Is Public Hospital District No. 1 of King C a state or local government?

Public Hospital District No. 1 of King County, WA, is a local government entity.

Public hospital districts are governmental entities established by Washington State statute. The legislature granted local communities the authority to create hospital districts in 1945. Today, nearly one-half of Washington's 90 hospitals are part of public hospital districts. Valley Medical Center—Public Hospital District No. 1—is the oldest and largest in Washington, encompassing the cities of Kent, Renton, Tukwila, and portions of Auburn, Black Diamond, Covington, Federal Way, Maple Valley, Newcastle and Seattle. The oldest and largest of the 56 hospital districts in the state of Washington, it operates Valley Medical Center, serving greater South King County. See here for more information.