For residents of a rural community, a 24/7 Emergency Room isn’t a convenience – it’s a lifeline. This page explains the levy renewal that makes it possible.

2026 Levy Renewal:
Just the Facts

How long would this tax be collected?

This is a one-year levy for collection in 2027.
It’s a renewal of the levy that voters have approved annually since April 2020.

How will Three Rivers Hospital use the funds?

All levy revenues will help cover operational expenses, with a primary focus on keeping the Emergency Room open and staffed 24/7.

What’s the cost to property owners?

  • Levy rate: 33 cents per $1,000 of assessed property value

  • Same rate since 2020 — no increase requested

  • For a $300,000 home, the total cost would be about $99 per year, or $8.25 per month

The levy is expected to generate $1.46 million in total revenue for the hospital.

Why is Three Rivers Hospital requesting this levy?

District residents have expressed a strong preference for physician coverage in the ER.
This levy helps fund board-certified physicians available 24/7, 365 days a year.

We are also working to expand other services to support the cost of around-the-clock emergency care.

What other services does the hospital offer?

Along with emergency care, Three Rivers Hospital provides:

How was the decision made to place this on the ballot?

The Board of Commissioners approved the levy proposal on April 26, 2026, by passing Resolution 2026-04, which placed the measure on the August 4, 2026 General Election ballot.

Does the hospital already receive property tax revenue?

Yes. Three Rivers Hospital collects a regular annual levy of $0.4693 per $1,000 assessed value.
The maximum allowed by law is $0.75 per $1,000.

This regular levy provides about 5% of the hospital’s total annual revenue.

What’s the difference between the regular levy and this levy?

Three Rivers Hospital collects two separate property tax levies, and it’s easy to confuse them.

The regular levy ($0.4693 per $1,000) has been in place for decades and is a permanent part of the hospital’s operating revenue. It supports the hospital’s general operations and has no expiration date.

The excess levy ($0.33 per $1,000) is what’s on the August ballot. Unlike the regular levy, it must be renewed by voters each year, and its proceeds are specifically earmarked to fund 24/7 Emergency Room operations, including board-certified physician coverage. Without voter approval, this funding does not continue.

How many votes are needed for the levy to pass?

The measure requires 60% voter approval to pass.

Tax Estimate Calculator

Enter your most recent property value assessment.
Your estimated annual tax based on the provided information, for 2027 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 hospital’s hybrid renovation 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, covering about 2,500 square miles in north Douglas County, south Okanogan County, and the Methow Valley. 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 2026-04

The legal language below is the full text of Resolution 2026-04, as approved by the Board on April 26, 2026.

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 4, 2026, of a proposition authorizing a tax levy to be made in 2026 for collection in 2027 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, 2027, 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.

Tax Exemption Information