WA · 39 Counties

Washington Rural Hospitals

131 active hospitals serving 39 counties. 3 counties have no hospital access.

131
Hospitals
38
Critical Access
34
Rural
17,622
Beds
3
Deserts
8%
No Hospital

CMS Rural Health Transformation Program

Washington Receives $181.3M/year$906.3M total over 5 years (FY2026–2030)

As part of the federal $50 billion Rural Health Transformation Program (CFDA 93.798), Washington receives $181,257,515/year for FY2026–2030 to strengthen rural health infrastructure, expand access, and support workforce development.

Lead Agency: Health Care Authority
Award ID: RHTCMS332044

Source: USAspending.gov, CFDA 93.798. Performance period: 2025-12-29 to 2030-10-30.

County Health Map

Explore Washington's 39 counties and 131 hospitals. Click any county or hospital for details.

Layers:
No HospitalHas Hospital

Counties with vs. without a hospital

Margin ≥ 0%-5% to 0%Below -5%No dataCAHFQHC
Loading map...

Sources: CMS POS, CDC SVI (2022), HRSA HPSA, County Health Rankings, CDC PLACES (2023), AHRF (2024), HRSA FQHCs. Hospital markers sized by bed count, colored by operating margin. FQHC diamonds show safety-net delivery sites.

Hospital Directory

All 131 active hospitals in Washington. Search by name, city, or county.

Hospital ▲CityCountyBedsOwnershipType
Alcenas HospitalKirklandKing0Government
Arbor Health Morton HospitalMortonLewis31Not-for-ProfitCAHRural
Astria Sunnyside HospitalSunnysideYakima25Not-for-ProfitCAH
Astria Toppenish HospitalToppenishYakima63Government
Bhc Fairfax HospitalKirklandKing133Not-for-Profit
Cascade Medical CenterLeavenworthChelan12Not-for-ProfitCAH
Cascade Valley HospitalArlingtonSnohomish48Not-for-Profit
Chi Franciscan Rehabilitation HospitalTacomaPierce60Not-for-Profit
Columbia Basin HospitalEphrataGrant28Not-for-ProfitCAHRural
Confluence Health HospitalWenatcheeChelan198Government

131 hospitals shown

Hospital Deserts

3 of 39 counties (8%) have no hospital.

Residents in these counties must travel to neighboring areas for hospital care.

3 counties in Washington have no hospital.

Learn how the AHEAD model could transform rural health access.

Assess Your Hospital's Readiness

Critical Access Gaps 1

Counties with no hospital, a primary care shortage designation, and high social vulnerability (SVI > 0.75) represent the most critical access gaps. These communities face a triple burden of absent infrastructure, workforce shortage, and socioeconomic disadvantage.

CountyPopulationSVI ScoreHPSA TypesNearest Hospital
Douglas42,9380.81Primary Care, Dental, Mental Health15.3 mi

Source: CMS Provider of Services (hospital presence), HRSA Health Professional Shortage Areas (HPSA designations), CDC/ATSDR Social Vulnerability Index 2022 (SVI scores).

County Health Profiles

All 39 counties in Washington. Each county has a dedicated health profile with SVI scores, health metrics, HPSA designations, and hospital access.

County ▲PopulationHospitalsStatus
Adams20,61322 Hospitals
Asotin22,28511 Hospital
Benton206,87344 Hospitals
Chelan79,07433 Hospitals
Clallam77,15522 Hospitals
Clark503,31144 Hospitals
Columbia3,95211 Hospital
Cowlitz110,73011 Hospital
Douglas42,9380Desert
Ferry7,17811 Hospital

39 counties shown

County Health Snapshot

Average health indicators across Washington's 39 counties

9.3%
Avg Diabetes Rate
34.7%
Avg Obesity Rate
9.0%
Avg Uninsured Rate
6.6
PCPs per 10K
9
High-Vulnerability Counties
Avg SVI: 0.55

Health Professional Shortage Areas

219
Primary Care HPSAs
211
Dental Health HPSAs
218
Mental Health HPSAs
5.4M
Est. Underserved Population

Sources: County Health Rankings (2025), CDC Social Vulnerability Index (2022), HRSA Bureau of Health Workforce (HPSA designations)

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Financial Health

FY2025 hospital financial performance from CMS cost reports

-5.2%
Median Operating Margin
63
Negative Margin Hospitals

63 hospitals reporting negative margins.

See how your hospital compares.

Explore Hospital Profiles

Federal Rural Health Funding

Federal rural health programs obligated $3.7M to 7 recipients in FY2025

$1.9M
Rural Health Outreach
6 recipients · CFDA 93.912
$1.0M
1 recipient · CFDA 93.241
$547K
Small Hospital Improvement (SHIP)
1 recipient · CFDA 93.301
$217K
State Office of Rural Health
1 recipient · CFDA 93.913

Largest Grant Recipients

Health, Washington State Department Of$1.8M
Whidbey Island Public Hospital District$692K
Cascade Community Healthcare$535K
Kittitas County Health Network$500K
Methow Valley Family Home Center Association$300K

Source: USAspending.gov, FY2025 obligations. Includes CFDA 93.241 (Flex), 93.301 (SHIP), 93.912 (Outreach), 93.913 (SORH).

Healthcare Workforce & Access

Provider supply, community health centers, and medically underserved designations

Provider Workforce

6,651
Primary Care Physicians
85.1/100k
7,708
Nurse Practitioners
4,811
Physician Assistants
160.2 NP+PA/100k
6,999
Dentists
89.6/100k
$10,430
Medicare Per Capita Cost
14.1%
Avg Readmission Rate

Federally Qualified Health Centers

453
FQHC Sites
92
Rural Sites
20.3% of total
361
Urban Sites
28
Grantee Organizations

Medically Underserved Areas & Populations

47
Total Designations
37
Underserved Areas (MUA)
10
Underserved Populations (MUP)
49
Avg MUA Score

CDC PLACES Health Indicators

Census-tract-level health data aggregated to county averages

11.6%
Diabetes
Max: 15.3%
34.3%
Obesity
Max: 40.6%
25.3%
Depression
Max: 29.7%
17.1%
Mental Distress
Max: 21.1%
7%
COPD
12.4%
Smoking
34.6%
High Blood Pressure
7.1%
Heart Disease
3.8%
Stroke
9.8%
Uninsured (18-64)

Sources: AHRF 2024-2025 (HRSA), HRSA GIS Portal (FQHCs, MUA/MUP), CDC PLACES 2023-2024

Hospital Closures

1 rural hospital closed since 2005

HospitalCityCountyYear
Deer Park HospitalDeer ParkSpokane2008

Source: UNC Sheps Center for Health Services Research

Hospital Ownership

Breakdown of Washington's 131 hospitals by ownership type

58
Not-for-Profit
44% of total
2
For-Profit
2% of total
71
Government
54% of total

See the Analytics Platform

Role-specific dashboards, AI-powered queries, and hospital financial data — live for Washington.

Interactive Dashboard·Washington: 131 rural hospitals, 38 CAHs, 3 hospital deserts

AI-Powered Q&A·Washington: 131 rural hospitals, 38 CAHs, 3 hospital deserts

What's in the Washington Dashboard

Interactive tools tailored to your state's rural health landscape

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Hospital Scorecard

Compare financials, bed counts, and risk scores across all 131 hospitals. Filter by county, ownership, or CAH status.

🗺️

Access Maps

Visualize 3 hospital deserts and service area gaps. See which communities are most underserved.

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AI-Powered Q&A

Ask questions in plain English about Washington's hospitals and get instant, data-backed answers from CMS data.

Explore Neighboring States

Have questions about Washington's rural hospitals? See the Washington FAQ — data-driven answers about hospital access, grants, and health metrics.

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Data from CMS Provider of Services, CMS Cost Reports (HCRIS), County Health Rankings, CDC Social Vulnerability Index, Community Benefit Insight, UNC Sheps Center, USAspending.gov, and HRSA Bureau of Health Workforce. Last updated: 2026-10-29.