Hospital Districts in Washington State

Information for this list has been compiled from multiple sources including: State Auditor's Office, Department of Revenue Property Tax Code Areas, Department of Health's lists of Licensed Community Hospitals and EMS providers, and county auditors. The Association of Washington Public Hospital Districts publishes a membership directory of public hospital districts in the state that provide health care services. If you have additional information to add or corrections, please contact the page editor.

District Name	Cities and Towns Included	Facilities Provided	EMS Services Provided*
Adams County
Adams Public Hospital District No. 2 - East Adams Rural	Ritzville, Lind, Washtucna	East Adams Rural Hospital, Ritzville Medical Clinic, Lind Medical Clinic, and Washtucna Medical Clinic. The district is administered by a five-member board of commissioners.	EMS (BLS)
Adams Public Hospital District No. 3, dba Othello Community Hospital	Hatton and Othello	Othello Community Hospital. The district is administered by a five-member board of commissioners.	EMS(BLS) Othello Ambulance Service
Asotin County - None
Benton County
Kennewick Public Hospital District No. 1, dba Kennewick General Hospital	Kennewick	Kennewick General Hospital owns and operates Northwest Practice Management and Benton Franklin Elder Services, doing business as Adult Day Services of the Tri-Cities. The district is administered by a seven-member board of commissioners.
Prosser Public Hospital District	Prosser	Prosser Memorial Hospital owns and operates an acute care hospital, skilled nursing facility, home health agency, 24-hour ambulance service, physical therapy facility, and a rural clinic in Benton City. The district is administered by a seven-member board of commissioners.	EMS (ALS)
Chelan County
Chelan Public Hospital District No. 1	Leavenworth	Owns and operates Cascade Medical Center. The district provides health care service to patients in the Leavenworth area. The district is administered by a five-member board of commissioners as well as an appointed administrator.	EMS (ALS) Cascade Ambulance Service
Chelan Public Hospital District No. 2 dba Lake Chelan Community Hospital	Chelan	Owns and operates the Lake Chelan Community Hospital. It is administered by a five-member board of commissioners and an appointed administrator. (Part of Caribou Trails Professional Medical Services Group, LLC Interlocal agreement)	EMS (ALS)
Clallam County
Clallam Public Hospital District No.1	Forks	The district provides health care services to Forks and surrounding communities. The district operates Forks Community Hospital serving residents of western Clallam and Jefferson counties. The district also operates the West End Outreach program, the Clallam Bay Clinic; Bogachiel Clinic, and the Forks Women’s Clinic, and the Forks Ambulance Service. The district is administered by a three-member board of commissioners.	EMS (BLS)
Clallam Public Hospital District No. 2, dba Olympia Memorial Center	Port Angeles, Sequim	This district operates provides health care services to Port Angeles, Sequim, and surrounding communities. The district operates Olympic Memorial Center, the Olympic Medical Imaging Center, Olympic Medical Cancer Center, Olympic Medical Physical Therapy and Rehabilitation, Olympic Medical Laboratory, and provides home health services through Olympic Medical Home Health. The district is administered by a seven-member board of commissioners.
Clark County - None
Columbia County
Columbia County Hospital District No. 1 (County-wide) - Joint with Walla Walla County whose boundary contiguous with Waitsburg School District ( 1996)	Waitsburg, Dayton, Starbuck	Owns and operates Dayton General Hospital; Booker Rest Home Annex; Booker Adult Family Home, and Columbia Family Clinic, all in Dayton; and Waitsburg Clinic in Waitsburg. The district provides health-care services to patients in Columbia County and Waitsburg areas. The district is administered by five-member board of commissioners.
Cowlitz County - None
Douglas County
Douglas County Public Hospital District No. 1 (Mansfield)	Bridgeport, Mansfield	Unknown
Douglas County Public Hospital District No. 2	Waterville	The district provides medical services to Waterville residents. The district has a medical clinic with emergency room services and an ambulance service. The district is administered by a three-person board of commissioners.	EMS (BLS)
Douglas County Public Hospital District No. 3	None	Unknown
Joint - Grant County Public Hospital District No. 6 (Douglas, Grant, Lincoln, and Okanogan Co)	Coulee Dam	See Grant County
Ferry County
Ferry County Public Hospital District No. 1	Republic	Owns and operates Ferry County Memorial Hospital and the Republic and Curlew Health Clinics. The district is administered by a five-member board of commissioners.
Franklin County
Franklin County Public Hospital District No. 1	Mesa, Connell	Provides ambulance service to a large section of North Franklin County. The district is administered by a board of three commissioners.	EMS (BLS) Connell Ambulance
Garfield County
Garfield County Hospital District No. 1	Pomeroy	Owns and operates Garfield County Memorial Hospital, Memory Manor Nursing Home, and Pomeroy Medical Clinic in Pomeroy. The district is governed by a five-member board of commissioners.
Grant County
Grant County Public Hospital District No. 1, dba Samaritan Healthcare (Moses Lake)	Moses Lake, Warden	Samaritan Healthcare operates a licensed hospital and ambulance service in Moses Lake. The district also operates a clinic and leases space to other health-care organizations and professionals. A five-member board of commissioners governs the district
Grant County Public Hospital District No. 2 (Quincy)	George, Quincy	Owns and operates Quincy Valley Hospital, Quincy Valley Convalescent Center, and Quincy Valley Medical Center. The district provides services mostly to residents of the Quincy Valley area. A five-member board of commissioners governs the district and appoints an administrator.	EMS (ALS)
Grant County Public Hospital District No. 3 (Ephrata)	Ephrata	Owns and operates Columbia Basin Hospital, Columbia Basin Family Medicine, and Garden Oaks Assisted Living. A five-member board of commissioners and an appointed superintendent oversee the district operations.
Grant County Public Hospital District No. 4 (Soap Lake)	Coulee City, Krupp, Soap Lake, Wilson Creek	Owns and operates McKay Healthcare and Rehabilitation Center. The district is administered by a five-member board of commissioners and an appointed administrator.
Grant County Public Hospital District No. 5 dba Mattawa Community Medical Clinic (Royal City)	Mattawa	Mattawa Community Medical Clinic serves the citizens in and around Mattawa. A three-member board of commissioners and an appointed superintendent administer the district.
Grant County (Joint) Public Hospital District No. 6 with Douglas, Grant, Lincoln, and Okanogan Co), formed 1990	Coulee Dam, Electric City, Grand Coulee, Hartline	Grant, Lincoln, Douglas and Okanogan counties own and operate Grant County Public Hospital District No. 6 Coulee Community Hospital. It owns and operates the Coulee Family Medicine Clinic, the St. Rita's Adult Family Home in Coulee Dam, and the Coulee City Medical Clinic . The district is administered by a board of five commissioners.
Grant County Public Hospital District No. 7, formed 1999	Royal City	Provides health care services and medical aid to those residents living in and around the Royal City. A five-member board of commissioners administers the District.
Grays Harbor County
Grays Harbor Public Hospital District No. 1	Elma, McCleary	The district owns and operates Mark Reed Memorial Hospital East Grays Harbor Medic 1 is a division of Grays Harbor PHD No. 1.The district is administered by three elected commissioners and an appointed superintendent. Part of Western Washington Rural Health Care Collaborative (WWRHCC)	East Grays Harbor Medic One (ALS)
Island County
Island County (Whidbey Island) Public Hospital District No. 1 dba Whidbey General Hospital	Oak Harbor, Coupville, Langley	The District owns and operates Whidbey General Hospital in Coupeville, the South Whidbey Community Clinic, and provides ambulance services. The district is governed by five commissioners. Associate member Western Washington Rural Health Care Collaborative (WWRHCC)	EMS (ALS)
Jefferson County
Jefferson County Hospital District No. 1	None	Unknown
Jefferson County Public Hospital District No. 2 dba Jefferson Healthcare	Port Townsend	Jefferson Health Care -The district is the principal provider of acute health care services for Port Townsend and the surrounding communities. A five-member board of commissioners administers the district; appointed administrator. Member of Western Washington Rural Health Care Collaborative (WWRHCC)
King County
King County Public Hospital District #1 (Renton)	Black Diamond, Renton	Valley Medical Center The district is governed by a five-member board of commissioners.
King County Public Hospital District #2 (Kirkland) dba Evergreen Healthcare	Bothell, Kenmore, Kirkland, Sammamish	Evergreen Healthcare (Evergreen Hospital Medical Center) A five-member board of commissioners administers the district.
King County Public Hospital District #4 Snoqualmie Valley Hospital District	Carnation, North Bend, Snoqualmie	Snoqualmie Valley Hospital was formed to provide hospital services to Snoqualmie, North Bend, Preston, Fall City, Carnation, and surrounding communities. It is governed by a five-member board of commissioners. Associate member Western Washington Rural Health Care Collaborative (WWRHCC)
Kitsap County
North Kitsap Hospital District 2 - Dissolved by court November 2005	None	N.A.
Kittitas County
Kittitas Public Hospital District No. 1 dba Kittitas Valley Community Hospital	None	Owns and operates Kittitas Valley Community Hospital in Ellensburg. The district also operates Kittitas Valley Primary Care Associates. The district is governed by a five-member board of commissioners, which is responsible for appointing the superintendent, treasurer, and auditor.
Kittitas Public Hospital District No. 2 (Cle Elum)	Cle Elum, South Cle Elum, Roslyn	Owns and operates three ambulances. The district serves 800 square miles of upper Kittitas County. It is the only licensed advanced life support service in the upper county.	EMS (ALS)
Klickitat County
Klickitat County Public Hospital District No. 1 dba Klickitat Valley Health Services (Goldendale)	Goldendale	Owns and operates the Klickitat Valley Hospital and Family Practice Clinic. A three-member board of commissioners administers the district.	EMS (ALS) Klickitat Valley Ambulance
Klickitat County Public Hospital District No. 2 dba Skyline Hospital (White Salmon)	Bingen, White Salmon	Owns and operates Skyline Hospital, a skilled nursing facility, and a three-vehicle ambulance service; serves western Klickitat County and eastern Skamania County. A five-member board of commissioners administers the district.	EMS (ALS) Skyline Ambulance
Lewis County
Lewis County Public Hospital District No. 1 dba Morton General Hospital and Nursing Home	Morton, Mossyrock	Owns and operates Morton General Hospital and Nursing Home and clinics in the city of Morton and the community of Randle. The district has a five-member board of commissioners. The board appoints a superintendent/chief executive officer.
Lincoln County
Lincoln Public Hospital District No. 1	Odessa	Owns and operates Odessa Memorial Hospital The district also operates the Odessa Memorial Clinic and Quail Court, an assisted living complex. The district is governed by a board of five (?) commissioners	EMS (BLS) Odessa Ambulance
Lincoln Public Hospital District No. 3 dba Lincoln Hospital (Davenport)	Almira, Creston, Davenport, Harrington, Reardan, Wilbur	Owns and operates Lincoln Hospital and a nursing home in Davenport, an assisted-living facility in Wilbur, and rural health clinics in Davenport, Wilbur, and Reardan. The district is governed by a board of seven commissioners	EMS (BLS) Davenport Ambulance
Joint - Grant County Public Hospital District No. 6 (Douglas, Grant, Lincoln, and Okanogan Co)	None	See Grant County
Mason County
Mason County Public Hospital District No. 1	Shelton	Owns and operates Mason General Hospital in Shelton, the North Mason Medical Clinic in Belfair, and Oakland Bay Pediatrics in Shelton. The district is governed by a board of three commissioners.
Mason County Public Hospital District No. 2	North Mason Area; Election Precints Belfair 1 through 6, Tahuya and Dewatto	Formed, November 2007. District is governed by a board of five commissioners.
Okanogan County
Okanogan-Douglas County Hospital No. 1 (Brewster)	Brewster, Pateros, Twisp, Winthrop	Okanogan-Douglas County Hospital (Part of Caribou Trails Professional Medical Services Group, LLC, Interlocal agreement).
Okanogan Public Hospital District No. 3 (Omak)	Conconully, Okanogan, Omak	Mid-Valley Hospital. The district is governed by a five-member board of commissioners that appoints an administrator and chief financial officer. (Part of Caribou Trails Professional Medical Services Group, LLC, interlocal agreement )
Okanogan Public Hospital District No. 4 (Tonasket)	Oroville, Tonasket	Owns and operated North Valley Hospital, a 70-bed skilled nursing facility, an assisted living facility in Tonasket, and Oroville Family Medical Clinic in Oroville.(Part of Caribou Trails Professional Medical Services Group, LLC, Interlocal agreement) The district is administered by a five-member board of commissioners and an appointed administrator and chief financial officer.
Joint District Grant County Public Hospital District No. 6 (Grand Coulee - Joint Hospital District: Douglas, Grant, Lincoln, and Okanogan Co.)	Coulee Dam, Elmer City, Nespelem	See Grant County
Pacific County
Pacific County Public Hospital District #2 (South Bend)	Raymond, South Bend	Owns and operates Willapa Harbor Hospital and the South Bend Walk-In Clinic, a licensed 26-bed acute care hospital and medical clinic in South Bend. It serves most of North Pacific County and outlying areas of Grays Harbor and Lewis counties. The district is governed by a five-member board of directors (split into two districts 1-96)
Pacific County Public Healthcare Services (Pacific County Public Hospital District #3 (Ilwaco), created 1995	Ilwaco, Long Beach	Operates Ocean Beach Hospital and Ocean Beach Medical Clinic in Ilwaco and a care clinic in Naselle. Primary service area is the southern portion of Pacific County. District is governed by a five-member board of directors.
Pend Oreille County
Pend Oreille County Public Hospital District No. 1 (Newport)	Newport, Cusick	Owns and operates Newport Community Hospital, Newport Community Hospital Long-Term Care Unit, Family Health Center, Family Medicine Newport , and River Mountain Village, a licensed 24-bed hospital, 50-bed nursing home, 42-unit assisted living facility, and Medicare certified rural health clinics. The district is governed by a five-member board of commissioners.
Pend Oreille County Public Hospital District No. 2 - (Metaline Falls)	Ione, Metaline, Metaline Falls	Unknown
Pierce County - None
San Juan County
San Juan County Public Hospital District No. 1	Friday Harbor	The district operates a combined medical clinic/hospital called Inter-Island Medical Center and San Juan Island EMS. The district provides ambulance and emergency medical services to San Juan Island, as well as several small outlying islands. The district is governed by a five-member board of commissioners.	EMS (ALS)San Juan Island EMS
Skagit County
Skagit County Public Hospital District No. 1	Mount Vernon (part)	The district operates Skagit Valley Hospital and two health clinics in Stanwood and Camano Island. The district is governed by a five-member board of commissioners who appoints the chief executive officer.
Skagit County Public Hospital District No. 304	Burlington, Concrete, Hamilton, Lyman, Mount Vernon (part), Sedro-Woolley	Owns and operates United General Hospital district is governed by a five-member board of commissioners who appoints the superintendent. Associate member Western Washington Rural Health Care Collaborative (WWRHCC)
Skagit County Public Hospital District No. 2 (Anacortes)	Anacortes	Owns and operate Island Hospital and currently (20060 operates two primary care clinics: Anacortes Family Medicine and Lopez Island Medical Center. The district is governed by a board of five officials. The district’s operations are administered by a chief executive officer.	EMS (BLS)
Skamania County
Skamania County Public Hospital District (County-wide)	Stevenson and North Bonneville	Provide ambulance and rescue services in Skamania County. Three commissioners govern the district.	EMS (ALS) Skamania County EMS
Snohomish County
Snohomish County Public Hospital District No. 1 (Monroe)	Gold Bar, Index, Monroe, Snohomish, Sultan	Owns and operates Valley General Hospital. Provides health care services to the residents of Monroe and surrounding communities. Governed by a three-member board of commissioners.
Snohomish County Public Hospital District No. 2 dba Stevens Healthcare (Edmonds)	Brier, Edmonds, Lynnwood, Mountlake Terrace, Woodway	Owns and operates Stevens Hospital , primary care clinics, and a retail pharmacy. Governed by a three-member board of commissioners
Snohomish County Public Hospital District No. 3 (Arlington)	Darrington, Part Arlington	Operates Cascade Valley Hospital . The district is governed by a five-member board of commissioners.
Spokane County - None
Stevens County - None
Thurston County - None
Wahkiakum County - None
Walla Walla County
Public Hospital District No. 1, Columbia and Walla Walla Counties	Waitsburg	See Columbia County
Whatcom County
Point Roberts Hospital District, formed 2-05	None	Assumed ownership of Aydon Wellness Clinic in May 2006.
Skagit County Hospital District 304	None	See Skagit County
Whitman County
Whitman County Public Hospital District No. 1A (Pullman)	Pullman	Owns and operates Pullman Regional Hospital. The district is governed by a seven-member board of commissioners.
Whitman County Public Hospital District No. 2 (Garfield)	Farmington, Garfield	District was formed to provide health services to Garfield and surrounding area. Built and operates Assisted Living Center. Five commissioners govern the district.	EMS (BLS)
Whitman County Public Hospital District No. 3 (Colfax)	Colfax, Endicott, LaCross, St. John	Owns and operates Whitman Hospital and Medical Center in Colfax. The district is governed by a five-member board of commissioners.
Yakima - None

Department of Health Level of Care Designations: BLS - Basic Life Support and ALS - Advanced Life Support.
See Ch. 246-976 WAC Emerency Medical Services and Trama Care Systems.

Resources

Office of Emergency Medical Services and Trauma System, Washington State Department of Health
Washington Public Hospital District Assocation
Western Washington Rural Health Care Collaborative (WWRHCC) - The Collaborative is comprised of nine federally designated rural Critical Access Hospitals (hospital districts) serving all or portions of nine Western Washington counties, with a combined network area population of over 154,000.