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Short-term acute care hospital · Houston, Texas · 131 beds · CMS certification number 450035

St. Joseph Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended October 31, 2025, as submitted, stamped by CMS May 6, 2026. 29 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$177.4M
$177,447,481 · G-3 line 3
Operating expenses
$221.0M
$220,969,203 · G-3 line 4
Result from patient care
−$43.5M
−$43,521,722 · G-3 line 5
Margin on patient care
−24.5%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $172.5M in its first year on file (1997) to $177.4M in 2025.
  • Its result from patient care: −$37.2M (2023), −$5.1M (2024), −$43.5M (2025).
  • 1 of the 5 short-term acute care hospital peers below with a margin on file also reports a loss on patient care for fiscal year 2025.
  • Medicaid paid for 5.7% of its inpatient days and Medicare for 3.7%.
  • HEALTHCARE SYSTEMS OF AMERICA -TEXAS LLC holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

29 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1997
settled with audit
$172.5M
$172.0M
1998
reopened
$159.5M
$172.4M
1999
reopened
$60.8M
$67.5M
2000
reopened
$154.7M
$163.4M
2001
reopened
$158.4M
$170.7M
2002
reopened
$152.4M
$179.0M
2003
reopened
$163.1M
$172.6M
2004
reopened
$173.3M
$186.2M
2005
reopened
$167.4M
$184.4M
2006
reopened
$191.0M
$227.2M
2007
reopened
$229.2M
$232.6M
2008
reopened
$223.0M
$240.7M
2009
reopened
$262.5M
$245.0M
2010
reopened
$245.4M
$244.6M
2011
reopened
$238.9M
$257.1M
2012
reopened
$204.4M
$231.2M
2013
reopened
$246.9M
$276.9M
2014
reopened
$282.9M
$303.2M
2015
reopened
$304.2M
$327.4M
2016
settled with audit
$305.1M
$347.0M
2017
settled
$319.9M
$353.3M
2018
settled
$202.2M
$273.3M
2019
settled
$177.0M
$261.1M
2020
settled with audit
$182.0M
$227.6M
2021
settled
$234.0M
$257.9M
2022
settled
$242.6M
$257.6M
2023
settled
$200.9M
$238.1M
2024
settled
$175.6M
$180.7M
2025
as submitted
$177.4M
$221.0M

Beside its peers

Short-term acute care hospitals in Texas with 100 to 199 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
St. Joseph Medical Center131$177,447,481$220,969,203−24.5%
Baylor Scott & White Medical Center - College Station, College Station142$487,750,326$479,879,3611.6%
Dallas Medical Center, Dallas127$38,470,332$59,535,168−54.8%
Medical City Alliance, Fort Worth130$230,109,014$163,615,93528.9%
Medical City North Hills, North Richland Hills142$195,689,266$134,912,62731.1%
Woodland Heights Medical Center, Lufkin136$120,849,408$114,627,2215.1%

Patients and payers

Discharges
6,891
S-3 line 14, col 15
Inpatient days
31,389
S-3 line 14, col 8
Beds in use, on an average day
85.8
days ÷ days in year
Occupancy
65.3%
days ÷ bed days
Medicare share of days
3.7%
S-3 cols 6 ÷ 8
Medicaid share of days
5.7%
S-3 cols 7 ÷ 8

Who owns it

  • HEALTHCARE SYSTEMS OF AMERICA -TEXAS LLC100%
  • MIKE M SARIAN100%

Indirect owner: HEALTHCARE SYSTEMS OF AMERICA

Other hospitals with the same owner: Hialeah Hospital (FL), Coral Gables Hospital (FL), Palmetto General Hospital (FL), Medical Center of South East Texas (TX).

Type of control on its cost report: proprietary, other.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 450035. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read May 6, 2026.