2024-11-13T20:32:55-06:00 2023-12-31 910189318 MOSS ADAMS LLP 2707 COLBY AVENUE SUITE 801 EVERETT WA 982013510 990 2023-01-01 910568304 GRAYS HARBOR COMMUNITY HOSPITAL GRAY 3605328330 915 ANDERSON DRIVE ABERDEEN WA 98520 NIALL FOLEY CFO 3605328330 2024-11-13 1 1 WENDY CAMPOS P00448102 4252597227 2024-11-12 2023 2024-10-15 13:58:12Z HARBOR REGIONAL HEALTH TOM JENSEN 915 ANDERSON DRIVE ABERDEEN WA 98520 114430946 0 X WWW.GHCARES.ORG X 1938 WA TO HEAL, COMFORT AND SERVE OUR COMMUNITY WITH COMPASSION. 7 7 537 23 0 0 927422 7711617 101507960 106645506 -3495 -39208 62083 42089 102493970 114360004 1243441 2154628 0 0 50435484 52466332 0 0 0 60860783 63981249 112539708 118602209 -10045738 -4242205 64215546 64563400 27339809 31929868 36875737 32633532 X TO HEAL, COMFORT AND SERVE OUR COMMUNITY WITH COMPASSION. 0 0 100157681 2154628 106392811 SEE FORM 990, SCHEDULE O FOR STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. 100157681 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 160 0 1 537 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X NIALL FOLEY 3605375145 915 ANDERSON DRIVE ABERDEEN WA 98520 JOSEPH STENGEL PHYSICIAN 40.00 0.00 X 633745 0 47287 DAVID MARETH PHYSICIAN 40.00 0.00 X 539441 0 50655 TOM JENSEN CEO 40.00 1.00 X 439085 0 73789 ARPUN BAJWA PHYSICIAN 40.00 0.00 X 498631 0 32733 SAMUEL WAIRIRI PHYSICIAN 40.00 0.00 X 497485 0 25260 ANDREW KOWALSKI PHYSICIAN 40.00 0.00 X 438691 0 42305 ANNE MARIE WONG CMO 40.00 0.00 X 264784 0 61711 NIALL FOLEY CFO 40.00 0.00 X 244201 0 64365 DORI UNTERSEHER CNO 40.00 0.00 X 192616 0 61194 MELANIE BRANDT FORMER CNO 40.00 1.00 X 130790 0 30840 CHRISTOPHER THOMAS VP AND SECRETARY 1.00 1.00 X X 0 11520 0 MICHAEL BRUCE PRESIDENT 2.00 2.00 X X 0 11520 0 JOHN SHAW BOARD MEMBER 1.00 1.00 X 0 8704 0 SCOTT DILLEY BOARD MEMBER 1.00 1.00 X 0 8448 0 LYNN CSERNOTTA BOARD MEMBER 1.00 1.00 X 0 7808 0 DAVID QUIGG BOARD MEMBER 1.00 1.00 X 0 4352 0 ANDREW BICKAR BOARD MEMBER 1.00 1.00 X 0 0 0 3879469 52352 490139 140 1 1 0 COMP HEALTH PO BOX 972651 DALLAS TX 753972651 AGENCY STAFFING 3555587 CARDIOSOLUTION LLC 4675 CORNELL ROAD SUITE 100 CINCINNATI OH 45241 AGENCY STAFFING 3328959 STEVEN HIGGSNORTH COAST NOMAD 2533 RIVER ROAD SEQUIM WA 98382 AGENCY STAFFING 2424800 CHANGE HEALTHCARE LLC PO BOX 742526 ATLANTA GA 303742526 PATIENT BILLING 2308256 NATIONAL THERAPEUTIC ASSOCIATES 11623 ARBOR ST OMAHA NE 681442991 AGENCY STAFFING 1869751 43 5987267 1516981 207369 7711617 NET PATIENT REVENUES 624100 105877299 105877299 OTHER HOSPITAL OPERATING REVENUE 624100 515512 515512 CAFETERIA 722514 252695 252695 106645506 73823 31734 42089 42089 42089 39208 -39208 -39208 -39208 114360004 106392811 0 255576 X 2154628 2154628 1401745 1063947 337798 39596846 30054640 9542206 1561688 1185346 376342 6348453 4818577 1529876 3557600 2700275 857325 91058 69114 21944 154088 154088 35580438 32887236 2693202 70634 53612 17022 885421 672049 213372 30805 23381 7424 2211139 1678290 532849 58890 44698 14192 47180 35810 11370 19492 14795 4697 2678497 2033022 645475 1317137 999728 317409 SUPPLIES 10941666 10762157 179509 BAD DEBT EXPENSE 5575721 5575721 MAINTENANCE CONTRACTS 1340916 1017777 323139 TAXES AND LICENSES 1318948 1001103 317845 1659219 1311775 347444 118602209 100157681 18444528 0 2324508 1292504 32866 40742 313841 223698 22317541 24500651 827220 128922 2133047 2129883 715339 763756 119364079 91116296 29799686 28247783 11006 11512 0 1014462 5740492 6209487 64215546 64563400 22448018 25889549 140135 690483 4751656 5349836 27339809 31929868 X 36875737 32633532 36875737 32633532 64215546 64563400 -4242205 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 14393 14393 0 PART II-B, LINE 1: THE PORTION OF WASHINGTON STATE HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING WAS $11,158 AND THE PORTION OF ASSOCIATION OF WASHINGTON PUBLIC HOSPITAL DISTRICTS DUE RELATED TO LOBBYING WAS $3,235. 1702265 1702265 36051 69403436 48952743 20486744 1423424 1068325 355099 45768042 41095228 4672814 1030861 1030861 28247783 DEFERRED PENSION OUTFLOWS 6209487 6209487 DEFERRED PENSION INFLOWS 3083131 NET PENSION LIABILITY 2266705 5349836 X PART X, LINE 2: THE DISTRICT, AS A POLITICAL SUBDIVISION OF THE STATE OF WASHINGTON, IS NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 115 OF THE INTERNAL REVENUE CODE. 1 1 X 1 X 1 X 1 1 1 0 0 2154628 0 2154628 0.02050 46609818 43425357 3184461 0.03030 435109 1382600 0 0.00000 49199555 44807957 5339089 0.05080 0 0 1216 0 1216 0.00000 55297039 41996376 13300663 0.12650 0 0 0 0 55298255 41996376 13301879 0.12650 104497810 86804333 18640968 0.17730 0 5575721 0 29183098 35293545 -6110447 X 1 1 1 1 GRAYS HARBOR COMMUNITY HOSPITAL 915 ANDERSON DRIVE ABERDEEN WA 98520 WWW.GHCARES.ORG X X X ACUTE CARE HOSPITAL GRAYS HARBOR COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X SEE PART V, SECTION C, PAGE 8 X 1 23 1 HTTPS://WWW.GHCARES.ORG/COMMUNITY-NEEDS-ASSESSMENT 0 1 X 100.000000000000 300.000000000000 X X 1 1 X X X 1 X HTTPS://WWW.GHCARES.ORG/CHARITY-CARE-FINANCIAL-ASSISTANCE X HTTPS://WWW.GHCARES.ORG/CHARITY-CARE-FINANCIAL-ASSISTANCE X HTTPS://WWW.GHCARES.ORG/CHARITY-CARE-FINANCIAL-ASSISTANCE X X X X X X X 1 X 0 X X X X 1 X 0 0 GRAYS HARBOR COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: TO GATHER AN ACTIVE COMMUNITY VOICE IN THE CHNA PROCESS, HRH DISTRIBUTED AN ONLINE SURVEY IN COLLABORATION WITH ITS COMMUNITY PARTNERS, SOCIAL MEDIA, STAFF, AND HEALTHCARE PERSONNEL. THE SURVEY WAS DESIGNED TO RECEIVE COMMUNITY INSIGHTS ON HEALTH NEEDS, GAPS, AND PRIORITIES OF THE COMMUNITY. WITH LOW INITIAL RESPONSES FROM THE HISPANIC POPULATION, ON-SITE SURVEYING WAS ALSO CONDUCTED IN SPANISH AND IN ENGLISH, IN ADDITION TO THE ONLINE SURVEY.SURVEY RESPONDENTS WERE ASKED SPECIFIC QUESTIONS RELATED TO PRIMARY CARE PROVISION IN THE COMMUNITY, CHALLENGES TO FIND TRANSPORTATION OR TO OTHERWISE GET TO HEALTHCARE APPOINTMENTS, RATE THE OVERALL HEALTH OF THE COMMUNITIES OF GRAYS HARBOR COUNTY, RANK THE MOST IMPORTANT FACTORS THAT WILL IMPROVE THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY, AND IMPORTANCE OF WORKFORCE DEVELOPMENT IN THE COUNTY IN COMPARISON TO OTHER HEALTHCARE NEEDS. GRAYS HARBOR COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: THE UPDATED DATA AND COMMUNITY INPUT INCLUDED IN THIS CHNA SHOW AN INCREASING REALITY AND RECOGNITION THAT: -SPECIFIC STRATEGIES AND PARTNERSHIPS TO RECRUIT AND RETAIN A QUALITY HEALTHCARE WORKFORCE ARE KEY TO INCREASING HEALTHCARE ACCESS, AS ARE ADDRESSING BARRIERS TO ACCESS, INCLUDING COST AND LACK OF SUPPORT SERVICES SUCH AS TRANSPORTATION. -THE SERVICE AREA CONTINUES TO FACE A SIGNIFICANT CHRONIC DISEASE BURDEN, AND THERE NEEDS TO BE AN EMPHASIS ON SUPPORTING HEALTHY AGING AND MANAGEMENT OF CHRONIC CONDITIONS, WITH A SPECIFIC FOCUS ON THE AI/AN POPULATION. -THERE NEEDS TO BE A CONTINUED FOCUS TO SUPPORT PREVENTION AND TREATMENT OF MENTAL HEALTH CONDITIONS AND SUBSTANCE USE FOR ALL SEGMENTS OF THE COMMUNITY. -POVERTY, HOMELESSNESS, AND HOUSING AFFORDABILITY CONTINUE TO IMPACT HEALTH EQUITY, ACCESS, AND OUTCOMES IN THE COMMUNITY.BASED ON THE ABOVE, THE 2024-2026 CHNA PRIORITIES WILL INCLUDE AN OVERALL FOCUS ON REDUCING HEALTH DISPARITIES AND SPECIFICALLY INCLUDE: 1. INCREASE ACCESS TO HEALTHCARE SERVICES, WITH A SPECIAL EMPHASIS ON HEALTHCARE WORKFORCE RECRUITMENT, DEVELOPMENT, AND RETENTION. 2. PREVENTION AND MANAGEMENT OF CHRONIC CONDITIONS, WITH AN EMPHASIS ON SERVICES AND SUPPORTS FOR HEALTHY AGING IN PLACE. 3. PARTNER, ADVOCATE, EDUCATE, AND DIRECTLY PROVIDE SERVICES TO ADDRESS THE COMMUNITY'S GROWING BEHAVIORAL HEALTH NEEDS, INCLUDING SUBSTANCE USE. 4. COLLABORATE WITH COMMUNITY PARTNERS TO FOCUS ON ECONOMIC DEVELOPMENT OF THE COMMUNITY, WITH A RENEWED FOCUS ON ADDRESSING HOUSING AFFORDABILITY, HOMELESSNESS, AND SUPPORTS FOR THOSE STRUGGLING TO MAKE ENDS MEET. 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 8 1 - REHAB VISIONS WESTPORT PT 801 N MONTESANO ST STE 300 WESTPORT WA 98595 PHYSICAL THERAPY PRACTICE 2 - REHAB VISIONS ABERDEEN PT 1006 N H STREET ABERDEEN WA 98520 PHYSICAL THERAPY PRACTICE 3 - HOQUIAM CLINIC 815 K ST HOQUIAM WA 98550 RURAL HEALTH CLINIC 4 - MONTESANO CLINIC 319 E PIONEER AVE MONTESANO WA 98563 RURAL HEALTH CLINIC 5 - ABERDEEN EAST CLINIC 1006 N H STREET ABERDEEN WA 98520 RURAL HEALTH CLINIC 6 - GRAYS HARBOR IMAGING 1108 BASICH BLVD ABERDEEN WA 98520 MEDICAL IMAGING 7 - HARBOR MEDICAL GROUP 1006 N H STREET ABERDEEN WA 98520 PHYSICIAN CLINICS 8 - GRAYS HARBOR ORTHOPEDICS 1211 SKYVIEW DRIVE ABERDEEN WA 98520 PHYSICIAN CLINICS 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 $5,575,721. THE CHARITY CARE INCLUDED ON FORM 990, PART IX, LINE 2, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $2,154,628. 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 19 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 $35,293,545 OF COSTS REPORTED ABOVE (AND INCLUDED IN THE COST REPORT), WE ESTIMATE AN ADDITIONAL $10,020,617 OF COSTS WERE INCURRED OVER AND ABOVE THE AMOUNTS REPORTED IN THE COST REPORT FOR A TOTAL OF $45,314,162. 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: HARBOR REGIONAL HEALTH 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: HARBOR REGIONAL HEALTH 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: HARBOR REGIONAL HEALTH 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 2023 WAS 6.3% COMPARED TO 4.1% FOR THE STATE.AS OF AUGUST 2022, GRAYS HARBOR COUNTY WAS AT 9.9% UNINSURED POPULATION, HIGHER THAN THE STATE'S AVERAGE OF 7.4%. THE AVERAGE ANNUAL WAGE IN 2022 WAS $59,105, WELL BELOW THE STATE'S AVERAGE ANNUAL WAGE OF $90,325.IN 2022, GRAYS HARBOR COUNTY'S POVERTY RATE OF 18.3% PERCENT WAS WELL ABOVE WASHINGTON STATE'S RATE OF 10.3% AND THE NATION'S RATE OF 11.1% PERCENT, ACCORDING TO U.S. CENSUS BUREAU QUICKFACTS.GRAYS HARBOR COUNTY FACES A NUMBER OF HEALTH AND SOCIOECONOMIC CHALLENGES, INCLUDING HEALTH PROFESSIONAL SHORTAGES; HIGHER DEATH RATES THAN THE STATE AT LARGE; HIGHER RATES OF BEHAVIORAL HEALTH CONCERNS, INCLUDING USE OF OPIOIDS; 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 1 CHARITY CARE 328 2154628 PART I, LINE 2: INDIVIDUALS RECEIVING FINANCIAL ASSISTANCE MUST COMPLETE A FINANCIAL ASSISTANCE APPLICATION AND MEET CERTAIN REQUIREMENTS TO BE ELIGIBLE. X X X X 0 0 0 0 0 0 0 0 0 JOSEPH STENGEL PHYSICIAN 633745 0 0 0 0 0 30000 0 17287 0 681032 0 0 0 DAVID MARETH PHYSICIAN 539441 0 0 0 0 0 22500 0 28155 0 590096 0 0 0 TOM JENSEN CEO 400862 0 0 0 38223 0 30000 0 43789 0 512874 0 0 0 ARPUN BAJWA PHYSICIAN 498631 0 0 0 0 0 22500 0 10233 0 531364 0 0 0 SAMUEL WAIRIRI PHYSICIAN 497485 0 0 0 0 0 22500 0 2760 0 522745 0 0 0 ANDREW KOWALSKI PHYSICIAN 438691 0 0 0 0 0 22500 0 19805 0 480996 0 0 0 ANNE MARIE WONG CMO 264784 0 0 0 0 0 27675 0 34036 0 326495 0 0 0 NIALL FOLEY CFO 244201 0 0 0 0 0 21430 0 42935 0 308566 0 0 0 DORI UNTERSEHER CNO 192616 0 0 0 0 0 18811 0 42383 0 253810 0 0 0 MELANIE BRANDT FORMER CNO 130790 0 0 0 0 0 12752 0 18088 0 161630 0 0 0 FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICES: HARBOR REGIONAL HEALTH PROVIDES QUALITY HEALTH CARE SERVICES REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF HARBOR REGIONAL HEALTH, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. OUR MISSION "TO HEAL, COMFORT, AND SERVE OUR COMMUNITY WITH COMPASSION" ENCOMPASSES THE PROVISION OF HEALTH CARE SERVICES AND EDUCATION TO ANY AND ALL MEMBERS OF OUR COMMUNITY. FREE CARE AND/OR SUBSIDIZED CARE; CARE PROVIDED TO PERSONS COVERED BY THE GOVERNMENTAL PROGRAMS AT BELOW COST; AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY ARE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY CO-EXISTS. DURING 2023, HARBOR REGIONAL HEALTH CARED FOR 2,864 INPATIENTS AND PROVIDED MEDICAL SERVICES TO 125,614 OUTPATIENTS. IN ALIGNMENT WITH OUR MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO ALL PATIENTS REGARDLESS OF THE ABILITY TO PAY. TO THE EXTENT REIMBURSEMENT IS BELOW COSTS, HARBOR REGIONAL HEALTH RECOGNIZES THESE AMOUNTS AS CHARITABLE CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. THE UN-REIMBURSED VALUE FOR PROVIDING CARE TO THESE PATIENTS WAS $2,154,628. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED-PRICED SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR. THESE ARE ACTIVITIES AND SERVICES WHICH HARBOR REGIONAL HEALTH BELIEVES SERVE TO MEET BONA FIDE COMMUNITY HEALTH NEEDS. THE COMMUNITY PLAYS A MAJOR ROLE THROUGH VOLUNTARY ASSISTANCE IN HELPING HARBOR REGIONAL HEALTH PROVIDE QUALITY SERVICES. IN 2023, 23 VOLUNTEERS, PROVIDED APPROXIMATELY 6,009 HOURS OF SERVICE AT A VALUE OF $97,827 FOR HARBOR REGIONAL HEALTH. IN CONJUNCTION WITH PROVIDING HEALTH CARE IN THE COMMUNITY, EDUCATIONAL PROGRAMS, CLINICS AND ACTIVITIES WERE PROVIDED TO PHYSICIANS AND OFFICE PERSONNEL, LONG TERM CARE FACILITIES, COMMUNITY MEMBERS, AND SCHOOLS IN OUR SURROUNDING AREA DURING 2023. SPECIAL COMMUNITY SUPPORT WAS PROVIDED IN 2023 WHICH INCLUDED: - FREE BLOOD PRESSURE SCREENING - FREE FALLS ASSESSMENTS - FREE VISION SCREENING - GREATER GRAYS HARBOR, INC. MEMBERSHIP SUPPORT - CAREER FAIRS FOR HIGH SCHOOLS AND COLLEGE STUDENTS - BUSINESS WEEK MENTORING AT LOCAL HIGH SCHOOLS - INSTRUCTION IN TWIN HARBORS PROFESSIONAL MEDICAL CAREERS HIGH SCHOOL PROGRAM - DIABETES EDUCATION AND SUPPORT GROUP FORM 990, PART VI, SECTION A, LINE 6 GRAYS HARBOR PUBLIC HOSPITAL DISTRICT #2 IS THE SOLE MEMBER OF HARBOR REGIONAL HEALTH AND SUBSIDIARIES. FORM 990, PART VI, SECTION A, LINE 7A GRAYS HARBOR PUBLIC HOSPITAL DISTRICT #2 HAS THE POWER TO ELECT OR APPOINT THE GOVERNING BODY OF HARBOR REGIONAL HEALTH. FORM 990, PART VI, SECTION A, LINE 7B GRAYS HARBOR PUBLIC HOSPITAL DISTRICT #2 HAS THE POWER TO MAKE AMENDMENTS TO THE CORPORATION'S ARTICLE OF INCORPORATION OR BYLAWS; APPROVE ANY MERGER OR CONSOLIDATION OF THE CORPORATION; APPROVE THE SALE, CONVEYANCE, MORTGAGE, PLEDGE, LEASE, EXCHANGE, GIFT, TRANSFER OR OTHER DISPOSITION OF ANY PROPERTY OR ASSETS OF THE CORPORATION; APPROVE THE INCURRENCE OR GUARANTEE OF ANY INDEBTEDNESS OF THE CORPORATION; APPOINT OR REMOVE THE CORPORATION'S CHIEF EXECUTIVE OFFICER; APPROVE OR AMEND THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGET; APPROVE OR AMEND THE ANNUAL OPERATING OR STRATEGIC PLAN FOR THE CORPORATION OR THE HOSPITAL; APPROVE ANY ACTION THAT WOULD RESULT IN THE HOSPITAL'S CLOSURE OR THE LOSS OF THE HOSPITAL'S LICENSE; AND APPROVE ANY DECISION TO CEASE THE CORPORATION'S ACTIVITIES, DISSOLVE THE CORPORATION OR DISTRIBUTE THE ASSETS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS DISTRIBUTED ELECTRONICALLY TO ALL MEMBERS OF THE GOVERNING BODY AND MEMBERS HAVE THE OPPORTUNITY TO COMMENT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANY CONTRACTUAL ARRANGEMENT, PARTNERSHIP, AGREEMENT OR FIDUCIARY RELATIONSHIP ENTERED INTO BY HARBOR REGIONAL HEALTH AND ANY OTHER PARTY THAT WILL AFFECT THE MISSION, VISION OR VALUES OF THE HOSPITAL, MUST RESPECT AND ABIDE BY THE POLICIES, PROCEDURES AND DIRECTIVES OF HARBOR REGIONAL HEALTH. IT IS THE POLICY OF HARBOR REGIONAL HEALTH THAT NO HEALTH CARE PROVIDER, EMPLOYEE, STAFF MEMBER OR OTHER HOSPITAL PERSONNEL SHOULD USE HIS OR HER POSITION OR ANY KNOWLEDGE GAINED AS A RESULT OF HIS OR HER POSITION, IN ANY MANNER SUCH THAT A CONFLICT DOES OR MAY ARISE BETWEEN THE HOSPITAL'S INTERESTS AND HIS OR HER PERSONAL INTERESTS. A PERSON VIOLATING THIS POLICY MAY BE SUBJECT TO DISCIPLINARY ACTION IN ACCORDANCE WITH HUMAN RESOURCES POLICY. BOARD MEMBERS ANNUALLY SIGN CONFLICT OF INTEREST QUESTIONNAIRES AND THESE ARE REVIEWED BY THE COMPLIANCE DEPARTMENT FOR ANY POTENTIAL CONFLICTS OF INTEREST. IF A CONFLICT ARISES THE BOARD MEMBER MUST EXCUSE THEMSELVES FROM DISCUSSION OF AND VOTING ON THE ISSUE. IF A BOARD MEMBER IS AN OWNER IN A COMPANY THAT IS CAUSING THE CONFLICT OF INTEREST A CONTACT OF THE COMPANY OTHER THAN THE BOARD MEMBER MUST REPRESENT THE COMPANY IN NEGOTIATIONS WITH THE HOSPITAL FOR CONTRACTS AT FAIR MARKET VALUE. ESSENTIALLY THE BOARD MEMBER CANNOT BE INVOLVED IN THE TRANSACTION IN ANY WAY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CEO IS SET VIA CONTRACT BETWEEN THE HOSPITAL BOARD AND THE CEO; THE LATEST CONTRACT EXPIRED IN 2023 AND A NEW CONTRACT WAS PUT IN PLACE IN 2023. IN 2023, A THREE-YEAR CONTRACT WAS OFFERED BY THE BOARD OF DIRECTORS AND SIGNED BY THE CEO. THAT CONTRACT SET FORTH SALARY LEVELS FOR THE YEARS 2023 TO 2025. AT THE TIME OF THE CONTRACT NEGOTIATIONS, SALARY SURVEY INFORMATION FROM THE WASHINGTON STATE HOSPITAL ASSOCIATION (WSHA) EXECUTIVE SURVEY, COMPLETED BY GALLAGHER BENEFITS ON THE BEHALF OF WSHA, HAD BEEN PROVIDED TO THE BOARD OF DIRECTORS. IN 2022 WE PARTICIPATED IN THE MILLIMAN NORTHWEST HEALTH CARE EXECUTIVE COMPENSATION SURVEY WHICH GATHERED INFORMATION ON NOT ONLY THE CEO BUT ALSO 27 OTHER EXECUTIVE LEVEL POSITIONS. THE SURVEY RESULTS WERE GIVEN TO THE CEO BY THE EXECUTIVE DIRECTOR OF HUMAN RESOURCES AND UTILIZED BY THE CEO IN DEVELOPING MARKET-BASED SALARY INFORMATION FOR THE OTHER EXECUTIVE LEVEL POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND OTHER GOVERNANCE DOCUMENTS AVAILABLE UPON REQUEST. DOCUMENTS ARE MAINTAINED IN THE OFFICE OF THE CEO. COPIES MAY BE OBTAINED BY CONTACTING NIALL FOLEY, CHIEF FINANCIAL OFFICER. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 12,204,801. MANAGEMENT AND GENERAL EXPENSES 326,647. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,531,448. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 7,453,828. MANAGEMENT AND GENERAL EXPENSES 2,366,555. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,820,383. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 13,228,607. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,228,607. GRAYS HARBOR COMMUNITY HOSPITAL PHYSICIAN SERVICES LLC 915 ANDERSON DRIVE ABERDEEN WA 98520 260767953 ESTABLISH AND MAINTAIN MEDICAL SERVICE CLINICS IN MONTESANO & HOQUIAM, WA WA 2839721 817945 GRAYS HARBOR COMMUNITY HOSPITAL GRAYS HARBOR COMMUNITY HOSPITAL FOUNDATION 915 ANDERSON DRIVE ABERDEEN WA 98520 911122992 ADVOCACY AND FUNDRAISING SUPPORT SERVICES TO GRAYS HARBOR HOSPITAL WA 501(C)(3) LINE 7 GRAYS HARBOR COMMUNITY HOSPITAL 1 GRAYS HARBOR PUBLIC HOSPITAL DISTRICT #2 915 ANDERSON DRIVE ABERDEEN WA 98520 383941437 TO SUPPORT HEALTH CARE FOR THE GRAYS HARBOR COUNTY COMMUNITY WA 501(C)(3) LINE 6 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 GRAYS HARBOR COMMUNITY HOSPITAL FOUNDATION C 287267 COST