Velarion Records

Psychiatric hospital · Austin, Texas · 240 beds · CMS certification number 454084

Austin State Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended August 31, 2025, settled, stamped by CMS May 7, 2026. 29 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$52.4M
$52,391,016 · G-3 line 3
Operating expenses
$97.5M
$97,515,373 · G-3 line 4
Result from patient care
−$45.1M
−$45,124,357 · G-3 line 5
Margin on patient care
−86.1%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $8.3M in its first year on file (1997) to $52.4M in 2025.
  • Its result from patient care: −$22.6M (2023), −$38.8M (2024), −$45.1M (2025).
  • 4 of the 5 psychiatric hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.

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

29 years of filings

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

Net patient revenueOperating expenses
1997
reopened
$8.3M
$38.8M
1998
reopened
$30.2M
$38.4M
1999
settled with audit
$32.1M
$45.6M
2000
settled
$37.0M
$45.0M
2001
settled
$43.4M
$45.6M
2002
settled with audit
$44.1M
$44.4M
2003
settled with audit
$11.6M
$49.0M
2004
settled with audit
$9.0M
$45.7M
2005
reopened
$9.4M
$51.6M
2006
settled
$9.3M
$54.2M
2007
settled
$8.4M
$54.9M
2008
settled
$5.8M
$56.6M
2009
settled with audit
$13.7M
$63.5M
2010
settled
$12.5M
$66.3M
2011
settled
−$11.1M
$64.0M
2012
settled
−$11.8M
$66.0M
2013
reopened
$12.0M
$70.0M
2014
reopened
$68.5M
$49.3M
2015
settled
$69.6M
$52.8M
2016
settled
$70.4M
$48.3M
2017
settled
$78.4M
$51.6M
2018
settled
$76.3M
$61.4M
2019
settled
$74.7M
$66.1M
2020
settled
$75.9M
$63.5M
2021
settled
$61.5M
$67.0M
2022
settled
$49.6M
$59.8M
2023
settled
$50.2M
$72.8M
2024
settled
$47.2M
$86.0M
2025
settled
$52.4M
$97.5M

Beside its peers

Psychiatric hospitals in Texas with 200 to 399 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Austin State Hospital240$52,391,016$97,515,373−86.1%
Laurel Ridge Hospital, San Antonio288$97,057,139$77,343,73620.3%
North Texas State Hospital - Wichita Falls Campus, Wichita Falls365$108,469,042$198,419,501−82.9%
Rusk State Hospital, Rusk268$77,821,768$100,687,047−29.4%
San Antonio State Hospital, San Antonio272$77,653,199$99,742,569−28.4%
Terrell State Hospital, Terrell247$57,724,926$92,552,862−60.3%

Patients and payers

Discharges
192
S-3 line 14, col 15
Inpatient days
69,028
S-3 line 14, col 8
Beds in use, on an average day
189.6
days ÷ days in year
Occupancy
78.8%
days ÷ bed days
Medicare share of days
0.2%
S-3 cols 6 ÷ 8

Who owns it

Type of control on its cost report: governmental, state.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 454084. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read May 7, 2026.