Restaurants and other businesses in this food-loving tourist mecca collected almost $14 million dollars in extra fees last year from their patrons, as they sought to comply with the progressive city's landmark universal health-care ordinance.  But an Associated Press analysis of records showed that roughly 40 percent of that money hasn't been spent on their workers' health care.

The surcharges, which range from 3 to 5 percent and often appear in fine print on receipts, are one result of San Francisco's five-year-old health care program, which includes some of the most far-reaching such requirements mandated by any U.S. city.

The law applies to more than 4,000 businesses with as few as 20 part-time workers, from nail salons to international banks with local branches, requiring them to set aside for workers an extra $1 to $3 an hour for health care.