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Psychiatric hospital · Terrell, Texas · 247 beds · CMS certification number 454006

Terrell State Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended August 31, 2025, as submitted, stamped by CMS February 13, 2026. 29 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$57.7M
$57,724,926 · G-3 line 3
Operating expenses
$92.6M
$92,552,862 · G-3 line 4
Result from patient care
−$34.8M
−$34,827,936 · G-3 line 5
Margin on patient care
−60.3%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $6.4M in its first year on file (1997) to $57.7M in 2025.
  • Its result from patient care: −$31.9M (2023), −$34.2M (2024), −$34.8M (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 0.1% of its inpatient days and Medicare for 1.2%.

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
$6.4M
$42.1M
1998
reopened
$5.5M
$39.1M
1999
as submitted
$6.2M
$41.1M
2000
as submitted
$4.8M
$42.8M
2001
settled
$6.9M
$43.5M
2002
settled
$6.8M
$44.1M
2003
settled with audit
$6.4M
$45.9M
2004
reopened
$7.6M
$43.2M
2005
reopened
$7.7M
$46.7M
2006
settled
$5.5M
$49.2M
2007
settled
$5.9M
$55.7M
2008
settled
$4.2M
$57.8M
2009
settled
$7.7M
$61.0M
2010
settled
$8.3M
$60.8M
2011
settled
$1.2M
$60.8M
2012
settled
$15.7M
$60.8M
2013
settled
$17.4M
$64.4M
2014
settled
$50.6M
$46.1M
2015
settled
$66.0M
$46.4M
2016
settled
$67.5M
$46.2M
2017
reopened
$75.7M
$48.8M
2018
settled
$78.9M
$59.5M
2019
settled
$76.3M
$60.5M
2020
settled
$74.6M
$65.1M
2021
settled
$54.8M
$65.2M
2022
settled
$43.1M
$63.1M
2023
settled
$43.6M
$75.5M
2024
settled
$52.8M
$87.0M
2025
as submitted
$57.7M
$92.6M

Beside its peers

Psychiatric hospitals in Texas with 200 to 399 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Terrell State Hospital247$57,724,926$92,552,862−60.3%
Austin State Hospital, Austin240$52,391,016$97,515,373−86.1%
Laurel Ridge Hospital, San Antonio288$97,057,139$77,343,73620.3%
North Texas State Hospital - Wichita Falls Campus, Wichita Falls365$108,469,042$198,419,501−82.9%
Rusk State Hospital, Rusk268$77,821,768$100,687,047−29.4%
San Antonio State Hospital, San Antonio272$77,653,199$99,742,569−28.4%

Patients and payers

Discharges
1,290
S-3 line 14, col 15
Inpatient days
74,960
S-3 line 14, col 8
Beds in use, on an average day
205.9
days ÷ days in year
Occupancy
83.2%
days ÷ bed days
Medicare share of days
1.2%
S-3 cols 6 ÷ 8
Medicaid share of days
0.1%
S-3 cols 7 ÷ 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 454006. 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 13, 2026.