(The Center Square) – Washington state’s largest public hospital could go into the red in 2026 despite a successful fiscal year 2025, with the anticipated loss of Medicaid direct payments. Harborview’s fiscal year 2025 was July 1, 2024, through June 30, 2025.
On Tuesday, Harborview Medical Center CEO Sommer Kleweno Walley briefed the King County Committee of the Whole about the impacts of the Trump administration’s One Big Beautiful Bill Act. That includes pressure on the hospital’s operating margins, as federal Medicaid direct payments and one-time state appropriations make up a significant portion of Harborview’s funding.
Harborview Medical Center is owned by King County and is the only Level 1 trauma center in the state. The facility also serves trauma patients from Alaska, Idaho, Montana and Wyoming…