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Healthcare Insights

Top hospitals in Washington state by net patient revenue

With a population of nearly 8 million people, Washington state is the 13th most populated state in the U.S. Residents there have access to well over 100 hospitals, as well as 268 ambulatory surgery centers (ASCs) and 22 integrated delivery networks (IDNs), according to Definitive Healthcare data.

Using Definitive Healthcare’s HospitalView product, we created a list of the top 10 hospitals in Washington state ranked by net patient revenue (NPR), according to the most recent 12-month interval tracked in our database.

Top Washington hospitals by net patient revenue

RankHospital nameCityDefinitive IDNet patient revenueExplore dataset
1UW Medical Center - MontlakeSeattle4374$1,819,828,747 Explore
2Seattle Childrens HospitalSeattle4366$1,702,443,025 Explore
3Swedish Medical Center - First Hill CampusSeattle4373$1,372,623,702 Explore
4MultiCare Tacoma General HospitalTacoma4389$1,325,853,822 Explore
5Virginia Mason Medical CenterSeattle4381$1,277,367,870 Explore
6Harborview Medical CenterSeattle4369$1,084,743,107 Explore
7Fred Hutchinson Cancer Center Seattle5692$1,011,496,223 Explore
8Providence Sacred Heart Medical CenterSpokane4401$939,719,699 Explore
9Providence Regional Medical Center Everett - Colby CampusEverett4399$825,494,567 Explore
10EvergreenHealth Medical CenterKirkland4371$789,305,200 Explore

Fig. 1. Data is from the Definitive Healthcare HospitalView product and aggregated from the most recent 12-month interval tracked in our database. Data is sourced from the July 2023 Medicare Cost Report release. Accessed September 2023.

What Washington state hospitals have the highest net patient revenue?

UW Medical Center – Montlake has the highest net patient revenue in Washington state, with $1,819,828,747. This facility is directly affiliated with the University of Washington School of Medicine and is one of the West coast’s largest academic medical centers (AMCs). Additionally, this facility is the primary location for the UW Medicine Heart Institute, where doctors perform advanced procedures, including heart transplantation. These complex procedures can be very expensive, which could explain the facility’s placement on this list.

In second place for Washington hospitals with the highest NPR is Seattle Children’s Hospital, with an NPR of $1,702,443,025. This facility is the largest children’s hospital in Washington state and the sixth largest children’s hospital in the U.S. when ranked by net patient revenue.

Rounding out the top three largest Washington hospitals by NPR is Swedish Medical Center – First Hill Campus, with an NPR of $1,372,623,702. This facility is a part of the Providence Swedish health system, which currently operates nine hospital locations across Washington state. The First Hill Campus is a strong performer against its peers, ranking in the 96th percentile on Definitive Healthcare’s financial strength dashboard, which measures a hospital’s financial performance against other hospitals tracked in the Definitive Healthcare platform.

The city of Seattle is the major metropolitan hub for Washington state. As a result, six of the top ten hospitals (including the entire top three) are located there. The rest of the listed facilities are located in other large communities across the state, including Tacoma, Spokane, Everett, and Kirkland.

What is the busiest hospital in Washington state?

One way to measure how busy a hospital is to look at its bed utilization rate. All hospitals have their fair share of congestion. There is only a finite number of beds in each facility, and sometimes, things can get a little crowded.

Bed utilization is a proprietary metric that Definitive Healthcare calculates to measure how many beds in a healthcare facility are occupied. Definitive Healthcare calculates bed utilization by looking at metrics from the Medicare Cost report for the total number of patient days (excluding nursery days/bed days available) and dividing that by the number of bed days available.

When using this metric, the “busiest” hospital in Washington state is Harborview Medical Center. This facility has a bed utilization rate of 100%, meaning the hospital is usually at maximum occupancy, with nearly every single bed occupied by a patient. In second place is Legacy Salmon Creek Medical Center, with a bed utilization rate of 98.3%, followed by MultiCare Good Samaritan Hospital, with 96.4%.

Why do hospitals calculate net patient revenue?

A hospital’s NPR can be a key indicator of that facility’s financial strength. Understanding a hospital’s financial performance can result in more intelligent business strategies and adequate funding for all of its operations.

Many hospitals state that growing their NPR is one of their biggest challenges. Fluctuating patient volumes and decreasing reimbursement rates have both resulted in a lack of financial growth for many hospitals across the country. As a solution, many healthcare providers have turned to healthcare commercial intelligence such as payor claims and patient leakage metrics to form a better understanding of their market.

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Healthcare Insights are developed with healthcare commercial intelligencefrom the Definitive Healthcare platform. Want even more insights? Start a free trial now and get access to the latest healthcare commercial intelligence on hospitals, physicians, and other healthcare providers.