1. Washington Hospitals: A Few Facts Frequently-requested information is presented in these slides. Look in the “Notes” section below each slide for more detail. More information about Washington hospitals is available on the Fast Facts page www.wsha.org.www.wsha.org Questions? Contact Jonathan Bennett (jonathanb@wsha.org).jonathanb@wsha.org Updated February 2012 Washington State Hospital Association

2. Washington has 97 community general hospitals Washington also has 13 other hospitals, which include -- 3 private specialized services, -- 2 state-owned psychiatric, -- 4 U.S. military, and -- 4 U.S. Veteran Affairs hospitals Washington State Hospital Association

3. Hospitals cluster in the Seattle, Spokane, and Tacoma areas 2 4 2 2 2 4 5 12 2 2

4. Washington State Hospital Association Hospital systems continue to restructure Providence’s Northwest & Southwest divisions and Swedish Medical Center finalized their affiliation agreement in February of 2012. UW Medicine joined forces with Northwest Hospital & Medical Center to create a new nonprofit and entered into an affiliation with Valley Medical Center. Swedish Health System opened a new Issaquah medical campus in the summer of 2011, and Stevens Hospital (a public hospital district) is now Swedish/Edmonds. Olympic Medical Center affiliated with Swedish Medical Center in October of 2011.

5. Washington State Hospital Association Many Washington hospitals are small Hospitals by Bed Size Data Source: Washington State Dept. of Health Hospital Fiscal Year-End Reports, 2009 Most Washington hospitals have fewer than 100 beds.

6. Washington State Hospital Association As the population has grown, available beds have decreased Data Sources: Washington State Dept. of Health Hospital Fiscal Year-End Reports, Washington State Office of Financial Management, and American Hospital Association Available Beds Per 1,000 Population The 2010 national average is 2.6 beds per 1,000 Washington consistently ranks at the top on inpatient efficiency.

7. Washington State Hospital Association Data Source: Washington State Department of Health Hospital Fiscal Year-End Reports Almost half of Washington hospitals are government owned Hospital Ownership Public district hospitals, mainly rural, are government entities with publicly elected boards.

8. Washington State Hospital Association Data Source: Washington State Department of Health Hospital Fiscal Year-End Reports Available Beds by Hospital Ownership Almost all inpatient beds are in public or not-for-profit hospitals Public and private not- for-profit hospitals account for 91 percent of all community beds.

9. Washington State Hospital Association Forty-five of Washington’s hospitals are designated as rural* facilities Data Source: Washington State Dept. of Health, Office of Community and Rural Health Most rural hospitals in Washington are Critical Access Hospitals (CAH). Rural and Critical Access Hospital Distribution * Designated rural by the Department of Health.

10. Washington State Hospital Association Data Source: Washington State Department of Health Office of Emergency Medical Services and Trauma System Hospitals Providing General Adult Acute Care Trauma Services 77 hospitals are designated by the Department of Health as trauma centers Level 1 designates the most intensive and skilled trauma services provided.

11. Washington State Hospital Association Out-of-state patients made up 3.4 percent of 2010 inpatient discharges Percent of Out-of-State Discharges Most out-of- state patients were from Oregon and Idaho. Canadian patients were just one percent of out-of-state discharges and 0.03 percent of total discharges. Data Source: WSHA-Enhanced CHARS Inpatient file, CY2010

12. Washington State Hospital Association A few hospitals have significant inpatient volume from out-of-state Hospital Percent of Hospital’s Discharges Data Source: WSHA-Enhanced CHARS Inpatient file, CY2010 Location Top Ten Hospitals: Percent of Discharges from Out-of-State Tri-State Memorial Hospital Providence St Mary Medical Center Newport Hospital & Health Services Walla Walla General Hospital Seattle Cancer Care Alliance Pullman Regional Hospital Providence Sacred Heart Medical St Luke’s Rehabilitation Institute Garfield County Hospital District PeaceHealth St John Medical Center 54.9% 30.8% 28.6% 26.5% 21.4% 19.0% 11.8% 11.4% 11.3% 11.2% Idaho Border Oregon Border Idaho Border Oregon Border Seattle Idaho Border Oregon Border