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Psychiatric hospital · Osawatomie, Kansas · 60 beds · CMS certification number 174022

Adair Acute Care at Osawatomie State Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, settled, stamped by CMS June 22, 2026. Eight years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$1.3M
$1,261,450 · G-3 line 3
Operating expenses
$68.2M
$68,185,346 · G-3 line 4
Result from patient care
−$66.9M
−$66,923,896 · G-3 line 5
Margin on patient care
−5305.3%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue fell from $2.0M in its first year on file (2018) to $1.3M in 2025.
  • Its result from patient care: −$58.0M (2023), −$62.1M (2024), −$66.9M (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.
  • Medicaid paid for 0.6% of its inpatient days and Medicare for 17.8%.
  • OSAWATOMIE STATE HOSPITAL holds 100% of it, on its Medicare enrollment.

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

Eight years of filings

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

Net patient revenueOperating expenses
2018
settled
$2.0M
$41.3M
2019
settled
$3.1M
$42.6M
2020
settled
$3.8M
$42.5M
2021
settled
$4.9M
$44.0M
2022
settled
$4.6M
$49.7M
2023
settled
$2.0M
$60.0M
2024
settled
$1.5M
$63.6M
2025
settled
$1.3M
$68.2M

Beside its peers

Hospitals of the same type (psychiatric hospital), nearest in size, from Kansas first; each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Adair Acute Care at Osawatomie State Hospital60$1,261,450$68,185,346−5305.3%
Anew Health, Shawnee20$4,623,571$6,102,157−32.0%
Corterra of Wichita, Wichita24$4,108,470$5,447,052−32.6%
Cottonwood Springs, Olathe96$33,568,592$32,271,2233.9%
Larned State Hospital, Larned90$117,807,658$127,868,929−8.5%
St. Veronica, Bel Aire20$28,673,317$30,633,653−6.8%

Patients and payers

Discharges
707
S-3 line 14, col 15
Inpatient days
10,518
S-3 line 14, col 8
Beds in use, on an average day
28.9
days ÷ days in year
Occupancy
48.0%
days ÷ bed days
Medicare share of days
17.8%
S-3 cols 6 ÷ 8
Medicaid share of days
0.6%
S-3 cols 7 ÷ 8

Who owns it

  • OSAWATOMIE STATE HOSPITAL100%
  • STATE OF KANSAS-ACCOUNTING SERVICES100%

Related organizations on its own cost report: KDADS (100%); KDADS (100%); KDADS (100%); KDADS (100%).

Other hospitals with the same owner: Larned State Hospital (KS).

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

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 174022. 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 June 22, 2026.