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Psychiatric hospital · Katonah, New York · 178 beds · CMS certification number 334002

Four Winds Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, settled, stamped by CMS August 10, 2026. 30 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$53.3M
$53,280,629 · G-3 line 3
Operating expenses
$58.6M
$58,582,880 · G-3 line 4
Result from patient care
−$5.3M
−$5,302,251 · G-3 line 5
Margin on patient care
−10.0%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $29.4M in its first year on file (1996) to $53.3M in 2025.
  • Its result from patient care: −$11.4M (2023), −$8.2M (2024), −$5.3M (2025).
  • None of the 2 psychiatric hospital peers below with a margin on file reports a loss on patient care for fiscal year 2025.
  • Medicaid paid for 18.8% of its inpatient days and Medicare for 0.3%.
  • SARAH D KLAGSBURN holds 52% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

30 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1996
reopened
$29.4M
$31.5M
1997
settled with audit
$30.9M
$32.5M
1998
settled with audit
$32.6M
$34.2M
1999
settled
$34.6M
$35.0M
2000
settled
$35.1M
$37.0M
2001
settled
$34.9M
$36.7M
2002
settled
$35.3M
$37.6M
2003
settled
$36.6M
$38.3M
2004
settled
$36.8M
$38.8M
2005
settled
$38.3M
$39.9M
2006
as submitted
$37.6M
$39.9M
2007
settled
$37.3M
$44.0M
2008
settled
$38.6M
$43.9M
2009
settled
$40.5M
$39.9M
2010
settled
$41.9M
$45.2M
2011
settled
$42.6M
$48.0M
2012
settled
$43.7M
$48.7M
2013
settled
$44.8M
$45.9M
2014
settled
$44.4M
$48.6M
2015
settled
$46.2M
$48.2M
2016
settled
$48.6M
$50.2M
2017
settled
$51.4M
$51.5M
2018
settled
$54.5M
$52.8M
2019
settled
$55.9M
$57.3M
2020
settled
$51.5M
$54.4M
2021
settled
$52.7M
$55.4M
2022
settled
$51.7M
$60.8M
2023
settled
$53.8M
$65.2M
2024
settled
$56.6M
$64.7M
2025
settled
$53.3M
$58.6M

Beside its peers

Psychiatric hospitals in New York with 100 to 199 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Four Winds Hospital178$53,280,629$58,582,880−10.0%
Bronx Psychiatric Center, Bronx156$82,676,215
Brunswick Hospital Center, Amityville146$51,268,016$49,312,8633.8%
Buffalo Psychiatric Center, Buffalo188$71,029,742
Kingsboro Psychiatric Center, Brooklyn163$70,868,422
Gracie Square Hospital, New York140$91,748,675$88,385,7983.7%

Patients and payers

Discharges
1,948
S-3 line 14, col 15
Inpatient days
45,784
S-3 line 14, col 8
Beds in use, on an average day
125.8
days ÷ days in year
Occupancy
70.5%
days ÷ bed days
Medicare share of days
0.3%
S-3 cols 6 ÷ 8
Medicaid share of days
18.8%
S-3 cols 7 ÷ 8

Who owns it

  • SARAH D KLAGSBURN52%
  • SAMUEL C KLAGSBRUN ESTATE48%

Related organizations on its own cost report: S. D. KLAGSBRUN (100%), psych hospital.

Type of control on its cost report: proprietary, corporation.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 334002. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read August 10, 2026.