ighth ▁Avenue . ▁As ▁of ▁ 2 0 1 4 ▁it ▁had ▁ 6 4 2 ▁b eds , ▁with ▁ 2 8 , 3 1 9 ▁adm issions , ▁ 7 1 , 5 4 3 ▁emer gency ▁room ▁vis its , ▁and ▁ 2 , 9 8 2 ▁birth s ▁ann ually , ▁and ▁a ▁full - time ▁staff ▁of ▁ 2 9 ▁do ctors ▁and ▁dent ists ▁and ▁ 5 8 3 ▁registered ▁n urs es . ▁De acon ess ▁Medical ▁Center , ▁the ▁smaller ▁of ▁the ▁two ▁main ▁hosp it als , ▁had ▁ 3 8 8 ▁b eds ▁as ▁of ▁ 2 0 1 4 . ▁Other ▁hosp it als ▁in ▁the ▁area ▁include ▁the ▁Sp ok ane ▁V eter ans ▁Affairs ▁Medical ▁Center ▁in ▁the ▁north west ▁part ▁of ▁town , ▁Holy ▁Family ▁Hospital ▁on ▁the ▁north ▁side , ▁and ▁Valley ▁Hospital ▁and ▁Medical ▁Center ▁in ▁the ▁Sp ok ane ▁Valley . ▁One ▁of ▁ 2 0 ▁special ty ▁orth op edic ▁S hr in ers ▁H osp it als ▁in ▁the ▁U . S . ▁is ▁also ▁located ▁in ▁Sp ok ane . ▁One ▁of ▁Washington ' s ▁two ▁state ▁psych iat ric ▁hosp it als , ▁Eastern ▁State ▁Hospital , ▁is ▁located ▁ ▁away ▁in ▁Medical ▁Lake . ▁ ▁Util ities ▁ ▁The ▁City ▁of ▁Sp ok ane ▁provides ▁municipal ▁water , ▁waste water ▁management , ▁and ▁solid ▁waste ▁management . ▁Sp ok ane ▁oper ates ▁Washington ' s ▁only ▁waste - to - energy