Operating margins, losses, charity care, beds and staff for 98 Washington hospitals, from the cost reports they file with Medicare, compared with the rest of the U.S.
Hospitals whose patient care cost more than it brought in, in their latest full-year report — more than the national share.
The median Washington hospital kept -5.0% of its patient revenue after operating costs, against -1.6% nationally (#36 of 50 states). Excludes donations and investment income.
The cost of free or discounted care Washington hospitals gave patients who qualified, in their latest full-year reports: 1.6% of the U.S. total of $35.6 billion.
103,006 full-time-equivalent employees across 98 hospitals with a cost report.
Charity care is reported at cost, not at list prices. The share is charity care as a part of the hospital's operating expenses.
The lowest operating margins among Washington hospitals with a full-year report. A negative margin means patient care cost more than it brought in; donations, grants and investments can still cover the gap.
Latest fiscal year each hospital reported. Reports marked "partial year" cover only part of a year (for example after a change of owner) and are left out of the state totals. Click a column to sort.
| Hospital | Beds | Patient revenue | Operating margin | Charity care |
|---|---|---|---|---|
| University of Washington Medical CtrSeattle · FY Jun 2025 · 7,176 staff | 652 | |||
| Seattle Children's HospitalSeattle · FY Sep 2024 · 7,106 staff | 370 | – | ||
| Swedish Medical CenterSeattle · FY Dec 2024 · 3,705 staff | 590 | |||
| Harborview Medical CenterSeattle · FY Jun 2025 · 4,596 staff | 448 | |||
| Tacoma General HospitalTacoma · FY Dec 2024 · 2,847 staff | 366 | |||
| Virginia Mason Medical CenterSeattle · FY Jun 2025 · 4,159 staff | 199 | |||
| Providence Sacred Heart Medical CenterSpokane · FY Dec 2024 · 3,243 staff | 633 | |||
| Kadlec Regional Medical CenterRichland · FY Dec 2024 · 3,358 staff | 283 | |||
| Evergreenhealth Medical CenterKirkland · FY Dec 2024 · 3,619 staff | 340 | |||
| Providence Regional Medical Center EverettEverett · FY Dec 2024 · 3,054 staff | 551 | |||
| Confluence Health HospitalWenatchee · FY Dec 2024 · 3,303 staff | 187 | |||
| Peacehealth St Joseph Medical CenterBellingham · FY Jun 2025 · 2,317 staff | 208 | |||
| S W Washington Medical CenterVancouver · FY Jun 2025 · 2,941 staff | 419 | |||
| Valley Medical CenterRenton · FY Jun 2025 · 3,800 staff | 283 | |||
| St Joseph Medical CenterTacoma · FY Jun 2025 · 2,445 staff | 360 | |||
| St Michael Medical CenterBremerton · FY Jun 2025 · 1,764 staff | 238 | |||
| Overlake Hospital Medical CenterBellevue · FY Jun 2025 · 2,983 staff | 303 | |||
| Good Samaritan Hospital & Rehab CenterPuyallup · FY Dec 2024 · 1,935 staff | 314 | |||
| Providence St Peter HospitalOlympia · FY Dec 2024 · 2,240 staff | 380 | |||
| Yakima Valley Memorial HospitalYakima · FY Dec 2024 · 2,396 staff | 208 | |||
| Swedish Medical Center/Cherry HillSeattle · FY Dec 2024 · 1,317 staff | 181 | |||
| Legacy Salmon Creek Medical CenterVancouver · FY Mar 2025 · 1,495 staff | 178 | |||
| Skagit Valley HospitalMt Vernon · FY Dec 2024 · 1,987 staff | 137 | |||
| Deaconess Medical CenterSpokane · FY Dec 2024 · 1,410 staff | 319 | |||
| Mary Bridge Child Hosp & HlthTacoma · FY Dec 2024 · 1,302 staff | 161 | – | ||
| Peachealth St John Medical CenterLongview · FY Jun 2025 · 1,248 staff | 142 | |||
| Swedish IssaquahIssaquah · FY Dec 2024 · 870 staff | 167 | |||
| St Francis Community HospitalFederal Way · FY Jun 2025 · 894 staff | 152 | |||
| Swedish Edmonds HospitalEdmonds · FY Dec 2024 · 1,130 staff | 157 | |||
| Providence Holy Family HospitalSpokane · FY Dec 2024 · 861 staff | 187 | |||
| Olympic Medical CenterPort Angeles · FY Dec 2024 · 1,353 staff | 78 | |||
| Auburn Regional Medical CenterAuburn · FY Dec 2024 · 711 staff | 91 | |||
| Providence St Mary Medical CenterWalla Walla · FY Dec 2024 · 754 staff | 85 | |||
| St Anthony HospitalGig Harbor · FY Jun 2025 · 580 staff | 112 | |||
| Highline Medical CenterBurien · FY Jun 2025 · 658 staff | 132 | |||
| Providence Centralia HospitalCentralia · FY Dec 2024 · 650 staff | 114 | |||
| Capital Medical CenterOlympia · FY Dec 2024 · 527 staff | 85 | |||
| Valley Hospital & Medical CenterSpokane · FY Dec 2024 · 589 staff | 123 | |||
| St Clare HospitalLakewood · FY Jun 2025 · 594 staff | 106 | |||
| Eastern State HospitalMedical Lake · FY Jun 2025 · 1,016 staff | 375 | – | ||
| Jefferson Healthcare HospitalPort Townsend · FY Dec 2024 · 600 staff | 25 | |||
| Trios HealthKennewick · FY Dec 2024 · 727 staff | 111 | |||
| Samaritan HospitalMoses Lake · FY Dec 2024 · 502 staff | 47 | |||
| Prosser Memorial HospitalProsser · FY Dec 2024 · 416 staff | 25 | |||
| Mason General HospitalShelton · FY Dec 2024 · 471 staff | 25 | |||
| Kittitas Valley Community HospitalEllensburg · FY Dec 2024 · 486 staff | 25 | |||
| Whidbeyhealth Medical CenterCoupeville · FY Dec 2024 · 495 staff | 25 | |||
| Sunnyside Community HospitalSunnyside · FY Dec 2024 · 276 staff | 25 | |||
| Tri-State Memorial HospitalClarkston · FY Dec 2024 · 575 staff | 25 | |||
| Pullman Memorial HospitalPullman · FY Dec 2024 · 509 staff | 25 | |||
| Multicare Covington Medical CenterCovington · FY Dec 2024 · 291 staff | 48 | |||
| Grays Harbor Community HospitalAberdeen · FY Dec 2024 · 406 staff | 49 | |||
| Bhc Fairfax HospitalKirkland · FY Aug 2025 · 382 staff | 221 | – | ||
| Island HospitalAnacortes · FY Dec 2024 · 446 staff | 43 | |||
| Cascade Valley HospitalArlington · FY Dec 2024 · 277 staff | 48 | |||
| United General HospitalSedro-Woolley · FY Jun 2025 · 284 staff | 25 | |||
| Summit Pacific Medical CenterMcCleary · FY Dec 2024 · 314 staff | 10 | |||
| St Elizabeth HospitalEnumclaw · FY Jun 2025 · 211 staff | 25 | |||
| Evergreenhealth MonroeMonroe · FY Dec 2024 · 217 staff | 26 | |||
| Providence Mount Carmel HospitalColville · FY Dec 2024 · 226 staff | 25 | |||
| Snoqualmie Valley HospitalSnoqualmie · FY Dec 2024 · 160 staff | 25 | |||
| Toppenish Community HospitalToppenish · FY Dec 2024 · 171 staff | 45 | |||
| Inland Northwest Behavioral HealthSpokane · FY Mar 2025 · 178 staff | 100 | – | ||
| Whitman Hospital and Medical CenterColfax · FY Dec 2024 · 374 staff | 25 | |||
| Wellfound Behavioral Health HospitalTacoma · FY Dec 2024 · 245 staff | 120 | – | ||
| Mid Valley Hospital & ClinicOmak · FY Dec 2024 · 214 staff | 25 | |||
| Newport Community HospitalNewport · FY Dec 2024 · 161 staff | 20 | |||
| Rainier SpringsVancouver · FY Jun 2025 · 129 staff | 72 | – | ||
| South Sound Behavioral HospitalLacey · FY Dec 2024 · 246 staff | 138 | – | ||
| Smokey Point Behavioral HospitalMarysville · FY Dec 2024 · 206 staff | 145 | – | ||
| Arbor Health Morton HospitalMorton · FY Dec 2024 · 165 staff | 25 | |||
| Klickitat Valley HospitalGoldendale · FY Dec 2024 · 199 staff | 16 | |||
| Lake Chelan Community HospitalChelan · FY Dec 2024 · 181 staff | 22 | |||
| Kindred Hospital SeattleSeattle · FY Aug 2025 · 202 staff | 80 | – | ||
| Coulee Community HospitalGrand Coulee · FY Dec 2024 · 190 staff | 25 | |||
| Ocean Beach HospitalIlwaco · FY Dec 2024 · 110 staff | 25 | – | ||
| Forks Community HospitalForks · FY Dec 2024 · 181 staff | 25 | – | ||
| Lincoln HospitalDavenport · FY Dec 2024 · 147 staff | 25 | |||
| Navos - Inpatient ServicesSeattle · FY Dec 2024 · 109 staff | 70 | – | ||
| Dayton General HospitalDayton · FY Dec 2024 · 202 staff | 25 | |||
| Peacehealth Peace Island Medical CenterFriday Harbor · FY Jun 2025 · 77 staff | 10 | |||
| Cascade Medical CenterLeavenworth · FY Dec 2024 · 137 staff | 9 | |||
| Willapa Harbor HospitalSouth Bend · FY Dec 2024 · 126 staff | 10 | |||
| Skyline HospitalWhite Salmon · FY Dec 2024 · 111 staff | 14 | |||
| Columbia Basin HospitalEphrata · FY Dec 2024 · 110 staff | 25 | |||
| North Valley HospitalTonasket · FY Dec 2024 · 123 staff | 18 | |||
| Providence St Joseph HospitalChewelah · FY Dec 2024 · 99 staff | 23 | |||
| Othello Community HospitalOthello · FY Dec 2024 · 118 staff | 16 | |||
| Lourdes Counseling CenterRichland · FY Jun 2025 · 113 staff | 22 | – | ||
| Three Rivers HospitalBrewster · FY Dec 2024 · 88 staff | 25 | |||
| Ferry County Memorial HospitalRepublic · FY Dec 2024 · 108 staff | 25 | |||
| Quincy Valley Medical CenterQuincy · FY Dec 2024 · 55 staff | 10 | |||
| East Adams Rural HospitalRitzville · FY Dec 2024 · 75 staff | 12 | |||
| Garfield County Public Hospital District #1Pomeroy · FY Dec 2024 · 77 staff | 25 | |||
| Odessa Memorial Healthcare CenterOdessa · FY Dec 2024 · 48 staff | 25 | |||
| Group Health Central HospitalSeattle · FY Dec 2024 · 330 staff | 24 | – | – | |
| Lourdes Medical CenterPasco · FY Jun 2025 · 402 staff | 25 | – | – | |
| Shriners Hospital for ChildrenSpokane · FY Dec 2024 | – | – | – | – |
Figures as reported to CMS (Hospital Provider Cost Report), not audited statements. Operating margin = net income from patient care ÷ net patient revenue; it excludes investment income, donations and grants. Charity care is the cost of free or discounted care for patients who qualify under the hospital's financial assistance policy. How to read these figures.
Median operating margin of each state's hospitals (patient care only)
Median operating margin in nearby states:
67 of 95 Washington hospitals (71%) reported a loss on patient care in their latest full-year Medicare cost report, compared with 55% nationwide. The median operating margin was -5.0%, lower than the U.S. median of -1.6%. The operating margin leaves out donations, investment income and grants, so some of these hospitals still end the year in the black.
Washington hospitals reported $584.5 million in charity care (the cost of free or discounted care for patients who qualify) in their latest full-year reports. The largest amounts came from Harborview Medical Center ($46.7 million), Tacoma General Hospital ($42.1 million), Good Samaritan Hospital & Rehab Center ($26.8 million), St Joseph Medical Center ($25.0 million), Providence Regional Medical Center Everett ($22.6 million).
Washington ranks 36 of 50 states by the median operating margin of its hospitals (1 = highest). A larger share of its hospitals lost money on patient care than the U.S. as a whole (71% vs 55%).
University of Washington Medical Ctr in Seattle reported the most net patient revenue: $2.6 billion in its latest full-year cost report, with 652 beds and an operating margin of -8.1%.
It is how much a hospital keeps from patient care after paying its operating costs, as a share of its patient revenue. A margin of 5% means the hospital kept 5 cents of every dollar it earned from patients; a negative margin means patient care cost more than it brought in. It excludes donations, investment income and grants.
Source: CMS Hospital Provider Cost Report (data.cms.gov), latest report per hospital. About the data.