The total annual number of inpatient psychiatric admissions in acute care hospitals has been decreasing (Fig 1). Further analysis demonstrates that most of that decline is likely due to the closure of a psychiatric unit at Providence Hospital in October 2017. As Providence discontinued the psychiatric inpatient service, the number of admissions for the Psychiatric Institute of Washington and acute care hospitals, other than Providence, as a group increased (Fig 2). MedStar Washington Hospital Center, United Medical Center, and Howard University Hospital all had increased volume, while other hospitals were relatively unchanged, with none showing marked decreases. The admission rate for St. Elizabeths Hospital was also relatively constant with occupancy rates consistently near or over 90%.