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Psychiatric hospital · Big Springs, Texas · 144 beds · CMS certification number 454000

Big Spring State Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended August 31, 2025, as submitted, stamped by CMS February 16, 2026. 29 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$50.8M
$50,753,550 · G-3 line 3
Operating expenses
$52.4M
$52,385,894 · G-3 line 4
Result from patient care
−$1.6M
−$1,632,344 · G-3 line 5
Margin on patient care
−3.2%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $3.0M in its first year on file (1997) to $50.8M in 2025.
  • Its result from patient care: −$21.4M (2023), −$23.8M (2024), −$1.6M (2025).
  • 2 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
$3.0M
$28.0M
1998
settled
$3.2M
$28.0M
1999
settled
$4.1M
$29.7M
2000
settled
$4.4M
$31.3M
2001
settled
$6.3M
$30.3M
2002
settled
$6.5M
$32.1M
2003
settled
$6.6M
$31.9M
2004
as submitted
$4.2M
$28.9M
2005
settled with audit
$31.3M
$30.2M
2006
settled
$3.1M
$33.7M
2007
settled
$10.0M
$35.1M
2008
settled
$2.0M
$36.8M
2009
settled
$6.7M
$39.9M
2010
settled
$7.0M
$39.8M
2011
settled
$6.2M
$37.6M
2012
settled
−$4.8M
$38.9M
2013
settled
$4.5M
$41.9M
2014
settled
$43.0M
$30.6M
2015
settled
$43.0M
$32.0M
2016
settled
$47.8M
$32.4M
2017
settled
$44.3M
$31.6M
2018
settled
$43.7M
$36.8M
2019
settled
$40.4M
$35.9M
2020
settled
$37.2M
$37.0M
2021
settled
$30.0M
$37.0M
2022
settled
−$13.1M
$39.5M
2023
settled
$22.5M
$43.9M
2024
settled
$25.6M
$49.4M
2025
as submitted
$50.8M
$52.4M

Beside its peers

Psychiatric hospitals in Texas with 100 to 199 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Big Spring State Hospital144$50,753,550$52,385,894−3.2%
Carrollton Springs, Carrollton150$42,811,167$46,951,138−9.7%
Cross Creek Hospital, Austin134$25,102,659$28,130,368−12.1%
Millwood Hospital, Arlington134$35,238,194$31,687,92610.1%
Rio Vista Behavioral Health, El Paso149$41,583,879$32,195,14122.6%
Sun Behavioral Houston, Houston148$40,724,228$38,607,6195.2%

Patients and payers

Discharges
97
S-3 line 14, col 15
Inpatient days
60,253
S-3 line 14, col 8
Beds in use, on an average day
165.5
days ÷ days in year
Occupancy
114.6%
days ÷ bed days
Medicare share of days
0.9%
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 454000. 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 February 16, 2026.