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. Public Hospital Districts are governed by Ch. 70.44 RCW. If you have additional information to add or corrections, please contact the page editor.

District Name	Commissioners Elected by Commissioner Districts	Cities and Towns Included	Facilities Provided	EMS Services Provided*
Adams County
Adams Public Hospital District No. 2 - East Adams Rural Hospital	5 Commissioners Governing Board	Ritzville, Lind, Washtucna	East Adams Rural Hospital, Ritzville Medical Clinic, Lind Medical Clinic, and Washtucna Medical Clinic.	Associated with the Ritzville, Lind, and Washtucna Volunteer Ambulance EMS (BLS)
Adams Public Hospital District No. 3 - dba Othello Community Hospital	5 Commissioners	Hatton and Othello	Othello Community Hospital.	EMS(BLS) Othello Ambulance Service
Asotin County - None
Benton County
Kennewick Public Hospital District No. 1 - dba Kennewick General Hospital	7 Commissioners Board of Commissioners	Kennewick	Kennewick General Hospital owns and operates Northwest Practice Management and Benton Franklin Elder Services, dba as Adult Day Services of the Tri-Cities.
Prosser Public Hospital District - Prosser Memorial Hospital	7 Commissioners Board of Commissioners Some minutes	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 Benton City Clinic.	EMS (ALS)
Chelan County
Chelan Public Hospital District No. 1 - Cascade Medical Center	5 Commissioners Board of Commissioners	Leavenworth	Owns and operates Cascade Medical Center; provides health care service to patients in the Leavenworth area.	EMS (ALS) Cascade Ambulance Service
Chelan Public Hospital District No. 2 - dba Lake Chelan Community Hospital	5 Commissioners Board of Commissioners	Chelan	Owns and operates the Lake Chelan Community Hospital. (Part of Caribou Trails Professional Medical Services Group, LLC Interlocal agreement)	EMS (ALS)
Clallam County
Clallam Public Hospital District No.1 - Forks Community Hospital	3 Commissioners - listed on hospital home page	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; also operates the West End Outreach program, the Clallam Bay Clinic; Bogachiel Clinic, and the Forks Women’s Clinic, and the Forks Ambulance Service.	Forks Ambulance Service EMS (BLS)
Clallam Public Hospital District No. 2 - dba Olympic Memorial Center	7 Commissioners Board Information includes agendas and minutes	Port Angeles, Sequim	This district 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.
Clark County - None
Columbia County
Columbia County Hospital District No. 1 - Columbia County Health Care System (County-wide) - Joint with Walla Walla County whose boundary contiguous with Waitsburg School District (Formed 1996)	5 Commissioners Board of Commissioners	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.
Cowlitz County - None
Douglas County
Okanogan-Douglas County Hospital No. 1 - Okanogan-Douglas Hospital (Brewster)	5 Commissioners Leadership	Douglas County: Bridgeport, Mansfield - Okanogan County: Brewster, Pateros, Twisp, Winthrop	Part of Caribou Trails Professional Medical Services Group, LLC, interlocal agreement
Douglas County Public Hospital District No. 2	3 Commissioners	Waterville	Provides medical services to Waterville residents; has a medical clinic with emergency room services, and an ambulance service.	EMS (BLS)
Douglas County Public Hospital District No. 3 - Mansfield,		None	Unknown
Joint - Grant County Public Hospital District No. 6 (Douglas, Grant, Lincoln, and Okanogan Co) - Coulee Medical Center	5 Commissioners	Coulee Dam, Electric City, Grand Coulee, Hartline Coulee Dam, Hartline Elmer City, Nespelem	Owns and operates Coulee Community Hospital; the Coulee Family Medicine Clinic, the St. Rita's Adult Family Home in Coulee Dam, and the Coulee City Medical Clinic
Ferry County
Ferry County Public Hospital District No. 1	5 Commissioners Board of Commissioners	Republic	Operates Ferry County Memorial Hospital, the Republic Medical Clinic, Curlew Clinic, Klondike Hills Assisted Living and a Rehab/Fitness Center
Franklin County
Franklin County Public Hospital District No. 1 - Connell Ambulance	3 Commissioners	Mesa, Connell	Provides ambulance service to a large section of North Franklin County.	EMS (BLS) Connell Ambulance
Garfield County
Garfield County Hospital District No. 1 - Garfield Memorial Hospital	5 Commissioners	Pomeroy	Owns and operates Garfield County Memorial Hospital, Memory Manor Nursing Home, and Pomeroy Medical Clinic in Pomeroy.
Grant County
Grant County Public Hospital District No. - dba Samaritan Healthcare (Moses Lake)	5 Commissioners Leadership	Moses Lake, Warden	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.
Grant County Public Hospital District No. 2 (Quincy) - Quincy Valley Medical Center	5 Commissioners Leadership	George, Quincy	Owns and operates Quincy Valley Hospital, Quincy Valley Convalescent Center, and Quincy Valley Medical Center; provides services mostly to residents of the Quincy Valley area.	EMS (ALS)
Grant County Public Hospital District No. 3 (Ephrata) - Columbia Basin Hospital	5 Commissioners	Ephrata	Owns and operates Columbia Basin Hospital, Columbia Basin Family Medicine, and Garden Oaks Assisted Living.
Grant County Public Hospital District No. 4 (Soap Lake) - McKay Healthcare and Rehabilitation Center	5 Commissioners	Coulee City, Krupp, Soap Lake, Wilson Creek	Owns and operates McKay Healthcare and Rehabilitation Center.
Grant County Public Hospital District No. 5 dba Mattawa Community Medical Clinic	3 Commisioners	Mattawa	Mattawa Community Medical Clinic serves the citizens in and around Mattawa.
Grant County (Joint) Public Hospital District No. 6 with Douglas, Grant, Lincoln, and Okanogan Co), formed 1990 - Coulee Medical Center	5 Commissioners Commissioner Profiles	Coulee Dam, Electric City, Grand Coulee, Hartline, Elmer City, Nespelem	Owns and operates Coulee Community Hospital; the Coulee Family Medicine Clinic, the St. Rita's Adult Family Home in Coulee Dam, and the Coulee City Medical Clinic.
Grant County Public Hospital District No. 7, formed 1999	5 Commissioners	Royal City	Provides health care services and medical aid to those residents living in and around the Royal City.
Grays Harbor County
Grays Harbor Public Hospital District No. 1 - Mark Reed Health Care District	3 Commissioners Board of Commissioners Includes agenda and minutes	Elma, McCleary	Owns and operates Mark Reed Memorial Hospital and East Grays Harbor Medic 1. 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	5 Commissioners Board of Commissioners Notices, minutes	Oak Harbor, Coupville, Langley	The District owns and operates Whidbey General Hospital in Coupeville, the South Whidbey Community Clinic, and provides ambulance services. Associate member Western Washington Rural Health Care Collaborative (WWRHCC)	EMS (ALS)
Jefferson County
Jefferson County Hospital District No. 1 (Forks)		None	Unknown
Jefferson County Public Hospital District No. 2 dba Jefferson Healthcare	5 Commissioners About Jefferson Healthcare Commissioners, Agendas, Minutes	Port Townsend	Principal provider of acute health care services for Port Townsend and the surrounding communities. Member Western Washington Rural Health Care Collaborative (WWRHCC)
King County
King County Public Hospital District No.1 (Renton) - Valley Medical Center	5 Commissioners Board of Commissioners Meetings	Black Diamond, Renton	Valley Medical Center
King County Public Hospital District No.2 (Kirkland) - dba Evergreen Healthcare	5 Commissioners Evergreen Hospital District No. 2	Bothell, Kenmore, Kirkland, Sammamish	Evergreen Hospital Medical Center
King County Public Hospital District No. 4 - Snoqualmie Valley Hospital	5 Commissioners About Us	Carnation, North Bend, Snoqualmie	Provides hospital services to Snoqualmie, North Bend, Preston, Fall City, Carnation, and surrounding communities. Associate member Western Washington Rural Health Care Collaborative (WWRHCC)
Kitsap County
North Kitsap Hospital District 2 - Dissolved by court November 2005	NA	None	N.A.	NA
Kittitas County
Kittitas Public Hospital District No. 1 - dba Kittitas Valley Community Hospital (Ellensburg)	5 Commissioners Board of Commissioners	Ellensburg, Kittitas	Owns and operates Kittitas Valley Community Hospital; operates Kittitas Valley Primary Care Associates.
Kittitas Public Hospital District No. 2 (Cle Elum)	5 Commissioners	Cle Elum, South Cle Elum, Roslyn	Owns and operates three ambulances. The district serves 800 square miles of upper Kittitas County.	EMS (ALS)
Klickitat County
Klickitat County Public Hospital District No. 1 - dba Klickitat Valley Health Services (Goldendale)	3 Commissioners Board of Commissioners Minutes Archive	Goldendale	Owns and operates the Klickitat Valley Hospital and Family Practice Clinic.	EMS (ALS) Klickitat Valley Ambulance
Klickitat County Public Hospital District No. 2 - dba Skyline Hospital (White Salmon)	5 Commissioners About Us	Bingen, White Salmon	Owns and operates Skyline Hospital, a skilled nursing facility, and an ambulance service; serves western Klickitat County and eastern Skamania County.	EMS (ALS) Skyline Ambulance
Lewis County
Lewis County Public Hospital District No. 1 dba Morton General Hospital and Nursing Home	5 Commissioners Hospital Administration	Morton, Mossyrock	Owns and operates Morton General Hospital and Nursing Home and clinics in Morton and Randle. Member Western Washington Rural Health Care Collaborative (WWRHCC)
Lincoln County
Lincoln Public Hospital District No. 1 - Odessa Memorial Hospital	5 Commissioners Commissioners	Odessa	Owns and operates Odessa Memorial Hospital. The district; Odessa Memorial Clinic, and Quail Court, an assisted living complex.	EMS (BLS) Odessa Ambulance
Lincoln Public Hospital District No. 3 - dba Lincoln Hospital (Davenport)	7 Commissioners	Almira, Creston, Davenport, Harrington, Reardan, Wilbur	Owns and operates Lincoln Hospital; Vista Manor Assisted Living in Wilbur, and medical Clinics in Davenport, Reardan and Wilbur	EMS (BLS) Davenport Ambulance
Joint - Grant County Public Hospital District No. 6 (Douglas, Grant, Lincoln, and Okanogan Co) - Coulee Medical Center	5 Commisioners	Coulee Dam, Electric City, Grand Coulee, Hartline Elmer City, Nespelem	Owns and operates Coulee Community Hospital; Coulee Family Medicine Clinic, the St. Rita's Adult Family Home in Coulee Dam, and the Coulee City Medical Clinic. (Part of Caribou Trails Professional Medical Services Group, LLC, Interlocal agreement)
Mason County
Mason County Public Hospital District No. 1 - Mason General Hospital	3 Commissioners	Shelton	Owns and operates Mason General Hospital in Shelton, the North Mason Medical Clinic in Belfair, and Oakland Bay Pediatrics in Shelton.
Mason County Public Hospital District No. 2 - North Mason Area; Election Precints Belfair 1 through 6, Tahuya and Dewatto Formed, November 2007.	5 Commissioners
Okanogan County
Okanogan-Douglas County Hospital No. 1 - Okanogan-Douglas Hospital (Brewster)	5 Commissioners Leadership	Brewster, Pateros, Twisp, Winthrop	Part of Caribou Trails Professional Medical Services Group, LLC, Interlocal agreement
Okanogan Public Hospital District No. 3 - Mid-Valley Hospital (Omak)	5 Commissioners	Conconully, Okanogan, Omak	Part of Caribou Trails Professional Medical Services Group, LLC, interlocal agreement
Okanogan Public Hospital District No. 4 - North Valley Hospital (Tonasket)	5 Commissioners Board of Commissioners	Oroville, Tonasket	Owns and operates North Valley Hospital, an assisted living facility in Tonasket, and Oroville Family Medical Clinic.(Part of Caribou Trails Professional Medical Services Group, LLC, Interlocal agreement)
Joint District Grant County Public Hospital District No. 6 (Grand Coulee - Joint Hospital District: Douglas, Grant, Lincoln, and Okanogan Co.) - Coulee Medical Center	5 Commisioners	Coulee Dam, Electric City, Grand Coulee, Hartline, Elmer City, Nespelem	Owns and operates Coulee Community Hospital; the Coulee Family Medicine Clinic, the St. Rita's Adult Family Home in Coulee Dam, and the Coulee City Medical Clinic.(Part of Caribou Trails Professional Medical Services Group, LLC, Interlocal agreement)
Pacific County
Pacific County Public Hospital District #2 (South Bend) - Willapa Harbor Hospital	5 Commissioners	Raymond, South Bend	Owns and operates Willapa Harbor Hospital and South Bend Walk-In Clinic. It serves most of North Pacific County and outlying areas of Grays Harbor and Lewis counties. (split into two districts 1-96). Member Western Washington Rural Health Care Collaborative (WWRHCC)
Pacific County Public Healthcare Services (Pacific County Public Hospital District #3 - Ocean Beach Hospital (Ilwaco), created 1995	5 Commissioners Board of Commissioners	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. Member Western Washington Rural Health Care Collaborative (WWRHCC)
Pend Oreille County
Pend Oreille County Public Hospital District No. 1 - New port Hospital and Health Services (Newport)	5 Commissioners	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.
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 - Inter-Island Medical Center	5 Commissioners Board of Commissioners	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.	EMS (ALS) San Juan Island EMS
Skagit County
Skagit County Public Hospital District No. 1 - Skagit Valley Hospital	7 Commissioners Leadership and Administration	Mount Vernon (part)	The district operates Skagit Valley Hospital and two health clinics in Stanwood and Camano Island.
Skagit County Public Hospital District No. 304 - United General Hospital (Whatcom and Skagit Counties)	5 Commissioners Board of Commissioners	Burlington, Concrete, Hamilton, Lyman, Mount Vernon (part), Sedro-Woolley	Owns and operates United General Hospital. Public Hospital District 304, encompasses more than 2,000 square miles in Skagit (and parts of Whatcom) County. Associate member Western Washington Rural Health Care Collaborative (WWRHCC)
Skagit County Public Hospital District No. 2 - Island Hospital (Anacortes)	5 CommissionersBoard of Commissioners	Anacortes	Owns and operate Island Hospital and manages Family Care Clinics in Anacortes and on Lopez Island. Skagit County Public Hospital District No. 2 serves western Skagit County, north Whidbey Island and the San Juan Islands.	EMS (BLS)
Skamania County
Skamania County Public Hospital District (County-wide) - Skamania County Emergency Medical Services	3 Commissioners	Stevenson and North Bonneville	Provide ambulance and rescue services in Skamania County.	EMS (ALS) Skamania County EMS
Snohomish County
Snohomish County Public Hospital District No. 1 - Valley General Hospital (Monroe)	3 Commissioners Board of Commissioners Board Meeting Minutes Board Bylaws	Gold Bar, Index, Monroe, Snohomish, Sultan	Owns and operates Valley General Hospital. Provides health care services to the residents of Monroe and surrounding communities.
Snohomish County Public Hospital District No. 2 - dba Stevens Healthcare - Stevens Hospital (Edmonds)	3 Commissioners Board of Commissioners Meetings & Minutes	Brier, Edmonds, Lynnwood, Mountlake Terrace, Woodway	Owns and operates Stevens Hospital , primary care clinics, and a retail pharmacy.
Snohomish County Public Hospital District No. 3 - Cascade Velley Hospital (Arlington)	5 Commissioners Our Leaders	Darrington, Part Arlington	Operates Cascade Valley Hospital.
Spokane County - None
Stevens County - None
Thurston County - None
Wahkiakum County - None
Walla Walla County
Columbia County Hospital District No. 1 - Columbia County Health Care System (County-wide) - Joint with Walla Walla County whose boundary contiguous with Waitsburg School District ( 1996)	5 Commissioners Board of Commissioners	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.
Whatcom County
Point Roberts Hospital District - Point Roberts Clinic; district formed 2-05		None	Assumed ownership of Aydon Wellness Clinic in May 2006.
Skagit County Hospital District 304 - United General Hospital (Whatcom and Skagit Counties)	5 Commissioners Board of Commissioners	None in Whatcom County. Skagit county cities: Burlington, Concrete, Hamilton, Lyman, Mount Vernon (part), Sedro-Woolley	Owns and operates United General Hospital. Public Hospital District 304, encompasses more than 2,000 square miles in Skagit (and parts of Whatcom) County. Associate member Western Washington Rural Health Care Collaborative (WWRHCC)
Whitman County
Whitman County Public Hospital District No. 1A - Pullman Regional Hospital (Pullman)	7 Commissioners Board Current minutes	Pullman	Owns and operates Pullman Regional Hospital.
Whitman County Public Hospital District No. 2 (Garfield)	5 Commissioners	Farmington, Garfield	District formed to provide health services to Garfield and surrounding area. Built and operates Assisted Living Center.	EMS (BLS)
Whitman County Public Hospital District No. 3 - Whitman Hospital and Medical Center (Colfax)	5 Commissioners Board of Commissioners	Colfax, Endicott, LaCross, St. John	Owns and operates Whitman Hospital and Medical Center in Colfax.
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.

Caribou Trails Professional Medical Services Group, LLC was formed on July 1, 2003 by 5 public hospital districts doing business as Coulee Community Hospital (Grant Joint PHD No. 6), Okanogan Douglas Hospital (Okanogan-Douglas County PHD No. 1), North Valley Hospital (Okanogan PHD No. 4), Mid-Valley Hospital (Okanogan PHD No. 3, Lake Chelan Community Hospital (Chelan PHD No. 2)

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. Members: Forks Community Hospital, Jefferson Healthcare, Mark Reed Memorial Hospital, Mason General Hospital, Morton General Hospital, Ocean Beach Hospital, Willapa Harbor Associate Members Valley General (Monroe) United General, Whidbey General, Snoqualmie Valley Hospital

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.

Related Resources

MRSC Index - Hospital district