Psychiatric HospitalGovernment - State

Western State Hospital

Staunton, VA

103 Valley Center Drive, Staunton, VA 24401(540) 332-8000

Not rated by CMS

CMS star rating

293

Beds

886

Inpatient discharges a year

$7.5M

Net patient revenue a year

Western State Hospital aerial view — Photo 1: Ned Hartley, CC BY-SA 3.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Western State Hospital is a 293-bed government - state hospital in Staunton, VA.

CCN: 494021
NPI: 1538124433
County: Staunton city
Metro area: Staunton-Stuarts Draft, VA MSA
Medicare contractor: Jurisdiction M, Palmetto GBA (11301)
In Medicare since: 1984
Last CMS survey: 2007

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

More about this hospital

Quality
Not rated by CMS
See quality ratings
Doctors and services
Accredited by The Joint Commission
- 38 services
See doctors and services
Finances
$7.5M net patient revenue
- Operating margin on patient care -1381.3%
- -$8.3M net income
See finances
Ownership and leadership
Owned by Commonwealth Of Virginia
- State
See ownership and leadership

Location

103 Valley Center Drive, Staunton, VA 24401

(540) 332-8000

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Every CMS quality measure

Each result CMS publishes for Western State Hospital, beside the US median and the average of VA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.

Inpatient psychiatric care15 measures

Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.

Measure	Western State Hospital	US median	VA average	CMS comparison	US rank
Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30	Not Available		58.32
Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30	Not Available		34.88
Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 95,081 cases	2.34	0.05	0.2125		Better than 98% of US hospitals
Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 95,081 cases	2.69	0.03	0.2489		Better than 98% of US hospitals
Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 258 cases	7	87	77.11		Worse than 96% of US hospitals
Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30	Not Available		72.26
Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 67 cases	14.8	19.1	19.43	No Different Than the National Rate	Better than 98% of US hospitals
Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 389 cases	99	92	90.11		Better than 80% of US hospitals
Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 41 cases	41	74	66.21		Worse than 75% of US hospitals
Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 23 cases	65	81	73.68		Worse than 68% of US hospitals
Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 171 cases	86	77	77.88		Better than 61% of US hospitals
Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 171 cases	65	56	70.82		Better than 57% of US hospitals
Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 167 cases	9	64	54.35		Worse than 84% of US hospitals
Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 167 cases	6	4	34.61		Better than 53% of US hospitals
Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 507 cases	50	77	42.56		Worse than 67% of US hospitals

Source: CMS Care Compare hospital files, latest release 2026-08-13, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.

Accreditation and services

The Joint Commission (since 2021)
Accreditation
Limited
Medical school affiliation
State
Ownership type
84
Medicare-certified beds
99
Registered nurses (full-time equivalent)
1984
In Medicare since

38 services at Western State Hospital

Emergency and trauma: Emergency DepartmentEmergency Psychiatric Care
Intensive care: Coronary Care UnitSurgical ICU (Medical Surgical Intensive Care Unit)
Heart: Cardiac Catheterization LabCardiac Thoracic Surgery
Surgery: AnesthesiaInpatient SurgicalNeurosurgicalOphthalmic SurgeryOR (Operating Room)Orthopedic SurgeryOutpatient SurgeryPostoperative Recovery Room
Imaging: CT ScanDiagnostic RadiologyMRI (Magnetic Resonance Imaging)Nuclear MedicinePET Scan (Positron Emissions Tomography Scan)Therapeutic Radiology
Cancer: Chemotherapy
Transplant and dialysis: Acute Renal Dialysis
Women and children: Clinical LaboratoryObstetrics / Child Birth
Behavioral health: Adult Inpatient Psychiatric CareAlcohol and/or Drug ServiceForensic Psychiatric
Rehabilitation and therapy: AudiologyOT (Occupational Therapy)PT (Physical Therapy)Speech Pathology
Other services: Burn Care UnitDental CareDietary CareOptometricOutpatientPharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Western State Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.

886
Inpatient discharges
Medicare 7%, Medicaid n/a
37,379
Inpatient days
91% of available bed days used
103
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 827961). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Western State Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	1,719	0	35,660	37,379
Discharges	65	0	821	886
Average length of stay	26.4 days		43.4 days	42.2 days
Average daily census	4.7	0.0	97.7	102.4

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	112	37,379	1,719	91%
Other long term care	181	62,454		95%

Source: CMS cost report (HCRIS, Form 2552-10), report 827961, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Staff and facilities

Staff by profession and the rooms and units Western State Hospital reported at its latest Medicare certification survey (2007). Counts are people, not full-time equivalents.

99
Registered nurses
17
Licensed practical nurses
15
Physicians
12
Nurse practitioners
2
Physician assistants
6
Pharmacists
1
Physical therapists
9
Occupational therapists
1
Radiology technicians
4
Medical technologists
4
Dietitians
20
Social workers
13
Psychologists
483
Other personnel

Source: CMS Provider of Services file.

Income statement

Revenue, expenses and income Western State Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$107.6M	1442.0%
Inpatient	$107.6M	1442.0%
Contractual allowances and discounts	-$100.1M	-1342.0%
Net patient revenue	$7.5M	100.0%
Operating expenses	-$110.5M	-1481.3%
Operating income from patient care	-$103M	-1381.3%
Other income	$94.8M	1270.6%
Government appropriations	$94.6M	1268.8%
Other	$138,215	1.9%
Net income	-$8.3M	-110.7%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$6,980	0.0%
Other payers and self-pay	$111.8M	100.0%
Total charges	$111.8M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 827961, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Western State Hospital's latest cost report.

-1381.3%
Operating margin
Operating income from patient care / net patient revenue
-8.1%
Total margin
Net income / net patient revenue plus other income
-3.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
54% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
-5.4%
Return on assets
Net income for a year / total assets
-5.9%
Return on equity
Net income for a year / fund balance
0.60
Current ratio
Current assets / current liabilities
0.43
Quick ratio
Cash, temporary investments and net receivables / current liabilities
8 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
24 days
Days in patient receivables
Net patient receivables / daily net patient revenue
23 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.67
Asset turnover
Total revenue for a year / total assets
7.1 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 827961, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Western State Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $151.6M in total assets and a $140M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$2.4M	1.6%
Patient receivables, net	$500,134	0.3%
Inventory	$1.1M	0.7%
Total current assets	$4M	2.6%
Property and equipment, net of depreciation	$147.6M	97.4%
Total assets	$151.6M	100.0%
Current liabilities	$6.6M	4.4%
Total liabilities	$11.6M	7.7%
Fund balance (net assets)	$140M	92.3%

Source: CMS cost report (HCRIS, Form 2552-10), report 827961, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Western State Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Jun 2020	Jun 2021	Jun 2022	Jun 2023	Jun 2024	Jun 2025
Net patient revenue	$6.4M	$5.8M	$4M	$4.7M	$5.4M	$7.5M
Operating expenses	$72M	$73.1M	$82.5M	$83.3M	$100.6M	$110.5M
Operating margin	-1025.3%	-1157.3%	-1982.4%	-1681.1%	-1777.6%	-1381.3%
Net income	-$1.1M	-$2.6M	-$6.4M	-$5.6M	-$8.5M	-$8.3M
Total assets	$149.1M	$168.2M	$170.7M	$164.2M	$159.1M	$151.6M
Discharges	1,071	1,224	719	608	727	886
Inpatient days	27,641	28,907	19,504	22,059	30,118	37,379
Beds	246	246	246	246	274	293
Employees (FTE)	81	74	58	57	82	103

Source: CMS cost report (HCRIS, Form 2552-10), report 827961, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Western State Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 29 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Drugs charged to patients		$4.8M	$99,833	48.29
Medical clinic	$253,923	$1.2M	$414	3017.64	17,244
Laboratory	$418,696	$1.1M	$32,841	32.82	16,884
Physical therapy	$196,969	$423,401	$268	1579.85	7,404
Medical supplies charged to patient		$383,359	$99,833	3.84
Dental services	$117,463	$266,314	$4,326	61.56	8,304
Occupational therapy	$70,442	$119,981	$278	431.59
Radiology-diagnostic	$43,272	$115,752	$124	933.48	4,908
Speech pathology		$30,131	$12	2510.92	4,656
Electrocardiology	$15,201	$26,701	$154	173.38
Electroencephalography		$8,546			1,380

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Other long term care	$15.5M	$55.7M	$65.3M	0.85	922,800
Adults & pediatrics	$16.3M	$32.4M	$46.3M	0.70	545,400

Overhead (general service) departments

Department	Salaries	Direct cost	Square feet
Administrative & general	$6.3M	$18.4M
Maintenance & repairs	$3.6M	$8.1M
Psychology	$3.5M	$5.8M	24,000
Psycho-social treatment mall	$3.7M	$5.3M	286,832
Nursing administration	$2.8M	$4.4M	67,536
Dietary	$1.9M	$3.7M	136,800
Cap rel costs-bldg & fixt		$3.3M	2,827,160
Social service	$1.7M	$2.4M	21,672
Housekeeping	$1.3M	$2.3M	5,604
Cap rel costs-mvble equip		$2M
Pharmacy	$1.3M	$1.5M	56,016
Medical records & library	$892,996	$1.4M	68,748
Laundry & linen service	$223,306	$404,236	51,252
Central services & supply		$60,235
Barber & beauty services	$22,167	$41,788	1,416
Employee benefits department		$25,884

Source: CMS cost report (HCRIS, Form 2552-10), report 827961, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Frequently asked questions

About Western State Hospital's rates and hospital price transparency.

How many patients does Western State Hospital admit?

Western State Hospital reported 886 inpatient discharges and 37,379 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Western State Hospital have?

Western State Hospital reported 103 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Western State Hospital make?

Western State Hospital reported $7.5M in net patient revenue on $107.6M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -1381.3%, and net income of -$8.3M.

Is Western State Hospital accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Western State Hospital, effective 2021.

Who owns Western State Hospital?

In its Medicare enrollment, Western State Hospital reports Commonwealth Of Virginia as Operational/managerial control.

What services does Western State Hospital offer?

CMS lists 38 services at Western State Hospital, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, Audiology, Burn Care Unit.

How many beds does Western State Hospital have?

Western State Hospital has 293 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 84 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Psychiatric Hospital.

Where is Western State Hospital and what is its phone number?

Western State Hospital is located at 103 Valley Center Drive, Staunton, VA 24401. Its main phone number is (540) 332-8000.

What is Western State Hospital's CCN (Medicare provider number)?

Western State Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 494021.

What is Western State Hospital's NPI number?

The National Provider Identifier (NPI) on file for Western State Hospital is 1538124433.

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{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
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        "standard_charge_dollar": 400
      },
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        "payer_name": "Region Health Insurance",
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      }
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  }]
}

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Western State Hospital

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Every CMS quality measure

Accreditation and services

38 services at Western State Hospital

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Staff and facilities

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Ownership

Leadership

Officers and directors on the Medicare enrollment

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Every CMS quality measure

Accreditation and services

38 services at Western State Hospital

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Staff and facilities

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Ownership

Leadership

Officers and directors on the Medicare enrollment

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts