Community Benefit Insight - Tax-exempt hospital

View data for this organization below, or select additional hospitals to create a comparison view.

Search tax-exempt hospitals
for comparison purposes.

Grays Harbor Community Hospital

Grays Harbor Community Hospital

915 Anderson Dr
Aberdeen, WA 98520

Bed count	70	Medicare provider number	500031	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 910568304

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

18.07%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 1,125,853 1.04 %
Medicaid as % of operating expenses	$ 2,936,551 2.72 %
Costs of other means-tested government programs as % of operating expenses	$ 117,764 0.11 %
Health professions education as % of operating expenses	$ 9,646 0.01 %
Subsidized health services as % of operating expenses	$ 15,309,627 14.19 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 0 0 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 0 0 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	Not available
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 0 0 %
Physical improvements and housing as % of community building expenses	$ 0
Economic development as % of community building expenses	$ 0
Community support as % of community building expenses	$ 0
Environmental improvements as % of community building expenses	$ 0
Leadership development and training for community members as % of community building expenses	$ 0
Coalition building as % of community building expenses	$ 0
Community health improvement advocacy as % of community building expenses	$ 0
Workforce development as % of community building expenses	$ 0
Other as % of community building expenses	$ 0
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 7,798,548 7.23 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 89542561 including grants of $ 1125853) (Revenue $ 100696118)
SEE FORM 990, SCHEDULE O FOR STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

GRAYS HARBOR COMMUNITY HOSPITAL
PART V, SECTION B, LINE 5: IN PRIOR CHNAS, GHCH UNDERTOOK ROBUST IN-PERSON COMMUNITY CONVENINGS TO ASSESS, IDENTIFY, AND PRIORITIZE COMMUNITY NEEDS. IN 2020, DUE TO COVID, GHCH CHOSE TO DISTRIBUTE AN ONLINE SURVEY TO DISTRICT/PRIMARY SERVICE AREA AND COUNTY LEADERS AS WELL AS TO ORGANIZATIONS THAT SERVE THE VULNERABLE. EACH PARTICIPANT WAS ASKED TO COMPLETE A SURVEY IDENTIFYING, FROM THEIR EXPERIENCES AND EXPERTISE, WHAT THE COMMUNITY'S TOP HEALTH CONCERNS ARE AND WHAT STRUCTURES ARE NEEDED TO IMPROVE HEALTH STATUS. THE SURVEY ALSO ASKED THE STAKEHOLDERS TO IDENTIFY AND PRIORITIZE STRATEGIES THAT WOULD LEAD TO IMPROVED HEALTH STATUS IN GRAYS HARBOR COUNTY.COMMUNITY LEADERS AND MEMBERS CONSULTED IN THE DEVELOPMENT OF THE CHNA INCLUDED THE FOLLOWING: CITY GOVERNMENT OFFICIALS, GRAYS HARBOR COUNTY EMERGENCY MANAGEMENT, GHCH FOUNDATION, PORT OF GRAYS HARBOR, SCHOOL DISTRICTS, BEHAVIORAL HEALTH RESOURCES, PUBLIC HEALTH LAW ENFORCEMENT, QUINAULT NATION, FIRST RESPONDERS, GH COMMUNITY FOUNDATION, YMCA OF GRAYS HARBOR, AND STATE AND FEDERAL REPRESENTATIVES.

GRAYS HARBOR COMMUNITY HOSPITAL
PART V, SECTION B, LINE 6B: THE ORGANIZATION PARTNERED WITH CASCADE PACIFIC ACTION ALLIANCE (CPAA), GRAYS HARBOR PUBLIC HEALTH, AND GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 (DBA SUMMIT PACIFIC MEDICAL CENTER) TO HELP FINALIZE THE 2020 CHNA.

GRAYS HARBOR COMMUNITY HOSPITAL
PART V, SECTION B, LINE 11: BASED ON THE HEALTH NEEDS IN GRAYS HARBOR COUNTY AND THE DISTRICT, AND AFTER CONSIDERATION OF: 1) OUR RESOURCES AND EXPERTISE, AND 2) OTHER COMMUNITY AGENCIES AND PROVIDERS AND THEIR RESPECTIVE AREAS OF EXPERTISE, RESOURCES AND PROGRAMMING, GHCH ADOPTED THE FOLLOWING CHNA PRIORITIES FOR 2020-2023:HEALTHCARE ACCESSBEHAVIORAL/MENTAL HEALTHPREVENTION AND MANAGEMENT OF CHRONIC DISEASESECONOMIC DEVELOPMENTOUR 2020 SELECTED IMPLEMENTATION STRATEGIES INCLUDE:HEALTHCARE ACCESS1. INCREASE PRIMARY CARE ACCESS, REDUCE UNNECESSARY EMERGENCY DEPARTMENTAND HOSPITAL USE, AND REDUCE UNNECESSARY OUTMIGRATION.2. IMPROVE ACCESS TO AND AVAILABILITY OF PREVENTIVE DENTAL HEALTH SERVICESFOR CHILDREN AND DENTAL TREATMENT FOR UNDERSERVED ADULTS.BEHAVIORAL/MENTAL HEALTH3. EVALUATE TELEMEDICINE OPPORTUNITIES TO INCREASE ACCESS TO BEHAVIORALHEALTH AND SUBSTANCE USE DISORDER SERVICES THROUGHOUT THE COMMUNITY.4. INCREASE BEHAVIORAL HEALTH PARTNERSHIPS AND SERVICE AND INCREASEINTEGRATION WITH PRIMARY CARE.PREVENTION AND MANAGEMENT OF CHRONIC DISEASES5. CONSISTENT WITH THE CASCADE PACIFIC ACTION ALLIANCE (CPAA) MEDICAIDTRANSFORMATION PROJECT, STANDARDIZE CARE COORDINATION SERVICE DELIVERY FORINDIVIDUALS WITH COMPLEX NEEDS TO SUPPORT EARLY DETECTION AND PATIENTSELF-MANAGEMENT.ECONOMIC DEVELOPMENT6. COMMIT GHCH LEADERSHIP TIME AND BOARD LEVEL RESOURCES TO ADVOCATE ANDSUPPORT EFFORTS TO ENHANCE COMMUNITY INFRASTRUCTURE.

GRAYS HARBOR COMMUNITY HOSPITAL
PART V, SECTION B, LINE 16J: NOTICE OF OUR FAP ARE PRINTED ON THE BILLING INVOICE, POSTED THROUGHOUT THE FACILITY AND INCLUDED IN OUR 4-STEP PAMPHLET GIVEN TO ALL PATIENTS UPON REGISTERING FOR SERVICES.

PART V, LINE 7A, CNHA WEBSITE:
HTTPS://WWW.GHCARES.ORG/COMMUNITY-NEEDS-ASSESSMENT

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 7:
A COMBINATION OF COST ACCOUNTING AND COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE COSTS. WHERE INFORMATION WAS AVAILABLE BY PAYOR AND BY PATIENT SEGMENT, COST ACCOUNTING INFORMATION WAS USED. WHERE MORE DETAILED INFORMATION WAS NOT AVAILABLE, THE COST TO CHARGE RATIO WAS USED.

PART I, LN 7 COL(F):
THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $7,798,548. THE CHARITY CARE INCLUDED ON FORM 990, PART IX, LINE 2, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $1,125,853.

PART III, LINE 2:
THE ORGANIZATION'S BAD DEBT EXPENSE HAS THREE COMPONENTS; THE FIRST COMPONENT IS THE ACCOUNTS THAT ARE SENT TO A BILLING SERVICE FOR PAYMENT OVER TIME A PORTION OF WHICH IS CONSIDERED UNREALIZABLE. THE SECOND COMPONENT IS THE AMOUNT COLLECTED FROM COLLECTION EFFORTS. THE THIRD IS AN ESTIMATE OF A PORTION OF OUR ACCOUNTS RECEIVABLES THAT WILL BECOME BAD DEBT BASED ON EXPERIENCE AND ANY UNUSUAL CIRCUMSTANCES THAT MAY AFFECT THE ABILITY OF PATIENTS TO MEET THEIR OBLIGATIONS. AN ANALYSIS OF ACCOUNTS RECEIVABLE IS DONE TO DETERMINE WHICH ACCOUNTS ARE DEEMED UNCOLLECTIBLE. ACCOUNTS DEEMED UNCOLLECTIBLE ARE CHARGED AGAINST THIS ALLOWANCE. WHEN A PAYMENT IS RECEIVED ON A PATIENT ACCOUNT THAT WAS REPORTED A BAD DEBT, THE PAYMENT IS POSTED TO THE BAD DEBT RECOVERY GENERAL LEDGER ACCOUNT.

PART III, LINE 3:
THE HOSPITAL DOES NOT HAVE SYSTEMS IN PLACE TO TRACK OR ESTIMATE BAD DEBT EXPENSE ATTRIBUTABLE TO ELIGIBLE PATIENTS. OUR CHARITY CARE PROCESS INVOLVES REVIEWING A PATIENT'S INCOME AND DEPENDENT STATUS ACCORDING TO WASHINGTON STATE GUIDELINES.OUR BAD DEBT EXPENSE IS THE RESULT OF SEEING PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND IS AN INDICATION OF THE LOCAL ECONOMY. THE UNEMPLOYMENT RATE IN GRAYS HARBOR IS CURRENTLY ONE OF THE HIGHEST IN WESTERN WASHINGTON.

PART III, LINE 4:
THE FOOTNOTE DISCUSSING BAD DEBT EXPENSE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS IS ON PAGE 18 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.

PART III, LINE 8:
ALL OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. IF COSTS ARE NOT FULLY REIMBURSED, BUT SERVICES ASSOCIATED WITH THOSE COSTS MUST BE PROVIDED, THEN IT MUST BE FOR THE BENEFIT OF SOMEONE OTHER THAN THE PROVIDER, I.E. THE COMMUNITY. TO DETERMINE THE AMOUNT OF ALLOWABLE COSTS REPORTED, PROPRIETARY SOFTWARE APPROVED BY CMS IS UTILIZED TO ALLOCATE OVERHEAD USING THE STEP DOWN METHOD.IN ADDITION TO THE $28,954,701 OF COSTS REPORTED ABOVE (AND INCLUDED IN THE COST REPORT), WE ESTIMATE AN ADDITIONAL $1,528,782 OF COSTS WERE INCURRED OVER AND ABOVE THE AMOUNTS REPORTED IN THE COST REPORT FOR A TOTAL OF $30,483,483.

PART III, LINE 9B:
"PATIENTS WITHOUT MEDICAL INSURANCE BENEFITS WILL EXPLORE PAYMENT ALTERNATIVES WITH A FINANCIAL COUNSELOR OR PATIENT ACCOUNT REPRESENTATIVE. THE HOSPITAL PROVIDED FINANCIAL COUNSELING FOR THOSE WHO WILL FIND THOSE ALTERNATIVES AN EXTREME FINANCIAL HARDSHIP. CHARITY CARE IS PROVIDED AND THOSE INDIVIDUALS ARE ENCOURAGED TO FILL OUT AN APPLICATION. THE HOSPITAL SHALL PROVIDE FINAL DETERMINATION WITHIN 14 DAYS OF RECEIPT OF ALL APPLICATION AND DOCUMENTATION MATERIAL.PATIENTS THAT REQUEST CHARITY ARE ALLOWED TIME TO COMPLETE THE PROCESS AND ONCE WE HAVE ALL OF THE INFORMATION NEEDED TO MAKE A DETERMINATION THE ACCOUNT IS ""HELD"" FROM COLLECTION ACTIVITY AND NOT EXPECTED TO MAKE A PAYMENT. ONCE A DETERMINATION IS MADE AND IF THERE IS STILL A PATIENT BALANCE, THE PATIENT RESUMES BEING RESPONSIBLE FOR THE BALANCE OF THE ACCOUNT AND EXPECTED TO MAKE PAYMENT ARRANGEMENTS IF UNABLE TO PAY IN FULL."

PART VI, LINE 2:
GRAYS HARBOR COMMUNITY HOSPITAL UTILIZES DATA AND INFORMATION PULLED TOGETHER BY GRAYS HARBOR COUNTY PUBLIC HEALTH DEPARTMENT. THIS PROVIDES VERY GOOD DATA ON THE STATE OF OUR COMMUNITY'S HEALTH AND HELPS ESTABLISH PRIORITIES.

PART VI, LINE 3:
GRAYS HARBOR COMMUNITY HOSPITAL EMPLOYS STATE CERTIFIED FINANCIAL COUNSELORS TO NAVIGATE PATIENTS THROUGH THE BILLING AND FINANCIAL ASSISTANCE ELIGIBILITY PROCESS. COUNSELORS CONTACT PATIENTS BY PHONE AND MAIL TO EXPEDITE SCREENING FOR FINANCIAL AID OR OTHER FEDERAL OR STATE GOVERNMENT PROGRAM ELIGIBILITY. THE FINANCIAL AID PROGRAM IS POSTED IN THE EMERGENCY ROOM AS WELL AS REGISTRATION. FINANCIAL ASSISTANCE INFORMATION IS PRINTED ON THE FIRST ITEMIZED STATEMENT AND ALL MONTHLY STATEMENTS ISSUED THEREAFTER.

PART VI, LINE 4:
GRAYS HARBOR COMMUNITY HOSPITAL IS A LICENSED NOT FOR PROFIT RURAL ACUTE CARE COMMUNITY HOSPITAL SERVING TWO COASTAL COUNTIES IN WASHINGTON STATE, GRAYS HARBOR AND PACIFIC COUNTY. ESTABLISHED IN 1945 IT PROVIDES SERVICES TO THE COMMUNITY PRIMARILY COMPOSED OF MEN, WOMEN, AND CHILDREN SUPPORTED BY TIMBER, FISHING, AND AGRICULTURAL INDUSTRIES. THE HOSPITAL IS LICENSED FOR 140 BEDS. IT IS A LEVEL 3 TRAUMA CENTER THAT SERVES THE ENTIRE PACIFIC COAST OF WASHINGTON STATE. THE TWO CLOSEST HOSPITALS (OUTSIDE OF A CRITICAL ACCESS FACILITY) ARE LOCATED 47 AND 52 MILES EAST IN OLYMPIA. THE CLOSEST LEVEL 1 TRAUMA CENTER IS LOCATED 110 MILES NORTHEAST IN SEATTLE.GRAYS HARBOR COUNTY'S UNEMPLOYMENT RATE CONSISTENTLY TRENDS HIGHER THAN THE WASHINGTON STATE UNEMPLOYMENT RATE. THE AVERAGE RATE IN 2021 WAS 7.7% COMPARED TO 4.5% FOR THE STATE.AS OF AUGUST 2020, GRAYS HARBOR COUNTY WAS AT 10.8% UNINSURED POPULATION, 30% HIGHER THAN THE STATE'S AVERAGE OF 8.3%. THE AVERAGE ANNUAL WAGE IN 2020 WAS $46,431, WELL BELOW THE STATE'S AVERAGE ANNUAL WAGE OF $76,801.IN 2020, GRAYS HARBOR COUNTY'S POVERTY RATE OF 15.1% PERCENT WAS WELL ABOVE WASHINGTON STATE'S RATE OF 9.9% AND THE NATION'S RATE OF 11.6% PERCENT, ACCORDING TO U.S CENSUS BUREAU QUICKFACTS.GRAYS HARBOR COUNTY FACES A NUMBER OF HEALTH AND SOCIOECONOMIC CHALLENGES, INCLUDING A LOW PROVIDER TO POPULATION RATIO, HIGHER DEATH RATES THAN THE STATE AT LARGE, HIGHER RATES OF TEEN PREGNANCY, LOWER BIRTH OUTCOMES, AND HIGHER RATES OF BEHAVIORAL HEALTH CONCERNS, INCLUDING THE USE OF OPIOIDS, HEROIN, AND HIGHER RATES OF SUICIDE.

PART VI, LINE 5:
THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS THAT IS MADE UP OF MEMBERS ELECTED BY THE VOTERS AS COMMISSIONERS OF THE GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT #2 AND OPEN MEDICAL STAFF. THE HOSPITAL PROVIDES FREE MEETING SPACE TO ALCOHOLICS ANONYMOUS, NARCOTICS ANONYMOUS, OVEREATERS ANONYMOUS, DIABETES PREVENTION, AND FOSTER PARENT TRAINING, AMONG OTHERS.

PART VI, LINE 6:
N/A

PART VI LINE 7:
N/A

Operating expenses	$ 107,908,632
Total amount spent on community benefits as % of operating expenses	$ 19,499,441 18.07 %