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Public Hospital District

What is a public hospital district?

Evergreen General Hospital in 1971

A public hospital district is similar to a school district or a fire district. Residents of an area form these districts to provide needed services, and pay a levy to support the services.

In 1968, the residents of rural northeast King County voted to create King County Public Hospital District #2 to provide health care services for the community. The district included the cities of Bothell, Kenmore, Kirkland, Redmond, Woodinville and parts of Sammamish. Duvall would later vote to join the district.

The levy money was instrumental in building the original Evergreen General Hospital, which opened in 1972 – now known as EvergreenHealth.

Today, the levy money is used to provide much-needed community health services that you won't find offered by most health systems. Because EvergreenHealth is owned by the community, we have a responsibility to provide these services regardless of their profitability.

The Public Hospital District Difference

A public hospital district, such as EvergreenHealth, is different from a private hospital or health system.

For one, EvergreenHealth is governed by a board of seven publicly-elected commissioners who are elected by the community just like your city council or school board.  The commissioners are responsible for making sure community health needs are being addressed – both now and into the future. Private hospitals appoint their board of directors, with no input from the public.

EvergreenHealth also subscribes to the state's public meeting act and public records laws. This means our board meetings are open to the public, and the majority of our documents are available to the public. Private hospitals do not have to share documents or hold open meetings.


Learn more about the advantages of a public hospital district in this podcast. You can also read a transcript of the podcast.

Community Support for EvergreenHealth

EvergreenHealth in 2020Since we opened in 1972, the community has embraced EvergreenHealth as the Eastside's public hospital district, supporting our organization's evolution every step of the way.

Lifelong residents and new families alike continue to recognize the value of the services we offer close to home, earning community preference and recognition from industry peers, such as our fourth consecutive year as one of America's 100 Best Hospitals (Healthgrades 2017-2020). Learn more about our recognition for quality health care.

During that time, our system has grown rapidly, fueled by both our area's population growth and our outstanding reputation for delivering high quality care and service.

We now serve nearly 850,000 residents of our service area in north King and south Snohomish counties, with medical facilities located throughout the region to ensure access close to home and work.

The EvergreenHealth Levy

Roughly $19.3 million of EvergreenHealth's annual operating budget comes from the levy money paid to King County Public Hospital District No. 2.

Some of this money is used to pay for buildings and equipment; the rest funds innovative community health programs to meet the diverse needs of the area we serve.

The taxation rate for 2020 is $.19 per thousand.