For every one dollar billed, the Guam Memorial Hospital is only able to collect 49 cents, this includes billing for Medicaid, Medicare, MIP, and third-party payers.

According to an audit released by the Guam Office of Public Accountability, the hospital does also continue to refer patients who owe them money to the Office of the Attorney General and Department of Revenue and Taxation.

In Fiscal Year 2018 at least $1.5 million was collected. However, that's barely a dent in the $140 million actually owed overall in unpaid patient billings for that fiscal year. At the end of the day, the OPA says GMHA is in constant need of government subsidy.