As of the July, 2022, release via CMS

CHRISTUS SPOHN HOSP CORPUS CHRISTI

CMS id: 450046
2606 HOSPITAL BOULEVARD, CORPUS CHRISTI TX 78405. County: NUECES
System: CHRISTUS HEALTH
CBSA: Corpus Christi, TX

The 549-bed, acute-care hospital had $-30,076,650 in net service to patients*, with a total profit margin of 4.67911% in fiscal year 2021, the latest year available.
It spent 15.47% of its operating expenses on uncompensated care and reported $173,564 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	369 118	362 118	376 119.5	395 118	378 119
Total beds Median	540 162	530 162	570 162	556 162	549 163.5
FTEs Median	2,917.12 788.06	2,529.80 793.42	2,261.01 806.03	2,110.80 787.61	2,280.96 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	531,554,470 150,932,746	539,967,990 158,950,878	552,037,363 168,696,998	552,496,938 163,454,693	633,272,675 186,589,412
Operating expenses Median	606,222,545 149,311,209	578,415,970 156,110,414	594,567,638 164,890,568	621,723,473 166,516,854	663,349,325 180,120,888
Net income from service 2 patients (NS2P) ? Median	-74,668,075 -964,173	-38,447,980 -643,601.5	-42,530,275 -116,254	-69,226,535 -5,025,862	-30,076,650 -1,284,564
NS2P margin ? Median	-14.05% -0.62	-7.12% -0.29	-7.70% 0.18	-12.53% -5.07	-4.75% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CHRISTUS SPOHN HOSP CORPUS CHRISTI compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	36,565,148 5,089,215	32,286,003 4,572,541	32,809,195 5,268,134	42,780,718 13,092,619	61,547,197 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,672,687 224,999	1,811,540 199,009	2,433,319 206,870.5	2,262,717 194,343	49,077,144 249,496
⊳ Line 7: Investments ? ⊳ Median	931 299,524	62,767 188,688.5	161,011 370,813	107,851 309,361.5	1,052 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	25,094	10,705	53,777	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	3,712,399	59,966	41,109	19,503	6,027
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	12,760	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	485	245	17,840	0	0
⊳ Line 21: Rental of vending machines	233,814	192,912	191,291	22,605	16,003
⊳ Line 22: Rental of hospital space	3,774,066	3,480,402	3,418,412	3,355,405	3,175,408
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	27,145,672	26,667,466	26,479,676	37,012,637	9,271,563
Total income ? Median	-38,102,927 6,586,430	-6,161,977 6,767,106	-9,721,080 8,419,950	-26,445,817 8,094,175	31,470,547 15,162,888
Non-operating expenses Median	0 146,289.5	403,919 164,857	0 89,880.5	0 106,761	-1,040,809 31,473.5
Net income Median	-38,102,927 6,043,842	-6,565,896 5,845,112	-9,721,080 7,606,259	-26,445,817 7,283,041	32,511,356 14,957,241
Net margin Median	-6.70685% 4.62%	-1.14737% 4.42%	-1.66216% 5.16%	-4.44260% 5.2%	4.67911% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for CHRISTUS SPOHN HOSP CORPUS CHRISTI compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	86,319,469 23,241,334	89,512,159 23,709,545	93,683,094 24,248,380	101,391,725 22,858,541	107,412,751 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	79,992,509 21,577,146	83,541,067 22,041,594	87,425,802 22,722,063	95,237,961 21,570,441	101,482,491 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	616,622 1,845,420	687,936 1,757,392	599,447 1,738,842	338,110 1,510,463	326,075 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	5,086,796 3,535,627	4,684,447 3,746,588	5,248,337 3,782,288	5,682,637 3,865,578	5,604,185 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	623,542 1,203,033	598,709 1,215,295	409,508 1,313,657	133,017 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	25,432,018 11,160,864	23,740,184 11,987,345	22,284,444 12,926,866	22,329,658 11,884,480	20,949,543 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	25,369,436 10,918,923	23,701,320 11,706,976	22,284,444 12,615,917	22,329,658 11,458,116	20,949,543 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	62,582 618,038	38,864 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	3,404,673 3,284,314	3,791,834 3,250,551	3,556,407 3,386,837	3,687,713 3,360,806	3,840,621 3,508,953
Disproportionate-share hospital (DSH) Median	2,368,140 594,888	2,333,931 595,761	2,268,269 577,894	2,142,606 542,168	2,907,799 549,667
Outlier Median	3,460,323 582,572	2,637,725 538,116	1,646,146 212,434	600,763 126,559	959,584 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	158,621 3,662,910	42,779 3,730,911	188,829 4,081,319	120,721 4,643,908	173,564 4,389,147
Charity care Median	87,213,685 2,654,636	88,550,074 2,940,659	84,510,334 3,380,215	89,027,295 3,488,738	95,613,067 3,233,405
Uncompensated care (UCC) Median	106,574,433 5,147,790	99,525,368 5,337,617	95,709,509 5,711,082	99,736,581 5,923,418	102,629,949 5,508,107
UCC as a % of operating expenses Median	17.58% 3.24	17.21% 3.12	16.10% 3.21	16.04% 3.3	15.47% 2.86
Total shortfall/UCC Median	106,733,054 9,489,989	99,568,147 9,424,297	95,898,338 10,120,158	99,857,302 11,171,337	102,803,513 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	164,270,007 52,142,039	160,181,939 54,485,252	158,925,485 57,395,589	158,126,440 58,830,919	153,879,566 61,722,907
Salaries as a % of operating expenses Median	27.10 36.68	27.69 36.56	26.73 36.37	25.43 35.93	23.20 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	3,399,562 1,204,885	3,893,842 1,279,653	4,091,983 1,469,317
Contract adjusted salaries, direct-care Median	8,615,784 1,449,244	6,405,899 1,475,986	7,053,306 1,563,078	8,111,127 1,721,954	52,021,374 2,991,828
Contract hours, direct-care Median	114,761.00 22,725	87,798.00 23,018.5	181,012.00 24,503.48	182,997.10 25,026.5	653,939.00 33,786
Contract wages, direct-care Median	75.08 64.67	72.96 64.53	38.97 65.06	44.32 68.97	79.55 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.