Psychiatric hospital · San Antonio, Texas · 272 beds · CMS certification number 454011
San Antonio 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. 28 years on file, every one shown below.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $7.0M in its first year on file (1997) to $77.7M in 2025.
- Its result from patient care: −$14.0M (2023), −$11.5M (2024), −$22.1M (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.
Every statement is drawn from figures on this page; nothing is estimated.
28 years of filings
Net patient revenue against operating expenses, each year as filed.
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Beside its peers
Psychiatric hospitals in Texas with 200 to 399 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| San Antonio State Hospital | 272 | $77,653,199 | $99,742,569 | −28.4% |
| Austin State Hospital, Austin | 240 | $52,391,016 | $97,515,373 | −86.1% |
| Laurel Ridge Hospital, San Antonio | 288 | $97,057,139 | $77,343,736 | 20.3% |
| North Texas State Hospital - Wichita Falls Campus, Wichita Falls | 365 | $108,469,042 | $198,419,501 | −82.9% |
| Rusk State Hospital, Rusk | 268 | $77,821,768 | $100,687,047 | −29.4% |
| Terrell State Hospital, Terrell | 247 | $57,724,926 | $92,552,862 | −60.3% |
Patients and payers
- Discharges
- 363S-3 line 14, col 15
- Inpatient days
- 88,577S-3 line 14, col 8
- Beds in use, on an average day
- 243.3days ÷ days in year
- Occupancy
- 89.2%days ÷ bed days
- Medicare share of days
- 0.4%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 454011. 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.