Seattle is the largest city in the U.S. state of Washington and has several large medical facilities and institutions that serve the Pacific Northwest region. The University of Washington is consistently ranked among the country's leading institutions in medical research and manages the UW Medicine system, which owns and operates University of Washington Medical Center and Northwest Hospital & Medical Center. UW Medicine operates the county-owned Harborview Medical Center, which is also the only Level I trauma center in the Pacific Northwest and serves patients with traumatic injuries from the states of Washington, Alaska, Idaho, and Montana.