Velarion Records

Psychiatric hospital · Fulton, Missouri · 464 beds · CMS certification number 264004

Fulton State Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, settled, stamped by CMS January 27, 2026. 29 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$81.1M
$81,144,868 · G-3 line 3
Operating expenses
$159.8M
$159,783,518 · G-3 line 4
Result from patient care
−$78.6M
−$78,638,650 · G-3 line 5
Margin on patient care
−96.9%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $3.3M in its first year on file (1997) to $81.1M in 2025.
  • Its result from patient care: −$64.2M (2023), −$66.7M (2024), −$78.6M (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 2.6% of its inpatient days and Medicare for 0.2%.
  • STATE OF MISSOURI holds 100% of it, on its Medicare enrollment.

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
settled
$3.3M
$52.3M
1998
settled
$3.6M
$55.9M
1999
reopened
$2.6M
$59.9M
2000
reopened
$5.9M
$64.9M
2001
as submitted
$6.1M
$65.9M
2002
reopened
$5.7M
$65.7M
2003
reopened
$5.9M
$64.8M
2004
settled
$5.6M
$65.7M
2005
settled
$5.8M
$66.7M
2006
settled
$4.0M
$69.4M
2007
settled
−$419K
$75.6M
2008
settled
not filed
$74.0M
2009
settled with audit
$4.3M
$80.6M
2010
settled
$79.0M
$82.8M
2011
settled
$62.0M
$84.7M
2012
settled
$84.4M
$80.6M
2013
settled
$71.7M
$84.2M
2014
reopened
$2.8M
$90.6M
2015
reopened
−$2.9M
$93.2M
2016
reopened
−$15.9M
$97.6M
2017
settled
$80.8M
$98.9M
2018
settled
$79.6M
$101.4M
2019
settled
$78.5M
$102.6M
2020
settled
$77.8M
$109.7M
2021
settled
$71.5M
$107.5M
2022
settled
$65.4M
$105.6M
2023
settled
$68.9M
$133.1M
2024
settled
$85.8M
$152.5M
2025
settled
$81.1M
$159.8M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Fulton State Hospital464$81,144,868$159,783,518−96.9%
Centerpointe Hospital, St. Charles104$34,274,422$37,769,514−10.2%
Lakeland Behavioral Health System, Springfield110$49,052,488$42,192,59014.0%
Northwest Missouri Psychiatric Rehabilitation Center, St.joseph108$24,099,251$76,956,977−219.3%
Southeast Missouri Mental Health Center, Farmington348$62,134,832$113,165,617−82.1%
St. Louis Forensic Treatment Center, St.louis255$47,022,420$86,986,399−85.0%

Patients and payers

Discharges
5
S-3 line 14, col 15
Inpatient days
156,461
S-3 line 14, col 8
Beds in use, on an average day
429.8
days ÷ days in year
Occupancy
92.4%
days ÷ bed days
Medicare share of days
0.2%
S-3 cols 6 ÷ 8
Medicaid share of days
2.6%
S-3 cols 7 ÷ 8

Who owns it

  • STATE OF MISSOURI100%

Related organizations on its own cost report: CENTRAL OFFICE, state of missouri; OFFICE OF ADMINISTRATION, state of missouri.

Other hospitals with the same owner: Southeast Missouri Mental Health Center (MO), Northwest Missouri Psychiatric Rehabilitation Center (MO), Center for Behavioral Medicine (MO), St. Louis Forensic Treatment Center (MO), Hawthorn Children's Psychiatric Hospital (MO).

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).

Follow this hospital, free

We send this record now and tell you when it files again.

More psychiatric hospitals in Missouri

From the publisher of Velarion Records

Velarion Intel

Independent Decision-Grade Intelligence

Compensation and corporate governance intelligence for advisors, investors and companies. Executive and board pay for public companies, benchmarked against peers.

See what Intel shows

Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 264004. 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 27, 2026.