Math Worksheet with Hospital: Add and Subtract with Symbols

This Grade 2 math worksheet turns a row of Hospital into a small puzzle of values to add and subtract. The key explains what each picture is worth, and then the child solves expressions that string several symbols together with plus and minus signs. Step one is substitution: replace each Hospital with its number. Step two is calculation: add and subtract in order to reach the total, which may climb toward forty. Carrying two operations and a few substitutions through one problem is true Grade 2 thinking, and the familiar pictures make it inviting rather than daunting. As your child reads the key, swaps each symbol for its value, and writes the answer, they practise the steady, confident calculating that the rest of their arithmetic year will build upon.

In this variant the key is clear and the first expressions are simple, a calm way to warm up. The child looks up what each Hospital is worth, substitutes the values, and solves a short add-and-subtract sentence. Early success here makes the child ready to take on the longer expressions, with no rush and no score along the way.

If your child enjoys this math worksheet with Hospital, there is plenty more to solve, at a pace that feels right. You can print the worksheet as a PDF to work on paper, or play the interactive version online, always free and with no sign-up. There are no timers and no scores: each child substitutes, adds, and subtracts in their own time, with warmth and no shame about a tricky problem. When this is easy, try a symbol math worksheet with Hospital that uses longer expressions, or solve the same key with a fresh set of pictures. You can also browse every math worksheet to keep the adding and subtracting going, steadily and at your child's own pace.