Psychiatric hospital · Medical Lake, Washington · 375 beds · CMS certification number 504004
Eastern State Hospital
Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 12, 2025. 29 years on file, all shown below.
Enrolled with Medicare by Department of Social Dept of SHS Div of Instns.
Fiscal 2025 at a glance
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%.
29 years of filings
1997 settled margin −425.4% $7.7M $40.4M
1998 settled margin −482.7% $7.3M $42.3M
1999 settled margin −489.4% $7.3M $43.2M
2000 settled margin −460.3% $8.2M $46.1M
2001 settled margin −1134.1% $4.1M $50.8M
2002 settled −$5.4M $52.2M
2003 settled margin −8.8% $48.2M $52.5M
2004 settled with audit margin −1.4% $52.2M $52.9M
2005 settled with audit margin −3.1% $53.0M $54.6M
2006 settled margin −3.1% $58.1M $60.0M
2007 reopened margin −10.0% $57.4M $63.1M
2008 settled margin −7.6% $65.3M $70.3M
2009 settled margin −2.5% $66.5M $68.1M
2010 settled margin 2.4% $66.3M $64.7M
2011 settled margin −0.2% $66.2M $66.3M
2012 settled margin −1.7% $64.8M $66.0M
2013 settled margin −15.7% $58.1M $67.3M
2014 settled margin −12.7% $64.5M $72.7M
2015 settled margin −15.0% $62.7M $72.1M
2016 settled margin −13.2% $74.3M $84.1M
2017 settled margin −10.7% $88.8M $98.2M
2018 settled margin −7.1% $99.2M $106.2M
2019 settled margin −5.3% $106.3M $111.9M
2020 settled margin −0.5% $116.3M $116.9M
2021 settled margin −13.3% $110.7M $125.4M
2022 settled margin −15.7% $111.5M $128.9M
2023 settled margin −11.9% $165.0M $184.5M
2024 reopened margin 0.8% $201.4M $199.9M
2025 as submitted margin −2.5% $185.2M $189.7M
Beside its peers
Nearest in size, Washington first, fiscal year 2025.
Hospital Beds Net patient revenue Operating expenses Margin
Eastern State Hospital 375 $185,190,109 $189,722,547 −2.5%
Fairfax Hospital, Kirkland 221 $112,565,762 $76,366,202 32.2%
Inland Northwest Behavioral Health, Spokane 100 $52,181,304 $33,706,578 35.4%
Smokey Point Behavioral Hospital, Marysville 145 $44,113,807 $38,368,891 13.0%
South Sound Behavioral Hospital, Lacey 138 $46,583,786 $40,108,049 13.9%
Wellfound Behavioral Health Hospital, Tacoma 120 $66,032,454 $56,483,816 14.5%
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%).
Control: governmental, state.
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More psychiatric hospitals in Washington
File HOSP10FY2024.ZIP, form CMS-2552-10, CMS certification number 504004.
How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 12, 2025.
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