San Francisco Health System Inc is a 139-bed hospital in San Juan, PR. Below you'll find publicly disclosed negotiated rates and facility details, including 8 in-network payers and 40 disclosed rate categories.
Disproportionate share hospital
CCN
400098
NPI
1598798811
Teaching
No Medicare-funded residents
County
San Juan Municipio
Metro area
San Juan-Bayamon-Caguas, PR MSA
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)
In Medicare since
1968
Last CMS survey
2024
Negotiated Rates
The data below comes from CMS-mandated price transparency data. Learn more.
Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Avera Health PlansHarvard Pilgrim Health Care (Point32Health)Kaiser PermanenteMass General Brigham (formerly AllWays Health Partners)MedicaTriple-S Salud
What San Francisco Health System Inc reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
3,961
Inpatient discharges
Medicare 6%, Medicaid 34%
26,294
Inpatient days
52% of available bed days used
300
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 836277). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Utilization by payer and unit
Inpatient days and discharges San Francisco Health System Inc reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
Medicare
Medicaid
Other
Total
Inpatient days
1,677
8,047
16,570
26,294
Discharges
232
1,364
2,365
3,961
Average length of stay
7.2 days
5.9 days
7.0 days
6.6 days
Average daily census
4.6
22.0
45.4
72.0
10,307
Medicare Advantage days
1,366 discharges
Beds and days by unit
Unit
Beds
Inpatient days
Medicare days
Occupancy
Adults & pediatrics
126
23,988
1,541
52%
Intensive care unit
13
2,306
136
49%
Source: CMS cost report (HCRIS, Form 2552-10), report 836277, 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 San Francisco Health System Inc 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 1,404 in 2020 to 1,387 in 2025.
ZIP code
Stays
Of this hospital's stays
Days
Charges
Market share
Share in 2020
00924
290
21%
2,262
$2.4M
21%
25%
00926
264
19%
2,166
$2.3M
10%
12%
00976
206
15%
1,696
$1.7M
18%
23%
00923
156
11%
1,190
$1.2M
23%
25%
00987
60
4%
411
$410,096
4%
6%
00917
58
4%
391
$383,657
8%
5%
00977
50
4%
320
$378,226
25%
25%
00983
39
3%
257
$249,070
3%
3%
00729
36
3%
284
$353,204
2%
4%
00982
32
2%
198
$223,734
7%
13%
00985
30
2%
168
$172,559
2%
3%
00745
18
1%
116
$103,076
1%
1%
00918
18
1%
111
$102,821
4%
00929
18
1%
100
$87,596
20%
18%
00928
15
1%
101
$85,606
22%
20%
00738
13
1%
118
$91,206
1%
00925
13
1%
74
$58,962
25%
30%
00986
13
1%
91
$83,786
5%
00915
12
1%
102
$94,560
2%
2%
00921
12
1%
58
$58,305
2%
2%
00927
12
1%
70
$73,325
4%
00725
11
1%
84
$66,266
0%
00772
11
1%
54
$58,324
2%
3%
Source: CMS Hospital Service Area file. Shares are of the 1,387 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 San Francisco Health System Inc reported at its latest Medicare certification survey (2024). Counts are people, not full-time equivalents.
33 clinicians who bill Medicare list San Francisco Health System Inc 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.
General Practice Physician 5
Internal Medicine Physician 4
Nephrology Physician 4
Diagnostic Radiology Physician 3
Infectious Disease Physician 3
Family Medicine Physician 2
Surgery Physician 2
Anesthesiology Physician 1
Gastroenterology Physician 1
Hospice and Palliative Medicine (Family Medicine) Physician 1
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 San Francisco Health System Inc reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
Line
Amount
Share
Gross patient revenue (charges)
$55M
139.0%
Inpatient
$28.3M
71.6%
Outpatient
$26.7M
67.4%
Contractual allowances and discounts
-$15.4M
-39.0%
Net patient revenue
$39.5M
100.0%
Operating expenses
-$41.7M
-105.5%
Operating income from patient care
-$2.2M
-5.5%
Other income
$562,450
1.4%
Investment income
$35,049
0.1%
Other
$527,401
1.3%
Net income
-$1.6M
-4.1%
Gross revenue by payer
Line
Amount
Share
Traditional Medicare
$1.4M
2.6%
Other payers and self-pay
$52.1M
97.4%
Total charges
$53.5M
100.0%
Source: CMS cost report (HCRIS, Form 2552-10), report 836277, 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 San Francisco Health System Inc's latest cost report.
-5.5%
Operating margin
Operating income from patient care / net patient revenue
-4.0%
Total margin
Net income / net patient revenue plus other income
0.4%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-2.0%
Return on assets
Net income for a year / total assets
-4.5%
Return on equity
Net income for a year / fund balance
2.12
Current ratio
Current assets / current liabilities
1.52
Quick ratio
Cash, temporary investments and net receivables / current liabilities
82 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
26 days
Days in patient receivables
Net patient receivables / daily net patient revenue
71 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.51
Asset turnover
Total revenue for a year / total assets
15.9 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 836277, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Balance sheet
What San Francisco Health System Inc owned and owed at the end of its reporting period (Dec 2025), across all fund types: $78.7M in total assets and a $35.7M fund balance.
Show the balance sheetHide the balance sheet
Line
Amount
Of total assets
Cash and temporary investments
$9.1M
11.6%
Patient receivables, net
$2.8M
3.6%
Inventory
$1.1M
1.4%
Total current assets
$16.6M
21.1%
Property and equipment, net of depreciation
$3.6M
4.6%
Investments and other assets
$58.4M
74.3%
Total assets
$78.7M
100.0%
Current liabilities
$7.9M
10.0%
Total liabilities
$43M
54.7%
Fund balance (net assets)
$35.7M
45.3%
Source: CMS cost report (HCRIS, Form 2552-10), report 836277, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Charity care and uncompensated care
Care San Francisco Health System Inc provided without full payment, as reported on Worksheet S-10 of its cost report.
$2M
Bad debt
Patient bills written off as uncollectible, at charges
-$1.3M
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$1.1M
Total unreimbursed and uncompensated care
2.6% 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 836277, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Financial trend
San Francisco Health System Inc's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
Show 6 yearsHide 6 years
Fiscal year ending
Dec 2020
Dec 2021
Dec 2022
Dec 2023
Dec 2024
Dec 2025
Net patient revenue
$38M
$43.7M
$44.3M
$44.4M
$44.1M
$39.5M
Operating expenses
$43.1M
$43.6M
$43.8M
$48.8M
$46.8M
$41.7M
Operating margin
-13.5%
0.3%
1.2%
-10.0%
-6.1%
-5.5%
Net income
$2.8M
$5.3M
$2.1M
-$2.3M
-$2M
-$1.6M
Total assets
$43.5M
$48.4M
$49.5M
$89M
$85.8M
$78.7M
Discharges
3,693
3,654
3,744
4,112
4,203
3,961
Inpatient days
25,152
24,530
25,713
26,936
27,878
26,294
Medicare Advantage days
10,396
10,168
10,606
8,844
7,556
10,307
Beds
135
136
138
139
139
139
Employees (FTE)
432
398
369
411
364
300
Source: CMS cost report (HCRIS, Form 2552-10), report 836277, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Departments
Each cost center San Francisco Health System Inc reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
Show all 23 departmentsHide all 23 departments
Ancillary and outpatient departments
Department
Salaries
Total cost
Charges
Cost-to-charge
Square feet
Emergency
$2.7M
$6.3M
$5M
1.25
21,603
Medical supplies charged to patient
$34,318
$5.1M
$6.1M
0.85
2,241
Drugs charged to patients
$552,036
$2.6M
$6.3M
0.42
1,545
Radiology-diagnostic
$408,783
$2.2M
$7.9M
0.28
4,818
Laboratory
$572,161
$2M
$14.7M
0.13
4,393
Operating room
$706,961
$1.6M
$993,600
1.66
5,918
Respiratory therapy
$266,749
$1.1M
$4.8M
0.24
602
Recovery room
$202,655
$534,551
$540,050
0.99
4,259
Blood storing processing & trans.
$400,059
$481,812
0.83
Physical therapy
$89,984
$136,572
$184,309
0.74
144
Impl. dev. charged to patients
$82,565
$131,940
0.63
Inpatient units
Department
Salaries
Total cost
Charges
Cost-to-charge
Square feet
Adults & pediatrics
$2.1M
$7.4M
$5.3M
1.40
37,236
Intensive care unit
$789,583
$1.6M
$1.1M
1.37
4,548
Overhead (general service) departments
Department
Salaries
Direct cost
Paid hours
Average hourly wage
Square feet
Administrative & general
$1.6M
$4.5M
95,788
$17.21
30,840
Operation of plant
$146,450
$2.6M
11,073
$13.23
2,946
Cap rel costs-bldg & fixt
$1.3M
143,695
Dietary
$96,122
$1.1M
3,566
$26.96
4,202
Nursing administration
$626,584
$988,424
33,948
$18.46
2,111
Housekeeping
$802,446
524
Medical records & library
$586,560
$691,899
30,799
$19.04
7,701
Cap rel costs-mvble equip
$449,259
Social service
$106,869
$131,060
5,744
$18.61
499
Laundry & linen service
$27,188
$111,347
2,236
$12.16
715
Source: CMS cost report (HCRIS, Form 2552-10), report 836277, 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 San Francisco Health System Inc for an inpatient stay.
1.56
Case mix index
Higher than 35% 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).
32.8%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
220
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 2027Hide 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
1.46
1.46
1.50
1.44
1.60
1.43
1.56
Wage index
0.624
0.616
0.614
0.613
0.583
0.554
0.526
Medicare inpatient stays
266
266
258
203
253
232
220
Source: CMS IPPS final rule Impact File (FY 2027).
Ownership
Organizations San Francisco Health System Inc reports to Medicare as owners or with operational control. 9 individuals also hold ownership interests; they are not listed here.
Artau Holdings LLC
5% or greater direct ownership interest, 100%, since 2015
About San Francisco Health System Inc's rates and hospital price transparency.
Is San Francisco Health System Inc a teaching hospital?
CMS reports no Medicare-funded interns or residents at San Francisco Health System Inc for fiscal year 2027.
What is San Francisco Health System Inc's case mix index?
San Francisco Health System Inc's Medicare case mix index is 1.56 for fiscal year 2027, higher than 35% of hospitals paid under the inpatient prospective payment system.
How many patients does San Francisco Health System Inc admit?
San Francisco Health System Inc reported 3,961 inpatient discharges and 26,294 inpatient days from Jan 1, 2025 to Dec 31, 2025.
How many employees does San Francisco Health System Inc have?
San Francisco Health System Inc reported 300 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
How much revenue does San Francisco Health System Inc make?
San Francisco Health System Inc reported $39.5M in net patient revenue on $55M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -5.5%, and net income of -$1.6M.
How much charity and uncompensated care does San Francisco Health System Inc provide?
San Francisco Health System Inc reported $1.1M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025.
Who is the CEO of San Francisco Health System Inc?
San Francisco Health System Inc's Medicare enrollment lists Eduardo J Artau Gomez as President Of Board Director since 2015.
How many doctors are affiliated with San Francisco Health System Inc?
33 clinicians who bill Medicare list San Francisco Health System Inc as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are general practice physician (5), internal medicine physician (4), nephrology physician (4).
Is San Francisco Health System Inc accredited?
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for San Francisco Health System Inc, effective 2012.
Who owns San Francisco Health System Inc?
In its Medicare enrollment, San Francisco Health System Inc reports Artau Holdings LLC as 5% or greater direct ownership interest (100%).
Where do San Francisco Health System Inc's patients come from?
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at San Francisco Health System Inc came from ZIP codes 00924 (290), 00926 (264), 00976 (206).
How many beds does San Francisco Health System Inc have?
San Francisco Health System Inc has 139 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 160 are Medicare-certified beds in CMS's Provider of Services file.
Where is San Francisco Health System Inc and what is its phone number?
San Francisco Health System Inc is located at 371 CALLE DE DIEGO, San Juan, PR 9233002.
What is San Francisco Health System Inc's CCN (Medicare provider number)?
San Francisco Health System Inc's CMS Certification Number (CCN), also called its Medicare provider number, is 400098.
What is San Francisco Health System Inc's NPI number?
The National Provider Identifier (NPI) on file for San Francisco Health System Inc is 1598798811.
Which insurance plans are in network at San Francisco Health System Inc?
San Francisco Health System Inc lists 8 in-network payers, including Avera Health Plans, BCBS, Harvard Pilgrim Health Care (Point32Health), Kaiser Permanente, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
What price transparency data is available for San Francisco Health System Inc?
40 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
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