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

In progress of formal adaptation

  1. Cascade Behavioral Health
  2. 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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