Salaries are low and equipment/infrastructure is top notch so the overall deficit per year is about a billion EUR, which is the extra they deduct from our taxes and Germoney. Quality and efficiency of "bang per buck" is decent albeit citizens always complain.
Portuguese did run half the world for a couple of centuries, the most spoken language by natives on the southern part of this planet but quite tiresome to deal with all that, now is more like Italy and prefers quality of life.
If this truly finances universal healthcare in Portugal for everyone, the Portuguese should run the world.