Velarion Records

Psychiatric hospital · Medical Lake, Washington · 375 beds · CMS certification number 504004

Eastern State Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 12, 2025. 29 years on file, every one shown below.

Enrolled with Medicare by Department of Social Dept of SHS Div of Instns.

Fiscal 2025 at a glance

Net patient revenue
$185.2M
$185,190,109 · G-3 line 3
Operating expenses
$189.7M
$189,722,547 · G-3 line 4
Result from patient care
−$4.5M
−$4,532,438 · G-3 line 5
Margin on patient care
−2.5%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $7.7M in its first year on file (1997) to $185.2M in 2025.
  • Its result from patient care: −$19.6M (2023), $1.6M (2024), −$4.5M (2025).
  • None of the 5 psychiatric hospital peers below with a margin on file reports a loss on patient care for fiscal year 2025.
  • Medicaid paid for 4.3% of its inpatient days and Medicare for 0.1%.

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

29 years of filings

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

Net patient revenueOperating expenses
1997
settled
$7.7M
$40.4M
1998
settled
$7.3M
$42.3M
1999
settled
$7.3M
$43.2M
2000
settled
$8.2M
$46.1M
2001
settled
$4.1M
$50.8M
2002
settled
−$5.4M
$52.2M
2003
settled
$48.2M
$52.5M
2004
settled with audit
$52.2M
$52.9M
2005
settled with audit
$53.0M
$54.6M
2006
settled
$58.1M
$60.0M
2007
reopened
$57.4M
$63.1M
2008
settled
$65.3M
$70.3M
2009
settled
$66.5M
$68.1M
2010
settled
$66.3M
$64.7M
2011
settled
$66.2M
$66.3M
2012
settled
$64.8M
$66.0M
2013
settled
$58.1M
$67.3M
2014
settled
$64.5M
$72.7M
2015
settled
$62.7M
$72.1M
2016
settled
$74.3M
$84.1M
2017
settled
$88.8M
$98.2M
2018
settled
$99.2M
$106.2M
2019
settled
$106.3M
$111.9M
2020
settled
$116.3M
$116.9M
2021
settled
$110.7M
$125.4M
2022
settled
$111.5M
$128.9M
2023
settled
$165.0M
$184.5M
2024
reopened
$201.4M
$199.9M
2025
as submitted
$185.2M
$189.7M

Beside its peers

Hospitals of the same type (psychiatric hospital), nearest in size, from Washington first; each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Eastern State Hospital375$185,190,109$189,722,547−2.5%
Fairfax Hospital, Kirkland221$112,565,762$76,366,20232.2%
Inland Northwest Behavioral Health, Spokane100$52,181,304$33,706,57835.4%
Smokey Point Behavioral Hospital, Marysville145$44,113,807$38,368,89113.0%
South Sound Behavioral Hospital, Lacey138$46,583,786$40,108,04913.9%
Wellfound Behavioral Health Hospital, Tacoma120$66,032,454$56,483,81614.5%

Patients and payers

Discharges
615
S-3 line 14, col 15
Inpatient days
98,431
S-3 line 14, col 8
Beds in use, on an average day
270.4
days ÷ days in year
Occupancy
71.9%
days ÷ bed days
Medicare share of days
0.1%
S-3 cols 6 ÷ 8
Medicaid share of days
4.3%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: WA ST-ACCT DIV (100%).

Type of control on its cost report: governmental, state.

Follow this hospital, free

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More psychiatric hospitals in Washington

Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 504004. 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 December 12, 2025.

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