As of the July, 2022, release via CMS

CHRISTUS SPOHN ALICE

CMS id: 450828
2500 E. MAIN, ALICE TX 78332. County: JIM WELLS
System: CHRISTUS HEALTH
CBSA: Alice, TX

The 72-bed, acute-care hospital had $5,229,433 in net service to patients*, with a total profit margin of 16.43436% in fiscal year 2021, the latest year available.
It spent 23.96% of its operating expenses on uncompensated care and reported $42,984 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	64 118	64 118	64 119.5	64 118	64 119
Total beds Median	83 162	72 162	72 162	72 162	72 163.5
FTEs Median	246.31 788.06	213.54 793.42	203.72 806.03	183.73 787.61	140.97 804.34

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	51,938,170 150,932,746	48,873,088 158,950,878	50,481,926 168,696,998	49,474,918 163,454,693	56,155,996 186,589,412
Operating expenses Median	46,033,695 149,311,209	42,982,653 156,110,414	43,003,729 164,890,568	44,110,470 166,516,854	50,926,563 180,120,888
Net income from service 2 patients (NS2P) ? Median	5,904,475 -964,173	5,890,435 -643,601.5	7,478,197 -116,254	5,364,448 -5,025,862	5,229,433 -1,284,564
NS2P margin ? Median	11.37% -0.62	12.05% -0.29	14.81% 0.18	10.84% -5.07	9.31% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CHRISTUS SPOHN ALICE 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	547,614 5,089,215	568,131 4,572,541	476,203 5,268,134	621,972 13,092,619	4,785,993 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	53,143 224,999	9,396 199,009	57,141 206,870.5	32,809 194,343	4,212,295 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	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	342,380	24,543	-350	-3,097	-233
⊳ Line 15: Revenue from rental of living quarters	82,942	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	4,034	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	0	698	0	0	0
⊳ Line 21: Rental of vending machines	0	0	25,175	5,105	2,531
⊳ Line 22: Rental of hospital space	0	0	378,324	410,395	388,414
⊳ 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	69,149	533,494	11,879	176,760	182,986
Total income ? Median	6,452,089 6,586,430	6,458,566 6,767,106	7,954,400 8,419,950	5,986,420 8,094,175	10,015,426 15,162,888
Non-operating expenses Median	10,318 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	6,441,771 6,043,842	6,458,566 5,845,112	7,954,400 7,606,259	5,986,420 7,283,041	10,015,426 14,957,241
Net margin Median	12.27336% 4.62%	13.06312% 4.42%	15.60968% 5.16%	11.94968% 5.2%	16.43436% 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 ALICE 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	7,242,915 23,241,334	6,216,957 23,709,545	7,253,992 24,248,380	8,386,403 22,858,541	10,083,582 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	6,440,391 21,577,146	6,216,957 22,041,594	7,253,992 22,722,063	8,386,403 21,570,441	10,083,582 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	802,524 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 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	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	4,175,777 11,160,864	3,949,369 11,987,345	3,671,205 12,926,866	3,403,499 11,884,480	3,331,193 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	4,049,538 10,918,923	3,836,567 11,706,976	3,558,346 12,615,917	3,303,493 11,458,116	3,269,119 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	126,239 618,038	112,802 697,279	112,859 690,232	100,006 684,010	62,074 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	140,048 594,888	128,855 595,761	126,267 577,894	118,562 542,168	153,884 549,667
Outlier Median	91,694 582,572	29,727 538,116	21,420 212,434	782 126,559	2,857 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	36,528 3,662,910	110,003 3,730,911	64,559 4,081,319	60,774 4,643,908	42,984 4,389,147
Charity care Median	7,653,129 2,654,636	9,320,768 2,940,659	8,801,742 3,380,215	10,093,776 3,488,738	11,211,944 3,233,405
Uncompensated care (UCC) Median	11,097,183 5,147,790	11,307,692 5,337,617	10,609,931 5,711,082	11,583,216 5,923,418	12,202,143 5,508,107
UCC as a % of operating expenses Median	24.11% 3.24	26.31% 3.12	24.67% 3.21	26.26% 3.3	23.96% 2.86
Total shortfall/UCC Median	11,133,711 9,489,989	11,417,695 9,424,297	10,674,490 10,120,158	11,643,990 11,171,337	12,245,127 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	14,710,148 52,142,039	13,110,912 54,485,252	13,550,656 57,395,589	12,968,817 58,830,919	12,697,162 61,722,907
Salaries as a % of operating expenses Median	31.96 36.68	30.50 36.56	31.51 36.37	29.40 35.93	24.93 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	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	297,208 1,449,244	0 1,475,986	0 1,563,078	0 1,721,954	4,202,644 2,991,828
Contract hours, direct-care Median	3,849.00 22,725	0.00 23,018.5	0.00 24,503.48	0.00 25,026.5	45,389.00 33,786
Contract wages, direct-care Median	77.22 64.67	0.00 64.53	0.00 65.06	0.00 68.97	92.59 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.