CHRISTUS St. Michael Health System

CHRISTUS St. Michael Health System, located in Texarkana, Texas, extends the healing ministry of Jesus Christ by providing quality, compassionate care. Established in 1916, this acute care hospital offers a wide range of services, including emergency care, women's health, cancer care, and heart care. With 376 beds and a commitment to community health as a non-profit facility, CHRISTUS St. Michael strives to provide advanced medical treatment with a focus on patient safety and clinical excellence. Patients have given the hospital high ratings and would recommend it to others.

Identifiers

Hospital Name CHRISTUS St. Michael Health System
Facility ID 450801

Location

Address 2600 ST MICHAEL DR
City/Town Texarkana
State TX
ZIP Code 75503
County/Parish BOWIE

Health System

Health System CHRISTUS Health
Health System Website Domain christushealth.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 24
Health System Total Beds 5528
Health System Hospital Locations Louisiana, New Mexico and Texas

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Church
Ownership Details CHRISTUS Health
Emergency Services Yes

Jason Adams

President

Began serving as president of CHRISTUS St. Michael Health System on February 15, 2021. [3, 5, 10] Previously served as system COO of Longview, Texas-based CHRISTUS Good Shepherd Health System. [3, 5, 10] He has over 20 years of healthcare knowledge and senior leadership experience in operations, enterprise planning, financial accountability, professional services, and overall business development in healthcare and complex multi-hospital systems. [5, 10] His early experience includes roles at Memorial Hermann Fort Bend Hospital, Universal Health Services hospitals in Las Vegas, Cape Cod Healthcare, and CHRISTUS St. Vincent. [5, 10] As COO of CHRISTUS Good Shepherd, he led day-to-day operations and implemented successful strategies. [5, 10]

Mike Finley, MD

Regional Chief Medical Officer

Regional chief medical officer of CHRISTUS St. Michael Health System. [3] He was also named system medical director and designated institutional official for CHRISTUS Health, overseeing graduate medical education residency programs for the health system. [3]

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs Yes
Pediatric Residency Program No

Capacity & Services

Licensed Beds 343

Staffing & Personnel

FTE Employees on Payroll 1547.9
FTE Interns & Residents 3.67

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 26475
Inpatient Days (Title XIX) 784
Total Inpatient Days 60580
Bed Count 275
Available Bed Days 100375
Discharges (Title V) NA
Discharges (Title XVIII) 4438
Discharges (Title XIX) 87
Total Discharges 12668

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 23753
Inpatient Days (Title XIX; Adults & Peds) 123
Total Inpatient Days (Adults & Peds) 45791
Bed Count (Adults & Peds) 235
Available Bed Days (Adults & Peds) 85775
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 4438
Discharges (Title XIX; Adults & Peds) 87
Total Discharges (Adults & Peds) 12668

Quality Summary

Care Quality Stengths Average overall patient satisfaction. Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours. Hospital does an exceptional job of ensuring patients at the hospital do not get infections
Care Quality Concerns

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 74%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients No Different Than National Average
Mortality Group – Death Rate for Heart Attack Patients No Different Than National Average
Mortality Group – Death Rate for CABG Surgery Patients No Different Than National Average
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients Worse Than National Average
Mortality Group – Death Rate for Stroke Patients No Different Than National Average
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications No Different Than National Average
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate No Different Than National Average
Mortality Group – Postoperative Wound Dehiscence Rate No Different Than National Average
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 169

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients 2.2
Readmission Score Hospital Return Days for Heart Failure Patients 5
Readmission Score Hospital Return Days for Pneumonia Patients 11.3
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 13.1
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 9.1
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 5.7
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 1.4
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 14.3
Readmission Score Rate of Readmission for CABG 10.6
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18.1
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 20.2
Readmission Score Rate of Readmission After Hip/Knee Replacement 3.8
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.8
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 17
Readmission Group Hospital Return Days for Heart Attack Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Worse than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission for CABG No Different Than the National Rate
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement No Different Than the National Rate
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) 1.317
CAUTI SIR (Standardized Infection Ratio) 0.185
SSI SIR (Standardized Infection Ratio) 0.428
CDI SIR (Standardized Infection Ratio) 0.397
MRSA SIR (Standardized Infection Ratio) 1.237

Fiscal Period

Fiscal Year Begin Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $24,596
Bad Debt Expense $10,010
Uncompensated Care Cost $26,582
Total Uncompensated Care $26,601

Operating Expenses ($ thousands)

Total Salaries $121,064
Overhead Expenses (Non-Salary) $296,296
Depreciation Expense $15,586
Total Operating Costs $371,120

Charges ($ thousands)

Inpatient Charges $895,039
Outpatient Charges $1,466,529
Total Patient Charges $2,361,568

Wage-Related Details ($ thousands)

Core Wage Costs $24,922
Wage Costs (RHC/FQHC)
Adjusted Salaries $121,064
Contract Labor (Patient Care) $4,557
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $518
Short-Term Investments
Notes Receivable $572
Accounts Receivable $176,978
Allowance for Doubtful Accounts $-130,006
Inventory $8,071
Prepaid Expenses $19,702
Other Current Assets
Total Current Assets $72,724

Balance Sheet – Fixed Assets ($ thousands)

Land Value $22,516
Land Improvements Value $10,955
Building Value $106,610
Leasehold Improvements $3,102
Fixed Equipment Value $84,947
Major Movable Equipment $130,279
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $115,570

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $23,993
Total Other Assets $-12,008
Total Assets $176,287

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $10,670
Salaries & Wages Payable $5,314
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue $42,404
Other Current Liabilities $2,762
Total Current Liabilities $61,149

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $19,568
Total Long-Term Liabilities $19,568
Total Liabilities $80,717

Balance Sheet – Equity ($ thousands)

General Fund Balance $95,569
Total Fund Balances $95,569
Total Liabilities & Equity $176,287

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $11,277
DRG (Post-Oct 1) $35,659
Outlier Payments
DSH Adjustment $1,937
Eligible DSH % $0
Simulated MC Payments $25,821
Total IME Payments $397

Revenue & Income Statement ($ thousands)

Inpatient Revenue $895,039
Outpatient Revenue $1,466,529
Total Patient Revenue $2,361,568
Contractual Allowances & Discounts $1,924,551
Net Patient Revenue $437,017
Total Operating Expenses $417,360
Net Service Income $19,657
Other Income $16,344
Total Income $36,001
Other Expenses
Net Income $36,001

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $50,782
Medicaid Charges $316,320
Net CHIP Revenue $85
CHIP Charges $658

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing Yes--In Process of Replacing

ERP Information

ERP Infor
ERP Version Cloudsuite
EHR is Changing No