Facility Fee Reporting

Due to recent budget cuts the department is pausing activities on the following hospital financial reports. This includes processing submitted reports, recording date of receipt, and posting reports to the Department of Health website.
  • Hospital-Owned Provider-Based Clinic (Facility Fees), required of RCW 70.01.040
  • Compensation of 5 Highest Paid Hospital Employees, required of RCW 43.70.052
  • Health System Consolidated Income Statement and Balance Sheet, required of RCW 43.70.053
  • Community Health Needs Assessment, required of RCW 70.41.470
  • Community Health Improvement Services Addendum, required of RCW 70.41.470
Please review the Reporting Guide: Hospital Charity Care, Financial, and Community Benefits for additional information about each of these reports.

Hospital Facility Fees

In accordance with RCW 70.01.040, all hospitals with off-campus provider-based clinics that bill a separate facility fee shall report information annually to the Department of Health. The reports are collected at the end of the fiscal year.

2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019

Forms

Hospitals shall submit the number of off-campus provider-based clinics owned or operated by the hospital that charge or bill a separate facility fee; the number of patient visits at each off-campus, provider-based clinic for which a facility fee was charged or billed for the year; the revenue received by the hospital for the year by means of facility fees at each off-campus, provider-based clinic; and the range of allowable facility fees paid by public or private payers at each off-campus, provider-based clinic using DOH Form 346-094 Hospital Owned Provider-Based Clinic Facility Fee Reporting (Excel).

Completed forms should be submitted to us via email or via managed file transfer (MFT).

Due dates

Report the data along with the year-end financial reports submitted to the Department of Health pursuant to RCW 43.70.052. This reporting date is 120 days after the end of the hospital's fiscal year.