The University of Washington Center for Health Workforce Studies and the Washington State Hospital Association's Health Work Force Institute collaborated in a staffing survey of Washington's nonfederal acute care hospitals. Eighty-one percent of the 88 hospitals responded to this mailed survey. Growth in Washington's hospital sector appears to be keeping the demand for health care occupations high, even when vacancy rates for some jobs appear to be lower than in past years. This growth, and the shift away from contracting employees, needs to be considered in projections of future workforce supply and demand.