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.

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

We send this record now and tell you when it files again.

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.