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Harbor Beach Community Hospital
Harbor Beach, MI 48441
| Bed count | 17 | Medicare provider number | 231313 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 16,694,291 Total amount spent on community benefits as % of operating expenses$ 1,222,420 7.32 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 188,273 1.13 %Medicaid as % of operating expenses$ 1,012,488 6.06 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 4,202 0.03 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 17,457 0.10 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 260,817 1.56 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? NO
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 14307298 including grants of $ 4202) (Revenue $ 14840022) HARBOR BEACH COMMUNITY HOSPITAL PROVIDES NURSING AND PROFESSIONAL SERVICES FOR ACUTE CARE INPATIENTS, OUTPATIENTS, AND LONG-TERM CARE RESIDENTS.
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Facility Information
HARBOR BEACH COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT BEGAN WITH ANALYSIS OF SURVEYS AND STAKEHOLDER INTERVIEWS THAT WERE HELD IN 2018 BY THE MICHIGAN THUMB PUBLIC HEALTH ALLIANCE. HARBOR BEACH COMMUNITY HOSPITAL DISTRIBUTED A SECOND SURVEY IN OUR COMMUNITY, WITH 91 COMPLETED SURVEYS. 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 11: IN 2019, WE BEGAN OFFERING CHILD AND ADULT TELEPSYCHIATRY SERVCES. WE ALSO PLAN TO OFFER MATTER OF BALANCE CLASSES TO THE SENIORS IN OUR COMMUNITY TO ADDRESS THE SENIOR INJURY PRIORITY. THIS HAS NOT BEEN IMPLEMENTED YET DUE TO THE COVID PANDEMIC.
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Supplemental Information
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 2019, 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 $ 260,817.
PART II, COMMUNITY BUILDING ACTIVITIES: HARBOR BEACH COMMUNITY HOSPITAL OFFERS THE FOLLOWING COMMUNITY BENEFIT ACTIVITIES, ALTHOUGH THEIR VALUE IS NOT QUANTIFIED IN PART II: BABY SITTING CLASSES, CPR CLASSES, DIABETIC EDUCATION, FITNESS EDUCATION, HEALTH FAIRS, ADOLESCENT HEALTH CENTER IN THE SCHOOLS, SPEAKERS BUREAU.
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 2021 FINANCIAL STATEMENTS THAT INCLUDES THE EXPLANATION OF BAD DEBT EXPENSE IS THE ""PATIENT AND RESIDENT RECEIVABLE"" FOOTNOTE INCLUDED ON PAGE 8."
PART III, LINE 8: MEDICARE REVENUES AND ALLOWABLE COSTS IN PART III, LINES 5 AND 6 WERE DERIVED FROM THE 2021 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. A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED DURING 2019, THE FOLLOWING NEEDS WERE IDENTIFIED AS A RESULT OF THIS ASSESSMENT: IMPROVING PERINATAL HEALTH, REDUCING ADOLESCENT HEALTH RISKS, REDUCING CHRONIC DISEASE DEATHS, REDUCING INFECTIOUS DISEASES, REDUCING THE IMPACT OF SUBSTANCE ABUCE DISORDERS, REDUCING INJURIES AMOUNG AMOUNG ADULTS, REDUCING CHILD ABUSE AND NEGLECT CASES, 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.FURTHER, HBCH FUNDS A COMMUNITY HEALTH FAIR THROUGH ITS OPERATIONS. THE HOSPITAL PARTICIPATES IN A PROGRAM TO PROVIDE REDUCED COST MAMMOGRAMS TO COMMUNITY MEMBERS. HBCH HAS A COMMUNITY CONNECTIONS PROGRAM THAT PROVIDES ASSISTANCE TO UNDERRESOURCED MEMBERS OF THE COMMUNITY.FINALLY, HBCH PROVIDES A SCHOOL HEALTH CENTER FUNDED THROUGH A HRSA 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
