Standard Charity Care Documents: Participating Hospitals

WSHA has developed a standard financial assistance application form and standard plan for communicating about financial assistance. The WSHA Board of Trustees unanimously voted to urge every hospital in Washington State that is subject to the state’s charity care law to adopt the standard application form and communication plan. Adopting the application and communication plan are the right thing to do for our patients, our communities, and our hospitals. Read more about this work here.

  1. Capital Medical Center
  2. Cascade Medical Center
  3. CHI St. Anthony Hospital
  4. CHI St. Clare Hospital
  5. CHI St. Elizabeth Hospital
  6. CHI St. Francis Hospital
  7. CHI St. Joseph Medical Center
  8. Columbia Basin Hospital
  9. Columbia County Health System
  10. Confluence Health/Central Washington Hospital
  11. Confluence Health/Wenatchee Valley Hospital & Clinics
  12. Coulee Medical Center
  13. East Adams Rural Healthcare
  14. EvergreenHealth
  15. EvergreenHealth Monroe
  16. Fairfax Behavioral Health
  17. Ferry County Memorial Hospital
  18. Forks Community Hospital
  19. Garfield County Public Hospital District
  20. Grays Harbor Community Hospital
  21. Harrison Medical Center
  22. Highline Medical Center
  23. Inland Northwest Health Services
  24. Island Hospital
  25. Jefferson Healthcare
  26. Kadlec Regional Medical Center
  27. Kittitas Valley Healthcare
  28. Klickitat Valley Health
  29. Lake Chelan Community Hospital
  30. Legacy Health
  31. Lincoln Hospital
  32. Lourdes Counseling Center
  33. Lourdes Medical Center
  34. Mason General Hospital & Family of Clinics
  35. Mid-Valley Hospital
  36. Morton General Hospital
  37. MultiCare Allenmore Hospital
  38. MultiCare Auburn Medical Center
  39. MultiCare Good Samaritan Hospital
  40. Mary Bridge Children’s Hospital & Health Network
  41. MultiCare Tacoma General Hospital
  42. Newport Hospital & Health Services
  43. North Valley Hospital
  44. Odessa Memorial Healthcare Center
  45. Olympic Medical Center
  46. Othello Community Hospital
  47. Overlake Medical Center
  48. PeaceHealth Peace Island Medical Center
  49. PeaceHealth Southwest Medical Center
  50. PeaceHealth St. John Medical Center
  51. PeaceHealth St. Joseph Medical Center
  52. PeaceHealth United General Medical Center
  53. PMH Medical Center
  54. Providence Centralia Hospital
  55. Providence Holy Family Hospital
  56. Providence Mount Carmel Hospital
  57. Providence Regional Medical Center Everett
  58. Providence Sacred Heart Children’s Hospital
  59. Providence St. Joseph’s Hospital
  60. Providence St. Mary Medical Center
  61. Providence St. Peter Hospital
  62. Pullman Regional Hospital
  63. Regional Hospital for Respiratory and Complex Care
  64. Samaritan Healthcare
  65. Seattle Cancer Care Alliance
  66. Seattle Children’s
  67. Skyline Hospital
  68. Snoqualmie Valley Hospital
  69. St. Luke’s Rehabilitation Institute
  70. Summit Pacific Medical Center
  71. Sunnyside Community Hospital & Clinics
  72. Swedish Ballard
  73. Swedish Cherry Hill
  74. Swedish Edmonds
  75. Swedish First Hill
  76. Swedish Issaquah
  77. Three Rivers Hospital
  78. Tri-State Memorial Hospital
  79. UW Medicine/Harborview Medical Center
  80. UW Medicine/Northwest Hospital & Medical Center
  81. UW Medicine/University of Washington Medical Center
  82. UW Medicine/Valley Medical Center
  83. Virginia Mason Medical Center
  84. Willapa Harbor Hospital
  85. WhidbeyHealth Medical Center
  86. Whitman Hospital & Medical Center
  87. Yakima Valley Memorial Hospital

In progress of formal adaptation

  1. Cascade Behavioral Health
  2. Cascade Valley Hospital and Clinics
  3. Ocean Beach Hospital
  4. Skagit Valley Hospital
  5. Trios Health


Contact Us

Washington State Hospital Association
999 Third Avenue
Suite 1400
Seattle, WA 98104

Map / Directions

206.281.7211 phone
206.283.6122 fax

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