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I think the relevant table is on page 13 "COVID-19 hospitalizations in unvaccinated and fully vaccinated individuals in Washington state by age group, February - December, 2021"

It shows that 79% of hospitalizations in the state are unvaccinated people and that of those, 3,000 are under 34, 11,000 are between 34-65, 7,000 are over 65.

So it is indeed largely elderly unvaccinated in the hospital.

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So, help me here. If 7000 hospitalized are over 65 and 11,000 are under 65, does that not show that there are 4000 less elderly hospitalized than middle-aged?

If I look at those numbers, the elderly are not "dominating" the hospitals. In fact, that would show that if you looked in a hospital at any given time, there would be more middle-aged than elderly. I get that "per-capita" the rate is higher, but that does not matter to the hospital census.

What am I missing?

Isn’t it 3,000 + 11,000 < 65 and 7,000 => 65?

Yes, which makes it worse. It can't be the elderly filling up hospitals if there are twice as many non-elderly in there.

I was just using middle-aged (39-65) as a direct comparison.

I was including some of the 34-65 crowd in "elderly"

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