facebook tracking How are Washington hospitals doing financially? Margins, losses and charity care

How are Washington hospitals doing financially?

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.

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Lost money on patient care
71%
Washington67 of 95 with a full-year margin
United States55%

Hospitals whose patient care cost more than it brought in, in their latest full-year report — more than the national share.

Typical operating margin
-5.0%

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.

Charity care
$584.5 million

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.

Beds and staff
12,663 beds

103,006 full-time-equivalent employees across 98 hospitals with a cost report.

Most charity care in Washington

Charity care is reported at cost, not at list prices. The share is charity care as a part of the hospital's operating expenses.

Biggest losses on patient care

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.

Every Washington hospital's finances

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 $2.6 billion -8.1% $20.7 million
Seattle Children's HospitalSeattle · FY Sep 2024 · 7,106 staff 370 $2.1 billion 11.3% –
Swedish Medical CenterSeattle · FY Dec 2024 · 3,705 staff 590 $1.7 billion -8.4% $22.0 million
Harborview Medical CenterSeattle · FY Jun 2025 · 4,596 staff 448 $1.5 billion -4.0% $46.7 million
Tacoma General HospitalTacoma · FY Dec 2024 · 2,847 staff 366 $1.5 billion -3.5% $42.1 million
Virginia Mason Medical CenterSeattle · FY Jun 2025 · 4,159 staff 199 $1.3 billion -10.4% $14.2 million
Providence Sacred Heart Medical CenterSpokane · FY Dec 2024 · 3,243 staff 633 $1.2 billion -12.9% $17.1 million
Kadlec Regional Medical CenterRichland · FY Dec 2024 · 3,358 staff 283 $966.2 million 1.2% $17.9 million
Evergreenhealth Medical CenterKirkland · FY Dec 2024 · 3,619 staff 340 $958.7 million -11.5% $8.0 million
Providence Regional Medical Center EverettEverett · FY Dec 2024 · 3,054 staff 551 $956.0 million -12.9% $22.6 million
Confluence Health HospitalWenatchee · FY Dec 2024 · 3,303 staff 187 $940.9 million -13.9% $14.0 million
Peacehealth St Joseph Medical CenterBellingham · FY Jun 2025 · 2,317 staff 208 $935.7 million 7.9% $19.3 million
S W Washington Medical CenterVancouver · FY Jun 2025 · 2,941 staff 419 $934.5 million -12.0% $20.3 million
Valley Medical CenterRenton · FY Jun 2025 · 3,800 staff 283 $934.0 million -12.1% $13.2 million
St Joseph Medical CenterTacoma · FY Jun 2025 · 2,445 staff 360 $869.6 million -4.3% $25.0 million
St Michael Medical CenterBremerton · FY Jun 2025 · 1,764 staff 238 $820.2 million 11.9% $9.6 million
Overlake Hospital Medical CenterBellevue · FY Jun 2025 · 2,983 staff 303 $806.1 million -8.9% $11.0 million
Good Samaritan Hospital & Rehab CenterPuyallup · FY Dec 2024 · 1,935 staff 314 $736.7 million -8.6% $26.8 million
Providence St Peter HospitalOlympia · FY Dec 2024 · 2,240 staff 380 $648.7 million -13.7% $12.8 million
Yakima Valley Memorial HospitalYakima · FY Dec 2024 · 2,396 staff 208 $627.8 million -2.4% $8.2 million
Swedish Medical Center/Cherry HillSeattle · FY Dec 2024 · 1,317 staff 181 $615.9 million -4.1% $7.4 million
Legacy Salmon Creek Medical CenterVancouver · FY Mar 2025 · 1,495 staff 178 $606.3 million 4.5% $16.4 million
Skagit Valley HospitalMt Vernon · FY Dec 2024 · 1,987 staff 137 $553.4 million -4.1% $7.5 million
Deaconess Medical CenterSpokane · FY Dec 2024 · 1,410 staff 319 $532.7 million -12.7% $11.0 million
Mary Bridge Child Hosp & HlthTacoma · FY Dec 2024 · 1,302 staff 161 $522.1 million 8.8% –
Peachealth St John Medical CenterLongview · FY Jun 2025 · 1,248 staff 142 $399.2 million 1.5% $11.4 million
Swedish IssaquahIssaquah · FY Dec 2024 · 870 staff 167 $336.7 million -2.0% $5.5 million
St Francis Community HospitalFederal Way · FY Jun 2025 · 894 staff 152 $324.2 million 3.3% $11.9 million
Swedish Edmonds HospitalEdmonds · FY Dec 2024 · 1,130 staff 157 $315.6 million -24.2% $10.9 million
Providence Holy Family HospitalSpokane · FY Dec 2024 · 861 staff 187 $300.2 million -6.2% $6.4 million
Olympic Medical CenterPort Angeles · FY Dec 2024 · 1,353 staff 78 $262.5 million -8.7% $2.2 million
Auburn Regional Medical CenterAuburn · FY Dec 2024 · 711 staff 91 $246.9 million -12.1% $10.0 million
Providence St Mary Medical CenterWalla Walla · FY Dec 2024 · 754 staff 85 $246.3 million -2.0% $4.9 million
St Anthony HospitalGig Harbor · FY Jun 2025 · 580 staff 112 $243.2 million 1.5% $5.2 million
Highline Medical CenterBurien · FY Jun 2025 · 658 staff 132 $232.4 million -4.9% $11.6 million
Providence Centralia HospitalCentralia · FY Dec 2024 · 650 staff 114 $226.6 million -20.7% $6.9 million
Capital Medical CenterOlympia · FY Dec 2024 · 527 staff 85 $198.5 million -6.3% $5.7 million
Valley Hospital & Medical CenterSpokane · FY Dec 2024 · 589 staff 123 $196.3 million -7.8% $6.7 million
St Clare HospitalLakewood · FY Jun 2025 · 594 staff 106 $192.9 million 0.5% $8.4 million
Eastern State HospitalMedical Lake · FY Jun 2025 · 1,016 staff 375 $185.2 million -2.4% –
Jefferson Healthcare HospitalPort Townsend · FY Dec 2024 · 600 staff 25 $182.9 million -4.7% $2.3 million
Trios HealthKennewick · FY Dec 2024 · 727 staff 111 $164.1 million -6.1% $4.9 million
Samaritan HospitalMoses Lake · FY Dec 2024 · 502 staff 47 $159.8 million -12.5% $1.7 million
Prosser Memorial HospitalProsser · FY Dec 2024 · 416 staff 25 $146.7 million 6.5% $3.2 million
Mason General HospitalShelton · FY Dec 2024 · 471 staff 25 $139.8 million -5.8% $3.5 million
Kittitas Valley Community HospitalEllensburg · FY Dec 2024 · 486 staff 25 $137.5 million 0.3% $1.2 million
Whidbeyhealth Medical CenterCoupeville · FY Dec 2024 · 495 staff 25 $127.9 million -17.2% $147,000
Sunnyside Community HospitalSunnyside · FY Dec 2024 · 276 staff 25 $126.0 million 7.1% $2.9 million
Tri-State Memorial HospitalClarkston · FY Dec 2024 · 575 staff 25 $124.7 million -1.2% $2.0 million
Pullman Memorial HospitalPullman · FY Dec 2024 · 509 staff 25 $123.3 million -3.9% $623,000
Multicare Covington Medical CenterCovington · FY Dec 2024 · 291 staff 48 $114.9 million 3.3% $5.2 million
Grays Harbor Community HospitalAberdeen · FY Dec 2024 · 406 staff 49 $113.7 million -5.0% $705,000
Bhc Fairfax HospitalKirkland · FY Aug 2025 · 382 staff 221 $112.6 million 32.2% –
Island HospitalAnacortes · FY Dec 2024 · 446 staff 43 $111.6 million -8.9% $5.3 million
Cascade Valley HospitalArlington · FY Dec 2024 · 277 staff 48 $107.0 million 8.3% $1.4 million
United General HospitalSedro-Woolley · FY Jun 2025 · 284 staff 25 $104.6 million 7.8% $3.7 million
Summit Pacific Medical CenterMcCleary · FY Dec 2024 · 314 staff 10 $85.1 million -7.5% $1.8 million
St Elizabeth HospitalEnumclaw · FY Jun 2025 · 211 staff 25 $74.0 million 6.9% $1.7 million
Evergreenhealth MonroeMonroe · FY Dec 2024 · 217 staff 26 $71.5 million 12.3% $1.0 million
Providence Mount Carmel HospitalColville · FY Dec 2024 · 226 staff 25 $68.4 million 10.4% $1.5 million
Snoqualmie Valley HospitalSnoqualmie · FY Dec 2024 · 160 staff 25 $53.5 million -8.5% $1.6 million
Toppenish Community HospitalToppenish · FY Dec 2024 · 171 staff 45 $53.3 million -17.4% $919,000
Inland Northwest Behavioral HealthSpokane · FY Mar 2025 · 178 staff 100 $52.2 million 35.4% –
Whitman Hospital and Medical CenterColfax · FY Dec 2024 · 374 staff 25 $51.6 million -24.7% $311,000
Wellfound Behavioral Health HospitalTacoma · FY Dec 2024 · 245 staff 120 $50.8 million 7.2% –
Mid Valley Hospital & ClinicOmak · FY Dec 2024 · 214 staff 25 $49.9 million -4.6% $2.7 million
Newport Community HospitalNewport · FY Dec 2024 · 161 staff 20 $49.8 million 1.9% $758,000
Rainier SpringsVancouver · FY Jun 2025 · 129 staff 72 $49.3 million 35.0% –
South Sound Behavioral HospitalLacey · FY Dec 2024 · 246 staff 138 $45.1 million 17.3% –
Smokey Point Behavioral HospitalMarysville · FY Dec 2024 · 206 staff 145 $41.3 million 15.9% –
Arbor Health Morton HospitalMorton · FY Dec 2024 · 165 staff 25 $41.2 million -3.1% $559,000
Klickitat Valley HospitalGoldendale · FY Dec 2024 · 199 staff 16 $40.2 million -5.5% $1.0 million
Lake Chelan Community HospitalChelan · FY Dec 2024 · 181 staff 22 $40.1 million -9.1% $779,000
Kindred Hospital SeattleSeattle · FY Aug 2025 · 202 staff 80 $39.8 million -9.8% –
Coulee Community HospitalGrand Coulee · FY Dec 2024 · 190 staff 25 $39.5 million -3.7% $480,000
Ocean Beach HospitalIlwaco · FY Dec 2024 · 110 staff 25 $36.4 million -10.9% –
Forks Community HospitalForks · FY Dec 2024 · 181 staff 25 $34.0 million -37.7% –
Lincoln HospitalDavenport · FY Dec 2024 · 147 staff 25 $32.6 million -1.5% $151,000
Navos - Inpatient ServicesSeattle · FY Dec 2024 · 109 staff 70 $31.4 million 4.3% –
Dayton General HospitalDayton · FY Dec 2024 · 202 staff 25 $30.9 million -10.8% $172,000
Peacehealth Peace Island Medical CenterFriday Harbor · FY Jun 2025 · 77 staff 10 $29.9 million -9.1% $1.0 million
Cascade Medical CenterLeavenworth · FY Dec 2024 · 137 staff 9 $29.9 million -7.7% $469,000
Willapa Harbor HospitalSouth Bend · FY Dec 2024 · 126 staff 10 $29.4 million -4.1% $834,000
Skyline HospitalWhite Salmon · FY Dec 2024 · 111 staff 14 $27.1 million -6.4% $185,000
Columbia Basin HospitalEphrata · FY Dec 2024 · 110 staff 25 $26.3 million -6.2% $382,000
North Valley HospitalTonasket · FY Dec 2024 · 123 staff 18 $26.0 million -14.7% $680,000
Providence St Joseph HospitalChewelah · FY Dec 2024 · 99 staff 23 $23.8 million 7.8% $560,000
Othello Community HospitalOthello · FY Dec 2024 · 118 staff 16 $22.5 million -17.7% $743,000
Lourdes Counseling CenterRichland · FY Jun 2025 · 113 staff 22 $19.5 million -4.7% –
Three Rivers HospitalBrewster · FY Dec 2024 · 88 staff 25 $17.7 million -16.1% $544,000
Ferry County Memorial HospitalRepublic · FY Dec 2024 · 108 staff 25 $17.4 million -24.5% $9,000
Quincy Valley Medical CenterQuincy · FY Dec 2024 · 55 staff 10 $13.9 million -25.7% $457,000
East Adams Rural HospitalRitzville · FY Dec 2024 · 75 staff 12 $13.3 million -50.2% $24,000
Garfield County Public Hospital District #1Pomeroy · FY Dec 2024 · 77 staff 25 $12.2 million -5.0% $95,000
Odessa Memorial Healthcare CenterOdessa · FY Dec 2024 · 48 staff 25 $11.2 million -21.7% $105,000
Group Health Central HospitalSeattle · FY Dec 2024 · 330 staff 24 $7.2 million – –
Lourdes Medical CenterPasco · FY Jun 2025 · 402 staff 25 – – $2.3 million
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.

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How Washington compares with other states

Median operating margin in nearby states:

Questions about Washington hospital finances

How many Washington hospitals lose money?

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.

Which Washington hospitals provide the most charity care?

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).

How do Washington hospitals compare with other states?

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%).

What is the largest hospital in Washington by revenue?

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%.

What is an operating margin?

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.