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Short-term acute care hospital · San Antonio, Texas · 20 beds · CMS certification number 670054

Foundation Surgical Hospital of San Antonio

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, settled, stamped by CMS August 26, 2026. Eighteen years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$24.4M
$24,395,997 · G-3 line 3
Operating expenses
$31.9M
$31,944,344 · G-3 line 4
Result from patient care
−$7.5M
−$7,548,347 · G-3 line 5
Margin on patient care
−30.9%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $3.2M in its first year on file (2008) to $24.4M in 2025.
  • Its result from patient care: $147K (2023), −$3.7M (2024), −$7.5M (2025).
  • 3 of the 5 short-term acute care hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • USP SAN ANTONIO INC holds 61% of it, on its Medicare enrollment.

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

Eighteen years of filings

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

Net patient revenueOperating expenses
2008
settled
$3.2M
$3.6M
2009
settled with audit
$24.5M
$25.7M
2010
settled
$28.5M
$27.4M
2011
as submitted
$30.0M
$30.5M
2012
reopened
$32.4M
$31.8M
2013
settled
$36.9M
$30.6M
2014
settled
$39.2M
$32.1M
2015
settled
$40.8M
$33.1M
2016
settled
$36.0M
$33.0M
2017
settled
$36.9M
$35.2M
2018
settled
$33.1M
$39.4M
2019
settled
$34.3M
$33.1M
2020
settled
$35.1M
$33.1M
2021
settled
$34.9M
$32.5M
2022
settled
$38.1M
$37.3M
2023
settled
$35.2M
$35.0M
2024
settled
$30.4M
$34.1M
2025
settled
$24.4M
$31.9M

Beside its peers

Short-term acute care hospitals in Texas with under 25 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Foundation Surgical Hospital of San Antonio20$24,395,997$31,944,344−30.9%
Baylor Scott & White Surgical Hospital - Las Colinas, Irving20$73,209,836$49,903,88831.8%
Covenant Hospital Levelland, Levelland21$25,224,466$31,931,112−26.6%
Medical Arts Hospital, Lamesa21$16,814,594$21,512,368−27.9%
Stephens Memorial Hospital, Breckenridge20$6,125,520$8,358,046−36.4%
Baylor Scott & White Texas Spine & Joint Hospital, Tyler20$182,163,495$114,138,34837.3%

Patients and payers

Discharges
392
S-3 line 14, col 15
Inpatient days
652
S-3 line 14, col 8
Beds in use, on an average day
1.8
days ÷ days in year
Occupancy
8.9%
days ÷ bed days
Medicare share of days
19.6%
S-3 cols 6 ÷ 8

Who owns it

  • USP SAN ANTONIO INC61%

Indirect owners: HCN SURGERY CENTER HOLDINGS INC; TENET HEALTHCARE CORPORATION; UNITED SURGICAL PARTNERS HOLDINGS INC; UNITED SURGICAL PARTNERS INTERNATIONAL INC; USP DOMESTIC HOLDINGS INC; USPI GROUP HOLDINGS INC; USPI HOLDING COMPANY INC; USPI HOLDINGS INC

Related organizations on its own cost report: PHYSICIANS, physician group; USP SAN ANTONIO, healthcare.

Other hospitals with the same owner: St. Mary's Hospital (AZ), St. Joseph's Hospital (AZ), Abrazo Central Campus (AZ), Abrazo Scottsdale Campus (AZ), Abrazo Arrowhead Campus (AZ), Arizona Spine and Joint Hospital (AZ), Abrazo West Campus (AZ), Arizona Specialty Hospital (AZ), HCH Tucson Holdings (AZ).

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 HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 670054. 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 HOSP10FY2025.ZIP, read August 26, 2026.