Washington
Washington state hospital system ‘very fragile’ after two years of losses
Hospitals in Washington state continue to deal with daunting financial difficulties.
While hospitals generally fared a bit better in 2023 than in 2022, most hospitals are continuing to lose money, according to a survey by the Washington State Hospital Association. Some are cutting services and reducing beds.
During a media call Tuesday, Washington hospital leaders say some organizations are on the brink, and some aren’t poised to handle more financial pressures. Cassie Sauer, president and CEO of the Washington State Hospital Association, also pointed to financial difficulties from the Change Healthcare cyberattack, which has affected hospitals and healthcare providers nationwide.
“What we really see is that the state of Washington’s hospital system remains very fragile after experiencing more than two years of significant losses,” Sauer said. “And these losses are now being compounded by delayed payments from insurers and the impact of the cyber attack on Change Healthcare.”
‘Unprecedented, unsustainable’
Cumulatively, the state’s hospitals lost $3.8 billion in 2022 and 2023, said Eric Lewis, chief financial officer of the Washington State Hospital Association.
“These losses are unprecedented, unsustainable, and represent a huge-post COVID financial challenge,” Lewis said.
In 2023, the state’s hospitals had a -5.2% operating margin, which actually represents a bit of improvement from 2022, when the margin was -7%. Lewis said 85% of the state’s hospitals are losing money.
The state’s hospitals ran in the red during the first half of 2023, and the losses mounted as the year progressed. Washington’s hospitals took in more revenue in 2023, but the revenues were outpaced by higher expenses.
The net operating losses for Washington’s hospitals totaled $1.7 billion in 2023, compared to $2.1 billion in 2022.“The losses, though not as massive, continued,” Lewis said. He noted that the state’s hospitals have seen significant losses for eight consecutive quarters.
Adding to the difficulties, more residents in Washington are relying on Medicare and Medicaid, Sauer noted. Fewer people are using commercial insurance, which typically provides better reimbursements to hospitals.
“That piece of the pie that’s commercial has really diminished quite a lot,” she said.
‘A large hole’
Ettore Palazzo is the CEO of EvergreenHealth, a community-owned, two-hospital system based in Kirkland. He said, “These terms, unprecedented and unsustainable, are absolutely true. And there are other adjectives that we’re trying to come up with because it almost doesn’t seem like those words are really appropriate anymore.”
EvergreenHealth has lost $158 million over the past two years, he said.
To cut expenses, EvergreenHealth has had to reduce some positions, including some non-clinical positions and an executive role, Palazzo said. Some services have had to be cut, including a “helpline,” where residents could call nurses with health questions. The helpline had been operated for 30 years.
While EvergreenHealth has made some headway in reducing losses, Palazzo said the system still faces a difficult road.
“We have a large hole to climb out of,” Palazzo said. “And the thought of any other disruption, whether it be self-imposed, or as a result of another pandemic, or anything that changes the current, really delicate balance of how healthcare finances work now, could put all that in jeopardy. And I do worry about how hospitals will be addressing their capital needs as they work towards improvements.”
Closing delivery services
Cathy Bambrick, administrator of Astria Toppenish Hospital, a 63-bed community hospital, outlined some of the sober challenges her organization has faced. The hospital lost nearly $8 million in 2023, after losing $7.3 million in 2022.
The hospital serves one of Washington’s most impoverished and ethnically diverse regions, including a large Native American population. The hospital is the only one in the state located on a reservation.
Lawmakers are working with the hospital to sustain emergency and acute care services, but Bambrick said some services have had to be cut.
In December 2022, the hospital closed its labor and delivery unit, leaving local women with a drive of more than 30 minutes, even in good weather. “And you know, in eastern Washington, we have very difficult driving conditions in the winter,” Bambrick said.
The hospital typically delivered a baby a day, she said.
“We couldn’t have felt worse about closing that delivery unit,” she said.
In 2023, the hospital had to close its MRI service. “We are one of two hospitals in the state that doesn’t offer MRI services to its patients,” she said.
Needing a long-term remedy
Elise Cutter, CEO of Island Health in Anacortes, an independent, public hospital district, including a 43-bed facility, along with primary and specialty care clinics. Island Health is at a -12% margin over the past two years, she said.
“Over the past two years, we’ve seen an unprecedented increase in costs, yet have not seen corresponding increases in the payment for care,” Cutter said.
Even though Island Health operates a small hospital, Cutter noted that it’s “too big” for enhanced funding for rural providers from the federal government.
Despite the financial hurdles, Island Health’s hospital has received a 5-star rating from the Centers for Medicare & Medicaid Services for the past two years, she says.
“We need to find a long-term solution to ensure that independent, rural public hospital districts like Island Health can continue to be the safety net for our community, and provide 5-star care close to home,” Cutter said.
‘Heartbreaking decisions’
In addition to the losses, Sauer pointed to the gut-wrenching decisions some hospitals have had to make to reduce services in order to stay afloat. Even seemingly minor decisions, such as reducing a couple of beds, matters to people who are seeking care, she said.
“Over the course of the last year, we’ve seen hospitals make both what seemed like mundane, but also heartbreaking decisions, about service reductions and closures that are done to preserve access to other hospital services,” Sauer said.
And some of those decisions mean patients are waiting longer for the care they need, whether it’s closing a unit or even a couple of beds, she said.
“If you’re someone who’s looking for care, it can be a really big deal that your hospital now has less capacity,” Sauer said.
ASHBURN, Va. – The Washington Commanders have released their 2026 Training Camp schedule, with eleven open practices between August 1 and August 19, including five open to all fans and six reserved for season ticket members.
For the fifth straight year, training camp will take place at the team’s football operations headquarters in Ashburn, Virginia.
Open practices for all fans are scheduled for August 1, August 7, August 8, August 18 and August 19.
Season ticket member practices will be held August 3, 4, 5, 10, 11 and 12.
All sessions begin at 8:30 a.m., with gates opening at 7:30 a.m.
Fans can claim free tickets beginning June 23 at 10 a.m. General admission fans may request up to six tickets and one parking pass for a single day of camp. Season ticket members can claim tickets for two member‑exclusive days in addition to one general admission day. All parking will be on site at the BigBear.ai Performance Center and requires a parking pass.
The team plans several themed events throughout camp, including Back Together Weekend on August 1, Military Appreciation Day on August 7 and Kids Day on August 8. Local youth football and community groups will also be hosted throughout the summer.
For more information visit the Washington Commanders online.
The Source: Information in this article comes from the Washington Commanders.
The Lincoln Memorial Reflecting Pool on Washington’s National Mall is set to be drained again for repairs after algae and peeling paint appeared just weeks after a US$14.7 million renovation, while President Donald Trump threatened prison time for anyone caught damaging the pool.
The DC Water authority issued a permit to drain the 609-metre rectangular pool, it said on Monday, while the repair company said it would fix the pool as part of its warranty.
Peeling paint and algae growth have been visible in the pool since soon after Trump declared the renovation project complete on June 6. Critics have raised concerns about the no-bid contract to recoat the pool before the nation’s 250th anniversary celebrations next month, as well as for the ducks that use its water. Workers from the National Park Service earlier this week poured hydrogen peroxide into the pool to combat the algae.
Trump, without evidence, has blamed vandals for the state of the landmark. On Monday, he echoed a weekend threat by US Attorney Jeanine Pirro to prosecute people accused of attempting to destroy the pool.
“Please remember that there is a 10-year prison sentence for the destruction, or even the attempted destruction, of such things – Which will be fully enforced!” Trump earlier wrote in a social media post. Destruction of federal property can carry a maximum prison sentence of 10 years.
It was not immediately apparent what criminal or civil violation someone might commit reaching into the pool.
Half a year can be an eternity in the NBA.
Seven months ago, as Trae Young and the Atlanta Hawks headed toward a divorce, Young’s value within the league had never been lower.
On Monday, Young and the Washington Wizards agreed to a new four-year, maximum-salary contract worth approximately $212.9 million, according to a league source. The fourth year of the contract will be a player option.
Young’s first-year salary is estimated to be $49.5 million, which amounts to 30 percent of the projected 2026-27 salary cap of $165 million. During the 2029-30 season, the final year of the contract, Young will earn $56.9 million if he accepts his player option.
Wizards officials would love it, of course, if Young can return to the form that made him an All-NBA Third Team player during the 2021-22 season. But at the very least, they place significant value on knowing that their team’s offense will start with him on most occasions, and that he will be around to shoulder a large portion of the scoring load while the team’s young players, who comprise the team’s long-term nucleus, continue to improve.
Wizards get the No. 1 draft pick. Will it make a difference?
David Aldridge
That Young will receive such large annual salaries no doubt will come as a shock to many observers, especially after Young’s reputation took a beating toward the end of his Hawks tenure. The NBA rumor mill, which is often inaccurate, predicted months ago that any new deal between Young and the Wizards would average no more than $40 million annually.
But in recent weeks, Wizards decision-makers became convinced that, with the NBA’s new anti-tanking measures compelling more teams to compete, Young was going to command maximum-salary contract offers from other franchises through either a straight free-agent signing or a sign-and-trade proposal.
Because the Wizards hold Young’s Bird rights, the Wizards had the latitude to offer Young up to a five-year contract with 8 percent annual raises. But Young’s new four-year deal instead features 5 percent year-over-year raises, the maximum year-over-year raise that any other team could have offered Young as a non-Bird free agent. For Washington, the difference between signing Young to 5 percent raises instead of 8 percent raises will amount to a total savings of $8.9 million over four years.
Wizards officials are not concerned that Young’s new contract will age poorly and prevent them from making future moves to improve their roster. Anthony Davis, who is due to earn $58.5 million in 2026-27, and Young are now Washington’s highest-paid players on its young roster, but the person with the third-largest salary is big man Alex Sarr, who will be paid the relatively small sum of $12.3 million this season. At the earliest, the Wizards do not expect to approach the dreaded first apron until the 2028-29 season, when any new rookie-scale contract extensions for Sarr and Kyshawn George would go into effect.
Plus, Wizards officials reason that Young, who will turn 28 years old in September, will remain in his prime years through the end of his contract. The onerous large contracts that age the worst — potentially Jimmy Butler’s current deal with the Golden State Warriors and Paul George’s current deal with the Philadelphia 76ers, for example — tend to be contracts in which players already are past their primes at the start of their contracts.
Young is by no means a perfect player. Undersized at 6 feet 1, and undeniably more focused on the offensive end of the floor, he tended to be a significant defensive liability throughout his Hawks tenure. That trend could worsen if he begins to lose a step (or two) over the next several years.
At the same time, though, Wizards officials have always known that their lineups would have to feature enough positional size and enough defensive-oriented players to compensate for Young’s shortcomings — in the same way that the defensive liabilities of LaMelo Ball, Jalen Brunson, Luka Dončić, Kyrie Irving and Donovan Mitchell (and others) are compensated for by their respective teams.
The Wizards’ decision-makers believe Davis and youngsters Bilal Coulibaly, Davis, George, Sarr and whomever they pick first overall in Tuesday night’s draft will develop into strong enough defenders to help Young.
Young appeared in only five games for Washington last season after his trade from Atlanta for CJ McCollum and Corey Kispert. That was a large enough sample size to demonstrate how his gravity and his passing skill could create open shots for his new teammates. George, Tre Johnson and others should receive more wide-open 3-point looks when Young directs the offense, and Sarr and Davis should feast on lobs from Young in pick-and-rolls.
Only 16 players in NBA history have averaged at least 20 points and 10 assists per game in the same season, according to Basketball Reference. Young is one of those players, and he has done it three times, during the 2022-23, 2023-24 and 2024-25 seasons. The only other players who have had at least three seasons of at least 20 points and 10 assists per game are James Harden (four times), Kevin Johnson (three times), Magic Johnson (three times), Oscar Robertson (five times), Isiah Thomas (four times) and Russell Westbrook (five times).
The franchise expects Young to make Washington’s offense more efficient and, because opponents will have to take the ball out of their net more often, give Washington’s defense more opportunities to set itself.
July 6 is the first day when new free-agent contracts may be signed and made official.
-
Denver, CO1 minute agoNuggets 2026 NBA mock draft tracker 2.0: What national experts predict Denver will do
-
Seattle, WA7 minutes agoHow to watch Bosnia vs. Qatar in next Seattle World Cup match
-
San Diego, CA14 minutes agoSan Diego Unified leaders propose policy to limit technology in classrooms
-
Milwaukee, WI16 minutes agoRacine’s Greek community reflects on Giannis’ celebration of Greek culture
-
Atlanta, GA22 minutes ago
Report: Atlanta Falcons agree to terms with Kyle Pitts on contract extension
-
Minneapolis, MN29 minutes agoMayor Frey outlines timeline for selecting next Minneapolis police chief
-
Indianapolis, IN31 minutes agoRain & storms will return soon, hot & humid next week
-
Pittsburg, PA36 minutes agoWill Howard, Drew Allar Huge Winners of Steelers QB News
