2026-09-15T13:25:21+00:00 2025-10-31 331498605 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2024-11-01 381455020 STRAITH HOSPITAL FOR SPECIAL SURGERY STRA 2483573360 23901 LAHSER ROAD SOUTHFIELD MI 480336035 BRAD BESCOE CEO 2026-09-15 true DAVID LOWENTHAL CPA P00378651 2483522500 2026-09-15 2024 BRAD BESCOE 23901 LAHSER ROAD SOUTHFIELD MI 480336035 25295356 false X WWW.STRAITHHOSPITAL.ORG X 1952 MI TO IMPROVE THE HEALTH STATUS OF OUR PATIENTS AND PROVIDE HIGH LEVELS OF SATISFACTION TO OUR PHYSICIANS. 8 7 171 8 0 3315885 7585029 14888173 13787407 251407 -101926 0 100000 18455465 21370510 0 0 0 0 6324864 6368878 0 0 0 8553093 8582758 14877957 14951636 3577508 6418874 18885087 25861129 9850361 10205841 9034726 15655288 TO IMPROVE THE HEALTH STATUS OF OUR PATIENTS AND PROVIDE HIGH LEVELS OF SATISFACTION TO OUR PHYSICIANS. false false 10524139 0 13787407 THE ORGANIZATION OPERATES A SHORT-TERM, ACUTE-CARE FACILITY OFFERING BOTH INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. TOTAL PATIENTS FOR THE YEAR WERE 478 HOSPITALIZED INPATIENTS (3,192 DAYS OF CARE) AND 2,909 SURGICAL OUTPATIENTS ALONG WITH 972 CLINIC VISITS. 10524139 true false false true false false false false false false true false false true true false true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false false false false true 18 0 true 171 true false false false false false false false false false false false false X 8 7 true false false false false false false true true false false false true true true true true true true true false false X BRAD BESCOE 2483573360 23901 LAHSER ROAD SOUTHFIELD MI 480336035 EDWARD S JEFFRIES MD TREASURER 1.0 0.0 X X 3500 0 0 JAMES C STRAITH CHAIRMAN 1.0 0.0 X X 3500 0 0 THOMAS W STRAITH PE VICE CHAIRMAN 1.0 0.0 X X 2500 0 0 ALEXANDER LEBEDINSKI TRUSTEE 1.0 0.0 X 3500 0 0 BRIAN HUSBAND TRUSTEE 1.0 0.0 X 2750 0 0 ENRIQUE SABBAGH MD TRUSTEE 1.0 0.0 X 1500 0 0 JUSTIN HORNBURG FSA TRUSTEE 1.0 0.0 X 2750 0 0 RAY HUSBAND TRUSTEE - PART YEAR 1.0 0.0 X 0 0 0 SUNNY SQUINDO TRUSTEE 1.0 0.0 X 2000 0 0 BRADLEY BESCOE PRESIDENT & CEO 40.0 0.0 X 269327 0 11491 LAMIA ALFATLAWI COO 40.0 0.0 X 215894 0 11147 DEREK HILL PHYSICIAN 40.0 0.0 X 133473 0 6674 MICHAEL PEER PHYSICIAN ASSISTANT 40.0 0.0 X 112750 0 5269 MOUHAMAD MAZLOUM PHARMACIST 40.0 0.0 X 174541 0 9963 927985 0 44544 5 false true false AMBULATORY ANESTHESIA ASSOCIATION PO BOX 1904 MONROE MI 48161 ANESTHESIA 735925 AUTISM ALLIANCE OF MICHIGAN 26913 NORTHWESTERN HWY 520 SOUTHFIELD MI 48033 BEHAVIORAL HEALTH DEPARTMENT SET UP 289987 LONG LAKE ANESTHESIOLOGY CONSULTANTS 4550 INVESTMENT DR SUITE 100 TROY MI 48098 ANESTHESIA 223634 3 7585029 7585029 MEDICARE/MEDICAID PAY 621110 10038686 10038686 OTHER PATIENT SERVICE REVENUE 621110 3748371 3748371 MEANINGFUL USE PAYMENTS 621110 350 350 0 0 0 0 13787407 71842 71842 0 0 3751078 3924846 -173768 0 -173768 -173768 INSURANCE RECOVERY 621110 100000 100000 0 0 0 0 100000 21370510 13787407 0 -1926 573266 573266 4987201 3708978 1278223 138735 138735 216598 152971 63627 453078 319985 133093 103044 103044 93700 93700 3910 3910 7584 7584 92976 56435 36541 0 71896 71896 48046 29163 18883 468491 468491 365162 221646 143516 44623 44623 243233 243233 859888 552493 307395 184052 184052 SUPPLIES 3383567 3383567 CONTRACTED LABOR 1669107 1013114 655993 EQUIP REPAIRS & MAINT 580226 352185 228041 RECRUITING 24618 14943 9675 338635 205545 133090 0 14951636 10524139 4427497 0 1272871 1061501 98339 103016 4844307 4025960 0 0 0 0 696112 679617 120762 112986 22750113 16122096 6326387 6628017 1887285 955204 0 0 3639024 12294828 18885087 25861129 3252531 3971609 0 0 6325817 5834232 272013 400000 9850361 10205841 X 9034726 15655288 9034726 15655288 18885087 25861129 6418874 201688 0 X X false true true false X false false false false false false false false true 3910 3910 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY DUES WERE PAID TO A NATIONAL AND STATE HOSPITAL ASSOCATION IN FY 2025. PART OF THE DUES PAID WERE USED BY THESE ASSOCIATIONS FOR PURPOSES OF LOBBYING. 1175669 1175669 15943467 12357428 3586039 5527380 3664937 1862443 103597 99731 3866 6628017 CONSTRUCTION IN PROGRESS 12248085 COST REPORT SETTLEMENT RECEIVABLE 46743 12294828 FEDERAL INCOME TAXES RESERVE FOR PROFESSIONAL LIABILITY 400000 PENSION LIABILITY 400000 14765207 201688 0 201688 14563519 6806991 6806991 21370510 14951636 0 0 14951636 0 0 14951636 SCHEDULE D, PART XI, LINE 4(B) OTHER REVENUES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS CAPITAL ASSET PURCHASES - 6806991 true true X true X true X false false false 0 0 0 0.0 935927 369245 566682 0.03818 0 0 0 0.0 0 0 935927 369245 566682 0.03818 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 935927 369245 566682 0.03818 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 5338993 4586235 752758 X true true 1 1 STRAITH HOSPITAL FOR SPECIAL SURGERY 23901 LAHSER ROAD SOUTHFIELD MI 48033 HTTPS://.STRAITHHOSPITAL.ORG 1060000035 X X STRAITH HOSPITAL FOR SPECIAL SURGERY 1 false false true X X X X X X X X X 22 true false false true X HTTPS://STRAITHHOSPITAL.ORG X true 22 true HTTPS://STRAITHHOSPITAL.ORG/FOR-PATIENTS/ false true X 200.0 300.0 X true true X X X true X HTTPS://STRAITHHOSPITAL.ORG/FOR-PATIENTS/ X HTTPS://STRAITHHOSPITAL.ORG/FOR-PATIENTS/ X HTTPS://STRAITHHOSPITAL.ORG/FOR-PATIENTS/ X X X X X X X true X false X X X false X X false false SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1 FACILITY , 1 - STRAITH HOSPITAL FOR SPECIAL SURGERY. STRAITH HOSPITAL FORMULATED A COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE TO REVIEW THE REQUIREMENTS OF, STRATEGIZE ON AND ENSURE THE COMPLETION OF THE 2025 CHNA. THE KEY INTERVIEWS AND DATA COLLECTION WERE ESSENTIAL IN ENHANCING THE UNDERSTANDING OF HEALTH NEEDS WITHIN THE LOCAL PEDIATRIC AND ADOLESCENT POPULATION AND IDENTIFYING AREAS FOR IMPROVEMENT. THIS PROCESS INCLUDED CONDUCTING THOROUGH RESEARCH AND UTILIZING GOVERNMENT-APPROVED SECONDARY SOURCES TO GATHER CRUCIAL DATA AND STATISTICS ON ASD. INDIVIDUALS INTERVIEWED DURING THIS PROCESS INCLUDED: THE PRESIDENT AND CEO OF AUTISM ALLIANCE OF MICHIGAN, THE DIRECTOR OF BEHAVIORAL ANALYSIS RESEARCH LAB AT EASTERN MICHIGAN UNIVERSITY, INDIVIDUALS AT THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE DIRECTOR OF RESEARCH EDUCATION, AND SERVICE AT RUTGERS UNIVERSITY, INDIVIDUALS FROM THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION, AND AN INDIVIDUAL FROM THE MICHIGAN DEVELOPMENT DISABILITIES INSTITUTE AT WAYNE STATE UNIVERSITY. KEY ORGANIZATIONS THAT WERE INTERVIEWED INCLUDED: AUTISM ALLIANCE OF MICHIGAN, EASTERSEALS MORC, KENNEDY KRIEGER INSTITUTE, MICHIGAN DEVELOPMENTAL DISABILITIES INSTITUTE, AND PROFOUND AUTISM ALLIANCE. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 FACILITY , 1 - STRAITH HOSPITAL FOR SPECIAL SURGERY. BASED ON KEY INFORMANT INTERVIEWS, FREE HEALTH SCREENINGS AND CONSULTATION WERE RECOMMENDED AS THE MOST EFFECTIVE WAY TO REDUCE THE RISK OF IDENTIFIED HEALTH ISSUES IN THE COMMUNITY. STRAITH HOSPITAL WILL PROVIDE ADDITIONAL RESOURCES TO EDUCATE THE COMMUNITY ABOUT COMMON CHRONIC DISEASES, SUCH AS OBESITY, HEART DISEASES AND DIABETES. OF THE RISKS IDENTIFIED, THE HOSPITAL ADDRESSED THE TOP 3 RISKS IDENTIFIED WHICH WERE OBESITY, HEART DISEASE AND DIABETES. THIS PLAN WAS CHOSEN BY THE HOSPITAL TO GET THE MOST IMMEDIATE IMPACT REGARDING THE QUALITY OF LIFE IN THE COMMUNITY. OTHER RISKS WILL BE ADDRESSED AS FINANCIAL RESOURCES BECOME AVAILABLE. SCHEDULE H, PART V, SECTION B, LINE 16 FACILITY , 1 FACILITY , 1 - STRAITH HOSPITAL FOR SPECIAL SURGERY. THE POLICY IS PRESENTED TO THE MEDICAL STAFF AND THEIR OFFICE PERSONNEL. SINCE MOST OF THE HOSPITAL'S PATIENTS ARE SURGICAL PATIENTS SCHEDULED BY THE MEDICAL STAFF, THE PATIENTS ARE MADE AWARE OF THE POLICY BEFORE THEY ARE EVEN BOARDED FOR SURGERY. 0 SCHEDULE H, PART I, LINE 7 FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS THE COSTING METHOD USED TO CALCULATE THE AMOUNTS IN LINE 7 OF THE TABLE IS THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE METHODOLOGY FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES IMPLICIT PRICE CONCESSIONS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE PROVISION. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. SCHEDULE H, PART III, LINE 3 FAP BAD DEBT EXPENSE METHODOLOGY PATIENT, AS ADJUDICATED BY MEDICARE. THESE AMOUNTS HAVE A HIGHER COST TO CHARGE RATIO THAN THE OVERALL RATIO. BASED ON THE HOSPITAL'S HISTORICAL EXPERIENCE, APPROXIMATELY 6% OF IMPLICIT PRICE CONCESSIONS MAY BE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICY. SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT SHORTFALL THE CONTRACT HOSPITALS HAVE WITH THE FEDERAL AND STATE GOVERNMENTS TO PROVIDE SERVICES FOR REIMBURSEMENT WHICH IS OFTEN LESS THAN COST, IS RATHER UNIQUE, COMPARED TO OTHER GOVERNMENTAL CONTRACTORS. REIMBURSEMENT METHODOLOGIES APPROPRIATELY INCENTIVIZE HOSPITALS TO REDUCE COSTS, BUT THEY MUST BALANCE THAT AGAINST UNRELENTLESS PRESSURE TO OBTAIN IMPROVED BUT MORE EXPENSIVE EQUIPMENT, SUPPLIES, AND PHARMACEUTICALS. PROVIDING MEDICAL SERVICES AT A LOSS, TO COMMUNITY MEMBERS CERTAINLY BENEFITS THE COMMUNITY, BUT THE LOSS MUST BE OFFSET BY OTHER PAYORS OR ACTIVITIES OF THE HOSPITAL. RECEIVING THE BENEFIT OF A TAX-EXEMPT ORGANIZATION HELPS PROVIDE AN OFFSET TO THAT SHORTFALL AND ALLOWS THAT HOSPITAL TO PROVIDE SERVICES TO MORE OF THESE PATIENTS THAN THEY OTHERWISE COULD. THE REQUIRED COST REPORT METHODOLOGY WAS USED IN DETERMINING ALLOWABLE COSTS REPORTED IN THE COST REPORT. SCHEDULE H, PART III, LINE 9B DEBT COLLECTION POLICY PATIENTS ARE PROVIDED AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY PRIOR TO SURGERY OR UPON ADMISSION FOR NON-SURGICAL ENCOUNTERS. THEY ARE ALLOWED TO PAY THE AMOUNT AT THAT TIME OR RECEIVE A BILL AFTER DISCHARGE. IF NO PAYMENT IS RECEIVED, THE ACCOUNT IS REFERRED TO AN OUTSIDE SERVICE WHICH WILL SEND UP TO SEVEN MORE STATEMENTS. IF PAYMENT IS STILL NOT RECEIVED, ACCOUNTS WITH BALANCES OVER $1,500 ARE FORWARDED TO A COLLECTION AGENCY, OTHERS ARE WRITTEN OFF. IF PAYMENT IS STILL NOT RECEIVED, THE ACCOUNT IS WRITTEN OFF. SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE - STRAITH HOSPITAL FOR SPECIAL SURGERY: LINE 16A URL: HTTPS://STRAITHHOSPITAL.ORG/FOR-PATIENTS/; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - STRAITH HOSPITAL FOR SPECIAL SURGERY: LINE 16B URL: HTTPS://STRAITHHOSPITAL.ORG/FOR-PATIENTS/; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - STRAITH HOSPITAL FOR SPECIAL SURGERY: LINE 16C URL: HTTPS://STRAITHHOSPITAL.ORG/FOR-PATIENTS/; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT HTTPS://STRAITHHOSPITAL.ORG/FOR-PATIENTS/ SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE HOSPITAL'S ASSISTANCE PROGRAMS ARE COMMUNICATED TO THE MEMBERS OF THE ORGANIZED MEDICAL STAFF WHO SUBMIT THE APPLICATION FOR ELIGIBILITY TO THE HOSPITAL. PATIENTS PRESENTING WITHOUT AN APPLICATION ARE INFORMED OF THE ASSISTANCE PROGRAM PRIOR TO THE CONCLUSION OF THE ADMISSION PROCESS. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION THE HOSPITAL PROVIDES CARE TO PATIENT'S REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL ALSO ACCEPTS PATIENTS COVERED BY GOVERNMENTAL PROGRAMS. THESE PROGRAMS OFTEN REIMBURSE LESS THAN THE COST OF THE CARE PROVIDED. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH HTTPS://STRAITHHOSPITAL.ORG/FOR-PATIENTS/ X X X false false false false false false false true false BRADLEY BESCOE PRESIDENT & CEO 252885 0 16442 0 0 0 11491 0 0 0 280818 0 0 0 LAMIA ALFATLAWI COO 202596 0 13298 0 0 0 11147 0 0 0 227041 0 0 0 MOUHAMAD MAZLOUM PHARMACIST 174541 0 0 0 0 0 9963 0 0 0 184504 0 0 0 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS STRAITH SPECIALTY HOSPITAL HAS AN INCENTIVE PROGRAM FOR LEADERS AND PHYSICIANS. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ORGANIZATION'S ABILITY TO ACHIEVE ITS GOALS BY PROVIDING TOP OFFICIALS AND THE BOARD OF DIRECTORS WITH A TOOL FOR: (A) CLEARLY COMMUNICATING PERFORMANCE ON THE PART OF KEY LEADERS & PHYSICIANS, (B) STIMULATING AND REWARDING SUPERIOR LEVELS OF PERFORMANCE WHICH WILL ULTIMATELY BENEFIT THE COMMUNITY STRAITH SERVES, AND (C) PROTECTING STRAITH'S ABILITY TO COMPETE WITH OTHER EMPLOYERS FOR HIGH-TALENT LEADERS & PHYSICIANS. FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS TRUSTEES THOMAS W STRAITH, JAMES C STRAITH, AND EDWARD S JEFFRIES - FAMILY RELATIONSHIP, TRUSTEE RAY HUSBAND AND JAMES C STRAITH - FAMILY RELATIONSHIP FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY THE BOARD IS PROVIDED WITH A FULL COPY OF THE 990 PRIOR TO FILING. THE CEO AND CFO REVIEW THE RETURN BEFORE SIGNING. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. 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 THE 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 APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. RECORDS OF EACH PROCEEDING ARE KEPT. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, READ AND UNDERSTANDS THE POLICY, AGREED TO COMPLY WITH THE POLICY AND UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL BOTH THE CEO AND COO HAVE EMPLOYMENT AGREEMENTS WITH THE HOSPITAL EFFECTIVE AUGUST 1, 2022. THE AGREEMENTS WERE NEGOTIATED BY AN ATTORNEY REPRESENTING THE HOSPITAL AND THE BOARD OF TRUSTEES, AND THE CEO AND COO INDIVIDUALLY. PAST COMPENSATION HISTORY AND HOSPITAL EXECUTIVE COMPENSATION STUDIES WERE USED TO SUPPORT THE CURRENT COMPENSATION WITHIN THE AGREEMENTS FOR THE OFFICERS. THESE AGREEMENTS WERE AMENDED IN OCTOBER 2024. FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES BOTH THE CEO AND COO HAVE EMPLOYMENT AGREEMENTS WITH THE HOSPITAL EFFECTIVE AUGUST 1, 2022. THE AGREEMENTS WERE NEGOTIATED BY AN ATTORNEY REPRESENTING THE HOSPITAL AND THE BOARD OF TRUSTEES, AND THE CEO AND COO INDIVIDUALLY. PAST COMPENSATION HISTORY AND HOSPITAL EXECUTIVE COMPENSATION STUDIES WERE USED TO SUPPORT THE CURRENT COMPENSATION WITHIN THE AGREEMENTS FOR THE OFFICERS. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XII, LINE 2C CHANGE OF OVERSIGHT PROCESS OR SELECTION PROCESS THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.