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Critical access hospital · Grand Coulee, Washington · 25 beds · CMS certification number 501308

Coulee Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS May 7, 2026. 25 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$43.4M
$43,376,403 · G-3 line 3
Operating expenses
$44.7M
$44,680,586 · G-3 line 4
Result from patient care
−$1.3M
−$1,304,183 · G-3 line 5
Margin on patient care
−3.0%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $8.8M in its first year on file (2001) to $43.4M in 2025.
  • Its result from patient care: −$1.1M (2023), −$1.5M (2024), −$1.3M (2025).
  • All 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 16.4% of its inpatient days and Medicare for 25.7%.

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

25 years of filings

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

Net patient revenueOperating expenses
2001
settled
$8.8M
$8.8M
2002
settled
$9.1M
$9.4M
2003
settled with audit
$10.7M
$10.9M
2004
settled with audit
$10.4M
$11.9M
2005
reopened
$11.3M
$11.3M
2006
reopened
$12.4M
$12.1M
2007
settled
$13.3M
$13.3M
2008
settled
$14.1M
$14.4M
2009
settled
$17.9M
$16.4M
2010
settled
$19.1M
$19.4M
2011
settled
$20.7M
$23.5M
2012
reopened
$21.0M
$23.4M
2013
settled
$21.4M
$21.9M
2014
settled
$15.6M
$22.8M
2015
settled
$21.6M
$23.6M
2016
settled with audit
$24.3M
$26.4M
2017
settled
$28.2M
$30.0M
2018
settled
$28.8M
$29.5M
2019
settled
$32.0M
$30.1M
2020
as submitted
$29.4M
$32.5M
2021
settled
$31.9M
$35.4M
2022
as submitted
$33.8M
$36.2M
2023
as submitted
$36.9M
$37.9M
2024
as submitted
$39.5M
$40.9M
2025
as submitted
$43.4M
$44.7M

Beside its peers

Critical access hospitals in Washington with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Coulee Medical Center25$43,376,403$44,680,586−3.0%
Dayton General Hospital, Dayton25$31,197,211$34,373,206−10.2%
Forks Community Hospital, Forks37$43,550,927$46,889,006−7.7%
Garfield County Public Hospital District #1, Pomeroy25$12,837,684$13,507,601−5.2%
Lincoln County Hospital District 3, Davenport25$33,046,258$34,030,311−3.0%
Odessa Memorial Healthcare Center, Odessa25$11,939,631$14,447,831−21.0%

Patients and payers

Discharges
277
S-3 line 14, col 15
Inpatient days
3,953
S-3 line 14, col 8
Beds in use, on an average day
10.9
days ÷ days in year
Occupancy
43.3%
days ÷ bed days
Medicare share of days
25.7%
S-3 cols 6 ÷ 8
Medicaid share of days
16.4%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: GRANT COUNTY (100%), grant county.

Type of control on its cost report: governmental, hospital district.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 501308. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read May 7, 2026.