Velarion Records

Short-term acute care hospital · Houston, Texas · 156 beds · CMS certification number 450659

HCA Houston Healthcare Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended July 31, 2025, as submitted, stamped by CMS January 6, 2026. 30 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$262.2M
$262,246,959 · G-3 line 3
Operating expenses
$284.0M
$284,003,673 · G-3 line 4
Result from patient care
−$21.8M
−$21,756,714 · G-3 line 5
Margin on patient care
−8.3%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $95.9M in its first year on file (1996) to $262.2M in 2025.
  • Its result from patient care: −$18.8M (2023), −$24.9M (2024), −$21.8M (2025).
  • 1 of the 5 short-term acute care hospital peers below with a margin on file also reports a loss on patient care for fiscal year 2025.
  • Medicaid paid for 1.0% of its inpatient days and Medicare for 16.3%.
  • COLUMBIA/HCA OF HOUSTON, INC holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

30 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1996
reopened
$95.9M
$79.3M
1997
reopened
$96.2M
$87.9M
1998
reopened
$99.0M
$93.7M
1999
reopened
$99.5M
$90.4M
2000
reopened
$106.2M
$95.5M
2001
settled with audit
$132.1M
$111.5M
2002
settled with audit
$143.6M
$130.2M
2003
reopened
$132.4M
$130.4M
2004
reopened
$118.6M
$128.3M
2005
reopened
$117.8M
$122.5M
2006
reopened
$107.2M
$118.0M
2007
reopened
$94.7M
$107.9M
2008
reopened
$93.8M
$101.5M
2009
reopened
$96.6M
$97.0M
2010
reopened
$100.7M
$100.7M
2011
reopened
$94.7M
$99.1M
2012
reopened
$101.2M
$102.3M
2013
reopened
$78.6M
$90.5M
2014
reopened
$73.5M
$85.3M
2015
reopened
$86.6M
$91.8M
2016
reopened
$74.4M
$82.4M
2017
reopened
$42.4M
$45.3M
2018
settled
$72.0M
$86.1M
2019
reopened
$69.9M
$101.9M
2020
settled
$97.2M
$116.1M
2021
settled
$133.2M
$144.7M
2022
settled
$145.6M
$157.8M
2023
amended
$170.2M
$188.9M
2024
amended
$232.9M
$257.8M
2025
as submitted
$262.2M
$284.0M

Beside its peers

Short-term acute care hospitals in Texas with 100 to 199 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
HCA Houston Healthcare Medical Center156$262,246,959$284,003,673−8.3%
Baylor Scott & White Medical Center - Lake Pointe, Rowlett164$298,227,467$243,088,88118.5%
Detar Healthcare System, Victoria162$248,156,890$229,043,9547.7%
Houston Methodist Clear Lake Hospital, Nassau Bay178$384,178,011$338,037,43612.0%
Nacogdoches Medical Center, Nacogdoches155$140,651,558$117,548,26616.4%
Oakbend Medical Center, Richmond155$131,906,913$143,388,187−8.7%

Patients and payers

Discharges
6,144
S-3 line 14, col 15
Inpatient days
34,498
S-3 line 14, col 8
Beds in use, on an average day
94.8
days ÷ days in year
Occupancy
60.6%
days ÷ bed days
Medicare share of days
16.3%
S-3 cols 6 ÷ 8
Medicaid share of days
1.0%
S-3 cols 7 ÷ 8

Who owns it

  • COLUMBIA/HCA OF HOUSTON, INC100%
  • HCA HEALTHCARE INC100%
  • HCA INC100%
  • HEALTHTRUST INC - THE HOSPITAL COMPANY100%
  • HOUSTON HEALTHCARE HOLDINGS, INC100%
  • HTI HOSPITAL HOLDINGS INC25%
  • WOMEN'S HOSPITAL INDIANAPOLIS, L.P.18%
  • INDIANAPOLIS HOSPITAL PARTNER, LLC18%
  • FRISCO HOLDING II16%
  • HERCULES HOLDING II14%
  • HCA HEALTH SERVICES OF TEXAS INC11%
  • HEALTHSERV ACQUISITION LLC11%
  • COLUMBIA HOSPITAL CORPORATION - DELAWARE6%
  • COLUMBIA HOSPITAL CORPORATION OF WEST HOUSTON6%
  • HCA SQUARED LLC5%
  • HOSPITAL CORP LLC5%

Related organizations on its own cost report: HCA, hosp mgmt; HPG, purchasing.

Other hospitals with the same owner: Alaska Regional Hospital (AK), Riverside Community Hospital (CA), Good Samaritan Hospital (CA), Los Robles Hospital and Medical Center (CA), HCA Healthone Presbyterian St. Luke's Hospital (CO), HCA Healthone Rose Hospital (CO), HCA Healthone Swedish Hospital (CO), HCA Healthone Mountain Ridge Hospital (CO), HCA Healthone Aurora Hospital (CO).

Type of control on its cost report: proprietary, corporation.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 450659. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read January 6, 2026.