2025-10-31T15:15:18-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2024-01-01 381565380 HARBOR BEACH COMMUNITY HOSPITAL HARB 9894793201 210 SOUTH FIRST STREET HARBOR BEACH MI 48441 JILL WEHNER PRESIDENT/CEO 9894793201 2025-10-31 1 0 JUSTIN HARTERT P02236744 5074467100 2025-10-21 2024 2025-03-06 01:10:19Z JILL WEHNER 210 SOUTH FIRST STREET HARBOR BEACH MI 48441 19465659 0 X WWW.HBCH.ORG X 1957 MI TO PROVIDE COMMUNITY ACCESS TO QUALITY HEALTH CARE. 6 6 232 6 0 0 1479842 726403 16131940 17120246 49568 75082 1430182 1523743 19091532 19445474 2100 7519 0 0 10567908 10801210 0 0 0 7662592 8945552 18232600 19754281 858932 -308807 12979388 12287043 4383972 4000434 8595416 8286609 TO PROVIDE COMMUNITY ACCESS TO QUALITY HEALTH CARE. 0 0 14420746 7519 17120246 HARBOR BEACH COMMUNITY HOSPITAL PROVIDES NURSING AND PROFESSIONAL SERVICES FOR ACUTE CARE INPATIENTS, OUTPATIENTS, AND LONG-TERM CARE RESIDENTS. 14420746 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 32 0 1 232 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X KRISTI ARNTZ 9894793201 210 S 1ST ST HARBOR BEACH MI 48441 ELIAS KABBAN CHAIRMAN 4.00 X X 0 0 0 SCOTT RAYL VICE-CHAIRMAN 2.00 X X 0 0 0 DAVID HUNTER SECRETARY 2.00 X X 0 0 0 GREG WOODKE TREASURER 2.00 X X 0 0 0 JANET SLOAN TRUSTEE 2.00 X 0 0 0 PATRICK MCCULLOUGH TRUSTEE 2.00 X 0 0 0 JILL WEHNER PRESEIDENT & CEO 40.00 X 146643 0 10097 NICKLAUS BRADLEY PHYSICIAN 40.00 X 387070 0 23000 JOSHUA WHITE PHYSICIAN 48.00 X 363958 0 23000 LAURA PARKS PHYSICIAN 40.00 X 292647 0 23000 CANDICE RIVERA-TENERIFE DON 40.00 X 112755 0 22788 DANIELLE BROWN NURSE PRACTITIONER 37.00 X 124963 0 2620 1428036 0 104505 8 0 1 0 BRENT FELTON DO PLLC 2470 ROBINS WAY OKEMOS MI 48864 EMERGENCY PHYSICIAN 770292 TREVA CORPORATION 214 S BROADWAY ST 310 LAKE ORION MI 48362 TRAVEL NURSE RECRUITER 300363 BRANISLAV D BEHAN MD PLLC 1358 N JONES RD ESSEXVILLE MI 48732 ORTHOPEDIC SURGEON 260507 PHILIP KILANOWSKI-DOROH 4127 OAK TREE CIRCLE ROCHESTER MI 48306 EMERGENCY PHYSICIAN 217224 HARBOR DRUG 114 SOUTH HURON AVENUE HARBOR BEACH MI 48441 PHARMACY PRODUCTS AND SERVICE 202266 8 1126 712184 13093 726403 PATIENT REVENUE 621400 16539120 16539120 340B PHARMACY REVENUE 456110 581126 581126 17120246 70977 70977 4118 0 4118 4118 4118 24290 20185 4105 4105 4105 QUALITY ASSESSMENT REVENUE 812900 1298550 1298550 MISCELLANEOUS REVENUE 812900 196633 196633 CAFETERIA REVENUE 722514 24442 24442 1519625 19445474 17120246 0 1598825 X 7519 7519 156742 78371 78371 8372783 6072421 2300362 184275 140876 43399 1491500 1119739 371761 595910 447378 148532 72750 72750 136258 136258 3974375 3300051 674324 70919 22909 48010 131771 42566 89205 242405 182509 59896 346659 111982 234677 118709 38347 80362 156526 112915 43611 826776 645156 181620 87208 54362 32846 MEDICAL SUPPLIES 1733181 1304926 428255 EQUIP. RENTAL & MAINT. 475624 398291 77333 QUALITY ASSUR. ASSESS. 262402 140112 122290 BAD DEBTS 146799 146799 163190 53517 109673 19754281 14420746 5333535 0 600 600 3927342 3506036 2144480 2311960 334177 282153 200197 224092 13938216 8323068 5961232 5615148 0 55959 411360 291095 12979388 12287043 1202079 1359791 132295 0 2493966 2362360 555632 278283 4383972 4000434 X 8592934 8284072 2482 2537 8595416 8286609 12979388 12287043 -308807 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 154387 154387 7240125 2900307 4339818 315909 219703 96206 6209763 5203058 1006705 18032 18032 5615148 FINANCING LEASE LIABILITY 111433 OPERATING LEASE LIABILITY 166850 278283 X 19298675 0 19298675 146799 146799 19445474 19607482 0 19607482 146799 146799 19754281 PART X, LINE 2: THE HOSPITAL IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(C)(3) OF THE CODE. THE HOSPITAL FOLLOWS THE PROVISION OF THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THESE PROVISIONS HAS NO IMPACT ON THE HOSPITAL'S FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 146,799. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 146,799. 1 1 X 1 X 1 X 1 1 0 1 1 259400 259400 0.01320 1447333 841061 606272 0.03090 1706733 841061 865672 0.04410 15282 15282 0.00080 23500 23500 0.00120 38782 38782 0.00200 1745515 841061 904454 0.04610 1 146799 0 4258380 4329290 -70910 X 1 1 1 1 HARBOR BEACH COMMUNITY HOSPITAL 210 S FIRST STREET HARBOR BEACH MI 48441 WWW.HBCH.ORG 1060000120 X X X X HARBOR BEACH COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X SEE PART V, SECTION B, LINE 7D X X 1 22 1 SEE PART V, SECTION B, LINE 7D 0 1 X 100.000000000000 250.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, SECTION B, LINE 16J X SEE PART V, SECTION B, LINE 16J X SEE PART V, SECTION B, LINE 16J X X X X X X X 1 X 0 X X X 1 X 0 0 HARBOR BEACH COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT BEGAN WITH ANALYSIS OF SURVEYS AND STAKEHOLDER INTERVIEWS THAT WERE HELD IN 2021 BY THE MICHIGAN THUMB PUBLIC HEALTH ALLIANCE. PARTICIPANTS IN THE SURVEYS AND INTERVIEWS REPRESENTED A WIDE VARIETY OF VULNERABLE POPULATIONS, INCLUDING HOMELESS, MINORITY, LOW-INCOME AND ELDERLY INDIVIDUALS, AS WELL AS MEDICAL PROFESSIONALS. HARBOR BEACH COMMUNITY HOSPITAL PART V, SECTION B, LINE 6B: MICHIGAN THUMB PUBLIC HEALTH ALLIANCE HARBOR BEACH COMMUNITY HOSPITAL PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ON OUR WEBSITE AT: HTTPS://WWW.HBCH.ORG/PATIENT-INFOCHNA DIRECT LINK:HTTPS://WWW.HBCH.ORG/_FILES/UGD/D9491D_383D4D6657CD4CEEAE70245BF5CA68C3.PDFIMPLEMENTATION PLAN DIRECT LINK:HTTPS://WWW.HBCH.ORG/_FILES/UGD/D9491D_D462A26E75E7409496A67BED733DE1A3.PDFWHEN COPYING AND PASTING THE DIRECT LINKS, FORMAT THE URL WITH UNDERCASE LETTERS. HARBOR BEACH COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: ONE OF THE FOCUS AREAS THAT HBCH HAS BEEN WORKING ON IS FINANCIAL ACCESS BARRIERS. WE TRY TO PROMOTE THE FINANCIAL ASSISTANCE PROGRAM TO AVOID PATIENTS FROM INCURRING DEBT. WE HAVE BEEN PROMOTING INSURANCE OPEN ENROLLMENT BY SENDING OUT LETTERS TO ALL MEDICARE PATIENTS ABOUT WHICH PLANS THE HOSPITAL PARTICIPATES WITH. INFORMATION WAS PUT OUT THROUGH FACEBOOK AND ON OUR WEBSITE SHOWING PATIENTS THE DIFFERENCE BETWEEN TRADITIONAL MEDICARE AND MEDICARE ADVANTAGE PLANS. LETTERS WERE SENT TO EACH MEDICAID PATIENT REGARDING THE END OF THE PUBLIC HEALTH EMERGENCY. IT GAVE NEXT STEPS AS WELL AS WHO TO CONTACT FOR ADDITIONAL HELP. HARBOR BEACH COMMUNITY HOSPITAL PART V, SECTION B, LINE 15E: CONTACT INFORMATION FOR ASSISTANCE IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION IS AVAILABLE ONLINE AT HTTPS://WWW.BHBCH.ORG/FINANCIAL-ASSISTANCE. HARBOR BEACH COMMUNITY HOSPITAL PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTNACE POLICY IS AVAILABLE AT:HTTPS://WWW.HBCH.ORG/FINANCIAL-ASSISTANCEDIRECT LINK:HTTPS://WWW.HBCH.ORG/_FILES/UGD/D9491D_A09361716B3048BAADC473CCB7088364.PDFTHE FINANCIAL ASSISTANCE POLICY APPLICATION IS AVAILABLE AT:HTTPS://WWW.HBCH.ORG/FINANCIAL-ASSISTANCEDIRECT LINK:HTTPS://WWW.HBCH.ORG/_FILES/UGD/D9491D_F0A8837132664FC19DD317DB384C47C6.PDFTHE FINANCIAL ASSITANCE PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://WWW.HBCH.ORG/FINANCIAL-ASSISTANCEDIRECT LINK:HTTPS://WWW.HBCH.ORG/_FILES/UGD/D9491D_C4F033D929A34E7A916F053EAC4CE9A2.PDFWHEN COPYING AND PASTING THE DIRECT LINKS, FORMAT THE URL WITH UNDERCASE LETTERS. 3 1 - HARBOR BEACH MEDICAL CLINIC 230 S FIRST STREET HARBOR BEACH MI 48441 FAMILY PRACTICE 2 - PORT HOPE MEDICAL CLINIC 4255 NORTH LAKESHORE DRIVE PORT HOPE MI 48468 FAMILY PRACTICE 3 - SENIOR LIFE SOLUTIONS CLINIC 204 S HURON AVENUE HARBOR BEACH MI 48441 GERIATRIC MENTAL HEALTH PART I, LINE 3C: QUALIFICATION FOR FINANCIAL ASSISTANCE IS BASED ON A SLIDING SCALE. AN INDIVIDUAL'S INCOME AND ASSETS ARE COMPARED TO FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. THE FOLLOWING ARE EXCLUDED WHEN DETERMINING AN INDIVIDUAL'S INCOME AND ASSETS: RESIDENCE, REASONABLE TRANSPORTATION, LIFE INSURANCE, AND FINANCIAL RESERVES EQUAL TO TWO MONTHS OF EXPENSES. PART I, LINE 6A: IN 2022, HARBOR BEACH COMMUNITY HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT AND PUBLISHED A COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. PART I, LINE 7: THE COSTING METHODOLOGY USED BY HBCH TO DETERMINE THE COMMUNITY BENEFIT EXPENSES INCLUDED IN PART I, LINES 7A-D WERE DERIVED BY TAKING THE RESPECTIVE AMOUNTS PER THE AUDITED FINANCIAL STATEMENTS AND APPLYING THE COST-TO-CHARGE RATIO FROM WORKSHEET 2 OF THE IRS INSTRUCTIONS. THE COMMUNITY BENEFIT EXPENSES INCLUDED IN LINES 7E-J WERE REPORTED BASED ON HBCH'S ACTUAL COSTS FOR EACH CLASSIFICATION OF EXPENSES. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 146,799. PART II, COMMUNITY BUILDING ACTIVITIES: HARBOR BEACH COMMUNITY HOSPITAL OFFERS THE FOLLOWING COMMUNITY BENEFIT ACTIVITIES, ALTHOUGH THEIR VALUE IS NOT QUANTIFIED IN PART II: BABYSITTING CLASSES, CPR CLASSES AND STUDENT HEALTH CENTERS IN THE SCHOOLS. PART III, LINE 2: THE BAD DEBT EXPENSE, AT COST, WAS CALCULATED USING A COST-TO-CHARGE RATIO. NONE OF THE BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. PART III, LINE 3: HARBOR BEACH COMMUNITY HOSPITAL CANNOT REASONABLY CALCULATE THE PORTION OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE. PART III, LINE 4: THE FOOTNOTE OF HBCH'S 2024 FINANCIAL STATEMENTS THAT INCLUDES THE EXPLANATION OF BAD DEBT EXPENSE IS THE "PATIENT AND RESIDENT RECEIVABLE AND ALLOWANCE FOR CREDIT LOSSES" FOOTNOTE INCLUDED ON PAGE 7. PART III, LINE 8: MEDICARE REVENUES AND ALLOWABLE COSTS IN PART III, LINES 5 AND 6 WERE DERIVED FROM THE 2024 MEDICARE COST REPORT AND CALCULATED USING A COST-TO-CHARGE RATIO. THE SHORTFALL REPORTED IN PART III, LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. BY PARTICIPATING IN MEDICARE AND ABSORBING RELATED SHORTFALLS, WE ARE PROVIDING HEALTHCARE SERVICES TO A SIGNIFICANT PORTION OF OUR COMMUNITY, WHO ARE MEDICARE BENEFICIARIES. PART III, LINE 9B: COLLECTION PROCESS APPLIES TO ALL PATIENTS: LETTER SERIES FOLLOWED BY PRE-COLLECTION LETTER, FOLLOWED BY CLAIM SENT TO COLLECTIONS. PART VI, LINE 2: THE BOARD OF TRUSTEES FOR HBCH IS ELECTED BY THE BOARD OF INCORPORATORS. THERE ARE APPROXIMATELY 70 MEMBERS OF THE BOARD OF INCORPORATORS WHO REPRESENT THE COMMUNITY AT LARGE. COMMUNITY INPUT IS SOLICITED AT THE ANNUAL BOARD OF INCORPORATORS MEETING. HBCH UTILIZED COMMUNITY ASSESSMENT SURVEYS CONDUCTED BY THUMB COMMUNITY HEALTH PARTNERS TO COMPLETE THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING NEEDS WERE IDENTIFIED AS A RESULT OF THIS ASSESSMENT: EDUCATE THE COMMUNITY ON HEALTH INSURANCE, INCLUDING MEDICAID, AND IMPROVING ACCESS TO MENTAL HEALTH SERVICES.HBCH'S SCHOOL HEALTH CENTER PROVIDED COUNSELING TO STUDENTS IN GRADES KINDERGARTEN THROUGH 12. PART VI, LINE 3: A FAMILY ASSISTANCE APPLICATION IS GIVEN TO THE UNINSURED OF OUR PRIMARY SERVICE AREA. APPLYING FOR STATE ASSISTANCE IS A REQUIREMENT TO BE ELIGIBLE FOR FAMILY ASSISTANCE. PART VI, LINE 4: PATIENTS FROM HARBOR BEACH (ZIP 48441) AND PORT HOPE (ZIP 48468) ACCOUNT FOR 80% OF HBCH'S VOLUME. PART VI, LINE 5: HBCH PUBLISHES NEWSLETTERS WITH ARTICLES AIMED AT IMPROVING ONE'S HEALTH, PROVIDES TB TESTING TO THE AREA FIRE AND AMBULANCE SERVICES, AND PARTICIPATES IN CITY AND COUNTY DISASTER TRAINING AND DRILLS.FINALLY, HBCH PROVIDES A SCHOOL HEALTH CENTER FUNDED THROUGH A MICHIGAN DEPARTMENT OF EDUCATION AND HELATH AND HUMAN SERVICES GRANT. THIS CENTER OFFERS PHYSICAL AND MENTAL HEALTH AND WELLNESS SERVICES TO GRADES K THROUGH 12. SERVICES INCLUDE COUNSELING, HEALTH AND NUTRITION EDUCATION, AND NURSING ASSISTANCE. THE CENTER IS LOCATED IN THE HARBOR BEACH PUBLIC SCHOOL AND ALSO EXTENDS ITS SERVICES TO TWO PAROCHIAL SCHOOLS IN TOWN. IT IS STAFFED BY A LICENSED CLINICAL SOCIAL WORKER, A REGISTERED NURSE, AND THE SCHOOL HEALTH CENTER DIRECTOR. PART VI, LINE 7, REPORTS FILED WITH STATES MI 0 SCHOLARSHIPS 12 7519 N/A N/A X X X 0 0 0 1 0 0 0 0 0 NICKLAUS BRADLEY PHYSICIAN 314164 0 72906 0 0 0 23000 0 0 0 410070 0 0 0 JOSHUA WHITE PHYSICIAN 296971 0 66987 0 0 0 23000 0 0 0 386958 0 0 0 LAURA PARKS PHYSICIAN 248599 0 44048 0 0 0 23000 0 0 0 315647 0 0 0 JILL WEHNER PRESEIDENT & CEO 129406 0 17237 0 0 0 10097 0 0 0 156740 0 0 0 PART I, LINE 5 ONE PHYSICIAN RECEIVED COMPENSATION BASED ON OUR BILLING RECEIPTS COLLECTED FROM OUR SKILLED NURSING FACILITY. ACTIVE REHABILITATION ELIAS KABBAN, A BOARD MEMBER, IS PART OWNER OF ACTIVE REHABILIATION 38144 REHABILIATION SERVICES 0 FORM 990, PART VI, SECTION A, LINE 1A THERE IS AN EXECUTIVE COMMITTEE THAT CONSISTS OF THE CHAIRMAN, VICE CHAIRMAN, PRESIDENT AND SECRETARY OF THE BOARD. THIS COMMITTEE MAY ACT IN THE POWER OF THE CORPORATION DURING PERIODS BETWEEN BOARD MEETINGS. THE EXECUTIVE COMMITTEE WAS INACTIVE IN 2024. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS HARBOR BEACH HEALTHCARE, WHICH HAS ALL OF THE RIGHTS ACCORDED BY LAW TO MEMBERS OF A MICHIGAN NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES ARE ELECTED BY THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS MAY BE TAKEN BY THE CORPORATION AND ITS BOARD OF TRUSTEES ONLY UPON PRIOR WRITTEN APPROVAL OF THE CORPORATE MEMBER: A. ADOPTION, AMENDMENT, OR OTHER MODIFICATION OF THE BYLAWS OR ARTICLES OF INCORPORATION OF THIS CORPORATION. B. ANY MERGER, CONSOLIDATION, REORGANIZATION, OR OTHER CHANGE IN THE CORPORATE STRUCTURE OF THIS CORPORATION, OR THE CREATION OF ANY CORPORATE SUBSIDIARY THEREOF. C. THE PARTICIPATION OF THIS CORPORATION IN ANY PARTNERSHIP, LIMITED PARTNERSHIP, CORPORATION, ASSOCIATION, OR OTHER FORM OF JOINT VENTURE OR SHARED SERVICE WITH ANY OTHER PARTY OR ORGANIZATION. D. CREATION, INCURRENCE, OR ASSUMPTION OF INDEBTEDNESS, COMMITMENTS, OR ANY CONTRACTUAL OBLIGATION WITH RESPECT TO BORROWED MONEY, GUARANTEES, ENDORSEMENTS, LEASES, OR OTHER TYPE OF DIRECT OR CONTINGENT LIABILITIES, IN EXCESS OF $150,000 FOR ANY ONE ITEM. E. CREATION, INCURRENCE, OR ASSUMPTION OF ANY MORTGAGE, PLEDGE, SECURITY AGREEMENT, ENCUMBRANCE, OR OTHER LIEN OF ANY KIND IN ANY PROPERTY OR ASSETS OF THIS CORPORATION. F. ACQUISITION, BY PURCHASE, LEASE, OR BY ANY OTHER METHOD, OF ANY REAL ESTATE, CAPITAL IMPROVEMENTS, OR EQUIPMENT IN EXCESS OF A VALUE OF $150,000 FOR ANY ONE SUCH ITEM. G. ANY CHANGE IN THE SERVICES OR PROGRAMS OF THE CORPORATION, INCLUDING THE TERMINATION OF EXISTING SERVICES, THE ADDITION OF NEW SERVICES, OR ANY MAJOR EXPANSION OR CONTRACTION OF EXISTING SERVICES OR PROGRAMS. H. ADOPTION, OR FORMAL AMENDMENT OR MODIFICATION OF THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION. I. ADOPTION, AMENDMENT, OR MODIFICATION OF THE MISSION AND GOALS OF THE CORPORATION, AND ITS LONG RANGE OR SHORT RANGE STRATEGIC PLANS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY MANAGEMENT AND THE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE POLICY OF HARBOR BEACH COMMUNITY HOSPITAL (HBCH) AND ITS PHYSICIANS OFFICES TO PROVIDE A MECHANISM FOR ANY BOARD OF TRUSTEE MEMBER, ADMINISTRATIVE LEADERSHIP MEMBER OR DEPARTMENT DIRECTOR TO IDENTIFY AND REPORT ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST THAT MAY AFFECT THE CONDUCT OF BUSINESS OF HARBOR BEACH COMMUNITY HOSPITAL AND ITS PHYSICIANS OFFICES. DUTY TO DISCLOSE IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES THAT HAVE BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. DISCLOSURE OF CONFLICTING INTERESTS EVERY PERSON COVERED BY THIS POLICY SHALL SUBMIT IN WRITING TO THE HOSPITAL PRESIDENT A CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL AND CONFLICTING INTERESTS. EACH STATEMENT WILL BE RESUBMITTED WITH ANY NECESSARY CHANGES EACH YEAR OR AS ANY ADDITIONAL CONFLICTING OR FINANCIAL INTERESTS ARISE. THE CHAIRMAN OF THE BOARD AND THE VICE-CHAIRMAN OF THE BOARD SHALL BECOME FAMILIAR WITH ALL SUCH DISCLOSURE STATEMENTS IN ORDER TO GUIDE HIS CONDUCT SHOULD A CONFLICT ARISE. VIOLATIONS OF THE POLICY IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF A MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE CORRECTIVE ACTION. PERIODIC REVIEWS TO ENSURE THAT HARBOR BEACH COMMUNITY HOSPITAL AND ITS PHYSICIANS OFFICES OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEWS SHALL BE CONDUCTED. FORM 990, PART VI, SECTION B, LINE 15 HBCH PARTICIPATES IN THE HOSPITAL COUNCIL OF EAST CENTRAL MICHIGAN'S ANNUAL SURVEY WHICH INCLUDES CEO COMPENSATION. THIS IS REVIEWED BY OUR THE EXECUTIVE DIRECTOR OF HUMAN RESOURCES ON AN ANNUAL BASIS. THE COMPENSATION WAS THEN APPROVED BY THE BOARD OF TRUSTEES. THE LAST FULL COMPENSATION REVIEW WAS PERFORMED IN 2013. SINCE THEN, FORMS 990 OF OTHER ORGANIZATIONS HAVE BEEN USED FOR COMPARABILITY DATA. THE PROCESS INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES - MEDICAL: PROGRAM SERVICE EXPENSES 1,557,839. MANAGEMENT AND GENERAL EXPENSES 187,656. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,745,495. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,736,787. MANAGEMENT AND GENERAL EXPENSES 475,300. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,212,087. COLLECTION FEES: PROGRAM SERVICE EXPENSES 5,425. MANAGEMENT AND GENERAL EXPENSES 11,368. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,793. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. HARBOR BEACH HOSPITAL FOUNDATION 210 S FIRST STREET HARBOR BEACH MI 48441 383541307 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12B, II HARBOR BEACH HEALTHCARE 0 HARBOR BEACH HEALTHCARE 210 S FIRST STREET HARBOR BEACH MI 48441 383541450 HEALTHCARE MI 501(C)(3) LINE 12A, I N/A 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 1