▸ Cost Report · CCN 450272 · FY 2025

CHRISTUS SANTA ROSA - SAN MARCOS

SAN MARCOS, TX 78666 · Fiscal year ending 2025-06-30

Acute Care Hospitals1117 beds340B · DSHSystem: CHRISTUS Health →

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$175.5M

TOTAL REVENUES

$10.3M

NET INCOME

5.9%

OPERATING MARGIN

6,321

DISCHARGES

01 — FINANCIAL

Financial summary

Total revenues: $175.5M
Total costs: $167.1M
Net income: $10.3M
Operating margin: 5.9%
Total charges: $812.1M
Medicare charges: —
Medicaid charges: —
Charity care charges: $90.9M
Uncompensated care: $17.9M
Bad debt: $1.5M
Total assets: $67.1M
Total liabilities: $14.3M
Fund balance: $52.9M

02 — UTILIZATION

Utilization

Total beds: 117
Bed days available: 42,705
Total inpatient days: 22,199
Medicare inpatient days: 4,719
Medicaid inpatient days: 564
Total outpatient visits: —
Total discharges: 6,321
Total FTEs: —
Inpatient residents: —
Outpatient residents: —

03 — HISTORY

Latest filing

Fiscal year	Discharges	Revenue	Net income	Margin
2025-06-30	6,321	$175.5M	$10.3M	5.9%

Upgrade to see all 10 filings on file.See Solo · $499/yr →

03b — TREND CHART

Revenue, costs, and net income by fiscal year

Multi-year P&L chart — visualize revenue, costs, and net income side-by-side across every filing.See Solo · $499/yr →

04 — PEER BENCHMARK

Peer cohort — TX Acute Care Hospitals

111 hospitals filing FY2025

Median operating margin: 10.6%
25th percentile margin: 1.2%
75th percentile margin: 19.3%
Median discharges: 8,592
Median net income: $17.2M
Median bed count: 164

05 — QUALITY (CMS CARE COMPARE)

CMS Care Compare quality measures

Sourced from data.cms.gov · refreshed monthly. CMS publishes these — we surface them.

Overall rating

4 / 5

Emergency services: Yes
Mortality vs national avg: Same as the national average
Safety vs national avg: Above the national average
Readmissions vs national avg: Same as the national average
Patient experience vs national avg: —
Timely & effective vs national avg: —

07a — MS-DRG MIX

Top inpatient DRGs by volume

Per CMS Medicare Inpatient Hospitals dataset (PY2022)

DRG	Description	Discharges	Avg payment
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	80	$15K
291	HEART FAILURE AND SHOCK WITH MCC	76	$10K
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	75	$14K
291	HEART FAILURE AND SHOCK WITH MCC	75	$11K
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	34	$14K
193	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	33	$11K
193	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	28	$11K
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	24	$10K
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	20	$9K
189	PULMONARY EDEMA AND RESPIRATORY FAILURE	19	$10K

07 — MARKET (HSAF)

Top patient-origin ZIPs

Catchment based on CMS Hospital Service Area File (PY2022)

ZIP	Cases	Bed days
78666	988	3965
78666	888	3426
78666	882	2987
78666	826	3189
78666	744	3322
78666	575	2236
78676	259	1037
78676	215	760
78676	210	750
78676	179	708

06 — COMMUNITY BENEFIT (IRS 990 SCHEDULE H)

Schedule H community benefit · Christus Santa Rosa Health Care Corporation

FY2023 · matched by name + state · sourced via ProPublica Nonprofit Explorer

Total revenue (990): $1.08B
Total expenses (990): $1.11B
Charity care cost: —
Unreimbursed Medicaid: —
Community health improvement spend: —

View Form 990 on ProPublica →

08 — 340B DRUG PRICING

340B Covered Entity

HRSA Office of Pharmacy Affairs — this hospital participates in the 340B Drug Pricing Program

Entity type: DSH
Covered entity ID: DSH450272D
Entity name: CHRISTUS Santa Rosa Hospital - San Marcos
Match method: NPI match
Parent entity ID: DSH450272

340B hospitals purchase outpatient drugs at discounted prices from manufacturers. Entity types: DSH = Disproportionate Share Hospital, CAH = Critical Access, FQHC = Federally Qualified Health Center, PED = Pediatric, SCH = Sole Community Hospital.

09 — IPPS PAYMENT ADJUSTMENTS

Medicare payment adjustment factors

CMS IPPS Final Rule (FY2025) — explains why Medicare pays this hospital its specific rate

0.9484

WAGE INDEX

37.1%

DSH PERCENTAGE

0.0000

IME FACTOR

Wage Index adjusts for local labor costs (higher in NYC/SF, lower in rural areas). DSH % (Disproportionate Share Hospital) adds payment for treating a high share of low-income patients. IME (Indirect Medical Education) compensates teaching hospitals for residency program costs. Case Mix Index reflects average DRG weight (patient severity).

PHYSICIAN AFFILIATIONS

Affiliated Physicians (181)

CMS-reported physician affiliations at this facility

By specialty

Nurse Practitioner (30)Family Practice (22)Emergency Medicine (16)Physician Assistant (11)Diagnostic Radiology (10)Neurology (10)Anesthesiology (10)Orthopedic Surgery (7)Internal Medicine (7)General Surgery (7)

Physician	NPI	Type
RYAN ANDREW ARMOUR	1003080557	Hospital
FARRUKH BADSHA	1013100973	Hospital
KATHARYN E BERGER	1013569284	Hospital
SARA SCHWARTZ BIRDSONG	1013259555	Hospital
GREGORY CONNOR	1013911783	Hospital
WILLIAM K DESCHNER	1023003563	Hospital
CODY ESTLER	1013302181	Hospital
KARI H FAY	1023236304	Hospital
LINDA G HAUSENFLUKE	1013987254	Hospital
DAVID HERNANDEZ	1033168323	Hospital
DAVID JONES	1003935032	Hospital
CHU EN LIN	1013327782	Hospital
TIFFANY A PETEETE	1023856184	Hospital
SHERRY LYNNETTE PETROSKY	1013690338	Hospital
VERONICA RESENDEZ	1013376664	Hospital
FELIX RIVERA-PEREZ	1003078692	Hospital
DOUGLAS S SMITH	1033257753	Hospital
DAVID BRIAN TEMPLIN	1023100922	Hospital
ROBERT P THOMPSON, JR.	1003801119	Hospital
JASMINE E TREVINO	1013362508	Hospital

Showing 20 of 181 affiliated physicians

REFERRAL NETWORK

Top referring physicians

CMS Physician Shared Patient Patterns — physicians outside this facility who share Medicare beneficiaries with its affiliated providers

Referring specialties

Unknown (300)Diagnostic Radiology (194)Clinical Laboratory (18)Internal Medicine (128)Emergency Medicine (72)Ambulance Service Provider (41)Family Practice (79)Cardiology (56)Nephrology (38)Hospitalist (24)

Referring Physician	Specialty	Shared patients	Encounters
Clinical Pathology Laboratories, Inc.	Clinical Laboratory	7,629	23,338
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION	—	5,577	15,762
THE EAST ALABAMA HEALTH CARE AUTHORITY	—	1,497	4,801
SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT	—	1,301	3,320
MILBOURN, JOHN	—	1,113	2,677
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.	—	845	1,785
Stephen Swearingen	Diagnostic Radiology	802	2,342
Simone Bridges-Roschmann	Diagnostic Radiology	685	1,756
Southerncross Ambulance, Inc.	Ambulance Service Provider	666	2,700
ASCENSION SETON	—	588	2,548
ASCENSION SETON	—	573	1,259
City Of San Antonio Texas	Ambulance Service Provider	554	909
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK	—	542	1,174
Song Hong	Critical Care (Intensivists)	510	2,187
Rubin Harris	Internal Medicine	503	8,975
RESOLUTE HOSPITAL COMPANY, LLC	—	485	1,469
Joe Pruneda	Diagnostic Radiology	460	1,209
Laboratory Corporation Of America Holdings	Clinical Laboratory	456	803
City Of New Braunfels	Ambulance Service Provider	453	992
Kalpesh Patel	Critical Care (Intensivists)	448	3,744

Source: CMS Physician Shared Patient Patterns (30-day window). Shows external physicians who share the most Medicare beneficiaries with this facility's providers.

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