Valley Medical Center, where financial struggles recently forced the closure of several hospital units and outpatient clinics, is ending its affiliation with UW Medicine after more than a decade. The Renton, WA-based hospital — run by the state's oldest and largest public hospital district — is releasing few details about what led to the decision, but both Valley and UW Medicine confirm they’re winding down their 'strategic alliance.' They plan to formally part ways by the end of 2026, closing the chapter on an affiliation that's lasted about 14 years, following a rocky start around governing disputes and legal battles.