Psychiatric HospitalGovernment - State

Rusk State Hospital

Rusk, TX

805 North Dickinson, Rusk, TX 75785(903) 683-3421

Not rated by CMS

CMS star rating

268

Beds

218

Inpatient discharges a year

$77.8M

Net patient revenue a year

About this hospital

Rusk State Hospital is a 268-bed government - state hospital in Rusk, TX.

CCN: 454009
NPI: 1942218581
County: Cherokee County
Metro area: Jacksonville, TX MicroSA
Medicare contractor: Jurisdiction H, Novitas Solutions (04011)
In Medicare since: 1970
Last CMS survey: 2023

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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Contract data may be available through direct hospital inquiry.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

More about this hospital

Quality
Not rated by CMS
See quality ratings
Doctors and services
Accredited by The Joint Commission
- 13 services
See doctors and services
Finances
$77.8M net patient revenue
- Operating margin on patient care -29.4%
- -$100.7M net income
See finances
Ownership and leadership
Owned by Health And Human Services Commission
- State
See ownership and leadership

Location

805 North Dickinson, Rusk, TX 75785

(903) 683-3421

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Every CMS quality measure

Each result CMS publishes for Rusk State Hospital, beside the US median and the average of TX hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.

Inpatient psychiatric care15 measures

Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.

Measure	Rusk State Hospital	US median	TX average	US rank
Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30	Not Available		59.65
Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30	Not Available		37.83
Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 89,819 cases	0.03	0.05	0.0735	Worse than 57% of US hospitals
Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 89,819 cases	0	0.03	0.3179	The worst result, shared by 39% of US hospitals
Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31	Not Available		77.27
Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30	Not Available		72.65
Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30	Not Available		19.27
Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 19 cases	95	92	80.65	Better than 61% of US hospitals
Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31	Not Available		68.51
Alcohol use brief intervention provided2024-01-01 to 2024-12-31	Not Available		71.36
Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31	Not Available		66.92
Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31	Not Available		50.77
Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31	Not Available		67.2
Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31	Not Available		22.32
Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 28 cases	64	77	70.84	Worse than 60% of US hospitals

Source: CMS Care Compare hospital files, latest release 2026-08-13, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.

Accreditation and services

The Joint Commission (since 2023)
Accreditation
None
Medical school affiliation
State
Ownership type
76
Medicare-certified beds
66
Registered nurses (full-time equivalent)
1970
In Medicare since

13 services at Rusk State Hospital

Emergency and trauma: Emergency Psychiatric Care
Imaging: Diagnostic Radiology
Women and children: Clinical Laboratory
Behavioral health: Adult Inpatient Psychiatric CareForensic PsychiatricGeriatric Psychiatric
Rehabilitation and therapy: OT (Occupational Therapy)PT (Physical Therapy)
Other services: Dental CareDietary CareOptometricPharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Rusk State Hospital reported to Medicare in its latest cost report, covering Sep 1, 2024 to Aug 31, 2025.

218
Inpatient discharges
91,444
Inpatient days
93% of available bed days used
963
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 833253). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Rusk State Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	0	0	91,444	91,444
Discharges	0	0	218	218
Average length of stay			419.5 days	419.5 days
Average daily census	0.0	0.0	250.5	250.5

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	268	91,444		93%

Source: CMS cost report (HCRIS, Form 2552-10), report 833253, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Staff and facilities

Staff by profession and the rooms and units Rusk State Hospital reported at its latest Medicare certification survey (2023). Counts are people, not full-time equivalents.

66
Registered nurses
43
Licensed practical nurses
10
Physicians
7
Nurse practitioners
4
Pharmacists
1
Occupational therapists
2
Radiology technicians
1
Medical technologists
2
Dietitians
17
Social workers
3
Psychologists
693
Other personnel

Source: CMS Provider of Services file.

Income statement

Revenue, expenses and income Rusk State Hospital reported to Medicare for Sep 1, 2024 to Aug 31, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$77.8M	100.0%
Inpatient	$77.8M	100.0%
Outpatient	$2,924	0.0%
Net patient revenue	$77.8M	100.0%
Operating expenses	-$100.7M	-129.4%
Operating income from patient care	-$22.9M	-29.4%
Other income	-$77.8M	-100.0%
Net income	-$100.7M	-129.4%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$2,864	0.0%
Other payers and self-pay	$77.8M	100.0%
Total charges	$77.8M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 833253, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Rusk State Hospital's latest cost report.

-29.4%
Operating margin
Operating income from patient care / net patient revenue
-167811645.0%
Total margin
Net income / net patient revenue plus other income
-165386780.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
65% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
104.5%
Return on assets
Net income for a year / total assets
92.31
Current ratio
Current assets / current liabilities
535.99
Quick ratio
Cash, temporary investments and net receivables / current liabilities
-2040 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
-4 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
-0.00
Asset turnover
Total revenue for a year / total assets

Source: CMS cost report (HCRIS, Form 2552-10), report 833253, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Rusk State Hospital owned and owed at the end of its reporting period (Aug 2025), across all fund types: -$96.4M in total assets and a -$95.4M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	-$559.7M
Inventory	$463.3M
Total current assets	-$96.4M
Total assets	-$96.4M
Current liabilities	-$1M
Total liabilities	-$1M
Fund balance (net assets)	-$95.4M

Source: CMS cost report (HCRIS, Form 2552-10), report 833253, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Rusk State Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Aug 2020	Aug 2021	Aug 2022	Aug 2023	Aug 2024	Aug 2025
Net patient revenue	$78.6M	$57.3M	$45.7M	$43.7M	$74.4M	$77.8M
Operating expenses	$60.6M	$62.7M	$60.9M	$73.5M	$92.2M	$100.7M
Operating margin	22.9%	-9.4%	-33.2%	-68.0%	-23.9%	-29.4%
Net income	-$60.6M	-$62.7M	-$60.9M	-$73.5M	-$92.2M	-$100.7M
Total assets	-$171.8M	-$234.8M	-$295.4M	-$366.6M	-$458M	-$96.4M
Discharges	263	154	118	90	192	218
Inpatient days	94,148	82,888	67,341	61,711	86,853	91,444
Medicare Advantage days		240
Beds	259	259	259	361	290	268
Employees (FTE)	1,007	1,006	1,009	927	942	963

Source: CMS cost report (HCRIS, Form 2552-10), report 833253, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Rusk State Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 16 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Radiology-diagnostic			$2,777
Laboratory			$147

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$49.9M	$116.8M	$77.8M	1.50	296,206

Overhead (general service) departments

Department	Salaries	Direct cost	Square feet
Administrative & general	$5.1M	$21.8M	31,360
Employee benefits department		$5.4M	6,257
Pharmacy	$1.1M	$5.1M	5,854
Dietary	$2.5M	$5.1M	15,281
Maintenance & repairs	$2M	$4.9M	99,680
Operation of plant	$2.6M	$4.7M	259
Cap rel costs-bldg & fixt		$1.2M	493,097
Housekeeping	$586,765	$936,881	14,258
Medical records & library	$430,428	$581,628	4,481
Social service	$200,255	$277,404
Cap rel costs-mvble equip		$242,379
Laundry & linen service	$113,345	$193,157	2,597
Chaplaincy	$67,990	$84,901

Source: CMS cost report (HCRIS, Form 2552-10), report 833253, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Frequently asked questions

About Rusk State Hospital's rates and hospital price transparency.

How many patients does Rusk State Hospital admit?

Rusk State Hospital reported 218 inpatient discharges and 91,444 inpatient days from Sep 1, 2024 to Aug 31, 2025.

How many employees does Rusk State Hospital have?

Rusk State Hospital reported 963 full-time-equivalent employees on payroll from Sep 1, 2024 to Aug 31, 2025.

How much revenue does Rusk State Hospital make?

Rusk State Hospital reported $77.8M in net patient revenue on $77.8M of gross charges for Sep 1, 2024 to Aug 31, 2025, an operating margin of -29.4%, and net income of -$100.7M.

Is Rusk State Hospital accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Rusk State Hospital, effective 2023.

Who owns Rusk State Hospital?

In its Medicare enrollment, Rusk State Hospital reports Health And Human Services Commission as Operational/managerial control (0%).

What services does Rusk State Hospital offer?

CMS lists 13 services at Rusk State Hospital, including Adult Inpatient Psychiatric Care, Clinical Laboratory, Dental Care, Diagnostic Radiology, Dietary Care, Emergency Psychiatric Care.

How many beds does Rusk State Hospital have?

Rusk State Hospital has 268 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 76 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Psychiatric Hospital.

Where is Rusk State Hospital and what is its phone number?

Rusk State Hospital is located at 805 North Dickinson, Rusk, TX 75785. Its main phone number is (903) 683-3421.

What is Rusk State Hospital's CCN (Medicare provider number)?

Rusk State Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 454009.

What is Rusk State Hospital's NPI number?

The National Provider Identifier (NPI) on file for Rusk State Hospital is 1942218581.

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{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
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        "standard_charge_dollar": 400
      },
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        "payer_name": "Region Health Insurance",
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      }
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  }]
}

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Rusk State Hospital

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Every CMS quality measure

Accreditation and services

13 services at Rusk State Hospital

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Staff and facilities

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Ownership

Leadership

Officers and directors on the Medicare enrollment

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Every CMS quality measure

Accreditation and services

13 services at Rusk State Hospital

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Staff and facilities

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Ownership

Leadership

Officers and directors on the Medicare enrollment

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts