Terrell State Hospital is rebuilding on its nineteenth-century campus
Terrell State Hospital opened in 1885, before the city was fifteen years old. The campus became part of Terrell's work and landscape for generations.
In August 2024, Texas HHS broke ground on a $573 million replacement. The plan called for 250 beds, including 35 for children and teens. Those numbers describe the project announced on that date.
The rebuild places a modern hospital beside a story that began in the 1800s. Use HHS for current project and service news. The old campus explains why the hospital feels woven into Terrell.
Content last revised 2026-07-11