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 120 hospitals, as well as over 270 ambulatory surgery centers (ASCs) and 18 integrated delivery networks (IDNs) headquartered in the state, 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.
Rank | Hospital name | City | State | Net patient revenue | Explore dataset |
---|---|---|---|---|---|
1 | UW Medical Center - Montlake | Seattle | WA | $2,327,215,360 | Explore |
2 | Seattle Childrens Hospital | Seattle | WA | $1,907,462,656 | Explore |
3 | Virginia Mason Medical Center | Seattle | WA | $1,705,516,416 | Explore |
4 | Swedish Medical Center - First Hill Campus | Seattle | WA | $1,487,503,360 | Explore |
5 | Harborview Medical Center | Seattle | WA | $1,344,489,984 | Explore |
6 | MultiCare Tacoma General Hospital | Tacoma | WA | $1,321,558,144 | Explore |
7 | Providence Sacred Heart Medical Center | Spokane | WA | $990,366,656 | Explore |
8 | EvergreenHealth Medical Center | Kirkland | WA | $858,920,384 | Explore |
9 | PeaceHealth Southwest Medical Center | Vancouver | WA | $858,113,472 | Explore |
10 | Valley Medical Center | Renton | WA | $855,508,736 | 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 January 2025 Medicare Cost Report release. Accessed February 2025.
What Washington state hospitals have the highest net patient revenue?
UW Medical Center – Montlake has the highest net patient revenue in Washington state, with $2.3 billion. 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 $1.9 billion. 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 Virginia Mason Medical Center, with an NPR of $1.7 billion. This facility is a part of the CommonSpirit Health IDN, the country’s largest Catholic hospital chain.
As Washington State’s primary metropolitan hub, Seattle is home to half of the state’s top ten hospitals according to NPR. The remaining facilities are spread across other major cities, including Tacoma, Spokane, Everett, and Kirkland.
What is the busiest hospital in Washington state?
Hospital activity levels can be measured in many ways, but one key indicator is bed utilization rate. With a finite number of beds, hospitals must manage fluctuations in demand, and high utilization can signal potential strain on capacity.
Definitive Healthcare’s proprietary bed utilization rate calculation, based on Medicare Cost Report data, provides insight into hospital occupancy. It is determined by dividing total patient days (excluding nursery days) by bed days available.
By this metric, Washington’s busiest hospital is Providence St. Peter Hospital, an acute care facility with a 96.1% bed utilization rate. Close behind is Navos West Seattle Campus, a psychiatric hospital, at 95.1%, followed by MultiCare Good Samaritan Hospital, another acute care facility, at 93.8%.
Why do hospitals calculate net patient revenue?
Net patient revenue (NPR) is a critical measure of a hospital’s financial health. By analyzing NPR, healthcare organizations can gain insights into their financial performance, allowing for more informed business strategies and ensuring sufficient funding for operations.
For many hospitals, increasing NPR is a significant challenge. Fluctuating patient volumes and declining reimbursement rates have hindered financial growth for many providers nationwide.
In response, many healthcare organizations are leveraging data-driven insights—such as payor claims data and patient leakage metrics—to better understand their performance and benchmark against market competitors.
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