HOSPITAL

KAISER FOUNDATION HOSPITAL SAN MARCOS

San Marcos, CA

360 RUSH DR, San Marcos, CA 920787901(619) 528-6295

168

Beds

7,410

Inpatient discharges a year

$353.1M

Net patient revenue a year

In-network payers

About this hospital

KAISER FOUNDATION HOSPITAL SAN MARCOS is a 168-bed hospital in San Marcos, CA. Below you'll find publicly disclosed negotiated rates and facility details, including 3 in-network payers.

CCN: 050855
NPI: 1558080861
Teaching: No Medicare-funded residents
County: San Diego County
Metro area: San Diego-Chula Vista-Carlsbad, CA MSA
Medicare contractor: Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since: 2023
Last CMS survey: 2023

Negotiated Rates

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

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Contract data may be available through direct hospital inquiry.

Insurance Accepted

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

CenteneHometown HealthKaiser Permanente

More about this hospital

Quality
No Medicare readmissions penalty
See quality ratings
Doctors and services
Accredited by The Joint Commission
- No Medicare-funded residents
- 230 affiliated clinicians
See doctors and services
Finances
$353.1M net patient revenue
- Operating margin on patient care -19.8%
- $24.5M unreimbursed and uncompensated care
- -$68.8M net income
See finances
Ownership and leadership
Owned by Kaiser Foundation Hospitals
- Private (not for profit)
- Gregory A Adams, chief executive
See ownership and leadership

Location

360 RUSH DR, San Marcos, CA 920787901

(619) 528-6295

Get directions

Accreditation and services

The Joint Commission (since 2023)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
168
Medicare-certified beds
215
Registered nurses (full-time equivalent)
2023
In Medicare since

2 services at KAISER FOUNDATION HOSPITAL SAN MARCOS

Emergency and trauma: Shock trauma services
Transplant and dialysis: Medicare transplant center

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

Size and patient volume

What KAISER FOUNDATION HOSPITAL SAN MARCOS reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.

7,410
Inpatient discharges
Medicare 4%, Medicaid 0%
25,740
Inpatient days
42% of available bed days used
792
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 836218). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges KAISER FOUNDATION HOSPITAL SAN MARCOS reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	1,135	111	24,494	25,740
Discharges	287	34	7,089	7,410
Average length of stay	4.0 days	3.3 days	3.5 days	3.5 days
Average daily census	3.1	0.3	67.1	70.5

11,238
Medicare Advantage days
3,171 discharges
236
Medicaid managed care days
76 discharges
7,210
Observation bed days

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	152	20,546	1,039	37%
Intensive care unit	10	1,801	96	49%
Nursery		2,595

Source: CMS cost report (HCRIS, Form 2552-10), report 836218, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Medicare inpatient stays

What KAISER FOUNDATION HOSPITAL SAN MARCOS treats Medicare patients for most often, in 2024. 79 Medicare discharges in 3 published DRGs; 0% surgical; 82% in DRGs with complications (CC or MCC).

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical	50	$45,619	$8,782	$19,114	1.98
Heart failure and shock with MCCMS-DRG 291, medical	15	$78,582	$10,242	$32,926	1.28
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	14	$30,436	$5,236	$12,753	1.03

Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.

Medicare outpatient services

The comprehensive outpatient service groups (APCs) KAISER FOUNDATION HOSPITAL SAN MARCOS billed Medicare for most in 2024: 52 services in all.

Service group	Services	Patients	Average charges	Average Medicare payment	US average payment
Comprehensive Observation ServicesAPC 8011	52	47	$35,154	$2,681	$2,090

Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.

Where patients come from

ZIP codes with the most Medicare inpatient stays at KAISER FOUNDATION HOSPITAL SAN MARCOS 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 2,922 in 2024 to 3,094 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share
92078	278	9%	1,329	$13.6M	14%
92056	261	8%	935	$8.4M	11%
92026	236	8%	757	$7.3M	11%
92057	200	6%	686	$6.3M	10%
92069	178	6%	624	$5.9M	12%
92084	165	5%	593	$6.2M	9%
92027	155	5%	425	$4.2M	9%
92024	119	4%	399	$3.7M	7%
92081	113	4%	388	$3.3M	14%
92025	110	4%	391	$3.9M	6%
92128	109	4%	368	$3.4M	5%
92065	106	3%	362	$3.8M	7%
92083	100	3%	292	$2.6M	11%
92009	94	3%	293	$2.9M	6%
92028	91	3%	398	$3.6M	4%
92082	91	3%	287	$2.9M	10%
92029	87	3%	297	$2.7M	9%
92054	73	2%	241	$2.3M	6%
92058	72	2%	252	$2.3M	8%
92064	70	2%	282	$2.5M	4%
92008	61	2%	235	$2.1M	6%
92127	52	2%	189	$1.8M	5%
92011	44	1%	141	$1.2M	5%
92010	42	1%	203	$1.9M	7%
92129	33	1%	90	$797,502	2%

Source: CMS Hospital Service Area file. Shares are of the 3,094 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 KAISER FOUNDATION HOSPITAL SAN MARCOS reported at its latest Medicare certification survey (2023). Counts are people, not full-time equivalents.

8
Operating rooms
2
Endoscopy rooms
1
Off-site locations

215
Registered nurses
1
Licensed practical nurses
1,060
Physicians
2
Resident physicians
4
Nurse practitioners
52
Physician assistants
61
Nurse anesthetists (CRNAs)
11
Pharmacists
32
Respiratory therapists
3
Physical therapists
1
Occupational therapists
1
Speech pathologists and audiologists
9
Radiology technicians
3
Nuclear medicine technicians
5
Laboratory technicians
33
Medical technologists
3
Dietitians
4
Social workers

Source: CMS Provider of Services file.

Doctors and clinicians

230 clinicians who bill Medicare list KAISER FOUNDATION HOSPITAL SAN MARCOS 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.

Internal Medicine Physician 41
Emergency Medicine Physician 32
Diagnostic Radiology Physician 29
Student in an Organized Health Care Education/Training Program 16
Cardiovascular Disease Physician 13
Family Medicine Physician 12
Vascular & Interventional Radiology Physician 9
Body Imaging Physician 8
Pulmonary Disease Physician 8
Hospitalist Physician 7

Jason Bailey
Diagnostic Radiology Physician
NPI 1265708341
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Daniel Yoon, M.D.
Diagnostic Radiology Physician
NPI 1619219771
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Eric Chiang, MD
Body Imaging Physician
NPI 1841348828
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Radhika Hariharan, MD
Specialist
NPI 1548447865
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Olga Diaz
Emergency Medicine Physician
NPI 1598128217
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Cole Nelson
Emergency Medicine Physician
NPI 1528591021
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Tina Hardley, MD
Vascular & Interventional Radiology Physician
NPI 1518034529
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Vincent Perez, MD
Diagnostic Radiology Physician
NPI 1881779197
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Matthew Tan, MD
Body Imaging Physician
NPI 1205907193
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Melanie Kubik, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1386962082
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Sam Samaan, MD
Diagnostic Radiology Physician
NPI 1194955666
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Andrew Robbins, MD
Body Imaging Physician
NPI 1326196304
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Chanel Fischetti, MD
Emergency Medicine Physician
NPI 1275928830
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Amir Asgari, M.D.
Internal Medicine Physician
NPI 1730484981
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Jong Yun, MD
Diagnostic Radiology Physician
NPI 1760464051
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Jennifer Cullen, M.D.
Emergency Medicine Physician
NPI 1710146352
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Amy Aminlari, MD
Emergency Medicine Physician
NPI 1134329964
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Riku Moriguchi, MD
Emergency Medicine Physician
NPI 1255892048
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Elizabeth Nguyen, MD
Emergency Medicine Physician
NPI 1639532344
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Anthony Mells, MD
Emergency Medicine Physician
NPI 1588229835
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Steve Sun, M.D.
Emergency Medicine Physician
NPI 1952530537
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Samantha Sales, M.D.
Emergency Medicine Physician
NPI 1194112805
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Scott Cramer, MD
Diagnostic Radiology Physician
NPI 1598225740
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Benjamin Orejudos, MD
Diagnostic Radiology Physician
NPI 1487734182
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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 KAISER FOUNDATION HOSPITAL SAN MARCOS reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$1.4B	395.8%
Inpatient	$446.1M	126.4%
Outpatient	$951.4M	269.5%
Contractual allowances and discounts	-$1B	-295.8%
Net patient revenue	$353.1M	100.0%
Operating expenses	-$423.1M	-119.8%
Operating income from patient care	-$70.1M	-19.8%
Other income	$1.3M	0.4%
Contributions and donations	$7,000	0.0%
Other	$1.3M	0.4%
Net income	-$68.8M	-19.5%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$19.9M	1.4%
Medicaid (including managed care)	$115.7M	8.3%
Other payers and self-pay	$1.3B	90.3%
Total charges	$1.4B	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 836218, 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 KAISER FOUNDATION HOSPITAL SAN MARCOS's latest cost report.

-19.8%
Operating margin
Operating income from patient care / net patient revenue
-19.4%
Total margin
Net income / net patient revenue plus other income
-7.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
48% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$67.07
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)

Source: CMS cost report (HCRIS, Form 2552-10), report 836218, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care KAISER FOUNDATION HOSPITAL SAN MARCOS provided without full payment, as reported on Worksheet S-10 of its cost report.

$5.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$1.2M
Bad debt
Patient bills written off as uncollectible, at charges
$19.1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$24.5M
Total unreimbursed and uncompensated care
5.8% 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 836218, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

KAISER FOUNDATION HOSPITAL SAN MARCOS's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 2 years

Fiscal year ending	Dec 2024	Dec 2025
Net patient revenue	$320.1M	$353.1M
Operating expenses	$379.1M	$423.1M
Operating margin	-18.4%	-19.8%
Net income	-$57.9M	-$68.8M
Discharges	7,284	7,410
Inpatient days	25,988	25,740
Medicare Advantage days	10,529	11,238
Beds	168	168
Employees (FTE)	770	792

Source: CMS cost report (HCRIS, Form 2552-10), report 836218, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center KAISER FOUNDATION HOSPITAL SAN MARCOS reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 35 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Operating room	$8.5M	$49M	$311.4M	0.16	62,299
Emergency		$46.9M	$194.4M	0.24	28,747
Radiology-diagnostic		$41.6M	$273.4M	0.15	13,214
Laboratory		$30.3M	$194.7M	0.16	10,960
Observation beds (non-distinct part		$26M	$58.2M	0.45
Delivery room & labor room	$9.7M	$25M	$19.3M	1.30	19,217
Impl. dev. charged to patients		$21.2M	$21.6M	0.98
Recovery room	$8.7M	$20M	$26.5M	0.75
Drugs charged to patients		$18.4M	$38.9M	0.47
Physical therapy		$11.2M	$4.9M	2.29	12,369
Renal dialysis	$1.2M	$8.5M	$3.4M	2.50	793
Medical supplies charged to patient		$6.9M	$12.9M	0.54
Respiratory therapy		$5.9M	$25.9M	0.23	1,628
Occupational therapy		$1.4M	$1.2M	1.25	468
Speech pathology		$591,016	$1M	0.57
Electrocardiology		$9,592	$34.4M	0.00

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$31.8M	$100M	$137.9M	0.73	99,392
Intensive care unit	$3.8M	$14.6M	$23.7M	0.62	17,326
Neonatal intensive care unit	$2.8M	$7.4M	$5M	1.48	5,860
Nursery	$8,516	$4.5M	$8.7M	0.51	6,205

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Administrative & general	$9M	$84.7M	152,117	$112.48	12,807
Employee benefits department		$44.8M			1,291
Cap rel costs-bldg & fixt		$30.5M			407,207
Operation of plant	$3M	$20.4M	55,101	$53.78	1,915
Cap rel costs-mvble equip		$14.8M
Housekeeping	$6.4M	$7.3M	221,693	$29.09	5,595
Central services & supply	$2.1M	$6.9M	118,481	$35.01	17,458
Nursing administration	$4.5M	$6.6M	55,692	$99.07	1,358
Pharmacy	$4.1M	$4.4M	53,702	$76.41	5,394
Dietary	$2.9M	$2.8M	50,426	$38.40	3,639
Maintenance & repairs		$643,871	7,564	$66.76	1,983
Cafeteria		$580,975	35,030	$30.83	12,635
Laundry & linen service		$439,185
Medical records & library		$190,976	6,047	$31.52	151
Social service	$65,826	$65,902	1,582	$41.62	166

Source: CMS cost report (HCRIS, Form 2552-10), report 836218, 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 KAISER FOUNDATION HOSPITAL SAN MARCOS for an inpatient stay.

1.66
Case mix index
Higher than 48% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
3.3%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
236
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 2026 to FY 2027

IPPS fiscal year	FY 2026	FY 2027
Case mix index	1.48	1.66
Wage index	1.431	1.399
Readmissions adjustment	0.00%	0.00%
Value-based purchasing adjustment	0.00%	+1.71%
Medicare inpatient stays	199	236

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

Frequently asked questions

About KAISER FOUNDATION HOSPITAL SAN MARCOS's rates and hospital price transparency.

Is KAISER FOUNDATION HOSPITAL SAN MARCOS a teaching hospital?

CMS reports no Medicare-funded interns or residents at KAISER FOUNDATION HOSPITAL SAN MARCOS for fiscal year 2027.

Does Medicare penalize KAISER FOUNDATION HOSPITAL SAN MARCOS for readmissions?

No. KAISER FOUNDATION HOSPITAL SAN MARCOS has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at KAISER FOUNDATION HOSPITAL SAN MARCOS?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (50 discharges), heart failure and shock with mcc (15 discharges), septicemia or severe sepsis without mv >96 hours without mcc (14 discharges).

What is KAISER FOUNDATION HOSPITAL SAN MARCOS's case mix index?

KAISER FOUNDATION HOSPITAL SAN MARCOS's Medicare case mix index is 1.66 for fiscal year 2027, higher than 48% of hospitals paid under the inpatient prospective payment system.

How many patients does KAISER FOUNDATION HOSPITAL SAN MARCOS admit?

KAISER FOUNDATION HOSPITAL SAN MARCOS reported 7,410 inpatient discharges and 25,740 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does KAISER FOUNDATION HOSPITAL SAN MARCOS have?

KAISER FOUNDATION HOSPITAL SAN MARCOS reported 792 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does KAISER FOUNDATION HOSPITAL SAN MARCOS make?

KAISER FOUNDATION HOSPITAL SAN MARCOS reported $353.1M in net patient revenue on $1.4B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -19.8%, and net income of -$68.8M.

How much charity and uncompensated care does KAISER FOUNDATION HOSPITAL SAN MARCOS provide?

KAISER FOUNDATION HOSPITAL SAN MARCOS reported $24.5M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $5.1M of charity care at cost.

Who is the CEO of KAISER FOUNDATION HOSPITAL SAN MARCOS?

KAISER FOUNDATION HOSPITAL SAN MARCOS's Medicare enrollment lists Gregory A Adams as Chairman & CEO since 2019.

How many doctors are affiliated with KAISER FOUNDATION HOSPITAL SAN MARCOS?

230 clinicians who bill Medicare list KAISER FOUNDATION HOSPITAL SAN MARCOS as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (41), emergency medicine physician (32), diagnostic radiology physician (29).

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{
  "description": "MRI of brain (no contrast)",
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    "setting": "outpatient",
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    "maximum": 400,
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KAISER FOUNDATION HOSPITAL SAN MARCOS

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Medicare quality penalties and bonuses

Accreditation and services

2 services at KAISER FOUNDATION HOSPITAL SAN MARCOS

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Medicare inpatient stays

Medicare outpatient services

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

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

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

Medicare quality penalties and bonuses

Accreditation and services

2 services at KAISER FOUNDATION HOSPITAL SAN MARCOS

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Medicare inpatient stays

Medicare outpatient services

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

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

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

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