Velarion Records

Short-term acute care hospital · Houston, Texas · 223 beds · CMS certification number 450644

HCA Houston Healthcare West

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 22, 2026. 30 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$255.4M
$255,412,819 · G-3 line 3
Operating expenses
$240.8M
$240,770,357 · G-3 line 4
Result from patient care
$14.6M
$14,642,462 · G-3 line 5
Margin on patient care
5.7%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $62.9M in its first year on file (1996) to $255.4M in 2025.
  • Its result from patient care: $6.2M (2023), $18.9M (2024), $14.6M (2025).
  • 4 of the 5 short-term acute care hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 2.4% of its inpatient days and Medicare for 10.4%.
  • 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
as submitted
$62.9M
$67.6M
1997
as submitted
$58.7M
$58.1M
1998
as submitted
$60.3M
$55.2M
1999
as submitted
$166.6M
$59.7M
2000
as submitted
$74.9M
$71.7M
2001
reopened
$100.6M
$97.1M
2002
reopened
$100.9M
$97.3M
2003
reopened
$129.9M
$130.2M
2004
reopened
$117.5M
$117.5M
2005
reopened
$127.1M
$130.4M
2006
reopened
$155.5M
$132.4M
2007
reopened
$158.8M
$131.5M
2008
reopened
$176.1M
$138.7M
2009
reopened
$168.9M
$178.4M
2010
reopened
$157.8M
$166.2M
2011
reopened
$160.4M
$171.7M
2012
reopened
$163.8M
$167.6M
2013
reopened
$176.1M
$182.6M
2014
reopened
$186.4M
$194.6M
2015
reopened
$196.3M
$210.4M
2016
reopened
$184.7M
$215.9M
2017
settled
$174.8M
$213.4M
2018
reopened
$188.0M
$205.8M
2019
settled with audit
$204.8M
$224.1M
2020
settled
$210.2M
$213.6M
2021
settled
$209.8M
$212.0M
2022
settled
$204.6M
$207.0M
2023
settled
$226.4M
$220.2M
2024
amended
$267.3M
$248.4M
2025
as submitted
$255.4M
$240.8M

Beside its peers

Short-term acute care hospitals in Texas with 200 to 399 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
HCA Houston Healthcare West223$255,412,819$240,770,3575.7%
Ascension Providence, Waco224$347,385,720$321,879,2657.3%
Baylor Scott & White Medical Center - Hillcrest, Waco236$563,530,352$574,493,156−1.9%
The Hospitals of Providence East Campus, El Paso218$408,269,017$290,964,62528.7%
Medical City Fort Worth, Fort Worth223$456,732,020$351,590,66923.0%
The Woman's Hospital of Texas, Houston235$472,404,621$69,494,21585.3%

Patients and payers

Discharges
9,761
S-3 line 14, col 15
Inpatient days
42,442
S-3 line 14, col 8
Beds in use, on an average day
116.6
days ÷ days in year
Occupancy
52.1%
days ÷ bed days
Medicare share of days
10.4%
S-3 cols 6 ÷ 8
Medicaid share of days
2.4%
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%
  • WEST HOUSTON LLC99%
  • WHMC INC99%
  • HTI HOSPITAL HOLDINGS INC25%
  • WOMEN'S HOSPITAL INDIANAPOLIS, L.P.18%
  • 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%
  • WEST HOUSTON LLC1%
  • WHMC INC1%

Related organizations on its own cost report: HCA (100%), home office.

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 450644. 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 June 22, 2026.