Psychiatric HospitalGovernment - State

Eastern State Hospital

Medical Lake, WA

Maple Street, Medical Lake, WA 99022(509) 565-4000

Not rated by CMS

CMS star rating

375

Beds

615

Inpatient discharges a year

$185.2M

Net patient revenue a year

Eastern State Hospital main view — T85cr1ft19m1n, CC0, via Wikimedia Commons

About this hospital

Eastern State Hospital is a 375-bed government - state hospital in Medical Lake, WA.

CCN: 504004
NPI: 1467440602
County: Spokane County
Metro area: Spokane-Spokane Valley, WA MSA
Medicare contractor: Jurisdiction F, Noridian Healthcare Solutions (02001)
In Medicare since: 1966
Last CMS survey: 2016

Negotiated Rates

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

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Contract data may be available through direct hospital inquiry.

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
- 14 services
See doctors and services
Finances
$185.2M net patient revenue
- Operating margin on patient care -2.4%
- -$1 net income
See finances
Ownership and leadership
State
- Mark Kettner, chief executive
See ownership and leadership

Location

Maple Street, Medical Lake, WA 99022

(509) 565-4000

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Every CMS quality measure

Each result CMS publishes for Eastern State Hospital, beside the US median and the average of WA 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	Eastern State Hospital	US median	WA average	CMS comparison	US rank
Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30	Not Available		54.95
Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30	Not Available		29.18
Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 97,848 cases	0.13	0.05	0.9806		Better than 67% of US hospitals
Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 97,848 cases	6.67	0.03	3.048		Better than 99% of US hospitals
Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 157 cases	31	87	78.78		Worse than 90% of US hospitals
Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30	Not Available		76.8
Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30	Not Available		17.36	Number of Cases Too Small
Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 412 cases	90	92	78.33		Worse than 54% of US hospitals
Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 93 cases	63	74	54.61		Worse than 62% of US hospitals
Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 82 cases	71	81	61.06		Worse than 61% of US hospitals
Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31	Not Available		58.31
Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31	Not Available		37.81
Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31	Not Available		38
Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31	Not Available		4.5
Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 540 cases	88	77	44.56		Better than 62% 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 2023)
Accreditation
Limited
Medical school affiliation
State
Ownership type
287
Medicare-certified beds
14
Registered nurses (full-time equivalent)
1966
In Medicare since

14 services at Eastern State Hospital

Imaging: Diagnostic Radiology
Women and children: Clinical LaboratoryPediatric Care
Behavioral health: Adult Inpatient Psychiatric CareForensic PsychiatricGeriatric Psychiatric
Rehabilitation and therapy: AudiologyOT (Occupational Therapy)PT (Physical Therapy)Speech Pathology
Other services: Dental CareDietary CarePharmacySocial Care

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

Size and patient volume

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

615
Inpatient discharges
Medicare n/a, Medicaid 2%
98,431
Inpatient days
72% of available bed days used
1,016
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 825471). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

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

	Medicare	Medicaid	Other	Total
Inpatient days	95	4,281	94,055	98,431
Discharges	0	15	600	615
Average length of stay		285.4 days	156.8 days	160.1 days
Average daily census	0.3	11.7	257.7	269.7

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	375	98,431	95	72%

Source: CMS cost report (HCRIS, Form 2552-10), report 825471, as submitted. 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 Eastern State Hospital reported at its latest Medicare certification survey (2016). Counts are people, not full-time equivalents.

14
Registered nurses
48
Licensed practical nurses
25
Physicians
3
Physician assistants
5
Pharmacists
1
Physical therapists
5
Occupational therapists
1
Speech pathologists and audiologists
2
Radiology technicians
4
Medical technologists
3
Dietitians
24
Social workers
13
Psychologists
430
Other personnel

Source: CMS Provider of Services file.

Income statement

Revenue, expenses and income Eastern 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)	$185.5M	100.2%
Inpatient	$185.5M	100.2%
Outpatient	$24,587	0.0%
Contractual allowances and discounts	-$343,728	-0.2%
Net patient revenue	$185.2M	100.0%
Operating expenses	-$189.7M	-102.4%
Operating income from patient care	-$4.5M	-2.4%
Other income	$4.5M	2.4%
Government appropriations	$4.5M	2.4%
Other	$0	0.0%
Net income	-$1	-0.0%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$24,587	0.0%
Other payers and self-pay	$185.5M	100.0%
Total charges	$185.5M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 825471, as submitted. 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 Eastern State Hospital's latest cost report.

-2.4%
Operating margin
Operating income from patient care / net patient revenue
-0.0%
Total margin
Net income / net patient revenue plus other income
2.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
53% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
-0.0%
Return on assets
Net income for a year / total assets
-0.0%
Return on equity
Net income for a year / fund balance
5.55
Current ratio
Current assets / current liabilities
5.43
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
75 days
Days in patient receivables
Net patient receivables / daily net patient revenue
14 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.17
Asset turnover
Total revenue for a year / total assets
26.6 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 825471, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Eastern State Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $87.3M in total assets and a $75.1M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$4,000	0.0%
Patient receivables, net	$38.2M	43.8%
Inventory	$830,707	1.0%
Total current assets	$39.1M	44.8%
Property and equipment, net of depreciation	$48.2M	55.2%
Total assets	$87.3M	100.0%
Current liabilities	$7M	8.1%
Total liabilities	$12.2M	13.9%
Fund balance (net assets)	$75.1M	86.1%

Source: CMS cost report (HCRIS, Form 2552-10), report 825471, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Eastern 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	$116.3M	$110.7M	$111.5M	$165M	$201.4M	$185.2M
Operating expenses	$116.9M	$125.4M	$128.9M	$184.5M	$199.9M	$189.7M
Operating margin	-0.5%	-13.3%	-15.7%	-11.9%	0.8%	-2.4%
Net income	-$65,691	-$2	-$1	-$1	-$1	-$1
Total assets	$39.2M	$46.3M	$38.6M	$42.4M	$41.1M	$87.3M
Discharges	478	384	433	431	498	615
Inpatient days	93,589	84,495	86,753	99,465	106,215	98,431
Beds	342	367	367	367	375	375
Employees (FTE)	912	938	904	801	867	1,016

Source: CMS cost report (HCRIS, Form 2552-10), report 825471, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

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

Show all 22 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Drugs charged to patients		$3.6M	$11.5M	0.31
Laboratory	$440,423	$1.6M	$1.5M	1.08	1,385
Occupational therapy	$628,343	$1.3M	$1.7M	0.77	3,226
Physical therapy	$377,632	$696,256	$954,145	0.73	1,083
Speech pathology	$105,393	$192,388	$255,812	0.75	377
Radiology-diagnostic	$4,818	$43,626	$105,730	0.41	963

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$68.9M	$167.1M	$169.6M	0.99	205,426

Overhead (general service) departments

Department	Salaries	Direct cost	Square feet
Administrative & general	$11.3M	$28.6M	91,017
Dietary	$3.2M	$7.2M	41,302
Other general therapy services	$2.9M	$4.5M	34,664
Cap rel costs-bldg & fixt		$4.3M	496,103
Nursing administration	$2.8M	$4.2M	5,030
Housekeeping	$2.2M	$3.4M	2,756
Pharmacy	$2M	$3.3M	1,527
Operation of plant		$2M	57,027
Medical records & library	$954,372	$1.4M	3,663
Maintenance & repairs	$111,344	$607,512	21,742
Cap rel costs-mvble equip		$453,004
Central services & supply	$167,297	$385,420	1,459
Social service	$82,857	$127,132	2,610
Employee benefits department		$101,760
Laundry & linen service	$52,008	$87,849	14,478

Source: CMS cost report (HCRIS, Form 2552-10), report 825471, as submitted. 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 Eastern State Hospital's rates and hospital price transparency.

How many patients does Eastern State Hospital admit?

Eastern State Hospital reported 615 inpatient discharges and 98,431 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Eastern State Hospital have?

Eastern State Hospital reported 1,016 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Eastern State Hospital make?

Eastern State Hospital reported $185.2M in net patient revenue on $185.5M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -2.4%, and net income of -$1.

Who is the CEO of Eastern State Hospital?

Eastern State Hospital's Medicare enrollment lists Mark Kettner as CEO since 2018.

Is Eastern State Hospital accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Eastern State Hospital, effective 2023.

What services does Eastern State Hospital offer?

CMS lists 14 services at Eastern State Hospital, including Adult Inpatient Psychiatric Care, Audiology, Clinical Laboratory, Dental Care, Diagnostic Radiology, Dietary Care.

How many beds does Eastern State Hospital have?

Eastern State Hospital has 375 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 287 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Psychiatric Hospital.

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

Eastern State Hospital is located at Maple Street, Medical Lake, WA 99022. Its main phone number is (509) 565-4000.

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

Eastern State Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 504004.

What is Eastern State Hospital's NPI number?

The National Provider Identifier (NPI) on file for Eastern State Hospital is 1467440602.

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

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Every CMS quality measure

Accreditation and services

14 services at Eastern 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

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

14 services at Eastern 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

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