The Rojas Report
The system isn’t failing. It’s succeeding at making you lose. I show you who profits and how you can fight back.
- Indexed issues, last 90 days
- 12
- Latest publication
- Sep 30, 2026
- Audience
- Checking…
- Earliest in this view
- Aug 11, 2026
Latest issues
Take The Profit Out. Then Show Me The Bill. (opens the original)
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Rojas Actual. You want to take the profit out of healthcare.Fair enough.Keystone Rural Health Center has no shareholders. It reported a $15.6 million surplus in fiscal 2024.Saint Francis Hospital in Tulsa has no shareholders. It reported a $346.9 million surplus in fiscal 2025.I can list 100’s more. Now look at your bill.IN TODAY’S ARTICLE:A Pennsylvania safety-net clinic with no owners reported $98 million in surplus over five years and grew its net assets more than 760 percent.
“Barely Surviving”. With 12 Hospitals and $9.5 Billion in Revenue (opens the original)
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A 1.9% operating margin. Twelve hospitals. $9.5 billion in annual revenue. Which number does the hospital want you to remember? The one that makes it sound like it can barely keep the lights on. That number may be accurate. It can also steer you away from questions about what the institution owns, how it keeps expanding, and who helped build the platform underneath it.In this episode, I open the rest of Michigan Medicine’s financial file and explain why “we’re barely breaking even” cannot answer
I Love Regulatory Capture (opens the original)
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<img alt="" class="sizing-normal" height="819" src="https://substackcdn.com/image/fetch/$s_!UeKH!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbfbdc28a-e4e2-4b48-a723-1e9cd0caf224_1
Nobody Cheated. Saint Francis Won. (opens the original)
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Rojas Actual.In Bixby Oklahoma on a morning in June, Saint Francis granted a blessing to nine clinics simultaneously within a former MedWise urgent-care clinic.There was one clinic in the room.The remaining eight watched by video.Up to quite recently, all nine of them were owned by QuikTrip.If you have not spent much time in Oklahoma, understand that QuikTrip is not merely a gas-station company. It is a Tulsa institution, privately held, famously well run, and admired with an intensity normally
I Love the University of Michigan (opens the original)
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<img alt="" class="sizing-normal" height="819" src="https://substackcdn.com/image/fetch/$s_!7NyG!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5f8aa4f4-d0b9-46b0-8c0a-eb7eb2423aa3_1672x941.png"
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