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Psychiatric hospital · Saratoga Springs, New York · 88 beds · CMS certification number 334049

Four Winds of Saratoga

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, settled, stamped by CMS July 28, 2026. 30 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$37.7M
$37,745,880 · G-3 line 3
Operating expenses
$38.2M
$38,234,454 · G-3 line 4
Result from patient care
−$489K
−$488,574 · G-3 line 5
Margin on patient care
−1.3%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $20.6M in its first year on file (1996) to $37.7M in 2025.
  • Its result from patient care: −$916K (2023), −$535K (2024), −$489K (2025).
  • Medicaid paid for 13.2% of its inpatient days and Medicare for 3.1%.
  • 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
settled
$20.6M
$20.1M
1997
settled with audit
$18.3M
$19.4M
1998
settled with audit
$19.0M
$20.1M
1999
settled
$20.0M
$20.9M
2000
settled
$20.7M
$21.8M
2001
settled
$20.4M
$21.8M
2002
settled
$21.6M
$22.0M
2003
settled
$22.6M
$23.3M
2004
settled
$23.1M
$24.1M
2005
settled
$23.2M
$23.9M
2006
settled with audit
$24.7M
$25.4M
2007
reopened
$25.4M
$27.7M
2008
settled
$26.3M
$29.0M
2009
settled
$27.4M
$27.4M
2010
settled
$27.7M
$29.2M
2011
settled
$28.7M
$30.3M
2012
settled
$29.7M
$31.8M
2013
settled
$30.0M
$31.3M
2014
settled
$31.6M
$31.2M
2015
settled
$32.0M
$31.5M
2016
settled
$33.3M
$32.0M
2017
settled
$33.9M
$33.4M
2018
settled
$35.6M
$34.1M
2019
settled
$36.0M
$37.0M
2020
settled
$37.3M
$34.7M
2021
settled
$37.7M
$34.6M
2022
settled
$36.8M
$36.4M
2023
settled
$38.1M
$39.0M
2024
settled
$39.2M
$39.8M
2025
settled
$37.7M
$38.2M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Four Winds of Saratoga88$37,745,880$38,234,454−1.3%
Brylin Hospitals, Buffalo88$21,240,939$19,551,0938.0%
Elmira Psychiatric Center, Elmira80$39,170,107
Hutchings Psychiatric Center, Syracuse100$56,310,535
Mohawk Valley Psychiatric Center, Utica55$35,155,318
St. Lawrence Psychiatric Center, Ogdensburg82$46,035,150

Patients and payers

Discharges
1,997
S-3 line 14, col 15
Inpatient days
30,666
S-3 line 14, col 8
Beds in use, on an average day
84.2
days ÷ days in year
Occupancy
95.5%
days ÷ bed days
Medicare share of days
3.1%
S-3 cols 6 ÷ 8
Medicaid share of days
13.2%
S-3 cols 7 ÷ 8

Who owns it

  • SARAH D KLAGSBURN52%

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 334049. 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 July 28, 2026.