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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>HAMILTON HEALTH CENTER (HHC) PROVIDES MEDICAL, DENTAL, BEHAVIORAL HEALTH, VISION, AND SOCIAL SERVICES TO ADULTS AND CHILDREN RESIDING IN SOUTHCENTRAL PA. IN ADDITION TO PRIMARY CARE SERVICES, HAMILTON PROVIDES SPECIALTY CARE SERVICES INCLUDING: OBGYN, PODIATARY, HIV, SUBSTANCE ABUSE, AND RADIOLOGY AND LABORATORY SERVICES THROUGH PARTNERSHIPS WITH OTHER COMMUNITY PARTNERS. HAMILTON ACQUIRED AN OUTPATIENT PRIMARY CARE SITE FROM UPMC PINNACLE WHICH IS LOCATED IN MILLERSBURG, DAUPHIN COUNTY. THIS SITE, ALONG WITH THE NEWPORT, PERRY COUNTY SITE, WERE HAMILTON'S FIRST EXPANSIONS INTO THE RURAL AREAS OF SOUTHCENTRAL PA. WITH THESE TWO SITES, HAMILTON NOW HAS 5 HEALTH CENTER HRSA APPROVED LOCATIONS. HAMILTON CONTINUED TO INCREASE THE NUMBER OF PATIENTS SERVED AS WELL AS ITS TOTAL NUMBER OF PATIENT VISITS. ADDITIONALLY, HAMILTON CONTINUED TO EXPAND ITS COMMUNITY OUTREACH ACTIVITIES THROUGH ITS COMMUNITY HEALTH WORKERS FUNDED BY THE UNITED WAY OF THE CAPITAL REGION AND OUTREACH STAFF FUNDED AS PART OF ITS SOCIAL SERVICE PROGRAM. HAMILTON HEALTH CENTER BEGAN CONSTRUCTION FOR A NEW SITE IN STELLTON WHICH OPENED IN JULY OF 2024. DURING THE COURSE OF THE YEAR, HAMILTON SERVED A NUMBER OF PATIETNS AND MEMBERS OF THE COMMUNITY WITH ITS FOCUS ON ADMINISTERING BOTH COVID-19 TESTING AND VACCINATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED IN DETAIL AND APPROVED BY MANAGEMENT AND THE FINANCE COMMITTEE. THE ENTIRE BOARD RECEIVES A COPY FOR REVIEW PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS DOCUMENTED IN THE EMPLOYEE AND SUPERVISORY HANDBOOKS. ALL HEALTH CENTER DIRECTORS, EMPLOYEES, OR AGENTS ARE PROHIBITED FROM PARTICIPATING IN THE SELECTION, AWARD OR ADMINISTRATION OF A CONTRACT SUPPORTED BY FEDERAL FUNDS IF A REAL OR APPARENT CONFLICT OF INTEREST IS PRESENT. SUCH A CONFLICT WOULD ARISE WHEN A HEALTH CENTER EMPLOYEE, BOARD MEMBER OR AGENT, OR ANY MEMBER OR HIS OR HER IMMEDIATE FAMILY, HIS OR HER PARTNER, OR AN ORGANIZATION THAT EMPLOYS, OR IS ABOUT TO EMPLOY, ANY OF THE PARTIES INDICATED HEREIN HAS A FINANCIAL OR OTHER INTEREST IN THE FIRM SELECTED FOR AN AWARD. ALL HEALTH CENTER DIRECTORS SHALL COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT. SUCH STATEMENTS SHALL BE REVIEWED BY THE CEO OF THE HEALTH CENTER. ANY POTENTIAL CONFLICT OF INTEREST INVOLVING A DIRECTOR SHALL BE PRESENTED TO THE BOARD FOR FINAL DISPOSITION. DIRECTORS WITH ACTUAL OR PERCEIVED CONFLICTS OF INTEREST SHALL HAVE SUCH MATTERS DISCLOSED TO THE BOARD. WHEN ANY SUCH INTEREST BECOMES A MATTER OF BOARD ACTION, SUCH MEMBER SHALL NOT VOTE OR USE PERSONAL INFLUENCE ON THE MATTER AND SHALL NOT BE COUNTED IN THE QUORUM FOR THE MEETING AT WHICH THE BOARD ACTION IS TO BE TAKEN ON THE INTEREST. THE DIRECTOR MAY, HOWEVER, BRIEFLY STATE A POSITION ON THE MATTER AND ANSWER PERTINENT QUESTIONS POSED BY BOARD MEMBERS. THE MINUTES OF ALL ACTIONS TAKEN ON SUCH MATTERS SHALL CLEARLY REFLECT THAT THESE REQUIREMENTS HAVE BEEN MET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION OF THE CEO. THE COMMITTEE USED THE MARCH 2018-2019 NACHC SURVEY DATA TO ASSIST IN THEIR EVALUATION OF THE CEO'S THREE YEAR CONTRACT. THE PROCESS IS DOCUMENTED IN THE BOARD MINUTES AND PERSONNEL FILE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO DETERMINES THE COMPENSATION OF ALL OFFICERS AND KEY EMPLOYEES BASED ON ANNUAL EVALUATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE -406,105 PHARMACY COGS 6,029,030 DIRECT F/R EXPENSES 23,943 PHARMACY COGS -6,029,030 DIRECT F/R EXPENSES -23,943 BAD DEBT EXPENSE 406,105</ExplanationTxt>
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