Cost report · CMS certification number 454084
AUSTIN STATE HOSPITAL
AUSTIN, Texas · psychiatric hospital
1. Finances, as filed
From this hospital’s Medicare cost report for the year ended 31 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $52,391,016 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $52,391,016 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $97,515,373 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$45,124,357 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Total facility beds | 240 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
Cost report filed under CMS certification number 454084 for 1 September 2024 to 31 August 2025, settled. The public file it was read from.
2. Five hospitals in Texas of a similar size
Chosen for having bed counts close to this hospital’s, and listed by name. Not the state’s largest hospitals: a comparison only means something between hospitals of roughly the same size. Each figure is that hospital’s own filing; the reporting periods differ and each is shown.
| Hospital | Beds | Net patient revenue | Total operating expenses | Charity care, at cost | Uncompensated care, at cost | Period ended |
|---|---|---|---|---|---|---|
| AUSTIN STATE HOSPITAL | 240 | $52,391,016 | $97,515,373 | 31 August 2025 | ||
| DELL SETON MEDICAL CENTER AT THE UNI | 240 | $543,791,629 | $536,976,285 | $139,169,601 | $147,517,066 | 30 June 2025 |
| DRISCOLL CHILDRENS HOSPITAL | 243 | $975,265,105 | $723,850,254 | 31 August 2025 | ||
| ST. LUKES THE WOODLANDS HOSPITAL | 240 | $360,969,669 | $351,410,843 | $14,660,075 | $20,718,533 | 30 June 2025 |
| TEXAS HEALTH SOUTHWEST | 243 | $408,171,928 | $370,893,892 | $19,385,089 | $27,804,605 | 30 September 2025 |
| VALLEY BAPTIST MED CNTR BROWNSVILLE | 240 | $221,967,208 | $183,006,701 | $13,113,094 | $15,011,832 | 30 April 2025 |
3. Where this hospital sits
No position is stated for this hospital.
4. Executive compensation and community benefit
Not in this report. Executive pay is filed on IRS Form 990 Part VII and community benefit on its Schedule H, under an employer identification number. The Medicare cost report does not carry that number, so nothing on the two documents names the same organization.
Every cost report on file
One row per filing, oldest first until you say otherwise. Every column orders both ways. Reporting periods differ between filings and the length of each is shown, because revenue over three months set beside revenue over twelve is a wrong number that looks right.
| Fiscal year ↑↓ | Period ended ↑↓ | Days ↑↓ | Form ↑↓ | Status ↑↓ | Beds ↑↓ | Net patient revenue ↑↓ | Total operating expenses ↑↓ | Income from service to patients ↑↓ | Charity care, at cost ↑↓ | Uncompensated care, at cost ↑↓ | Bad debt expense ↑↓ | Cost-to-charge ratio ↑↓ | Stamped by CMS |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1997 | 1997-08-31 | 364 | CMS-2552-96 | reopened | 96 | $8,340,713 | $38,752,713 | −$30,412,000 | 2005-11-04 | ||||
| 1998 | 1998-08-31 | 364 | CMS-2552-96 | reopened | 96 | $30,193,025 | $38,436,293 | −$8,243,268 | 2006-03-09 | ||||
| 1999 | 1999-08-31 | 364 | CMS-2552-96 | settled with audit | 96 | $32,125,014 | $45,596,117 | −$13,471,103 | 2003-06-19 | ||||
| 2000 | 2000-08-31 | 365 | CMS-2552-96 | settled | 96 | $36,986,794 | $45,034,730 | −$8,047,936 | 2005-06-07 | ||||
| 2001 | 2001-08-31 | 364 | CMS-2552-96 | settled | 96 | $43,416,714 | $45,568,679 | −$2,151,965 | 2005-08-01 | ||||
| 2002 | 2002-08-31 | 364 | CMS-2552-96 | settled with audit | 96 | $44,054,767 | $44,388,746 | −$333,979 | 2005-10-25 | ||||
| 2003 | 2003-08-31 | 364 | CMS-2552-96 | settled with audit | 144 | $11,624,992 | $48,964,757 | −$37,339,765 | 2006-09-15 | ||||
| 2004 | 2004-08-31 | 365 | CMS-2552-96 | settled with audit | 186 | $9,021,764 | $45,654,945 | −$36,633,181 | 2007-03-09 | ||||
| 2005 | 2005-08-31 | 364 | CMS-2552-96 | reopened | 209 | $9,431,567 | $51,561,776 | −$42,130,209 | 2009-02-27 | ||||
| 2006 | 2006-08-31 | 364 | CMS-2552-96 | settled | 172 | $9,284,790 | $54,193,971 | −$44,909,181 | 2008-01-24 | ||||
| 2007 | 2007-08-31 | 364 | CMS-2552-96 | settled | 172 | $8,377,923 | $54,873,345 | −$46,495,422 | 2009-02-27 | ||||
| 2008 | 2008-08-31 | 365 | CMS-2552-96 | settled | 169 | $5,798,112 | $56,572,284 | −$50,774,172 | 2009-12-23 | ||||
| 2009 | 2009-08-31 | 364 | CMS-2552-96 | settled with audit | 175 | $13,713,608 | $63,488,277 | −$49,774,669 | 2011-04-22 | ||||
| 2010 | 2010-08-31 | 364 | CMS-2552-96 | settled | 175 | $12,547,151 | $66,292,213 | −$53,745,062 | 2012-01-20 | ||||
| 2011 | 2011-08-31 | 364 | CMS-2552-10 | settled | 174 | −$11,146,880 | $63,956,781 | −$75,103,661 | 2013-09-26 | ||||
| 2012 | 2012-08-31 | 365 | CMS-2552-10 | settled | 174 | −$11,799,711 | $66,012,950 | −$77,812,661 | 2014-08-12 | ||||
| 2013 | 2013-08-31 | 364 | CMS-2552-10 | reopened | 174 | $11,984,363 | $69,999,529 | −$58,015,166 | 2017-10-17 | ||||
| 2014 | 2014-08-31 | 364 | CMS-2552-10 | reopened | 315 | $68,478,701 | $49,346,105 | $19,132,596 | 2017-10-17 | ||||
| 2015 | 2015-08-31 | 364 | CMS-2552-10 | settled | 315 | $69,612,118 | $52,771,886 | $16,840,232 | 2017-02-24 | ||||
| 2016 | 2016-08-31 | 365 | CMS-2552-10 | settled | 315 | $70,410,406 | $48,273,299 | $22,137,107 | 2018-02-08 | ||||
| 2017 | 2017-08-31 | 364 | CMS-2552-10 | settled | 315 | $78,357,548 | $51,633,634 | $26,723,914 | 2019-01-24 | ||||
| 2018 | 2018-08-31 | 364 | CMS-2552-10 | settled | 254 | $76,271,387 | $61,392,963 | $14,878,424 | $2,422,998 | $2,327,913 | 1.0005 | 2019-08-13 | |
| 2019 | 2019-08-31 | 364 | CMS-2552-10 | settled | 263 | $74,695,082 | $66,110,567 | $8,584,515 | 2021-08-03 | ||||
| 2020 | 2020-08-31 | 365 | CMS-2552-10 | settled | 263 | $75,909,864 | $63,491,592 | $12,418,272 | 2022-08-12 | ||||
| 2021 | 2021-08-31 | 364 | CMS-2552-10 | settled | 263 | $61,460,478 | $66,967,538 | −$5,507,060 | 2023-05-11 | ||||
| 2022 | 2022-08-31 | 364 | CMS-2552-10 | settled | 199 | $49,564,381 | $59,759,427 | −$10,195,046 | 2023-03-13 | ||||
| 2023 | 2023-08-31 | 364 | CMS-2552-10 | settled | 268 | $50,192,705 | $72,818,454 | −$22,625,749 | 2024-03-22 | ||||
| 2024 | 2024-08-31 | 365 | CMS-2552-10 | settled | 199 | $47,174,538 | $85,967,652 | −$38,793,114 | 2025-12-15 | ||||
| 2025 | 2025-08-31 | 364 | CMS-2552-10 | settled | 240 | $52,391,016 | $97,515,373 | −$45,124,357 | 2026-05-07 |
How to read this report
Every figure above is printed as its source document printed it, with the exact place it came from beside it: the worksheet, line and column of the Medicare cost report this hospital filed under CMS certification number 454084. A reader holding the same public file can go to that cell.
Two forms are in use. CMS-2552-96 covers reports for 1996 through 2011 and CMS-2552-10 the ones since. The older form has no worksheet S-10, so on those years charity care, bad debt, uncompensated care and the cost-to-charge ratio have no cell to come from and no figure appears.
A figure the hospital’s filing does not carry is left out. Nothing here is estimated and nothing is carried in from another year. No percentage or ratio is calculated anywhere in this report: charity care and revenue sit in adjacent rows and the reader draws the relation.
Financial figures: CMS Healthcare Cost Report Information System, publication year 2024, file HOSP10FY2024.ZIP. Corrections: hello@velarionrecords.com. Velarion Records takes no position on any hospital, its finances or the programs it takes part in.
The full report for AUSTIN STATE HOSPITAL
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.