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. Ocean Beach Hospital
  45. Odessa Memorial Healthcare Center
  46. Olympic Medical Center
  47. Othello Community Hospital
  48. Overlake Medical Center
  49. PeaceHealth Peace Island Medical Center
  50. PeaceHealth Southwest Medical Center
  51. PeaceHealth St. John Medical Center
  52. PeaceHealth St. Joseph Medical Center
  53. PeaceHealth United General Medical Center
  54. PMH Medical Center
  55. Providence Centralia Hospital
  56. Providence Holy Family Hospital
  57. Providence Mount Carmel Hospital
  58. Providence Regional Medical Center Everett
  59. Providence Sacred Heart Children’s Hospital
  60. Providence St. Joseph’s Hospital
  61. Providence St. Mary Medical Center
  62. Providence St. Peter Hospital
  63. Pullman Regional Hospital
  64. Regional Hospital for Respiratory and Complex Care
  65. Samaritan Healthcare
  66. Seattle Cancer Care Alliance
  67. Seattle Children’s
  68. Skyline Hospital
  69. Snoqualmie Valley Hospital
  70. St. Luke’s Rehabilitation Institute
  71. Summit Pacific Medical Center
  72. Sunnyside Community Hospital & Clinics
  73. Swedish Ballard
  74. Swedish Cherry Hill
  75. Swedish Edmonds
  76. Swedish First Hill
  77. Swedish Issaquah
  78. Three Rivers Hospital
  79. Tri-State Memorial Hospital
  80. UW Medicine/Harborview Medical Center
  81. UW Medicine/Northwest Hospital & Medical Center
  82. UW Medicine/University of Washington Medical Center
  83. UW Medicine/Valley Medical Center
  84. Virginia Mason Medical Center
  85. Willapa Harbor Hospital
  86. WhidbeyHealth Medical Center
  87. Whitman Hospital & Medical Center
  88. Yakima Valley Memorial Hospital

In progress of formal adaptation

  1. Cascade Behavioral Health
  2. Cascade Valley Hospital and Clinics
  3. Skagit Valley Hospital
  4. 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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