Operating margin: -48.7% in FY2023, the 2nd percentile of 2,529 urban pps hospitals in the FY2023 pool. Days cash on hand: -39 days in FY2023, the 2nd percentile of 2,446 urban pps hospitals in the FY2023 pool. Total operating revenue: $195.0M in FY2023, the 42nd percentile of 2,561 urban pps hospitals in the FY2023 pool. Total margin (including nonoperating): -31.1% in FY2023, the 1st percentile of 2,530 urban pps hospitals in the FY2023 pool. Figures as filed; not audited by Astrelis.
Financial anchor year: FY23. Margin and revenue are as filed for FY23. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY25, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in San Francisco, CA. It ran an operating loss of 48.7% in FY23 on $195.0M of operating revenue. It held -39 days of cash on hand — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool (2nd percentile of 2,446 Urban PPS hospitals on liquidity, FY23 pool). Operating margin declined from -40.8% in FY21 to -43.1% in FY25, though it rose 57.7 points in the most recent year.
Operating margin · FY23
-48.7%
Astrelis calculation · as-filed inputs
▼ 15.8 pts vs FY22
vs Urban PPS hospitals2nd pctl of 2,529 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY23
-39d
all sources
Astrelis calculation · as-filed inputs
▲ 12 days vs FY22
vs Urban PPS hospitals2nd pctl of 2,446 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY23
$195.0M
Astrelis calculation · as-filed inputs
▼ $7.3M vs FY22
vs Urban PPS hospitals42nd pctl of 2,561 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY23
-31.1%
Astrelis calculation · as-filed inputs
▼ 11.7 pts vs FY22
vs Urban PPS hospitals1st pctl of 2,530 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at UCSF HEALTH ST. MARY'S HOSPITAL is about $1.9M per year (1% of FY23 total operating revenue).
Where UCSF HEALTH ST. sits among Urban PPS hospitals
Operating margin · FY23 pool · n = 2,529 of 2,652 filed
Each point is one Urban PPS hospital in the national FY23 distribution for Urban PPS hospitals, this hospital's comparison cohort, 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 FY23 median is +0.5%. 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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Net patient receivables × days in the report's own period ÷ net patient revenue, same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24 · 397 days
FY25 · 334 days
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%
— = Not reported in source for that year.
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
Display states.FY25 · Net patient A/R: 30,766K — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (AD-1198: calculation shown and flagged. net A/R = gross - |allowances| = -1269.4K (gross HOSP10_2024_nmrc.csv G000000 L00400; allowances L00500 32035.4K + L00600 151797.0K, magnitudes). Result is outside expected range vs total assets; displayed with the out-of-range state, never withheld. AD-1206: allowances net on crosswalk lines beyond L5/L6; panel aligned to the bucket layer's contra-netted value (one value across surfaces).)FY25 · Days cash on hand — Astrelis calculation unavailable (cash, temporary investments and investments are not reported on this filing)FY24 · Operating margin: -100.8% — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (beyond ±100% of total operating revenue — a valid filing can produce this; this year enters no peer pool)FY21 · Days cash on hand: -57 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY22 · Days cash on hand: -51 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY23 · Days cash on hand: -39 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY24 · Days cash on hand: -51 days — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (outside the 0–1,500-day expected range — a valid filing can produce this; this year enters no peer pool)
How it operates
quality & operational context · CMS public reporting
A 87-bed hospital running at 65% occupancy, where 34% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
65.2%
Reported value2025
HCRIS WS S-3
Average daily census
56.77
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
87
Reported value2025
HCRIS WS S-3
Annual discharges
4,114
Reported value2025
HCRIS WS S-3
Average length of stay
5 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$13,715
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$63,208
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
33.5%
Reported value2025
HCRIS WS G-2 L28
Total FTEs
706.90
Reported value2025
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).
Illustrative advocacy scenario: what this hospital means to San Francisco County
Illustrative estimate · FY25 cost report
Direct annual spending
$260.0M
total operating expense · Reported value, not a local-capture estimate
Labor income
$147.5M
$123.9M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$598.1M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
0.1%
of all county jobs · Reported value
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY23Astrelis calculation
Operating margin vs its peer pool: FY23 pool · n = 2,529.
Performance Benchmark Report: FY23 peer pool · n = 2,529 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 13 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
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Astrelis Atlas, "Ucsf Health St. Mary's Hospital", https://astrelis.co/hospitals/050457, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/050457.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
