Velarion Records

Short-term acute care hospital · Texarkana, Texas · 284 beds · CMS certification number 450801

CHRISTUS St. Michael Health System

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 15, 2025. 29 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$571.2M
$571,203,465 · G-3 line 3
Operating expenses
$557.8M
$557,793,806 · G-3 line 4
Result from patient care
$13.4M
$13,409,659 · G-3 line 5
Margin on patient care
2.4%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $106.6M in its first year on file (1997) to $571.2M in 2025.
  • Its result from patient care: $19.7M (2023), $5.2M (2024), $13.4M (2025).
  • 3 of the 5 short-term acute care hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 0.9% of its inpatient days and Medicare for 37.8%.
  • CHRISTUS HEALTH 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
$106.6M
$105.3M
1998
reopened
$122.5M
$117.2M
1999
reopened
$50.2M
$51.0M
2000
reopened
$125.4M
$124.1M
2001
reopened
$123.3M
$125.9M
2002
reopened
$137.5M
$139.7M
2003
reopened
$137.5M
$144.0M
2004
reopened
$144.0M
$150.2M
2005
settled with audit
$159.5M
$158.5M
2006
reopened
$181.1M
$170.1M
2007
reopened
$169.4M
$191.6M
2008
reopened
$209.8M
$209.4M
2009
reopened
$208.9M
$210.0M
2010
reopened
$225.7M
$221.2M
2011
reopened
$232.4M
$227.7M
2012
reopened
$230.1M
$221.4M
2013
reopened
$217.0M
$210.5M
2014
reopened
$231.2M
$223.7M
2015
reopened
$258.6M
$239.1M
2016
reopened
$269.9M
$245.1M
2017
reopened
$368.9M
$251.5M
2018
reopened
$278.2M
$262.3M
2019
reopened
$304.7M
$289.5M
2020
reopened
$307.8M
$301.9M
2021
settled
$335.2M
$320.1M
2022
settled
$365.8M
$349.2M
2023
settled
$437.0M
$417.4M
2024
settled
$466.5M
$461.3M
2025
as submitted
$571.2M
$557.8M

Beside its peers

Short-term acute care hospitals in Texas with 200 to 399 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
CHRISTUS St. Michael Health System284$571,203,465$557,793,8062.4%
Baylor Scott & White Medical Center - Grapevine, Grapevine289$431,029,917$329,008,30323.7%
Citizens Medical Center, Victoria286$183,641,012$213,601,235−16.3%
Houston Methodist Baytown Hospital, Baytown290$511,344,613$487,916,7764.6%
CHI St. Joseph Health Regional Hospital, Bryan284$410,694,092$502,778,872−22.4%
The Hospitals of Providence Sierra Campus, El Paso282$252,006,292$245,776,8242.5%

Patients and payers

Discharges
17,313
S-3 line 14, col 15
Inpatient days
78,346
S-3 line 14, col 8
Beds in use, on an average day
215.2
days ÷ days in year
Occupancy
75.6%
days ÷ bed days
Medicare share of days
37.8%
S-3 cols 6 ÷ 8
Medicaid share of days
0.9%
S-3 cols 7 ÷ 8

Who owns it

  • CHRISTUS HEALTH100%
  • CHRISTUS NORTHEAST TEXAS AND NORTHERN LOUISIANA HEALTH SYSTEM CORP100%

Other hospitals with the same owner: CHRISTUS St. Frances Cabrini Hospital (LA), CHRISTUS Ochsner St. Patrick Hospital (LA), CHRISTUS Shreveport-Bossier Health System (LA), CHRISTUS Ochsner Lake Area Hospital (LA), CHRISTUS Central Louisiana Surgical Hospital (LA), CHRISTUS Coushatta Health Care Center (LA), CHRISTUS St. Vincent Regional Medical Center (NM).

Type of control on its cost report: voluntary nonprofit, church.

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 HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 450801. 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 HOSP10FY2024.ZIP, read December 15, 2025.