Departamento De Salud Oficial

San Juan, PR

198

Beds

7,631

Inpatient discharges a year

$121.2M

Net patient revenue a year

In-network payers

About this hospital

Departamento De Salud Oficial is a 198-bed hospital in San Juan, PR. Below you'll find publicly disclosed negotiated rates and facility details, including 16 in-network payers and 26 disclosed rate categories.

Disproportionate share hospital

CCN: 400061
NPI: 1407859036
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: 2025

Negotiated Rates

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

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Payer	Category	Code Type & Group	Contract Type	vs. State Average
BCBS	Outpatient	CPT Anesthesia Range: 00100 - 01999	Negotiated	Very Low
BCBS	Outpatient	CPT Category III Codes Range: 0042T - 0810T	Negotiated	Very Low
BCBS	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Negotiated	Very Low
BCBS	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Negotiated	Very Low
BCBS	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Negotiated	Very Low
BCBS	Outpatient	CPT Proprietary Laboratory Analyses Range: 0001U - 0401U	Negotiated	Very Low
BCBS	Outpatient	CPT Radiology Procedures Range: 70010 - 79999	Negotiated	Very Low
BCBS	Outpatient	CPT Surgery Range: 10004 - 69990	Negotiated	Very Low
BCBS	Facility	RC Blood and Blood Products Range: 0380 - 0389	Per Diem	Very Low
BCBS	Facility	RC Clinic Range: 0510 - 0519	Per Diem	Very High

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Showing 1 - 10 of 26

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Insurance Accepted

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

Aspirus Health PlanDean Health PlanEmblemHealthFirst HealthHometown HealthKaiser Permanente

More about this hospital

Doctors and services
Accredited by The Joint Commission
- Major teaching hospital
- 62 affiliated clinicians
See doctors and services
Finances
$121.2M net patient revenue
- Operating margin on patient care -7.5%
- $30.2M unreimbursed and uncompensated care
- -$9.1M net income
See finances
Ownership and leadership
Owned by Departamento De Hacienda Gobierno De Puerto Rico
- Other
See ownership and leadership

Location

San Juan, PR

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Accreditation and services

The Joint Commission (since 2016)
Accreditation
None
Medical school affiliation
Other
Ownership type
390
Medicare-certified beds
240
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 Departamento De Salud Oficial reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.

7,631
Inpatient discharges
Medicare 5%, Medicaid 56%
59,407
Inpatient days
82% of available bed days used
511
Employees (full-time equivalent)
62
Interns and residents (full-time equivalent)

Source: CMS cost report (HCRIS) (report 830796). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Departamento De Salud Oficial reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	4,338	29,159	25,910	59,407
Discharges	375	4,265	2,991	7,631
Average length of stay	11.6 days	6.8 days	8.7 days	7.8 days
Average daily census	11.9	79.9	71.0	162.8

24,532
Medicare Advantage days
2,130 discharges

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	168	47,874	3,403	78%
Intensive care unit	30	8,875	935	81%
Nursery		2,658

Source: CMS cost report (HCRIS, Form 2552-10), report 830796, 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 Departamento De Salud Oficial 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 1,423 in 2020 to 1,670 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
00926	108	6%	1,524	$1.9M	4%	3%
00745	43	3%	533	$625,569	3%	2%
00956	43	3%	506	$602,861	2%	4%
00953	41	2%	447	$519,385	3%	3%
00725	39	2%	598	$747,218	2%	2%
00791	36	2%	424	$498,722	3%	2%
00729	35	2%	293	$355,627	2%	3%
00949	32	2%	531	$609,368	2%	3%
00957	30	2%	434	$542,376	2%	3%
00987	30	2%	377	$479,644	2%	3%
00917	29	2%	414	$567,374	4%
00976	29	2%	625	$709,842	2%	2%
00612	28	2%	359	$462,369	1%	2%
00767	28	2%	441	$511,128	3%	4%
00924	28	2%	362	$424,158	2%	3%
00693	27	2%	313	$542,924	1%	2%
00771	27	2%	214	$260,936	3%	4%
00915	27	2%	311	$446,809	4%	3%
00921	27	2%	277	$314,957	4%	3%
00983	26	2%	241	$294,357	2%	2%
00646	24	1%	369	$426,876	2%	2%
00674	24	1%	280	$325,398	1%	1%
00985	24	1%	420	$500,515	2%	2%
00719	23	1%	304	$391,813	3%	3%
00738	23	1%	258	$295,471	2%	3%

Source: CMS Hospital Service Area file. Shares are of the 1,670 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 Departamento De Salud Oficial reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.

2
Operating rooms

240
Registered nurses
109
Licensed practical nurses
10
Physicians
447
Resident physicians
6
Nurse anesthetists (CRNAs)
2
Occupational therapists
2
Speech pathologists and audiologists
4
Medical technologists
8
Dietitians
1
Psychologists
1
Other personnel

Source: CMS Provider of Services file.

Doctors and clinicians

62 clinicians who bill Medicare list Departamento De Salud Oficial as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Neurological Surgery Physician 7
Diagnostic Radiology Physician 6
Internal Medicine Physician 6
Anesthesiology Physician 4
Infectious Disease Physician 4
Cardiovascular Disease Physician 3
Gastroenterology Physician 3
Geriatric Medicine (Internal Medicine) Physician 3
Orthopaedic Surgery Physician 3
Surgery Physician 3

Jose Colon - Marquez, M.D
Internal Medicine Physician
NPI 1538213574
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Juan Arraut, M.D.
Internal Medicine Physician
NPI 1487852299
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Juan Nieves-Rivera, M.D.
Cardiovascular Disease Physician
NPI 1588929624
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Amanda Marrero Gonzalez, MD
Diagnostic Radiology Physician
NPI 1780085092
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Juan Amador, MD
Diagnostic Radiology Physician
NPI 1811191182
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Rafael Molina, MD
Diagnostic Radiology Physician
NPI 1689744161
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Hiram Malaret, M.D.
Obstetrics Physician
NPI 1336222819
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Armando Oliver, MD
Ophthalmology Physician
NPI 1013904440
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Jose Lara Del Rio, M.D.
Body Imaging Physician
NPI 1891937314
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Gisela Puig Carrion, M.D.
Advanced Heart Failure and Transplant Cardiology Physician
NPI 1487933784
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Gabriel Galindez De Jesus, MD
Infectious Disease Physician
NPI 1346796042
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Rafael Rodriguez - Lopez, MD
Gastroenterology Physician
NPI 1275530743
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Jose Colon, MD
Cardiovascular Disease Physician
NPI 1962486423
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Hiram Maldonado Quintana, MD
Neurocritical Care Physician
NPI 1942570064
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Joham Senior Marino, MD
Gastroenterology Physician
NPI 1053370130
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Luis Garcia Paredes
Vascular & Interventional Radiology Physician
NPI 1033525480
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Pedro Gil De Rubio Cruz, MD
Geriatric Medicine (Internal Medicine) Physician
NPI 1770960163
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Jaime Atiles Castro, MD
Vascular & Interventional Radiology Physician
NPI 1063813285
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Vanessa Sepulveda Rivera, MD
Geriatric Medicine (Internal Medicine) Physician
NPI 1427199264
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Francisco Lopez-Gonzalez, M.D.
Orthopaedic Surgery Physician
NPI 1487622916
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Ernesto Ayala-Cruz, M.D.
Diagnostic Radiology Physician
NPI 1134352941
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Pedro Collazo, MD
Specialist
NPI 1326075060
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Kelvin Rivera Manzano, M.D.
Critical Care Medicine (Internal Medicine) Physician
NPI 1619226578
See commercial rates for Kelvin Rivera Manzano, M.D.
Adelaida Ortiz - Gomez, MD
Internal Medicine Physician
NPI 1124070537
See commercial rates for Adelaida Ortiz - Gomez, MD

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 Departamento De Salud Oficial reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$121.2M	100.0%
Inpatient	$101.1M	83.5%
Outpatient	$20M	16.5%
Net patient revenue	$121.2M	100.0%
Operating expenses	-$130.3M	-107.5%
Operating income from patient care	-$9.1M	-7.5%
Net income	-$9.1M	-7.5%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$3.3M	2.7%
Other payers and self-pay	$117.9M	97.3%
Total charges	$121.2M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 830796, 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 Departamento De Salud Oficial's latest cost report.

-7.5%
Operating margin
Operating income from patient care / net patient revenue
-7.5%
Total margin
Net income / net patient revenue plus other income
-6.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
25% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$21.44
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-42.8%
Return on assets
Net income for a year / total assets
-42.8%
Return on equity
Net income for a year / fund balance
5.69
Asset turnover
Total revenue for a year / total assets
31.6 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 830796, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Departamento De Salud Oficial owned and owed at the end of its reporting period (Jun 2025), across all fund types: $21.3M in total assets and a $21.3M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Property and equipment, net of depreciation	$21.3M	100.0%
Total assets	$21.3M	100.0%
Fund balance (net assets)	$21.3M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 830796, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care Departamento De Salud Oficial provided without full payment, as reported on Worksheet S-10 of its cost report.

$30.2M
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$30.2M
Total unreimbursed and uncompensated care
23.2% 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 830796, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Departamento De Salud Oficial'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	$63.3M	$58.5M	$64.1M	$97.4M	$108.3M	$121.2M
Operating expenses	$110.5M	$108.3M	$131.7M	$139.5M	$130.8M	$130.3M
Operating margin	-74.7%	-85.2%	-105.3%	-43.2%	-20.7%	-7.5%
Net income	-$46.5M	-$49.8M	-$68.4M	-$42.1M	-$22.5M	-$9.1M
Total assets			$45.8M	$45.8M	$20.9M	$21.3M
Discharges	6,814	6,232	6,114	6,589	7,413	7,631
Inpatient days	54,950	52,148	54,060	58,763	60,190	59,407
Medicare Advantage days	17,403	14,770	12,585	20,117	23,293	24,532
Beds	196	198	196	210	204	198
Employees (FTE)	117	525	825	534	572	511

Source: CMS cost report (HCRIS, Form 2552-10), report 830796, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Departamento De Salud Oficial reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 36 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Drugs charged to patients	$520,411	$18.1M	$14.4M	1.26	3,825
Medical supplies charged to patient	$44,776	$12.6M	$9.8M	1.29	5,450
Operating room		$11.7M	$16.4M	0.72	3,108
Respiratory therapy		$7.8M	$13.1M	0.60
Laboratory	$282,978	$7.7M	$12M	0.64	2,615
Radiology-diagnostic		$5.6M	$10.1M	0.55	10,582
Emergency	$539,456	$4.5M	$6.7M	0.67	4,660
Anesthesiology		$4M	$6.4M	0.62
Renal dialysis	$1.2M	$3.1M	$1.6M	1.96	11,103
Delivery room & labor room	$1.2M	$2.7M	$1.3M	2.06	8,100
Impl. dev. charged to patients		$2.5M	$2M	1.23
Recovery room		$2.3M	$3.6M	0.64
Whole blood & packed red blood cell		$1.7M	$2.1M	0.77
Hematology	$175,218	$1.3M	$1M	1.23
Clinic	$70,785	$947,207	$532,026	1.78	5,220
Gastroenterology	$165,212	$512,958	$227,308	2.26	2,280
Pathology		$220,787	$262,683	0.84
Electrocardiology		$182,819	$69,005	2.65	1,772
Physical therapy	$116,568	$176,003	$142,927	1.23
Pulmonary funtion		$103,453	$1,005	102.94	1,000
Occupational therapy		$23,488	$19,074	1.23
Endocrinology		$1,689	$1,372	1.23

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$8.1M	$34.2M	$15.2M	2.25	74,796
Intensive care unit	$3.2M	$5.8M	$3.5M	1.65
Nursery	$774,108	$1.3M	$814,864	1.58

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Administrative & general	$2M	$12.2M	102,781	$19.38	11,122
Operation of plant	$177,920	$8.8M	11,700	$15.21	5,980
Nursing administration	$3.2M	$3.7M	146,993	$21.48	2,110
Housekeeping		$3M			1,500
Dietary	$673,373	$2.6M	36,563	$18.42
Medical records & library		$1.2M			1,600
Cap rel costs-bldg & fixt		$1M			165,090
Cap rel costs-mvble equip		$786,095
Social service	$382,180	$450,173	21,775	$17.55	1,650
Laundry & linen service	$70,980	$422,526	5,850	$12.13	1,330
I&r services-salary & fringes apprv		$121,736			5,287

Source: CMS cost report (HCRIS, Form 2552-10), report 830796, 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 Departamento De Salud Oficial for an inpatient stay.

2.00
Case mix index
Higher than 78% 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
0.29 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
46.5%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
386
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	2.43	2.41	2.51	2.28	2.21	2.28	2.00
Wage index	0.624	0.616	0.614	0.613	0.583	0.554	0.526
Medicare inpatient stays	559	559	345	226	275	330	386

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

Frequently asked questions

About Departamento De Salud Oficial's rates and hospital price transparency.

Is Departamento De Salud Oficial a teaching hospital?

Yes. CMS counts 0.29 Medicare-funded residents per bed at Departamento De Salud Oficial for fiscal year 2027, so it is a major teaching hospital.

What is Departamento De Salud Oficial's case mix index?

Departamento De Salud Oficial's Medicare case mix index is 2.00 for fiscal year 2027, higher than 78% of hospitals paid under the inpatient prospective payment system.

How many patients does Departamento De Salud Oficial admit?

Departamento De Salud Oficial reported 7,631 inpatient discharges and 59,407 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Departamento De Salud Oficial have?

Departamento De Salud Oficial reported 511 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Departamento De Salud Oficial make?

Departamento De Salud Oficial reported $121.2M in net patient revenue on $121.2M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -7.5%, and net income of -$9.1M.

How much charity and uncompensated care does Departamento De Salud Oficial provide?

Departamento De Salud Oficial reported $30.2M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025.

How many doctors are affiliated with Departamento De Salud Oficial?

62 clinicians who bill Medicare list Departamento De Salud Oficial as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are neurological surgery physician (7), diagnostic radiology physician (6), internal medicine physician (6).

Is Departamento De Salud Oficial accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Departamento De Salud Oficial, effective 2016.

Who owns Departamento De Salud Oficial?

In its Medicare enrollment, Departamento De Salud Oficial reports Departamento De Hacienda Gobierno De Puerto Rico as 5% or greater indirect ownership interest (100%).

Where do Departamento De Salud Oficial's patients come from?

In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Departamento De Salud Oficial came from ZIP codes 00926 (108), 00745 (43), 00956 (43).

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{
  "description": "MRI of brain (no contrast)",
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    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
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    "setting": "outpatient",
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    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
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Departamento De Salud Oficial

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

Ownership

Leadership

Officers and directors on the Medicare enrollment

Hospital-based units

Hospital-based units with their own Medicare certification

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts

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

Ownership

Leadership

Officers and directors on the Medicare enrollment

Hospital-based units

Hospital-based units with their own Medicare certification

Nearby hospitals

Frequently asked questions

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