Astrelis
Psychiatric hospital · Medical Lake, WA

EASTERN STATE HOSPITAL

CCN 504004Government - StateUrban (USDA RUCC)375 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Medical Lake, WA. It ran an operating loss of 2.4% in FY25 on $185.2M of operating revenue. It held 0 days of cash on hand (43rd percentile among Psychiatric hospitals on liquidity). Operating margin improved from -13.3% in FY21 to -2.4% in FY25, though it fell 3.2 points in the most recent year.

Operating margin · FY25
-2.4%
vs Psychiatric hospitals34th pctl of 437 (FY24)
Days cash on hand · FY25
0d
all sources
vs Psychiatric hospitals43rd pctl of 376 (FY24)
Total operating revenue · FY25
$185.2M
vs Psychiatric hospitals99th pctl of 509 (FY24)
Total margin · incl. nonoperating · FY25
0.0%
vs Psychiatric hospitals30th pctl of 434 (FY24)
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=437).
One point of operating margin at EASTERN STATE HOSPITAL is about $1.9M per year (1% of FY25 total operating revenue).

Where EASTERN STATE HOSPITAL sits among Psychiatric hospitals

Operating margin · FY24 pool · n = 437 of 610 filed

Each point is one Psychiatric hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Psychiatric hospital median is +4.8%. Descriptive context only, not a ranking.

This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=437).
-20%-10%0%+10%+20%Psychiatric hospital median +4.788257940327237%EASTERN STATE -2.4474310451800605%-20%0%+20%Psychiatric hospital median +4.788257940327237%EASTERN STATE -2.4474310451800605%
One psychiatric hospitalEASTERN STATEPsychiatric hospital median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.

Operating margin
-2.4% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
0.0% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
0d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
5.55× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
86% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
75d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue164,958201,440185,190
Total operating revenue164,958201,440185,190
Total operating expenses184,527199,878189,723
Operating income(19,568)1,563(4,532)
Operating margin %-11.9%+0.8%-2.4%
Grants & contributions19,568(1,562)4,532
Other non-operating, net0(1)0
Net income000
Net income %0.0%0.0%0.0%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 375-bed hospital at 72% occupancy 0% of patient revenue is outpatient.

The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Scale and flow
Occupancy
71.9%
Verified fact2025
HCRIS WS S-3
Average daily census
270.41
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
375
Verified fact2025
HCRIS WS S-3
Annual discharges
615
Verified fact2025
HCRIS WS S-3
Average length of stay
160.1d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
0.0%
Verified fact2025
HCRIS WS G-2 L28
How the care measures up
No public quality measures are reported for this facility in the current Care Compare refresh.

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-13.3%-15.7%-11.9%+0.8%-2.4%FY21FY22FY23FY24FY25
Days cash on hand
0 days0 days0 days0 days0 daysFY21FY22FY23FY24FY25

The county this hospital serves

Location, WA
Median household income
$73.5K
vs $82.1K US
Poverty rate
12.2%
vs 12.5% US
Uninsured
5.0%
vs 8.6% US
Age 65+
17.0%
vs 16.8% US
Fair or poor health
17.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.6% of county personal income is Medicare/Medicaid medical benefits; 22.7% arrives as government transfers (BEA, 2022).
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