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-35.6%
▲ 43.6 pts vs FY24
vs Urban PPS hospitals1st pctl of 1,475 (FY25)
One point of operating margin at UCSF HEALTH ST. MARY'S HOSPITAL is about $1.8M per year (1% of FY25 total operating revenue).
Where UCSF HEALTH ST. 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 hospitalUCSF HEALTHUrban 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
194,950
214,621
181,765
Other operating revenue
16
(1,164)
—
Total operating revenue
194,967
213,457
181,765
Total operating expenses
289,829
428,647
260,037
Operating income
(94,862)
(215,190)
(78,272)
Operating margin %
-48.7%
-100.8%
-43.1%
Grants & contributions
62
0
23
Investment income
21
60
—
Other non-operating, net
26,095
25,792
10,038
Net income
(68,684)
(189,338)
(68,211)
Net income %
-31.1%
-79.1%
-35.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24, FY25 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 87-bed hospital at 65% occupancy 34% 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
65.2%
Verified fact2025
HCRIS WS S-3
Average daily census
56.94
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
87
Verified fact2025
HCRIS WS S-3
Annual discharges
4,114
Verified fact2025
HCRIS WS S-3
Average length of stay
4.6d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
33.5%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
706.90
Verified fact2025
HCRIS WS S-3 Pt II
How the care measures up
C. difficile infection (SIR)
0
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
0.99
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.96023
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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