Bad debt, charity care expenses rising at local medical facilities

MOSES LAKE — For everyone in healthcare, from patients to hospitals to medical professionals, the challenge is who pays the bill. Sometimes the answer is that some or all of the bill doesn’t get paid, and the hospital or clinic has to absorb the costs. Janette Townsend, chief financial officer at Confluence Health, and Alex Town, chief administrative officer at Samaritan Healthcare, said it’s becoming a bigger problem. “Both bad debt and charity care have gone up in the last few years,” Townsend wrote in response to questions from the Columbia Basin Herald. “Bad debt has increased 214% and charity care has increased 63% from 2023 to 2025.”