2025 Levy Renewal:
Just the Facts

Q: How long would this tax be collected?
A: This is a one-year levy, and it would be set for collection next year in 2026. This is a request to renew the levy approved by voters every year since April 2020.

Q: What about the property tax levy voters approved in November 2024?
A: That levy can only be collected this year, in 2025. The new levy, if approved, will not overlap the current one. The current levy expires in December, and the new one would go into effect in January.

Q: How will Three Rivers Hospital use the funds?
A: All revenues from this renewal levy will help cover operational expenses, primarily for the Emergency Room.

Q: What is the cost to property owners who live in our hospital district?
A: Three Rivers Hospital would receive a total of  about $1.46 million. That breaks down to an estimated 33 cents per $1,000 of assessed property value. This is the same rate paid by property owners this year; Three Rivers is not requesting an increase. For a $300,000 home, the tax would be about $99 for the year.

Q: Why is Three Rivers Hospital requesting this levy?
A: TRH strives to provide the communities we serve with their desired services. Based on feedback, our district residents preferred to have physician coverage in the ER. This annual levy covers a portion of the cost to provide ER services by board-certified physicians 24 hours a day, 7 days a week, all 365 days a year.

Our team continues to work on growing other services to supplement the cost of having 24-hour emergency care available to our communities.

Q: What are the hospital’s other services?
A: Besides the ER, we offer:

  • A full-spectrum family practice clinic
  • General surgery consultations and procedures
  • Orthopedics: Surgical and non-surgical treatments
  • Acute Care
  • Swing beds / transitional care for extended recovery close to home
  • Laboratory and Radiology: inpatient and outpatient services
  • Women’s health services, such as gynecology and 3D mammography
  • Physical Therapy: Inpatient and outpatient
  • Advanced wound care

Q: What was the timeline for deciding to renew this levy?
A: The Board of Commissioners approved Resolution 2025-4 during its regular meeting on April 29, which authorizes placing a proposition on the August 5, 2025 General Election ballot.

Q: Does the hospital already receive property tax funds?
A: Yes. The hospital collects the regular annual tax levy at a rate of 0.4693 cents per $1,000 of assessed property value.  The maximum amount that a public hospital district can collect is 75 cents per $1,000. These levy funds account for about 5% of the hospital’s total annual revenue.

Q: What is the percentage of voter approval required for the levy to pass?
A: The measure would need at least 60% approval to pass.

Q: How do I submit my ballot?
A: Drop off your ballot at your local post office before it closes for the day on Tuesday, August 5, 2025 so it will be postmarked that day. In our hospital district, there are also ballot drop boxes in:

  • Pateros at 180 Pateros Mall, near the bus stop
  • Twisp at 118 Glover Street, at City Hall
  • Bridgeport at 1206 Columbia Avenue, at City Hall
  • Mansfield at 26 Main Street, at City Hall
  • Winthrop at 112 Norfolk Road, at Winthrop Library

Tax Estimate Calculator

Enter your most recent property value assessment.
Your estimated annual tax based on the provided information, for 2025 only.

Questions? Contact us!

Jennifer Best 
Business Development Coordinator
509-645-3347
media@trhospital.net .

Or send us a private message through social media:

For information about the new hospital proposal, which is not affiliated with this levy, click HERE.

Okanogan Douglas County Public Hospital District No. 1

Our hospital district is the largest geographically in the state. The communities we serve are Brewster, Bridgeport, Carlton, Mansfield, Mazama, Methow, Pateros, Twisp, and Winthrop.

The district is outlined in bold in the map below. Click the image to view a larger version.

Resolution 2025-4

A RESOLUTION of the Commission of Public Hospital District No. 1, Okanogan and Douglas Counties, Washington, providing for the submission to the qualified electors of the District at a special election to be held therein on August 5, 2025, of a proposition authorizing a tax levy to be made in 2025 for collection in 2026 on all of the taxable property within the District of $1,460,000, the estimated dollar rate of tax levy required to produce such amount being 33 cent per $1,000 of assessed value (such assessed value representing 100% of true and fair value unless specifically provided otherwise by law), in excess of the maximum tax levy specified by law for public hospital districts without voter approval, for the District’s Excess Levy Fund, 2026, the proceeds of such levy to be used to provide funds to permit the District to pay for the maintenance, development and expansion of the District’s health care facilities and services; and providing for other matters properly related thereto, all as more particularly set forth herein.