WSHA and AWPHD Report on 2021 Lobbying Expenses for Medicare Cost Reports

March 16, 2022


The purpose of this Bulletin is to inform WSHA and AWPHD members of the proportion of membership dues used for lobbying purposes. The Medicare Provider Reimbursement Manual requires hospitals to adjust their Medicare cost reports to eliminate the portion of association dues related to lobbying expenses.

For calendar year 2021, the Washington State Hospital Association (WSHA) has determined 21.5 percent of its membership dues were expended in activities that meet the Medicare definition of lobbying. For the Association of Washington Public Hospital Districts (AWPHD), 15.9 percent of its membership dues were used for lobbying activities.

If you have questions, please contact Andrew Busz at or (206) 216-2533


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