Bond Proposal for 2023

Ocean Beach Hospital & Medical Clinics is a public hospital district primarily funded through patient revenue and an operations levy of $0.47 per $1,000 of assessed property value. Voter-approved bonds fund capital projects, such as renovating and maintaining facilities and replacing medical equipment.

Currently, many community members must travel a long distance for specialty care causing a hardship for themselves and family. More space is needed to attract medical professionals to our area for increased access to primary care providers and specialty services. Some families require Adult Day Health Care for loved ones with memory issues or physical disabilities. Also, an Urgent Care Center is needed to support the health care of our community.

Our hospital requires renovations for patient care and to maintain the facility. Patient rooms and bathrooms require updating for safety and wheelchair access. Old cast iron pipes behind hospital walls need replacing. The nurses’ station and pharmacy are too small for modern patient care. The hospital also has a schedule to replace medical equipment to improve the quality of patient care.

In addition to hospital renovations, we want to improve energy efficiency and replace HVAC and utility systems near the end of their usable lives. There also are plans to expand the Ilwaco Clinic and the Wellness and Rehabilitation Center.

All projects will improve access to and quality of health care and help our buildings last longer. They also will help our local economy by hiring local businesses, purchasing materials locally and employing people in our community.

The Public Hospital District paid off its last bond of $0.35 per $1,000 of assessed property value in 2021. It is considering a bond for less than half that amount at $0.17 per $1,000 ($68 per year/ $5.67 per month for a home valued at $400,000) to fund these community needs. This measure may be on the Special Election ballot in April of 2023.

There will be a public process before anything is decided.

More information, including a list of proposed projects, can be found below.

Project Est. Cost
Renovate patient rooms, bathrooms and expand nursing station, pharmacy, at hospital. $1,950,000
Replace HVAC system, add solar panels and energy efficiency measures at hospital. $1,500,000
Replace cast iron pipes and add storage space at hospital. $   135,000
Renovate kitchen and create space for emergency preparedness supplies. $   500,000
Expand the Wellness Center to include cardio and pulmonary services. $   650,000
Acquire and develop clinical space $   650,000
Renovate and expand Ilwaco Clinic. $2,000,000
Add space to and grade parking lot. $   485,000
Upgrade diesel supply tank per state mandate. $   385,000
Vehicle for in-home nursing care. $     45,000
Upgrade imaging equipment, such as CT Scan and MRI. $1,500,000
Total $9,800,000
View Press Release (Pdf File) >

Date: July 6, 2022

Contact: Larry Cohen, Chief Executive Officer
Office (360) 642-6300 |

Ocean Beach Hospital: Planning to Meet Community Health Care Needs
With greater demand for health care services, medical providers struggle amid aging facilities

ILWACO, WA—Ocean Beach Hospital & Medical Clinics (OBHMC) has provided routine and critical health care services to the South Pacific County community for 88 years. While its mission–to ease the pain and improve the health of the people in its care–has not changed, much has indeed changed since its founding as Public Hospital District 3 of Pacific County in 1934. The number of residents and visitors accessing healthcare has risen greatly, as have the types of patient needs. OBHMC needs to expand and make upgrades now to best serve the growing community and changing healthcare needs in the years ahead.

In 2020, OBHMC served over 24,000 outpatient visits, approximately 7,000 emergency room visits, and performed nearly 400 surgeries. As a Critical Access Hospital, OBHMC serves a vital role for a rural swath of Washington that would otherwise lack access to medical services.

“Those living in rural communities face a higher degree of socio-economic and health disparities compared to their urban counterparts,” says Nancy Gorshe, Chair of the Board of Commissioners. “We have many patients who must travel long distances for care–or may choose to forgo necessary care for that reason–and we need to be able to serve them here.”

OBHMC conducts regular community health needs assessments that guide continual improvement in meeting the community’s most significant health needs. Even during the pandemic, the Public Health District made a number of beneficial changes, such as extending days and hours of its clinics, adding a lab station to the Ocean Park clinic, moving the Naselle Clinic to a new facility, opening its Wellness Center, creating a new clinical social worker position; and, training in de-escalation strategies for mental health crises.

However, the most recent community health needs assessment shed light on rising issues that have begun to strain OBHMC resources. Those include a lack of services ranging from primary and urgent care, chronic disease and wellness services, specialty care, and mental health services. An underlying cause for these challenges is recruitment and retention of primary and specialty medical providers.

“We want to better serve the health care needs of our community here at home,” says Larry Cohen, Chief Executive Officer. “With our service area as remote as it is, we struggle to attract medical professionals to our area.”

Recruitment is one issue, and retention is another. To maintain providers and improve the quality of care for patients, OBHMC needs more space, modern medical equipment and facility renovations, such as patient rooms at the hospital, repair of aging buildings, and replacement of mechanical systems that are approaching the end of their usable lives. These improvements will improve patient care and move OBHMC closer to its goal of having an Urgent Care facility for the community.

The Board of Commissioners recently discussed putting a bond on the 2023 ballot, which would fund community health care needs, and ensure improved medical services locally for residents. The bond rate is expected to be $0.17 per $1,000 of assessed property value. This amount is less than half of the previous bond voters approved, which was paid off in 2021. This will be a public process, and more information can be found at

OBHMC operates under a balanced budget and has passed all its independent audits by the state. The hospital and medical clinics are primarily funded through patient revenue and an operations levy of $0.47 per $1,000 paid through property taxes. Bonds fund capital projects, such as renovating and maintaining facilities and replacing medical equipment.


Pacific County Public Hospital District 3 (known as Ocean Beach Hospital & Medical Clinics) provides

both routine and critical health care services to residents from Naselle to Ocean Park. Our hospital and

clinics ensure continued local access to high-quality health care for rural residents. Our mission is to ease the pain and improve the health of residents and visitors in our care. We are one of the largest employers in Pacific County, providing family-wage jobs to more than 180 people. More information on Ocean Beach Hospital & Medical Clinics can be found on its website at

“We want to better serve the health care needs of our community here at home.”

– Larry Cohen,
Chief Executive Officer